HOMESTEAD HOSPITAL INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: HOMESTEAD HOSPITAL INC (EIN 65-0232993)
Tax period: 2022-10-01 to 2023-09-30
Filed: 2024-08-13
IRS object ID: 202422269349301252
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-08-13T09:52:04+00:00	ReturnTs
Tax Period End	2023-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	861065772	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	DELOITTE TAX LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	7900 TYSONS ONE PLACE SUITE 800	AddressLine1Txt
City	MCLEAN	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	650232993	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Homestead Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	HOME	BusinessNameControlTxt
Phone	7866627000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	975 Baptist Way	AddressLine1Txt
City	Homestead	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33033	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JANETTE SANCHEZ	PersonNm
Person Title	CORPORATE VP OF FINANCE	PersonTitleTxt
Phone	7866627000	PhoneNum
Signature	2024-08-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Rachel Kaufman	PreparerPersonNm
PTIN	P01485017	PTIN
Phone	7032511000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2024-08-08 14:25:15Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Kenneth Spell	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	975 Baptist Way	AddressLine1Txt
City	Homestead	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33033	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$458,933,344	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.BAPTISTHEALTH.NET	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1991	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	SEE FORM 990, PART III, LINE 1	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	1609	TotalEmployeeCnt
Total Volunteers	43	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,669,033	PYContributionsGrantsAmt
CY Contributions Grants	$458,846	CYContributionsGrantsAmt
PY Program Service Revenue	$421,650,092	PYProgramServiceRevenueAmt
CY Program Service Revenue	$455,100,733	CYProgramServiceRevenueAmt
PY Investment Income	$177,335	PYInvestmentIncomeAmt
CY Investment Income	$159,200	CYInvestmentIncomeAmt
PY Other Revenue	$2,055,810	PYOtherRevenueAmt
CY Other Revenue	$2,824,423	CYOtherRevenueAmt
PY Total Revenue	$425,552,270	PYTotalRevenueAmt
CY Total Revenue	$458,543,202	CYTotalRevenueAmt
PY Grants And Similar Paid	$16,360	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$22,400	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$125,892,992	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$134,921,010	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$325,753,570	PYOtherExpensesAmt
CY Other Expenses	$365,970,782	CYOtherExpensesAmt
PY Total Expenses	$451,662,922	PYTotalExpensesAmt
CY Total Expenses	$500,914,192	CYTotalExpensesAmt
PY Revenues Less Expenses	-$26,110,652	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$42,370,990	CYRevenuesLessExpensesAmt
Total Assets BOY	$104,241,620	TotalAssetsBOYAmt
Total Assets EOY	$100,971,814	TotalAssetsEOYAmt
Total Liabilities BOY	$634,968,345	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$673,285,772	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$530,726,725	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$572,313,958	NetAssetsOrFundBalancesEOYAmt
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$459,546,346	ExpenseAmt
Grant	$22,400	GrantAmt
Revenue	$455,100,733	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$459,546,346	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1609	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FINANCE DEPARTMENT	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7866627000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6855 RED ROAD STE 600	AddressLine1Txt
City	CORAL GABLES	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33143	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Bill R Tillett
Director	2.0	6.0	Yes (X)	$0	$35	$0
David Trueba MD
Director	2.0	0	Yes (X)	$0	$25	$0
George E Cadman III
Director	2.0	4.0	Yes (X)	$0	$0	$0
Jeanne F Jacobs MD
Director	2.0	0	Yes (X)	$0	$0	$0
Johanna Paterson Carrier
Director	2.0	0	Yes (X)	$0	$0	$0
John P Maas ESQ
Director	2.0	0	Yes (X)	$0	$0	$0
Jose Prado
Director	2.0	0	Yes (X)	$0	$0	$0
Maria Costa Smith
Director	2.0	0	Yes (X)	$0	$2,116	$0
Rao Uppaluri
Director	2.0	0	Yes (X)	$0	$0	$0
Rene W Taylor
Director	2.0	0	Yes (X)	$0	$0	$0
Rev William Chambers III
Director	2.0	4.0	Yes (X)	$0	$0	$0
Steven Sapp
Director	2.0	0	Yes (X)	$0	$0	$0
Willie Carpenter
Director	2.0	0	Yes (X)	$0	$0	$0
Edward G Shashaty
Regional VP of Finance	8.0	42.0		$0	$578,052	$130,328	Yes (X)
Kenneth Spell
CEO	50.0	0.0		$0	$733,902	$162,362	Yes (X)
Ana Cabrera
VP of Nursing	50.0	0		$337,993	$0	$84,622		Yes (X)
Charles Anderson Augustus II
Chief Medical Officer	50.0	0		$372,960	$0	$30,251		Yes (X)
David Abercrombie
VP Operations	50.0	0		$382,800	$0	$70,645		Yes (X)
Ann M Allen
AVP Nursing	45.0	0		$227,963	$0	$29,297			Yes (X)
Kurt H Kadel
AVP Hospital Admin	45.0	0		$217,960	$0	$29,075			Yes (X)
Marie-Elsie Ade
Pharmacy Director	45.0	0		$228,724	$0	$20,932			Yes (X)
Miguel A Cruz
Float RN Expert	45.0	0		$224,642	$0	$21,748			Yes (X)
Sherine A Craig
AVP Nursing	45.0	0		$212,816	$0	$16,502			Yes (X)
William M Duquette
Former CEO	0.0	50.0		$0	$1,186,272	$39,694				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,205,860	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,500,403	TotReportableCompRltdOrgAmt
Total Other Compensation	$635,455	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	253	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
AYA HEALTHCARE INC
PO Box 123519 Dept 3519	DALLAS	TX	75312	CONTRACT LABOR	$10,291,115
SOUTH DADE MEDICAL GROUP LLP
PO Box 901430	Homestead	FL	33090	PHYSICIAN SERVICES	$4,973,073
GREATER MIAMI ANESTHESIA SERVICES PA
7337 SW 169th Terrance	Palmetto Bay	FL	33157	PHYSICIAN SERVICES	$4,527,385
MANAGEMENT HEALTH SYSTEM LLC
1580 Sawgrass Corporate PKWY	Sunrise	FL	33323	SOFTWARE SUPPORT	$2,997,209
Nuwest Group Holdings LLC
PO Box 940	Roseville	CA	95661	CONTRACT LABOR	$2,567,890

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	84	CntrctRcvdGreaterThan100KCnt
Related Organizations	$458,846	RelatedOrganizationsAmt
Total Contributions	$458,846	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	621300	$455,096,956	$455,096,956
GRANT REVENUE	900099	$3,777	$3,777

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$455,100,733	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$154,947	TotalRevenueColumnAmt
Exclusion	$154,947	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$487,350	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$389,475	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$97,875	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$97,875	TotalRevenueColumnAmt
Exclusion	$97,875	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$4,920	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$667	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$4,253	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,253	TotalRevenueColumnAmt
Exclusion	$4,253	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA	722514	$1,328,596	$1,328,596
GIFT SHOP	453220	$506,415	$506,415
ELECTRONIC HEALTH RECORDS	900099	$880,940	$880,940

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,597	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$10,597	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,726,548	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$458,543,202	TotalRevenueColumnAmt
Related Or Exempt Func Income	$455,100,733	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$2,983,623	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$22,400	TotalAmt
Program Services	$22,400	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,188,587	TotalAmt
Management And General	$1,188,587	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$108,625,701	TotalAmt
Program Services	$93,342,145	ProgramServicesAmt
Management And General	$15,283,556	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,483,165	TotalAmt
Program Services	$3,810,690	ProgramServicesAmt
Management And General	$672,475	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,693,148	TotalAmt
Program Services	$10,789,176	ProgramServicesAmt
Management And General	$1,903,972	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,930,409	TotalAmt
Program Services	$6,740,848	ProgramServicesAmt
Management And General	$1,189,561	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$818,604	TotalAmt
Management And General	$818,604	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$36,795,785	TotalAmt
Program Services	$34,422,480	ProgramServicesAmt
Management And General	$2,373,305	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,298,892	TotalAmt
Program Services	$2,804,058	ProgramServicesAmt
Management And General	$494,834	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,250,061	TotalAmt
Program Services	$7,012,552	ProgramServicesAmt
Management And General	$1,237,509	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$17,419,922	TotalAmt
Program Services	$14,806,934	ProgramServicesAmt
Management And General	$2,612,988	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,239,682	TotalAmt
Program Services	$3,603,730	ProgramServicesAmt
Management And General	$635,952	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$54,629	TotalAmt
Program Services	$46,435	ProgramServicesAmt
Management And General	$8,194	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$5,142	TotalAmt
Program Services	$4,371	ProgramServicesAmt
Management And General	$771	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,936,374	TotalAmt
Program Services	$3,345,918	ProgramServicesAmt
Management And General	$590,456	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,848,551	TotalAmt
Program Services	$4,121,268	ProgramServicesAmt
Management And General	$727,283	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$8,206,014	TotalAmt
Program Services	$8,123,623	ProgramServicesAmt
Management And General	$82,391	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
CHARITY CARE	$116,821,411	$116,821,411
PROVISION FOR BAD DEBTS	$85,419,159	$85,419,159
MEDICAL SUPPLIES	$22,893,470	$22,893,470
MANAGEMENT FEES	$39,132,940	$33,262,999	$5,869,941

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,830,146	TotalAmt
Program Services	$8,152,679	ProgramServicesAmt
Management And General	$5,677,467	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$500,914,192	TotalAmt
Program Services	$459,546,346	ProgramServicesAmt
Management And General	$41,367,846	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,710	BOYAmt
EOY	$4,710	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$32,877,453	BOYAmt
EOY	$32,973,562	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,155,207	BOYAmt
EOY	$2,324,163	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$717,198	BOYAmt
EOY	$1,007,945	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$96,708,377	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$54,550,778	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$39,225,900	BOYAmt
EOY	$42,157,599	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$29,261,152	BOYAmt
EOY	$22,503,835	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$104,241,620	BOYAmt
EOY	$100,971,814	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$30,788,209	BOYAmt
EOY	$42,145,192	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$202,487	BOYAmt
EOY	$25,574	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$104,013,885	BOYAmt
EOY	$101,340,461	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$499,963,764	BOYAmt
EOY	$529,774,545	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$634,968,345	BOYAmt
EOY	$673,285,772	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$537,256,082	BOYAmt
EOY	-$579,627,075	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,529,357	BOYAmt
EOY	$7,313,117	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$530,726,725	BOYAmt
EOY	-$572,313,958	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$104,241,620	BOYAmt
EOY	$100,971,814	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$42,370,990	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$783,757	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,592,721	OtherCostOrOtherBasisAmt
Book Value	$5,592,721	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$35,047,110	OtherCostOrOtherBasisAmt
Depreciation	$18,492,935	DepreciationAmt
Book Value	$16,554,175	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,248,683	OtherCostOrOtherBasisAmt
Depreciation	$1,226,033	DepreciationAmt
Book Value	$22,650	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$49,607,866	OtherCostOrOtherBasisAmt
Depreciation	$33,302,172	DepreciationAmt
Book Value	$16,305,694	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,211,997	OtherCostOrOtherBasisAmt
Depreciation	$1,529,638	DepreciationAmt
Book Value	$3,682,359	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$42,157,599	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
BENEFICIAL INTEREST IN BHSF FOUNDATION, INC	$7,313,118
OTHER RECEIVABLES	$2,056,662
PHYSICIAN GUARANTEE ASSET	$11,299,801
RIGHT OF USE ASSETS	$1,834,254

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$22,503,835	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
SELF INSURANCE RESERVES	$15,707,230
DUE TO TAX EXEMPT AFFILIATE	$500,928,060
PHYSICIAN GUARANTEE LIABILITY	$11,299,801
RIGHT OF USE ST LIABILITY	$521,205
RIGHT OF USE LT LIABILITY	$1,313,049
ASSET RETIREMENT OBLIGATION	$5,200

Field	Value	IRS element (for citing)
Total Liability	$529,774,545	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$256,188,062	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	-$202,240,567	OtherRevenueAmt
Revenue Not Reported	-$202,240,567	RevenueNotReportedAmt
Revenue Subtotal	$458,428,629	RevenueSubtotalAmt
Other Revenues Not Included	$114,573	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$114,573	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$458,543,202	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$298,669,372	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	-$202,240,567	OtherExpensesIncludedAmt
Expenses Not Reported	-$202,240,567	ExpensesNotReportedAmt
Expenses Subtotal	$500,909,939	ExpensesSubtotalAmt
Other Expenses Not Included	$4,253	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$4,253	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$500,914,192	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	BHSF, THE BHSF HOSPITALS, BOS, BHMG, MCIBH, BRRH, BRRH HOSPITAL, AND BHSF FOUNDATION ARE NOT-FOR-PROFIT CORPORATIONS AND RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. BHMG AFFILIATED PHYSICIAN PRACTICES ARE SINGLE-MEMBER LLCS, WHICH ARE TREATED AS DISREGARDED ENTITIES FOR FEDERAL INCOME TAX PURPOSES. BHE, BOCACARE, BHC, AND THE INSURANCE COMPANIES ARE FOR-PROFIT ENTITIES. BHSF PROVIDES FOR INCOME TAXES IN ACCORDANCE WITH THE PROVISIONS OF FASB ASC 740, INCOME TAXES ("ASC 740"). AS REQUIRED UNDER ASC 740, DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED UNDER THE BALANCE SHEET APPROACH, WHICH RECOGNIZES THE FUTURE TAX EFFECT OF TEMPORARY DIFFERENCES BETWEEN THE AMOUNTS RECORDED IN THE FINANCIAL STATEMENTS AND THE TAX BASIS OF THESE AMOUNTS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING THE ENACTED TAX RATES EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIODS IN WHICH THE DEFERRED TAX ASSETS OR LIABILITIES ARE EXPECTED TO BE REALIZED OR SETTLED. TAXES COLLECTED FROM PATIENTS, TENANTS, CUSTOMERS AND OTHERS, CONCURRENT WITH SPECIFIC REVENUE-PRODUCING TRANSACTIONS AND SUBSEQUENTLY REMITTED TO GOVERNMENTAL AUTHORITIES, ARE RECORDED ON A NET BASIS AND EXCLUDED FROM REVENUES. AS OF SEPTEMBER 30, 2023 AND 2022, BHSF HAD NO MATERIAL UNRECOGNIZED TAX POSITIONS. BHSF IS PERIODICALLY AUDITED BY FEDERAL AND STATE TAXING AUTHORITIES. THE OUTCOME OF THESE AUDITS MAY RESULT IN BHSF BEING ASSESSED TAXES IN ADDITION TO AMOUNTS PREVIOUSLY PAID. FEDERAL RETURNS FOR FISCAL YEARS 2020 THROUGH 2022 REMAIN OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990	Charity Care - -XXX-XX-XXXX Bad Debt Expense - -85419156
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	Transfer from Restricted Fund Equipment - 110320 GAIN / LOSS ON SALE OF FIXED ASSETS - 4253
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990	CHARITY CARE - -XXX-XX-XXXX BAD DEBT EXPENSE - -85419156 -
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	GAIN / LOSS ON SALE OF FIXED ASSETS - 4253

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	3450	PersonsServedCnt
Total Community Benefit Expns	$30,594,442	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$30,594,442	NetCommunityBenefitExpnsAmt
Total Expense	0.0736	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$67,144,133	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,099,998	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$45,044,135	NetCommunityBenefitExpnsAmt
Total Expense	0.1084	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	3450	PersonsServedCnt
Total Community Benefit Expns	$97,738,575	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,099,998	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$75,638,577	NetCommunityBenefitExpnsAmt
Total Expense	0.1820	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$969,583	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,612	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$956,971	NetCommunityBenefitExpnsAmt
Total Expense	0.0023	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,774,909	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,774,909	NetCommunityBenefitExpnsAmt
Total Expense	0.0067	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$558,451	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$558,451	NetCommunityBenefitExpnsAmt
Total Expense	0.0013	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$4,302,943	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,612	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,290,331	NetCommunityBenefitExpnsAmt
Total Expense	0.0103	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	3450	PersonsServedCnt
Total Community Benefit Expns	$102,041,518	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,112,610	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$79,928,908	NetCommunityBenefitExpnsAmt
Total Expense	0.1924	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$17,181,058	BadDebtExpenseAmt
Reimbursed By Medicare	$35,724,290	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$30,480,022	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$5,244,268	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HOMESTEAD HOSPITAL INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	975 BAPTIST WAY	AddressLine1Txt
City	HOMESTEAD	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33033	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.BAPTISTHEALTH.NET	WebsiteAddressTxt
State License	FL LICENSE #4486	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HOMESTEAD HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	The CHNA report has been made widely available on the Baptist Health website. https://baptisthealth	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	The most recent Implementation Plan has been made widely available on the Baptist Health website. ht	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	false	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART VI	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART VI	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	PART VI	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - HOMESTEAD HOSPITAL. For its FY2022 Community Health Needs Assessment ("CHNA"), Baptist Health South Florida, Inc. and its affiliates ("Baptist Health "BHSF") conducted the assessment of the Homestead Hospital South Dade community. The designated service area for Homestead Hospital consists of six (6) Zip Codes in Miami-Dade County. FOCUS GROUPS: A total of three (3) focus groups were held to gather key internal and external stakeholder feedback. Internal stakeholders included various members of hospital leadership, representatives from case management, nursing, community relations, and physicians. External stakeholders included community first responders, clergy leaders, local government, patients, and representatives from various community-based organizations. Stakeholders were presented with various levels of public health data, encompassing national, state, county, and zip code specific data, when available. Focus group participants were asked to consider this data and personal/professional perspective during the qualitative question and answer portion of the focus group session. Some topics addressed were: What are the greatest health challenges our communities are facing? Explain potential challenges to improving health outcomes and how the Homestead Hospital can provide support in improving health outcomes. In addition to the in-person focus groups, an online survey was administered to organizations that were unable to attend the in-person focus group sessions. This ten (10) question survey provided an additional avenue to receive feedback from community stakeholders. Homestead Hospital Focus group insights: The focus group participants discussed the topics of socioeconomic challenges, access to care, availability of primary care and prevention, healthy lifestyles and wellness, and behavioral health facing the South Dade community. The community struggles with access to healthy foods, and chronic disease management resources, as well as other risky behaviors, such as unhealthy diet, dropping out of school, alcohol abuse, vaping, and smoking. Social determinants of health, such as income, education and neighborhood affect residents' access to insurance and healthcare, which subsequently affects an individual's health status. Another topic discussed at length was the impact of lack of preventive care. Highlighting the importance of health screenings, diagnostic exams, and the need for building a relationship with primary care doctors for early intervention and treatment. Opportunities to improve the health of our community discussed by the focus groups emphasized expanding or creating more community health centers focused on chronic condition management, health education emphasizing mental and physical wellness, medication management and discounted health services. Members identified opportunities to expand community education through partnerships and special programs offering free or low-cost options.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - HOMESTEAD HOSPITAL. For its FY2022 CHNA, Baptist Health conducted the assessment for Homestead Hospital. In order to ensure broad community input, Baptist Health and the Community Development Department at Homestead Hospital organized the 2022 CHNA process. External and internal community partners were identified to participate in the spring CHNA focus groups. Key stakeholders in the Homestead Hospital community were invited to one of three scheduled focus groups, held via Zoom. The report considers the latest government and public statistics, hospital data and feedback from the various focus groups and surveys.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - HOMESTEAD HOSPITAL. HOMESTEAD HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN FY2022 TO BETTER UNDERSTAND THE HEALTHCARE NEEDS OF THE COMMUNITY IT SERVES IN SOUTHERN MIAMI-DADE COUNTY. 1. ACCESS TO CARE 2. AVAILABILITY OF PRIMARY CARE AND PREVENTION 3. BEHAVIORAL HEALTH 4. SOCIOECONOMIC CHALLENGES 5. HEALTHY LIFESTYLES AND WELLNESS THE WRITTEN IMPLEMENTATION PLAN ADDRESSES EACH OF THESE FIVE PRIORITY AREAS, WITH STRATEGIES ORGANIZED AROUND EACH PRIORITY AREA. 1. ACCESS TO CARE * Baptist Health contributed $4.3 million in cash to support access to care and $74,000 in foregone rent to community clinics. Baptist Health provides funding to support operations for ten (10) community clinics and other organizations: - Palm Beach County: Caridad Center and Palm Beach Medical Society Services - Miami-Dade County: Caring for Miami, Chapman Partnership, Good News Care Center, Good Samaritan Clinic, Homestead Community Health Center, Miami Lighthouse for the Blind and Visually Impaired , Open Door Health Center, and South Miami Children's Clinic - Monroe County: Florida Keys Area Health Centers and Good Health Clinic Homestead Hospital Pharmacy contributed $255,398 of in-kind medication to Open Door Health Center. Although Homestead Hospital does not directly provide cash contributions to these organizations, Baptist Health as a system provides support to directly impact the Homestead Hospital community and the communities of Monroe, Miami-Dade, Broward, and Palm Beach counties. * Baptist Health contributed $165,000 in rental assistance to PATCHES PPEC to support the care of medically complex children in South Dade. * Homestead Hospital had a total of 1,360 clinic patient encounters at a total cost of $626,772. * Financial Assistance Policy - Homestead Hospital provided$24.509 million in charity care to 3,450 unique individuals through 5,019 totalpatient encounters. Additionally, it contributed $280,653 towards pharmaceutical assistance, $201,580 for transportation and medical equipment, and $619,934 in outpatient dialysis support to charity patients. * Homestead Hospital incurred a Medicaid shortfall of $39.391 million, resulting from 29,806 cases, during FY2023. * Care On Demand ("COD") serves as Baptist Health's telehealth platform and digital front door to accessing the system. Service is now available across multiple specialties to address our patients' needs. The platform provided 18,254 virtual urgent care visits, with 9,994 being provided free of charge. In Miami-Dade County, COD provided 12,577 virtual urgent care visits, with 6,952 being free of charge. In addition to urgent care visits, Baptist Health offered specialty visits through the COD platform, including 67 for Diet and Nutrition, 8 for Orthopedic, 7 for Lactation, and 3 for Cancer Care. Although Homestead Hospital does not directly provide telehealth support via COD, Baptist Health as a system provides support to directly impact the Homestead Hospital community and the communities of Monroe, Miami-Dade, Broward, and Palm Beach counties. * Baptist Health contributed $145,000 to Catalyst Miami, through the Community Benefit department, to assist clients with SNAP (food stamps), Medicaid, financial coaching, Children's Health Insurance Program (CHIP), tax preparation, and SSI/Disability linkage. In FY2023, Catalyst Miami supported healthcare navigation to residents throughout Homestead, Florida City and the greater South Dade community . Although Homestead Hospital does not directly provide cash contributions to Catalyst Miami, Baptist Health as a system provides support to directly impact the communities of Miami-Dade County. * In partnership with the Homestead Community Health Center, 46 percent of patients referred to the Agape Network from the clinic underwent psychiatric evaluation. Additionally, Homestead Community Health Center achieved significant reductions in readmissions of Congested Heart Failure and Diabetes patients. * Baptist Health provided $23.406 million in direct support to community physicians for medical care to treat uninsured patients and ensure access to providers in Monroe County, the areas of South Dade, and the City of Boynton Beach. Although Homestead Hospital does not directly provide cash contributions, Baptist Health as a system provides support to directly impact the communities of Miami-Dade County. 2. AVAILABILITY OF PRIMARY CARE AND PREVENTION * Baptist Health primary care has 13 offices serving Miami-Dade County. Although Homestead Hospital does not directly provide primary care to the community, Baptist Health Primary Care provides primary care services to directly impact the Homestead Hospital and the communities of Monroe, Miami-Dade, Broward, and Palm Beach counties. * Baptist Health sustains its commitment to the ongoing education of its primary care providers and allied health professionals through its accredited Continuing Medical Education ("CME") program. In FY2023, it offered 370 conferences attended by 130,448 health professionals. Furthermore, 2,503 credits were offered, resulting in the awarding of a total of 218,180 CME/CE credits to participants who completed multiple activities. Although Homestead Hospital does not provide CMEs directly to community physicians and health professionals, Baptist Health provides CMEs to directly impact the Homestead Hospital community and the communities of Monroe, Miami-Dade, Broward, and Palm Beach counties. * To make prevention screenings accessible for everyone, Baptist Health offers special pricing for uninsured patients. Baptist Health provided 10,472 discounted diagnostic tests, of which 6,993 were in Miami-Dade. Homestead Hospital administered 456 cardiac scoring tests and 17 discounted lung screening tests. Baptist Outpatient Services, in Miami-Dade County, offered the following discounted diagnostic tests; 2,584 cardiac scoring, 334 lung screening, and 1,323 mammograms.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - HOMESTEAD HOSPITAL, CONT.. 3. BEHAVIORAL HEALTH * Six Behavioral Health support groups were offered throughout the Baptist Health system and the system hosted a total of 464 participants. * Baptist Health is committed to improving the health and wellness of the community. The Community Health Department ("Community Health") offers free in-person and virtual behavioral health education, focusing on topics such as stress management, mindfulness, meditation, and various mental health issues. These health programs and workshops are offered to the community-at-large and to smaller, restricted groups, in partnership with community organizations, or other media outlets, like Baptist Health Resource Blogs, Facebook and Instagram Live programs, Tik Tok videos, and articles for websites such as Healthline and newspapers. In FY2023, the Community Health Department offered 405 classes focused on behavioral health to a total of 13,175 community participants. * Postpartum depression, a severe condition associated with a number of risk factors, manifests differently among women and at different points during the postpartum period. Baptist Hospital of Miami, South Miami Hospital, West Kendall Baptist Hospital, Homestead Hospital, Bethesda Hospital East, and Boca Raton Regional Hospital have standardized a protocol ensuring that all new mothers in their labor and delivery departments receive a postpartum depression screening prior to discharge. Patients who score high on the Edinburgh Postnatal Depression Scale are referred to the Social Work department for evaluation, and their primary obstetrician is notified for further evaluation. During FY23, of all the patients screened for postpartum depression at Homestead Hospital, 15 women scored above 10, and 12 required OB physician notification. * The Baker Act is a Florida law that enables families and loved ones to provide emergency mental health services and temporary detention for people who are impaired because of their mental illness, and who are unable to determine their treatment needs. In partnership with Banyan Health Systems, 75 percent of the patients in need of Baker Act transfers from a Baptist Health Miami-Dade County entity to a federally qualified receiving facility were placed within four hours of being admitted to the emergency department. Baptist Health's Miami-Dade County entities were able to coordinate the referral of 962 Baker Act patients to behavioral health providers in the community, of which 720 were transferred within the stipulated four-hour timeframe. * Baptist Health has been able to establish behavioral health partnerships to help support our communities through community benefit support. In FY2023, Baptist Health contributed $556,761 to support our partners. These organizations provide psychiatric assessments, free outpatient counseling, bereavement support groups, inpatient substance use treatment, and free/low-cost medications for Baptist Health's patients and our community's members. - Monroe County: Autism Society of the Keys and Florida Keys Children's Shelter - Miami-Dade County: 211 Miami-Dade and Monroe, Agape Network, Children's Bereavement Center, New Hope Corps, and Sofia's Hope. - Broward County: Children's Bereavement Center and Eagles Haven - Palm Beach County: Faulk Center for Counseling Although Homestead Hospital does not directly provide cash contributions to these organizations, Baptist Health as a system provides support to directly impact the Homestead Hospital community and the communities of Monroe, Miami-Dade, Broward, and Palm Beach counties. * Psychotherapists have continued collaboration with Baptist Health Primary Care physicians in supporting their Empowerment Program for depression patients. Although Homestead Hospital does not directly offer the Empowerment Program, Baptist Health Primary Care provides this program as a resource to the primary care patients in Miami-Dade County. * In FY2023, Baptist Health provided a total of 1,168 behavioral health visits on Care-On-Demand to the community, with 1,048 of these services being provided to Miami-Dade County residents. Although Homestead Hospital does not directly provide behavioral health support via tele-health, Baptist Health as a system provides support to directly impact the Homestead Hospital community and the communities of Monroe, Miami-Dade, Broward, and Palm Beach counties. * Baptist Health has implemented a depression screening questionnaire across our primary care practices for all patients. Those screening positively will receive further assessment to guide treatment planning. Homestead Hospital has implemented the Columbia Suicide Severity Rating Scale (C-SSRS) in the hospital's emergency department. The C-SSRS is a measure used to identify and assess individuals at risk for suicide. Providers should use the scale as a measure of suicidal ideation, intent or plan, and past suicidal behavior. This scale is used to guide appropriate therapeutic intervention and to facilitate safety monitoring and planning. Baptist Health has implemented the C-SSRS at all of its entities across the system. 4. SOCIOECONOMIC CHALLENGE * Housing insecurities - Baptist Health, through its partnership with Habitat for Humanity, contributed to housing projects in Palm Beach, Miami-Dade, and Monroe counties. Specifically, contributions were made to help partially sponsor a home in Boynton Beach, FL; five houses in Miami-Dade County, complete a 4 Unit project and break ground on an additional 10 units in the Upper Keys, and complete 9 home units in the Middle Keys. In addition to employee volunteer hours, Baptist Health contributed $370,000 . Although Homestead Hospital does not directly provide cash contributions to these organizations, Baptist Health as a system provides support to directly impact the Homestead Hospital community and the communities of Monroe, Miami-Dade, and Palm Beach counties. * Baptist Health contributed a total of $192,850 to the United Way organization benefiting the communities of Palm Beach, Broward, Miami-Dade, and Monroe. The community plan fund for United Way disburses funds to directly support the community's residents through partnerships with local organizations, as well as United Way initiatives like the Center for Excellence and Early Education, Center for Financial Stability, Mission United, and more. Although Homestead Hospital does not directly provide cash contributions to the listed organization, Baptist Health as a system provides support to directly impact the communities of South Dade. * Homestead Hospital participated in the MAST Academy volunteer program lecture series, offering students both on-the-job training and educational session. Homestead Hospital hosted 300 students in four presentations.
Schedule H, Part V, Section B, Line 11 Facility , 3	Facility , 3 - HOMESTEAD HOSPITAL, CONT.. 5. HEALTHY LIFESTYLES AND WELLNESS * Baptist Health contributed $276,000 to support chronic disease management organizations. - Palm Beach: YMCA South Palm Beach - Broward: Gilda's Club of South Florida and We Stand Together - Miami-Dade: American Heart Association, Be the Match, BRCA Strong, Leukemia & Lymphoma Society, Lotus House, Miggy's Gift, Pancan Purple Stride, Sharsheret, and Susan G Komen - Multiple Counties: American Cancer Society and Gift of Life Although Homestead Hospital does not directly provide cash contributions to these organizations, Baptist Health as a system provides support to directly impact the Homestead Hospital community and the communities of Monroe, Miami-Dade, Broward, and Palm Beach counties. * Baptist Health contributed $83,000 to support healthy lifestyles and wellness organizations. - Palm Beach: 211 Palm Beach/Treasure Coast - Broward: Healthy Mothers Healthy Babies - Miami-Dade: Center for Family and Child Enrichment - Monroe: Monroe County School District * Thirty-nine (39) chronic disease management support groups were offered throughout the Baptist Health system and hosted 1,640 participants. * Baptist Health is committed to improving the health and wellness of the community. The Community Health Department offers free chronic disease management education, focusing on topics such as diabetes management, nutrition, heart health, and other chronic disease issues. Community Health offered 43 chronic disease management programs hosting 1,384 participants. Community Health offered 65 nutrition programs hosting 2,636 participants. In the Homestead Hospital service area, one program was offered to four participants. * The Community Health Department hosted 2,647 exercise classes, totaling 89,523 exercise encounters and 921 educational programs - many focused on healthy eating and nutrition - reaching 29,006 participants and conducting 4,397 biometric screenings. In the Homestead Hospital, Community Health offered 49 exercise classes attended by 1,112 participants. Additionally, Community Health offered 113 health screenings and one health fair in the Homestead Hospital primary service area during FY23. Although Homestead Hospital does not directly provide community health exercise classes or health screenings, Baptist Health community health department provides support to directly impact the Homestead Hospital community and the communities of Monroe, Miami-Dade, Broward, and Palm Beach counties. * The Community Health Department offered the CDC's (Centers for Disease Control) fully recognized Diabetes Prevention Program, Beat Diabetes: Take Control, free of charge to 25 community participants. Two participants were from the Homestead Hospital service area. The two cohorts met via Zoom. The lifestyle change program provided weekly and monthly sessions over the course of the 12-month program, with the goal of participants reducing their starting weight by 5-7 percent by the culmination of the program. * Homestead Hospital's "Healthy Homestead" initiative aimed to foster a community culture where people prioritize health and well-being. In FY23, Homestead Hospital hosted 5,129 community members to participate in 40 events. * Homestead Hospital pioneered the Grow2Heal ("G2H") Garden in 2014 to help educate the community about nutrition and disease prevention. In FY23, G2H staff participated in various community events, education programs, student field trips, and harvested produce. Homestead Hospital G2H participation efforts included hosting 44 field trips to 366 students, participating in 17 events attended by 1,624 participants, and harvesting over 6,331 lbs. of produce. ALL IDENTIFIED NEEDS ARE BEING ADDRESSED IN VARIOUS FORMS, EITHER DIRECTLY BY BAPTIST HEALTH OR IN COLLABORATION WITH EXTERNAL COMMUNITY-BASED ORGANIZATIONS.

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Supplemental Information Detail SupplementalInformationDetail (26 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part VI, Line 6 AFFILIATED HEALTH CARE SYSTEM	BAPTIST HEALTH SOUTH FLORIDA AND ITS AFFILIATES ("BAPTIST HEALTH") OFFER A COMPREHENSIVE CONTINUUM OF SERVICES, EITHER THROUGH THEIR OWN PROGRAMS OR IN COOPERATION WITH OTHER HEALTHCARE PROVIDERS. BAPTIST HEALTH'S PROGRAMS AND SERVICES INCLUDE THE FOLLOWING: Baptist Health Heart & Vascular Care: We provide convenient cardiovascular care throughout Miami-Dade, Broward, Palm Beach and Monroe Counties across our 11 hospitals, specialty physician practices and renowned institutes: Baptist Health Miami Cardiac & Vascular Institute and Christine E. Lynn Heart & Vascular Institute. BAPTIST HEALTH MIAMI CARDIAC & VASCULAR INSTITUTE: BAPTIST HEALTH MIAMI CARDIAC & VASCULAR INSTITUTE IS THE LARGEST AND MOST COMPREHENSIVE CARDIOVASCULAR FACILITY IN THE REGION. PATIENTS CAN EXPERIENCE CONSISTENT, EXCEPTIONAL, EVIDENCE-BASED CARE AT INSTITUTE LOCATIONS THROUGHOUT BAPTIST HEALTH. THE INSITITUTE'S TEAM OF MULTILINGUAL, MULTIDISCIPLINARY SPECIALISTS HAVE PIONEERED THE DEVELOPMENT OF TECHNOLOGY USED TO TREAT ANEURYSMS, BLOCKAGES IN VEINS AND ARTERIES, AND HOLES IN THE HEART. MIAMI CARDIAC & VASCULAR INSTITUTE PARTICIPATES IN CLINICAL RESEARCH STUDIES AND OFFERS THE MOST MINIMALLY INVASIVE OPTIONS WHENEVER FEASIBLE. THE INSTITUTE ALSO EXTENDS PERSONALIZED EDUCATION AND REHABILITATION SERVICES TO HELP MANAGE EXISTING CONDITIONS AND PREVENT CARDIOVASCULAR DISEASES. THE INSTITUTE ADHERES TO QUALITY STANDARDS ESTABLISHED BY THE AMERICAN COLLEGE OF CARDIOLOGY, SOCIETY OF INTERVENTIONAL RADIOLOGY, AMERICAN COLLEGE OF RADIOLOGY, SOCIETY FOR VASCULAR SURGERY, AND SOCIETY OF THORACIC SURGERY. ESTABLISHED IN 1987 UNDER THE LEADERSHIP OF BARRY T. KATZEN M.D., MIAMI CARDIAC & VASCULAR INSTITUTE HAS GARNERED INTERNATIONAL RECOGNITION, WITH DR. KATZEN BEING THE FIRST AMERICAN RECIPIENT TO EARN THE CARDIOVASCULAR AND RADIOLOGICAL SOCIETY OF EUROPE'S GOLD MEDAL AWARD FOR HIS GROUNDBREAKING WORK IN INTERVENTIONAL RADIOLOGY, INCLUDING THE USE OF STENTS FOR PROPPING OPEN MAJOR BLOOD VESSELS OUTSIDE THE HEART. TODAY, THE INSTITUTE HAS MORE THAN 100 PHYSICIANS WHO REPRESENT MORE THAN 15 SPECIALTIES AND HAVE MET STRINGENT REQUIREMENTS FOR ONGOING MEDICAL EDUCATION, TRAINING, AND RESEARCH. THE INSTITUTE ALSO EMPLOYS MORE THAN 800 NURSES, TECHNOLOGISTS, AND OTHER ALLIED HEALTH PROFESSIONALS. EACH YEAR, MIAMI CARDIAC & VASCULAR INSTITUTE HOSTS THE INTERNATIONAL SYMPOSIUM ON ENDOVASCULAR THERAPY, WITH MORE THAN 800 CARDIAC AND VASCULAR SPECIALISTS IN ATTENDANCE. Baptist Health Cancer Care Baptist Health Cancer Care is the largest cancer program in South Florida, providing local, out-of-state and international patients with the most advanced cancer care. With locations from the Florida Keys to the Palm Beaches, the program provides cancer patients access to a full array of innovative clinical trials, physicians dedicated to bringing discovery to the bedside, access to personalized cancer treatments and comprehensive patient support services - all delivered with unparalleled compassion. At the heart of Baptist Health Cancer Care is its premier state-of-the-art institutes: Baptist Health Miami Cancer Institute and The Eugene M. & Christine E. Lynn Cancer Institute. These institutes boast renowned subspecialized surgical oncologists, medical oncologists and radiation oncologists, and highly advanced technologies available to treat every common and rare cancer. MIAMI CANCER INSTITUTE Miami Cancer Institute opened its doors in 2017. Today, the Institute stands as a cornerstone of cancer care within Baptist Health. The $430 million, 445,000 square foot facility offers comprehensive quality cancer care to all in the South Florida area and beyond. Miami Cancer Institute became the third full member, and the only one in Florida, of the Memorial Sloan Kettering (MSK) Cancer Alliance. This initiative is designed to collaboratively guide community providers toward state-of-the-art cancer care. Miami Cancer Institute offers a unique, hybrid academic community cancer center model backed by 30 years of Baptist Health expertise in cancer care. The facility, located on the Baptist Hospital campus, consolidates many outpatient rooms, clinical services, and additional technologies. Most notable is that the Institute is home to one of the most comprehensive and advanced radiation oncology programs in the world, including South Florida's first proton therapy center. The precision of proton therapy allows physicians to target cancer cells without damaging healthy tissue and vital organs, providing patients the best possible quality of life. Miami Cancer Institute draws a significant number of patients from outside the United States, as well as leading medical and business professionals to South Florida for conferences, symposia, and other events. The Hilton Miami-Dadeland - a 184-room, full-service hotel and conference center - opened in 2019 and has been an essential component to serving out-of-town patients and guests visiting the Cancer Institute, as well as those who come to the area for other types of care. Our cancer experts and other health care professionals work with patients in a variety of settings, including an intensive care unit and specialized cancer settings for inpatient and outpatient treatments. Baptist Hospital of Miami and South Miami Hospital are accredited with commendation by the American College of Surgeons Commission on Cancer. Miami Cancer Institute is also leading efforts to address inequities in cancer care and clinical trial enrollment. Through its recently established Center for Equity in Cancer Care & Research, the institute is actively working to identify and decrease disparities in cancer care and to expand the participation of underserved populations in clinical trials. Miami Cancer Institute stands as an integral part of Baptist Health Cancer Care, dedicated to providing unparalleled care and pioneering advancements in the field of oncology. LYNN CANCER INSTITUTE The Eugene M. & Christine E. Lynn Cancer Institute is one of the largest cancer centers in South Florida and is accredited as a Comprehensive Cancer Center by the American College of Surgeons. Each year, the Lynn Cancer Institute provides treatment to an estimated 4,000 newly diagnosed cancer patients. The facilities include the Harvey & Phyllis Sandler Pavilion, a state-of-the-art cancer center; as well as other respective satellite locations in Delray Beach. Lynn Cancer Institute operates under the umbrella of Baptist Health Cancer Care, embodying our commitment to excellence in cancer treatment and care. As an extension, Christine E. Lynn Women's Health and Wellness Institute is a one-stop shop for all women's screenings and care. Additionally, the Barbara C. and Irving Gutin Center for Proton Therapy is set to open its doors to patients in 2025. As the proton therapy facility in Boca Raton, this center will treat patients at Lynn Cancer Institute eager to receive radiation therapy as part of their treatment plan. More than 30 oncology physicians in a full complement of oncology professionals are on staff to serve the patients at Lynn Cancer Institute. Our patients receive treatment and services from specialists in genetics, surgery, radiation oncology, medical oncology, pathology and imaging. In addition, our staff includes research nurses, who improve patient access to clinical trials and the most advanced forms of treatment. BAPTIST HEALTH ORTHOPEDIC CARE BAPTIST HEALTH ORTHOPEDIC CARE IS COMPRISED OF BOARD-CERTIFIED, FELLOWSHIP-TRAINED ORTHOPEDIC PHYSICIANS WHO ARE RECOGNIZED LOCALLY, NATIONALLY, AND INTERNATIONALLY AS LEADERS IN ORTHOPEDICS. BHOC COMBINES ITS RESOURCES OF EXPERIENCED PHYSICIANS AND LEADING-EDGE TREATMENTS AND TECHNOLOGY TO PROVIDE ADVANCED ORTHOPEDIC AND SPORTS MEDICINE CARE AT VARIOUS BAPTIST HEALTH LOCATIONS. THE PROGRAM'S EXPERIENCED PHYSICIANS TREAT PROFESSIONAL AND OLYMPIC ATHLETES FROM AROUND THE WORLD, AS WELL AS RECREATIONAL ATHLETES AND NON-ATHLETES FROM SOUTH FLORIDA. BAPTIST HEALTH ORTHOPEDIC CARE PROVIDES SPORTS MEDICINE SERVICES FOR THE MIAMI DOLPHINS, MIAMI HEAT, INTERMIAMI CF, FLORIDA PANTHERS, FLORIDA INTERNATIONAL UNIVERSITY ATHLETICS, FLORIDA ATLANTIC UNIVERSITY, ORANGE BOWL, MIAMI-DADE COUNTY PUBLIC SCHOOLS ATHLETICS, MIAMI OPEN TENNIS AND THE MIAMI MARATHON AND HALF MARATHON, AMONGST OTHERS.
Schedule H, Part V, Section B, Line 14	UNINSURED INDIVIDUALS WITH LIMITED FINANCIAL RESOURCES WHO ARE UNABLE TO ACCESS ENTITLEMENT PROGRAMS ARE ELIGIBLE FOR FREE HEALTH CARE SERVICES BASED ON ESTABLISHED CRITERIA. SINCE PATIENTS QUALIFYING FOR CHARITY CARE RECEIVE A 100% DISCOUNT, BAPTIST HEALTH DOES NOT COMPUTE AMOUNTS GENERALLY BILLED TO INDIVIDUALS.
Schedule H, Part V, Section B, Line 22	PATIENTS QUALIFYING UNDER THE FINANCIAL ASSISTANCE POLICY WITH FAMILY INCOME AT OR BELOW 300% FPG RECEIVE FREE CARE. BAPTIST HEALTH USES THE PROSPECTIVE MEDICARE METHOD TO DETERMINE AGB.
Schedule H, Part VI OTHER INFORMATION	HOMESTEAD HOSPITAL, INC. HAS ITS OWN GOVERNING BOARD, THE MEMBERS OF WHICH CONSIST OF REPRESENTATIVES OF THE PROFESSIONAL, PASTORAL AND BUSINESS COMMUNITIES. HOMESTEAD HOSPITAL, INC. PROVIDES MEDICAL AND SURGICAL SERVICES AND OFFERS OTHER SERVICES AND PROGRAMS INCLUDING: EMERGENCY CENTER: HOMESTEAD HOSPITAL, INC. HAS THE ONLY EMERGENCY CENTER FOR 14 MILES IN ALL DIRECTIONS AND IS OPEN 24 HOURS A DAY, SEVEN DAYS A WEEK. DURING FY2023, MORE THAN 83,931 PATIENTS WERE SEEN IN THE EMERGENCY DEPARTMENT . THE EMERGENCY CENTER INCLUDES A RAPID TREATMENT AREA FOR MINOR INJURIES AND A NINE-BED PEDIATRIC EMERGENCY UNIT. MATERNITY CARE: MORE THAN 1,100 BABIES WERE DELIVERED AT THE FAMILY-CENTERED MATERNITY UNIT AT HOMESTEAD HOSPITAL, INC. IN FY202 3. HOMESTEAD HOSPITAL, INC.'S MATERNITY SERVICES INCLUDE PRENATAL CARE AND CHILDBIRTH EDUCATION PROGRAMS. PEDIATRIC SERVICES: HOMESTEAD HOSPITAL, INC.'S PEDIATRIC SERVICES INCLUDE PEDIATRICIANS AND SPECIALLY TRAINED PEDIATRIC NURSES WHO TREAT MINOR TO SERIOUS PEDIATRIC ILLNESSES AND INJURIES. BAPTIST HEALTH AND NICKLAUS CHILDREN'S HEALTH SYSTEM ARE WORKING TOGETHER TO ENSURE THAT THE CHILDREN IN OUR COMMUNITY CONTINUE TO RECEIVE THE HIGHEST QUALITY EMERGENCY CARE. THE PEDIATRIC EMERGENCY PHYSICIANS AT HOMESTEAD HOSPITAL ARE PART OF NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, THE MEDICAL GROUP PRACTICE OF NICKLAUS CHILDREN'S HEALTH SYSTEM. REHABILITATION: HOMESTEAD HOSPITAL IS HOME TO BAPTIST HEALTH REHABILITATION, A HOSPITAL-BASED, ACUTE INPATIENT REHABILITATION UNIT FEATURING INDIVIDUALIZED PROGRAMS FOR THE CARE OF ADULT AND PEDIATRIC PATIENTS (AGES 4 AND OLDER) WHO ARE FACING A CRITICAL OR DISABLING INJURY OR ILLNESS.
Schedule H, Part I, Line 7f	BAD DEBT EXPENSE OF $85,419,159 IS INCLUDED IN FORM 990 PART IX LINE 25 COLUMN (A) BUT EXCLUDED FROM THE DENOMINATOR FOR PURPOSES OF CALCULATING THE PERCENTAGES ON LINE 7, COLUMN F.
Schedule H, Part V, Section B, Line 20a	No extraordinary collection activities were permitted by Homestead Hospital; therefore, notice of such actions is not applicable and Homestead Hospital was not required to make presumptive eligibility determinations.
Schedule H, Part V, Section B, Line 20d	No extraordinary collection activities were permitted by Homestead Hospital; therefore, notice of such actions is not applicable and Homestead Hospital was not required to make presumptive eligibility determinations.
Schedule H, Part I, Line 6a	BAPTIST HEALTH, THE HOSPITAL'S PARENT ORGANIZATION, PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH INCLUDES THE CHARITY CARE AND COMMUNITY BENEFITS PROVIDED BY Homestead Hospital, Inc. AND THE OTHER NOT-FOR-PROFIT AFFILIATES OF BHSF.
Schedule H, Part I, Line 7	AMOUNTS CALCULATED AND REPORTED IN THIS TABLE WERE DERIVED FROM THE MOST ACCURATE, AVAILABLE SOURCES. CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS COSTS ARE DETERMINED USING THE COST ACCOUNTING SYSTEM WHICH CAPTURES ALL INPATIENTS AND OUTPATIENTS, INCLUDING EMERGENCY ROOM PATIENTS. THE SYSTEM ALSO CAPTURES ALL PATIENT PAY TYPES - PRIVATE INSURANCE, MEDICARE, MEDICAID, UNINSURED AND SELF-PAY. THE COSTS HAVE BEEN OFFSET BY ANY PAYMENTS RECEIVED FROM MEDICAID OR ANY OTHER UNCOMPENSATED CARE PROGRAM. OTHER BENEFITS AT COST WERE COMPILED BY OUR FINANCE DEPARTMENT USING THE COST ACCOUNTING SYSTEM OR THE ACTUAL AMOUNTS PAID WHERE APPROPRIATE.
Schedule H, Part V, Section B, Line 16a FAP website URL	THE FAP has been made widely available on the Baptist Health website: https://baptisthealth.net/patient-resources/billing-and-financial-assistance/financial-assistance-program/financial-assistance-application
Schedule H, Part V, Section B, Line 16b FAP application form website URL	THE FAP application has been made widely available on the Baptist Health website: https://baptisthealth.net/patient-resources/billing-and-financial-assistance/financial-assistance-program/financial-assistance-application
Schedule H, Part V, Section B, Line 16c FAP plain language summary website URL	A PLAIN LANGUAGE SUMMARY OF THE FAP has been made widely available on the Baptist Health website: https://baptisthealth.net/patient-resources/billing-and-financial-assistance/financial-assistance-program/financial-assistance-application
Schedule H, Part VI, Line 6 AFFILIATED HEALTH CARE SYSTEM CONTINUED	WOMEN'S HEALTH SERVICES: A WIDE RANGE OF SERVICES FOR THE SPECIAL HEALTH NEEDS OF WOMEN ARE OFFERED THROUGHOUT BAPTIST HEALTH. THESE RANGE FROM MATERNITY AND NEWBORN SERVICES TO DIAGNOSTIC TESTING, HEALTH EDUCATION, AND WELLNESS. BAPTIST HEALTH PROVIDES FAMILY-CENTERED MATERNITY CARE FOR THE MORE THAN 15,204 BABIES BORN AT OUR FACILITIES EACH YEAR. ON AVERAGE, OVER THE PAST THREE YEARS, MORE THAN 15,000 BABIES WERE DELIVERED AT A Baptist Health HOSPITAL. OVER 100 OBSTETRICS/GYNECOLOGY BOARD-CERTIFIED SPECIALISTS USE BAPTIST HEALTH FOR THEIR OBSTETRIC AND GYNECOLOGICAL PATIENTS. BAPTIST HEALTH FACILITIES OFFER A FULL SPECTRUM OF MATERNITY CARE OPTIONS, INCLUDING LABOR-DELIVERY-RECOVERY AND LABOR-DELIVERY-RECOVERY-POSTPARTUM ROOMS, AND THEY ARE EQUIPPED TO HANDLE HIGH-RISK MOTHERS AND BIRTHS, INCLUDING BABIES WHO ARE PREMATURE OR ILL. BAPTIST HOSPITAL OF MIAMI, SOUTH MIAMI HOSPITAL, AND BETHESDA HOSPITAL ALL HAVE LEVEL II AND LEVEL III NEONATAL INTENSIVE CARE UNITS ("NICU"). NEONATOLOGISTS ARE ON DUTY 24 HOURS A DAY AT BOTH BAPTIST HOSPITAL OF MIAMI AND SOUTH MIAMI HOSPITAL. ADDITIONALLY, BOCA RATON REGIONAL HOSPITAL'S TOPPEL FAMILY PLACE OFFERS A LEVEL II NEONATAL INTENSIVE CARE UNIT. WOMEN'S DIAGNOSTIC TESTING SERVICES ARE AVAILABLE AT A NUMBER OF HOSPITAL AND OUTPATIENT LOCATIONS THROUGHOUT THE HEALTH SYSTEM. BAPTIST HEALTH PERFORMED MAMMOGRAPHIES, CORE BIOPSIES, BONE DENSITY EXAMS, AND ULTRASOUND STUDIES IN FY2023 AT MULTIPLE SITES ACROSS MIAMI-DADE, BROWARD, PALM BEACH, AND MONROE COUNTIES. Christine E. Lynn Women's Health and Wellness Institute, located at Boca Raton Regional Hospital, offers females an array of breast care services, preventative cardiology, pelvic floor health and imaging. Utilizing the newest technologies in artificial intelligence (AI) to detect changes in breast mammography scans, our team works to ensure our patients receive the best quality care possible. IN ADDITION TO CLINICAL SERVICES, OUR WOMEN'S HEALTH RESOURCE CENTER, LOCATED ON THE BAPTIST HOSPITAL OF MIAMI CAMPUS, SERVES AS A HUB FOR WOMEN'S HEALTH EDUCATION AND WELLNESS. THE CENTER OFFERS RESOURCES SUCH AS INFORMATION, VIDEOS, INTERNET ACCESS, EDUCATIONAL CLASSES AND SUPPORT GROUPS. CLASSES AND SUPPORT GROUPS ARE OFFERED ON A VARIETY OF WOMEN'S HEALTH TOPICS FROM BREAST HEALTH TO MENOPAUSE AND FERTILITY. THE WOMEN'S HEALTH RESOURCE CENTER ALSO PROVIDES ASSISTANCE WITH PHYSICIAN REFERRALS. SURGICAL SERVICES: SURGICAL PROCEDURES PERFORMED IN BAPTIST HEALTH HOSPITALS RANGE FROM THE HIGHLY COMPLEX, SUCH AS OPEN HEART AND BRAIN SURGERY, TO THE MINIMALLY INVASIVE, SUCH AS ARTHROSCOPIC KNEE SURGERY. IN FY2023, APPROXIMATELY 124,839 OUTPATIENT SURGERIES WERE PERFORMED at BAPTIST HEALTH. RECENT ADDITIONS TO BAPTIST HEALTH COMPREHENSIVE SURGICAL SERVICES AND ADVANCED SURGICAL TECHNIQUES HAVE YIELDED IMPROVEMENTS IN ACCURACY, PRECISION, and PATIENT SAFETY, SMALLER INCISIONS AND QUICKER RECOVERIES. CLINICAL IMAGING SERVICES: BAPTIST HEALTH HAS THE LATEST DIAGNOSTIC IMAGING EQUIPMENT, SUCH AS MRI, SPIRAL CT, CT, PET AND COMBINATION PET/CT. ALSO PROVIDED ARE GENERAL NUCLEAR MEDICINE IMAGING, COMPLETE WOMEN'S IMAGING SERVICES (3-D MAMMOGRAPHY, ULTRASOUND, BONE DENSITY AND BREAST BIOPSY), COMPREHENSIVE CARDIOVASCULAR TESTING AND A URODYNAMICS LAB FOR URINARY INCONTINENCE. CLINICAL IMAGING SERVICES FOR EMERGENCY, INPATIENT AND OUTPATIENT CARE ARE PROVIDED AT ALL BAPTIST HEALTH HOSPITALS AND OUTPATIENT DIAGNOSTIC LOCATIONS THROUGHOUT MIAMI-DADE, BROWARD, PALM BEACH, AND MONROE COUNTIES. INTERNATIONAL SERVICES: APPROXIMATELY 14,000 PATIENTS FROM OVER 140 COUNTRIES HAVE CHOSEN BAPTIST HEALTH AS THEIR HEALTHCARE PROVIDER. THE MULTILINGUAL REPRESENTATIVES IN BAPTIST HEALTH'S INTERNATIONAL PROGRAM ARE AVAILABLE 24 HOURS A DAY AND COORDINATE EVERY ASPECT OF PATIENT CARE. INTEGRATED CARE CENTERS IN THE COMMUNITY PROVIDE IMPROVED ACCESS TO BAPTIST HEALTH'S MULTI-DISCIPLINARY CARE. THESE FACILITIES PROVIDE A MULTITUDE OF SERVICES RANGING FROM PHYSICIAN OFFICES, PHYSICAL THERAPY, ENDOSCOPIES, DIAGNOSTIC IMAGING, AND URGENT CARE. SATELLITE SERVICES PROVIDED BY BAPTIST HEALTH'S CENTERS OF EXCELLENCE ARE ALSO INCLUDED. BAPTIST OUTPATIENT SERVICES: BAPTIST OUTPATIENT SERVICES OPERATES TWENTY-ONE DIAGNOSTIC IMAGING CENTERS, OFFERING OUTPATIENT CLINICAL, IMAGING, AND DIAGNOSTIC TESTING SERVICES THROUGHOUT MIAMI-DADE AND BROWARD COUNTIES. DURING FY2023, MORE THAN 373,375 PATIENTS WERE TREATED FOR MINOR INJURIES AND ILLNESS AT URGENT CARE CENTERS LOCATED THROUGHOUT MIAMI-DADE, BROWARD, AND PALM BEACH COUNTIES. IN ADDITION TO URGENT CARE AND DIAGNOSTIC IMAGING SERVICES, SELECT BAPTIST HEALTH MEDICAL PLAZAS HOST COMMUNITY PROGRAMS, HEALTH INFORMATION, AND SUPPORT GROUPS. CONTINUING MEDICAL EDUCATION: BAPTIST HEALTH'S CONTINUING MEDICAL EDUCATION ("CME") PROGRAM HOSTS SYMPOSIUMS TAILORED TO REGIONAL, NATIONAL, AND INTERNATIONAL AUDIENCES. OVER 130,000 HEALTHCARE PROFESSIONALS ATTENDED MORE THAN 370 COURSES AND EARNED ALMOST 218,180 CME CREDITS. BAPTIST HEALTH IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR CONTINUING MEDICAL EDUCATION (ACCME) TO PROVIDE CONTINUING MEDICAL EDUCATION FOR PHYSICIANS. SINCE 2015, BAPTIST HEALTH HAS BEEN CONSISTENTLY RECOGNIZED FOR ITS EXCELLENCE, EARNING COMMENDATION FROM THE ACME AS A PROVIDER OF CME FOR PHYSICIANS. THIS EXEMPLARY STATUS, ACHIEVED BY ONLY 40% OF ACCREDITED ORGANIZATIONS, REQUIRES THE CONTINUING MEDICAL EDUCATION PROVIDER TO DEMONSTRATE COMPLIANCE WITH 100% OF THE ACCREDITATION CRITERIA POSITIONING BAPTIST HEALTH'S CONTINUING MEDICAL EDUCATION PROGRAM AS A STRATEGIC PARTNER IN INSTITUTIONAL AND NATIONAL INITIATIVES TO IMPROVE HEALTHCARE QUALITY, PATIENT SAFETY AND TREATMENT OUTCOMES. HEALTH AND WELLNESS: EVERY YEAR, THOUSANDS OF RESIDENTS FROM MIAMI-DADE, BROWARD, PALM BEACH, AND MONROE COUNTIES, ALONG WITH BAPTIST HEALTH EMPLOYEES ATTEND HEALTH-RELATED PROGRAMS SPONSORED BY BAPTIST HEALTH, THROUGHOUT ITS MULTIPLE LOCATIONS. TOPICS FOCUS ON HEALTHY LIFESTYLES, DISEASE PREVENTION, COPING WITH CHRONIC ILLNESS, STRESS MANAGEMENT, DIABETES, CHILDBIRTH AND INFANT CARE, SMOKING CESSATION, DIET, EXERCISE, CANCER AND MORE. IN FY2023, 29,061 ATTENDEES VISITED COMMUNITY HEALTH PROGRAMS, 2,809 ATTENDEES VISITED COMMUNITY SUPPORT GROUPS, AND 97,953 INDIVIDUALS PARTICIPATED IN COMMUNITY EXERCISE ACTIVITIES. COMMUNITY OUTREACH: IN ADDITION TO THE SERVICES DESCRIBED ABOVE, BAPTIST HEALTH PROVIDES FINANCIAL AND OTHER SUPPORT TO HELP UNDERWRITE THE OPERATING EXPENSES OF SEVERAL COMMUNITY CLINICS: - Palm Beach County: Caridad Center and Palm Beach Medical Society Services - Miami-Dade County: Caring for Miami, Chapman Partnership, Good News Care Center, Good Samaritan Clinic, Homestead Community Health Center, Miami Lighthouse for the Blind and Visually Impaired, Open Door Health Center, and South Miami Children's Clinic - Monroe County: Florida Keys Area Health Centers and Good Health Clinic CLINIC PATIENTS REQUIRING HOSPITALIZATION OR OUTPATIENT SERVICES NOT AVAILABLE AT THE CLINICS ARE OFTEN TREATED AT BAPTIST HEALTH FACILITIES UNDER THE HEALTH SYSTEM'S CHARITY PROGRAM.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	85419159
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	HOMESTEAD HOSPITAL, INC. ESTIMATES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BY RESERVING A PERCENTAGE OF ACCOUNTS RECEIVABLE BASED ON HISTORICAL AND EXPECTED COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN REIMBURSEMENT, AND OTHER COLLECTION INDICATORS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, INCLUDING RECEIVABLES FROM GOVERNMENT AGENCIES, HOMESTEAD HOSPITAL, INC. ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR ALL PAYOR TYPES, WHEN HOMESTEAD HOSPITAL, INC. CAN NO LONGER REASONABLY ESTIMATE THE COLLECTABILITY OF AN ACCOUNT BASED ON THE AGING OF THE BALANCE DUE AND THE VOLATILITY AND UNPREDICTABLE NATURE OF THE AMOUNT, HOMESTEAD HOSPITAL, INC. RESERVES SUBSTANTIALLY ALL AMOUNTS DUE.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE REPORTED IN THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF BAPTIST HEALTH SOUTH FLORIDA, INC., WHICH INCLUDES HOMESTEAD HOSPITAL, INC., IS AS FOLLOWS: BHSF has elected the practical expedient allowed under FASB ASC 606-10-32-18 and does not adjust the promised amount of consideration from patients and third-party payors for the effects of a significant financing component due to BHSF's expectation that the period between the time the service is provided to a patient and the time that the patient or a third-party payor pays for that service will be one year or less. However, BHSF in certain instances enters into payment agreements with patients that allow payments in excess of one year. For those cases, the financing component is deemed not significant to the contract. BHSF has applied the practical expedient provided by FASB ASC 340-40-25-4 and all incremental customer contract acquisition costs are expensed as they are incurred, as the amortization period of the asset that BHSF otherwise would have recognized is one year or less in duration. Amounts related to services provided to patients which do not meet the conditions of unconditional rights to payment at the end of the reporting period are contract assets. At September 30, 2023 and 2022, BHSF had the unconditional right to payment for all patient accounts receivables. As of September 30, 2023 and 2022, BHSF did not have any contract assets. FOR SCHEDULE H PURPOSES, BAD DEBT AT COST WAS CALCULATED BY APPLYING THE COST TO CHARGE PERCENTAGE DERIVED BY THE COST ACCOUNTING SYSTEM AGAINST BAD DEBT EXPENSE REPORTED ON THE AUDITED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	MEDICARE COSTS WERE DERIVED USING THE COST ACCOUNTING SYSTEM WHICH CAPTURES ALL INPATIENTS AND OUTPATIENTS, INCLUDING EMERGENCY ROOM PATIENTS. THE COSTS HAVE BEEN OFFSET BY ANY PAYMENTS RECEIVED FROM MEDICARE. THE ORGANIZATION DOES NOT REPORT ANY AMOUNTS FROM PART III, LINE 7 AS COMMUNITY BENEFIT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	IN ORDER TO PROMOTE THE HEALTH AND WELL-BEING OF THE COMMUNITY SERVED, UNINSURED PATIENTS WITH LIMITED FINANCIAL RESOURCES WHO ARE UNABLE TO ACCESS ENTITLEMENT PROGRAMS SHALL BE ELIGIBLE FOR FREE HEALTH CARE SERVICES BASED ON ESTABLISHED CRITERIA. BHSF HAS A WRITTEN DEBT COLLECTION POLICY. NO COLLECTION EFFORTS ARE PUT FORTH FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE.
Schedule H, Part V, Section B, Line 16a FAP website	- HOMESTEAD HOSPITAL INC: Line 16a URL: SEE PART VI;
Schedule H, Part V, Section B, Line 16b FAP Application website	- HOMESTEAD HOSPITAL INC: Line 16b URL: SEE PART VI;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- HOMESTEAD HOSPITAL INC: Line 16c URL: PART VI;
Schedule H, Part VI, Line 2 Needs assessment	HOMESTEAD HOSPITAL, INC., A PART OF BAPTIST HEALTH, IS A MODERN, FULL-SERVICE FACILITY WITH A RICH HISTORY IN THE SOUTH MIAMI-DADE COMMUNITY. IT WAS ONE OF THE COUNTY'S FIRST HOSPITALS, FOUNDED IN 1940 NEAR KROME AVENUE. BAPTIST HEALTH INVESTED $135 MILLION TO BUILD A NEW, 142-BED HOMESTEAD HOSPITAL, WHICH OPENED IN 2007 IN A NEW LOCATION ON CAMPBELL DRIVE TO BRING SOPHISTICATED MEDICAL CARE TO A FAST-GROWING AND TRADITIONALLY RURAL AND UNDERSERVED COMMUNITY. AS A FAITH-BASED, NOT-FOR-PROFIT INSTITUTION, its MISSION FOCUSES ON PROVIDING HIGH-QUALITY, COMPASSIONATE CARE TO ALL PATIENTS, INCLUDING THE POOR AND UNINSURED. UNDERSTANDING THE ROLE OF WELLNESS AND PREVENTION IN MAXIMIZING THE OPPORTUNITIES TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE COMMUNITY, Homestead Hospital, Inc. ALSO OFFERS A MULTITUDE OF FREE EXERCISE CLASSES AND HEALTH SCREENINGS AT VARIOUS LOCATIONS. NEW WAYS ARE ALWAYS EXPLORED TO IMPROVE SERVICES AND EXPAND THE ABILITY TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY. A "COMMUNITY HEALTH NEEDS ASSESSMENT" WAS CONDUCTED TO FOCUS ON THE PARTICULAR CHARACTERISTICS OF PATIENTS AND THE COMMUNITY AND TO PINPOINT SPECIFIC HEALTH NEEDS. THIS ASSESSMENT SERVES AS A COMPREHENSIVE TOOL TO INCREASE KNOWLEDGE ABOUT THE PEOPLE BEING SERVED, OFFER COMMUNITY-BASED PROGRAMS TO ADDRESS THE NEEDS OF THE COMMUNITY AND TO ENHANCE THE ABILITY TO PROVIDE TOP-LEVEL HEALTHCARE TO THE ENTIRE COMMUNITY IN THE MOST EFFECTIVE MANNER. See Health Priorities in Part V, Section B, Line 5 and Line 11. The Community Health Needs Assessment and Implementation plan reports have been made widely available on the Baptist Health website. https://baptisthealth.net/about-baptist-health/fulfilling-our-mission/community-needs-assessment-and-implementation-plans IT INCLUDES A DESCRIPTION OF THE COMMUNITY SERVED, THE METHOD USED TO MAKE DETERMINATIONS, A LOOK AT THE INPUT THE HOSPITAL RECEIVED FROM COMMUNITY EXPERTS AND RESIDENTS/CONSUMERS AND, FINALLY, THE RESULTING LIST OF THE COMMUNITY'S MOST SIGNIFICANT PRIORITY HEALTHCARE NEEDS. THE REPORT ALSO INCLUDES A LIST OF EXISTING PROGRAMS AND SERVICES THAT HELP ADDRESS THE COMMUNITY'S PRIORITY HEALTHCARE NEEDS. THESE PROGRAMS ARE BEING USED AS A FOUNDATION ON WHICH TO EXPAND AND PINPOINT SERVICES BASED ON THE PRIORITIES identified IN THIS REPORT. THIS IMPORTANT EXERCISE HAS HELPED Homestead Hospital, Inc. BETTER UNDERSTAND its STAKEHOLDERS - THE PEOPLE WHO DEPEND ON THE ORGANIZATION WHEN THEY ARE ILL OR INJURED, AS WELL AS THEIR FAMILIES, AND THE ENTIRE COMMUNITY, whose HEALTH THE HOSPITAL STRIVES TO IMPROVE THROUGH EDUCATIONAL AND PREVENTIVE MEASURES, INNOVATIVE PARTNERSHIPS, HIGH-QUALITY CARE AND BY BEING A GOOD CORPORATE CITIZEN. THE HOSPITAL IS COMMITTED TO USING THIS ENLIGHTENING REPORT AS A ROADMAP TO PLAN THE BEST STRATEGIES TO SPECIFICALLY AND EFFECTIVELY ADDRESS THE MOST PRESSING HEALTHCARE NEEDS OF THE ENTIRE COMMUNITY, WITH A SPECIAL FOCUS ON THE MOST VULNERABLE RESIDENTS.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	FINANCIAL ASSISTANCE INFORMATION IS PROVIDED IN MULTIPLE LOCATIONS. PATIENT REGISTRATION PROVIDES ALL PATIENTS A ONE-PAGE INFORMATION HANDOUT regarding THE AVAILABILITY OF FINANCIAL ASSISTANCE. This helps to create AWARENESS OF THE CHARITY CARE PROGRAM. PATIENT REGISTRATION ALSO PROVIDES INFORMATION REGARDING BAPTIST HEALTH'S CHARITY CARE POLICY TO ALL UNINSURED, NON-EMERGENT PATIENTS PRIOR TO SERVICE. ALL LETTERS AND STATEMENTS TO UNINSURED PATIENTS, INCLUDING THOSE SENT BY THIRD-PARTY COLLECTION AGENCIES, INCLUDE A REFERENCE TO FINANCIAL ASSISTANCE PROGRAMS. ALL PUBLIC INFORMATION AND FORMS REGARDING THE PROVISION OF CHARITY CARE USE LANGUAGE THAT IS APPROPRIATE FOR THE BAPTIST HEALTH SERVICE AREA. WHERE POSSIBLE, PRIOR TO THE REGISTRATION OF A PATIENT POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE, A FINANCIAL COUNSELOR WILL CONDUCT A PRE-REGISTRATION INTERVIEW WITH THE PATIENT. IF A PRE-REGISTRATION INTERVIEW IS NOT POSSIBLE, THE INTERVIEW IS CONDUCTED AS SOON AS POSSIBLE THEREAFTER. IN THE CASE OF AN EMERGENCY ADMISSION, THE EVALUATION OF PAYMENT ALTERNATIVES DOES NOT TAKE PLACE UNTIL THE MEDICAL CARE NEEDED TO STABILIZE THE PATIENT HAS BEEN PROVIDED. THOSE PATIENTS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE FROM A GOVERNMENTAL PROGRAM ARE REFERRED TO THE APPROPRIATE PROGRAM SUCH AS MEDICAID, PRIOR TO CONSIDERATION FOR CHARITY CARE. ADDITIONALLY, INFORMATION REGARDING THE CHARITY CARE PROGRAM AND QUALIFYING FOR FINANCIAL ASSISTANCE APPEARS ON THE WEBSITE AT BAPTISTHEALTH.NET.
Schedule H, Part VI, Line 4 Community information	According to the U.S. Census Bureau, the estimated population for Homestead Hospital's service area is 189,290. The Homestead Hospital designated service area consists of six (6) ZIP codes in Miami-Dade County. The geographical area includes neighborhoods of Homestead, Redlands, Naranja, Princeton, and Florida City. The service area population by race is 69 percent White, 22 percent Black or African American, 1 percent Asian, and 8 percent other. This area in Miami-Dade County is 66.5 percent Hispanic or Latino. The median household income for the service area is $51,953 for Homestead and $35,529 for Florida City, both below the United States' median household income of $62,843. Approximately 23.8 percent of the population is below the poverty level, compared to 17.1 percent in Miami-Dade County, 14.0 percent in Florida and 13.4 percent in the U.S. The service area population age distribution is made up of 40 percent of the population under 24 years old, 51 percent between 25-64 years old, and 9 percent 65 and older.
Schedule H, Part VI, Line 5 Promotion of community health	IN FURTHERANCE OF ITS EXEMPT PURPOSE TO PROVIDE HEALTHCARE TO IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS, AND TO PROMOTE THE SANCTITY AND PRESERVATION OF LIFE IN THE COMMUNITY IT SERVES, HOMESTEAD HOSPITAL, INC. OPERATES A 147-BED COMMUNITY HOSPITAL LOCATED IN HOMESTEAD, FLORIDA; APPROXIMATELY 31 MILES FROM DOWNTOWN MIAMI. THE ORIGINAL HOSPITAL WAS ESTABLISHED WITH 10 BEDS IN 1940 AS JAMES ARCHER SMITH HOSPITAL. IT WAS LATER ACQUIRED BY THE CITY OF HOMESTEAD, AND THEN ACQUIRED IN 1990 BY THE THEN-PARENT COMPANY OF SOUTH MIAMI HOSPITAL, AND FINALLY IN 1995 BY BAPTIST HEALTH SOUTH FLORIDA. HOMESTEAD HOSPITAL, INC. ADMITTED APPROXIMATELY 7,020 INPATIENTS IN FY2023, AND MORE THAN 83,930 PATIENTS RECEIVED EMERGENCY CARE. WITH APPROVAL IN 2002 FROM THE STATE OF FLORIDA'S AGENCY FOR HEALTH CARE ADMINISTRATION, CONSTRUCTION OF A REPLACEMENT FACILITY FOR HOMESTEAD HOSPITAL, INC. COMMENCED, LOCATED JUST EAST OF THE FLORIDA TURNPIKE, APPROXIMATELY THREE MILES EAST OF THE PREVIOUS SITE BUT STILL WITHIN THE LIMITS OF THE CITY OF HOMESTEAD. THIS EXPANSION AND RELOCATION RESPONDED TO THE NEEDS OF THE SOUTH DADE COMMUNITY. IN MAY 2007, HOMESTEAD HOSPITAL, INC. WAS OPENED AT ITS CURRENT LOCATION, AND IN JULY 2008 AN ADDITIONAL 22 BEDS WERE ADDED. ALL 147 LICENSED BEDS ARE IN PRIVATE CONFIGURATION, INCLUDING 16 POST-PARTUM BEDS, 9 PEDIATRIC BEDS, 16 CRITICAL AND INTERMEDIATE CARE BEDS, AND 83 GENERAL MEDICAL/SURGICAL BEDS. THE FACILITY HAS FOUR OPERATING ROOMS, TWO C-SECTION ROOMS, AND ALSO INCLUDES AN ADJOINING MEDICAL OFFICE BUILDING, WHICH HOUSES PHYSICIAN PRACTICES AND ADMINISTRATIVE FUNCTIONS.
Schedule H, Part VI, Line 6 Affiliated health care system	Baptist Health Brain & Spine Care: Marcus Neuroscience Institute, established at Boca Raton Regional Hospital, and Miami Neuroscience Institute are partners in Baptist Health Brain & Spine Care. Together, we are committed to providing compassionate, high quality care to prevent, diagnose and treat a range of neurological conditions. Our experts combine their skills with the most advanced technology and research to perform minimally invasive and complex surgeries. BAPTIST HEALTH MIAMI NEUROSCIENCE INSTITUTE BAPTIST HEALTH MIAMI NEUROSCIENCE INSTITUTE PROVIDES COMPREHENSIVE AND INNOVATIVE TECHNIQUES TO DIAGNOSE AND TREAT CONDITIONS OF THE BRAIN, SPINE, AND NERVOUS SYSTEM. THE INSTITUTE CARES FOR PATIENTS WITH A VARIETY OF CHRONIC AND ACUTE CONDITIONS-FROM COMMON BACK PAIN TO COMPLEX BRAIN SURGERY. AS PART OF THE BAPTIST HEALTH SYSTEM, MIAMI NEUROSCIENCE INSTITUTE BOASTS MULTIPLE CAMPUS CAPABILITIES GIVING PATIENTS ACROSS SOUTH FLORIDA ACCESS TO A MULTIDISCIPLINARY TEAM OF NEUROSCIENCE CLINICIANS AND SOPHISTICATED TECHNOLOGY. BY DRAWING ON THE KNOWLEDGE OF NUMEROUS EXPERTS, PATIENTS RECEIVE A WELL-ROUNDED TREATMENT PLAN. THE TEAM AT MIAMI NEUROSCIENCE INSTITUTE INCLUDES EXPERTS IN A WIDE RANGE OF SPECIALITIES, INCLUDING NEUROSURGEONS, NEURORADIOLOGISTS, INTERVENTIONAL NEURORADIOLOGISTS, NEUROLOGISTS, NEUROINTENSIVISTS, AND NEURO REHABILITATION SPECIALISTS. THE TEAM INCLUDES BOARD-CERTIFIED NEUROSURGEONS WHO SPECIALIZE IN BACK, NECK, AND SPINE SURGERY AND ARE FELLOWSHIP TRAINED IN COMPLEX SPINE SURGERY. THE physicians work CLOSELY WITH ADVANCED PRACTICE PROVIDERS AND NURSES WHO HELP PATIENTS THROUGH EVERY STEP OF THE SURGERY PROCESS. MIAMI NEUROSCIENCE INSTITUTE IS ACCREDITED BY THE JOINT COMMISSION AS A COMPREHENSIVE STROKE CENTER-THE HIGHEST LEVEL OF SPECIALIZED STROKE CARE. THE INSTITUTE, IN CONJUNCTION WITH BAPTIST HOSPITAL, ALSO RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES-STROKE GOLD PLUS ACHIEVEMENT AWARD WITH TARGET: STROKE HONOR ROLL ELITE PLUS, TARGET: STROKE ADVANCED THERAPY HONOR ROLL. FURTHERMORE, THE INSTITUTE RANKS AS A LEVEL 4 EPILEPSY CENTER - THE HIGHEST LEVEL POSSIBLE AWARDED BY THE NATIONAL ASSOCIATION OF EPILEPSY CENTERS. ADDITIONALLY, THE INSTITUTE'S INTRAOPERATIVE MONITORING (IOM) DEPARTMENT RECEIVED ACCREDITATION FROM THE NEUROPHYSIOLOGIC INTRAOPERATIVE MONITORING LABORATORY ACCREDITATION BOARD OF ABRET, RECOGNIZING THE HIGH STANDARDS AND EXCELLENT RESULTS ACHIEVED BY THE INSTITUTE'S IOM TEAM. RECENTLY, U.S. NEWS & WORLD REPORT RANKED MIAMI NEUROSCIENCE INSTITUTE NUMBER 39 IN THE COUNTRY FOR TREATING COMPLEX NEUROLOGY AND NEUROSURGERY CASES. MARCUS NEUROSCIENCE INSTITUTE MARCUS NEUROSCIENCE INSTITUTE AT BOCA RATON REGIONAL HOSPITAL, PART OF BAPTIST HEALTH, IS AN INNOVATIVE NEXUS FOR NEUROLOGIC AND NEUROSURGICAL CARE. THE INSTITUTE WAS CREATED OUT OF A LEAD $25 MILLION GRANT FROM THE MARCUS FOUNDATION. THE INSTITUTE IS STAFFED BY A TEAM OF CLINICIANS HIGHLY TRAINED IN ALL FACETS OF THE NEUROSCIENCES, INCLUDING STROKE, MOVEMENT DISORDERS, NEURO-ONCOLOGY, EPILEPSY, MEMORY DISORDERS, ALZHEIMER'S DISEASE, MULTIPLE SCLEROSIS, AND SPINAL CONDITIONS. THE MEDICAL STAFF ALSO INCLUDES NEUROINTENSIVISTS, PHYSICIANS WHO ARE SPECIFICALLY TRAINED IN NEUROCRITICAL CARE. ALONG WITH HAVING EXTENSIVE KNOWLEDGE ABOUT TREATING NEUROLOGICAL INJURIES, NEUROINTENSIVISTS ASSUME RESPONSIBILITY FOR OTHER AREAS OF CARE IN THE ICU THAT MAY HAVE OTHERWISE BEEN PROVIDED BY SPECIALISTS. MARCUS NEUROSCIENCE INSTITUTE AT BOCA RATON REGIONAL HOSPITAL HAS EARNED THE GOLD SEAL OF APPROVAL FOR SPINAL SURGERY CERTIFICATION FROM THE JOINT COMMISSION, THE NATION'S PREMIER INDEPENDENT ACCREDITATION ORGANIZATION. THE GOLD SEAL REFLECTS COMMITMENT TO THE HIGHEST STANDARDS OF EXCELLENCE AND SAFETY IN PATIENT CARE. THE INSTITUTE IS A DNV-CERTIFIED COMPREHENSIVE STROKE CENTER, WHICH IS THE NATION'S HIGHEST LEVEL OF STROKE ACCREDITATION.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
William M Duquette
Former CEO	$0	$585,069	$0	$567,172	$0	$34,032	$0	$3,512	$0	$36,182	$0	$1,225,966	$0	$98,684
Kenneth Spell
CEO	$0	$472,643	$0	$244,220	$0	$17,039	$0	$136,785	$0	$25,577	$0	$896,265	$0	$32,981
Edward G Shashaty
Regional VP of Finance	$0	$384,975	$0	$186,013	$0	$7,064	$0	$90,609	$0	$39,719	$0	$708,380	$0	$44,394
David Abercrombie
VP Operations	$249,371	$0	$106,679	$0	$26,750	$0	$30,946	$0	$39,699	$0	$453,445	$0	$0	$0
Ana Cabrera
VP of Nursing	$239,986	$0	$86,206	$0	$11,802	$0	$53,775	$0	$30,847	$0	$422,615	$0	$0	$0
Charles Anderson Augustus II
Chief Medical Officer	$303,595	$0	$56,958	$0	$12,407	$0	$5,797	$0	$24,453	$0	$403,211	$0	$0	$0
Ann M Allen
AVP Nursing	$161,728	$0	$48,007	$0	$18,228	$0	$4,624	$0	$24,673	$0	$257,260	$0	$0	$0
Marie-Elsie Ade
Pharmacy Director	$177,618	$0	$33,187	$0	$17,920	$0	$4,620	$0	$16,312	$0	$249,656	$0	$0	$0
Kurt H Kadel
AVP Hospital Admin	$149,933	$0	$44,728	$0	$23,300	$0	$4,405	$0	$24,670	$0	$247,035	$0	$0	$0
Miguel A Cruz
Float RN Expert	$190,341	$0	$22,282	$0	$12,019	$0	$4,568	$0	$17,181	$0	$246,390	$0	$0	$0
Sherine A Craig
AVP Nursing	$164,982	$0	$39,666	$0	$8,168	$0	$3,236	$0	$13,266	$0	$229,318	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a First-class or charter travel	EXECUTIVE COMPENSATION BAPTIST HEALTH EXECUTIVES ARE PROVIDED WITH A COMMON SET OF PERQUISITES THAT ARE TYPICAL OF OTHER RESPONSIBLE NOT-FOR PROFIT ORGANIZATIONS TO ENABLE THEM TO MORE EFFECTIVELY CONDUCT THEIR BUSINESS. THESE BENEFITS ARE DEEMED BY THE COMPENSATION COMMITTEE TO BE APPROPRIATE AND CONSERVATIVE. PERQUISITES ARE GENERALLY LIMITED TO AUTO AND CELL PHONE ALLOWANCES WHICH ARE FULLY TAXABLE TO THE EXECUTIVE. OTHER PERQUISITES PROVIDED TO EXECUTIVES, SUCH AS PAID TIME OFF OR REIMBURSEMENT FOR RELEVANT EDUCATIONAL EXPENSES, ARE OFFERED TO ALL EMPLOYEES IN ACCORDANCE WITH ENTERPRISE-WIDE POLICIES AND PROCEDURES. BUSINESS TRAVEL FOR EXECUTIVES ON COMMERCIAL AIRLINES IS LIMITED TO COACH FARES (AN UPGRADE TO THE NEXT AVAILABLE CLASS OF SERVICE, E.G., BUSINESS CLASS, MAY BE PERMITTED WHEN THE FLIGHT DURATION IS IN EXCESS OF FIVE HOURS OR AN OVERNIGHT ACCOMMODATION CAN BE AVOIDED). CHARTERED PLANE TRAVEL, SPOUSAL TRAVEL, LUXURY RESIDENCES FOR PERSONAL USE, HEALTH, AND PERSONAL SERVICES (SUCH AS MAID, CHAUFFEUR, CHEF, LANDSCAPER) ARE NOT PROVIDED (OR REIMBURSED) TO BAPTIST HEALTH EXECUTIVES. In FY2023, the following employee traveled first class in accordance with the BHSF travel policy. The first class travel benefit was not treated as taxable income to the employee. - William M. Duquette - Former CEO
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	THE CEO OF HOMESTEAD HOSPITAL IS COMPENSATED BY BHSF, A RELATED ORGANIZATION. THE DETERMINATION OF THE COMPENSATION OF THE CEO FOLLOWS THE SAME PROCESS DELINEATED HEREIN. THE BYLAWS OF HOMESTEAD HOSPITAL DELEGATE THE AUTHORITY TO SET EXECUTIVE COMPENSATION TO BHSF. BHSF'S COMPENSATION COMMITTEE IS COMPRISED EXCLUSIVELY OF INDEPENDENT BOARD MEMBERS WHO SERVE VOLUNTARILY WITHOUT ANY REMUNERATION, AND WHO MUST ADHERE TO A STRINGENT CONFLICT OF INTEREST POLICY THAT PRECLUDES THEM OR THEIR FAMILIES FROM DOING BUSINESS WITH BAPTIST HEALTH. THE COMMITTEE IS RESPONSIBLE FOR REVIEWING THE PERFORMANCE AND APPROVING THE COMPENSATION FOR EXECUTIVES. THE TERM "COMPENSATION" INCLUDES SALARIES, BENEFITS AND INCENTIVES. THE COMPENSATION COMMITTEE ANNUALLY ENGAGES A NATIONALLY-RECOGNIZED, INDEPENDENT CONSULTANT TO CONDUCT COMPENSATION SURVEYS AND TO ADVISE THE BOARD ON COMPENSATION POLICIES. THE COMPENSATION COMMITTEE DECISIONS ARE BASED ON THE FOLLOWING: 1. TOTAL COMPENSATION PACKAGE: RECRUITMENT AND RETENTION OF CAPABLE, PRODUCTIVE EXECUTIVES IS ACCOMPLISHED THROUGH DESIGN OF A TOTAL COMPENSATION PACKAGE THAT INCLUDES A BASE SALARY, AT-RISK INCENTIVE PAY, AND BENEFITS. IT IS THE OBJECTIVE OF BAPTIST HEALTH TO ENSURE A CONSISTENT COMPENSATION PHILOSOPHY ACROSS ALL EMPLOYEE AND LEADERSHIP LEVELS THAT REWARDS OUTSTANDING PERFORMANCE USING A CASH PLUS EMPLOYEE BENEFITS PACKAGE TARGETING THE 75TH PERCENTILE. BASE SALARIES OF FULLY PRODUCTIVE EXECUTIVES ARE INDEXED TO THE MEDIAN (50TH PERCENTILE) SALARY PAID BY SIMILAR HEALTHCARE ORGANIZATIONS. INCENTIVE PAY FOR SUPERIOR ACHIEVEMENT PROVIDES THE OPPORTUNITY FOR TOTAL CASH COMPENSATION AT THE 75TH PERCENTILE OF THE EXECUTIVE'S PEER GROUP IF THE EXECUTIVE EXCEEDS HIS/HER PERFORMANCE METRICS. 2. PERFORMANCE-BASED SALARY INCREASES: ONE OF THE KEY ELEMENTS OF BAPTIST HEALTH'S EXECUTIVE COMPENSATION PHILOSOPHY IS "PAY FOR PERFORMANCE." SALARY INCREASES ARE BASED UPON THE DEGREE TO WHICH EACH EXECUTIVE ACHIEVES HIS/HER INDIVIDUAL PERFORMANCE OBJECTIVES FOR THE YEAR, WHICH ARE TIED TO CORPORATE OBJECTIVES. GENERALLY THESE OBJECTIVES RELATE TO CLINICAL QUALITY; PATIENT, PHYSICIAN AND COMMUNITY SATISFACTION; CHARITY CARE AND MISSION GOALS; FINANCIAL PERFORMANCE AND EXPENSE MANAGEMENT. INDIVIDUAL AND GROUP PERFORMANCE AGAINST THESE OBJECTIVES IS REVIEWED BY THE COMPENSATION COMMITTEE AND BOARD OF TRUSTEES ANNUALLY AFTER THE CLOSE OF THE FISCAL YEAR. 3. MARKET-BASED SALARY INCREASES: THE BOARD'S COMPENSATION COMMITTEE REVIEWS THE MARKET VALUE OF EXECUTIVE POSITIONS ANNUALLY TO ASSURE THAT BAPTIST HEALTH'S PAY LEVELS ARE COMPETITIVE. THE INDEPENDENT CONSULTANT, SELECTED BY THE COMPENSATION COMMITTEE, OBTAINS EXECUTIVE SALARY INFORMATION FOR FUNCTIONALLY COMPARABLE POSITIONS AT HEALTHCARE INSTITUTIONS OF COMPARABLE SIZE WITHIN FLORIDA AND THE UNITED STATES. BAPTIST HEALTH'S PEER GROUP IS COMPRISED OF OTHER COMPLEX NOT-FOR-PROFIT HOSPITAL SYSTEMS OF SIMILAR SIZE. THE PEER GROUP DOES NOT INCLUDE FOR-PROFIT HOSPITALS, WHOSE COMPENSATION PRACTICES ARE FAR MORE GENEROUS (AND INCLUDE SUCH THINGS AS STOCK OPTIONS AND EQUITY/OWNERSHIP INTERESTS). 4. NO GUARANTEED SALARY INCREASES: THERE IS NO GUARANTEE OF ANNUAL EXECUTIVE SALARY INCREASES. SALARY INCREASES DEPEND UPON THE ORGANIZATION'S ABILITY TO PAY, THE EXECUTIVE'S SALARY IN RELATION TO THE MARKET, THE EXECUTIVE'S PERFORMANCE LEVEL, AND INTERNAL PAY RELATIONSHIPS TO PEERS. 5. AT-RISK INCENTIVE PAY: KEY EXECUTIVES WHO CONTROL SIGNIFICANT ASSETS OR WHO HAVE A MAJOR IMPACT ON OPERATIONS MAY EARN INCENTIVE PAY. THE PURPOSE OF INCENTIVE PAY IS TO FOCUS EXECUTIVE ACTION ON KEY "PERFORMANCE THRESHOLDS CORPORATE GOALS THAT ARE APPROVED BY THE BOARD'S COMPENSATION COMMITTEE. THE ACHIEVEMENT OF THESE GOALS REQUIRES EXTRAORDINARY EFFORT, COMMITMENT AND ACHIEVEMENT. THE INCENTIVE COMPONENT OF THE EXECUTIVE'S TOTAL COMPENSATION IS VARIABLE AND TOTALLY AT RISK, DEPENDING UPON THE ACHIEVEMENT OF THE AGREED-UPON GOALS. 6. PERQUISITES: BAPTIST HEALTH EXECUTIVES ARE PROVIDED WITH A COMMON SET OF PERQUISITES THAT ARE TYPICAL OF OTHER RESPONSIBLE NOT-FOR-PROFIT ORGANIZATIONS TO ENABLE THEM TO MORE EFFECTIVELY CONDUCT THEIR BUSINESS. THESE BENEFITS ARE DEEMED BY THE COMPENSATION COMMITTEE TO BE APPROPRIATE AND CONSERVATIVE.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	AS PART OF THE BHSF EXECUTIVE BENEFIT PLAN, EXECUTIVES ARE ELIGIBLE TO ALLOCATE A PORTION OF THEIR FLEXIBLE SPENDING ALLOWANCE TO A SUPPLEMENTAL SURVIVOR ACCUMULATION BENEFIT (SSAB) ACCOUNT. THE SSAB IS A LIFE INSURANCE PRODUCT THAT PROVIDES A DEFERRED RETIREMENT BENEFIT FOR THE EXECUTIVE OR A DEATH BENEFIT FOR THE EXECUTIVE'S SURVIVORS. CONTRIBUTIONS TO THE SSAB MAY BE MADE ANNUALLY TO THE PARTICIPANT'S ACCOUNT. ALL CONTRIBUTIONS ACCUMULATE, ALONG WITH INVESTMENT EARNINGS, FOR THE PERIOD THE EXECUTIVE PARTICIPATES. THE EXECUTIVE DOES NOT HAVE ACCESS TO THE CONTRIBUTIONS MADE OR THE RELATED INVESTMENT INCOME, ALL OF WHICH IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. PURSUANT TO THE SSAB PLAN GUIDELINES, THIS BENEFIT IS TERMINATED UPON AN EXECUTIVE REACHING AGE 65, HOWEVER, PAYMENT CAN BE DEFERRED TO A DATE AT LEAST TWO YEARS AFTER REACHING AGE 65 BUT NO LATER THAN 68. AT THAT TIME THE ENTIRE AMOUNT ACCUMULATED IS PAID OUT IN A LUMP SUM.
Schedule J, Part I, Line 7 Non-fixed payments	KEY EXECUTIVES WHO CONTROL SIGNIFICANT ASSETS OR WHO HAVE A MAJOR IMPACT ON OPERATIONS MAY EARN INCENTIVE PAY, CAPPED AT A PRE-DETERMINED PERCENTAGE OF THE EXECUTIVE'S BASE SALARY. THE PURPOSE OF INCENTIVE PAY IS TO FOCUS EXECUTIVE ACTION ON KEY "PERFORMANCE THRESHOLDS CORPORATE GOALS THAT ARE APPROVED BY THE BOARD'S COMPENSATION COMMITTEE. THE ACHIEVEMENT OF THESE GOALS REQUIRES EXTRAORDINARY EFFORT, COMMITMENT AND ACHIEVEMENT. THE INCENTIVE COMPONENT OF THE EXECUTIVE'S TOTAL COMPENSATION IS VARIABLE AND TOTALLY AT RISK, DEPENDING UPON THE ACHIEVEMENT OF THE AGREED-UPON GOALS.
Schedule J, Part II, Column (B)(ii) Executive Compensation	ALL EXECUTIVE COMPENSATION IS REVIEWED AND APPROVED ANNUALLY BY THE COMPENSATION COMMITTEE, WHICH IS COMPRISED OF INDEPENDENT UNCOMPENSATED MEMBERS OF THE BOARD OF TRUSTEES WHO HAVE CERTIFIED THAT THEY HAVE NO CONFLICT OF INTEREST WITH THE ORGANIZATION. REPORTABLE COMPENSATION INCLUDES BASE SALARY AS WELL AS PAYMENTS UNDER A FORMAL INCENTIVE PLAN, WHICH REWARDS SUCCESSFUL ACHIEVEMENT OF QUALITY, MISSION, CHARITY CARE, AND FINANCIAL CORPORATE OBJECTIVES.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARTHA MAAS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	SISTER OF JOHN MAAS, BOD	RelationshipDescriptionTxt
Transaction	$53,497	TransactionAmt
Transaction	EMPLOYEE	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 1 ORGANIZATION'S MISSION	As part of the Baptist Health network, THE MISSION OF Homestead Hospital, Inc. is to improve the health and well-being of individuals, and to promote the sanctity and preservation of life, in the communities we serve. Baptist Health is a faith-based organization guided by the spirit of Jesus Christ and the Judeo-Christian ethic. We are committed to maintaining the highest standards of clinical and service excellence, enhanced through teaching, research and innovation, and rooted in the utmost integrity and moral practice. Consistent with its spiritual foundation, Baptist Health is dedicated to providing high-quality, cost-effective, compassionate healthcare services to all, regardless of religion, creed, race or national origin, including, as permitted by its resources, charity care to those in need.
Form 990, Part III, Line 4a PROGRAM ACCOMPLISHMENTS	CONSISTENT WITH ITS SPIRITUAL FOUNDATION, BAPTIST HEALTH IS DEDICATED TO PROVIDING HIGH-QUALITY, COST-EFFECTIVE, AND COMPASSIONATE HEALTHCARE SERVICES TO ALL, INCLUDING, AS PERMITTED BY OUR RESOURCES, CHARITY CARE TO THOSE IN NEED. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2023, BAPTIST HEALTH PROVIDED PATIENT SERVICES TO THE SOUTH FLORIDA AREA WITH 99,329 ADULT ADMISSIONS, 524,616 PATIENT DAYS, AND 543,524 EMERGENCY ROOM VISITS. DURING THAT SAME TIME PERIOD, URGENT CARE VISITS TOTALED 373,375, OUTPATIENT SURGERY CASES TOTALED 124,839, AND TOTAL OUTPATIENT VISITS WERE 2,015,934 SYSTEM-WIDE. AS OF SEPTEMBER 30, 2023, THE SYSTEM BOASTED 2,894 LICENSED INPATIENT BEDS, INCLUDING 2,709 ACUTE CARE BEDS. OVERALL, IN FY2023, BAPTIST HEALTH PROVIDED MORE THAN $472,000,000 IN COMMUNITY BENEFITS. THIS INCLUDED CHARITY CARE VALUED AT $111,013,100 AS WELL AS $275,352,886 IN UNCOMPENSATED SERVICES . THE ESTIMATED COST OF PROVIDING CHARITY SERVICES AND UNCOMPENSATED SERVICES IS BASED ON RECENT HISTORICAL COST-TO-CHARGE RATIOS FOR CHARITY PATIENTS AND MEDICAID PATIENTS FROM BHSF'S COST ACCOUNTING SYSTEM, APPLIED TO THE CURRENT PERIOD GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY AND MEDICAID PATIENTS. WE ALSO CONTRIBUTED $49,725,789 TO THE INDIGENT CARE FUND AND EXPENDED $7,216,437 FOR EDUCATIONAL PROGRAMS, SCREENINGS, CORPORATE SPONSORSHIPS AND DONATIONS. FREE COMMUNITY HEALTH AND WELLNESS PROGRAMS COVERED TOPICS RANGING FROM INSOMNIA AND FOOD SAFETY TO DIABETES AND WEIGHT CONTROL. BAPTIST HEALTH ALSO OFFERED COMPLIMENTARY SCREENINGS FOR CHOLESTEROL, BLOOD PRESSURE, BODY COMPOSITION, AND OSTEOPOROSIS. FURTHERING ITS COMMITMENT TO PROVIDING PRIMARY CARE SERVICES TO THOSE IN NEED, BAPTIST HEALTH DONATED $4,070,000 TO NEIGHBORHOOD NOT-FOR-PROFIT CLINICS, including: THE GOOD NEWS CARE CENTER IN FLORIDA CITY, OPEN DOOR HEALTH CENTER IN HOMESTEAD, THE GOOD HEALTH CLINIC IN TAVERNIER, THE CARIDAD CENTER IN BOYNTON BEACH, THE SOUTH MIAMI CHILDREN'S CLINIC IN SOUTH MIAMI, AND CARING FOR Miami Mobile Dental Clinic. Baptist Health SPENT $23,405,694 PAYING PHYSICIANS WHO PROVIDE CARE TO OUR COMMUNITY MEMBERS IN NEED. ADDITIONALLY, WE PROVIDED $4,826,060 IN PALLIATIVE CARE AND CHAPLAINCY CARE . BAPTIST HEALTH FULFILLS ITS MISSION TO PROVIDE COMPASSIONATE CARE NOT ONLY BY PROVIDING ASSISTANCE TO THOSE IN FINANCIAL NEED, BUT ALSO SUPPORTING SERVICES AT A LOSS THAT ARE ESSENTIAL TO THE COMMUNITY. BEYOND THE AFOREMENTIONED HEALTH-RELATED CONTRIBUTIONS, BAPTIST HEALTH ALSO EXERTS A SUBSTANTIAL AND POSITIVE IMPACT ON OUR COMMUNITY. WITH A WORKFORCE EXCEEDING 27,000 INDIVIDUALS , WE STAND AS SOUTH FLORIDA'S LARGEST PRIVATE EMPLOYER. BAPTIST HEALTH IS TAKING A LEADERSHIP ROLE BY COMMITTING TO THE ENVIRONMENTALLY RESPONSIBLE, ENERGY-EFFICIENT DESIGN AND FUNCTION OF OUR FACILITIES. THIS COMMITMENT APPLIES TO OUR DAY-TO-DAY OPERATIONS, FROM THE SUPPLIES WE PURCHASE TO THE VEHICLES WE USE. ALIGNED WITH OUR FAITH-BASED MISSION, BAPTIST HEALTH REMAINS COMMITTED TO MAKING A SIGNIFICANT, POSITIVE IMPACT ON THE COMMUNITIES IT SERVES.
Form 990, Part IV, Line 24a BOND LIABILITIES	ALL BOND LIABILITIES ARE REPORTED AT THE PARENT LEVEL, ON SCHEDULE K OF BAPTIST HEALTH SOUTH FLORIDA, INC.'S 2022 FORM 990.
Form 990, Part V, Line 1a US INFORMATIONAL RETURNS	BAPTIST HEALTH HAS A SYSTEM-WIDE TREASURY POLICY, WHICH RECOGNIZES ITS RESPONSIBILITY TO OVERSEE, MANAGE, AND COORDINATE ALL AFFILIATE OPERATIONS, INCLUDING THE TREASURY FUNCTIONS. BAPTIST HEALTH SOUTH FLORIDA, INC. ("BHSF") SERVES AS THE CENTRALIZED CASH RECEIPT AND DISBURSING AGENT FOR ALL BHSF ENTITIES. AS SUCH ONLY BHSF ISSUES US INFORMATIONAL RETURNS.
Form 990, Part V, Line 2a EMPLOYEES REPORTED ON FORM W-3	BHSF IS THE APPOINTED PAY AGENT FOR ALL OF ITS AFFILIATES. AS SUCH ONLY BHSF ISSUES FORM W-3.
Form 990, Part VI, Line 15 PERFORMANCE-BASED EXECUTIVE COMPENSATION	PERFORMANCE-BASED EXECUTIVE COMPENSATION THE SOUTH FLORIDA MARKET FOR HIGHLY COMPETENT HEALTHCARE EXECUTIVES REFLECTS A VERY COMPETITIVE ENVIRONMENT FOR QUALIFIED EXECUTIVES. IT IS COMPRISED OF LARGE, NATIONAL, FOR-PROFIT CHAINS AND NOT-FOR-PROFIT HOSPITAL SYSTEMS AND STAND-ALONE HOSPITALS. THE BOARD OF TRUSTEES OF BAPTIST HEALTH SOUTH FLORIDA, INC. SEEKS EXECUTIVES OF VISION AND LEADERSHIP TO CARRY OUT THE ORGANIZATION'S FAITH-BASED MISSION OF QUALITY CARE AND COMMUNITY SERVICE. THE BOARD EXPECTS THESE EXECUTIVES TO PROVIDE LEADERSHIP THAT WILL PLACE BAPTIST HEALTH AMONG THE BEST HEALTHCARE SYSTEMS IN THE NATION FOR QUALITY AND EXCELLENCE. THE BOARD EXPECTS EXECUTIVES TO DEMONSTRATE INTEGRITY AND LOYALTY IN THE PERFORMANCE OF THEIR DUTIES AND TO ADHERE TO BAPTIST HEALTH'S CONFLICT OF INTEREST POLICY, EXECUTIVE CODE OF CONDUCT AND ALL COMPLIANCE/ETHICS POLICIES. EXECUTIVE COMPENSATION IS CONSIDERED THE FOUNDATION TO ATTRACT AND RETAIN EXECUTIVES WITH THE TALENT, EXPERIENCE AND CHARACTER TO MEET THESE EXPECTATIONS. THE CEO OF HOMESTEAD HOSPITAL IS COMPENSATED BY BAPTIST HEALTH SOUTH FLORIDA, A RELATED ORGANIZATION. THE DETERMINATION OF THE COMPENSATION OF THE CEO FOLLOWS THE SAME PROCESS DELINEATED HEREIN. THE BYLAWS OF HOMESTEAD HOSPITAL DELEGATE THE AUTHORITY TO SET EXECUTIVE COMPENSATION TO BHSF. BHSF'S COMPENSATION COMMITTEE IS COMPRISED EXCLUSIVELY OF INDEPENDENT BOARD MEMBERS WHO SERVE VOLUNTARILY WITHOUT ANY REMUNERATION, AND WHO MUST ADHERE TO A STRINGENT CONFLICT OF INTEREST POLICY THAT PRECLUDES THEM OR THEIR FAMILIES FROM DOING BUSINESS WITH BAPTIST HEALTH. THE COMMITTEE IS RESPONSIBLE FOR REVIEWING THE PERFORMANCE AND APPROVING THE COMPENSATION FOR all of the entity's EXECUTIVES. THE TERM "COMPENSATION" INCLUDES SALARIES, BENEFITS AND INCENTIVES. THE COMPENSATION COMMITTEE ANNUALLY ENGAGES A NATIONALLY-RECOGNIZED, INDEPENDENT CONSULTANT TO CONDUCT COMPENSATION SURVEYS AND TO ADVISE THE BOARD ON COMPENSATION POLICIES. For further detail regarding the compensation structure, please refer to Schedule J, Part I, Line 3.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	GOVERNING BODY AND MANAGEMENT THIS ORGANIZATION IS PART OF BAPTIST HEALTH, AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. THE BOARD OF TRUSTEES OF BAPTIST HEALTH SOUTH FLORIDA, INC. HAS THE RIGHT TO APPOINT SOME BOARD MEMBERS TO THE HOSPITAL'S BOARD OF DIRECTORS.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	GOVERNING BODY AND MANAGEMENT THIS ORGANIZATION IS PART OF BAPTIST HEALTH, AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. THE BOARD OF TRUSTEES OF BAPTIST HEALTH SOUTH FLORIDA, INC. HAS THE RIGHT TO APPROVE OR RATIFY CERTAIN CORPORATE DECISIONS OF THE ORGANIZATION.
Form 990, Part VI, Line 11b Review of form 990 by governing body	BAPTIST HEALTH MANAGEMENT IS RESPONSIBLE FOR THE ACCURACY AND COMPLETENESS OF THE TAX RETURNS OF BHSF AND ALL OF ITS NONPROFIT, CHARITABLE AFFILIATES. THIS FORM 990 HAS BEEN PREPARED IN CONFORMITY WITH THE INTERNAL REVENUE CODE AND TREASURY REGULATIONS. INDEPENDENT TAX CONSULTANTS AND MEMBERS OF MANAGEMENT HAVE REVIEWED IN DETAIL THE COMPLETED FORM 990. PRIOR TO FILING, THE FORM 990 PREPARATION PROCESS AND THE DOCUMENTS ARE DISCUSSED AT A MEETING OF THE FINANCE & RISK MANAGEMENT COMMITTEE OF THE BOARD OF DIRECTORS AND MADE AVAILABLE ELECTRONICALLY TO ALL MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW AND COMMENTARY. ADDITIONALLY, THE EXECUTIVE AND COMPENSATION COMMITTEES OF THE BHSF BOARD OF TRUSTEES, COMPOSED OF INDEPENDENT UNCOMPENSATED MEMBERS, REVIEW OTHER PERTINENT AREAS OF THE RETURN, AS NEEDED. THE PRESIDENT AND CEO, AS WELL AS THE EXECUTIVE VICE PRESIDENT AND CFO, HEREBY CERTIFY AS TO THE ACCURACY AND COMPLETENESS OF THIS FORM 990.
Form 990, Part VI, Line 12c Conflict of interest policy	EMPLOYEE CONFLICT OF INTEREST AN ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST OCCURS IN THOSE CIRCUMSTANCES WHERE AN EMPLOYEE'S JUDGEMENT COULD BE AFFECTED BECAUSE THE EMPLOYEE HAS A PERSONAL INTEREST, OTHER THAN THE RECEIPT OF COMPENSATION FROM BAPTIST HEALTH, IN THE OUTCOME OF A DECISION OVER WHICH THE EMPLOYEE HAS CONTROL OR INFLUENCE. FOR THE PURPOSES OF THIS POLICY, IT IS PRESUMED THAT MANAGERS HAVE CONTROL OR INFLUENCE OVER ANY DECISION AFFECTING A MATTER FOR WHICH A MANAGER HAS RESPONSIBILITY. A PERSONAL INTEREST EXISTS WHEN AN EMPLOYEE OR A MEMBER OF HIS OR HER FAMILY STANDS TO DIRECTLY OR INDIRECTLY OBTAIN FINANCIAL GAIN AS A RESULT OF A DECISION. THIS POLICY IS INTENDED FOR ALL EMPLOYEES TO UNDERSTAND, IDENTIFY, MANAGE, AND APPROPRIATELY DISCLOSE THOSE TRANSACTIONS, WHICH COULD RESULT IN AN ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST. IN ACCORDANCE WITH OUR CODE OF ETHICS, HIGH ETHICAL STANDARDS MUST BE OBSERVED IN THE NEGOTIATION AND EXECUTION OF ALL BUSINESS ACTIVITIES CONDUCTED AT, BY OR WITH BAPTIST HEALTH. ANY DECISIONS MADE BY BAPTIST HEALTH EMPLOYEES MUST BE MADE IN COMPLIANCE WITH APPLICABLE LAWS AND REGULATIONS, WITH THE BEST ORGANIZATIONAL INTERESTS OF BAPTIST HEALTH AS THE HIGHEST PRIORITY AND WITHOUT REGARD TO THE PERSONAL GAIN OR INTEREST OF ANY OTHER PERSON OR ENTITY. LIKEWISE, THE APPEARANCE OF ANY SUCH IMPROPER INFLUENCE ON ANY DECISIONS SHOULD BE CONSCIOUSLY AVOIDED. EMPLOYEES SHOULD ALSO ADHERE TO POLICY 828 WHICH PROHIBITS VENDOR SPONSORED TRAVEL, POLICY 829 WHICH LIMITS ACCEPTANCE OF PERSONAL HONORARIUMS, AND POLICY 831 WHICH PROVIDES LIMITATIONS AND GUIDELINES ON PHILANTHROPIC SOLICITATION OF VENDORS. A POTENTIAL OR PERCEIVED CONFLICT OF INTEREST MAY EXIST IRRESPECTIVE OF THE INTENT OF THE EMPLOYEE. BOARD CONFLICT OF INTEREST Baptist Health has a strong and robust Conflict of Interest policy. The policy is meant to ensure that each member of the Board of Trustees governs the affairs of Baptist Health and its affiliates with honesty and integrity and makes decisions for the benefit of Baptist Health. Board of Trustee members may not be employed by Baptist Health, nor engaged to provide services to Baptist Health or any of its affiliates in exchange for cash compensation. Conflict free decision making extends beyond the Board members to include transactions that might benefit (I) the private interest of a member or his or her family (II) an organization controlled by a member of his or her family or (III) an organization in which a member or his or her family has a material interest. Since the appearance of a conflict of interest may be as damaging to Baptist Health's reputation as actually permitting a conflict to exist, each voting Board member of Baptist Health and its affiliates has a continuing obligation to disclose any potential conflicts. This continuing obligation is supplemented by an annual certification that the Board member is free from actual or potential conflicts of interest. The annual certification is reviewed by the Vice President of Audit and Compliance and the Chief Compliance Officer who reports directly to the Board. Potential conflicts are further reviewed by the Board's Ethics Committee. If a conflict does exist, the conflicted Board member may be required to (I) resign from the Board (II) eliminate the relationship which gives rise to the conflict or (III) recuse himself or herself from all discussions, votes or actions with regard to the matter creating the actual or potential conflict of interest. CONFLICT OF INTEREST POLICY COMPLIANCE ONE OF BAPTIST HEALTH'S GREATEST ASSETS IS THE INTEGRITY OF ITS VOLUNTEER BOARD MEMBERS. ONE WAY TO ASSURE INTEGRITY IS THE ORGANIZATION'S COMMITMENT TO A STRINGENT CONFLICT OF INTEREST POLICY FOR THEIR GOVERNING BOARDS AND MANAGEMENT. AS A PART OF A ROBUST CONFLICT OF INTEREST POLICY, BOARD MEMBERS MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST DECLARATION FORM. THE AUDIT AND COMPLIANCE DEPARTMENT MONITOR TO ENSURE ALL VOTING MEMBERS SUBMIT THE DECLARATION FORM AND PERFORM NECESSARY RESEARCH TO UNDERSTAND IF A POTENTIAL CONFLICT EXISTS. ALL DISCLOSURES AND THE RELATED RESEARCH ARE SUMMARIZED FOR THE ETHICS COMMITTEE OF THE BAPTIST HEALTH SOUTH FLORIDA, INC. BOARD OF TRUSTEES. ANY DISCLOSURES THAT MAY RESULT IN THE APPEARANCE OF A CONFLICT ARE ADDRESSED BY THE COMMITTEE FOR ITS CONSIDERATION AND RESOLUTION.
Form 990, Part VI, Line 19 Required documents available to the public	DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST. IN ADDITION, BOTH THE FORM 990 AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC VIEWING ON THIRD PARTY WEBSITES. THE CONFLICT OF INTEREST POLICY IS AVAILABLE ON WWW.BAPTISTHEALTH.NET.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	All Other Revenue - Total Revenue: 10597, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 10597;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	BENEFICIAL INTEREST IN NET ASSETS OF BHSF FOUNDATION - 783757;
PART VII REPORTABLE COMPENSATION	THE AMOUNTS APPEARING AS REPORTABLE COMPENSATION ON FORM 990 PART VII FOR VOLUNTEER BOARD MEMBERS ARE COMPOSED OF EITHER PAYMENTS FOR SERVICES AS AN ELECTED REPRESENTATIVE OF THE MEDICAL STAFF, NON-CLINICAL SERVICES RENDERED TO BAPTIST HEALTH WHICH MAKE POSSIBLE AN IMPORTANT ADMINISTRATIVE FUNCTION, OR MINOR DISCOUNTS ON CLINICAL SERVICES RECEIVED AT A BAPTIST HEALTH FACILITY. ALL OF THESE AMOUNTS ARE REPORTED IN ACCORDANCE WITH THE RULES AND REGULATIONS PERTAINING TO IRS FORMS W-2 AND 1099 RESPECTIVELY.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
BAPTIST HEALTH SOUTH FLORIDA INC
6855 RED ROAD STE 600	CORAL GABLES	FL	33143	650267668	SUPPORT	FL	501(c)(3)	Type III-FI	NA	false
BAPTIST HOSPITAL OF MIAMI INC
8900 N KENDALL DRIVE	MIAMI	FL	33176	590910342	HOSPITAL	FL	501(c)(3)	3	BHSF	false
SOUTH MIAMI HOSPITAL INC
6200 SW 73 ST	MIAMI	FL	33143	590872594	HOSPITAL	FL	501(c)(3)	3	BHSF	false
HOMESTEAD HOSPITAL INC
975 BAPTIST WAY	HOMESTEAD	FL	33033	650232993	HOSPITAL	FL	501(c)(3)	3	BHSF	false
MARINERS HOSPITAL INC
91500 OVERSEAS HIGHWAY	TAVERNIER	FL	33070	591987355	HOSPITAL	FL	501(c)(3)	3	BHSF	false
WEST KENDALL BAPTIST HOSPITAL INC
9555 SW 162 AVE	MIAMI	FL	33196	522438452	HOSPITAL	FL	501(c)(3)	3	BHSF	false
DOCTORS HOSPITAL INC
5000 UNIVERSITY DRIVE	CORAL GABLES	FL	33146	043775926	HOSPITAL	FL	501(c)(3)	3	BHSF	false
BAPTIST OUTPATIENT SERVICES INC
6855 RED ROAD STE 600	CORAL GABLES	FL	33143	562290370	MED. DIAG.	FL	501(c)(3)	3	BHSF	false
BAPTIST HEALTH SOUTH FLORIDA FOUNDATION INC
6855 RED ROAD STE 600	CORAL GABLES	FL	33143	591923401	FUNDRAISING	FL	501(c)(3)	7	BHSF	false
BAPTIST HEALTH MEDICAL GROUP INC
6855 RED ROAD STE 600	CORAL GABLES	FL	33143	462597739	HEALTHCARE	FL	501(c)(3)	10	BHSF	false
MIAMI CANCER INSTITUTE AT BAPTIST HEALTH INC
6855 RED ROAD STE 600	CORAL GABLES	FL	33143	473090066	HEALTHCARE	FL	501(c)(3)	Type III-FI	BHSF	false
FISHERMENS HEALTH INC
3301 OVERSEAS HWY	MARATHON	FL	33050	821682066	HOSPITAL	FL	501(c)(3)	3	BHSF	false
BETHESDA HEALTH COMPREHENSIVE IMAGING SERVICES INC
2815 S SEACREST BLVD	BOYNTON BEACH	FL	33435	592771779	O/P MEDICAL SERVICES	FL	501(c)(3)	10	BHI	false
BETHESDA OUTPATIENT SERVICES INC
2815 S SEACREST BLVD	BOYNTON BEACH	FL	33435	650561263	O/P MEDICAL SERVICES	FL	501(c)(3)	10	BHI	false
BETHESDA HOSPITAL INC
2815 S SEACREST BLVD	BOYNTON BEACH	FL	33435	592447554	HOSPITAL	FL	501(c)(3)	3	BHI	false
BOCA RATON REGIONAL HOSPITAL INC
800 MEADOWS ROAD	BOCA RATON	FL	33486	591006663	HOSPITAL	FL	501(c)(3)	3	BRRH	false
BRRH HOME HEALTH SERVICES INC
800 MEADOWS ROAD	BOCA RATON	FL	33486	650044715	O/P MEDICAL SERVICES	FL	501(c)(3)	Type III-FI	BRRH	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt
KENDALL PROFESSIONAL CENTER LIMITED
6855 RED ROAD SUITE 600	CORAL GABLES	FL	33143	592645094	LEASING OFFICE SPACE	FL	NA	N/A
BAPTIST SLEEP CENTERS OF SOUTH FLORIDA LLC
6855 RED ROAD SUITE 600	CORAL GABLES	FL	33143	273597226	MEDICAL SERVICES	FL	NA	N/A
BAPTIST SURGERY AND ENDOSCOPY CENTERS LLC
6855 RED ROAD SUITE 600	CORAL GABLES	FL	33143	201796841	MEDICAL SERVICES	FL	NA	N/A
BAPTIST HEALTH SURGERY CENTER LLC
8900 N KENDALL DRIVE	MIAMI	FL	33176	650663357	MEDICAL SERVICES	FL	NA	N/A
AMSURG BAPTIST NETWORK ALLIANCE LLC
6855 RED ROAD SUITE 600	CORAL GABLES	FL	33143	473088958	HOLDING COMPANY	FL	NA	N/A
BAPTIST AMBULATORY ALLIANCE LLC
6855 RED ROAD SUITE 600	CORAL GABLES	FL	33143	814431967	HOLDING COMPANY	FL	NA	N/A
HEALTH NETWORK AMBULATORY ALLIANCE LLC
6855 RED ROAD SUITE 600	CORAL GABLES	FL	33143	814490589	HOLDING COMPANY	FL	NA	N/A
MIAMI CARDIAC AND VASCULAR INSTITUTE MANAGEMENT COMPANY
6855 RED ROAD SUITE 600	CORAL GABLES	FL	33143	474128811	CARDIAC MEDICAL CENTER	FL	NA	N/A
MEDLEY OPPORTUNITY FUND III LP
280 PARK AVENUE 6TH FLOOR EAST	NEW YORK	NY	10152	471284126	INVESTMENT IN DEBT	NY	NA	N/A
BAPTISTBELMONT CG JV LLC
7660 WOODWAY DRIVE SUITE 400	HOUSTON	TX	77063	843628646	MEDICAL SERVICES	TX	NA	N/A
BVBP PURSUIT LLC
7660 WOODWAY DRIVE SUITE 400	HOUSTON	TX	77063	843693526	MEDICAL SERVICES	TX	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line2USAddress/AddressLine2Txt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
BAPTIST HEALTH ENTERPRISES INC
6855 RED ROAD STE 600	CORAL GABLES	FL	33143	592572862	REAL ESTATE MANAGEMENT	FL	NA	C Corporation	false
SAMARITAN RISK RETENTION GROUP
146 Fairchild Street	Charleston	SC	29492	203433505	INSURANCE	SC	NA	C Corporation	false	Suite 135
PINEAPPLE INSURANCE COMPANY
				980465790	INSURANCE		NA	C Corporation	false		CJ
BMAB EAST TOWER INC
6855 RED ROAD STE 600	CORAL GABLES	FL	33143	654047110	LEASE OFFICE SPACE	FL	NA	C Corporation	false
BAPTIST MEDICAL SERVICES CORP
6855 RED ROAD STE 600	CORAL GABLES	FL	33143	650506620	HOLDING COMPANY	FL	NA	C Corporation	false
KENDALL CREDIT & BUSINESS SERVICES INC
6855 RED ROAD STE 600	CORAL GABLES	FL	33143	650434778	COLLECTION AGENCY	FL	NA	C Corporation	false
SOUTH MIAMI HEALTH ENTERPRISES INC
6855 RED ROAD STE 600	CORAL GABLES	FL	33143	592623930	MEDICAL CENTER	FL	NA	C Corporation	false
BAPTIST AMBULATORY SERVICES INC
6855 RED ROAD STE 600	CORAL GABLES	FL	33143	421573814	HOLDING COMPANY	FL	NA	C Corporation	false
BHE REALTY INC
6855 RED ROAD STE 600	CORAL GABLES	FL	33143	900152617	REAL ESTATE BROKER	FL	NA	C Corporation	false
BAPTIST ANCILLARY SERVICES INC
6855 RED ROAD STE 600	CORAL GABLES	FL	33143	550800138	HOLDING COMPANY	FL	NA	C Corporation	false
BETHESDA HEALTH PHYSICIAN GROUP INC
2815 S SEACREST BLVD	BOYNTON BEACH	FL	33435	650561267	PHYSICIAN OFFICES	FL	NA	C Corporation	false
BETHESDA HOLDING COMPANY INC
2815 S SEACREST BLVD	BOYNTON BEACH	FL	33435	592663767	HOLDING COMPANY	FL	NA	C Corporation	false
PALM BEACH CREDIT ADJUSTORS INC
2815 S SEACREST BLVD	BOYNTON BEACH	FL	33435	592507658	INVESTMENT	FL	NA	C Corporation	false
BOCACARE INC
800 MEADOWS ROAD	BOCA RATON	FL	33486	264190328	PHYSICIAN OFFICES	FL	NA	C Corporation	false
BAPTIST HEALTH INTERNATIONAL CAYMAN ISLAND LTD
					MEDICAL SERVICES		NA	C Corporation	false		CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	Yes (true)	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd