BAPTIST MEDICAL CENTER OF NASSAU I NC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- BAPTIST MEDICAL CENTER OF NASSAU I NC (EIN 59-3234721)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2023-08-11
- IRS object ID
- 202332239349300748
- Schema version
- 2021v4.2
- 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 I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-08-11T19:30:24+00:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593234721 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baptist Medical Center of Nassau Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BAPT | BusinessNameControlTxt |
| Phone | 9042022883 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1660 Prudential Dr 203 | AddressLine1Txt |
| City | Jacksonville | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32207 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Keith Tickell | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9042025626 | PhoneNum |
| Signature | 2023-08-11 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Keith | PersonFirstNm |
| Person Last | Tickell | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baptist Medical Center Nassau | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL A MAYO | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 841 Prudential Dr Ste 1601 | AddressLine1Txt |
| City | Jacksonville | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32207 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $90,579,024 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.baptistjax.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | Continue the healing ministry of Christ by providing accessible, quality healthcare services at a reasonable cost in an atmosphere that fosters respect and compassion. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 556 | TotalEmployeeCnt |
| Total Volunteers | 156 | TotalVolunteersCnt |
| Total Gross UBI | $142 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $147,751 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,822,321 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $93,859,957 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $85,594,083 | CYProgramServiceRevenueAmt |
| PY Investment Income | $443,074 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,968,390 | CYInvestmentIncomeAmt |
| PY Other Revenue | $74,186 | PYOtherRevenueAmt |
| CY Other Revenue | $74,209 | CYOtherRevenueAmt |
| PY Total Revenue | $94,524,968 | PYTotalRevenueAmt |
| CY Total Revenue | $90,459,003 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $380,710 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $575,783 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $41,568,730 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $45,260,938 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $36,661,479 | PYOtherExpensesAmt |
| CY Other Expenses | $37,357,169 | CYOtherExpensesAmt |
| PY Total Expenses | $78,610,919 | PYTotalExpensesAmt |
| CY Total Expenses | $83,193,890 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $15,914,049 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $7,265,113 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $171,793,369 | TotalAssetsBOYAmt |
| Total Assets EOY | $154,074,447 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $20,886,241 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $17,571,149 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $150,907,128 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $136,503,298 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Continue the healing ministry of Christ by providing accessible, quality healthcare services at a reasonable cost in an atmosphere that fosters respect and compassion. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $69,803,963 | ExpenseAmt |
| Grant | $575,783 | GrantAmt |
| Revenue | $85,594,083 | RevenueAmt |
| Desc | Baptist Medical Center of Nassau, Inc. (BMCN) is a highly advanced, extremely well-equipped community hospital located on Amelia Island, serving Nassau County and its surrounding area. The hospital provides a full spectrum of inpatient and outpatient services and 24-hour emergency care. The medical staff includes highly trained physicians in 26 different specialties along with a 24/7 hospitalist program. BMCN is an accredited chest pain center, acute stroke readiness hospital and has earned ANCC magnet recognition for excellence in patient care and named top general hospital by the LeapFrog Group with safety grade A. Baptist Nassau offers many advanced services and technologies not typically seen in a community hospital including a 30,000 square foot surgery/procedural center, advanced imaging (64-channel CT and MRI), breast health program with digital 3D mammography, 24/7 intensivist coverage ICU through telemedicine, non-invasive cardiology and cardiac rehabilitation center . Inpatients are cared for in ultra-modernized building, which offers 48 private patient suites. BMCN was one of the first community hospitals in the nation to convert to an electronic medical record system. Baptist Medical Center of Nassau is fully integrated within a five hospital system of Baptist Health System, Inc. (BHS). Inpatient pediatric care is provided by Wolfson Children's Hospital in Jacksonville. During the fiscal year, there were 417 employees, 62 beds, 3,145 admissions accounting for 10,894 patient days, and 22,088 emergency room visits. As part of BHS, the region's only community-owned, faith-based healthcare system, BMCN is committed to improving the health of everyone in its community, regardless of their ability to pay. BMCN provided the following uncompensated care and community benefit for the fiscal year ended September 30, 2022: (1) charity care, $1.9 million, (2) unreimbursed Medicaid costs, $1.5 million, (3) unreimbursed Medicare costs, $13.9 million, and (4) specific community programs, $763 thousand, for a total of $18.1 million of uncompensated care and community benefit. BMCN's primary focus is addressing unmet health needs, particularly among vulnerable populations who have limited resources and access to health care. BMCN has gone beyond the delivery of essential health care to improve the lives of individuals and the overall quality of life in our region. Baptist health's community health committee guides the community health efforts. This committee provides strategic direction related to community health activities and ensures focus on key priorities that align with Baptist health's mission. A cornerstone of our commitment to the community is caring for the health of vulnerable, uninsured and underserved people among us. One of BMCN's guiding principles of community health is to collaborate with other local organizations to leverage our collective expertise and strength for the health benefits of the community. This collaborative approach helps ensure efficiency and avoids duplication of effort, resulting in enhancement of the lives of area residents at every life stage and income level. BMCN community health needs assessment includes: (1) access to care (2) maternal and behavioral health (3) poverty (4) chronic disease (5) maternal and child health (6) transportation, (7) housing, (8) cancer and (9) social determinants of health. | Desc |
| Total Program Service Expenses | $69,803,963 | 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 | Yes (true) | 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 | Yes (true) | 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 | false | 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 |
| IRP Document | 68 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 556 | 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | Yes (true) | 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 | false | 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 | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | 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 | Scott Finnegan | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9042023270 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 841 Prudential Dr Ste 1602 | AddressLine1Txt |
| City | Jacksonville | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32207 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Jodi H Henson | |||||||||
| Vice Chair | 0.5 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Jon C Lasserre Esq | |||||||||
| Former Chair (As of 07.25.22) | 0.5 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Karen Hackett | |||||||||
| Chair/Secretary/Treasurer | 0.5 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Michael A Mayo DHA | |||||||||
| President | 0.5 | 39.5 | Yes (X) | Yes (X) | $0 | $1,357,493 | $47,469 | ||
| Brandy Bateman Carvalho | |||||||||
| Director | 0.1 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Daniel C Rowland | |||||||||
| Director | 0.1 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Janice Ancrum | |||||||||
| Director | 0.1 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Matthew A Zuino | |||||||||
| Director | 0.1 | 39.9 | Yes (X) | $0 | $876,582 | $135,841 | |||
| Michael Ammiano | |||||||||
| Director | 0.1 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Michael Howington MD | |||||||||
| Director | 0.1 | 0 | Yes (X) | $0 | $0 | $0 | |||
| William H Gower | |||||||||
| Director | 0.1 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Ed Hubel | |||||||||
| Vice President | 40.0 | 0 | Yes (X) | $379,763 | $0 | $112,922 | |||
| G Scott Baity Esq | |||||||||
| Asst. Secretary | 0.3 | 39.7 | Yes (X) | $0 | $695,986 | $136,761 | |||
| Keith A Tickell | |||||||||
| Asst. Treasurer | 0.3 | 39.7 | Yes (X) | $0 | $896,267 | $27,396 | |||
| Scott M Wooten | |||||||||
| Former Asst. Treasurer (As of 12.28.21) | 0.3 | 39.7 | Yes (X) | $0 | $1,011,917 | $288,355 | |||
| T Scott Finnegan | |||||||||
| Asst. Treasurer | 0.3 | 39.7 | Yes (X) | $0 | $424,589 | $121,812 | |||
| Carlotta Keane | |||||||||
| House Supervisor | 40.0 | 0 | $144,723 | $0 | $17,656 | Yes (X) | |||
| Kellene Sauls | |||||||||
| VP, Patient Care Services, NAS | 40.0 | 0 | $202,385 | $0 | $46,854 | Yes (X) | |||
| Leslie Owens-Park | |||||||||
| Manager, Assistant Nurse | 40.0 | 0 | $145,617 | $0 | $28,729 | Yes (X) | |||
| Pamela Bolden | |||||||||
| Director, Surgical Services | 40.0 | 0 | $157,955 | $0 | $10,888 | Yes (X) | |||
| Stephen Bean | |||||||||
| Pharmacist | 40.0 | 0 | $159,703 | $0 | $40,245 | Yes (X) | |||
| Brett S McClung | |||||||||
| Former President (AS OF 05.01.21) | 0.0 | 0.0 | $0 | $2,130,059 | $11,393 | Yes (X) | |||
| Elizabeth R Ransom MD | |||||||||
| Former EVP/CPE (As of 08.15.21) | 0.0 | 40.0 | $0 | $1,242,210 | $27,537 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,190,146 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,635,103 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,053,858 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | 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 | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| BATSON COOK COMPANY | ||||||
| 8860 PHILIPS HWY | Jacksonville | FL | 32256 | CONSTRUCTION COMPANY | $4,120,951 | |
| OWENS MINOR INC | ||||||
| 8489 Westside Industrial Dr | Jacksonville | FL | 32219 | Medical Supply Distributor | $2,521,945 | |
| MCKESSON CORPORATION | ||||||
| 4345 Southpoint Blvd | Jacksonville | FL | 32216 | Medical Supply Distributor | $1,634,448 | |
| AMELIA ANESTHESIA PL | ||||||
| 1250 S 18th St | Fernadina Beach | FL | 32034 | Anesthesia Provider | $1,306,785 | |
| AYA HEALTHCARE INC | ||||||
| 5930 CORNERSTONE CT W | SAN DIEGO | CA | 92121 | HEALTHCARE STAFFING AGENCY | $1,184,507 | STE 300 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 49 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $130,578 | RelatedOrganizationsAmt |
| Government Grants | $2,691,743 | GovernmentGrantsAmt |
| Total Contributions | $2,822,321 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Patient service revenues, Net | 621990 | $85,053,281 | $85,053,281 | $0 | $0 |
| Hospital Cafeteria | 722514 | $286,575 | $286,575 | $0 | $0 |
| Rental Revenue | 531120 | $248,802 | $248,802 | $0 | $0 |
| Other Revenue | 621990 | $5,425 | $5,425 | $0 | $0 |
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 | $85,594,083 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,968,390 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,968,390 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $194,088 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $120,021 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $74,067 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $74,067 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $74,067 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | REFERENCE LAB REVENUE | Desc |
| Business | 621500 | BusinessCd |
| Total Revenue Column | $142 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $142 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| 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) |
|---|---|---|
| Other Revenue Total | $142 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $90,459,003 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $85,594,083 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $142 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,042,457 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $571,983 | TotalAmt |
| Program Services | $571,983 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,800 | TotalAmt |
| Program Services | $3,800 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $400,740 | TotalAmt |
| Program Services | $200,370 | ProgramServicesAmt |
| Management And General | $200,370 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,851,310 | TotalAmt |
| Program Services | $28,435,100 | ProgramServicesAmt |
| Management And General | $5,416,210 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,724,809 | TotalAmt |
| Program Services | $1,448,840 | ProgramServicesAmt |
| Management And General | $275,969 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,858,702 | TotalAmt |
| Program Services | $5,761,310 | ProgramServicesAmt |
| Management And General | $1,097,392 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,425,377 | TotalAmt |
| Program Services | $2,037,317 | ProgramServicesAmt |
| Management And General | $388,060 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $918,568 | TotalAmt |
| Program Services | $707,297 | ProgramServicesAmt |
| Management And General | $211,271 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,934 | TotalAmt |
| Program Services | $47,467 | ProgramServicesAmt |
| Management And General | $47,467 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,213,468 | TotalAmt |
| Program Services | $6,324,368 | ProgramServicesAmt |
| Management And General | $1,889,100 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,584 | TotalAmt |
| Program Services | $31,250 | ProgramServicesAmt |
| Management And General | $9,334 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,276,589 | TotalAmt |
| Program Services | $4,062,974 | ProgramServicesAmt |
| Management And General | $1,213,615 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $585,388 | TotalAmt |
| Program Services | $450,749 | ProgramServicesAmt |
| Management And General | $134,639 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,749,097 | TotalAmt |
| Program Services | $2,116,805 | ProgramServicesAmt |
| Management And General | $632,292 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,997 | TotalAmt |
| Program Services | $26,178 | ProgramServicesAmt |
| Management And General | $7,819 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,045 | TotalAmt |
| Program Services | $33,145 | ProgramServicesAmt |
| Management And General | $9,900 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $518 | TotalAmt |
| Program Services | $399 | ProgramServicesAmt |
| Management And General | $119 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,943,090 | TotalAmt |
| Program Services | $5,346,179 | ProgramServicesAmt |
| Management And General | $1,596,911 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $340,744 | TotalAmt |
| Program Services | $262,373 | ProgramServicesAmt |
| Management And General | $78,371 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Hospital/Medical Supplies | $10,125,883 | $10,125,883 | $0 | $0 |
| AHCA NICA Assessments | $1,089,024 | $1,089,024 | $0 | $0 |
| Patient Transportation | $114,899 | $114,899 | $0 | $0 |
| Dues Memberships | $35,502 | $27,337 | $8,165 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $751,839 | TotalAmt |
| Program Services | $578,916 | ProgramServicesAmt |
| Management And General | $172,923 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,193,890 | TotalAmt |
| Program Services | $69,803,963 | ProgramServicesAmt |
| Management And General | $13,389,927 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $625 | BOYAmt |
| EOY | $925 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,338,096 | BOYAmt |
| EOY | $12,868,601 | 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 |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| 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 | $1,495,299 | BOYAmt |
| EOY | $1,568,132 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,178,442 | BOYAmt |
| EOY | $3,531,348 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $122,420,350 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $55,401,670 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,016,616 | BOYAmt |
| EOY | $67,018,680 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,656,719 | BOYAmt |
| EOY | $13,506,147 | 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 |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,107,572 | BOYAmt |
| EOY | $55,580,614 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,793,369 | BOYAmt |
| EOY | $154,074,447 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,907,335 | BOYAmt |
| EOY | $7,367,939 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,978,906 | BOYAmt |
| EOY | $10,203,210 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,886,241 | BOYAmt |
| EOY | $17,571,149 | 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 | $146,173,661 | BOYAmt |
| EOY | $131,688,123 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,733,467 | BOYAmt |
| EOY | $4,815,175 | EOYAmt |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $150,907,128 | BOYAmt |
| EOY | $136,503,298 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,793,369 | BOYAmt |
| EOY | $154,074,447 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $7,265,113 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$4,271,842 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$17,397,101 | 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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,356,129 | BeginningYearBalanceAmt |
| Contributions | $44,211 | ContributionsAmt |
| Investment Earnings Or Losses | -$524,428 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $140,144 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $3,735,768 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,747,769 | BeginningYearBalanceAmt |
| Contributions | $102,042 | ContributionsAmt |
| Investment Earnings Or Losses | $594,239 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $87,921 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $4,356,129 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,510,084 | BeginningYearBalanceAmt |
| Contributions | $191,396 | ContributionsAmt |
| Investment Earnings Or Losses | $120,421 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $74,132 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $3,747,769 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,151,445 | BeginningYearBalanceAmt |
| Contributions | $320,591 | ContributionsAmt |
| Investment Earnings Or Losses | $103,437 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $65,389 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $3,510,084 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,584,655 | BeginningYearBalanceAmt |
| Contributions | $514,000 | ContributionsAmt |
| Investment Earnings Or Losses | $105,374 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $52,584 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $3,151,445 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.002 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.9317 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.0663 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $477,107 | OtherCostOrOtherBasisAmt |
| Book Value | $477,107 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $67,198,908 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,867,760 | DepreciationAmt |
| Book Value | $42,331,148 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $422,185 | OtherCostOrOtherBasisAmt |
| Depreciation | $224,947 | DepreciationAmt |
| Book Value | $197,238 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $40,649,377 | OtherCostOrOtherBasisAmt |
| Depreciation | $29,247,764 | DepreciationAmt |
| Book Value | $11,401,613 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $13,672,773 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,061,199 | DepreciationAmt |
| Book Value | $12,611,574 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $67,018,680 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Advances to affiliated organizations | $46,872,330 |
| Interest in Net Assets of Baptist Health System Foundation, Inc. | $4,815,177 |
| Long Term Portion of Prepaid Assets | $89,348 |
| Lease Right Use of Asset | $283,117 |
| Internally Developed Software | $3,519,133 |
| Cloud Computing Arrangement | $1,509 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $55,580,614 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated third-party settlements | $3,051,986 |
| Due to Affilated Organizations | $6,893,810 |
| Long Term Lease Liability | $257,414 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $10,203,210 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 Intended uses of endowment funds | Baptist Medical Center of Nassau Inc. (BMCN) has permanently restricted endowment funds that are held and administered by its related fundraising affiliated organization, Baptist Health System Foundation, Inc. Annually, up to 5% of the combined endowment corpus and accumulated investment earnings are available for capital projects of BMCN. |
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | With few exceptions, Baptist Medical Center of Nassau, Inc. is no longer subject to examinations by major tax jurisdictions for years ended September 30, 2018 and prior. Management does not believe there are any material uncertain positions. |
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 |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| 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) |
|---|---|---|
| Total Community Benefit Expns | $1,864,180 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,864,180 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0224 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,271,823 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,792,601 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,479,222 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0178 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| 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 | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $8,136,003 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,792,601 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,343,402 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0402 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $97,027 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $97,027 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0012 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| 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 | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| 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 | $665,955 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $665,955 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0080 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $762,982 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $762,982 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0092 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $8,898,985 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,792,601 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,106,384 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0494 | 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) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| 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) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| 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 | 17 | 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 | $6,880,251 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $28,869,303 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $42,834,922 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$13,965,619 | 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 | Baptist Medical Center of Nassau Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1250 S 18th St | AddressLine1Txt |
| City | Fernandina Beach | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32034 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.baptistjax.com | WebsiteAddressTxt |
| State License | 4355 | 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 | Baptist Medical Center of Nassau 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 | https://www.baptistjax.com/about-us/social-responsibility/assessing-community-health-needs | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | http://www.hpcnef.org/jacksonville-nonprofit-hospital-partnership-community-health-needs-assessment/ | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.baptistjax.com/about-us/social-responsibility/assessing-community-health-needs | 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 | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | 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 |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://www.baptistjax.com/patient-info/financial-assistance | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://www.baptistjax.com/patient-info/financial-assistance | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://www.baptistjax.com/patient-info/financial-assistance | 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 |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3E | The significant health needs of the community are identified on our CHNA. The methodology to determine the significance of the community health needs and prioritization of the health needs are also described in our CHNA. |
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - Baptist Medical Center of Nassau, Inc.. The Community Health Needs Assessment was conducted to identify priority health needs within each community served by each hospital and to inform development of implementation strategies to address the identified needs selected by each hospital based on their ability to impact them. Additionally, the Partnership focuses collaborative efforts to include the five-county service area of Baker, Clay, Duval, Nassau, and St. Johns. The CHNAs were conducted to respond to federal regulatory requirements and sought to identify significant health needs for geographic areas and populations by focusing on the following questions: * Who in the community is most vulnerable in terms of health status or access to care? * What are the unique health status and/or access needs for these populations? * Where do these people live in the community? * Why are these problems present? * How are disparities based on racial and ethnic inequities affecting health? * What social determinants of health can the health systems significantly address? Primary Data: Significant changes from traditional methods of community engagement to virtual engagement platforms were necessary due to the nature of the COVID-19 pandemic. Primary data gathered from various segments of the community with special knowledge and expertise in public health included residents, stakeholder organizations, and hospital staff. The Health Planning Council collected data through (1) virtual key stakeholder interviews, (2) virtual focus groups, and (3) a community survey, in English and Spanish, distributed throughout the service area through online and paper submissions. Over 350 community members contributed their input on the community's health and health-related needs, barriers, and opportunities for Baptist Medical Center Nassau, with special focus on healthy equity in population health and community wellness. The Partnership especially solicited input from members of or representatives of vulnerable and underserved populations through key informant interviews and focus group discussions. There were 13 key informant interviews, 4 focus groups, 33 focus group participants, 308 survey respondents, and a total of 354 participants. Key informant interviews were conducted with 13 community experts who either served or represented underserved communities (such as low-income individuals and groups experiencing disparities in health outcomes or health access). In addition, seven of the focus groups included community members and advocates who are members of underserved communities. Secondary Data: Secondary data used for this assessment were collected and analyzed through universal measures recommended by Healthy People 2030 to evaluate the health status of communities and populations served by the Partnership. Data was obtained from the Behavioral Risk Factor Surveillance System, County Health Rankings and Roadmaps, Florida CHARTS, Florida Department of Health, Local Community Health Assessments, Hospital Utilization Reports, U.S. Census, and the Youth Risk Behavior Surveillance System. Indicators were used to evaluate areas of health and quality of life in the following areas through an equity lens: * Accessing Healthcare Services/Resources * Adolescent Health * Asthma * Cancer * Children's Health * Hospitalization and Incidence Ranking * COVID-19 * Diabetes * Disabilities * Fatal Injury * Health Outcomes * Health Factors * Healthcare Utilization * Healthcare Access * Heart Disease and Stroke * Household Income * Infectious Disease * Leading Causes of Death * Life Expectancy * Maternal and Infant Health * Mental Health * Pediatric Health * Poverty Indicators * Substance Abuse * Veterans' Health Indicator values for Duval and St. Johns counties were compared to other Florida counties. Other considerations in weighing relative areas of need included comparisons to Florida state values and national values. Based on these comparisons in conjunction with primary data, health needs were identified and ranked from high to low need. |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - Baptist Medical Center of Nassau, Inc.. 12 hospitals: (Baptist Medical Center Jacksonville, Baptist Medical Center South, Wolfson Children's Hospital, Baptist Medical Center of the Beaches, Inc., Ascension St. Vincent's Medical Center Clay, Ascension St. Vincent's Medical Center Riverside, Ascension St. Vincent's Medical Center Southside, Brooks Rehabilitation Hospital Bartram, Brooks Rehabilitation Hospital University, Mayo Clinic Jacksonville, UF Health Jacksonville and UF Health North) |
| Schedule H, Part V, Section B, Line 7 Facility , 1 | Facility , 1 - Baptist Medical Center of Nassau, Inc.. Public release was held May 26, 2022 with all health system CEOs presenting the assessment methodology, the needs identified in the assessment, and the needs prioritized by each hospital. The public release was attended by approximately 50 people including media representatives. Newspaper articles and television stories reported on the assessment and informed community members where they could find each hospital's assessment and implementation plans. Link to story in the Florida Times-Union - https://www.jacksonville.com/story/news/healthcare/2022/05/30/jacksonville-area-hospitals-release-report-community-health-issues/9905670002/ |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - Baptist Medical Center of Nassau, Inc.. Access to Care The significant health need of access refers to access issues across the spectrum of both health and quality of life topic areas, including access to health services, transportation, housing, and nutritious food. Access issues were compiled due to their inextricable nature in impacting health behaviors and health outcomes. During the last three-year CHNA cycle, Access to Care was a priority health need addressed by Baptist Medical Center Nassau. As access issues for Nassau residents continue to increase, the focus on this priority will continue into the 2022-2024 CHNA cycle. Key Issues Identified in the Assessment: * Factors contributing to chronic disease include food deserts, level of access to physical activity, and air quality. * Transportation is identified as a need - 91% of CHNA survey respondents from zip code 32034 indicated they do not have access to public transportation. * Nassau County 2018-2020 age-adjusted rates of chronic disease: - Asthma: The hospitalization rate was 2.95x higher for Black patients than White patients - Congestive heart failure: The hospitalization rate was 1.85x higher for Black patients than White patients - Diabetes: The hospitalization rate was 3.21x higher for Black patients than White patients - Stroke: The death rate was 2.03x higher for Black people than White people * Cancer is the second leading cause of death in the region behind heart disease. The three leading cancer death incidences are: breast cancer deaths (females), lung cancer deaths (females males), prostate cancer deaths (males) - Nassau County 2018-2020 age-adjusted death rates: Breast cancer: The death rate was 2.05x higher for Black females than White females Lung cancer: The death rate was 1.49x higher for Black people than White people |
| Schedule H, Part V, Section B, Line 11 Facility , 2 | Facility , 2 - Baptist Medical Center of Nassau, Inc.. Access to Care: Goals: Increase access to health services for un- and under-insured people in the BMCN service area. Strategies: * Continue partnership with organizations to increase access to care. * Continue partnership with Starting Point to increase access to behavioral health treatment * Continue partnership with Nassau County Council on Aging to provide transportation to doctor's appointments and errands * Provide community partners with education on chronic diseases Metrics/What we are measuring: * Number of people served * Evaluate health and wellness of participants in diabetes, hypertension and mental health * Number of people engaging in treatment * Evaluation of health and wellbeing of patients Potential Partnering/External Organizations: * Barnabas Center * Nassau County Council on Aging * Faith Partners * Starting Point Results: * Year 1 (October 1, 2021 - September 30, 2022) * Barnabas Center served 607 un- and under-insured patients 81 diabetic patients were served, of which 73 were seen at least twice during the 12-month period, and of those, 68.5% reported reaching within normal levels (HbA1c less than 7% or 8%) 204 hypertensive patients were served, of which 180 were seen at least twice during the 12-month period, and of those, 75.6% measured less than 140/90 171 patients were seen at least one time with a previous or new diagnosis of mental health, of which 132 patients scored a 10 or greater on the PHQ9. 132 were referred for treatment, and 85 (64.4%) participated in treatment * Year 1 (October 1, 2021 - September 30, 2022) - 2,008 patients identified by the Baptist ED, 286 were screened or referred to our Integrated Care Team, resulting in a 14% referral rate. It should be noted that patients may have been admitted due to medical issues or COVID-19, which would not likely result in a referral. 100% of referrals had an identified care coordinator assigned to them and 28% (80) of those identified engaged in care coordination services 59% (47) of those receiving care coordination achieved stabilization through community care providers * Year 1 (October 1, 2021 - September 30, 2022) - 237 seniors and low-income individuals were provided transportation to medical appointments - 4,334 trips were provided - Nassau Council on Aging will be engaged in FY23 to ensure seniors are receiving transportation for flu shots. * Year 1 (October 1, 2021 - September 30, 2022) - Health education series Total attendance: 236 January: Dementia Cognition February: Heart Health March: Colorectal Cancer May: Stroke Awareness July: Diabetes August: Nutrition September: Mental Health - 96.3% agreed or strongly agreed that the webinars delivered the information they expected to receive - 92.5% agreed or strongly agreed that because of the webinar, they gained new knowledge that will help them with their well-being - 95.3% agreed or strongly agreed that they plan to apply what they learned |
| Schedule H, Part V, Section B, Line 11 Facility , 3 | Facility , 3 - Baptist Medical Center of Nassau, Inc.. Mental and Behavioral Health : Mental health is an integral and essential component of health. It is a state of well-being in which individuals realize their abilities, cope with the everyday stresses of life, work productively, and contribute to their community. Baptist Health has made behavioral health services a priority, providing comprehensive inpatient and outpatient services to both children and adults. Mental Health was a priority health need addressed by Baptist Medical Center Nassau in the last three-year CHNA cycle, and the focus on this health need continues into this CHNA cycle as behavioral health needs of Jacksonville residents continue to increase. Key Issues Identified in the Assessment: * Mental Health was one of the most mentioned health concerns. * Priority issues identified involving mental health include lack of providers; cost; stigma; youth mental health; telehealth; suicide; LGBTQ mental health - The 2020 Nassau County age-adjusted rates per 100,000 persons for opioid overdose deaths were 27.2 and drug overdose deaths were 31.4, while the state's rates respectively were 29.9 and 36.0. |
| Schedule H, Part V, Section B, Line 11 Facility , 4 | Facility , 4 - Baptist Medical Center of Nassau, Inc.. Mental and Behavioral Health Goal: 1. A healthy community with easy and timely access to high quality services when needed: 24-hour support and timely appointments (2 weeks - counseling, 4 weeks - psychiatry) More providers delivering the most advanced care Strong care continuum (enough of the right type of care) Seamless transitions along the care continuum Mental illness decriminalized Stigma eliminated and crises prevented Community advocating improvement Non-medical needs addressed (social determinants of health) 2. Decrease isolation of seniors Strategies: Continue offering evidence-based trainings proven to reduce stigma of mental illness and help people access care (MHFA, YMFA, teen MHFA, and/or QPR). Convene a leadership task force of providers, elected leaders and people with lived experience to prioritize identified opportunities and develop a plan for action Host community-wide conferences on mental health to reduce stigma and barriers to care. Beginning in 2022, participate in Project Save Lives to provide access to peer support for ED patients with mental health and substance use disorder for the purpose of getting them into treatment. Friendly callers - seniors developing phone friendships with seniors Metrics/What we are measuring: * Number of people trained in adult MHFA by 2024 * 1,000 students trained in teen MHFA, QPR and/or YMHFA * Evaluate participant satisfaction * Measure crisis calls (schools, EMT, police) * Evaluate the impact of each initiative according to its focus * Rate of behavioral health ED visits * Number of people attending the conference * Satisfaction surveys * Percentage of identified people who met with peer specialist * Percentage of people who enter treatment * Percentage of people who did or didn't consent to services and are readmitted into ED * Number of volunteers in program * Number of seniors in program * Number of phone calls * Total time invested in calls * Quality of phone calls (reported by volunteers Potential Partnering/External Organizations: * Florida's First Coast YMCA * National Council for Behavioral Health * Starting Point * Hope Street Inc. * Karyn Purvis Institute of Child Development at TCU * Community mental health providers * Faith organizations * Universities * Starting Point Behavioral Healthcare * Baptist Health Auxiliary * Nassau Council on Aging Results: Year 1 (October 1, 2021 - September 30, 2022) * 521 10th grade Nassau students completed Teenage MHFA * NEF: 50 Adult MHFA classes were offered in which 624 participants were trained - 83% of participants rated the course as helpful and informative * NEF: 13 Youth MHFA classes were offered in which 179 participants were trained Year 1 (October 1, 2021 - September 30, 2022) * Hope Healing JAX: Building a Trauma Responsive Jacksonville was created in partnership with Hope Street, Inc. and the Karyn Purvis Institute of Child Development at Texas Christian University as a Jacksonville city-wide initiative to: (1) foster awareness and culture change; (2) prevent and reduce ACEs and trauma; (3) nurture learning committees. Wolfson Children's Hospital is represented with a member on a Hope Healing JAX Steering Committee to implement these objectives. Year 1 (October 1, 2021 - September 30, 2022) * The 2022 Mental Health Conference - Access and Advocacy: A Community Conversation, was hosted on April 27, 2022, with 191 individuals in attendance. - The keynote address and presentation materials were posted on the Baptist Health Social Responsibility website - 100% of survey respondents (n=34) rated the conference quality as excellent or good Year 1 (October 1, 2021 - September 30, 2022) * There were 286 patient encounters, of which 80 (28%) engaged in care coordination services. - 25 (8.7%) of those referred to care coordination had a 30 day readmission from their last ED visit Year 1 (October 1, 2021 - September 30, 2022) * 27 volunteers (2 for BMC Beaches, 9 for BMC Jacksonville, 4 for BMC Clay/South, and 12 team members) * 36 community members * 928 phone calls * 473.1 hours invested in calls * Quality of phone calls (reported by volunteers) - 703 phones calls rated - Excellent: 87.34% (614) - Pretty Good: 9.82% (69) - OK: 1.71% (12) - Weak: 0.57% (4) - Poor: 0.57% (4) |
| Schedule H, Part V, Section B, Line 11 Facility , 5 | Facility , 5 - Baptist Medical Center of Nassau, Inc.. Maternal and Child Health In 2020 17,920 babies were born in Northeast Florida with 817 being born in Nassau County and Baptist Medical Center Nassau delivering over 300. Maternal health refers to the health of women during pregnancy, childbirth, and the postnatal period. Each stage should be a positive experience, ensuring women and their babies reach their full potential for health and well-being. Children's health is the extent to which individual children or groups of children are able or enabled to develop and realize their potential, satisfy their needs, and develop the capacities that allow them to interact successfully with their biological, physical, and social environments. Child health is the foundation to adult health and overall well-being. At Baptist Health, we are committed to providing quality care through every stage of life. Key Issues Identified in the Assessment: * The Nassau County age-adjusted rate for all deaths ages 1-5 is 38.6, higher than the state rate of 24.4 and highest in Northeast Florida. * The Nassau County age-adjusted rate for unintentional injury deaths ages 1-5, is 30.9 compared to a state rate of 9.4. * The rate of children age 1-5 in foster care is 269, the highest in Northeast Florida and higher than the state rate of 220.4. |
| Schedule H, Part V, Section B, Line 11 Facility , 6 | Facility , 6 - Baptist Medical Center of Nassau, Inc.. Maternal and child health: Goals: 1. Zero preventable deaths. Zero health disparities. 2. All children can see. Strategies: * Partner with the Northeast Florida Healthy Start Coalition to address needs of moms and babies, including program and policy solutions. * Expand WELLCome Home initiative to Nassau in 2023 * Offer classes increasing awareness of safe sleep practices and CPR to expectants mothers. * Provide access to screenings, exams and glasses for children in need Metrics/What we are measuring: * Infant mortality * Pre-term births * Low Birth-weight babies * Number of moms connected through phone and/or in-home support * Number of participants to class * Number of screenings, exams and glasses provided * Percentage of students who failed a vision screening, who received an eye exam, and who received prescription glasses * Number and percent of students who fail vision screenings multiple years Potential Partnering/External Organizations: * Barnabas * Florida Blue * Northeast Florida Healthy Start Coalition * Home visiting programs * Florida Department of Health * Departments of Health in NEFL * School districts in NEFL * Vision is Priceless Results: Year 1 (October 1, 2021 - September 30, 2022) * 140 mothers referred to Northeast Florida Healthy Start Coalition WELLcome Home visiting nurse - 110 mothers consented and participated to the WELLcome Home nurse visit and education (78.6% completion) - 110 mothers educated on safe sleep practices and 73 mothers educated on infant and/or maternal nutrition * Northeast Florida Healthy Start Coalition community health workers targeted zip codes 32209 and 32210 as a Fetal Infant Mortality Review action plan to decrease infant mortality. - 182 initial intakes completed by the community health workers with pregnant women - Community health workers referred 111 mothers to maternal and child health home visiting programs - More than 100 cases were connected to a home visiting program from an initial intake * 2021 Infant mortality rates - Florida: 5.9/1,000 live births - Nassau: 2.4/1,000 live births * 2021 Preterm births - Florida: 23,179 (10.85%) - Nassau: 95 (11.46%) * 2021 Low birth weight babies - Florida: 19,211 (8.99%) - Nassau: 62 (7.48%) Year 1 (October 1, 2021 - September 30, 2022) * 1311 mothers called after discharge delivery, and 758 mothers participated in the WELLcome Home call back education program. * 132 mothers referred to Northeast Florida Healthy Start Coalition * 71 mothers referred to lactation consultation services * 10 mothers connected to maternal mental health services * Expanded WELLcome Home to include Baptist Medical Center Beaches Year 1 (October 1, 2021 - September 30, 2022) * A total of 456 adults were provided with safe sleep education. * Participated in 8 community events and 8 classes offering safe sleep practices and education * 532,207 total media impressions covering safe sleep education * "First Year Baby Safety Essentials" virtual classes included demonstration of infant/child CPR and addressed choking, first aid, and unintentional injury prevention. There were 8 classes offered to a total of 92 participants. Year 1 (October 1, 2021 - September 30, 2022) * 30,495 children received vision screenings for the early detection of vision issues - 1,265 (4.15%) of students failed the screening and received comprehensive eye exams while at school - 1,075 (84.98%) of students who were examined, received prescription glasses * 1,227 Nassau children screened. Vision is Priceless is currently in conversations with the Nassau Department of Health regarding the opportunity to provide mobile vision services. |
| Schedule H, Part V, Section B, Line 11 Facility , 7 | Facility , 7 - Baptist Medical Center of Nassau, Inc.. Social Determinants of Health While the traditional role of health care is to treat patients' physical symptoms and medical conditions, clinical care accounts for only about 20% of an individual's health outcomes. An individual's habits and behaviors account for about 30% of quality and length of life. The social, economic, and environmental factors, also known as Social Determinants of Health (SDOH), determine 50% of an individual's health outcomes, and they affect an individual's ability to stay healthy and recover from illness, manage chronic conditions, and maintain overall well-being. The Healthy People Initiative organized SDOH around 5 key domains: Economic stability; Education access and quality; Health care access and quality; Neighborhood and built environment; and Social and community context. Key Issues Identified in the Assessment: * Cost of care (copays, prescriptions) was commonly cited as an inhibiting factor for individuals who have difficult accessing medical and dental services. * Top economic issues affecting health also include lack of a living wage and lack of affordable healthcare and insurance. * CHNA survey respondents and interviewees indicated a community-wide concern regarding the lack of affordable and safe housing. |
| Schedule H, Part V, Section B, Line 11 Facility , 8 | Facility , 8 - Baptist Medical Center of Nassau, Inc.. Social Determinants of Health: Goals: Address social needs that prevent people from achieving optimal health Strategies: * Increase employment opportunities * Increase access to healthy food * Ensure seniors have access to in-home and other supports for health and wellbeing * Implement Find Help (Aunt Bertha) referral system for patients and community members Metrics/What we are measuring: * Percentage of people hired in low life expectancy zip codes * Percentage of identified FQHC and free clinic patients screened for food insecurity * Percentage of patients connected with food assistance programs * Number of home-delivered food boxes or meals * Number of seniors receiving in-home support * Number of organizations receiving referrals through Find Help Potential Partnering/External Organizations: * CareerSource * Barnabas * Nassau Council on Aging * Community-based organizations addressing social needs Results: Year 1 (October 1, 2021 - September 30, 2022) * A partnership was created with CareerSource to provide job fairs in identified zip codes. Due to unforeseen circumstances with Hurricane Ian, the initiative was postponed to 2023. Year 1 (January 1, 2022 - December 30, 2022) * 586 patients were screened (100%) for food insecurity, and 53 patients (9%) were enrolled in the Food for Healthy Living Program Year 1 (October 1, 2021 - September 30, 2022) * Nassau Council on Aging (COA) provided transportation for 237 seniors and low-income individuals to medical appointments and medical procedures * Nassau COA also provided 25 home health aides/CNAs to assist 207 seniors with in-home care and medication management. Year 1 (October 1, 2021 - September 30, 2022) * Implementation of findhelp occurred through the summer as the Epic EMR was being setup for a late July start. Thirty-six organizations received 46 referrals between them from May to September. |
| Schedule H, Part V, Section B, Line 11 Facility , 9 | Facility , 9 - Baptist Medical Center of Nassau, Inc.. No entity can address all the health needs present in its community. Baptist Nassau is committed to serving the community by adhering to its mission, using its skills and capabilities, and remaining a strong organization so that it can continue to provide a wide range of community benefits. This plan does not include specific strategies to address the following health priorities that were identified in the 2021 Community Health Needs Assessment; however, each of these health needs will continue to be addressed through partnerships and ongoing initiatives: Areas of Poverty - This need is being addressed by other entities in Northeast Florida, including United Way of Northeast Florida, which is supported by Baptist Health. Baptist Nassau does not anticipate implementing additional initiatives to address poverty. The hospital does not have sufficient resources to effectuate a significant change in this area, and believes resources devoted to its health plan should focus on other significant community health needs. Chronic Disease - With support from Baptist Nassau, Barnabas Center provides health services, crisis assistance, and food programs that help people get back on their feet. It is better suited to connect residents with a primary care doctor and navigate community resources to address chronic disease concerns. Baptist Nassau does not anticipate implementing additional initiatives to address chronic disease. Transportation - Baptist Nassau provides funding to the Nassau County Council on Aging to support transportation for local seniors to medical appointments and other errands. Given this investment, Baptist Nassau will focus on other significant community health needs. The hospital is committed to addressing other social determinants of health. Housing - Nassau Habitat for Humanity, United Way, and other organizations in Northeast Florida are better positioned to assist residents with housing needs. Baptist Health is committed to addressing social determinants of health and will advocate for ways to ensure residents have the means to a healthy life. Cancer - Baptist MD Anderson Cancer Center is part of the Baptist Nassau services and participates in outreach and educational activities throughout Northeast Florida. Given this significant investment in cancer care and education in the Baptist Nassau service area, the hospital will focus on other significant community health needs. |
| Schedule H, Part V, Section B, Line 20 Facility , 1 | Facility , 1 - Baptist Medical Center of Nassau, Inc.. Charity or Discounted Care posters are located in the Emergency Rooms and Patient Admission areas to inform patients of financial assistance and who to contact regarding financial assistance. AT PATIENT ACCESS POINTS, "GUIDELINES FOR CHARITY CARE ELIGIBILITY" CARDS ARE PROVIDED THAT CONTAIN FINANCIAL DISCOUNT AND CHARITY CARE INFORMATION. THIS INCLUDES A GENERAL CHART OF ELIGIBLE INCOME LEVELS AND ENCOURAGES PATIENTS TO SPEAK WITH OUR PATIENT FINANCIAL ADVOCATES TO ARRANGE A FINANCIAL EVALUATION. All billing statements conspicuously display the phone number, address, and website which directs patients to our financial assistance advocates and contains all financial assistance information. ALL APPLICANTS FOR FINANCIAL ASSISTANCE ARE MAINTAINED WHETHER OR NOT THE PATIENT QUALIFIES. All attempts to contact the patient are exhausted before sending to collections. All patients are sent through a system that analyses the financial position of the individual. All patients who are scored a certain number in accordance with our policy and who have not already applied for financial assistance are automatically deemed eligible for financial assistance. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 0 | FacilityNum |
Supplemental Information Detail SupplementalInformationDetail (23 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part VI, Line 7 State Filing of the Community Benefit Report | Baptist Health System, Inc. (BHS), parent company of the filing organization, is located within the northeast Florida quadrant. There are no requirements for state filing in Florida of the annual community benefit report. However, BHS does publish the report and it is available upon request or at the www.baptistjax.com website. |
| Schedule H, Part II, Line 3 Community Support | Tipping the Scale - Youth Mentoring Program: Ten Baptist Health employees volunteered their time to provide one-to-one mentoring for 13 high school students every other week. The students who participate in the program are from our most vulnerable communities and low-income families. In this career guidance mentoring program, mentors introduce students to various careers in healthcare. In addition, they serve as supporters and encouragers for teens as they navigate the challenges of adolescence. Tipping the Scale - Summer Employment Experience: New employment opportunities are provided to teenagers 16-18 years old after successful completion of an eight-week job readiness training program. Teens are provided exposure to the scope of practice for one of their top three areas of career interest at our flagship hospital system. This exposure to real-life careers motivates them to prepare appropriately for their life after high school. Session topics included how to be successful on the job, resume writing, the interview and hiring process, money management, accountability and consequences, and interpersonal skills. Sixty teenagers participated in the job readiness training, but only 21 were a part of and completed the summer sessions with 2 at Baptist Medical Center Nassau. |
| Schedule H, Part II, Line 6 Coalition Building | Episcopal Children's Services Health Services Advisory Council for Baker, Clay, Duval, and Nassau counties provides a network of community connections to support Head Start and Early Head Start programs with integrated, comprehensive health services. Wolfson Children's Hospital representatives are active members in these councils and provide services to Head Start and Early Head Start centers such as health education and access to healthcare. Florida Mental Health Advocacy Coalition, through the local Nation Alliance on Mental Illness, is a non-profit, non-partisan coalition of organizations that advocate for policy changes to improve the quality of life for those who live with a mental illness and/or substance use disorder in the state of Florida. Jacksonville Nonprofit Hospital Partnership came together to develop a multi-hospital system collaborative community health needs assessment. The Partnership is a network of five health systems that are a shared voice to improve population health by eliminating the gaps that prevent quality, integrated health care and to improve access to resources that support a healthier lifestyle. During FY 2016, the Partnership initiated, and continues today, a collaboration to reduce stigma and crises related to mental illness through a community implementation of Mental Health First Aid, a best-practices program recognized by the Substance Abuse and Mental Health Services Administration. Nassau Community Health Improvement Coalition - Baptist Nassau is a member of the Nassau Community Health Improvement Coalition (NCHIC). NCHIC is a coalition of local agencies, organizations, community groups and community members with the common goal of improving the overall health of the Nassau County community. The Coalition works to improve the level of health in the area through awareness, education, partnership, prevention, service delivery, and policy development, so that individuals achieve their potential to live healthy, active lifestyles. Nassau County Behavioral Healthcare Consortium is a group of mental and behavioral health agencies and advocates that meet monthly to promote communication and collaboration between consortium partners and other community organizations. The group currently aims to create a trauma informed community by providing community education in multiple settings throughout the county to increase awareness of the effects of physical abuse, substance use, and trauma on child development and adult health. Nassau Racial Equity Coalition (NREC) seeks to improve opportunities for racial minorities by removing barriers and inequities. NREC is composed of representatives of the key institutions in Nassau County that will develop and implement actions consistent with the mission that will achieve the vision for equality. Current committees are focusing on education, health, law enforcement, marketing and development, and opportunities. |
| Schedule H, Part II, Line 7 Community Health Improvement Advocacy | CHNA Priority Access to Care: Baptist Medical Center Nassau (BMCN) partnered with Barnabas Center located in Nassau County to provide access to primary health care for people who are un- and under-insured. In addition to providing funding for Barnabas Center operations, BMCN provided lab and other medical services in-kind for the center. Baptist Nassau also partnered with the Nassau County Council on Aging to support home health services for seniors and the provision of transportation for elderly and people without transportation in a county that does not have public transportation. A partnership with Starting Point Behavioral Health increased access to mental health treatment for individuals assigned a care coordinator. CHNA Priority Mental and Behavioral Health: BMCN partnered with Starting Point Behavioral Health to provide Mental Health First Aid training. Mental Health First Aid teaches participants a five-step action plan to assess a situation, select and implement interventions, and secure appropriate care for an individual showing signs of mental illness or substance abuse disorders. Baptist Medical Center Nassau also partnered with Starting Point to provide access to treatment for uninsured and underinsured people in Nassau County who are addicted to and abusing substances. BMCN provided funding and referrals for ED patients to receive services with appropriate permission. Baptist Health also held a Behavioral Health Conference to address health and well-being in Northeast Florida. CHNA Priority Maternal and Child Health: In addition to supporting access to care for adults without insurance, Baptist Health partnered with the Northeast Florida Healthy Start Coalition to research infant mortality and implement solutions such as home visits by nurses and community health workers. In partnership with Florida Blue, UF Health, and Northeast Florida Healthy Start Coalition, Baptist also developed the WELLcome Home visiting program which focuses on newborn and maternal education for families that is being replicated at other Baptist facilities. CHNA Priority Social Determinants of Health: For support services and bridging gaps in care, BMCN partnered with the Nassau Council on Aging. The organization provided transposition for seniors and low-income individuals and provided home health aides and certified nursing assistants for in-home care. The Barnabas Center screened patients for food insecurity, and regarding employment opportunities, a partnership with CareerSource was initiated to target identified zip codes with low life expectancies. Baptist Medical Center Nassau also partnered with the Museum of Science and History to educate adult and youth visitors about health systems and how to be healthy. |
| Schedule H, Part II, Line 8 Workforce Development | Baptist Medical Center Nassau provided Clinical Education and Training to undergraduate and graduate student interns procuring degrees in nursing and other health care professions provided by Baptist Health clinicians. In fiscal year 2022, Baptist Medical Center Nassau provided 189 (199 in FY21, 135 in FY20, 265 in FY19) students with 3,998 hours of clinical education supervision. |
| Schedule H, Part II, Line 9 Other | Mental Health First Aid - Baptist Health provided 8-hour certification training in Mental Health First Aid (MHFA), Youth and Adult, to 803 (1,107 in FY21, 1,114 in FY 20 and 2,517 in FY 19) community members. Baptist Health Nassau provided MHFA, Teenager, to 521 10th grade Nassau student. Baptist Health provided 8 health education sessions on various topics to on average 33 attendees during fiscal year 2022. |
| Schedule H, Part I, Line 6a Community benefit report prepared by related organization | Baptist Health System, Inc. |
| Schedule H, Part I, Line 7g Subsidized Health Services | THERE WERE NO PHYSICIAN CLINIC COSTS INCLUDED IN THE SUBSIDIZED HEALTH SERVICES COST. |
| Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation | 0 |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | WE OBTAINED OUR COST USING OUR CCA ACCOUNTING SYSTEM TO DEVELOP PAYOR-LEVEL RCC'S WHICH WERE APPLIED TO PAYOR CHARGES TO CALCULATE COST. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | Patient service revenues are reported at estimated net realizable amounts for services rendered. BHS recognizes patient service revenues associated with patients who have third-party payor coverage on the basis of contractual rates for the services rendered. For uninsured patients that do not qualify for charity care, revenue is recognized on the basis of discounted rates in accordance with BHS' policy. Patient service revenues are reduced by the provision for bad debts and accounts receivable are reduced by an allowance for uncollectible accounts. These amounts are based on management's assessment of historical and expected net collections for each major payor source, considering business and economic conditions, trends in health care coverage and other collection indicators. Management regularly reviews collections data by major payor sources in evaluating the sufficiency of the allowance for uncollectible accounts. On the basis of historical experience, a significant portion of BHS' self-pay patients will be unable or unwilling to pay for the services provided. Thus, BHS records a significant provision for bad debts in the period services are provided related to self-pay patients. For receivables associated with patients who have third-party coverage, BHS analyzes contractually due amounts and provides an allowance for uncollectible accounts and a provision for bad debts, if necessary. Accounts receivable are written off after collection efforts have been followed in accordance with BHS' policies. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | The entire provision for bad debts is recorded as a deduction from patient service revenues. None of the provision is included in the expenses of the Form 990 including Schedule H and the calculation of community benefit. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | Baptist Health System, Inc. and Subsidiaries Notes to Consolidated Financial Statements Footnote 2, Significant Accounting Policies, Page 16. |
| Schedule H, Part III, Line 8 Community benefit methodology for determining medicare costs | Medicare allowable costs of care based on the organization's cost accounting system which is used to determine the amount reported on Line 6. None of the shortfall reported on Line 7 is included in Schedule H, Part I. The shortfall reported on Line 7 should be treated as community benefit because the revenue received from Medicare reimbursements does not exceed the cost of providing Medicare services. The organization will continue to provide excellent patient care to the Medicare patient population in our community. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | Yes, the organization does have a written debt collection policy. The policy does not specifically address those patients who are known to qualify or have applied for charity care as the organization does not bill these patients. The organization's cost accounting system identifies all patients who have a pending or approved charity application. The organization would only bill the patient if, after multiple attempts to obtain any needed documentation from the patient to complete the charity approval process, the patient was noncompliant. |
| Schedule H, Part V, Section B, Line 16a FAP website | - Baptist Medical Center of Nassau, Inc.: Line 16a URL: https://www.baptistjax.com/patient-info/financial-assistance; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - Baptist Medical Center of Nassau, Inc.: Line 16b URL: https://www.baptistjax.com/patient-info/financial-assistance; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - Baptist Medical Center of Nassau, Inc.: Line 16c URL: https://www.baptistjax.com/patient-info/financial-assistance; |
| Schedule H, Part VI, Line 2 Needs assessment | Baptist Health System Inc. (BHS), parent company of the filing organization, is a member of the Jacksonville Community Benefit Partnership that is a collaborative of 5 hospitals who work together to access and address important community health needs. Data is gathered from the Florida Health Community Health Assessment Resource Tool Set (CHARTS) website which serves as a source of population data and health statistics about Florida and its counties. Queries, reports, and individual indicators are available for Baker, Clay, Duval, Nassau, and St. Johns counties. In addition, with the implementation of the Epic EMR, Baptist Health is developing reports to improve identification of healthcare and social needs of patients and the communities they live in. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | At patient access points, "Guidelines for Charity Care Eligibility" cards are provided that contains financial discount and charity care information. This includes a general chart of eligible income levels and encourages patients to speak with one of our patient financial advocates to arrange a financial evaluation. The organization sends statements to patients who have applied for charity care but have not provided all the documentation that is required to make a determination; letters are sent by the organization requesting the information to complete their application. |
| Schedule H, Part VI, Line 4 Community information | Baptist Medical Center Nassau's service area is Nassau County, which has a total land area of 648.6 square miles and a resident population of 96,444. Fernandina Beach is located on Amelia Island, the county's one inhabited island. The racial makeup of the area is 84.92% White, 5.36% Black or African American, 1.13% Asian, 0.43% Native American, 0.08% Pacific Islander, 1.57% from other races, and 6.51% from two or more races. Hispanic or Latino of any race is 5.75% of the population. The population's age groups are 19.19% under 18, 6.92% from 18-24, 22.2% from 25-44, 27.1% from 45- 64, and 24.59% who are 65+. The median age is 46.4 years. The median and average household incomes are $76,427 and $98,554, respectively. The percentage of families below the poverty line is 7.61% and 4.55% for families with children. There is one Federally Designated Medically Underserved Area present in the service area. |
| Schedule H, Part VI, Line 5 Promotion of community health | Baptist Health System, Inc. (BHS) continues to maintain an open medical staff. A designated Social Responsibility Community Health Board Committee is established to provide direction to the community health work based on the community need within the five county area served by BHS. In FY22, BHS provided over $44 Million in charity care to people who where under/un-insured, over $19 million in community benefit, and over $4 Million in direct cash to the community to support nonprofit organizations that provide health services to the underserved and low income community. Some of the nonprofit organizations provide primary care for the uninsured and the underinsured. Some provide behavioral health services to families who would not otherwise have access while others provide health services and transportation for the frail elderly. |
| Schedule H, Part VI, Line 6 Affiliated health care system | Baptist Health System, Inc. (BHS) is the parent affiliate of Baptist Medical Center of Nassau, Inc. (BMCN). The Social Responsibility and Community Health team at BHS coordinates the funding of nonprofit partners for BMCN and works with our employees in facilitating volunteer opportunities across our community. Members of the BMCN Board of Directors also serve on the Social Responsibility and Community Health committee. BMCN works closely with a number of nonprofit partners to meet the community health needs of Nassau County, Florida. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | IRC SectionIRCSectionDesc |
|---|---|---|---|---|---|---|---|
| BLUE ZONES LLC | |||||||
| 323 N Washington Ave 2nd Fl | Minneapolis | MN | 55401 | 271603327 | $166,008 | To empower everyone, everywhere to live longer, better. | |
| BARNABAS CENTER INC | |||||||
| 1303 Jasmine St | Fernandina Beach | FL | 32034 | 592920275 | $117,000 | TO AFFORD RESIDENTS OF NASSAU COUNTY, FLORIDA TEMPORARY AID DURING CRISIS SITUATIONS THAT ARISE DUE TO UNFORESEEN CIRCUMSTANCES. | 501(c)(3) |
| STARTING POINT BEHAVIORAL HEALTHCARE | |||||||
| 463142 State Rd 200 | YULEE | FL | 32097 | 593029469 | $111,500 | To promote emotional wellness through psychiatric, mental health and substance use disorder treatment services and community education and awareness. | 501(c)(3) |
| NASSAU COUNTY COUNCIL ON AGING INC | |||||||
| 1901 Island Walk Way | Fernandina Beach | FL | 32034 | 237375273 | $87,200 | To enhance the lives of older adults through services and compassionate care designed to improve health, independence, and economic security of Nassau seniors and their families. | 501(c)(3) |
| BOYS AND GIRLS CLUB OF NASSAU COUNTY FOUNDATION | |||||||
| PO BOX 16003 | Fernandina Beach | FL | 32035 | 593672345 | $31,132 | To support the after-school and summer programs which benefit the community's youth. | 501(c)(3) |
| HEALTHCARE ANCHOR NETWORK | |||||||
| 2202 18th St/ NW | Washington | DC | 20009 | 862147253 | $12,500 | To catalyze health systems to leverage their hiring, purchasing, investing, and other key assets to build inclusive local economies to address economic and racial inequities in community conditions that create poor health. | 501(C)(3) |
| HOPE STREET | |||||||
| PO BOX 50154 | JACKSONVILLE BEACH | FL | 32240 | 384049345 | $10,000 | TO CREATE HEALTHY COMMUNITIES AND IMPROVE THE LIVES OF CHILDREN AND FAMILIES. | 501(c)(3) |
| NONPROFIT CENTER OF NE FLORIDA | |||||||
| 40 East Adams St | JACKSONVILLE | FL | 32202 | 593700428 | $10,000 | To connect, strengthen and advocate for a strong noonprofit community. | 501(c)(3) |
| BRING YOUR BROKENNESS INC | |||||||
| 96064 Ocean Breeze Dr | Fernandina Beach | FL | 32034 | 832201591 | $6,000 | To provide a safe and loving environment for women with eating disorders to find hope and healing for life transformation through God's Word. | 501(c)(3) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 8 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | Annual budgets for community donations are prepared by the hospital organization and approved by Baptist Health System, Inc., parent affiliate of the organization. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | 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 | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Michael A Mayo DHA | ||||||||||||||
| President | $0 | $839,543 | $0 | $382,042 | $0 | $135,908 | $0 | $16,675 | $0 | $30,794 | $0 | $1,404,962 | $0 | $0 |
| Matthew A Zuino | ||||||||||||||
| Director | $0 | $623,366 | $0 | $248,103 | $0 | $5,113 | $0 | $119,038 | $0 | $16,803 | $0 | $1,012,423 | $0 | $0 |
| Brett S McClung | ||||||||||||||
| Former President (AS OF 05.01.21) | $0 | $382,564 | $0 | $451,083 | $0 | $1,296,412 | $0 | $4,162 | $0 | $7,231 | $0 | $2,141,452 | $0 | $87,981 |
| Elizabeth R Ransom MD | ||||||||||||||
| Former EVP/CPE (As of 08.15.21) | $0 | $491,813 | $0 | $204,750 | $0 | $545,647 | $0 | $11,600 | $0 | $15,937 | $0 | $1,269,747 | $0 | $4,327 |
| Scott M Wooten | ||||||||||||||
| Former Asst. Treasurer (As of 12.28.21) | $0 | $698,428 | $0 | $275,167 | $0 | $38,322 | $0 | $280,029 | $0 | $8,326 | $0 | $1,300,272 | $0 | $0 |
| Keith A Tickell | ||||||||||||||
| Asst. Treasurer | $0 | $372,276 | $0 | $102,893 | $0 | $421,098 | $0 | $13,775 | $0 | $13,621 | $0 | $923,663 | $0 | $370,787 |
| G Scott Baity Esq | ||||||||||||||
| Asst. Secretary | $0 | $490,140 | $0 | $170,943 | $0 | $34,903 | $0 | $124,500 | $0 | $12,261 | $0 | $832,747 | $0 | $0 |
| T Scott Finnegan | ||||||||||||||
| Asst. Treasurer | $0 | $311,981 | $0 | $88,202 | $0 | $24,406 | $0 | $109,408 | $0 | $12,404 | $0 | $546,401 | $0 | $0 |
| Ed Hubel | ||||||||||||||
| Vice President | $298,217 | $0 | $67,357 | $0 | $14,189 | $0 | $100,277 | $0 | $12,645 | $0 | $492,685 | $0 | $0 | $0 |
| Kellene Sauls | ||||||||||||||
| VP, Patient Care Services, NAS | $202,385 | $0 | $0 | $0 | $0 | $0 | $34,249 | $0 | $12,605 | $0 | $249,239 | $0 | $0 | $0 |
| Stephen Bean | ||||||||||||||
| Pharmacist | $159,703 | $0 | $0 | $0 | $0 | $0 | $28,414 | $0 | $11,831 | $0 | $199,948 | $0 | $0 | $0 |
| Pamela Bolden | ||||||||||||||
| Director, Surgical Services | $157,955 | $0 | $0 | $0 | $0 | $0 | $2,794 | $0 | $8,094 | $0 | $168,843 | $0 | $0 | $0 |
| Carlotta Keane | ||||||||||||||
| House Supervisor | $127,678 | $0 | $6,069 | $0 | $10,976 | $0 | $7,447 | $0 | $10,209 | $0 | $162,379 | $0 | $0 | $0 |
| Leslie Owens-Park | ||||||||||||||
| Manager, Assistant Nurse | $119,813 | $0 | $18,919 | $0 | $6,885 | $0 | $18,893 | $0 | $9,836 | $0 | $174,346 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | IN ACCORDANCE WITH THE EXECUTIVE COMPENSATION POLICY OF BAPTIST HEALTH SYSTEM, INC. (BHS), THE ORGANIZATION'S SOLE MEMBER, THE LEADERSHIP COMPENSATION COMMITTEE (THE COMMITTEE) OF BHS (MADE UP OF INDEPENDENT DIRECTORS OF BHS) ANNUALLY ENGAGES A THIRD PARTY EXECUTIVE COMPENSATION CONSULTANT WHO PROVIDES COMPARABLES FOR EXECUTIVE COMPENSATION BASED ON CURRENT DATA REGARDING COMPENSATION PAID TO SIMILAR EXECUTIVES AT SIMILARLY-SITUATED TAX EXEMPT HEALTH SYSTEMS IN THE U.S. SUCH CONSULTANT USES THESE COMPARABLE HEALTH SYSTEMS , WHICH ARE GENERALLY THE SAME SIZE AS BHS (CONSIDERING REVENUE AND OTHER APPROPRIATE INDICATORS), TO ESTABLISH AN APPROPRIATE MARKET. WHEN THE COMMITTEE MEETS WITH SUCH CONSULTANT, THE CONSULTANT PROVIDES TO COMMITTEE MEMBERS EXECUTIVE COMPENSATION TARGET LEVELS THAT ARE COMPETITIVE WITH THE MARKET. GENERALLY, THE MEDIAN OF THE MARKET IS TARGETED. THE ACTUAL AMOUNT THAT BHS EXECUTIVES RECEIVE AS COMPENSATION MAY BE HIGHER OR LOWER THAN THE MEDIAN, DEPENDING ON BHS'S AND THE INDIVIDUAL'S PERFORMANCE. ONE OBJECTIVE OF THE COMMITTEE IS TO HAVE A STRONG LINK BETWEEN BHS AND INDIVIDUAL PERFORMANCE AND EXECUTIVE COMPENSATION SUCH THAT IF BHS AND THE INDIVIDUAL PERFORM AT AN OPTIMAL LEVEL, HIS OR HER COMPENSATION IS IN THE HIGHER RANGE OF THE MARKET. CONVERSELY, IF EITHER BHS OR INDIVIDUAL PERFORMANCE IS BELOW EXPECTATION, COMPENSATION MAY BE IN THE LOWER RANGE OF THE MARKET. OTHER FACTORS THAT INFLUENCE EXECUTIVE COMPENSATION RELATIVE TO THE MARKET INCLUDE THE EXECUTIVE'S EXPERIENCE AND BHS'S NEED TO ATTRACT AND RETAIN TOP EXECUTIVE TALENT. MINUTES OF THIS ANNUAL COMPENSATION REVIEW BY THE COMMITTEE ARE RECORDED BY SUCH CONSULTANT AND ARE APPROVED PROMPTLY BY THE CHAIR OF THE COMMITTEE. |
| Schedule J, Part I, Line 4a Severance or change-of-control payment | The following individuals received severance payments during calendar year 2021: Brett McClung $731,000 and Elizabeth Ransom $285,000. These amounts are included on Schedule J, part II, column b(iii). |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | Baptist Health System, Inc. (BHS) parent affiliate of Baptist Medical Center of Nassau, Inc., has three supplemental nonqualified retirement plans (SERPs). One is a SERP for certain executives, another is a defined benefit SERP for vice presidents, and the third is a defined contribution SERP for senior management. These SERPs are plans described in IRS Section 457(f). The benefits under these plans accrue during each executive's term of employment. These benefits are unvested and subject to forfeiture until the covered employee reaches retirement age or the five-year anniversary of the contribution date. The following individuals accrued unvested benefits under these plans during calendar year 2021: Scott Finnegan $60,538, Scott Wooten $266,254, Matthew Zuino $107,438, G. Scott Baity $77,781 and Ed Hubel $50,920. These accrued benefits are unvested and subject to forfeiture unless the named employee remains employed with BHS until the covered employee reaches retirement age or the five-year anniversary of the contribution date. This amount is included on Schedule J, part II, column (c). Brett McClung has vested his SERP benefit during 2021. In addition to Mr. McClung's yearly compensation of $1,712,899 ($1,705,668 taxable compensation and deferred compensation with non-taxable benefits of $7,231), the total amount of the taxable SERP was also included in his W-2, Box 5 in the amount of $428,553, per IRS guidelines. The taxable SERP compensation was paid to Mr. McClung as a one-time lump sum amount. The SERP amount is reported on Schedule J, Part II, Column (B)(iii) "Other Reportable Compensation and on Form 990, Part VII. Any amounts already reported as deferred compensation on a prior Form 990 are reported on Schedule J, Part II, Column (F) "Compensation in Column (B) Reported as Deferred on Prior Form 990." Dr. Elizabeth Ransom has vested her SERP benefit during 2021. In addition to Dr. Ransom's yearly compensation of $1,017,076 ($1,001,139 taxable compensation and deferred compensation with non-taxable benefits of $15,937), the total amount of the taxable SERP was also included in her W-2, Box 5 in the amount of $252,671, per IRS guidelines. The taxable SERP compensation was paid to Dr. Ransom as a one-time lump sum amount. The SERP amount is reported on Schedule J, Part II, Column (B)(iii) "Other Reportable Compensation and on Form 990, Part VII. Any amounts already reported as deferred compensation on a prior Form 990 are reported on Schedule J, Part II, Column (F) "Compensation in Column (B) Reported as Deferred on Prior Form 990." Keith Tickell has fully vested his SERP benefit during 2021. In addition to Mr. Tickell's yearly compensation of $502,661 ($489,040 taxable compensation and deferred compensation with non-taxable benefits of $13,621), the total amount of the taxable SERP was also included in his W-2, Box 5 in the amount of $421,002, per IRS guidelines. The taxable SERP compensation was paid to Mr. Tickell as a one-time lump sum amount. The SERP amount is reported on Schedule J, Part II, Column (B)(iii) "Other Reportable Compensation and on Form 990, Part VII. Any amounts already reported as deferred compensation on a prior Form 990 are reported on Schedule J, Part II, Column (F) "Compensation in Column (B) Reported as Deferred on Prior Form 990." |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 6 Classes of members or stockholders | The organization has a sole corporate member, Baptist Health System, Inc. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | The Board of Directors of Baptist Health System, Inc., the sole corporate member of the organization, elects the members of the governing body of the organization. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | The Board of Directors of Baptist Health System, Inc., the sole corporate member of the organization, has the right to remove Directors of the Organization and must approve any amendments to the governing documents of the Organization. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | Form 990 and accompanying schedules are prepared internally and then provided to Baptist Health System, Inc. who is the sole corporate member of Baptist Medical Center of Nassau, Inc. The board of directors of Baptist Health System, Inc. are provided a copy of the form 990 and all accompanying schedules prior to filing with the internal revenue service center. |
| Form 990, Part VI, Line 12c Conflict of interest policy | The Board of Directors of the organization's sole member, Baptist Health System, Inc., has appointed a Conflicts of Interest Committee which regularly reviews the required disclosures of potential conflicts of interest by the Directors and Officers of the organization and its affiliates and recommends any action to be taken with regard to such disclosures. In accordance with the Conflicts of Interest Policy, during meetings of the organization's governing body, a Director who may have a conflict of interest is excused from discussion by the governing body about any transaction or matter that may have given rise to the Director's actual or potential conflict of interest. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | IN ACCORDANCE WITH THE EXECUTIVE COMPENSATION POLICY OF BAPTIST HEALTH SYSTEM, INC. (BHS), THE ORGANIZATION'S SOLE MEMBER, THE LEADERSHIP COMPENSATION COMMITTEE (THE COMMITTEE) OF BHS (MADE UP OF INDEPENDENT DIRECTORS OF BHS) ANNUALLY ENGAGES A THIRD PARTY EXECUTIVE COMPENSATION CONSULTANT WHO PROVIDES COMPARABLES FOR EXECUTIVE COMPENSATION BASED ON CURRENT DATA REGARDING COMPENSATION PAID TO SIMILAR EXECUTIVES AT SIMILARLY-SITUATED TAX EXEMPT HEALTH SYSTEMS IN THE U.S. SUCH CONSULTANT USES THESE COMPARABLE HEALTH SYSTEMS , WHICH ARE GENERALLY THE SAME SIZE AS BHS (CONSIDERING REVENUE AND OTHER APPROPRIATE INDICATORS), TO ESTABLISH AN APPROPRIATE MARKET. WHEN THE COMMITTEE MEETS WITH SUCH CONSULTANT, THE CONSULTANT PROVIDES TO COMMITTEE MEMBERS EXECUTIVE COMPENSATION TARGET LEVELS THAT ARE COMPETITIVE WITH THE MARKET. GENERALLY, THE MEDIAN OF THE MARKET IS TARGETED. THE ACTUAL AMOUNT THAT BHS EXECUTIVES RECEIVE AS COMPENSATION MAY BE HIGHER OR LOWER THAN THE MEDIAN, DEPENDING ON BHS'S AND THE INDIVIDUAL'S PERFORMANCE. ONE OBJECTIVE OF THE COMMITTEE IS TO HAVE A STRONG LINK BETWEEN BHS AND INDIVIDUAL PERFORMANCE AND EXECUTIVE COMPENSATION SUCH THAT IF BHS AND THE INDIVIDUAL PERFORM AT AN OPTIMAL LEVEL, HIS OR HER COMPENSATION IS IN THE HIGHER RANGE OF THE MARKET. CONVERSELY, IF EITHER BHS OR INDIVIDUAL PERFORMANCE IS BELOW EXPECTATION, COMPENSATION MAY BE IN THE LOWER RANGE OF THE MARKET. OTHER FACTORS THAT INFLUENCE EXECUTIVE COMPENSATION RELATIVE TO THE MARKET INCLUDE THE EXECUTIVE'S EXPERIENCE AND BHS'S NEED TO ATTRACT AND RETAIN TOP EXECUTIVE TALENT. MINUTES OF THIS ANNUAL COMPENSATION REVIEW BY THE COMMITTEE ARE RECORDED BY SUCH CONSULTANT AND ARE APPROVED PROMPTLY BY THE CHAIR OF THE COMMITTEE. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | All officers and key employees of the organization were included in the Executive Compensation policy described on Form 990, Part VI, Line 15a. This process is used to establish compensation for these individuals for each calendar year. |
| Form 990, Part VI, Line 19 Required documents available to the public | The organization makes its governing documents, conflict of interest policy, financial statements, and three most recent forms 990 available to the public upon request. |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Transfer to Affiliated Organization - -17397101; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 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 | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC | |||||||||||
| 800 PRUDENTIAL DR | JACKSONVILLE | FL | 32207 | 590747311 | HOSPITAL | FL | 501(c)(3) | 3 | BAPTIST HEALTH SYSTEM INC | false | |
| BAPTIST HEALTH SYSTEM INC | |||||||||||
| 841 PRUDENTIAL DR STE 1602 | JACKSONVILLE | FL | 32207 | 592487136 | Financial/management assistance for healthcare system | FL | 501(c)(3) | Type II | Coastal Community Health Inc | false | |
| BAPTIST MEDICAL CENTER OF THE BEACHES INC | |||||||||||
| 1350 13TH AVE S | JACKSONVILLE BEACH | FL | 32250 | 592980620 | HOSPITAL | FL | 501(c)(3) | 3 | BAPTIST HEALTH SYSTEM INC | false | |
| BAPTIST HEALTH SYSTEM FOUNDATION INC | |||||||||||
| 841 PRUDENTIAL DR 13TH FLOOR | JACKSONVILLE | FL | 32207 | 592487135 | Fundraising activities to support tax-exempts entities of healthcare system | FL | 501(c)(3) | 7 | BAPTIST HEALTH SYSTEM INC | false | |
| BAPTIST HEALTH PROPERTIES INC | |||||||||||
| 1660 Prudential Dr Ste 101 | JACKSONVILLE | FL | 32207 | 592487133 | Owns/manages real estate properties for healthcare system | FL | 501(c)(3) | Type I | BAPTIST HEALTH SYSTEM INC | false | |
| BAPTIST HEALTH AMBULATORY SERVICES INC | |||||||||||
| 1660 Prudential Dr Ste 203 | JACKSONVILLE | FL | 32207 | 593410739 | Medical Research and Education | FL | 501(c)(3) | Type I | BAPTIST HEALTH SYSTEM INC | false | |
| Coastal Community Health Inc | |||||||||||
| 841 Prudential Dr | Jacksonville | FL | 32207 | 471322041 | Regional affiliation of BHS with 1 other 501(c)(3) healthcare system | FL | 501(c)(3) | Type I | na | false | Ste 1450 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt |
|---|---|---|---|---|---|---|---|---|
| Corporate Health LLC | ||||||||
| 841 Prudential Dr Ste 1602 | Jacksonville | FL | 32207 | 820790996 | Development/ operation of a medically-based wellness program for the northeast Florida community | FL | Baptist Health Ambulatory Services Inc | N/A |
| BAYBAP LLC | ||||||||
| 3563 PHILIPS HIGHWAY STE 202 | JACKSONVILLE | FL | 32207 | 853852455 | HOME HEALTH | FL | PAVILION HEALTH SERVICES INC | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 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 |
|---|---|---|---|---|---|---|---|---|---|
| PAVILION HEALTH SERVICES INC | |||||||||
| 1660 Prudential Dr Ste 203 | JACKSONVILLE | FL | 32207 | 592059710 | PHYSICIAN PRACTICES | FL | BAPTIST HEALTH SYSTEM INC | C Corporation | false |
| Baptist Specialty Physicians Inc | |||||||||
| 1660 Prudential Dr Ste 203 | Jacksonville | FL | 32207 | 861126946 | Physician Practices | FL | Southern Baptist Hospital of Florida Inc | C Corporation | false |
| 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 | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | 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 | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |