BAPTIST MEDICAL CENTER OF NASSAU I NC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- BAPTIST MEDICAL CENTER OF NASSAU I NC (EIN 59-3234721)
- Tax period
- 2017-10-01 to 2018-09-30
- Filed
- 2019-08-12
- IRS object ID
- 201942249349301584
- Schema version
- 2017v2.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-08-12T16:00:24-05:00 | ReturnTs |
| Tax Period End | 2018-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593234721 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baptist Medical Center of Nassau Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BAPT | BusinessNameControlTxt |
| Phone | 9042024132 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1660 Prudential Dr 203 | AddressLine1Txt |
| City | Jacksonville | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32207 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Scott Wooten | PersonNm |
| Person Title | EVP & CFO | PersonTitleTxt |
| Signature | 2019-08-12 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BMC Nassau | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Brett S McClung | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 841 Prudential Dr Ste 1601 | AddressLine1Txt |
| City | Jacksonville | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32207 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $80,435,713 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.baptistjax.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | Continue the healing ministry of Christ by providing accessible, quality healthcare services at a reasonable cost in an atmosphere that fosters respect and compassion. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 524 | TotalEmployeeCnt |
| Total Volunteers | 217 | TotalVolunteersCnt |
| Total Gross UBI | $10,093 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$1,078 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $29,900 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,050 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $72,740,981 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $79,540,421 | CYProgramServiceRevenueAmt |
| PY Investment Income | $777,766 | PYInvestmentIncomeAmt |
| CY Investment Income | $739,836 | CYInvestmentIncomeAmt |
| PY Other Revenue | $158,645 | PYOtherRevenueAmt |
| CY Other Revenue | $111,969 | CYOtherRevenueAmt |
| PY Total Revenue | $73,707,292 | PYTotalRevenueAmt |
| CY Total Revenue | $80,396,276 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $353,428 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $239,695 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $32,335,394 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $33,593,793 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $29,256,077 | PYOtherExpensesAmt |
| CY Other Expenses | $29,653,206 | CYOtherExpensesAmt |
| PY Total Expenses | $61,944,899 | PYTotalExpensesAmt |
| CY Total Expenses | $63,486,694 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $11,762,393 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $16,909,582 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $130,250,412 | TotalAssetsBOYAmt |
| Total Assets EOY | $136,613,469 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $14,273,145 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,358,709 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $115,977,267 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $124,254,760 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Continue the healing ministry of Christ by providing accessible, quality healthcare services at a reasonable cost in an atmosphere that fosters respect and compassion. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $60,165,202 | ExpenseAmt |
| Grant | $239,695 | GrantAmt |
| Revenue | $79,540,421 | RevenueAmt |
| Desc | Baptist Medical Center of Nassau, Inc. (BMCN) is a highly advanced, extremely well-equipped community hospital located on Amelia Island, serving Nassau County and its surrounding area. The hospital provides a full spectrum of inpatient and outpatient services and 24-hour emergency care. The medical staff includes highly trained physicians in 26 different specialties along with a 24/7 hospitalist program. BMCN is an accredited chest pain center, has earned magnet recognition for excellence in patient care, and offers many advanced services and technologies not typically seen in a community hospital including a 30,000 square foot surgery/procedural center, 64-slice ct, digital 3D mammography, cardiac rehab center and sleep center. Inpatients are cared for in ultra-modernized building, which offers 48 private patient suites including intensive care. Other programs include maternity department, delivering 514 babies during the past fiscal year. BMCN was one of the first community hospitals in the nation to convert to an electronic medical record system. Baptist Medical Center of Nassau is fully integrated within a five hospital system of Baptist Health System, Inc. (BHS). Inpatient pediatric care is provided by Wolfson Children's Hospital in Jacksonville. During the fiscal year, there were 426 employees, 62 beds, 3,608 admissions accounting for 11,819 patient days, and 23,567 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, 2018: (1) charity care, $3.2 million, (2) unreimbursed Medicare costs, $8.2 million, and (3) specific community programs, $356 thousand, for a total of $11.8 million of uncompensated care and community benefit. BMCN's primary focus is addressing unmet health needs, particularly among vulnerable populations who have limited resources and access to health care. BMCN has gone beyond the delivery of essential health care to improve the lives of individuals and the overall quality of life in our region. Baptist health's community health committee guides the community health efforts. This committee provides strategic direction related to community health activities and ensures focus on key priorities that align with Baptist health's mission. A cornerstone of our commitment to the community is caring for the health of vulnerable, uninsured and underserved people among us. One of BMCN's guiding principles of community health is to collaborate with other local organizations to leverage our collective expertise and strength for the health benefits of the community. This collaborative approach helps ensure efficiency and avoids duplication of effort, resulting in enhancement of the lives of area residents at every life stage and income level. BMCN community health priorities currently include: (1) increasing access to care for medically underserved people, (2) preventing and managing chronic diseases, (3) assisting victims of domestic violence, and (4) helping our children and youth. | Desc |
| Total Program Service Expenses | $60,165,202 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 56 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 524 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | Yes (true) | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Scott Finnegan | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9042023270 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 841 Prudential Dr Ste 1602 | AddressLine1Txt |
| City | Jacksonville | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32207 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| A Hugh Greene | ||||||||
| President | 0.5 | 39.5 | Yes (X) | Yes (X) | $0 | $1,626,899 | $55,811 | |
| Christina H Bryan | ||||||||
| Chairman | 0.5 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| James McManemon | ||||||||
| Secretary/Treasurer | 0.5 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Jon C Lasserre | ||||||||
| Vice Chairman | 0.5 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Michael M Bell | ||||||||
| Vice Chairman | 0.5 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Brandy B Carvalho | ||||||||
| Director | 0.1 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Donna L VanPuymbrouck | ||||||||
| Director | 0.1 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Gerald R Burford MD | ||||||||
| Director | 0.1 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Gregory N Smith MD | ||||||||
| Director | 0.1 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Janice Ancrum | ||||||||
| Director | 0.1 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Jodi H Henson | ||||||||
| Director | 0.1 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Karen Hackett | ||||||||
| Director | 0.1 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Robert Ferreira | ||||||||
| Director | 0.1 | 0 | Yes (X) | $0 | $0 | $0 | ||
| William H Gower | ||||||||
| Director | 0.1 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Willie J Scott | ||||||||
| Director | 0.1 | 0 | Yes (X) | $0 | $0 | $0 | ||
| John F Wilbanks | ||||||||
| Executive Vice President | 0.5 | 39.5 | Yes (X) | $0 | $9,172,754 | $127,484 | ||
| Scott Wooten | ||||||||
| SVP/CFO | 0.5 | 39.5 | Yes (X) | $0 | $830,219 | $193,318 | ||
| Harvey Granger | ||||||||
| Assistant Secretary | 0.3 | 39.7 | Yes (X) | $0 | $602,897 | $64,807 | ||
| Ed Hubel | ||||||||
| Vice President | 40.0 | 0 | Yes (X) | $276,504 | $0 | $43,696 | ||
| G Scott Baity | ||||||||
| Assistant Secretary | 0.3 | 39.7 | Yes (X) | $0 | $281,252 | $45,450 | ||
| David Toncray | ||||||||
| Director, Pharmacy | 40.0 | 0 | $123,103 | $0 | $11,271 | Yes (X) | ||
| Kellene Sauls MSNRN | ||||||||
| Nurse Executive | 40.0 | 0 | $158,055 | $0 | $30,788 | Yes (X) | ||
| Pamela Bolden | ||||||||
| Asssociate Director, Surgical Services | 40.0 | 0 | $112,133 | $0 | $24,990 | Yes (X) | ||
| Patricia Hausauer | ||||||||
| Director, Finance | 40.0 | 0 | $121,369 | $0 | $19,470 | Yes (X) | ||
| Stephen Bean | ||||||||
| Pharmacist | 40.0 | 0 | $141,284 | $0 | $40,953 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $932,448 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $12,514,021 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $658,038 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| Alcon Surgical | ||||||
| 6201 South Freeway | Ft Worth | TX | 761342001 | Medical Supply Distributor | $10,534,979 | |
| Brasfield & Gorrie LLC | ||||||
| 4601 Touchton Rd Bldg 300 | Jacksonville | FL | 32246 | Construction | $7,664,350 | Suite 3190 |
| Owens & Minor Inc | ||||||
| 8489 Westside Industrial Dr | Jacksonville | FL | 32219 | Medical Supply Distributor | $2,382,039 | |
| McKesson Corporation | ||||||
| 4345 Southpoint Blvd 110 | Jacksonville | FL | 32216 | Medical Supply Distributor | $1,621,533 | |
| Zimmer US Inc | ||||||
| 1520 Tradeport Dr | Jacksonville | FL | 32218 | Medical Supply Distributor | $1,304,283 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 61 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $4,050 | RelatedOrganizationsAmt |
| Total Contributions | $4,050 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Patient service revenues, Net | 621990 | $78,805,727 | $78,805,727 | $0 | $0 |
| EHR revenue medicare | 621990 | $122,351 | $122,351 | $0 | $0 |
| Hospital Cafeteria | 722514 | $332,956 | $332,956 | $0 | $0 |
| Rental Revenue | 531120 | $232,134 | $232,134 | $0 | $0 |
| Other Revenue | 621990 | $47,253 | $47,253 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $79,540,421 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $737,669 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $737,669 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $141,313 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $39,437 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $101,876 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $101,876 | TotalRevenueColumnAmt |
| Exclusion | $101,876 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $2,167 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $2,167 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,167 | TotalRevenueColumnAmt |
| Exclusion | $2,167 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Reference Lab Revenue | Desc |
| Business | 621500 | BusinessCd |
| Total Revenue Column | $10,093 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $10,093 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $10,093 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $80,396,276 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $79,540,421 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $10,093 | UnrelatedBusinessRevenueAmt |
| Exclusion | $841,712 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $239,695 | TotalAmt |
| Program Services | $239,695 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $278,534 | TotalAmt |
| Program Services | $139,267 | ProgramServicesAmt |
| Management And General | $139,267 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,292,491 | TotalAmt |
| Program Services | $23,186,848 | ProgramServicesAmt |
| Management And General | $1,105,643 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,389,397 | TotalAmt |
| Program Services | $1,346,904 | ProgramServicesAmt |
| Management And General | $42,493 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,792,077 | TotalAmt |
| Program Services | $5,528,883 | ProgramServicesAmt |
| Management And General | $263,194 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,841,294 | TotalAmt |
| Program Services | $1,786,288 | ProgramServicesAmt |
| Management And General | $55,006 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $277,654 | TotalAmt |
| Program Services | $220,080 | ProgramServicesAmt |
| Management And General | $57,574 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,481 | TotalAmt |
| Program Services | $23,824 | ProgramServicesAmt |
| Management And General | $6,657 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,887,521 | TotalAmt |
| Program Services | $3,812,266 | ProgramServicesAmt |
| Management And General | $1,075,255 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,164 | TotalAmt |
| Program Services | $25,348 | ProgramServicesAmt |
| Management And General | $2,816 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,266,462 | TotalAmt |
| Program Services | $4,175,758 | ProgramServicesAmt |
| Management And General | $90,704 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,430 | TotalAmt |
| Program Services | $84,589 | ProgramServicesAmt |
| Management And General | $1,841 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,276,510 | TotalAmt |
| Program Services | $2,146,977 | ProgramServicesAmt |
| Management And General | $129,533 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,400 | TotalAmt |
| Program Services | $10,200 | ProgramServicesAmt |
| Management And General | $10,200 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,170 | TotalAmt |
| Program Services | $34,085 | ProgramServicesAmt |
| Management And General | $34,085 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,418 | TotalAmt |
| Program Services | $150,418 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,658,653 | TotalAmt |
| Program Services | $4,425,720 | ProgramServicesAmt |
| Management And General | $232,933 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $252,505 | TotalAmt |
| Program Services | $239,880 | ProgramServicesAmt |
| Management And General | $12,625 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Hospital/Medical Supplies | $11,427,948 | $11,427,948 | |
| AHCA & NICA Assessments | $936,518 | $936,518 | |
| Patient Transportation | $162,039 | $162,039 | |
| Dues & Memberships | $82,636 | $41,318 | $41,318 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,697 | TotalAmt |
| Program Services | $20,349 | ProgramServicesAmt |
| Management And General | $20,348 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,486,694 | TotalAmt |
| Program Services | $60,165,202 | ProgramServicesAmt |
| Management And General | $3,321,492 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $600 | BOYAmt |
| EOY | $625 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,593,885 | BOYAmt |
| EOY | $9,143,882 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,207,743 | BOYAmt |
| EOY | $1,434,102 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $376,990 | BOYAmt |
| EOY | $627,904 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $101,807,403 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $47,472,642 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,748,618 | BOYAmt |
| EOY | $54,334,761 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,759,900 | BOYAmt |
| EOY | $12,372,620 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,562,676 | BOYAmt |
| EOY | $58,699,575 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,250,412 | BOYAmt |
| EOY | $136,613,469 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,418,119 | BOYAmt |
| EOY | $5,435,908 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,279,405 | BOYAmt |
| EOY | $2,262,172 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,575,621 | BOYAmt |
| EOY | $4,660,629 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,273,145 | BOYAmt |
| EOY | $12,358,709 | EOYAmt |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,212,167 | BOYAmt |
| EOY | $120,864,391 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $471,660 | BOYAmt |
| EOY | $582,930 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,293,440 | BOYAmt |
| EOY | $2,807,439 | EOYAmt |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $115,977,267 | BOYAmt |
| EOY | $124,254,760 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,250,412 | BOYAmt |
| EOY | $136,613,469 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $16,909,582 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$6,766 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$8,625,323 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,584,655 | BeginningYearBalanceAmt |
| Contributions | $514,000 | ContributionsAmt |
| Investment Earnings Or Losses | $105,374 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $52,584 | OtherExpendituresAmt |
| End Year Balance | $3,151,445 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,476,134 | BeginningYearBalanceAmt |
| Contributions | $935,480 | ContributionsAmt |
| Investment Earnings Or Losses | $176,358 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $3,317 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $2,584,655 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,253,224 | BeginningYearBalanceAmt |
| Contributions | $136,103 | ContributionsAmt |
| Investment Earnings Or Losses | $88,832 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $2,025 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $1,476,134 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $636,768 | BeginningYearBalanceAmt |
| Contributions | $666,301 | ContributionsAmt |
| Investment Earnings Or Losses | -$33,972 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $15,873 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $1,253,224 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $212,505 | BeginningYearBalanceAmt |
| Contributions | $401,162 | ContributionsAmt |
| Investment Earnings Or Losses | $23,860 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $759 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $636,768 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.0166 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.8909 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.0925 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $477,107 | OtherCostOrOtherBasisAmt |
| Book Value | $477,107 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $60,472,074 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,044,769 | DepreciationAmt |
| Book Value | $41,427,305 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $422,185 | OtherCostOrOtherBasisAmt |
| Depreciation | $107,046 | DepreciationAmt |
| Book Value | $315,139 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $36,502,011 | OtherCostOrOtherBasisAmt |
| Depreciation | $27,078,535 | DepreciationAmt |
| Book Value | $9,423,476 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,934,026 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,242,292 | DepreciationAmt |
| Book Value | $2,691,734 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $54,334,761 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Advances to affiliated organizations | $55,309,203 |
| Interest in Net Assets of Baptist Health System Foundation, Inc. | $3,390,372 |
| Prepaid bonds cost of issuance | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $58,699,575 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated third-party settlements | $1,927,839 |
| 1997A bond swap market value | $118,552 |
| 2001 bond swap market value | $13,107 |
| Unclaimed Checks | $10,805 |
| Due to Affilated Organizations | $2,590,326 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,660,629 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 Intended uses of endowment funds | Baptist Medical Center of Nassau Inc. (BMCN) has temporary restricted quasi-endowment funds and permanently restricted endowment funds that are held and administered by its related fundraising affiliated organization, Baptist Health System Foundation, Inc. Annually, 5% of the combined endowment corpus and accumulated investment earnings are available for capital projects of BMCN. |
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | With few exceptions, Baptist Medical Center of Nassau, Inc. is no longer subject to examinations by major tax jurisdictions for years ended September 30, 2015 and prior. Management does not believe there are any material uncertain positions. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $3,229,265 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,229,265 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0509 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $6,884,128 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,843,620 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $10,113,393 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,843,620 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,229,265 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0509 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $90,253 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $90,253 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0014 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $266,220 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $266,220 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0042 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $356,473 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $356,473 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0056 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $10,469,866 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,843,620 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,585,738 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0565 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 20 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,790,735 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $26,286,073 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $34,466,344 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$8,180,271 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baptist Medical Center of Nassau Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1250 S 18th St | AddressLine1Txt |
| City | Fernandina Beach | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32034 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.baptistjax.com | WebsiteAddressTxt |
| State License | 4355 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baptist Medical Center of Nassau Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://www.baptistjax.com/about-us/social-responsibility/assessing-community-health-needs | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | http://www.hpcnef.org/jacksonville-nonprofit-hospital-partnership-community-health-needs-assessment/ | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.baptistjax.com/about-us/social-responsibility/assessing-community-health-needs | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://www.baptistjax.com/patient-info/financial-assistance | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://www.baptistjax.com/patient-info/financial-assistance | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://www.baptistjax.com/patient-info/financial-assistance | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 3E | The significant health needs of the community are identified on our CHNA. The methodology to determine the significance of the community health needs and prioritization of the health needs are also described in our CHNA. |
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - Baptist Medical Center of Nassau, Inc.. Community health needs were identified by collecting and analyzing data and information from multiple quantitative and qualitative sources. Considering information from a variety of sources is important when assessing community health needs, to ensure the assessment captures a wide range of facts and perspectives and to assist in identifying the highest-priority health needs. Statistics for numerous health status, health care access, and related indicators were analyzed, including from local, state, and federal public agencies, local community service organizations, and hospital members of The Partnership. Comparisons to benchmarks were made where possible. Details from the quantitative data are presented in the CHNA Data and Analysis section of this report, followed by a review of the principal findings of health assessments and reports conducted by other organizations in the community in recent years. Input from 195 persons representing the broad interests of the community was taken into account via 12 key informant interview sessions, nine focus groups, and four town hall meetings. Interviews included: individuals with special knowledge of or expertise in public health; the local public health department; agencies with current data or information about the health needs of the community; and leaders, representatives, and members of medically underserved, lowincome, and minority populations, and populations with chronic disease needs. Duval County Department of Health staff, working under subcontract with Verite, conducted and summarized results from the key informant interviews and community meetings. |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - Baptist Medical Center of Nassau, Inc.. 11 hospitals: (Baptist Medical Center Jacksonville, Baptist Medical Center South, Wolfson Children's Hospital, Baptist Medical Center of the Beaches, Inc., Baptist Medical Center of Nassau, Inc., Brooks Rehabilitation Hospital, Mayo Clinic Florida, St. Vincent's Medical Center Riverside, St. Vincent's Medical Center South, St. Vincent's Medical Center Clay and UF Health Jacksonville) |
| Schedule H, Part V, Section B, Line 7 Facility , 1 | Facility , 1 - Baptist Medical Center of Nassau, Inc.. Public release was held April 28, 2016 with all health system CEOs presenting the assessment methodology, the needs identified in the assessment and the needs prioritized by each hospital. The public release was attended by approximately 75 people including media representatives. Newspaper articles and radio and television stories reported on the assessment and informed community members where they could find each hospital's assessment and implementation plans. Link to story in the Florida Times-Union - http://jacksonville.com/news/metro/2016-04-28/story/what-are-jacksonvilles-biggest-health-needs-these-hospitals-have-some. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - Baptist Medical Center of Nassau, Inc.. Access: To address this need, Baptist Medical Center Nassau will undertake the following program initiatives: Assure that the hospital's financial assistance programs comply fully with state and federal requirements, Partner with Barnabas to provide access to care for diabetes and mental illness for people with low incomes, Partner with Nassau County Council on Aging to provide transportation for low-income and indigent individuals to reach medical appointments, Provide health screenings in low income, African American and Hispanic communities and follow-up on abnormal results with action items including connection to a medical home. Planned Collaborations: In implementing the above initiatives, Baptist Medical Center Nassau anticipates collaborating with the following organizations: Barnabas Center, Inc., Nassau County Council on Aging, Faith-based and community organizations, and Others. Anticipated Impacts: Improved awareness of and access to health care to the under/uninsured population in Nassau County which has a low supply of primary care physicians, dentists, and mental health providers and Reduced transportation barriers to medical appointments. Evaluation Plan: Baptist Medical Center Nassau will assess the impact of the above initiatives as part of the community health needs assessment it will conduct in 2018. Track the number of patients served through funding provided to Barnabas and patients' health outcomes, Track the number of individuals transported to medical appointments by the Council on Aging of Nassau County, Track the number of individuals screened at community events and the number requiring follow up, and the number of patients requiring follow up who are connected to care through Barnabas Center. BMCN staff participates in Nassau NCHIC meetings and Inter-Faith Health Ministry. Participated in the Nassau Council on Aging on September 14, 2018. 200 screenings completed on participants to include blood pressure, body mass index, blood glucose, cholesterol, and bone density. In partnership with Barnabas, established and implemented procedures to refer uninsured patients who need primary care services Strategic Investments: Barnabas provides primary, specialty and dental care to adults without insurance in Nassau County. 785 unduplicated patients received primary care for a total of 2,576 visits. 24 patients received mental health and/or substance abuse counseling (53 in FY17). 663 patients received dental care (768 in FY17) for a total of 1,962 visits (2,484 in FY17). 267 patients were provided gynecological exams or mammograms (367 in FY17). Provided funding to Vision Is Priceless, which provided vision screenings to 1,195 children and 54 adults in Nassau County. 83 adults in Nassau County received comprehensive eye exams, and 76 received glasses. Provided funding to Nassau County Council on Aging to provide transportation to indigent residents. 477 trips to medical appointments were provided. Cancer: To address this need, Baptist Medical Center Nassau will undertake the following program initiatives: Provide education and screenings in low income, African American and Hispanic communities and follow-up on abnormal results with action items including connection to a medical home. Offer prostate specific antigen (PSA) screenings at community events. Follow up phone calls will be made to patients with abnormal results to encourage patients to visit their primary care physician or connect them to a free or low cost clinic, Increase the amount of inpatient and outpatient referrals to Northeast Florida AHEC for smoking cessation by educating Baptist Primary Care physicians about the referral process, Train Baptist Health Social Responsibility PRN registered nurses in motivational interviewing to identify and refer people who are interested in quitting smoking to AHEC for classes. Work with NACDAC to educate teens on the importance of HPV vaccine in preventing cervical cancer, Facilitate classes on the dangers of tobacco products and smoking cessation resources in middle and high schools, Provide information at health fairs and other community events about the health risks associated with smoking and resources for smoking cessation, Register eligible women at community events for mammograms from the Florida Breast and Cervical Cancer Early Detection Program offered through the Florida Department of Health, Offer community education sessions on various forms of cancer. Planned Collaborations: In implementing the above initiatives, Baptist Medical Center Nassau anticipates collaborating with community organizations, including: Council on Aging of Nassau County, NACDAC , Northeast Florida AHEC, Florida Department of Health in Nassau County, Baptist MD Anderson Cancer Center, Baptist Primary Care, Faith based and community organizations, and Others. Anticipated Impacts: Increased number of cancer screenings in the community from the baseline of being the leading cause of death in Nassau County at a rate of 187, compared to Florida which is at a rate of 159.6, Increased awareness regarding lifestyle and other risks associated with developing cancer, Increased participation in smoking cessation programs, More young adults will be educated on the HPV vaccine, More middle and high school students will be educated on the dangers of smoking and smokeless tobacco. Evaluation Plan: Baptist Medical Center Nassau will assess the impact of the above initiatives as part of the community health needs assessment it will conduct in 2018. Track the number of men that have PSA screenings and the number of abnormal tests requiring follow up, Track the number of youth who participate in tobacco prevention classes, Track the number of women referred to the Florida Breast and Cervical Cancer Early Detection Program and the number who receive mammography screenings at Baptist Medical Center Nassau, Analyze survey results from participants at health education sessions to measure knowledge gains and planned lifestyle changes, Utilize AHEC's state-wide database to track by referral source the number of referrals received, the number of people who attend classes, the number of people who complete classes and the number of people who quit smoking. Program Results: Active representation at NCHIC, CHIP and Interfaith Health Ministry meetings. Strategic Investments: Barnabas provides primary, specialty and dental care to adults without insurance in Nassau County. 785 unduplicated patients received primary care for a total of 2,576 visits. 267 patients were provided gynecological exams or mammograms (367 in FY17). 249 patients participated in smoking cessation classes and 30 stopped smoking. |
| Schedule H, Part V, Section B, Line 11 Facility , 2 | Facility , 2 - Baptist Medical Center of Nassau, Inc.. Health Disparities: To address this need, Baptist Medical Center Nassau will undertake the following program initiatives: Provide education and screenings in low income, African American and Hispanic communities and follow-up on abnormal results with action items including connection to a medical home, Partner with Barnabas to provide access to care for diabetes and mental illness for people with low incomes, Offer 8 Weeks to Healthy Living program through faith-based and community organizations, Train Baptist Health Social Responsibility PRN team members in motivational interviewing to identify and refer people who are interested in quitting smoking to AHEC for classes and support, Partner with Northeast Florida AHEC to provide smoking cessation classes in the community in low-income neighborhoods, Facilitate classes on the dangers of tobacco products and smoking cessation resources in middle and high schools, Partner with Barnabas to provide mammograms for women without insurance, Register eligible women at community events for mammograms from the Florida Breast and Cervical Cancer Early Detection Program offered through the Florida Department of Health, Implement training for community members in low-income areas on the warning signs of mental illness in adults and children and how to intervene when necessary. Planned Collaborations: In implementing the above initiatives, Baptist Medical Center Nassau anticipates collaborating with community organizations, including: Council on Aging of Nassau County, Barnabas Center, Inc., Boys and Girls Clubs of Nassau County, NACDAC Teens for Change and other youth organizations, Starting Point Behavioral Healthcare, Mental Health America, Florida Department of Health - Nassau County, Faith-based and community organizations, and Others. Anticipated Impacts: Improved awareness of and access to healthcare professionals to the under/uninsured population from the baseline of 12 percent of the community living in poverty, Improved awareness and increased number of people participating in tobacco cessation programs in the community, Increased number of mammography screenings in the community, Increased awareness of mental illness and decrease stigma associated with it. Evaluation Plan: Baptist Medical Center Nassau will assess the impact of the above initiatives as part of the community health needs assessment it will conduct in 2018. Track the number of individuals screened at community events and the number requiring follow up, Track the number of patients served through financial support of local healthcare clinics for low-income individuals, Track the participants in the 8 Weeks to Healthy Living Program and record outcomes and improvements in health screening categories, Utilize AHEC's state-wide database to track by referral source the number of referrals received, the number of people who attend classes, the number of people who complete classes and the number of people who quit smoking, Measure knowledge gains in health education sessions, Track the number of mammography screenings and the number of people requiring follow up at Barnabas, Track the number of women referred to the Florida Breast and Cervical Cancer Early Detection Program and the number that receive mammography screenings at Baptist Medical Center Nassau, Measure participants' knowledge gains after attending Adult and Youth Mental Health First Aid trainings. Program Results: Provided a class on the dangers of tobacco products and smoking cessation resources for high school students at the Boys and Girls Clubs, Provided a class on Sexually Transmitted Infections for high school students at the Boys and Girls Clubs. Strategic Investments: Barnabas provides primary, specialty and dental care to adults without insurance in Nassau County. 785 unduplicated patients received primary care (1,242 in FY 17) for a total of 2,576 visits (4,074 in FY17). 24 patients received mental health and/or substance abuse counseling. 663 patients received dental care for a total of 1,962 visits. 267 patients were provided gynecological exams or mammograms, Provided funding to Nassau County Council on Aging to provide transportation to indigent residents. 477 trips to medical appointments were provided. 52% were senior citizens, Provided funding to the Boys and Girls Club to educate young ppl about health promotion through Tipping the Scale program, Provided funding to Vision Is Priceless, which provided vision screenings to 1,195 children and 54 adults in Nassau County. 83 adults in Nassau County received comprehensive eye exams, and 76 received glasses. Mental Health: To address this need, Baptist Medical Center Nassau will undertake the following program initiatives: Partner with United Way of Northeast Florida to develop and implement a community-wide effort to reduce stigma associated with mental illness and increase access to care. Baptist Health has trained facilitators who will implement training for community members on the warning signs of mental illness and what to do to help young people, including the Youth Mental Health First Aid training, Baptist Health trained facilitators will implement training for community members on the warning signs or mental illness and what to do to help adults, including the Adult Mental Health First Aid training, Partner with faith-based organizations to offer Faith and Mental Health education, Train adults in the community on recognizing the warning signs of mental illness and suicide among youth, Collaborate with other community providers to develop integrated pediatric care clinic that will provide additional mental health resources in the community. Planned Collaborations: In implementing the above initiatives, Baptist Medical Center Nassau anticipates collaborating with community organizations, including: Starting Point Behavioral Healthcare, Mental Health America, United Way of Northeast Florida, and Others Anticipated Impacts: Increased access to mental health services from the baseline of Nassau County having the highest age- adjusted rate of mortality from suicide in Northeast Florida. At 20.6 the rate is well above the Florida average of 13.8, Reduction in stigma associated with mental illness by training 10,000 people in the community Mental Health First Aid classes. Evaluation Plan: Baptist Health Medical Center Nassau will assess the impact of the above initiatives as part of the community health needs assessment it will conduct in 2018, An evaluation of mental health awareness, attitudes and access will be included in the United Way effort. The number of participants in the Youth Mental Health First Aid eight-hour training will be tracked and knowledge gains measured through surveys, Track the number of participants at the Faith and Mental Health Conference, Track the number of uninsured/underinsured children receiving services at the integrated care clinic, Survey participants in training on youth mental illness and suicide and measure knowledge gains. Monitor admissions in emergency department related to mental health, Monitor rates of suicide in the community. Program Results: 117 people were trained in Adult Mental Health First Aid by Starting Point Behavioral Health (200 in FY17). Strategic Investments: Barnabas provides primary, specialty and dental care to adults without insurance in Nassau County. 785 unduplicated patients received primary care for a total of 2,576 visits. 24 patients received mental health and/or substance abuse counseling (77 in FY17), Provided funding to Starting Point Behavioral Health to train residents in Nassau and Duval County in Mental Health First Aid. 429 people received training and were certified as Mental Health First Aiders (262 in FY17), Funded Starting Point Care Coordinator at B-Nassau Emergency Department. 176 patients were referred of which 65 received care coordination services and 10 received substance abuse and/or mental health treatment, Provided funding to Mental Health America of Northeast Florida to increase awareness of and advocacy for additional mental health services in our community resulting in increased funding and legislation that expands the capacity of mental health services in northeast Florida, Provided funding to the Health Planning Council to coordinate Mental Health First Aid trainings in Northeast Florida. 2,476 people were trained in 2018, Provided funding to The Partnership: For Mental Health to reduce stigma and increase access to mental health care in Northeast Florida. |
| Schedule H, Part V, Section B, Line 11 Facility , 3 | Facility , 3 - Baptist Medical Center of Nassau, Inc.. No entity can address all of the health needs present in its community. Baptist Medical Center Nassau is committed to serving the community by adhering to its mission, using its skills and capabilities, and remaining a strong organization so that it can continue to provide a wide range of community benefits. This implementation strategy does not include specific plans to address the following health priorities that were identified in the 2015 Community Health Needs Assessment: Alcohol/Substance Abuse. Baptist Medical Center Nassau does not anticipate implementing additional initiatives to address identified alcohol and substance abuse needs. The hospital does not have sufficient resources to effectuate a significant change in this area and will focus on other significant community health needs. Dental Care. Baptist Medical Center Nassau supports Barnabas Center which provides dental care. Due to resource constraints and the availability of other resources in the community, the hospital will focus on other significant community health needs. Maternal and Child Health. Baptist Medical Center Nassau does not anticipate implementing additional initiatives to address identified maternal and child health needs. Baptist Health is comprised of THE PLAYERS Center for Child Health which addresses maternal and child health across the five-county region. Baptist Nassau will continue offering many free classes for expecting mothers that are open to community members. Due to resource constraints and the availability of other resources in the community the hospital will focus on other significant community health needs. Nutrition, Physical Activity, and Obesity. Baptist Medical Center Nassau supports the Nassau County Council on Aging to provide transportation to seniors for healthy meals and activities provided through the senior center. The hospital does not have sufficient resources to effectuate a significant change in this area and will focus on other significant community health needs. Transportation. Baptist Medical Center Nassau supports the Nassau County Council on Aging to provide transportation for seniors to attend doctor appointments and other errands. The hospital does not have expertise in this area nor sufficient resources to effectuate a significant change. Accordingly, the hospital will focus on other significant community health needs. |
| Schedule H, Part V, Section B, Line 20 Facility , 1 | Facility , 1 - Baptist Medical Center of Nassau, Inc.. Charity or Discounted Care posters are located in the Emergency Rooms and Patient Admission areas to inform patients of financial assistance and who to contact regarding financial assistance. AT PATIENT ACCESS POINTS, "GUIDELINES FOR CHARITY CARE ELIGIBILITY" CARDS ARE PROVIDED THAT CONTAIN FINANCIAL DISCOUNT AND CHARITY CARE INFORMATION. THIS INCLUDES A GENERAL CHART OF ELIGIBLE INCOME LEVELS AND ENCOURAGES PATIENTS TO SPEAK WITH OUR PATIENT FINANCIAL ADVOCATES TO ARRANGE A FINANCIAL EVALUATION. All billing statements conspicuously display the phone number, address, and website which directs patients to our financial assistance advocates and contains all financial assistance information. ALL APPLICANTS FOR FINANCIAL ASSISTANCE ARE MAINTAINED WHETHER OR NOT THE PATIENT QUALIFIES. All attempts to contact the patient are exhausted before sending to collections. All patients are sent through a system that analyses the financial position of the individual. All patients who are scored a certain number in accordance with our policy and who have not already applied for financial assistance are automatically deemed eligible for financial assistance. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 0 | FacilityNum |
Supplemental Information Detail SupplementalInformationDetail (24 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part VI, Line 7 State Filing of the Community Benefit Report | Baptist Health System, Inc. (BHS), parent company of the filing organization, is located within the northeast Florida quadrant. There are no requirements for state filing in Florida of the annual community benefit report. However, BHS does publish the report and it is available upon request or at the www.baptistjax.com website. |
| Schedule H, Part II, Line 2 Economic Development | Economic Development-New employment opportunities were provided to 3 teenagers 16 - 18 years old after successful completion of an eight-week job readiness training program (4 in FY17). Teens are provided exposure to the scope of practice for one of their top three areas of career interest at our flagship hospital system. The teens come from low-income neighborhoods and attend school with very low graduation rates. The summer employment opportunity provides teens exposure to real-life careers which motivates them to prepare appropriately for life after high school. |
| Schedule H, Part II, Line 3 Community Support | Community Support- 13 employees volunteered their time to provide one-to-one mentoring for high school students each week. The students who participate in the program are from our most vulnerable communities and low income families. They also attend local schools with low graduation rates. In this career guidance mentoring program, mentors introduce students to various careers in healthcare. In addition, they serve as supporters and encouragers for teens as they navigate the challenges of adolescence. Summer Youth Volunteer Program - Baptist Health offers opportunities for approximately 24 young people ages 16-17 to volunteer during the summer to assist in the selection of a career and as an opportunity to serve others (17 in FY17). Baptist employees supervise the volunteers giving them direction and support during their service. |
| Schedule H, Part II, Line 6 Coalition Building | Coalition Building - Jacksonville Nonprofit Hospital Partnership came together to develop a multi-hospital system collaborative community health needs assessment. The Partnership is a network of five health systems that are a shared voice to improve population health by eliminating the gaps that prevent quality, integrated health care and to improve access to resources that support a healthier lifestyle. During FY 2016, the Partnership initiated a collaboration to reduce stigma and crises related to mental illness through a community implementation of Mental Health First Aid, a program recognized by the Substance Abuse and Mental Health Services Administration. Nassau Community Health Improvement Coalition - BAPTIST NASSAU IS A MEMBER OF THE NASSAU COMMUNITY HEALTH IMPROVEMENT COALITION (NCHIC). NCHIC is a coalition of LOCAL AGENCIES, ORGANIZATIONS, COMMUNITY GROUPS, AND COMMUNITY MEMBERS WITH THE COMMON GOAL OF IMPROVING THE OVERALL HEALTH OF THE NASSAU COUNTY COMMUNITY. THE COALITION WORKS TO IMPROVE THE LEVEL OF HEALTH IN NASSAU COUNTY THROUGH AWARENESS, EDUCATION, PARTNERSHIP, PREVENTION, SERVICE DELIVERY, AND POLICY DEVELOPMENT SO THAT INDIVIDUALS ACHIEVE THEIR POTENTIAL TO LIVE HEALTHY, ACTIVE LIFESTYLES. Nassau County School Health Advisory Council - Wolfson Children's Hospital participates inThe Nassau County School District's advisory council that meets to implement a coordinated school health program. The advisory council advises and supports the schools' efforts to assess their needs and to design programs to help children develop the knowledge, skills, and attitudes they need to become healthy, productive citizens. Uninsured Working Group is a consortium of organizations working together to improve access to care through enrollment in health insurance programs or increased provider availability. Wolfson Children's Hospital and Baptist Health are active members of the Uninsured Working Group. Nassau Interfaith Health Ministry (IHM) brings healthcare professionals and the faith community together to: Strengthen each church's efforts to minister to the health needs of their members and the greater community. Address health and health care in a holistic way, attending to body, mind, and spirit. Create a bridge between Medicine and Religion on a community-wide basis. |
| Schedule H, Part II, Line 7 Community Health Improvement Advocacy | Community Health Improvement Advocacy- CHNA Priorities Access to Care and Health Disparities - Baptist Medical Center Nassau partners WITH BARNABAS CENTER located in Nassau CountyTO PROVIDE ACCESS TO PRIMARY HEALTH CARE FOR people who are UNINSURED AND UNDERINSURED. In addition to providing funding for Barnabas Center operations, Baptist Medical Center Nassau employs the physician serving as medical director for Barnabas Center and provides lab and other medical services in-kind for Barnabas Center. In addition, Baptist Nassau PARTNERS WITH THE NASSAU COUNTY COUNCIL ON AGING TO SUPPORT THE PROVISION OF TRANSPORTATION PROGRAM FOR THE ELDERLY IN A COMMUNITY WHERE NO PUBLIC TRANSPORTATION IS AVAILABLE. Baptist Nassau also partners with the Boys and Girls Club of Nassau County to provide positive youth development activities the goals of which are to help students be successful in school and life including on-time graduation from high school addressing economic and educational determinants that result in health disparities. Baptist Nassau partners with Vision is Priceless to provide screenings and exams to under-insured adults and children living in Nassau county. CHNA Priority Mental Health - BAPTIST MEDICAL CENTER Nassau partners with Starting Point Behavioral Health and the Northeast Florida Health Planning Council to provide MENTAL HEALTH FIRST AID training. Mental Health First Aid TEACHES PARTICIPANTS A FIVE-STEP ACTION PLAN TO ASSESS A SITUATION, SELECT AND IMPLEMENT INTERVENTIONS AND SECURE APPROPRIATE CARE FOR THE INDIVIDUAL. BMCN also partners with Starting Point to provide access to treatment for uninsured and underinsured people in Nassau County who are addicted to and abusing substances. BMCN provides funding and referrals for ED patients to receive services with appropriate permission. CHNA Priority Cancer - In addition to providing access to care through a partnership with Barnabas Center, BAPTIST Medical Center NASSAU PARTNERS WITH AHEC to offer smoking cessation classes in the hospital and community. Baptist Medical Center Nassau also partners with the Museum of Science and History to educate adult and youth visitors about health systems and how to be healthy. |
| Schedule H, Part II, Line 8 Workforce Development | Workforce Development - Workforce Development opportunities were provided to 3 teenagers 16 - 18 years old after successful completion of an eight-week job readiness training program (4 in FY17). Teens are provided exposure to the scope of practice for one of their top three areas of career interest at our flagship hospital system. The teens come from low-income neighborhoods and attend school with very low graduation rates. The summer employment opportunity provides teens exposure to real-life careers which motivates them to prepare appropriately for life after high school. Baptist Medical Center Nassau provided Clinical Education and Training to undergraduate and graduate student interns procuring degrees in nursing, IT, pharmacy, physical therapy and other health care professional provided by Baptist Health clinicians. In FY 18, Baptist Medical Center Nassau provided 182 students (139 in FY17) with 6,103 hours of clinical education supervision (13,292 in FY17). |
| Schedule H, Part II, Line 9 Other | Other Mental Health First Aid - Baptist Health provided 8-hour certification training in Mental Health First Aid, Youth and Adult, to 191 community members. The AgeWell Institute provided education on various topics to 1,110 people during fiscal year 2018 (550 in FY17). |
| 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 cost accounting system to develop payor-level RCC's which were applied to payor charges to calculate cost. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | Patient service revenues are reported at estimated net realizable amounts for services rendered. BHS recognizes patient service revenues associated with patients who have third-party payor coverage on the basis of contractual rates for the services rendered. For uninsured patients that do not qualify for charity care, revenue is recognized on the basis of discounted rates in accordance with BHS' policy. Patient service revenues are reduced by the provision for bad debts and accounts receivable are reduced by an allowance for uncollectible accounts. These amounts are based on management's assessment of historical and expected net collections for each major payor source, considering business and economic conditions, trends in health care coverage and other collection indicators. Management regularly reviews collections data by major payor sources in evaluating the sufficiency of the allowance for uncollectible accounts. On the basis of historical experience, a significant portion of BHS' self-pay patients will be unable or unwilling to pay for the services provided. Thus, BHS records a significant provision for bad debts in the period services are provided related to self-pay patients. For receivables associated with patients who have third-party coverage, BHS analyzes contractually due amounts and provides an allowance for uncollectible accounts and a provision for bad debts, if necessary. Accounts receivable are written off after collection efforts have been followed in accordance with BHS' policies. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | The entire provision for bad debts is recorded as a deduction from patient service revenues. None of the provision is included in the expenses of the Form 990 including Schedule H and the calculation of community benefit. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | Baptist Health System, Inc. and Subsidiaries Notes to Consolidated Financial Statements 2. Significant Accounting Policies Net Patient Service Revenues, Accounts Receivable, and Provision for Bad Debts Patient service revenues are reported at estimated net realizable amounts for services rendered. The organization 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 the organization's 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 HEALTHCARE 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 THE ORGANIZATION'S SELF-PAY PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE ORGANIZATION 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, THE ORGANIZATION ANALYSES 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 EFFORT HAS BEEN FOLLOWED IN ACCORDANCE WITH THE ORGANIZATION'S POLICIES. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | Medicare allowable costs of care based on the organization's cost accounting system which is used to determine the amount reported on Line 6. None of the shortfall reported on Line 7 is included in Schedule H, Part I. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | Yes, the organization does have a written debt collection policy. The policy does not specifically address those patients who are known to qualify or have applied for charity care as the organization does not bill these patients. The organization's cost accounting system identifies all patients who have a pending or approved charity application. The organization would only bill the patient if, after multiple attempts to obtain any needed documentation from the patient to complete the charity approval process, the patient was noncompliant. |
| Schedule H, Part V, Section B, Line 16a FAP website | - Baptist Medical Center of Nassau, Inc.: Line 16a URL: https://www.baptistjax.com/patient-info/financial-assistance; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - Baptist Medical Center of Nassau, Inc.: Line 16b URL: https://www.baptistjax.com/patient-info/financial-assistance; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - Baptist Medical Center of Nassau, Inc.: Line 16c URL: https://www.baptistjax.com/patient-info/financial-assistance; |
| Schedule H, Part VI, Line 2 Needs assessment | Baptist Health System Inc. (BHS), parent company of the filing organization, is a member of the Jacksonville Community Benefit Partnership that is a collaborative of 5 hospitals who work together to access and address important community health needs. Baptist Health has partnered with 6 faith-based organizations located in vulnerable low-income neighborhoods in Nassau County where a health needs survey is conducted annually. The survey of the members of our faith-based partners is anonymous. In addition, data is gathered from the Northeast Florida Counts website which serves as a source of population data and information about the health status of the community. It gathers information for Baker, Clay, Duval, Flagler, Nassau, St. Johns, and Volusia Counties. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | At patient access points, "Guidelines for Charity Care Eligibility" cards are provided that contains financial discount and charity care information. This includes a general chart of eligible income levels and encourages patients to speak with one of our patient financial advocates to arrange a financial evaluation. The organization sends statements to patients who have applied for charity care but have not provided all the documentation that is required to make a determination; letters are sent by the organization requesting the information to complete their application. |
| Schedule H, Part VI, Line 4 Community information | Baptist Medical Center of Nassau: Nassau County Nassau County has a total area of 725.86 square miles, of which 651.55 square miles (or 89.76%) is land and 74.30 square miles (or 10.24%) is water, much of it in the Atlantic Ocean. Fernandina Beach is located on Amelia Island, the county's one inhabited island. There are 75,710 people residing in Nassau the county. The racial makeup of the county is 90.02% White, 7.74% Black or African American, 0.43% Native American, 0.46% Asian, 0.03% Pacific Islander, 0.32% from other races, and 1.00% from two or more races. 1.51% of the population are Hispanic or Latino of any race. In the county the population is spread out with 25.00% under the age of 18, 7.20% from 18 to 24, 28.80% from 25 to 44, 26.30% from 45 to 64, and 12.60% who are 65 years of age or older. The median age is 38 years. The median income for a household in the county is $46,022, and the median income for a family was $52,477. Males had a median income of $37,027 versus $25,443 for females. The per capita income for the county is $22,836. About 6.40% of families and 9.10% of the population is below the poverty line, including 10.90% of those under age 18 and 8.90% of those age 65 or over. |
| Schedule H, Part VI, Line 5 Promotion of community health | Baptist Health System Inc. (BHS), parent company of the filing organization, continues to maintain an open medical staff. A designated Social Responsibility Community Health Board Committee consisting of Northeast Florida residents who also serve on Baptist hospital boards of directors provides direction to the community health work based on the community need within the four county area served by Baptist Health. Baptist Health continues to donate more than $1.9 million to support nonprofit organizations that provide health services to the underserved and low income community. Some of the nonprofit organizations provide primary care for the uninsured and the underinsured. Some provide behavioral health services to families who would not otherwise have access while others provide health services and transportation for the frail elderly. |
| Schedule H, Part VI, Line 6 Affiliated health care system | Baptist Health System, Inc. (BHS) is the parent affiliate of Baptist Medical Center of Nassau, Inc. (BMCN). The Social Responsibility and Community Health team at BHS coordinates the funding of nonprofit partners for BMCN and works with our employees in facilitating volunteer opportunities across our community. Members of the BMCN Board of Directors also serve on the Social Responsibility and Community Health committee. BMCN works closely with a number of nonprofit partners to meet the community health needs of Nassau County, Florida. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| BARNABAS CENTER | |||||||
| 1303 JASMINE ST STE 101 | FERNANDINA BEACH | FL | 32034 | 592920275 | 501(c)(3) | $91,000 | TO SUPPORT COMPREHENSIVE SERVICE CENTER ADDRESSING HUNGER, AFFORDABLE HEALTHCARE, AND PREVENTION OF HOMELESSNESS IN NASSAU COUNTY. |
| BOYS AND GIRLS CLUB OF NASSAU COUNTY FOUNDATION INC | |||||||
| PO BOX 16003 | FERNANDINA BEACH | FL | 32035 | 593672345 | 501(c)(3) | $41,000 | TO SUPPORT YOUTH IN NASSAU COUNTY TO IMPROVE THEIR LIVES THROUGH VARIOUS PROGRAMS. |
| STARTING POINT BEHAVIORAL HEALTHCARE | |||||||
| 463142 SR 200 | YULEE | FL | 32097 | 593029469 | 501(c)(3) | $79,300 | TO SUPPORT PROGRAMS THAT OFFER AID TO THOSE IN NEED OF MENTAL HEALTH TREATMENT AND SUBSTANCE ABUSE RECOVERY ALTERNATIVES FOR PEOPLE OF ALL AGES. |
| NASSAU COUNTY ECONOMIC DEVELOPMENT BOARD INC | |||||||
| 76346 WILLIAM BURGESS BLVD B101 | YULEE | FL | 32097 | 593293246 | 501(c)(3) | $15,000 | TO SUPPORT COMMUNITY ECONOMIC DEVELOPMENT IN NASSAU COUNTY. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | Annual budgets for community donations are prepared by the hospital organization and approved by Baptist Health System, Inc., parent affiliate of the organization. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A Hugh Greene | ||||||||||||||
| President | $0 | $1,061,599 | $0 | $535,300 | $0 | $30,000 | $0 | $44,450 | $0 | $11,361 | $0 | $1,682,710 | $0 | $0 |
| John F Wilbanks | ||||||||||||||
| Executive Vice President | $0 | $591,945 | $0 | $196,000 | $0 | $8,384,809 | $0 | $116,607 | $0 | $10,877 | $0 | $9,300,238 | $0 | $8,369,809 |
| Scott Wooten | ||||||||||||||
| SVP/CFO | $0 | $602,049 | $0 | $213,170 | $0 | $15,000 | $0 | $183,770 | $0 | $9,548 | $0 | $1,023,537 | $0 | $0 |
| Harvey Granger | ||||||||||||||
| Assistant Secretary | $0 | $453,057 | $0 | $134,840 | $0 | $15,000 | $0 | $46,325 | $0 | $18,482 | $0 | $667,704 | $0 | $0 |
| Ed Hubel | ||||||||||||||
| Vice President | $236,504 | $0 | $40,000 | $0 | $0 | $0 | $33,082 | $0 | $10,614 | $0 | $320,200 | $0 | $0 | $0 |
| G Scott Baity | ||||||||||||||
| Assistant Secretary | $0 | $256,072 | $0 | $25,180 | $0 | $0 | $0 | $34,454 | $0 | $10,996 | $0 | $326,702 | $0 | $0 |
| Kellene Sauls MSNRN | ||||||||||||||
| Nurse Executive | $142,185 | $0 | $15,870 | $0 | $0 | $0 | $20,735 | $0 | $10,053 | $0 | $188,843 | $0 | $0 | $0 |
| Stephen Bean | ||||||||||||||
| Pharmacist | $141,284 | $0 | $0 | $0 | $0 | $0 | $23,346 | $0 | $17,607 | $0 | $182,237 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | In accordance with the Executive Compensation policy of Baptist Health System, Inc. (BHS), the organization's sole member, BHS's Compensation Committee (made up of independent Directors of BHS) engages annually a third party compensation consultant who provides a database composed of current data regarding compensation paid for each executive position by similarly situated tax exempt health systems in the country. These health systems are generally the same size as BHS, considering revenue and other appropriate indicators. The group of comparator companies that is derived based on the above stated parameters comprise the "Market". When the Committee meets with such consultant, the consultant provides to Committee members compensation target levels that are competitive with the Market. Generally, the median of the Market is targeted. The actual amount that health system executives receive as compensation may be higher or lower than the median, depending on the health system and the individual's performance. The objective is to have a strong link between health system and individual performance and executive compensation such that if the health system and the individual perform at an optimal level, his or her compensation is in the higher range of the Market. Conversely, if either the health system or individual performance is below expectation, compensation may be in the lower range of the Market. The minutes of the annual Compensation Committee are recorded by the Committee's compensation consultant and are approved promptly by the Chair of such Committee. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | Baptist Health System, Inc. (BHS) parent affiliate of Baptist Medical Center of Nassau, Inc., has two active supplemental nonqualified retirement plans (SERPS). One is for certain executives (supplemental executive retirement plan) and the other is for certain vice presidents (vice-president supplemental executive retirement plan). 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. After over 32 years of service, John F. Wilbanks reached retirement age under the executive SERP during 2017, causing his SERP benefit to vest. Accordingly, the total amount of Mr. Wilbanks' SERP taxable benefit included in his W-2, Box 5 was $8,369,809 in addition to his current year income. Like other participants in the executive SERP, Mr. Wilbanks' SERP compensation is payable over his lifetime with a 15-year period certain. This SERP Amount is Reported on Schedule J, Part II, Column (B)(III) "Other Reportable Compensation" in addition to other reportable compensation, Column (F) "Compensation in Column (B) Reported as Deferred in Prior Form 990", and Form 990, Part VII. The following individuals accrued unvested benefits under these plans during calendar year 2017: John F. Wilbanks, $71,598 and Scott Wooten $172,970. These accrued benefits are unvested and subject to forfeiture unless the named employee remains employed with Baptist Medical Center of Nassau, Inc. until the covered employee reaches retirement age. This amount is included on Schedule J, part II, column (c). |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd | CUSIPCUSIPNum |
|---|---|---|---|---|---|---|---|---|
| Jacksonville Health Facilities Authority Series 2007CDE | ||||||||
| A | 592263061 | 2011-12-01 | $2,737,800 | Revenue Refunding Bonds to Refund prior issue 05/17/2007. | false | false | false | |
| Jacksonville Health Facilities Authority Series 2001 | ||||||||
| B | 592263061 | 2011-12-01 | $2,776,664 | Hospital Revenue Bonds to refund a prior issue 09/06/2001. | false | false | false | 469404TR8 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $895,800 | $0 | $2,737,800 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | 2007 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $1,836,965 | $0 | $2,776,664 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | Yes (true) | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | Yes (true) | false | 0.0001 | 0.0 | 0.0001 | Yes (true) | false | Yes (true) |
| B | false | false | Yes (true) | Yes (true) | false | 0.0001 | 0.0 | 0.0001 | Yes (true) | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UBS and Wells Fargo | ||||||||||||
| A | false | false | false | false | Yes (true) | Yes (true) | 16.1 | false | false | false | false | Yes (true) |
| UBS & Wells Fargo | ||||||||||||
| B | false | false | false | false | Yes (true) | Yes (true) | 16.1 | false | false | false | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule K, Part I, Column (c) Series 2007 CDE | FormAndLineReferenceDesc |
| Explanation | CUSIP #'s: 2007C: N/A 2007D: 469404UP0 2007E: 469404UM7 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 6 Classes of members or stockholders | The organization has a sole corporate member, Baptist Health System, Inc. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | The Board of Directors of Baptist Health System, Inc., the sole corporate member of the organization, elects the members of the governing body of the organization. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | The Board of Directors of Baptist Health System, Inc., the sole corporate member of the organization, has the right to remove Directors of the Organization and must approve any amendments to the governing documents of the Organization. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | Form 990 and accompanying schedules are prepared internally and then provided to Baptist Health System, Inc. who is the sole corporate member of Baptist Medical Center of Nassau, Inc. The board of directors of Baptist Health System, Inc. are provided a copy of the form 990 and all accompanying schedules prior to filing with the internal revenue service center. |
| Form 990, Part VI, Line 12c Conflict of interest policy | The Board of Directors of the organization's sole member, Baptist Health System, Inc., has appointed a Conflicts of Interest Committee which regularly reviews the required disclosures of potential conflicts of interest by the Directors and Officers of the organization and its affiliates and recommends any action to be taken with regard to such disclosures. In accordance with the Conflicts of Interest Policy, during meetings of the organization's governing body, a Director who may have a conflict of interest is excused from discussion by the governing body about any transaction or matter that may have given rise to the Director's actual or potential conflict of interest. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | In accordance with the Executive Compensation policy of Baptist Health System, Inc. (BHS), the organization's sole member, BHS's Compensation Committee (made up of independent Directors of BHS) engages annually a third party compensation consultant who provides a database composed of current data regarding compensation paid for each executive position by similarly situated tax exempt health systems in the country. These health systems are generally the same size as BHS, considering revenue and other appropriate indicators. The group of comparator companies that is derived based on the above stated parameters comprise the "Market". When the Committee meets with such consultant, the consultant provides to Committee members compensation target levels that are competitive with the Market. Generally, the median of the Market is targeted. The actual amount that health system executives receive as compensation may be higher or lower than the median, depending on the health system's and the individual's performance. The objective is to have a strong link between health system and individual performance and executive compensation such that if the health system and the individual perform at an optimal level, his or her compensation is in the higher range of the Market. Conversely, if either the health system or individual performance is below expectation, compensation may be in the lower range of the Market. The minutes of the annual Compensation Committee are recorded by the Committee's compensation consultant and are approved promptly by the Chair of such Committee. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | All officers and key employees of the organization were included in the Executive Compensation policy described on Form 990, Part VI, Line 15a. This process is used to establish compensation for these individuals for each calendar year. |
| Form 990, Part VI, Line 19 Required documents available to the public | The organization makes its governing documents, conflict of interest policy, financial statements, and three most recent forms 990 available to the public upon request. |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Transfer to Affiliated Organization - -8625323; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC | |||||||||||
| 800 PRUDENTIAL DR | JACKSONVILLE | FL | 32207 | 590747311 | HOSPITAL | FL | 501(c)(3) | 3 | BAPTIST HEALTH SYSTEM INC | false | |
| BAPTIST HEALTH SYSTEM INC | |||||||||||
| 841 PRUDENTIAL DR STE 1602 | JACKSONVILLE | FL | 32207 | 592487136 | Financial/management assistance for healthcare system | FL | 501(c)(3) | Type II | Coastal Community Health Inc | false | |
| BAPTIST MEDICAL CENTER OF THE BEACHES INC | |||||||||||
| 1350 13TH AVE S | JACKSONVILLE BEACH | FL | 32250 | 592980620 | HOSPITAL | FL | 501(c)(3) | 3 | BAPTIST HEALTH SYSTEM INC | false | |
| BAPTIST HEALTH SYSTEM FOUNDATION INC | |||||||||||
| 841 PRUDENTIAL DR 13TH FLOOR | JACKSONVILLE | FL | 32207 | 592487135 | Fundraising activities to support tax-exempts entities of healthcare system | FL | 501(c)(3) | 7 | BAPTIST HEALTH SYSTEM INC | false | |
| BAPTIST HEALTH PROPERTIES INC | |||||||||||
| 1660 Prudential Dr Ste 101 | JACKSONVILLE | FL | 32207 | 592487133 | Owns/manages real estate properties for healthcare system | FL | 501(c)(3) | Type I | BAPTIST HEALTH SYSTEM INC | false | |
| BAPTIST HEALTH AMBULATORY SERVICES INC | |||||||||||
| 1660 Prudential Dr Ste 203 | JACKSONVILLE | FL | 32207 | 593410739 | Medical Research and Education | FL | 501(c)(3) | Type I | BAPTIST HEALTH SYSTEM INC | false | |
| Coastal Community Health Inc | |||||||||||
| 841 Prudential Dr | Jacksonville | FL | 32207 | 471322041 | Regional affiliation of BHS with 2 other 501(c)(3) healthcare systems | FL | 501(c)(3) | Type I | na | false | Ste 1450 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAVILION ASSOCIATES LTD | ||||||||||||
| 1660 Prudential Drive Ste 101 | JACKSONVILLE | FL | 32207 | 592505491 | NON-RESIDENTIAL PROPERTY MGT. | FL | SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC | Excluded | $0 | $0 | false | 0 |
| Corporate Health LLC | ||||||||||||
| 841 Prudential Dr Ste 1802 | Jacksonville | FL | 32207 | Development/operation of a medically-based wellness program for the northeast Florida community | FL | Baptist Health Ambulatory Services Inc | Related | $0 | $0 | false | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAVILION HEALTH SERVICES INC | |||||||||||||
| 3563 PHILIPS HWY BLD F STE 608 | JACKSONVILLE | FL | 32207 | 592059710 | PHYSICIAN PRACTICES/RETAIL PHARMACIES | FL | BAPTIST HEALTH SYSTEM INC | C Corporation | $0 | $0 | 0 | false | |
| IT4CIN Inc | |||||||||||||
| 841 Prudential Dr | Jacksonville | FL | 32207 | 473954500 | Contracts for health information technology products and services for its members. | FL | na | C Corporation | $0 | $0 | 0 | false | Ste 1802 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |