2025-08-11T09:15:58+00:00 2024-09-30 990 2023-10-01 593234721 Baptist Medical Center of Nassau Inc BAPT 9042022883 1660 Prudential Dr 203 Jacksonville FL 32207 Keith Tickell CFO 9042025626 2025-08-11 2023 2025-03-06 01:10:19Z Baptist Medical Center Nassau MICHAEL A MAYO 841 Prudential Dr Ste 1601 Jacksonville FL 32207 102778662 false X www.baptistjax.com X 1994 FL To make hope, healing and well-being accessible to every person as an expression of God's love. 9 8 518 131 11975 0 82251 169000 96273669 101589432 1130236 1008255 19782 11975 97505938 102778662 998101 1061142 0 0 41637095 43565655 0 0 0 40175080 43217685 82810276 87844482 14695662 14934180 155041339 164883114 16837841 19100687 138203498 145782427 To make hope, healing and well-being accessible to every person as an expression of God's love. false false 73782998 1061142 101589432 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 (128-channel CT and MRI), breast health program with digital 3D mammography, 24/7 intensivist coverage ICU through telemedicine, non-invasive cardiology and cardiac rehabilitation center. Inpatients are cared for in a modernized building, which offers 48 private patient suites. BMCN was one of the first community hospitals in the nation to convert to an electronic medical record system. Baptist Medical Center of Nassau is fully integrated within a five-hospital system of Baptist Health System, Inc. (BHS). Inpatient pediatric care is provided by Wolfson Children's Hospital in Jacksonville. During the fiscal year, there were 493 employees, 62 beds, 4,611 admissions accounting for 13,695 patient days, and 23,146 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, 2024: (1) charity care, $5.0 million, (2) unreimbursed Medicare costs, $14.0 million, and (3) specific community programs, $1.5 million, for a total of $20.5 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) mental and behavioral health (3) poverty (4) chronic disease (5) maternal and child health (6) transportation, (7) housing, (8) Cancer and (9) social determinants of health. 73782998 true true false false false false false false true true false false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true false false false true 69 0 518 true true true false false false false false false false false false false false X 9 8 false false true false true true true true true false false false true true true true true true true false X Scott Finnegan 9042023270 841 Prudential Dr Ste 1602 Jacksonville FL 32207 Jodi H Henson Vice Chair/Secretary/Treasurer 0.5 0 X X 0 0 0 Karen Hackett Chair 0.5 0 X X 0 0 0 Matthew A Zuino Interim Vice President through 09.13.24 0.5 39.5 X X 0 1423109 154075 Michael A Mayo DHA President 0.5 39.5 X X 0 2400699 55718 Brandy Bateman Carvalho Director 0.1 0 X 0 0 0 Daniel C Rowland Director 0.1 0 X 0 0 0 Janice Ancrum Director 0.1 0 X 0 0 0 Melanie Wright Director 0.1 0 X 0 0 0 Michael Ammiano Director 0.1 0 X 0 0 0 Michael Howington MD Director 0.1 0 X 0 0 0 Ed T Hubel Vice President through 03.27.24 40.0 0 X 559769 0 107118 G Scott Baity Esq Asst. Secretary 0.3 39.7 X 0 918506 133808 Keith A Tickell Asst. Treasurer 0.3 39.7 X 0 1145114 33489 T Scott Finnegan Asst. Treasurer 0.3 39.7 X 0 677810 125686 Tara Beth Anderson Vice President 0.5 0 X 0 0 0 Kellene H Sauls VP, Patient Care Services- NAS 40.0 0 X 310327 0 37759 Kelly Weeks Leeper Assoc Dir, Nursing 40.0 0 X 152138 0 28033 Stephen H Bean Pharmacist 40.0 0 X 165445 0 36683 Valerie Mary Smith Dir, Surgical Services 40.0 0 X 163334 0 32968 William Berry Ivey Dir, Pharmacy - NAS 40.0 0 X 192718 0 14069 Brett S McClung Former President (As of 05.01.21) 0.0 0.0 X 0 512000 0 Elizabeth R Ransom MD Former EVP/CPE (As of 08.15.21) 0.0 0.0 X 0 105000 0 Scott M Wooten Former Asst. Treasurer (As of 12.28.21) 0.0 0.0 X 0 800676 0 1543731 7982914 759406 28 true true false AMELIA ANESTHESIA PL 1250 S 18th St Fernadina Beach FL 32034 Anesthesia Provider 1577927 PEDIATRIX MEDICAL GROUP OF FL PO BOX 281034 ATLANTA GA 30384 MEDICAL SERVICES 399996 JACKSONVILE ORTHOPEDIC INSTITUTE 1325 SAN MARCO BLVD JACKSONVILLE FL 32207 PHYSICIAN CONTRACTS 364000 YASH P SANGWAN MD PA 1411 S 14TH ST Fernadina Beach FL 32034 MEDICAL SERVICES 233400 COMUNICATION TECHNOLOGY SERVICES LLC 33 LOCKE DR MARLBOROUGH MA 01752 COMMUNICATION TECHNOLOGY SERVICES 152704 7 0 0 0 169000 0 0 0 169000 Patient service revenues, Net 621990 100576278 100576278 0 0 Hospital Cafeteria 722514 313378 313378 0 0 Rental Revenue 531120 294161 294161 0 0 Other Revenue 621990 405615 405615 0 0 0 0 0 0 101589432 997355 0 0 997355 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10900 0 0 10900 10900 0 0 10900 0 0 0 0 0 0 0 0 0 0 0 REFERENCE LAB REVENUE 621500 11975 0 11975 0 0 0 0 0 11975 102778662 101589432 11975 1008255 X 1061142 1061142 0 0 0 0 0 0 620986 310493 310493 0 0 0 0 0 32022543 26898936 5123607 0 1375813 1155683 220130 0 7097836 5962182 1135654 0 2448477 2056721 391756 0 1070036 834628 235408 0 0 0 0 0 33770 16885 16885 0 0 0 0 0 0 0 0 0 0 0 10423453 8130294 2293159 0 67893 52957 14936 0 7058158 5505363 1552795 0 740899 577901 162998 0 0 0 0 0 3169617 2472301 697316 0 21155 16501 4654 0 0 0 0 0 64656 50432 14224 0 1439 1122 317 0 0 0 0 0 7870386 6138901 1731485 0 316515 246882 69633 0 Hospital/Medical Supplies 10805576 10805576 0 0 AHCA & NICA Assessments 968025 968025 0 0 Local Provider Payment Fund 310683 242333 68350 0 Patient Transportation 215042 215042 0 0 80382 62698 17684 0 87844482 73782998 14061484 0 925 650 0 0 0 0 11537310 10126017 0 0 0 0 0 0 1611614 1643241 3852841 3764511 161262537 67070330 72063067 94192207 15306525 18333650 0 0 0 0 50669057 36822838 155041339 164883114 7482942 11505741 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9354899 7594946 16837841 19100687 X 133494142 140194161 4709356 5588266 0 0 0 0 0 0 138203498 145782427 155041339 164883114 X 14934180 2089399 -9444650 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4158993 177441 718247 0 66752 0 4987929 3735768 92427 406239 0 75441 0 4158993 4356129 44211 -524428 0 140144 0 3735768 3747769 102042 594239 0 87921 0 4356129 3510084 191396 120421 0 74132 0 3747769 0.0 0.7519 0.2481 false true true 0 477107 477107 0 78553826 30165134 48388692 0 422185 281432 140753 0 46545171 35412169 11133002 0 35264248 1211595 34052653 94192207 Advances to affiliated organizations 27568017 Interest in Net Assets of Baptist Health System Foundation, Inc. 5588268 Long Term Portion of Prepaid Assets 42317 Lease Right Use of Asset 230945 Internally Developed Software 3391639 Cloud Computing Arrangement 1652 36822838 0 Estimated third-party settlements 3186152 Due to Affilated Organizations 4205107 Long Term Lease Liability 203687 7594946 X Schedule D, Part V, Line 4 Intended uses of endowment funds Baptist Medical Center of Nassau Inc. (BMCN) has permanently restricted endowment funds that are held and administered by its related fundraising affiliated organization, Baptist Health System Foundation, Inc. Annually, up to 5% of the combined endowment corpus and accumulated investment earnings are available for capital projects of BMCN. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote With few exceptions, Baptist Medical Center of Nassau, Inc. is no longer subject to examinations by major tax jurisdictions for years ended September 30, 2020 and prior. Management does not believe there are any material uncertain positions. true true X true X true X true true false true true 4997553 0 4997553 0.0569 4291765 4291765 0 0.0 0 0 0 0.0 0 0 9289318 4291765 4997553 0.0569 209956 0 209956 0.0024 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 1307024 0 1307024 0.0149 0 0 1516980 0 1516980 0.0173 0 0 10806298 4291765 6514533 0.0742 0 0.0 0 0.0 4 0 0.0 0 0.0 0 0.0 14 0 0.0 2 0 0.0 0 0.0 2 0 0.0 22 0 0 0 0 0.0 false 0 0 38149654 52108149 -13958495 X true true 1 1 Baptist Medical Center of Nassau Inc 1250 S 18th St Fernandina Beach FL 32034 www.baptistjax.com 4355 X X X Baptist Medical Center of Nassau Inc 1 false false true X X X X X X X X X 21 true true false true X https://www.baptistjax.com/about-us/social-responsibility/assessing-community-health-needs X http://www.hpcnef.org/jacksonville-nonprofit-hospital-partnership-community-health-needs-assessment/ X X true 21 true https://www.baptistjax.com/about-us/social-responsibility/assessing-community-health-needs false true X 200.0 400.0 X X X X X true true X X X X true X https://www.baptistjax.com/patient-info/financial-assistance X https://www.baptistjax.com/patient-info/financial-assistance X https://www.baptistjax.com/patient-info/financial-assistance X X X X X X true X false X X X X X true X false false Schedule H, Part V, Section B, Line 3E The significant health needs of the community are identified on our CHNA. The methodology to determine the significance of the community health needs and prioritization of the health needs are also described in our CHNA. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Baptist Medical Center of Nassau, Inc.. The Community Health Needs Assessment was conducted to identify priority health needs within each community served by each hospital and to inform development of implementation strategies to address the identified needs selected by each hospital based on their ability to impact them. Additionally, the Partnership focuses collaborative efforts to include the five-county service area of Baker, Clay, Duval, Nassau, and St. Johns. The CHNAs were conducted to respond to federal regulatory requirements and sought to identify significant health needs for geographic areas and populations by focusing on the following questions: * Who in the community is most vulnerable in terms of health status or access to care? * What are the unique health status and/or access needs for these populations? * Where do these people live in the community? * Why are these problems present? * How are disparities based on racial and ethnic inequities affecting health? * What social determinants of health can the health systems significantly address? Primary Data Significant changes from traditional methods of community engagement to virtual engagement platforms were necessary due to the nature of the COVID-19 pandemic. Primary data gathered from various segments of the community with special knowledge and expertise in public health included residents, stakeholder organizations, and hospital staff. The Health Planning Council collected data through (1) virtual key stakeholder interviews, (2) virtual focus groups, and (3) a community survey, in English and Spanish, distributed throughout the service area through online and paper submissions. Over 350 community members contributed their input on the community's health and health-related needs, barriers, and opportunities for Baptist Medical Center Nassau, with special focus on healthy equity in population health and community wellness. The Partnership especially solicited input from members of or representatives of vulnerable and underserved populations through key informant interviews and focus group discussions. There were 13 key informant interviews, 4 focus groups, 33 focus group participants, 308 survey respondents, and a total of 354 participants. Key informant interviews were conducted with 13 community experts who either served or represented underserved communities (such as low-income individuals and groups experiencing disparities in health outcomes or health access). In addition, seven of the focus groups included community members and advocates who are members of underserved communities. Secondary Data Secondary data used for this assessment were collected and analyzed through universal measures recommended by Healthy People 2030 to evaluate the health status of communities and populations served by the Partnership. Data was obtained from the Behavioral Risk Factor Surveillance System, County Health Rankings and Roadmaps, Florida CHARTS, Florida Department of Health, Local Community Health Assessments, Hospital Utilization Reports, U.S. Census, and the Youth Risk Behavior Surveillance System. Indicators were used to evaluate areas of health and quality of life in the following areas through an equity lens: * Accessing Healthcare Services/Resources * Adolescent Health * Asthma * Cancer * Children's Health * Hospitalization and Incidence Ranking * COVID-19 * Diabetes * Disabilities * Fatal Injury * Health Outcomes * Health Factors * Healthcare Utilization * Healthcare Access * Heart Disease and Stroke * Household Income * Infectious Disease * Leading Causes of Death * Life Expectancy * Maternal and Infant Health * Mental Health * Pediatric Health * Poverty Indicators * Substance Abuse * Veterans' Health Indicator values for Duval and St. Johns counties were compared to other Florida counties. Other considerations in weighing relative areas of need included comparisons to Florida state values and national values. Based on these comparisons in conjunction with primary data, health needs were identified and ranked from high to low need. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Baptist Medical Center of Nassau, Inc.. 12 hospitals: (Ascension St. Vincent's Medical Center Clay; Ascension St. Vincent's Medical Center Riverside; Ascension St. Vincent's Medical Center Southside; Baptist Medical Center Jacksonville; Baptist Medical Center of Nassau, Inc.; Baptist Medical Center South; Brooks Rehabilitation Hospital Bartram; Brooks Rehabilitation Hospital University; Mayo Clinic Jacksonville; Wolfson Children's Hospital; UF Health Jacksonville; and UF Health North) Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - Baptist Medical Center of Nassau, Inc.. Public release was held May 26, 2022 with all health system CEOs presenting the assessment methodology, the needs identified in the assessment, and the needs prioritized by each hospital. The public release was attended by approximately 50 people including media representatives. Newspaper articles and television stories reported on the assessment and informed community members where they could find each hospital's assessment and implementation plans. Link to story in the Florida Times-Union - https://www.jacksonville.com/story/news/healthcare/2022/05/30/jacksonville-area-hospitals-release-report-community-health-issues/9905670002/ Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Baptist Medical Center of Nassau, Inc.. Although Baptist Nassau can play a direct role in addressing many health-related priorities, others will require the development of strategic partnerships with community service partners or involve the expertise of the hospital's staff in the development of new and effective efforts that will be administered by other local community organizations. Regardless of the role Baptist Nassau will play in meeting needs, Baptist remains committed to leading and supporting efforts that increase access to care and engage our patients in improving health and community wellbeing, especially through a health equity lens. All Community Health Plan efforts implemented by Baptist Nassau must be measurable, achievable, and financially feasible. This report reflects the goals and strategic objectives identified to address community priorities within Baptist Nassau's influence and scope of service. Access to Care The significant health need of access refers to access issues across the spectrum of both health and quality of life topic areas, including access to health services, transportation, housing, and nutritious food. Access issues were compiled due to their inextricable nature in impacting health behaviors and health outcomes. During the last three-year CHNA cycle, Access to Care was a priority health need addressed by Baptist Medical Center Nassau. As access issues for Nassau residents continue to increase, the focus on this priority will continue into the 2022-2024 CHNA cycle. Key Issues Identified in the Assessment: * Factors contributing to chronic disease include food deserts, level of access to physical activity, and air quality. * Transportation is identified as a need - 91% of CHNA survey respondents from zip code 32034 indicated they do not have access to public transportation. * Nassau County 2018-2020 age-adjusted rates of chronic disease: - Asthma: The hospitalization rate was 2.95x higher for Black patients than White patients - Congestive heart failure: The hospitalization rate was 1.85x higher for Black patients than White patients - Diabetes: The hospitalization rate was 3.21x higher for Black patients than White patients - Stroke: The death rate was 2.03x higher for Black people than White people * Cancer is the second leading cause of death in the region behind heart disease. The three leading cancer death incidences are: breast cancer deaths (females), lung cancer deaths (females & males), prostate cancer deaths (males) - Nassau County 2018-2020 age-adjusted death rates: Breast cancer: The death rate was 2.05x higher for Black females than White females Lung cancer: The death rate was 1.49x higher for Black people than White people Goal: Increase access to health services for un- and under-insured people in the BMCN service area. * Strategy: Continue partnership with organizations to increase access to care. - Metrics Number of people served Evaluate health and wellness of participants in diabetes, hypertension and mental health - Partnerships Barnabas Center - Results: Year 1 (October 1, 2021 - September 30, 2022) * Barnabas Center served 607 un- and under-insured patients - 81 diabetic patients were served, of which 73 were seen at least twice during the 12-month period, and of those, 50 (68.5%) reported reaching within normal levels (HbA1c<7% or 8%) - 204 hypertensive patients were served, of which 180 were seen at least twice during the 12-month period, and of those, 136 (75.6%) measured <140/90 - 171 patients were seen at least one time with a previous or new diagnosis of mental health, of which 132 patients scored a 10 or greater on the PHQ9. 132 were referred for treatment, and 85 (64.4%) participated in treatment Year 2 (October 1, 2022 - September 30, 2023) * Barnabas Center served 792 un- and under-insured patients - 80 diabetic patients were served, of which 62 were seen at least twice during the 12-month period, and of those, 35 (56.5%) reported reaching within normal levels (HbA1c<7% or 8%) - 164 hypertensive patients were served, of which 78 were seen at least twice during the 12-month period, and of those, 29 (37.2%) measured <140/90 - 154 patients were seen at least one time with a previous or new diagnosis of mental health Year 3 (October 1, 2023 - September 30, 2024) * Barnabas Center served 384 un- and under-insured patients - 82 diabetic patients were served, of which 69 (84.1%) were seen at least twice during the 12-month period, and of those, 48 (69.6%) reported reaching within normal levels (HbA1c<7% or 8%) - 125 hypertensive patients were served, of which 103 (82.4%) were seen at least twice during the 12-month period, and of those, 76 (73.8%) * Strategy: Continue partnership with Starting Point to increase access to behavioral health treatment - Metrics Number of people engaging in treatment Evaluation of health and wellbeing of patients in mental health - Partnerships Starting Point Behavioral Health - Results: Year 1 (October 1, 2021 - September 30, 2022) * 2,008 patients identified by the Baptist ED, 286 were screened or referred to Starting Point's Integrated Care Team, resulting in a 14% referral rate. It should be noted that patients may have been admitted due to medical issues or COVID-19, which would not likely result in a referral. * 100% of referrals had an identified care coordinator assigned to them and 28% (80) of those identified engaged in care coordination services * 59% (47) of those receiving care coordination achieved stabilization through community care providers Year 2 (October 1, 2022 - September 30, 2023) * Due to the transition to the Epic EMR, new workflows are being created to calculate the number patients identified by the Baptist ED for screening or referral - 316 were screened or referred to Starting Points Integrated Care Team. - 91.5% (289) of referrals had an identified care coordinator assigned to them and 25.3% (73) of those identified engaged in care coordination services - 56.2% (41) of those receiving care coordination achieved stabilization through community care providers Year 3 (October 1, 2023 - September 30, 2024) * 368 were referred to and screened by Starting Points Integrated Care Team. - 65.8% (242) of referrals had an identified care coordinator assigned to them (the other 126 were not appropriate or Starting Point did not have enough contact information) and 16.1% (39) of those identified engaged in care coordination services - 76.9% (30) of those receiving care coordination achieved stabilization through community care providers Goal: Ensure Nassau County seniors have access to care. * Strategy: Continue partnership with Nassau County Council on Aging to provide transportation to doctor's appointments and errands - Metrics Number of trips provided Number of flu shots given - Partnerships Nassau Council of Aging - Results Year 1 (October 1, 2021 - September 30, 2022) * 237 seniors and low-income individuals were provided transportation to medical appointments * 4,334 trips were provided Year 2 (October 1, 2022 - September 30, 2023) * 469 seniors and low-income individuals were provided transportation to medical appointments * 9,254 trips were provided Year 3 (October 1, 2023 - September 30, 2024) * 533 seniors and low-income individuals were provided transportation to medical appointment * 8,266 trips were provided Goal: Increase knowledge of chronic diseases and where to access services. * Strategy: Provide community partners with education on chronic diseases - Metrics Educational opportunities provided Number of people educated - Partnerships Faith Partners Healthy Living Centers Jewish Community Alliance Wellness Connexion - Results: - Year 1 (October 1, 2021 - September 30, 2022) Social Responsibility Health Education Series: Total attendance: 236 * January: Dementia & Cognition * February: Heart Health * March: Colorectal Cancer * May: Stroke Awareness * July: Diabetes * August: Nutrition * September: Mental Health * 96.3% agreed or strongly agreed that the webinars delivered the information they expected to receive * 92.5% agreed or strongly agreed that because of the webinar, they gained new knowledge that will help them with their well-being * 95.3% agreed or strongly agreed that they plan to apply what they learned Health Partnerships with Healthy Living Centers and JCA Wellness Connexion, provided 270 programs through physician chat, women's health education, prevention & wellness, and support groups. - Year 2 (October 1, 2022 - September 30, 2023) Social Responsibility Health Education Series: Total attendance: 213 * October: Breast Cancer * January: Balanced Diet * February: Heart Health and Stress * March: Caregiver Self-Care * April: Women Stroke Risk Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - Baptist Medical Center of Nassau, Inc.. * May: Exercise is Medicine * June: Brain Health * July: Arthritis & Falls Prevention * August: Healthy Aging * September: Coping with Grief * 94.6% agreed or strongly agreed that the webinars delivered the information they expected to receive * 90.5% agreed or strongly agreed that because of the webinar, they gained new knowledge that will help them with their well-being * 91.7% agreed or strongly agreed that they plan to apply what they learned Health Partnerships with Healthy Living Centers and JCA Wellness Connexion, provided 337 programs through physician chat, women's health education, prevention & wellness, and support groups to 3,659 participants. - Year 3 (October 1, 2023 - September 30, 2024) Health Partnerships with Healthy Living Centers and JCA Wellness Connexion, provided 485 programs through physician chat, women's health education, prevention & wellness, and support groups to 4,576 participants. Mental and Behavioral Health Mental health is an integral and essential component of health. It is a state of well-being in which individuals realize their abilities, cope with the everyday stresses of life, work productively, and contribute to their community. Baptist Health has made behavioral health services a priority, providing comprehensive inpatient and outpatient services to both children and adults. Mental Health was a priority health need addressed by Baptist Nassau in the last three-year CHNA cycle, and the focus on this health need continues into this CHNA cycle as behavioral health needs of Jacksonville residents continue to increase. Key Issues Identified in the Assessment: * Mental Health was one of the most mentioned health concerns. * Priority issues identified involving mental health include lack of providers; cost; stigma; youth mental health; telehealth; suicide; LGBTQ mental health - The 2020 Nassau County age-adjusted rates per 100,000 persons for opioid overdose deaths were 27.2 and drug overdose deaths were 31.4, while the state's rates respectively were 29.9 and 36.0. Goal: A healthy community with easy and timely access to high quality services when needed. * 24-hour support and timely appointments (2 weeks - counseling, 4 weeks - psychiatry) * More providers delivering the most advanced care * More providers delivering the most advanced care * Strong care continuum (enough of the right type of care) * Seamless transitions along the care continuum * Mental illness decriminalized * Stigma eliminated and crises prevented * Community advocating improvement * Non-medical needs addressed (social determinants of health) * Strategy: Continue offering evidence-based trainings proven to reduce stigma of mental illness and help people access care (MHFA, YMFA, teen MHFA, and/or QPR). - Metrics * Number of people trained in adult MHFA by 2024 * 1,000 students trained in teen MHFA, QPR and/or YMHFA * Evaluate participant satisfaction - Partnerships * Starting Point Behavioral Healthcare - Results: * Year 1 (October 1, 2021 - September 30, 2022) 521 10th grade Nassau students completed Teenage MHFA NEF: 50 Adult MHFA classes were offered in which 624 participants were trained * 83% of participants rated the course as helpful and informative NEF: 13 Youth MHFA classes were offered in which 179 participants were trained * Year 2 (October 1, 2022 - September 30, 2023) 40 Teen MHFA classes were conducted in which 947 10th grade Nassau students were trained * 57.1% of participants demonstrated an improvement in Knowledge and Confidence NEF: 25 Adult MHFA classes were offered in which 366 participants were trained * 94.12% of participants demonstrated an improvement in Knowledge and Confidence NEF: 41 Youth MHFA classes were conducted in which 832 participants were trained * 94.93% of participants demonstrated an improvement in Knowledge and Confidence Wolfson Children's offered 15 classes for Youth MHFA in which 232 adults were trained NEF: 35 virtual Youth MHFA classes were conducted in which 427 people were trained. * 49% of participants demonstrated an improvement in Knowledge and Confidence * Year 3 (October 1, 2023 - September 30, 2024) 40 Teen MHFA classes were conducted in which 903 10th grade Nassau students were trained * 78.65% of participants demonstrated an improvement in Knowledge and Confidence NEF: 48 Adult MHFA classes were offered in which 724 participants were trained * 95.84% of participants demonstrated an improvement in Knowledge and Confidence NEF: 19 Youth MHFA classes were conducted in which 318 participants were trained * 94.72% of participants demonstrated an improvement in Knowledge and Confidence Wolfson Children's offered 8 classes for Youth MHFA in which 99 adults were trained NEF: 26 virtual Youth MHFA classes were conducted in which 346 people were trained. * 84.47% of participants demonstrated an improvement in Knowledge and Confidence * Strategy: Convene a leadership task force of providers, elected leaders and people with lived experience to prioritize identified opportunities and develop a plan for action - Metrics * Measure crisis calls (schools, EMT, police) * Evaluate the impact of each initiative according to its focus * Rate of behavioral health ED visits - Partnerships * Hope Street Inc. * Karyn Purvis Institute of Child Development at TCU - Results: * Year 1 (October 1, 2021 - September 30, 2022) Hope & Healing JAX: Building a Trauma Responsive Jacksonville was created in partnership with Hope Street, Inc. and the Karyn Purvis Institute of Child Development at Texas Christian University as a Jacksonville city-wide initiative to: * (1) foster awareness and culture change. * (2) prevent and reduce ACEs and trauma. * (3) nurture learning committees. * Year 2 (October 1, 2022 - September 30, 2023) Hope & Healing JAX delivers Trust-Based Relational Intervention Training to parents/caregivers, teachers, faith leaders, and service providers across sectors. As the Building Trauma Response Jacksonville lead agency, Hope & Healing JAX networks to strengthen existing healing and resilience building efforts while addressing Positive & Adverse Childhood Experiences (PACEs). * 384 education training hours * 1,897 participants in trainings through Hope & Healing JAX * Served 153 partner organizations. * Hosted 2 Action Group Retreat events at Baptist Medical Center Jacksonville in 2023 to strengthen and grow existing trauma-informed care efforts with local organizations. - As a result of the retreat 94.5% of participants reported having a better understanding of TBRI, trauma, ACEs, and related issues * 3 TBRI Practitioners at Baptist Health and Wolfson Children's Hospital led 18 trainings resulting in over 511 team members training in TBRI. * Year 3 (October 1, 2023 - September 30, 2024) Hope & Healing JAX - Trust-Based Relational Intervention Training * 403 education training hours in TBRI and Positive Discipline * 3,194 participants served in trainings * Served 325 school and partner organizations. * Hosted 2 Action Group Retreat events at Baptist Medical Center Jacksonville in 2024. - As a result of the retreat 98% of participants reported having a better understanding of TBRI, trauma, ACEs, and related issues * Trained 53 Baptist/Wolfson's team members in 3 trainings of TBRI and Positive Discipline - On a post-training assessment, participants scored 96% * Strategy: Host community-wide conferences on mental health to reduce stigma and barriers to care. - Metrics * Number of people attending the conference * Satisfaction Surveys - Partnerships * Florida Blue * Florida Hospital Association - Results: * Year 1 (October 1, 2021 - September 30, 2022) The 2022 Mental Health Conference - Access and Advocacy: A Community Conversation, was hosted on April 27, 2022, with 191 individuals in attendance. * The keynote address and presentation materials were posted on the Baptist health Social Responsibility website * 100% of survey respondents (n=34) rated the conference quality as excellent or good * Strategy: Beginning in 2022, participate in Project Save Lives to provide access to peer support for ED patients with mental - Metric * Percentage of identified people who met peer specialists * Percentage of people who entered treatment * Percentage of people who did or didn't consent to services and are readmitted into ED - Partnership * Starting Point Behavioral Health - Results: * Year 1 (October 1, 2021 - September 30, 2022) There were 286 patient encounters of which 80 (28%) engaged in coordination services. * 47 (58.8%) achieved stability * 25 (8.7%) of those referred to care coordination had a 30-day readmission from their last ED visit Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - Baptist Medical Center of Nassau, Inc.. * Year 2 (October 1, 2022 - September 30, 2023) There were 316 patient encounters, of which 73 (23.1%) engaged in care coordination services. * 41 (56.2%) achieved stability * Year 3 (October 1, 2023 - September 30, 2024) There were 368 patient encounters, of which 39 (10.6%) engaged in care coordination service * 30 (79.6%) achieved stability. Goal: Decease isolation for Seniors * Strategy: Friendly callers - seniors developing phone friendships with seniors - Metric: * Number of volunteers in program * Number of seniors in program * Number of phone calls * Total time invested in calls * Quality of phone calls reported by volunteers - Partnership - Results: * Year 1 (October 1, 2021 - September 30, 2022) 27 volunteers (2 for BMC Beaches, 9 for BMC Jacksonville, 4 for BMC Clay/South, and 12 team members) * 36 community members * 928 phone calls * 473.1 hours invested in calls * Quality of phone calls (reported by volunteers) - 703 phones calls rated - Excellent: 87.34% (614) - Pretty Good: 9.82% (69) - OK: 1.71% (12) - Weak: 0.57% (4) - Poor: 0.57% (4) * Year 2 (October 1, 2022 - September 30, 2023) 17 volunteers (1 for BMC Beaches, 9 for BMC Jacksonville, 3 for BMC Clay/South, and 4 team members) * 28 community members * 378 phone calls * Around 147.75 hours invested in calls * Quality of phone calls (reported by volunteers) - 334 phones calls rated - Excellent: 69.76% (233) - Pretty Good: 27.25% (91) - OK: 1.50% (5) - Weak: 0.30% (1) - Poor: 1.20% (4) Maternal and Child Health In 2020, 17,920 babies were born in Northeast Florida with 817 being born in Nassau County and Baptist Nassau delivering over 300 babies. Maternal health refers to the health of women during pregnancy, childbirth, and the postnatal period. Each stage should be a positive experience, ensuring women and their babies reach their full potential for health and well-being. Children's health is the extent to which individual children or groups of children are able or enabled to develop and realize their potential, satisfy their needs, and develop the capacities that allow them to interact successfully with their biological, physical, and social environments. Child health is the foundation to adult health and overall well-being. At Baptist Health, we are committed to providing quality care through every stage of life. Infant Mortality Rate Florida 6.1 Nassau 5.1 Key Issues Identified in the Assessment: * The Nassau County age-adjusted rate for all deaths ages 1-5 is 38.6, higher than the state rate of 24.4 and highest in Northeast Florida. * The Nassau County age-adjusted rate for unintentional injury deaths ages 1-5, is 30.9 compared to a state rate of 9.4. * The rate of children age 1-5 in foster care is 269, the highest in Northeast Florida and higher than the state rate of 220.4. Goal: Zero preventable deaths and zero health disparities * Strategy: Partner with the Northeast Florida Healthy Start Coalition to address needs of moms and babies, including program and policy solutions - Metric Infant Mortality Pre-Term Births Low Birth-weight babies - Partnerships: Northeast Florida Healthy Start Coalition - Results: Year 1 (October 1, 2021 - September 30, 2022) * The Healthy Start Coalition conducted 207 initial assessments for infants and pregnant women - 188 referred for services - 1 enrolled in Nurse Family Partnership, an evidence-based home visiting model for first-time moms, starting early in the pregnancy and continuing until the child's second birthday. - 7 enrolled in Healthy Families, a program that prevents abuse by empowering families to create safe, stable, nurturing homes where their children thrive - 86 enrolled in Healthy Start, a program that provides referral information and support services for pregnant women and infants up to ag 3 and their families. Services are tailored based on individual needs and include childbirth education; parenting information; smoking cessation; and breastfeeding support. * 2021 Infant mortality rates - Florida: 5.9/1,000 live births - Nassau: 2.4/1,000 live births * 2021 Pre-term births - Florida: 23,179 (10.85%) - Nassau: 95 (11.32%) * 2021 Low Birth Weight Babies - Florida: 19,211 (8.99%) - Nassau: 62 (7.39%) Year 2 (October 1, 2022 - September 30, 2023) * The Healthy Start Coalition conducted 236 initial assessments for infants and pregnant women - 224 referred for services - 2 enrolled in Nurse Family Partnership - 4 enrolled in Healthy Families - 108 enrolled in Healthy Start * 2022 Infant mortality rates - Florida: 6.0/1,000 live births - Nassau: 4.8/1,000 live births * 2022 Pre-term births - Florida: 23,670 (10.55%) - Nassau: 88 (10.56%) * 2022 Low Birth Weight Babies - Florida: 20,405 (9.09%) - Nassau: 66 (7.92%) Year 3 (October 1, 2023 - September 30, 2024) * The Healthy Start Coalition conducted 236 initial assessments for infants and pregnant women - 254 referred for services - 1 of 1 enrolled in Nurse Family Partnership - 9 of 56 enrolled in Healthy Families - 139 of 198 enrolled in Healthy Start * 2023 Infant mortality rates - Florida: 6.0/1,000 live births - Nassau: 7.8/1,000 live births * 2023 Pre-term births - Florida: 23,692 (10.7%) - Nassau: 124 (13.81 %) * 2023 Low Birth Weight Babies - Florida: 20,055 (9.06%) - Nassau: 84 (9.35%) * Strategy: Expand WELLcome Home initiative to Nassau in 2023 - Metric: Number of mothers connected through phone or via in-home support - Partnership THE PLAYERS Center for Child Health - Results: Year 1 (October 1, 2021 - September 30, 2022) * 1311 mothers phoned after discharge delivery, and 758 mothers participated in the WELLcome Home call back education program systemwide. Year 2 (October 1, 2022 - September 30, 2023) * 7,354 mothers called after discharge delivery, and 3,772 (51.3%) systemwide participated in the program * WELLcome Home expanded outreach efforts to include families with infants discharged from the NICU as well as fetal demise. * Efforts are still underway to expand the program to Baptist Nassau specifically. Year 3 (October 1, 2023 - September 30, 2024) * 7,997 mothers called after discharge delivery, and an estimated 70% systemwide participated in the program * Strategy: Offering classes increasing awareness of safe sleep practices and CPR to expectants mothers. - Metric: Number of participants who attended the class - Partnership THE PLAYERS Center for Child Health - Results: Year 1 (October 1, 2021 - September 30, 2022) * A total of 456 adults were provided with safe sleep education. - Participated in 8 community events and 8 classes offering safe sleep practices and education * 532,207 total media impressions covering safe sleep education * "First Year Baby Safety Essentials" virtual classes included demonstration of infant/child CPR and addressed choking, first aid, and unintentional injury prevention. There were 8 classes offered to a total of 92 participants. Year 2 (October 1, 2022 - September 30, 2023) * A total of 970 adults were provided with safe sleep education through classes, community events, and outreach. - 8 Safe Sleep Classes with 75 participants provided with safe sleep education. * 495 participants in the "First Year Baby Safety Essentials" class which included demonstration of infant/child CPR and addressed choking, first aid, and unintentional injury prevention. * Distributed a total of 28 Pack N Plays to mothers and families. * 121 mothers participated in New Moms Support Group * 233 participants in the Early Pregnancy education class * Provided 8 Safe Sitter classes educating 93 students in grades 6-8 to be safe when they are home alone, watching younger siblings, or babysitting Year 3 (October 1, 2023 - September 30, 2024) * A total of 671 adults were provided with safe sleep education through classes, community events, and outreach. - 6 Safe Sleep Classes with 27 participants provided with safe sleep education. * 630 participants in the "First Year Baby Safety Essentials" class which included demonstration of infant/child CPR and addressed choking, first aid, and unintentional injury prevention. * Distributed a total of 19 Pack N Plays to mothers and families. * 94 mothers participated in New Moms Support Group * 241 participants in the Early Pregnancy education class Goal: To improve the eye vision of children county wide. * Strategy: Provide access to screenings, exams and glasses for children in need - Metric: Percentage of students who failed a vision screening, who received an eye exam, and who received prescription glasses Number and percent of students who fail vision screenings multiple years Number of screenings, exams and glasses provided - Partnership: Vision is Priceless Schedule H, Part V, Section B, Line 11 Facility , 4 Facility , 4 - Baptist Medical Center of Nassau, Inc.. - Results: Year 1 (October 1, 2021 - September 30, 2022) * 35,309 children received vision screenings for the early detection of vision issues in NEF (Baker, Clay, Duval, Nassau, and St. Johns counties; Partner schools are in Clay, Duval, and St. Johns counties) with 4,116 referred for a comprehensive exam - 1,574 (4.46%) of students failed the screening and received comprehensive eye exams while at school - 1,346 (85.77%) of students who were examined, received prescription glasses * 1,227 Nassau children screened. Year 2 (October 1, 2022 - September 30, 2023) * 36,665 children received vision screenings for the early detection of vision issues in NEF (Baker, Clay, Duval, Nassau, and St. Johns counties; Partner schools are in Clay, Duval, and St. Johns counties) with 3,954 referred for a comprehensive exam - 2,550 (6.96%) of students failed the screening and received comprehensive eye exams while at school - 2,116 (82.98%) of students who were examined, received prescription glasses * 1,110 Nassau children screened. Year 3 (October 1, 2023 - September 30, 2024) * 36,190 children received vision screenings for the early detection of vision issues in NEF (Baker, Clay, Duval, Nassau, and St. Johns counties; Partner schools are in Clay, Duval, and St. Johns counties) with 4,243 referred for a comprehensive exam - 2,688 (7.43%) of students failed the screening and received comprehensive eye exams while at school - 2,310 (85.94%) of students who were examined, received prescription glasses * 1,071 Nassau children screened. Social Determinants of Health While the traditional role of health care is to treat patients' physical symptoms and medical conditions, clinical care accounts for only about 20% of an individual's health outcomes. An individual's habits and behaviors account for about 30% of quality and length of life. The social, economic, and environmental factors, also known as Social Determinants of Health (SDOH), determine 50% of an individual's health outcomes, and they affect an individual's ability to stay healthy and recover from illness, manage chronic conditions, and maintain overall well-being. The Healthy People Initiative organized SDOH around 5 key domains: Economic stability; Education access and quality; Health care access and quality; Neighborhood and built environment; and Social and community context. Key Issues Identified in the Assessment: * Cost of care (copays, prescriptions) was commonly cited as an inhibiting factor for individuals who have difficult accessing medical and dental services. * Top economic issues affecting health also include lack of a living wage and lack of affordable healthcare and insurance. * CHNA survey respondents and interviewees indicated a community-wide concern regarding the lack of affordable and safe housing. Goal: Address social needs that prevent people from achieving optimal health. * Strategy: Increase employment opportunities - Metric: Percentage of people hired in low life expectancy zip codes - Partnerships: Careersource LIFT JAX - Results: Year 1 (October 1, 2021 - September 30, 2022) * A partnership was created with Careersource to provide job fairs in identified zip codes. Dues to unforeseen circumstances with Hurricane Ian, the initiative was postponed. Year 2 (October 1, 2022 - September 30, 2023) * Baptist Health's Social Responsibility attended two job fairs hosted by CareerSource in May at the Webb Wesconnett Library and Gateway Town Center which are in areas with low life-expectancies in Duval County. * Baptist Health's Human Resources collaborates with Social Responsibility monthly with the goal of increasing hires from economically disadvantaged zip codes by removing barriers to hire through intentional pathways, programs and partnerships. - Baptist Health hired a total of 611 individuals from zip codes 32206, 32208, 32209, 32210, 32244. The total hired from all zips codes was 5,259 - representing 11.6% of all new hires. * Two cohorts of 17 and 15 community participants have completed the Certified Nursing Assistant Training Program at the Baptist Health Clinical School. From the program, 21 new CNAs have been hired. Year 3 (October 1, 2023 - September 30, 2024) * Increasing hires from economically disadvantaged zip codes by removing barriers to hire through intentional pathways, programs and partnerships. - Baptist Health hired a total of 477 individuals from zip codes 32206, 32208, 32209, 32210, 32244. The total hired from all zips codes was 3,701 - representing 12.9% of all new hires. * Three cohorts of 15, 18, and 12 community participants have completed the Certified Nursing Assistant Training Program at the Baptist Health Clinical School. From the program, 31 new CNAs have been hired. * LIFT JAX partnered with Goodwill Industries to bring their services to the community through the GoodCareers Center on the second floor of The Corner at Debs Store. Goodwill was able to provide services before and after the opening of the building. Key data points include: - 739 residents provided with virtual and in-person employment services such as job placements and resume services. - 11 residents from the neighborhood have been recruited, hired, and are now working at the grocery operation * Strategy: Increase access to healthy food - Metric: Percentage of identified FQHC and free clinic patients screened for food insecurity Percentage of patients connected with food assistance programs Number of home-delivered food boxes or meals - Partnership: Barnabas - Results: Year 1 (October 1, 2021 - September 30, 2022) * 317 9atients were screened (52.2%) for food insecurity and 53 patients (16.7%) were enrolled in the Food for Healthy Living Program Year 2 (October 1, 2022 - September 30, 2023) * 130 patients were screened (16.4%) for food insecurity Year 3 (October 1, 2023 - September 30, 2024) * 120 patients were screened (31.3%) for food insecurity * Strategy: Ensure Seniors have access to in-home support and other health well-being needs - Metric: Number of Seniors receiving in-home support - Partnership: Nassau Council on Aging United Way of Northeast Florida - Results: Year 1 (October 1, 2021 - September 30, 2022) * Nassau Council on Aging (COA) provided transportation for 237 seniors and low-income individuals to medical appointments and medical procedures * Nassau COA also provided 25 home health aides/CNAs to assist 207 seniors with in-home care and medication management Year 2 (October 1, 2022 - September 30, 2023) * Nassau Council on Aging (COA) provided transportation for 469 seniors and low-income individuals to medical appointments and medical procedures * Nassau COA also provided 3 home health aides/CNAs to assist 128 seniors with in-home care and medication management * United Way's Ride United program provided 2,954 round trips within 42 zip codes across Northeast Florida to 686 unique riders (32 trips in Clay County, 2,895 trips in Duval County, 4 trips in Nassau County, and 23 trips in St. Johns County) Year 3 (October 1, 2023 - September 30, 2024) * Nassau Council on Aging (COA) provided transportation for 533 seniors and low-income individuals to medical appointments and medical procedures * Nassau COA also provided home health aides/CNAs to assist 116 seniors with in-home care and medication management * United Way's Ride United program provided 2,694 round trips across Northeast Florida to 462 unique riders (27 trips in Clay County, 2,661 trips in Duval County, 1 trip in Nassau County, and 5 trips in St. Johns County) * Nassau COA's THRRIVE (Therapeutic Services Restoring and Retaining Independence of Vulnerable Elders) program provided easily accessible quality therapeutic healthcare services to 90 seniors needing assistance due to physical and/or cognitive challenges) * Strategy: Implement Findhelp (Aunt Bertha) referral system for patients and community members - Metric: Number of organizations receiving referrals through Findhelp - Partnership: Findhelp - Results: Year 1 (October 1, 2021 - September 30, 2022) * Implementation of Findhelp occurred through the summer as the Epic EMR was being setup for a late July start. Thirty-six organizations received 46 referrals between May and September Year 2 (October 1, 2022 - September 30, 2023) * Twenty organizations received 26 referrals between October and September Year 3 (October 1, 2023 - September 30, 2024) * Thirty-nine organizations received 51 referrals between October and September Schedule H, Part V, Section B, Line 11 Facility , 5 Facility , 5 - Baptist Medical Center of Nassau, Inc.. Needs Baptist Medical Center Nassau Will Not Address No entity can address all the health needs present in its community. Baptist Nassau is committed to serving the community by adhering to its mission, using its skills and capabilities, and remaining a strong organization so that it can continue to provide a wide range of community benefits. This plan does not include specific strategies to address the following health priorities that were identified in the 2021 Community Health Needs Assessment; however, each of these health needs will continue to be addressed through partnerships and ongoing initiatives: Areas of Poverty - This need is being addressed by other entities in Northeast Florida, including United Way of Northeast Florida, which is supported by Baptist Health. Baptist Nassau does not anticipate implementing additional initiatives to address poverty. The hospital does not have sufficient resources to effectuate a significant change in this area, and believes resources devoted to its health plan should focus on other significant community health needs. Chronic Disease - With support from Baptist Nassau, Barnabas Center provides health services, crisis assistance, and food programs that help people get back on their feet. It is better suited to connect residents with a primary care doctor and navigate community resources to address chronic disease concerns. Baptist Nassau does not anticipate implementing additional initiatives to address chronic disease. Transportation - Baptist Nassau provides funding to the Nassau County Council on Aging to support transportation for local seniors to medical appointments and other errands. Given this investment, Baptist Nassau will focus on other significant community health needs. The hospital is committed to addressing other social determinants of health. Housing - Nassau Habitat for Humanity, United Way, and other organizations in Northeast Florida are better positioned to assist residents with housing needs. Baptist Health is committed to addressing social determinants of health and will advocate for ways to ensure residents have the means to a healthy life. Cancer - Baptist MD Anderson Cancer Center is part of the Baptist Nassau services and participates in outreach and educational activities throughout Northeast Florida. Given this significant investment in cancer care and education in the Baptist Nassau service area, the hospital will focus on other significant community health needs. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - Baptist Medical Center of Nassau, Inc.. Charity or Discounted Care posters are located in the Emergency Rooms and Patient Admission areas to inform patients of financial assistance and who to contact regarding financial assistance. AT PATIENT ACCESS POINTS, "GUIDELINES FOR CHARITY CARE ELIGIBILITY" CARDS ARE PROVIDED THAT CONTAIN FINANCIAL DISCOUNT AND CHARITY CARE INFORMATION. THIS INCLUDES A GENERAL CHART OF ELIGIBLE INCOME LEVELS AND ENCOURAGES PATIENTS TO SPEAK WITH OUR PATIENT FINANCIAL ADVOCATES TO ARRANGE A FINANCIAL EVALUATION. All billing statements conspicuously display the phone number, address, and website which directs patients to our financial assistance advocates and contains all financial assistance information. ALL APPLICANTS FOR FINANCIAL ASSISTANCE ARE MAINTAINED WHETHER OR NOT THE PATIENT QUALIFIES. All attempts to contact the patient are exhausted before sending to collections. All patients are sent through a system that analyses the financial position of the individual. All patients who are scored a certain number in accordance with our policy and who have not already applied for financial assistance are automatically deemed eligible for financial assistance. 0 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 Ferst Readers: Baptist Nassau is a proud supporter of Ferst Readers Nassau, a nonprofit that works in the community to provide quality and age-appropriate books and literacy resources for children ages birth to 5, all free of charge. They strive to create stronger communities through early literacy development by making books accessible to all children and encouraging families to read together. Baptist Nassau sponsors about 100 of the over 800 students. Project Search: Baptist Nassau partners with the Nassau County School system as a host site for Project SEARCH, which allows local students with physical or mental disabilities to gain valuable job skills by working on campus alongside Baptist team members. This hands-on education and training promotes independence for the individual along with workforce and career development that benefits the students, workplace, and community. Baptist Nassau hosted four students in FY24. 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-one teenagers (four from Nassau) participated in the job readiness training, but only 43 were a part of and completed the summer sessions with three at Baptist Nassau. Tipping the Scale - Youth Mentoring Program: Twelve Baptist Health employees volunteered their time to provide one-to-one mentoring for 15 high school students every other week. 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. Schedule H, Part II, Line 6 Coalition Building Child Protection Team UF Health: Safe Kids Northeast Florida collaborates with the Child Protection Team to provide educational resources in the community to reduce the rate of child abuse throughout Northeast Florida. Episcopal Children's Services Health Services Advisory Council for Baker, Clay, Duval, and Nassau counties provides a network of community connections to support Head Start and Early Head Start programs with integrated, comprehensive health services. Wolfson Children's 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. Fetal Infant Mortality Review Committee aims to reduce infant mortality by gathering and reviewing detailed information to gain a better understanding of fetal and infant deaths in Northeast Florida. The project examines cases with the worst outcomes to identify gaps in maternal and infant services and to promote future improvements. Wolfson Children's and Baptist Health representatives are active members of the Committee. Florida Mental Health Advocacy Coalition, through the local Nation Alliance on Mental Illness, is a non-profit, non-partisan coalition of organizations that advocate for policy changes to improve the quality of life for those who live with a mental illness and/or substance use disorder in the state of Florida. Florida Occupant Protection Coalition - The Florida Occupant Protection Coalition (FOPC) was formed to identify and prioritize Florida's most pressing occupant protection issues. The Coalition reviews proven strategies and discusses promising new practices. The FOPC is developing a strategic plan that will serve as the blueprint for legislation, program, and funding strategies to maximize Florida's ability to reduce unrestrained motor vehicle occupant crashes. The FOPC is responsible for overseeing the implementation of the Occupant Protection Strategic Plan. Wolfson Children's Hospital is active on the coalition, providing a child passenger safety technician support. Florida Poison Information Center: As a part of Safe Kids Northeast Florida Coalition, the Florida Poison Information Center supports efforts to reduce fatal poisonings and unintentional medication injections. Representatives participated with Safe Kids Northeast Florida to share messaging throughout the community. 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. Nassau County Behavioral Healthcare Consortium is a group of mental and behavioral health agencies and advocates that meet monthly to promote communication and collaboration between consortium partners and other community organizations. The group currently aims to create a trauma informed community by providing community education in multiple settings throughout the county to increase awareness of the effects of physical abuse, substance use, and trauma on child development and adult health. Northeast Florida Coalition for Access to Healthcare is the re-imagined Uninsured Workgroup. The overarching goal of the coalition is to ensure that local providers and other healthcare partners work collaboratively and identify available local resources to address issues related to access to healthcare in Baker, Clay, Duval, Flagler, Nassau, St. Johns, and Volusia counties. Northeast Florida Healthy Start Coalition leads a cooperative community effort to reduce infant mortality and improve the health of children, childbearing women, and their families in Northeast Florida. Wolfson Children's is an active member of the Healthy Start Coalition. Northeast Florida Healthy Start Community Action Group: The Community Action Group works to implement the Fetal and Infant Mortality Review (FIMR) recommendations to reduce infant mortality in Northeast Florida. Wolfson Children's is an active member of the action group. The Partnership for Child Health develops and implements programs and services to improve the health and wellbeing of all children and youth in Northeast Florida by collaborating with community partners in major child-serving organizations. Wolfson Children's is an active member of The Partnership which is focused on providing a medical home for children with complex medical conditions, mental, behavioral and addiction health disorders, developmental disabilities, access to dental care, family violence and dysfunction, poverty, child trafficking, and other marginalized children and families. Safe Kids Northeast Florida is a local coalition of Safe Kids Worldwide and led by THE PLAYERS Center for Child Health at Wolfson Children's, founded in 2003. Funding is provided by Wolfson Children's, along with grants from Safe Kids Worldwide, and public and private contributors. Safe Kids brings together local organizations to promote pediatric injury prevention and offer programs to prevent accidental injuries to children ages 19 and under. WaterSmart Florida Drowning Prevention Task Force: WaterSmart Florida is a state-wide coalition led by the Florida Department of Health and key partners Safe Kids Florida and YMCA. Members represent local drowning prevention task forces and many regions and counties in our state, all working together to decrease fatal and non-fatal drowning in Florida's children through awareness, education, and swimming lessons. Schedule H, Part II, Line 7 COMMUNITY HEALTH IMPROVEMENT ADVOCACY Starting Point Glow Up: Baptist Nassau participated in Starting Point Behavioral Health's Glow Up event which is a mental health advocacy event that brings together behavioral and mental health resource agencies to celebrate recovery. This annual event aims to reduce the stigma around mental illness and substance abuse while showcasing the community resources available to those in need. NAMI Walk: Baptist Nassau hosted a satellite walk for the National Alliance of Mental Illness to raise awareness not only of mental health issues, but also the resources available for individuals and their families struggling with illness or substance abuse issues. Schedule H, Part II, Line 9 OTHER Council on Aging Health Expo: Baptist Nassau along with Baptist MD Anderson and the Baptist Health Stroke Educators attended this annual health fair geared toward seniors in Nassau County. Baptist Health provided information and education on stroke prevention, recognition, treatment, and management as well as education on nutrition and heart health. MD Anderson provided sunscreen and skin cancer education. Shrimp Festival: Baptist Nassau sponsors and supports the annual Shrimp Festival each year with health education activities for attendees that come to our booth. Each year, there are over 100,000 attendees that come to the festival throughout the weekend and our leadership team along with physicians answer questions and educate the public on health issues like nutrition, senior care, women's health, men's health, early screenings for lung and colon cancer, and heart health. 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 CHANGES 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 15 Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs Medicare allowable costs of care based on the organization's cost accounting system which is used to determine the amount reported on Line 6. None of the shortfall reported on Line 7 is included in Schedule H, Part I. The shortfall reported on Line 7 should be treated as community benefit because the revenue received from Medicare reimbursements does not exceed the cost of providing Medicare services. The organization will continue to provide excellent patient care to the Medicare patient population in our community. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance Yes, the organization does have a written debt collection policy. The policy does not specifically address those patients who are known to qualify or have applied for charity care as the organization does not bill these patients. The organization's cost accounting system identifies all patients who have a pending or approved charity application. The organization would only bill the patient if, after multiple attempts to obtain any needed documentation from the patient to complete the charity approval process, the patient was noncompliant. Schedule H, Part V, Section B, Line 16a FAP website - Baptist Medical Center of Nassau, Inc.: Line 16a URL: https://www.baptistjax.com/patient-info/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - Baptist Medical Center of Nassau, Inc.: Line 16b URL: https://www.baptistjax.com/patient-info/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Baptist Medical Center of Nassau, Inc.: Line 16c URL: https://www.baptistjax.com/patient-info/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment Baptist Health System Inc. (BHS), parent company of the filing organization, is a member of the Jacksonville Community Benefit Partnership that is a collaborative of 5 hospitals who work together to access and address important community health needs. Data is gathered from the Florida Health Community Health Assessment Resource Tool Set (CHARTS) website which serves as a source of population data and health statistics about Florida and its counties. Queries, reports, and individual indicators are available for Baker, Clay, Duval, Nassau, and St. Johns counties. In addition, with the implementation of the Epic EMR, Baptist Health is developing reports to improve identification of healthcare and social needs of patients and the communities they live in. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance At patient access points, "Guidelines for Charity Care Eligibility" cards are provided that contains financial discount and charity care information. This includes a general chart of eligible income levels and encourages patients to speak with one of our patient financial advocates to arrange a financial evaluation. The organization sends statements to patients who have applied for charity care but have not provided all the documentation that is required to make a determination; letters are sent by the organization requesting the information to complete their application. Schedule H, Part VI, Line 4 Community information Baptist Medical Center Nassau's service area is Nassau County, which has a total land area of 648.6 square miles and a resident population of 96,444. Fernandina Beach is located on Amelia Island, the county's one inhabited island. The racial makeup of the area is 84.92% White, 5.36% Black or African American, 1.13% Asian, 0.43% Native American, 0.08% Pacific Islander, 1.57% from other races, and 6.51% from two or more races. Hispanic or Latino of any race is 5.75% of the population. The population's age groups are 19.19% under 18, 6.92% from 18-24, 22.2% from 25-44, 27.1% from 45- 64, and 24.59% who are 65+. The median age is 46.4 years. The median and average household incomes are $76,427 and $98,554, respectively. The percentage of families below the poverty line is 7.61% and 4.55% for families with children. There is one Federally Designated Medically Underserved Area present in the service area. Schedule H, Part VI, Line 5 Promotion of community health Baptist Health System, Inc. (BHS) continues to maintain an open medical staff. A designated Social Responsibility Community Health Board Committee is established to provide direction to the community health work based on the community need within the five county area served by BHS. In FY24, BHS provided over $84.4 Million in charity care to people who where under/un-insured, over $10.2 million in community benefit, and over $6.2 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. true Florida Essential Healthcare Partnerships Foundation 401 W 15th Street Austin TX 78701 853682775 501(c)(3) 401585 The Charitable Purpose of Florida Essential Healthare Partnerships Foundation is to increase the amount of Medicaid funding available to support medical care for the medically indigent population in various counties in the state of Florida. The Grant Program is designed to increrase the flow of medicaid and other supplemental federal healthcare funds to Florida Patients, consistent with applicable federal and state requirements. STARTING POINT BEHAVIORAL HEALTHCARE 463142 State Rd 200 Yulee FL 32097 593029469 501(c)(3) 210096 To promote emotional wellness through psychiatric, mental health and substance use disorder treatment services and community education and awareness. Nassau County Council on Aging 1901 Island Walk Way Fernandina Beach FL 32034 237375273 501(c)(3) 135000 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. Barnabas Center 1303 Jasmine St Fernandina Beach FL 32034 592920275 501(c)(3) 124000 TO AFFORD RESIDENTS OF NASSAU COUNTY, FLORIDA TEMPORARY AID DURING CRISIS SITUATIONS THAT ARISE DUE TO UNFORESEEN CIRCUMSTANCES. Northeast FL Healthy Start 751 Oak Street Jacksonville FL 32204 593139801 501(c)(3) 114211 To establish and maintain a community-based prenatal and infant health care coalition that is comprised of persons representing the public, private sector, state and local government, providers, community alliances and maternal and child health organizations, that will identify the needs of its service area, devise and implement a service plan to meet the identified needs pursuant to Florida Statutes on a continuing basis. Youth Crisis Center Inc 3015 Parental Home Rd Jacksonville FL 32216 592176287 501(c)(3) 65000 To build a healthier community by empowering young people and families to rise above adversity. Boys & Girls Club of Nassau PO BOX 16003 Fernandina Beach FL 32035 593672345 501(c)(3) 6250 To support the after-school and summer programs which benefit the community's youth. BRING YOUR BROKENNESS INC 96064 Ocean Breeze Dr Fernandina Beach FL 32034 832201591 501(c)(3) 5000 To provide a safe and loving environment for women with eating disorders to find hope and healing for life transformation through God's Word. 8 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Annual budgets for community donations are prepared by the hospital organization and approved by Baptist Health System, Inc., parent affiliate of the organization. true true false false false false false false false Michael A Mayo DHA President 0 1239294 0 844798 0 316607 0 18975 0 36743 0 2456417 0 0 Matthew A Zuino Interim Vice President through 09.13.24 0 865641 0 373560 0 183908 0 129527 0 24548 0 1577184 0 40179 Brett S McClung Former President (As of 05.01.21) 0 0 0 125000 0 387000 0 0 0 0 0 512000 0 0 Elizabeth R Ransom MD Former EVP/CPE (As of 08.15.21) 0 0 0 0 0 105000 0 0 0 0 0 105000 0 0 Scott M Wooten Former Asst. Treasurer (As of 12.28.21) 0 0 0 0 0 800676 0 0 0 0 0 800676 0 0 G Scott Baity Esq Asst. Secretary 0 566725 0 212481 0 139300 0 120024 0 13784 0 1052314 0 0 T Scott Finnegan Asst. Treasurer 0 359938 0 111997 0 205875 0 111729 0 13957 0 803496 0 118784 Ed T Hubel Vice President through 03.27.24 314102 0 116834 0 128833 0 92662 0 14456 0 666887 0 38897 0 Keith A Tickell Asst. Treasurer 0 738276 0 271777 0 135061 0 15675 0 17814 0 1178603 0 0 Stephen H Bean Pharmacist 146138 0 0 0 19307 0 23202 0 13481 0 202128 0 0 0 William Berry Ivey Dir, Pharmacy - NAS 167327 0 25366 0 25 0 7781 0 6288 0 206787 0 0 0 Kelly Weeks Leeper Assoc Dir, Nursing 138237 0 13871 0 30 0 7104 0 20929 0 180171 0 0 0 Kellene H Sauls VP, Patient Care Services- NAS 201988 0 50524 0 57815 0 23190 0 14569 0 348086 0 0 0 Valerie Mary Smith Dir, Surgical Services 141371 0 21654 0 309 0 10931 0 22037 0 196302 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation IN ACCORDANCE WITH THE EXECUTIVE COMPENSATION POLICY OF BAPTIST HEALTH SYSTEM, INC. (BHS), THE ORGANIZATION'S SOLE MEMBER, THE LEADERSHIP & COMPENSATION COMMITTEE (THE COMMITTEE) OF BHS (MADE UP OF INDEPENDENT DIRECTORS OF BHS) ANNUALLY ENGAGES A THIRD PARTY EXECUTIVE COMPENSATION CONSULTANT WHO PROVIDES COMPARABLES FOR EXECUTIVE COMPENSATION BASED ON CURRENT DATA REGARDING COMPENSATION PAID TO SIMILAR EXECUTIVES AT SIMILARLY-SITUATED TAX EXEMPT HEALTH SYSTEMS IN THE U.S. SUCH CONSULTANT USES THESE COMPARABLE HEALTH SYSTEMS , WHICH ARE GENERALLY THE SAME SIZE AS BHS (CONSIDERING REVENUE AND OTHER APPROPRIATE INDICATORS), TO ESTABLISH AN APPROPRIATE MARKET. WHEN THE COMMITTEE MEETS WITH SUCH CONSULTANT, THE CONSULTANT PROVIDES TO COMMITTEE MEMBERS EXECUTIVE COMPENSATION TARGET LEVELS THAT ARE COMPETITIVE WITH THE MARKET. GENERALLY, THE MEDIAN OF THE MARKET IS TARGETED. THE ACTUAL AMOUNT THAT BHS EXECUTIVES RECEIVE AS COMPENSATION MAY BE HIGHER OR LOWER THAN THE MEDIAN, DEPENDING ON BHS'S AND THE INDIVIDUAL'S PERFORMANCE. ONE OBJECTIVE OF THE COMMITTEE IS TO HAVE A STRONG LINK BETWEEN BHS AND INDIVIDUAL PERFORMANCE AND EXECUTIVE COMPENSATION SUCH THAT IF BHS AND THE INDIVIDUAL PERFORM AT AN OPTIMAL LEVEL, HIS OR HER COMPENSATION IS IN THE HIGHER RANGE OF THE MARKET. CONVERSELY, IF EITHER BHS OR INDIVIDUAL PERFORMANCE IS BELOW EXPECTATION, COMPENSATION MAY BE IN THE LOWER RANGE OF THE MARKET. OTHER FACTORS THAT INFLUENCE EXECUTIVE COMPENSATION RELATIVE TO THE MARKET INCLUDE THE EXECUTIVE'S EXPERIENCE AND BHS'S NEED TO ATTRACT AND RETAIN TOP EXECUTIVE TALENT. MINUTES OF THIS ANNUAL COMPENSATION REVIEW BY THE COMMITTEE ARE RECORDED BY SUCH CONSULTANT AND ARE APPROVED PROMPTLY BY THE CHAIR OF THE COMMITTEE. Schedule J, Part I, Line 4a Severance or change-of-control payment The following individuals received severance payments during calendar year 2023: Brett McClung $387,000, Scott Wooten $800,000, and Elizabeth Ransom $105,000. These amounts are included on Schedule J, part II, column b(iii). Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Baptist Health System, Inc. (BHS) parent affiliate of Baptist Medical Center of Nassau, Inc., has three supplemental nonqualified retirement plans (SERPs). One is a SERP for certain executives, another is a defined benefit SERP for vice presidents, and the third is a defined contribution SERP for senior management. These SERPs are plans described in IRS Section 457(f). The benefits under these plans accrue during each executive's term of employment. These benefits are unvested and subject to forfeiture until the covered employee reaches retirement age or the five-year anniversary of the contribution date. The following individuals accrued unvested benefits under these plans during calendar year 2023: G. Scott Baity $83,700, T. Scott Finnegan $70,350, Ed Hubel $46,944, and Matthew Zuino $113,852. These accrued benefits are unvested and subject to forfeiture unless the named employee remains employed with BHS until the covered employee reaches retirement age or the five-year anniversary of the contribution date. This amount is included on Schedule J, part II, column (c). Form 990, Part VI, Line 4 Significant changes to organizational documents BAPTIST HEALTH SYSTEM, INC. AND SUBSIDIARIES ADOPTED A NEW MISSION STATEMENT TO BETTER ALIGN WITH ITS VALUES AND GOALS. 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 IX, Line 11g Other Fees Medical & Professional Fees - Total Expense: 10423453, Program Service Expense: 8130294, Management and General Expenses: 2293159, Fundraising Expenses: 0; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfer to Affiliated Organization - -9444650; 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 Ste 1450 Jacksonville FL 32207 471322041 Regional affiliation of BHS with 1 other 501(c)(3) healthcare system FL 501(c)(3) Type I na false 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 BAPTIST-COMPASS SURGICAL VENTURES LLC 9131 ANSON WAY SUITE 304 RALEIGH NC 27615 922971116 OWNS/OPERATES SURGICAL CENTERS FOR HEALTHCARE SYSTEM NC PAVILION HEALTH SERVICES INC N/A BG-PHS NASSAU CROSSING LLC 1660 PRUDENTIAL DRIVE SUITE 203 JACKSONVILLE FL 32207 920605232 REAL ESTATE FL PAVILION HEALTH SERVICES INC N/A 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 false false true false false false false false false false true false true true true true true true true