BAPTIST MEDICAL CENTER OF NASSAU I NC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- BAPTIST MEDICAL CENTER OF NASSAU I NC (EIN 59-3234721)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-08-11
- IRS object ID
- 202202239349300910
- Schema version
- 2020v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-11T08:31:05-05:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | 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 | SVP & CFO | PersonTitleTxt |
| Signature | 2022-08-11 | 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 | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | 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 | $94,575,080 | 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 | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 522 | TotalEmployeeCnt |
| Total Volunteers | 208 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,119,308 | PYContributionsGrantsAmt |
| CY Contributions Grants | $147,751 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $76,022,344 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $93,859,957 | CYProgramServiceRevenueAmt |
| PY Investment Income | $633,706 | PYInvestmentIncomeAmt |
| CY Investment Income | $443,074 | CYInvestmentIncomeAmt |
| PY Other Revenue | $100,412 | PYOtherRevenueAmt |
| CY Other Revenue | $74,186 | CYOtherRevenueAmt |
| PY Total Revenue | $82,875,770 | PYTotalRevenueAmt |
| CY Total Revenue | $94,524,968 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $537,455 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $380,710 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $36,153,634 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $41,568,730 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $32,513,062 | PYOtherExpensesAmt |
| CY Other Expenses | $36,661,479 | CYOtherExpensesAmt |
| PY Total Expenses | $69,204,151 | PYTotalExpensesAmt |
| CY Total Expenses | $78,610,919 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $13,671,619 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $15,914,049 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $163,233,479 | TotalAssetsBOYAmt |
| Total Assets EOY | $171,793,369 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $19,812,404 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $20,886,241 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $143,421,075 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $150,907,128 | 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 | $67,386,378 | ExpenseAmt |
| Grant | $380,710 | GrantAmt |
| Revenue | $93,859,957 | 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 and sleep disorder center. Inpatients are cared for in ultra-modernized building, which offers 48 private patient suites. Other programs include maternity department, delivering 303 babies during the past fiscal year. 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 398 employees, 62 beds, 3,334 admissions accounting for 13,273 patient days, and 20,396 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, 2021: (1) charity care, $2.8 million, (2) unreimbursed Medicaid costs, $997 thousand, (3) unreimbursed Medicare costs, $10.2 million, and (4) specific community programs, $764 thousand, for a total of $14.8 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) behavioral health (3) poverty (4) obesity and physical activity (5) maternal, fetal and infant health (6) cancer and (7) vulnerable populations. | Desc |
| Total Program Service Expenses | $67,386,378 | 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 | 66 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 522 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| 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 |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 |
|---|---|---|---|---|---|---|---|---|---|
| Brett S McClung | |||||||||
| Former President (As of 5/1/21) | 0.5 | 39.5 | Yes (X) | Yes (X) | $0 | $1,662,735 | $118,689 | ||
| Jon C Lasserre Esq | |||||||||
| Chair | 0.5 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Karen Hackett | |||||||||
| Vice Chair/Secretary/Treasurer | 0.5 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Matthew A Zuino | |||||||||
| EVP/COO | 0.5 | 39.5 | Yes (X) | Yes (X) | $0 | $788,238 | $136,318 | ||
| Michael A Mayo DHA | |||||||||
| President | 0.5 | 39.5 | Yes (X) | Yes (X) | $0 | $870,707 | $43,486 | ||
| Brandy B 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 | |||
| Jodi H Henson | |||||||||
| Director | 0.1 | 0 | Yes (X) | $0 | $0 | $0 | |||
| 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 | |||
| Willie J Scott | |||||||||
| Director | 0.1 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Ed Hubel | |||||||||
| VP | 40.0 | 0 | Yes (X) | $377,783 | $0 | $111,677 | |||
| Elizabeth R Ransom MD | |||||||||
| EVP/CPE | 0.5 | 39.5 | Yes (X) | $0 | $1,000,029 | $23,609 | |||
| G Scott Baity ESQ | |||||||||
| Assistant Secretary | 0.3 | 39.7 | Yes (X) | $0 | $566,167 | $138,996 | |||
| Scott M Wooten | |||||||||
| EVP/CFO/Asst Treasurer | 0.5 | 39.5 | Yes (X) | $0 | $949,777 | $288,594 | |||
| David Toncray | |||||||||
| Director, Pharmacy | 40.0 | 0 | $147,769 | $0 | $16,304 | Yes (X) | |||
| Kellene Sauls MSNRN | |||||||||
| Asst. Admin., Nursing | 40.0 | 0 | $190,249 | $0 | $46,581 | Yes (X) | |||
| Pamela Bolden | |||||||||
| Director, Surgical Services | 40.0 | 0 | $147,199 | $0 | $10,509 | Yes (X) | |||
| Sarah M Hannah | |||||||||
| Associate Director, Nursing | 40.0 | 0 | $130,133 | $0 | $7,693 | Yes (X) | |||
| Stephen Bean | |||||||||
| Pharmacist | 40.0 | 0 | $156,676 | $0 | $48,940 | Yes (X) | |||
| John F Wilbanks | |||||||||
| Former EVP (AS OF 12/31/19) | 0.0 | 40.0 | $0 | $440,925 | $20,494 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,149,809 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,278,578 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,011,890 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | 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 |
|---|---|---|---|---|---|
| BATSON COOK COMPANY | |||||
| 8860 PHILIPS HWY | Jacksonville | FL | 32256 | CONSTRUCTION COMPANY | $3,581,665 |
| OWENS & MINOR INC | |||||
| 8489 Westside Industrial Dr | Jacksonville | FL | 32219 | Medical Supply Distributor | $2,687,030 |
| MCKESSON CORPORATION | |||||
| 4345 Southpoint Blvd | Jacksonville | FL | 32216 | Medical Supply Distributor | $2,111,047 |
| GE PRECISION HEALTHCARE LLC | |||||
| 3000 N Grandview Blvd | Waukesha | WI | 53188 | Medical Supply Distributor | $1,645,442 |
| AMELIA ANESTHESIA PL | |||||
| 1250 S 18th St | Fernadina Beach | FL | 32034 | Anesthesia Provider | $1,093,556 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 57 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $126,975 | RelatedOrganizationsAmt |
| Government Grants | $20,776 | GovernmentGrantsAmt |
| Total Contributions | $147,751 | 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 | $93,315,917 | $93,315,917 | $0 | $0 |
| Hospital Cafeteria | 722514 | $251,640 | $251,640 | $0 | $0 |
| Rental Revenue | 531120 | $242,940 | $242,940 | $0 | $0 |
| Other Revenue | 621990 | $49,460 | $49,460 | $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 | $93,859,957 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $427,801 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $427,801 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $124,298 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $50,112 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $74,186 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $74,186 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $74,186 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $15,273 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $15,273 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,273 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $15,273 | 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 | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $94,524,968 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $93,859,957 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $517,260 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $377,710 | TotalAmt |
| Program Services | $377,710 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,000 | TotalAmt |
| Program Services | $3,000 | 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 | $365,372 | TotalAmt |
| Program Services | $182,686 | ProgramServicesAmt |
| Management And General | $182,686 | 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 | $30,785,915 | TotalAmt |
| Program Services | $26,475,887 | ProgramServicesAmt |
| Management And General | $4,310,028 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,697,056 | TotalAmt |
| Program Services | $1,459,468 | ProgramServicesAmt |
| Management And General | $237,588 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,516,361 | TotalAmt |
| Program Services | $5,604,070 | ProgramServicesAmt |
| Management And General | $912,291 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,204,026 | TotalAmt |
| Program Services | $1,895,462 | ProgramServicesAmt |
| Management And General | $308,564 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $437,720 | TotalAmt |
| Program Services | $337,044 | ProgramServicesAmt |
| Management And General | $100,676 | 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 | $36,258 | TotalAmt |
| Program Services | $18,129 | ProgramServicesAmt |
| Management And General | $18,129 | 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 | $5,990,131 | TotalAmt |
| Program Services | $4,612,403 | ProgramServicesAmt |
| Management And General | $1,377,728 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,907 | TotalAmt |
| Program Services | $106,958 | ProgramServicesAmt |
| Management And General | $31,949 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,828,278 | TotalAmt |
| Program Services | $4,487,774 | ProgramServicesAmt |
| Management And General | $1,340,504 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $448,844 | TotalAmt |
| Program Services | $345,610 | ProgramServicesAmt |
| Management And General | $103,234 | 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 | $2,675,458 | TotalAmt |
| Program Services | $2,060,103 | ProgramServicesAmt |
| Management And General | $615,355 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,810 | TotalAmt |
| Program Services | $13,714 | ProgramServicesAmt |
| Management And General | $4,096 | 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 | $35,847 | TotalAmt |
| Program Services | $27,602 | ProgramServicesAmt |
| Management And General | $8,245 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,694 | TotalAmt |
| Program Services | $5,924 | ProgramServicesAmt |
| Management And General | $1,770 | 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 | $6,255,744 | TotalAmt |
| Program Services | $4,816,923 | ProgramServicesAmt |
| Management And General | $1,438,821 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $319,477 | TotalAmt |
| Program Services | $245,997 | ProgramServicesAmt |
| Management And General | $73,480 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Hospital/Medical Supplies | $12,663,858 | $12,663,858 | $0 | $0 |
| AHCA & NICA Assessments | $983,717 | $983,717 | $0 | $0 |
| Patient Transportation | $128,706 | $128,706 | $0 | $0 |
| Dues & Memberships | $32,955 | $25,375 | $7,580 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $660,075 | TotalAmt |
| Program Services | $508,258 | ProgramServicesAmt |
| Management And General | $151,817 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,610,919 | TotalAmt |
| Program Services | $67,386,378 | ProgramServicesAmt |
| Management And General | $11,224,541 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $625 | BOYAmt |
| EOY | $625 | 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 | $10,893,103 | BOYAmt |
| EOY | $13,338,096 | 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 | $1,457,707 | BOYAmt |
| EOY | $1,495,299 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $611,528 | BOYAmt |
| EOY | $2,178,442 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $113,143,275 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $50,126,659 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,366,783 | BOYAmt |
| EOY | $63,016,616 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,221,976 | BOYAmt |
| EOY | $15,656,719 | 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 | $78,681,757 | BOYAmt |
| EOY | $76,107,572 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $163,233,479 | BOYAmt |
| EOY | $171,793,369 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,062,321 | BOYAmt |
| EOY | $13,907,335 | 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 | $3,750,083 | BOYAmt |
| EOY | $6,978,906 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,812,404 | BOYAmt |
| EOY | $20,886,241 | 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 | $139,559,686 | BOYAmt |
| EOY | $146,173,661 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,861,389 | BOYAmt |
| EOY | $4,733,467 | 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 | $143,421,075 | BOYAmt |
| EOY | $150,907,128 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $163,233,479 | BOYAmt |
| EOY | $171,793,369 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $15,914,049 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,663,656 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$10,091,652 | 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 | $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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,476,134 | BeginningYearBalanceAmt |
| Contributions | $935,480 | ContributionsAmt |
| Investment Earnings Or Losses | $176,358 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $3,317 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $2,584,655 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.0076 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.7888 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.2036 | 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) |
|---|---|---|
| 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 | $64,844,077 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,521,352 | DepreciationAmt |
| Book Value | $42,322,725 | 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 | $194,632 | DepreciationAmt |
| Book Value | $227,553 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $37,331,747 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,430,045 | DepreciationAmt |
| Book Value | $10,901,702 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $10,068,159 | OtherCostOrOtherBasisAmt |
| Depreciation | $980,630 | DepreciationAmt |
| Book Value | $9,087,529 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $63,016,616 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Advances to affiliated organizations | $71,262,700 |
| Interest in Net Assets of Baptist Health System Foundation, Inc. | $4,743,469 |
| Long Term Portion of Prepaid Assets | $101,403 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $76,107,572 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated third-party settlements | $840,240 |
| Due to Affilated Organizations | $6,138,666 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,978,906 | 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 temporary restricted quasi-endowment funds and permanently restricted endowment funds that are held and administered by its related fundraising affiliated organization, Baptist Health System Foundation, Inc. Annually, 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, 2017 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 | $2,808,847 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,808,847 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0357 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,182,714 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,185,453 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $997,261 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0127 | 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 | $9,991,561 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,185,453 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,806,108 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0484 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $161,912 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $161,912 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0021 | 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 | $602,236 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $602,236 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0077 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $764,148 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $764,148 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0097 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $10,755,709 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,185,453 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,570,256 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0581 | 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 | 3 | 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 | 4 | 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 | 7 | 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 | $7,431,474 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $30,937,587 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $41,140,433 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$10,202,846 | 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 | 18 | 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 | 18 | 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 (12 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 Assessments were 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 the need. 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 seek to identify significant health needs for particular 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? Primary Data: The primary data used in this assessment consist of (1) key informant interviews conducted by phone by HCI, (2) focus group discussions facilitated by HCI and the Partnership, and (3) a community survey distributed throughout the service area through online and paper submissions. Over 215 community members contributed their input on the community's health and health-related needs, barriers, and opportunities for Nassau County, with special focus on needs of vulnerable and underserved populations. 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 12 key informant interviews, 11 focus groups, 117 focus group participants, 87 survey respondents, and a total of 216 participants. Details: Baptist Medical Center Nassau- Of the 12 key informant interviews conducted, 9 interviews were with 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 from HCI's community indicator database. The database, maintained by researchers and analysts at HCI, includes over 150 community indicators from 29 state and national data sources such as Florida Department of Health, Florida Behavioral Risk Factor Surveillance System, and American Community Survey. The indicators cover over 20 topics in the areas of health and quality of life: Health: * Access to Health Services * Cancer * Children's Health * Diabetes * Disabilities * Environmental & Occupational Health * Exercise, Nutrition & Weight * Family Planning * Heart Disease & Stroke * Immunizations & Infectious Diseases * Maternal, Fetal & Infant Health * Men's Health * Mental Health & Mental Disorders * Older Adults & Aging * Oral Health * Other Chronic Diseases * Prevention & Safety * Respiratory Diseases * Substance Abuse * Teen & Adolescent Health * Women's Health Quality of Life: * Economy * Education * Environment * Government & Politics * Public Safety * Social Environment * Transportation Indicator values for Nassau County were compared to other Florida counties and other U.S. counties to identify relative need. Other considerations in weighing relative areas of need included comparisons to Florida state values, comparisons to national values, trends over time, and Healthy People 2020 targets (as applicable). Based on these six different comparisons, indicators were systematically 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., Baptist Medical Center of Nassau, Inc., Brooks Rehabilitation Hospital, Mayo Clinic Florida, St. Vincent's Medical Center Riverside, St. Vincent's Medical Center South, St. Vincent's Medical Center Clay, UF Health North and UF Health Jacksonville) |
| Schedule H, Part V, Section B, Line 7 Facility , 1 | Facility , 1 - Baptist Medical Center of Nassau, Inc.. public release was held May 31, 2019 with all health system CEOs presenting the assessment methodology, the needs identified in the assessment and the needs prioritized by each hospital. The public release was attended by approximately 75 people including media representatives. Newspaper articles and radio and television stories reported on the assessment and informed community members where they could find each hospital's assessment and implementation plans. Link to story in the Florida Times-Union - https://www.jacksonville.com/news/20190531/northeast-florida-community-health-assessment-spotlights-lack-of-access-to-care |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - Baptist Medical Center of Nassau, Inc.. Access to Care As Nassau County's main source of health care, Baptist Medical Center Nassau has partnered with Barnabas Center for many years. Barnabas provides medical care, dental care, emergency financial assistance and food to Nassau County residents who do not have adequate insurance. Baptist Medical Center Nassau has also partnered with Nassau County Council on Aging to provide transportation to medical appointments for seniors in need of that service. Key Issues Identified in the Assessment: * Community input found that access to health services is the most important social determinant of health in Nassau County * The dentist rate and primary care provider rate for Nassau County are both significantly lower than the Florida and U.S. rates * There are very few mental health and substance abuse services in the county * Transportation issues and the large, dispersed geography of the county exacerbate the access problem * Food insecurity is a concern in Nassau County * Key informants cited that families often have to make difficult choices when it comes to spending their income, and that they will often have to choose between putting food on the table and getting their health care needs met * High rent cost prevents the affordability of safe, acceptable housing * Other expenses such as health care needs are sacrificed. |
| 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 Metrics/What we are measuring: * Number of people served * Evaluate health and wellness of participants * Number of people engaging in treatment * Evaluation of health and wellbeing of patients Potential Partnering/External Organizations: * Barnabas Center * Nassau County Council on Aging * Walgreens/Faith Based Partners & Assisted Living * Starting Point Results: * Year 1 (October 1, 2018 - September 30, 2019) - Barnabas Center provided medical services to 849 patients and dental services to 689 patients Barnabas served 117 patients with diabetes, of which 91 were seen at least twice during the 12-month period and 65.9% reported reaching normal levels (HbA1c<8%) Barnabas served 292 patients with hypertension, of which 216 were seen at least twice during the 12-month period and 63.9% measured <140/90 * Year 2 (October 1, 2019 - September 30, 2020) - Barnabas Center provided medical services to 726 patients and dental services to 635 patients Barnabas served 124 patients with diabetes, of which 109 were seen at least twice during the 12-month period and 39.4% reported reaching within normal levels (HbA1c<8%) Barnabas served 287 patients with hypertension, of which 224 were seen at least twice during the 12-month period and 62.5% measured <140/90 Barnabas served 166 patients with mental health needs, of which 108 scored 10 or greater on PHQ9 and were referred for treatment and 35% participated in at least one counseling session during the 12-month period * Nassau County Council on Aging provided 748 seniors and low income individuals with transportation to medical appointments * Nassau County Council on Aging served 479 seniors with home health services and opened 49 new home health cases * Partnered with Walgreens/Faith Based Partners and Assisted Living Facilities to implement flu shots for seniors. 243 flu shots were given in Nassau County * Year 3 (October 1, 2020 - September 30, 2021) - Barnabas Center provided medical services to 851 patients and dental services to 490 patients Barnabas served 121 patients with diabetes, of which 117 were seen at least twice during the 12-month period and 52.99% reported reaching within normal levels (HbA1c<8%) Barnabas served 260 patients with hypertension, of which 210 were seen at least twice during the 12-month period and 65.7% measured <140/90 490 patients were engaged in dental care through 1,473 visits, 55% received oral hygiene * Nassau County Council on Aging provided 193 seniors and low income individuals with transportation to medical appointments * Year 1 (July 1, 2018 - June 30, 2019) - 1,679 patients identified by the Baptist ED, 479 were screened or referred to our Integrated Care Team, resulting in a 30% referral rate - 100% of referrals had an identified care coordinator assigned to them and 54% of those identified engaged in care coordination services * Year 2 (July 1, 2019 - June 30, 2020) - 1,812 patients identified by the Baptist ED, 210 were screened or referred to our Integrated Care Team, resulting in a 12% referral rate - 100% of referrals had an identified care coordinator assigned to them and 69% of those identified engaged in care coordination services * Year 3 (July 1, 2020 - June 30, 2021) - 1,946 patients identified by the Baptist ED, 267 were screened or referred to our Integrated Care Team, resulting in a 14% referral rate - 100% of referrals had an identified care coordinator assigned to them and 34% of those identified engaged in care coordination services |
| Schedule H, Part V, Section B, Line 11 Facility , 3 | Facility , 3 - Baptist Medical Center of Nassau, Inc.. Behavioral Health : Baptist Health has made behavioral health services a priority, providing comprehensive inpatient and outpatient services. 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. Two years ago, Baptist Nassau began partnering with Starting Point to provide peers can care coordinators to talk with ER patients with a diagnosis of drug or alcohol addiction. The result has been many patients accessing behavioral health treatment and decreases in ER visits and hospital admissions. Key Issues Identified in the Assessment: * Alcohol-related health issues are prevalent in Nassau County * Death rate due to suicide is much higher than the state and national values and far exceeds the Healthy People 2020 target * Suicide rate doubles every other county in our service area. * Suicide, depression among seniors is an emerging issue * Few providers of mental health or substance abuse services in the community and in schools |
| Schedule H, Part V, Section B, Line 11 Facility , 4 | Facility , 4 - Baptist Medical Center of Nassau, Inc.. Behavioral Health Goal: Increase access to behavioral health services. Strategies: * Continue offering Mental Health First Aid, a proven best practice to reduce stigma of mental illness which increases the likelihood that people will access care. * Provide funding to innovative efforts to reduce stigma, advocate for increased services and increase access to care * Continue partnership with Starting Point to increase access to behavioral health treatment * Host a community-wide conference on mental health to reduce stigma and barriers to care. Metrics/What we are measuring: * 3,000 people trained by 2021 * Evaluate participant satisfaction * Evaluate the impact of each initiative according to its focus * Number of people engaging in treatment * Evaluation of health and wellbeing of patients * Number of people attending the conference * Satisfaction surveys Potential Partnering/External Organizations: * Jacksonville Nonprofit Hospital Partnership * National Council for Behavioral Health * Baptist Health Faith Partners * Florida's First Coast YMCA * The Partnership for Mental Health: A project of Baptist Health and the Delores Barr Weaver Fund at The Community Foundation for Northeast Florida * Starting Point * Faith organizations * University of North Florida * Community mental health providers Results: * 4,472 people were trained October 1, 2018 - September 30, 2021 across Northeast Florida * Year 1 (October 1, 2018 - September 30, 2019) - 2,517 people were trained 98% of participants rated high satisfaction with training quality 96% of participants rated high satisfaction with training usefulness 99% of participants would recommend the training to others * Year 2 (October 1, 2019 - September 30, 2020) - 1,050 people were trained 98% of participants rated high satisfaction with training quality 99% of participants rated high satisfaction with training usefulness 95% of participants would recommend the training to others * Year 3 (October 1, 2020 - September 30, 2021) - 905 people were trained 97% of participants rated high satisfaction with training quality 94% of participants rated high satisfaction with training usefulness 99% of participants would recommend the training to others * 178 Narcan kits and training were distributed to participants * 145 10th graders at Fernandina Beach High School trained in Youth MHFA - 4.2% increase in identification of a mental health challenge - 3.6% increase in contact with someone experiencing a mental health challenge * The fund was established with $2.2 million. As of December 2021, 60 grants were made to 49 organizations for a total of approximately $2,407,874 * With funding from Baptist, Barnabas served: - In 2020, 108 un- and under-insured patients who needed mental health services of which 35.2% participated in at least one treatment session - In 2021, 84 un- and under-insured patients who needed mental health services of which 61.9% participated in at least one treatment session * With funding from Baptist to community behavioral health organizations, 527 youth received mental health services and Ending the Silence presentations were made to 7,638 middle and high school students * With funding from Baptist to community behavioral health organizations, 407 calls to NAMI's crisis line were answered * Wolfson launched the On Our Sleeves campaign to educate about youth mental health. 1,056 people subscribed to the monthly educational newsletter * Year 1 (July 1, 2018 - June 30, 2019) - 1,679 patients identified by the Baptist ED, 479 were screened or referred to our Integrated care Team, resulting in a 30% referral rate - 100% of referrals had an identified care coordinator assigned to them and 54% of those identified engaged in care coordination services * Year 2 (July 1, 2019 - June 30, 2020) - 1,812 patients identified by the Baptist ED, 210 were screened or referred to our Integrated care Team, resulting in a 12% referral rate - 100% of referrals had an identified care coordinator assigned to them and 69% of those identified engaged in care coordination services * Year 3 (July 1, 2020 - June 30, 2021) - 1,946 patients identified by the Baptist ED, 267 were screened or referred to our Integrated care Team, resulting in a 14% referral rate - 100% of referrals had an identified care coordinator assigned to them and 34% of those identified engaged in care coordination services * Year 1 (October 1, 2018 - September 30, 2019) - A planning committee of community representatives and Baptist Health team members met monthly to determine conference content and format * Year 2 (October 1, 2019 - September 30, 2020) - The 2020 Behavioral Health Conference - Health and Wellbeing in a Pandemic, was hosted virtually on Nov. 17, 18 and 19 with 159, 151 and 131 individuals attending each day, respectively Recordings and other session content were posted on the Baptist Health website, receiving about 56 views a day the week of the conference. - 96% of survey respondents rated the conference quality as excellent or good. * Year 3 (October 1, 2020 - September 30, 2021) - COVID-19 surges in 2021 postponed the September conference to April 2022 |
| Schedule H, Part V, Section B, Line 11 Facility , 5 | Facility , 5 - Baptist Medical Center of Nassau, Inc.. Vulnerable Population - Seniors: Seniors, the fastest-growing population in Northeast Florida, is identified as a population in need of services through the 2016 needs assessment. Baptist Health partnered with United Way in 2003 to better serve our senior population resulting in a Robert Wood Johnson grant to provide additional social supports to frail seniors upon discharge from our downtown hospital. These early efforts informed the development of AgeWell, which opened as the region's first and only comprehensive geriatric program in 2012. AgeWell provides an enriched level of specialized, geriatric primary care uniquely designed to meet the needs of our community's medically complex, frail seniors. The Institute provides comprehensive geriatric assessments and utilizes evidenced-based protocols through an integrated, interdisciplinary care team model. The team includes Geriatricians, Gero-Psychiatrist, Psychologist, RN Care Manager, Licensed Social Workers, Clinical Pharmacists, Nutritionist, a rehab team, and Social Service coordinators. The team of geriatric specialists extend traditional medical boundaries to address the social and emotional needs of patients and their caregivers; promoting better health and maximizing their functional capacity and ability to live at home in their communities. Most of the non-medical services are unreimbursed by Medicare or other insurance carriers and not charged to patients. The type of comprehensive geriatric care is typically only available at academic medical centers where unreimbursed costs can be covered/reduced through residents and fellowships and research funding. Key Issues Identified in the Assessment: * According to the data, the Medicare population has high rates of chronic diseases and injuries; specifically, atrial fibrillation, cancer, hyperlipidemia, rheumatoid arthritis, and stroke. * In Nassau County, the Age-Adjusted Death Rate due to Falls is higher than the state average. * The percentages of older adults over age 65 with arthritis and cancer are higher than the state averages. |
| Schedule H, Part V, Section B, Line 11 Facility , 6 | Facility , 6 - Baptist Medical Center of Nassau, Inc.. Vulnerable Population - Seniors: Goals: Decrease the number of Nassau County seniors who experience falls, ensure Nassau County seniors have access to care and decrease isolation of seniors. Strategies: * Develop and implement a falls prevention initiative for Nassau seniors. * Continue partnership with Nassau County Council on Aging to provide transportation to doctor's appointments and errands. * Engage Baptist Health's team of volunteers and Auxiliary Members in a Friendly Calling program to reduce feelings of loneliness and isolation in community seniors with social phone calls to offer friendship, encouragement, and support Metrics/What we are measuring: * Number of Fire and Rescue personnel trained to conduct assessments * Number of seniors participating in education sessions * Number of falls * Number of trips provided * Number of volunteers in program * Number of community members (patients) in program * Number of phone calls * Total time invested in calls * Quality of phone calls (reported by volunteers) Potential Partnering/External Organizations: * Fernandina Beach Fire and Rescue * Nassau County Fire and Rescue * Nassau County Council on Aging * Ames Productions * Jacksonville Non Profit Hospital Partnership * Walgreens/Faith Based Partners & Assisted Living * Baptist Health Auxiliary Results: * Year 2 (October 1, 2019 - September 30, 2020) - Falls Prevention initiative planned with Fernandina Beach Fire and Rescue & Nassau County Council on Aging for implementation in November 2019 * Year 3 (October 1, 2020 - September 30, 2021) - Jacksonville Nonprofit Hospital Partnership is working with Ames Production to increase awareness of fall prevention strategies with seniors and caregivers using the Saving Claire Documentary as a platform for discussion A screening and discussion with the Caregiver coalition occurred on September 14, 2021. 85 Zoom participants attended Due to COVID affecting the program implementation, fall data has not been recorded * Nassau County Council on Aging provided 748 seniors and low income individuals with transportation to medical appointments * Partnered with Walgreens/Faith Based Partners and Assisted Living Facilities to implement flu shots for seniors. 243 flu shots were given in Nassau County * In 2021, Nassau Transit provided 193 seniors transportation to 11 different locations in the community, including various medical entities and pharmacists * Year 2 (June 1, 2020 - September 2020) Across the System - 72 Volunteers - 100 community members - 400 phone calls - 200 hours - Quality of calls (as rated by volunteers across the system) Excellent: 64.02% Pretty Good: 30.16% OK: 2.91% Weak: 1.85% Poor: 1.06% * Year 3 (October 1, 2020 - September 2021) Across the System - 67 Volunteers - 69 community members - 1605 phone calls - 654 hours - Quality of calls (as rated by volunteers across the system) Excellent: 77.43% Pretty Good: 17.62% OK: 2.01% Weak: 1.85% Poor: 1.09% |
| Schedule H, Part V, Section B, Line 11 Facility , 7 | Facility , 7 - Baptist Medical Center of Nassau, Inc.. No entity can address all of the health needs present in its community. Baptist Medical Center 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 2018 Community Health Needs Assessment; however, each of these health needs will continue to be addressed through partnerships and ongoing initiatives: Poverty - This need is being addressed by other entities in Northeast Florida, including United Way of Northeast Florida, which is supported by Baptist Health. In addition, Baptist Health's Vice President of Community Investment and Impact actively participates in a community effort that includes businesses, city government and funders to end poverty in Jacksonville. Baptist Medical Center Beaches 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. Obesity and Physical Activity - Baptist Medical Center Beaches through Baptist Health operates 8 Weeks to Healthy Living, a nutrition and physical activity program, in partnership with faith organizations and the YMCA. Baptist Health also operates Healthy Living Centers in YMCA locations in the Baptist Medical Center Nassau service area. Community members, regardless of membership with the YMCA, receive screenings and health coaching through the centers. Baptist Medical Center Nassau does not anticipate implementing additional initiatives to address obesity and physical activity. Given this long-term investment, the hospital will focus on other significant community health needs. Cancer - Baptist MD Anderson Cancer Center is part of the Baptist Medical Center Nassau services. Baptist MD Anderson participates in outreach and education activities throughout Northeast Florida. Given this significant investment in cancer care and education in the Baptist Medical Center Nassau service area, the hospital will focus on other significant community health needs. Maternal, Fetal and Infant Health - Wolfson Children's Hospital in the Baptist Health system has prioritized Maternal, Fetal and Infant Health. As the Northeast Florida region's children's hospital, the strategies implemented by Wolfson Children's Hospital will impact the Baptist Medical Center Nassau service area. |
| 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 | COVID-19 Efforts: Besides educational videos, social media postings, and advertisements underscoring the importance of following CDC guidelines during COVID-19, Baptist Health provided a number of services to support the community. The COVID Hotline received 16,029 calls to address the community's concerns and questions and made 2,332 outbound calls to remind community members of their second COVID dose. To address mental health concerns and isolation in senior populations, The Friendly Caller Program provided a powerful way for 11 patients to remain connected to others during a time when in-person activities were suspended. Tipping the Scale, a mentoring program for at-risk teens, provided students with opportunities and tools to address their mental health concerns. Panel discussions were also held in the spring to address African-Americans' mental health during the pandemic targeted to youth, adults, and seniors. Tipping the Scale - Youth Mentoring Program: Twelve Baptist Health employees volunteered their time to provide one-to-one mentoring for 12 high school students each week. The students who participate in the program are from our most vulnerable communities and low income families, and they attend local schools with low graduation rates. In this career guidance mentoring program, mentors introduce students to various careers in healthcare. In addition, they serve as supporters and encouragers for teens as they navigate the challenges of adolescence. 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. Eighty-five teenagers participated in the job readiness training, but only 19 were a part of and completed the summer sessions with 3 of the 19 at Baptist Medical Center Nassau. |
| Schedule H, Part II, Line 6 Coalition Building | Episcopal Children's Services Health Services Advisory Council for Duval, Clay, Baker 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. 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 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) partners 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 employs a physician, serving as medical director, and a nurse practitioner for Barnabas Center and provides lab and other medical services in-kind for the center. In addition, Baptist Nassau partners 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. Last, Baptist Nassau partnered with Walgreens, faith based partners, and assisted living facilities to administer flu shots for seniors. CHNA Priority Behavioral Health: BMCN partners with Starting Point Behavioral Health, the Health Planning Council of Northeast Florida, and the Jacksonville Nonprofit Hospital Partnership 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 partners with Starting Point to provide access to treatment for uninsured and underinsured people in Nassau County who are addicted to and abusing substances. BMCN provides funding and referrals for ED patients to receive services with appropriate permission. Baptist Health also planned to hold a Behavioral Health Conference to address health and well-being but had to postpone it due to COVID-19 surges. CHNA Priority Seniors: In addition to providing access to care and essential services through a partnership with Nassau County Council on Aging to provide transportation to the elderly and low income, Baptist Nassau continued the Friendly Caller Program to reduce feelings of loneliness and isolation for community seniors. A falls prevention initiative was also started to increase awareness of fall prevention strategies with seniors and caregivers. Baptist Medical Center Nassau also partners 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, IT, pharmacy, physical therapy and other health care professional provided by Baptist Health clinicians. In fiscal year 2021, Baptist Medical Center Nassau provided 199 (135 in FY20, 265 in FY19, 182 in FY18) students with 4,730 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, Youth and Adult, to 1,107 (1,114 in FY20, 2,517 in FY 19 and 191 in FY 18) community members. The AgeWell Institute and Baptist Health provided education on various topics to approximately 300 people during Fiscal year 2021. |
| 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. |
| 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. Baptist Health has partnered with 6 faith-based organizations located in vulnerable low-income neighborhoods in Nassau County where a health needs survey is conducted annually. The survey of the members of our faith-based partners is anonymous. In addition, data is gathered from the Northeast Florida Counts website which serves as a source of population data and information about the health status of the community. It gathers information for Baker, Clay, Duval, Flagler, Nassau, St. Johns, and Volusia Counties. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | At patient access points, "Guidelines for Charity Care Eligibility" cards are provided that 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 Of Nassau: Nassau County Nassau County Has A Total Area Of 725.86 Square Miles, Of Which 651.55 Square Miles (Or 89.76%) Is Land And 74.30 Square Miles (Or 10.24%) Is Water, Much Of It In The Atlantic Ocean. Fernandina Beach Is Located On Amelia Island, The County's One Inhabited Island. There Are 84,603 People Residing In Nassau The County. The Racial Makeup Of The County Is 89.8 % White, 5.95% Black Or African American, 0.53% Native American, 0.95 % Asian, 0.08% Pacific Islander, 1.31% From Other Races, And 2.02% From Two Or More Races. 4.2% Of The Population Are Hispanic Or Latino Of Any Race. In The County The Population Is Spread Out With 20.5% Under The Age Of 18, 7.3% From 18 To 24, 22.7% From 25 To 44, 29.7% From 45 To 64, And 19.9% Who Are 65 Years Of Age Or Older. The Median Age Is 45 Years. The Median Income For A Household In The County Is $78,013.60. The Per Capita Income For The County Is $31,141. About 6.29% Of Families And 8.50% Of The Population Is Below The Poverty Line, Including 18.9% Of Those Under Age 18 And 7.2% Of Those Age 65 Or Over. |
| 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 FY21, BHS provided over $53 Million in charity care to people who where under/un-insured, over $16 million in community benefit, and over $3 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 (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| BARNABAS CENTER INC | |||||||
| 1303 Jasmine St | Fernandina Beach | FL | 32034 | 592920275 | 501(c)(3) | $81,000 | TO AFFORD RESIDENTS OF NASSAU COUNTY, FLORIDA TEMPORARY AID DURING CRISIS SITUATIONS THAT ARISE DUE TO UNFORESEEN CIRCUMSTANCES. |
| BOYS AND GIRLS CLUB OF NASSAU COUNTY FOUNDATION | |||||||
| PO BOX 16003 | Fernandina Beach | FL | 32035 | 593672345 | 501(c)(3) | $25,908 | To support the after-school and summer programs which benefit the community's youth. |
| NASSAU COUNTY COUNCIL ON AGING INC | |||||||
| 1901 Island Walk Way | Fernandina Beach | FL | 32034 | 237375273 | 501(c)(3) | $52,000 | 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. |
| STARTING POINT BEHAVIORAL HEALTHCARE | |||||||
| 463142 State Rd 200 | YULEE | FL | 32097 | 593029469 | 501(c)(3) | $66,500 | To promote emotional wellness through psychiatric, mental health and substance use disorder treatment services and community education and awareness. |
| VISION IS PRICELESS COUNCIL INC | |||||||
| 4615 Phillips Hwy | Jacksonville | FL | 32207 | 593386495 | 501(c)(3) | $20,000 | To assess, sustain, and improve the visual health of children and adults in Northeast Florida through education, vision screenings, treatment and referrals. |
| BRING YOUR BROKENNESS INC | |||||||
| 96064 Ocean Breeze Dr | Fernandina Beach | FL | 32034 | 832201591 | 501(c)(3) | $5,400 | To provide a safe and loving environment for women with eating disorders to find hope and healing for life transformation through God's Word. |
| AMERICAN HEART ASSOCIATION Inc | |||||||
| 7272 Greenville Ave | Dallas | TX | 75231 | 135613797 | 501(c)(3) | $92,015 | To focus on activities related to the causes, diagnosis, prevention, and treatment of cardiovascular disease, stroke and other related diseases |
| WE CARE JACKSONVILLE INC | |||||||
| 4080 Woodcock Dr | Jacksonville | FL | 32207 | 593431724 | 501(c)(3) | $34,000 | To seek equitable access to quality healthcare by advancing and coordinating community-wide compassionate specialty care for the uninsured. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 8 | Total501c3OrgCnt |
| Total Other Org | 0 | 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 | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Brett S McClung | ||||||||||||||
| Former President (As of 5/1/21) | $0 | $1,115,539 | $0 | $546,850 | $0 | $346 | $0 | $97,474 | $0 | $21,215 | $0 | $1,781,424 | $0 | $0 |
| Matthew A Zuino | ||||||||||||||
| EVP/COO | $0 | $623,552 | $0 | $164,686 | $0 | $0 | $0 | $118,119 | $0 | $18,199 | $0 | $924,556 | $0 | $0 |
| Michael A Mayo DHA | ||||||||||||||
| President | $0 | $571,422 | $0 | $285,900 | $0 | $13,385 | $0 | $16,388 | $0 | $27,098 | $0 | $914,193 | $0 | $0 |
| John F Wilbanks | ||||||||||||||
| Former EVP (AS OF 12/31/19) | $0 | $29,799 | $0 | $263,813 | $0 | $147,313 | $0 | $19,238 | $0 | $1,256 | $0 | $461,419 | $0 | $0 |
| Scott M Wooten | ||||||||||||||
| EVP/CFO/Asst Treasurer | $0 | $745,199 | $0 | $189,001 | $0 | $15,577 | $0 | $279,792 | $0 | $8,802 | $0 | $1,238,371 | $0 | $0 |
| Elizabeth R Ransom MD | ||||||||||||||
| EVP/CPE | $0 | $776,482 | $0 | $212,955 | $0 | $10,592 | $0 | $5,467 | $0 | $18,142 | $0 | $1,023,638 | $0 | $0 |
| G Scott Baity ESQ | ||||||||||||||
| Assistant Secretary | $0 | $476,950 | $0 | $89,217 | $0 | $0 | $0 | $127,282 | $0 | $11,714 | $0 | $705,163 | $0 | $0 |
| Ed Hubel | ||||||||||||||
| VP | $329,918 | $0 | $47,865 | $0 | $0 | $0 | $99,077 | $0 | $12,600 | $0 | $489,460 | $0 | $0 | $0 |
| Kellene Sauls MSNRN | ||||||||||||||
| Asst. Admin., Nursing | $170,485 | $0 | $16,839 | $0 | $2,925 | $0 | $34,044 | $0 | $12,537 | $0 | $236,830 | $0 | $0 | $0 |
| Stephen Bean | ||||||||||||||
| Pharmacist | $156,676 | $0 | $0 | $0 | $0 | $0 | $28,409 | $0 | $20,531 | $0 | $205,616 | $0 | $0 | $0 |
| David Toncray | ||||||||||||||
| Director, Pharmacy | $142,452 | $0 | $5,317 | $0 | $0 | $0 | $7,197 | $0 | $9,107 | $0 | $164,073 | $0 | $0 | $0 |
| Pamela Bolden | ||||||||||||||
| Director, Surgical Services | $141,926 | $0 | $5,273 | $0 | $0 | $0 | $2,626 | $0 | $7,883 | $0 | $157,708 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 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 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. The following individuals accrued unvested benefits under these plans during calendar year 2020: Scott Wooten $266,254, G. Scott Baity $80,650, Matthew Zuino $106,719, Brett McClung $87,891, Elizabeth Ransom $4,327 and Ed Hubel $49,807. These accrued benefits are unvested and subject to forfeiture unless the named employee remains employed with Baptist Medical Center of Nassau, Inc. until the covered employee reaches retirement age. This amount is included on Schedule J, part II, column (c). |
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 - -10091652; |
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 (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt |
|---|---|---|---|---|---|---|---|---|
| PAVILION ASSOCIATES LTD | ||||||||
| 841 Prudential Dr Ste 1602 | JACKSONVILLE | FL | 32207 | 592505491 | NON-RESIDENTIAL PROPERTY MANAGEMENT | FL | SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC | N/A |
| 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 |