STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

JAY HOSPITAL INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
JAY HOSPITAL INC (EIN 59-2425149)
Tax period
2023-10-01 to 2024-09-30
Filed
2025-08-15
IRS object ID
202522279349302417
Schema version
2023v6.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2025-08-15T11:22:26+00:00ReturnTs
Tax Period End2024-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Forvis Mazars LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1120 E Palmetto Park Road Suite 403AddressLine1Txt
CityBoca RatonCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33432ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN592425149EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Jay Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlJAYHBusinessNameControlTxt
Phone4482278478PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1POST OFFICE BOX 17500AddressLine1Txt
CityPENSACOLACityNm
State AbbreviationFLStateAbbreviationCd
ZIP32522ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHARLIE BRINKLEYPersonNm
Person TitleCFOPersonTitleTxt
Phone4482278478PhoneNum
Signature2025-08-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonApril ArnoldPreparerPersonNm
PTINP01559426PTIN
Phone5612991820PhoneNum
Preparation2025-08-15PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Keith StricklingBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line114114 ALABAMA STREETAddressLine1Txt
CityJAYCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32565ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$16,373,768GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.ebaptisthealthcare.org/jayhospitalWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionJAY HOSPITAL'S PRIMARY MISSION IS DEDICATED TO MEETING THE HEALTHCARE NEEDS IN THE JAY, CENTURY, FLOMATON AND SURROUNDING COMMUNITITES IN THE NORTHWEST FLORIDA-SOUTH ALABAMA AREA.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee145TotalEmployeeCnt
Total Volunteers30TotalVolunteersCnt
Total Gross UBI$88,974TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$26,637NetUnrelatedBusTxblIncmAmt
CY Contributions Grants$472,495CYContributionsGrantsAmt
PY Program Service Revenue$13,256,724PYProgramServiceRevenueAmt
CY Program Service Revenue$15,829,140CYProgramServiceRevenueAmt
PY Investment Income-$203PYInvestmentIncomeAmt
CY Investment Income$11CYInvestmentIncomeAmt
PY Other Revenue$23,982PYOtherRevenueAmt
CY Other Revenue$16,610CYOtherRevenueAmt
PY Total Revenue$13,280,503PYTotalRevenueAmt
CY Total Revenue$16,318,256CYTotalRevenueAmt
PY Grants And Similar Paid$13,107PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$12,500CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$9,219,144PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,718,580CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,144,904PYOtherExpensesAmt
CY Other Expenses$9,983,445CYOtherExpensesAmt
PY Total Expenses$18,377,155PYTotalExpensesAmt
CY Total Expenses$19,714,525CYTotalExpensesAmt
PY Revenues Less Expenses-$5,096,652PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$3,396,269CYRevenuesLessExpensesAmt
Total Assets BOY$5,351,314TotalAssetsBOYAmt
Total Assets EOY$6,440,403TotalAssetsEOYAmt
Total Liabilities BOY$3,448,682TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,649,113TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,902,632NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,791,290NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionHELPING PEOPLE THROUGHOUT LIFE'S JOURNEY: JAY HOSPITAL'S PRIMARY MISSION IS DEDICATED TO MEETING THE HEALTHCARE NEEDS IN THE JAY, CENTURY, FLOMATON AND SURROUNDING COMMUNITITES IN THE NORTHWEST FLORIDA-SOUTH ALABAMA AREA. JAY HOSPITAL IS A 25-BED CRITICAL ACCESS HOSPITAL AND PART OF AN INTEGRATED NETWORK OF AFFILIATED ORGANIZATIONS. JAY HOSPITAL AND ITS AFFILIATED ORGANIZATIONS ARE COMMITTED TO PROVIDING A BROAD RANGE OF GENERAL AND SPECIALIZED HEALTH CARE SERVICES INCLUDING INPAITIENT, PRIMARY CARE, LONG TERM AND OUTPATIENT HEALTHCARE SERVICES. QUALITY MEDICAL CARE IS PROVIDED TO ALL PERSONS REQUIRING IMMEDIATE TREATMENT REGARDLESS OF THEIR ABILITY TO PAY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangeYes (true)SignificantChangeInd
Expense$15,479,147ExpenseAmt
Grant$0GrantAmt
Revenue$15,740,166RevenueAmt
DescGENERAL AND SPECIALIZED HEALTH CARE SERVICES INCLUDING INPATIENT, PRIMARY CARE, LONG TERM AND OUTPATIENT HEALTHCARE SERVICES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$12,500ExpenseAmt
Grant$12,500GrantAmt
Revenue$0RevenueAmt
DescCOMMUNITY BENEFIT OUTREACH ACTIVITIES CONDUCTED BY THE ORGANIZATION INCLUDING HEALTH EDUCATION SEMINARS, HEALTH FAIRS, AND DONATIONS TO OTHER NON-PROFIT ENTITIES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$15,491,647TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee145EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Keith StricklingBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8506758024PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line114114 Alabama StreetAddressLine1Txt
CityJayCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32565ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DAVE CLEVELAND
MEMBER/TREASURER1.01.0Yes (X)Yes (X)$0$0$0
KARA CARDONA
MEMBER/VICE CHAIR1.01.0Yes (X)Yes (X)$0$0$0
MARGARET T STOPP
MEMBER/VICE CHAIRMAN1.02.0Yes (X)Yes (X)$0$0$0
RICKY W SMITH
MEMBER/SECRETARY1.01.0Yes (X)Yes (X)$0$0$0
RONALD E JACKSON
MEMBER/CHAIRMAN1.01.0Yes (X)Yes (X)$0$0$0
BRIAN WYER
MEMBER1.01.0Yes (X)$0$0$0
DAVID HAWKINS
MEMBER1.01.0Yes (X)$0$0$0
JACKIE BIGGS
MEMBER1.01.0Yes (X)$0$0$0
JARL JT YOUNG
MEMBER1.01.0Yes (X)$0$0$0
JOHN HEER
MEMBER1.01.0Yes (X)$0$0$0
JOHN HOSMAN
MEMBER1.01.0Yes (X)$0$0$0
JOHN M KIZZIAH
MEMBER1.01.0Yes (X)$0$0$0
MARCUS PAUL DMD
MEMBER1.01.0Yes (X)$0$0$0
MARJORIE MOORE
MEMBER1.01.0Yes (X)$0$0$0
MARTHA SAUNDERS PhD
MEMBER1.01.0Yes (X)$0$0$0
MICHAEL J MAZENKO
MEMBER1.01.0Yes (X)$0$0$0
SHIRLEY HENDERSON
MEMBER1.01.0Yes (X)$0$0$0
STEVEN SHELL
MEMBER1.01.0Yes (X)$0$0$0
THOMAS F OWENS
MEMBER1.01.0Yes (X)$0$0$0
ANDREW TERRY
SENIOR VP/CFO10.040.0Yes (X)$0$557,261$26,102
BRETT ALDRIDGE
COO & EVP10.040.0Yes (X)$0$491,479$33,889
ELIZABETH CALLAHAN
MEMBER/ASSIST. SECRETARY1.051.0Yes (X)$0$497,203$32,920
KEITH STRICKLING
ADMINISTRATOR40.00.0$29,119$138,856$29,269Yes (X)
DANIEL D SHEPPARD PharmD
MANAGER PHARMACY40.00$141,056$0$27,227Yes (X)
DEBRA JENKINS
ASST. ADMINISTRATOR40.00$161,483$0$30,062Yes (X)
KARIN PARDUE MD
PHYSICIAN40.00$322,145$0$28,312Yes (X)
KATHRYN R HUNT MD
PHYSICIAN40.00$145,948$0$0Yes (X)
PAULA MCCANTS
TEAM LEAD40.00$119,092$0$12,722Yes (X)
MICHAEL GLEASON
FORMER SENIOR VP/CFO0.00.0$0$186,521$10,283Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$918,843TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,871,320TotReportableCompRltdOrgAmt
Total Other Compensation$230,786TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K14IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MARK ELDER DO
2946 GREYSTONE DRPACEFL32571PHYSICIAN SERVICES$312,787
John-Stewart M Smith MD
PO BOX 969JAYFL32565PHYSICIAN SERVICES$104,596
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$460,077GovernmentGrantsAmt
All Other Contributions$12,418AllOtherContributionsAmt
Total Contributions$472,495TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE621990$15,731,157$15,642,183$88,974
MEDICAID DHS621990$97,983$97,983

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$15,829,140TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$11TotalRevenueColumnAmt
Exclusion$11ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$33,699RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$55,512RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$21,813RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$21,813TotalRevenueColumnAmt
Exclusion-$21,813ExclusionAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business900099BusinessCd
Total Revenue Column$38,423TotalRevenueColumnAmt
Exclusion$38,423ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$38,423OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,318,256TotalRevenueColumnAmt
Related Or Exempt Func Income$15,740,166RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$88,974UnrelatedBusinessRevenueAmt
Exclusion$16,621ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$12,500TotalAmt
Program Services$12,500ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$118,153TotalAmt
Program Services$94,522ProgramServicesAmt
Management And General$23,631ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,069,641TotalAmt
Program Services$7,343,373ProgramServicesAmt
Management And General$726,268ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$178,095TotalAmt
Program Services$162,066ProgramServicesAmt
Management And General$16,029ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$769,198TotalAmt
Program Services$699,970ProgramServicesAmt
Management And General$69,228ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$583,493TotalAmt
Program Services$530,979ProgramServicesAmt
Management And General$52,514ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$3,025,670TotalAmt
Program Services$112,864ProgramServicesAmt
Management And General$2,912,806ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,855,150TotalAmt
Program Services$2,831,364ProgramServicesAmt
Management And General$23,786ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$17,218TotalAmt
Program Services$17,218ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$123,166TotalAmt
Program Services$121,082ProgramServicesAmt
Management And General$2,084ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$44,546TotalAmt
Program Services$32,073ProgramServicesAmt
Management And General$12,473ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$294,926TotalAmt
Program Services$262,484ProgramServicesAmt
Management And General$32,442ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$46,521TotalAmt
Program Services$19,111ProgramServicesAmt
Management And General$27,410ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$22,991TotalAmt
Program Services$20,922ProgramServicesAmt
Management And General$2,069ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$451,663TotalAmt
Program Services$411,013ProgramServicesAmt
Management And General$40,650ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$281,488TotalAmt
Management And General$281,488ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
BAD DEBT EXPENSE$1,696,147$1,696,147
MEDICAL SUPPLIES$956,405$956,405
INDIGENT ASSESSMENT$117,555$117,555
OTHER$28,190$28,190

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$21,809TotalAmt
Program Services$21,809ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$19,714,525TotalAmt
Program Services$15,491,647ProgramServicesAmt
Management And General$4,222,878ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$52,487BOYAmt
EOY$637,975EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,507,343BOYAmt
EOY$2,806,621EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$177,351BOYAmt
EOY$191,087EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$58,610BOYAmt
EOY$42,416EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$12,704,920LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,942,616LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,555,523BOYAmt
EOY$2,762,304EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,351,314BOYAmt
EOY$6,440,403EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,498,244BOYAmt
EOY$1,791,375EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$799,234BOYAmt
EOY$722,223EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,151,204BOYAmt
EOY$2,135,515EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,448,682BOYAmt
EOY$4,649,113EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,902,632BOYAmt
EOY$1,315,100EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
EOY$476,190EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,902,632BOYAmt
EOY$1,791,290EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,351,314BOYAmt
EOY$6,440,403EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$3,396,269ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$0NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$3,284,927OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

FieldValueIRS element (for citing)
Affiliated Group Total$0AffiliatedGroupTotalAmt

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$2,940FilingOrganizationsTotalAmt
Affiliated Group Total$346,899AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$2,940FilingOrganizationsTotalAmt
Affiliated Group Total$346,899AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$19,711,585FilingOrganizationsTotalAmt
Affiliated Group Total$936,145,374AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$19,714,525FilingOrganizationsTotalAmt
Affiliated Group Total$936,492,273AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt
Affiliated Group Total$1,000,000AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt
Affiliated Group Total$250,000AffiliatedGroupTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$996,917CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$3,996,917TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$5,995,376LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$2,008CurrentYearMinus3Amt
Current Year Minus2$128,467CurrentYearMinus2Amt
Current Year Minus1$218,263CurrentYearMinus1Amt
Current Year$346,899CurrentYearAmt
Total$695,637TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$249,229CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$999,229TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,498,844GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus2$0CurrentYearMinus2Amt
Current Year Minus1$0CurrentYearMinus1Amt
Current Year$0CurrentYearAmt
Total$0TotalAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$62,193OtherCostOrOtherBasisAmt
Book Value$62,193BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,819,797OtherCostOrOtherBasisAmt
Depreciation$5,279,305DepreciationAmt
Book Value$540,492BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,529,984OtherCostOrOtherBasisAmt
Depreciation$4,663,311DepreciationAmt
Book Value$1,866,673BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$292,946OtherCostOrOtherBasisAmt
Book Value$292,946BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,762,304TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO THIRD PARTIES$1,734,366
ASSET RETIREMENT OBLIGATION$153,728
LEASE OBLIGATION$247,421
FieldValueIRS element (for citing)
Total Liability$2,135,515TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationFINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES, PRESCRIBES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS RECOGNIZED IN FINANCIAL STATEMENTS. ASC TOPIC 740 PROVIDES GUIDANCE FOR RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTES FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2023 AND 2024.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$971,459TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$971,459NetCommunityBenefitExpnsAmt
Total Expense0.0539TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,195,225TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$667,890DirectOffsettingRevenueAmt
Net Community Benefit Expns$527,335NetCommunityBenefitExpnsAmt
Total Expense0.0293TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$2,166,684TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$667,890DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,498,794NetCommunityBenefitExpnsAmt
Total Expense0.0832TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,500TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,500NetCommunityBenefitExpnsAmt
Total Expense0.0007TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$12,500TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,500NetCommunityBenefitExpnsAmt
Total Expense0.0007TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$2,179,184TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$667,890DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,511,294NetCommunityBenefitExpnsAmt
Total Expense0.0839TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$1,696,147BadDebtExpenseAmt
Bad Debt Expense Attributable$322,268BadDebtExpenseAttributableAmt
Reimbursed By Medicare$8,424,135ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$9,353,729CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$929,594MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JAY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line114114 ALABAMA STREETAddressLine1Txt
CityJAYCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32565ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.EBAPTISTHEALTHCARE.ORG/JAYHOSPITALWebsiteAddressTxt
State License100048StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1JAY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://www.ebaptisthealthcare.org/community/chnaOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://www.ebaptisthealthcare.org/community/chnaStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.0FPGFamilyIncmLmtFreeCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.ebaptisthealthcare.org/patientfinancialresources/financial-assistance-policiesFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.ebaptisthealthcare.org/patientfinancialresources/financial-assistance-policiesFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.ebaptisthealthcare.org/patientfinancialresources/financial-assistance-policiesFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - JAY HOSPITAL, INC.. The CHNA process was conducted through Achieve Healthy EscaRosa (AHER), our community's collective impact collaboration focused on improving the health of the community so that everyone can live well and thrive. AHER has replaced the former The Live Well Partnership for the roles of conducting the community health needs assessment for Escambia and Santa Rosa Counties in Florida and to support and promote collaborative initiatives that address identified health priorities. This collective effort resulted in 2,937 viable surveys, the largest number of community survey responses to date. An effort was made to involve individuals from many different sectors of the local economy in developing this CHNA. The CHNA Planning Team, comprised of the Florida Department of Health in Escambia and Santa Rosa counties, area hospitals and health providers, educational institutions, area health coalitions, nonprofit organizations and others, was established to provide guidance and input throughout data gathering, analysis, and production of the CHNA. The CHNA Planning Team provided input on their perceptions of health and health services, reviewed health outcomes, narrowed the focus to the top health priorities across both counties, and approved this report. Below is a roster of the CHNA Planning Team. *Adrienne Maygarden, Ascension Sacred Heart *Dr. Debra Vinci, University of West Florida *Dr. Patricia Barrington, University of West Florida *Jen Grove, Baptist Health Care *Joy Sharp, Baptist Health Care *Kimberly Pace, Florida Department of Health- Escambia *Laura Gilliam, United Way of West Florida *Matt Dobson, Chair, Florida Department of Health - Santa Rosa *Nicole Gislason, University of West Florida Haas Center *Nicholas Billings, University of West Florida *Sandra Donaldson, Community Health Northwest Florida CHNA Planning Committee - responsible for planning, data collection/analysis, communication and report writing
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - JAY HOSPITAL, INC.. The CHNA process was facilitated by AHER, a nonprofit organization whose mission is to unite and align resources to improve the health and well-being of Escambia and Santa Rosa Counties. The CHNA Planning Committee included representation from Baptist Health Care and Ascension Sacred Heart.
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - JAY HOSPITAL, INC.. Non-hospital stakeholder members of the CHNA Planning Committee included representatives from the Florida Departments of Health in Escambia and Santa Rosa Counties, Community Health Northwest Florida (a federally qualified health center), the University of West Florida, and the United Way of West Florida. The input process and process to prioritize focus areas also included input from representatives from over 35 not-for-profit and community-based organizations.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - JAY HOSPITAL, INC.. Baptist Health Care recognized that sustained community health improvement happens when organizations from all sectors of the community landscape take ownership of the community's health and work together for improvement. As such, AHER hosted a community convening in February of 2022, during which community members were introduced to the priority focus areas and other health metrics through a review of the CHNA. The convening also served as an action planning workshop, in which participants were encouraged to provide input to one of the six priority health focus areas. The AHER Executive Committee has taken the inputs provided and is in the process of developing a draft action plan to share with participants and the broader community. The CHNA results and subsequent planning discussions determined the prioritized focus areas which are: *Overweight and Obesity *Substance abuse *Mental health *Child abuse *Access to healthcare *Food insecurity Baptist Health Care serves as a leader and convener of these efforts and is actively engaged in multiple ways in this enhanced approach to health and wellness in the communities we serve. Team members of Baptist Health Care participate in the Data, Communications, and CHNA Committees of AHER. In addition, Baptist leaders and team members are actively engaged in the Community Health Improvement Planning process, through which AHER will convene workgroups to build action plans in each of these prioritized focus areas for the community. Baptist engages in collaborations and direct service in many of these prioritized focus areas, and looks forward to continued collaboration with other community partners to impact the outcomes in these prioritized focus areas. Baptist Health Care Actions in 2024: In the area of Access to Healthcare, Baptist Health Care achieved the following in 2024: Complete * Continued operations a new hospital campus to offer an advanced state-of-the-art healthcare experience to those in the communities we serve. Achieved in 2024 * Partnered with Escambia County Area Transit to ensure reliable and prompt transportation for all in the community to access quality care at the new Baptist Hospital campus. Achieved in 2024 * Provided $.5M in support for our local FQHC, Community Health Northwest Florida, annually to ensure access for uninsured and underinsured. Achieved in 2024. * Expanded offerings at Baptist Medical Park - Nine Mile to include a Hybrid Free Standing Emergency Department & Urgent Care facility that replicates the Navarre model. Achieved Spring of 2024 In the area of Mental Health, Baptist Health Care achieved the following in 2024: REQUESTED * Continued operations at our new Baptist Hospital behavioral health unit to offer state-of-the-art facilities that allow our team to provide the most advanced, quality care in the region. Achieved * Collaborated with the Share Your Heart Program to provide social and spiritual support to our community using volunteer chaplains. -Baptist Faith Health Network: Goal to train and onboard 26 (one per zip code) - In 2024, 30 churches trained and onboarded. -Goal of 50 families per year served - In 2024, 960 were achieved. -50 closed loop (full continuum of care) referrals per year given by Baptist team members - In 2024, 425 were achieved. * Goal to meet immediate behavioral health needs for children and adolescents in Escambia and Santa Rosa counties in crisis through serving as the central and sole Baker Act Receiving Facility in Circuit 1 and continue to collaborate in establishing an adult Baker Act Receiving Facility elsewhere in our community completing the vision of a fully functioning Baker Act receiving system in Circuit 1. Achieved 2024 * Provide support services and spiritual care to patients, family members, team members and community through support services and Baptist Health Care's RISE Program. In 2024, BHC Achieved 6,373. In the area of Food Insecurity, Baptist Health Care achieved the following in 2024: Completed * Baptist supports target patient populations through community Food Prescription Program for those experiencing food insecurities. Goal of 25 families enrolled in the food prescriptions per year. In 2024, BHC achieved 960. * Baptist's Faith Health Network offers Church to Church Food Pantry Program. Goal of 1,000 households served per year. In 2024, BHC achieved 7,800. * 20 churches take part in the Church-to-Church Program each year. In 2024, achieved with 30 churches participated each year. In the area of Overweight and Obesity, Baptist Health Care achieved the following in 2024: Completed * Conduct outreach and provide education to community through the Wellness Connection Series at multiple Baptist Health Care locations including Baptist Medical Park - Nine Mile, Baptist Towers, Andrews Institute and at locations throughout the community. In 2024, BHC achieved 35 classes with 1,826 participants. In the area of Substance Abuse, Baptist Health Care achieved the following in 2024: Complete Goal for Baptist to work with community partners to create and support an updated database of programs and support groups for addiction recovery or intervention in Escambia or Santa Rosa Counties to supply a trusted continuum of care. Achieved through work done as members of the Northwest Florida Mental Health Task Force led by Representative Salzman. In the area of Child Abuse, Baptist Health Care achieved the following in 2024: Complete Baptist Health Care raised awareness for and supported team members to engage in local child abuse training "KNOW" Child Abuse through Gulf Coast Kids House and engaged in Child Safety Matters through Achieve Healthy EscaRosa. In April 2024, BHC provided three in person opportunities for team members to complete Know Child Abuse training and made the training available for team members to complete online at any time.
Schedule H, Part V, Section B, Line 13 Facility , 1Facility , 1 - JAY HOSPITAL, INC.. IN ADDITION TO THE FPG THE ORGANIZATION USES AN ASSET TEST, MEDICAL INDIGENCY AND INSURANCE STATUS IN DETERMINING FREE OR DISCOUNTED CARE.
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CENTURY MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line18401 N CENTURY BLVDAddressLine1Txt
CityCENTURYCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32535ZIPCd
FieldValueIRS element (for citing)
FacilityPRIMARY CARE PRACTICEFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 3c Eligibility criteria for free or discounted careIN ADDITION TO THE FPG THE ORGANIZATION USES AN ASSET TEST, MEDICAL INDINGENCY AND INSURANCE STATUS IN DETERMINING FREE OR DISCOUNTED CARE.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation1696147
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceThe costing methodology used in determining the amount reported on Line 7 is the cost to charge ratio calculated pursuant to the IRS schedule H worksheet 2 instructions.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountTHE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORT HAS BEEN FOLLOWED IN ACCORDANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS, AND SUBSEQUENT RECOVERIES ARE ADDED. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. THE HOSPITAL PROVIDES SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES, TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY CARE POLICY. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO BE CHARITY CARE, SUCH SERVICES ARE NOT REPORTED AS NET REVENUE. THE HOSPITAL'S CHARITY CARE POLICY UTILIZES THE GENERALLY RECOGNIZED FEDERAL POVERTY INCOME LEVELS. FOR PATIENTS WHO DO NOT APPLY OR DO NOT QUALIFY, THE UNCOLLECTED AMOUNTS ARE RECOGNIZED AS BAD DEBT EXPENSE. ESTIMATED COST OF BAD DEBT IS BASED ON THE RATIO OF COST TO CHARGES AS DETERMINED BY HOSPITAL SPECIFIC DATA.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyBAD DEBT IS NOT INCLUDED AS PART OF JAY HOSPITAL'S COMMUNITY BENEFIT. APPROXIMATELY 19.0% OF JAY HOSPITAL'S PATIENTS QUALIFY FOR FREE OR DISCOUNTED CARE. THIS MEANS THAT APPROXIMATELY $322,268, OR 19.0%, OF JAY'S HOSPITAL'S BAD DEBT EXPENSE COULD BE INCLUDED AS COMMUNITY BENEFIT HAD THOSE INDIVIDUALS GONE THROUGH THE FINANCIAL ASSISTANCE PROCESS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsTHE MEDICARE SHORTFALL WAS NOT INCLUDED IN THE COMMUNITY BENEFIT COST, AND THE COSTING METHODOLOGY CONSISTED OF INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT. MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE ENTIRE COST OF PROVIDING CARE TO MEDICARE PATIENTS CAUSING THE ORGANIZATION TO USE OTHER SURPLUS FUNDS TO COVER THE SHORTFALL. HOWEVER, THE ORGANIZATION PROVIDES CARE TO MEDICARE PATIENTS REGARDLESS OF THIS SHORTFALL, WHICH RELIEVES THE STATE AND FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR THE CARE OF MEDICARE BENEFICIARIES.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistancePATIENTS ARE DEEMED FINANCIALLY INDIGENT IF (A) THEY ARE UNINSURSED OR UNDERINSURED AND (B) THEIR INCOME IS BELOW 300% OF FPL (BASED UPON THE PATIENT'S HOUSEHOLD INCOME AS DEFINED ANNUALLY BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES IN THE FEDERAL REGISTER AS THE FEDERAL POVERTY LEVEL (FPL) GUIDELINES). IF A PATIENT IS FOUND TO BE FINANCIALLY INDIGENT OR MEDICALLY INDIGENT, APPROPRITE FINANCIAL ASSISTANCE DISCOUNTS ARE APPLIED TO THE PATIENT'S ACCOUNT. FOR ANY PATIENT THAT QUALIFIES UNDER THE ORGANIZATION'S CHARITY CARE POLICY, THE PATIENT ACCOUNT IS WRITTEN OFF AS CHARITY CARE AND THE ORGANIZATION DOES NOT PURSUE ANY COLLECTIONS.
Schedule H, Part V, Section B, Line 16a FAP website- JAY HOSPITAL: Line 16a URL: https://www.ebaptisthealthcare.org/patientfinancialresources/financial-assistance-policies;
Schedule H, Part V, Section B, Line 16b FAP Application website- JAY HOSPITAL: Line 16b URL: https://www.ebaptisthealthcare.org/patientfinancialresources/financial-assistance-policies;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- JAY HOSPITAL: Line 16c URL: https://www.ebaptisthealthcare.org/patientfinancialresources/financial-assistance-policies;
Schedule H, Part VI, Line 2 Needs assessmentThe organization's mission is helping people throughout life's journey. In response to this mission, the organization helps ensure that all citizens are afforded access to health care by investing in community health, and by participating in and leading collaborative, community-wide partnerships. Free health screenings, support groups, education seminars, and other programs that are offered focus on areas that have been identified through internal studies and external sources as critical health concerns in the surrounding communities. A full copy of the hospital's Community Health Needs Assessment can be accessed using the following website: HTTP://EBAPTISTHEALTHCARE.ORG/COMMUNITY/CHNA
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceJAY EMPLOYEES WORKING IN THE SCHEDULING, PATIENT ACCESS, PATIENT FINANCIAL SERVICES AND EMERGENCY DEPARTMENTS AREAS HAVE BEEN TRAINED TO BE FULLY VERSED IN ALL FINANCIAL ASSISTANCE-RELATED POLICIES, HAVE ACCESS TO THE CHARITY CARE APPLICATION FORMS, AND BE ABLE TO DIRECT QUESTIONS TO THE APPROPRIATE REPRESENTATIVES. FOR NON-EMERGENCY PURPOSES, EVERY FILE FOR A PATIENT THAT HAS PRE-SCHEDULED AN OFFICE VISIT OR PROCEDURE IS REVIEWED BEFORE THE PATIENT ARRIVES AT THE HOSPITAL. A FINANCIAL COUNSELOR IS ASSIGNED TO THAT PATIENT IF IT IS DETERMINED THAT THE INDIVIDUAL MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE, ETC. ALSO, WHEN A PATIENT RECEIVES A BILL, THE ORGANIZATION INCLUDES PAPERWORK EXPLAINING THAT FINANCIAL ASSISTANCE IS AVAILABLE. JAY HOSPITAL HAS POSTED MULTILINGUAL NOTICES OF FINANCIAL ASSISTANCE POLICIES IN THE EMERGENCY DEPARTMENT. SAID NOTICES HAVE BEEN PUBLISHED IN ENGLISH AND SPANISH, AND HAVE BEEN MADE CLEARLY VISIBLE TO THE PUBLIC FROM THE LOCATION AT WHICH THEY ARE POSTED. JAY HOSPITAL PROVIDES PATIENTS, IN A TIMELY MANNER, A SUMMARY OF ITS CHARITY CARE POLICY UPON REQUEST. THE SUMMARY, AT A MINIMUM, PROVIDES SPECIFIC INFORMATION AS TO INCOME LEVELS USED TO DETERMINE ELIGIBILITY AND THE MEANS FOR APPLYING FOR ASSISTANCE. ALSO, JAY HOSPITAL HAS POSTED A SUMMARY OF ITS CURRENT CHARITY CARE POLICY ON ITS INTERNET WEBSITE.
Schedule H, Part VI, Line 4 Community informationJAY HOSPITAL, INC. OPERATES IN SANTA ROSA COUNTY, FLORIDA. APPROXIMATELY 208,000 INDIVIDUALS RESIDE IN THIS COUNTY, 8.1% OF WHICH LIVE BELOW POVERTY LEVEL. WHEN CONSIDERING THESE FACTORS, MORE THAN 17,000 RESIDENTS COULD BE ELIGIBLE TO QUALIFY FOR CHARITY CARE. APPROXIMATELY 19.0% OF JAY HOSPITAL'S PATIENTS DURING FY2024 WERE UNINSURED OR WERE MEDICAID RECIPIENTS. THREE HOSPITALS, INCLUDING JAY HOSPITAL, ARE LOCATED IN SANTA ROSA COUNTY.
Schedule H, Part VI, Line 5 Promotion of community healthTHE ORGANIZATION DOES NOT LIMIT MEDICAL STAFF PRIVILEGES TO THE ORGANIZATION'S EMPLOYED PHYSICIANS BUT EXTENDS THOSE PRIVILEGES TO QUALIFIED PHYSICIANS FOR MOST AREAS OF SERVICE.THE ORGANIZATION'S BOARD OF DIRECTORS PRIMARILY CONSISTS OF COMMUNITY LEADERS AND RESIDENTS WHO ARE INDEPENDENT OF THE ORGANIZATION. THE ORGANIZATION STRIVES TO EDUCATE ALL BOARD MEMBERS REGARDING THE HEALTH NEEDS OF THE COMMUNITY AND HOW THESE NEEDS RELATE TO THE ORGANIZATION'S MISSION AND VALUES.THE ORGANIZATION SEEKS TO STRATEGICALLY ALLOCATE AVAILABLE FUNDS TO BENEFIT THE SURROUNDING COMMUNITIES. FOCUS AREAS INCLUDE INCREASING THE TYPES OF CARE TO BE PROVIDED TO THE COMMUNITY, IMPROVING THE QUALITY OF PATIENT CARE, AND FURTHERING MEDICAL EDUCATION AND RESEARCH.
Schedule H, Part VI, Line 6 Affiliated health care systemALTHOUGH THE ORGANIZATION MAY OPERATE IN DIFFERENT SERVICE AREAS WHEN COMPARED TO ITS AFFILIATES, ALL AFFILIATES WORK COLLABORATIVELY TO ENSURE THAT THE NEEDS OF THE COMMUNITIES ARE BEING ADDRESSED. THE ORGANIZATION PARTICIPATES IN MANY FREE HEALTH SCREENINGS, SUPPORT GROUPS, EDUCATION SEMINARS, AND HEALTH FAIRS THAT BENEFIT ALL COMMUNITIES WITHIN THE SYSTEM AND ARE NOT LIMITED TO THE COMMUNITIES IN WHICH THE ORGANIZATION OPERATES. AFFILIATED ENTITIES INCLUDE: - BAPTIST HEALTH CARE, INC. - OPERATES BAPTIST HOSPITAL, GULF BREEZE HOSPITAL, AS WELL AS FREE-STANDING EMERGENCY DEPARTMENTS/URGENT CARES. - BAPTIST HEALTH CARE FOUNDATION, INC. - PROVIDES FINANCIAL AND FUNDRAISING ASSISTANCE FOR ALL AFFILIATES - BAPTIST URGENT CARE, LLC - DELIVER AMBULATORY CARE IN A DEDICATED MEDICAL FACILITY OUTSIDE OF A TRADITIONAL EMERGENCY ROOM.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH NORTHWEST FLORIDABusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line16671 Caroline StAddressLine1Txt
CityMILTONCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32570ZIPCd
FieldValueIRS element (for citing)
Recipient EIN593105246RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$12,500CashGrantAmt
Purpose Of GrantHEALTHCAREPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationWITHIN ONE YEAR, THE ORGANIZATION REQUESTS DOCUMENTATION FROM THE RECIPIENT REGARDING PROPER USE OF FUNDS PROVIDED FOR INDIGENT PATIENTSExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL GLEASON
FORMER SENIOR VP/CFO$0$175,392$0$0$0$11,129$0$4,634$0$5,649$0$196,804$0$0
BRETT ALDRIDGE
COO & EVP$0$390,236$0$61,182$0$40,061$0$4,559$0$29,330$0$525,368$0$0
ELIZABETH CALLAHAN
MEMBER/ASSIST. SECRETARY$0$392,565$0$62,843$0$41,795$0$4,574$0$28,346$0$530,123$0$0
ANDREW TERRY
SENIOR VP/CFO$0$464,951$0$64,874$0$27,436$0$4,674$0$21,428$0$583,363$0$0
KEITH STRICKLING
ADMINISTRATOR$29,109$138,856$0$0$10$0$477$801$4,024$23,967$33,620$163,624$0$0
DEBRA JENKINS
ASST. ADMINISTRATOR$161,087$0$0$0$396$0$1,774$0$28,288$0$191,545$0$0$0
KARIN PARDUE MD
PHYSICIAN$300,707$0$21,180$0$258$0$0$0$28,312$0$350,457$0$0$0
DANIEL D SHEPPARD PharmD
MANAGER PHARMACY$140,918$0$0$0$138$0$1,528$0$25,699$0$168,283$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planTHE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: BRETT ALDRIDGE ELIZABETH CALLAHAN THERE WERE NO CONTRIBUTIONS TO THE PLAN DURING THE TAX YEAR.
Schedule J, Part IITHE RELATED COMPENSATION REPORTED ON FORM 990, PART VII, SECTION A & SCHEDULE J, PART II WAS PAID BY THE FOLLOWING RELATED ORGANIZATIONS: --BAPTIST HEALTH CARE, INC.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 3 Significant changes in program servicesOn 3/1/2024, Jay Hospital received Critical Access Hospital designation by CMS. This designation ensures continued access to essential services and high-quality healthcare for the rural communities we serve.
Form 990, Part V, Line 1a1099'S ARE ISSUED ON THE ORGANIZATION'S BEHALF BY BAPTIST HEALTH CARE, INC. (EIN: 59-0657322), A RELATED TAX EXEMPT ORGANIZATION.
Form 990, Part VI, Line 2 PART VI, LINE 2ANDREW TERRY, BRETT ALDRIDGE, ELIZABETH CALLAHAN, AND KEITH STRICKLING HAVE A BUSINESS RELATIONSHIP. THE BUSINESS RELATIONSHIP IS AN EMPLOYER/EMPLOYEE RELATIONSHIP AT RELATED TAX-EXEMPT ORGANIZATIONS. ALL BOARD MEMBERS OF JAY HOSPITAL, INC. HAVE A BUSINESS RELATIONSHIP WITH ANDREW TERRY, BRETT ALDRIDGE, ELIZABETH CALLAHAN, AND KEITH STRICKLING. ALL MEMBERS ALSO SERVE ON THE BOARD OF BAPTIST HEALTH CARE, INC. AND ANDREW TERRY, BRETT ALDRIDGE, ELIZABETH CALLAHAN, AND KEITH STRICKLING ARE EMPLOYEES OF BAPTIST HEALTH CARE, INC.
Form 990, Part VI, Line 6 Classes of members or stockholdersBAPTIST HEALTH CARE, INC., A FLORIDA CORPORATION NOT-FOR-PROFIT, IS THE SOLE MEMBER OF JAY HOSPITAL, INC. BAPTIST HEALTH CARE, INC. HAS THE RIGHT TO ELECT THE BOARD OF DIRECTORS OF JAY HOSPITAL, INC.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyBAPTIST HEALTH CARE, INC., BEING THE SOLE MEMBER OF JAY HOSPITAL, INC. HAS THE RIGHT TO ELECT THE GOVERNING BODY OF JAY HOSPITAL, INC.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersTHE FOLLOWING SHALL REQUIRE APPROVAL BY THE BAPTIST HEALTH CARE, INC. THE SOLE MEMBER, BOARD OF DIRECTORS: A. ELECTION OF THE DIRECTORS OF THE CORPORATION AT THE ANNUAL MEETING OF THE MEMBERS FROM AMONG THOSE PERSONS NOMINATED BY THE BAPTIST HEALTH CARE CORPORATION NOMINATING COMMITTEE. B. REMOVAL OF A DIRECTOR OF THE CORPORATION WITH OR WITHOUT CAUSE WHENEVER SUCH ACTION WOULD BE IN THE BEST INTEREST OF THE CORPORATION C. ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS BEFORE THEY MAY BECOME EFFECTIVE. D. APPOINTMENT OF THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION E. ANY CONTRACT OR PURCHASE ORDER IN EXCESS OF $1,000,000 IN ADVANCE F. THE INCURRENCE BY THE CORPORATION OF ANY INDEBTEDNESS IN EXCESS OF $1,000,000 BEFORE SUCH INDEBTEDNESS IS CONTRACTED AND BEFORE EVIDENCE OF SUCH INDEBTEDNESS IS ISSUED G. ANNUAL CAPITAL AND OPERATING BUDGETS OF THE CORPORATION H. TRANSFER ASSETS BY THE CORPORATION DURING ANY FISCAL YEAR OF ASSETS EXCEEDING $100,000 IN NET VALUE
Form 990, Part VI, Line 11b Review of form 990 by governing bodyFORM 990 IS PREPARED AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S MANAGEMENT PERSONNEL. ANY QUESTIONS AND CONCERNS THE ORGANIZATION'S MANAGEMENT PERSONNEL HAS ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN MADE AVAILABLE TO THE EXECUTIVE COMPENSATION COMMITTEE AND ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990 WITH THE IRS. ALL BOARD MEMBERS ARE INFORMED THAT A PAPER COPY OF THE FORM 990 IS AVAILABLE AT THE ORGANIZATION'S PRINCIPAL OFFICE.
Form 990, Part VI, Line 12c Conflict of interest policyBOARD MEMBERS AND OFFICERS RECEIVE CORRESPONDENCE EACH YEAR THAT MUST BE COMPLETED AND SIGNED. THE CORRESPONDENCE INCLUDES A CONFLICTS OF INTEREST QUESTIONAIRE. OFFICERS AND KEY STAFF ALSO RECEIVE AN ATTESTATION FORM THAT MUST BE SIGNED CONFIRMING THAT THEY WILL DISCLOSE ANY CONFLICTS THAT VIOLATE THE ORGANIZATION'S POLICY. THE BOARD REVIEWS ALL CONFLICTS AND DETERMINES IF FURTHER ACTIONS NEED TO BE TAKEN. WHEN A CONFLICT DOES EXIST, THE INTERESTED PERSON MUST SUBMIT A DISCLOSURE NOTICE TO THE BOARD AND ABSTAIN FROM MAKING MOTIONS, VOTING, NEGOTIATING, EXECUTING AGREEMENTS, OR TAKING ANY OTHER DIRECT ACTION ON BEHALF OF THE ORGANIZATION WHERE THE CONFLICT MIGHT PERTAIN.
Form 990, Part VI, Line 19 Required documents available to the publicTHE ORGANIZATION HAS ALL GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND THE ANNUAL FINANCIAL STATEMENTS ON FILE IN THE ACCOUNTING AND ADMINISTRATION DEPARTMENTS. ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.
Form 990, Part IX, Line 11g Other FeesPURCHASED SERVICES - Total Expense: 1676258, Program Service Expense: 1676258, Management and General Expenses: , Fundraising Expenses: ; PROFESSIONAL FEES - MEDICAL - Total Expense: 603682, Program Service Expense: 603682, Management and General Expenses: , Fundraising Expenses: ; PROFESSIONAL FEES - OTHER - Total Expense: 575210, Program Service Expense: 551424, Management and General Expenses: 23786, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesTRANSFER FROM AFFILIATE - 2808739; Other - 476188;
FORM 990, PART VI, LINE 15A - & 15B PROCESS TO ESTABLISH COMPENSATIONEACH YEAR, THE COMPENSATION COMMITTEE OF THE BAPTIST HEALTH CARE, INC. BOARD UTILIZES INDEPENDENT COMPENSATION STUDIES THAT REFLECT THE CURRENT MARKET VALUE OF SPECIFIC KEY MANAGEMENT POSITIONS AS BENCHMARK DATA. ALL COMPENSATION OF KEY INDIVIDUALS MUST BE APPROVED BY THE BAPTIST HEALTH CARE COMPENSATION COMMITTEE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
BAPTIST HEALTH CARE FOUNDATION
125 BAPTIST WAY SUITE 6APENSACOLAFL32503590192265FUNDRAISINGFL501(c)(3)7BHCIYes (true)
BAPTIST HEALTH CARE INC
125 BAPTIST WAY SUITE 6APENSACOLAFL32503590657322HEALTHCAREFL501(c)(3)3NAfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtAddress Line2USAddress/AddressLine2Txt
BAPTIST MEDICAL PARK SURGERY CENTER LLC
9400 UNIVERSITY PKWYPENSACOLAFL32541593535262AMBULATORY SURGERYFLNAN/A
ANDREWS INSTITUTE ASC LLC
1040 GULF BREEZE PKWYGULF BREEZEFL32561352274952AMBULATORY SURGERYFLNAN/A
LIGHTHOUSE HEALTH PLAN LLC
1717 NORTH E STREETPENSACOLAFL32501823182832HEALTH INSURANCEFLNAN/ASTE 320
BHI-INTUITIVE HEALTH OF ESCAMBIA COUNTY LLC
5700 GRANITE PARKWAYPLANOTX75024843637126FREESTANDING EDFLNAN/ASTE 456

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
BAPTIST HEALTH VENTURES INC
1717 NORTH E STPENSACOLAFL32501592667929ADMINISTRATIVEFLNAC CorporationYes (true)
THE TOWERS PHARMACY INC
1717 NORTH E STPENSACOLAFL32501592667929RETAIL SALESFLNAC CorporationYes (true)
LCC HOLDING COMPANY INC
1717 NORTH E STPENSACOLAFL32501592874324MEDICAL SERVICESFLNAC CorporationYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedScheduleGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINElecting OrganizationElectingOrganizationIndTotal Grassroots LobbyTotalGrassrootsLobbyAmtTotal Direct LobbyTotalDirectLobbyAmtTotal Lobby ExpenditureTotalLobbyExpenditureAmtOther Exempt Purpose ExpendOtherExemptPurposeExpendAmtTotal Exempt Purpose ExpendTotalExemptPurposeExpendAmtLobby NontxLobbyNontxAmtGrassroots NontxGrassrootsNontxAmtTotal Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmtTot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmtShare Excess Lobby ExpendShareExcessLobbyExpendAmt
Jay Hospital Inc
POST OFFICE BOX 17500PENSACOLAFL32522592425149Yes (X)$0$2,940$2,940$19,711,585$19,714,525$1,000,000$250,000$0$0$0
BAPTIST HEALTH CARE INC
PO BOX 17500PENSACOLAFL325227500590657322Yes (X)$0$343,959$343,959$913,339,620$913,683,579$1,000,000$250,000$0$0$0
BAPTIST HEALTH CARE FOUNDATION
PO BOX 17500PENSACOLAFL325227500590192265Yes (X)$0$0$0$3,094,169$3,094,169$304,708$76,177$0$0$0