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      <Desc>THE PROGRAM SERVICE ACCOMPLISHMENTS FOR THE ORGANIZATION ARE NUMEROUS AND EXPENSES OFTEN OVERLAP with related entities' expenses. SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC. (SBHF) IS A SUBSIDIARY OF BAPTIST HEALTH SYSTEM, INC. (BHS), A TAX-EXEMPT PARENT HOLDING COMPANY LOCATED IN JACKSONVILLE, FLORIDA. SBHF IS A TAX-EXEMPT ORGANIZATION THAT OPERATES TWO ACUTE CARE HOSPITALS, BAPTIST MEDICAL CENTER (BMC) AND BAPTIST MEDICAL CENTER SOUTH (BMCS), and three Emergency Departments, BAPTIST EMERGENCY CENTER at CLAY, Baptist medical center at the Town Center, and Baptist Medical Center at North. THE PRIMARY PROGRAM SERVICE ACCOMPLISHMENTS BY EXPENSES ARE THE OPERATION OF THE HOSPITALS, AND THE FOLLOWING ARE SOME OF THE ACHIEVEMENTS FOR THE ORGANIZATION'S HOSPITALS DURING THE YEAR. THE TWO HOSPITALS HAVE 691 AND 269 LICENSED BEDS, RESPECTIVELY. BMC IS A FULL-SERVICE, MAGNET-DESIGNATED TERTIARY CARE HOSPITAL REPRESENTING NEARLY ALL MAJOR SPECIALTIES. THIS FLAGSHIP HOSPITAL IS ALSO HOME TO BAPTIST HEART HOSPITAL, OFFERING COMPREHENSIVE, HIGH-QUALITY CARDIOVASCULAR CARE, AND WOLFSON CHILDREN'S HOSPITAL (WCH), THE ONLY FULL-SERVICE TERTIARY HOSPITAL FOR CHILDREN IN THE REGION, SERVING NORTH FLORIDA, SOUTH GEORGIA AND BEYOND. WCH IS RECOGNIZED YEAR AFTER YEAR AS ONE OF AMERICA'S BEST CHILDREN'S HOSPITALS BY U.S. NEWS &amp; WORLD REPORT. WCH SERVES AS THE MAIN TEACHING FACILITY FOR THE UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE'S PEDIATRIC RESIDENCY TRAINING PROGRAM. FOR FISCAL YEAR 2017, SBHF HAD 51,271 ADMISSIONS ACCOUNTING FOR 250,818 PATIENT DAYS, 251,770 EMERGENCY ROOM VISITS, AND 74,031 HOME HEALTH VISITS. SBHF'S PRIMARY FOCUS IS ADDRESSING UNMET HEALTH NEEDS, PARTICULARLY AMONG VULNERABLE POPULATIONS WHO HAVE LIMITED HEALTH RESOURCES AND ACCESS TO HEALTH CARE. SBHF'S COMMUNITY HEALTH EFFORTS ARE GUIDED BY THE COMMUNITY HEALTH COMMITTEE, WHICH IS COMPRISED OF SELECTED BHS BOARD MEMBERS FROM ACROSS OUR HEALTH SYSTEM. A CORNERSTONE OF SBHF'S COMMITMENT TO THE COMMUNITY IS CARING FOR THE HEALTH OF VULNERABLE, UNINSURED AND UNDERSERVED PEOPLE AMONG US. MD Anderson Cancer Center and Baptist Health have united to create Baptist MD Anderson Cancer Center. This partnership brings together MD Anderson's world-renowned cancer expertise and Baptist Health's comprehensive health system to create an unprecedented range of options for adult cancer patients in our region. The goal of the partnership is to provide the same high-level, multidisciplinary cancer care to patients in Northeast Florida that is available to MD Anderson patients in Houston. This includes all aspects along the continuum of cancer care -- patient care, research, education and prevention. THE FOLLOWING ARE SOME OF THE AWARDS AND HONORS RECEIVED BY BMC AND BMCS: 1) Recipient from American Heart Association of Gold Plus Quality Achievement Award for Stroke program (Baptist Jacksonville), 2) Named one of the 30 most nurse-friendly hospitals in the United States by TopRNtoBSN.com (Baptist Jacksonville), 3) Ranked in the top 50 by U.S. News &amp; World Report in two specialties for 2016-17 America's Best Children's Hospitals for gastroenterology and GI surgery, and pediatric neurology and neurosurgery (Wolfson Children's Hospital), and 4) 2012-16 Magnet designation. BHS IS THE FIRST AND ONLY HEALTH SYSTEM IN NORTH FLORIDA TO ACHIEVE MAGNET RECOGNITION AS A HEALTH SYSTEM BY THE AMERICAN NURSES CREDENTIALING CENTER. CURRENTLY, ONLY SEVEN PERCENT OF THE HOSPITALS IN THE UNITED STATES ENJOY MAGNET DESIGNATION, WHICH IS CONSIDERED THE GOLD STANDARD FOR RECOGNIZING QUALITY PATIENT CARE, NURSING EXCELLENCE AND INNOVATIONS IN PROFESSIONAL NURSING PRACTICE, AN HONOR FIRST EARNED IN IN 2007. MANY OTHER AWARDS AND HONORS CAN BE VIEWED AT THE ORGANIZATION'S WEBSITE WWW.BAPTISTJAX.COM.</Desc>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Kyle T Reese</BusinessNameLine1Txt>
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        <TitleTxt>Director</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Asghar Syed</BusinessNameLine1Txt>
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        <TitleTxt>Director</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Terry West</BusinessNameLine1Txt>
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        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.2</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Michael Diaz</BusinessNameLine1Txt>
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        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.1</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Michael Aubin</BusinessNameLine1Txt>
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        <TitleTxt>SVP</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Harvey Granger</BusinessNameLine1Txt>
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        <TitleTxt>SVP/General Counsel/Asst Secretary/Asst Treasurer</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>39.5</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>5139647</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Michael A Mayo</BusinessNameLine1Txt>
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        <TitleTxt>Senior Vice President</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Ronald G Robinson</BusinessNameLine1Txt>
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        <TitleTxt>Vice President</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>75350</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Keith L Stein MD</BusinessNameLine1Txt>
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        <TitleTxt>SVP/Chief Medical Officer</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Nichole Thomas</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>John F Wilbanks</BusinessNameLine1Txt>
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        <TitleTxt>Executive VP/COO</TitleTxt>
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        <BusinessName>
          <BusinessNameLine1Txt>Scott Wooten</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Jerry Bridgham</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
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        <BusinessName>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Darin Roark</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Serge Vilvar MD</BusinessNameLine1Txt>
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            <BusinessNameLine1Txt>Amerisourcebergen</BusinessNameLine1Txt>
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        <ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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        <ProgramServicesAmt>898467</ProgramServicesAmt>
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        <ProgramServicesAmt>548928</ProgramServicesAmt>
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        <ProgramServicesAmt>50433</ProgramServicesAmt>
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        <ProgramServicesAmt>51050010</ProgramServicesAmt>
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        <ProgramServicesAmt>118464</ProgramServicesAmt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - Southern Baptist Hospital of Florida, 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, low income, 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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - Southern Baptist Hospital of Florida, 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)</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 7 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - Southern Baptist Hospital of Florida, 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-HEALTHNEEDS- THESE-HOSPITALS-HAVE-SOME.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - Southern Baptist Hospital of Florida, Inc. (dba BMC "Downtown"). Diabetes. To address this need, Baptist Medical Center Jacksonville will undertake the following program initiatives: Continue the 8 Weeks to Healthy Living program and look for ways to increase participation and completion of this program through faith-based and other community partnerships, Continue its partnership with the YMCA and JCA to provide prevention and maintenance education on diabetes. The number of people served through these facilities is expected to grow over the next three years as additional locations are added, Provide free BMI and blood glucose screenings at community health fairs and offer follow-up resources for those who are found to be high-risk for developing diabetes. Provide health literature on diabetes prevention and maintenance at all health screenings, Provide care coordination services for pre-diabetic and diabetic patients in Baptist Primary Care offices. Care coordinators work with patients to educate them on prevention and disease management as well as directing patients to appropriate community resources for additional support, Continue to refer patients to the outpatient diabetes educational program located on the Baptist Medical Center Jacksonville campus, Offer education and provide resources regarding diabetes prevention and disease management at local community events that Baptist sponsors or participates in, Work with community organizations to increase awareness in the community about preventing Type II diabetes and provide additional support and resources regarding lifestyle maintenance, Continue to financially support community organizations who are committed to reducing the incidence of diabetes in the community and/or providing support, education and coaching to those with Type II diabetes in order to prevent hospitalizations and improve mortality. Planned Collaborations. In implementing the above initiatives, Baptist Medical Center Jacksonville anticipates collaborating with the following organizations: Faith-based partners, YMCA, JCA, American Association of Diabetes Educators, American Diabetes Association, Duval County Department of Health: A New DEAL Diabetes Program, and Duval County Public Schools. Anticipated Impacts. Increased awareness about lifestyle risks that lead to the development of Type II Diabetes, Increased awareness about the maintenance of Type II Diabetes, Baselines: In 2015, Duval County ranked 41st out of the 67 counties in Florida for diabetic screening, Diabetes has a mortality rate 27.7 in Duval County, compared to a rate in Florida of 19.6. Evaluation Plan. Baptist Medical Center Jacksonville will assess the impact of the above initiatives as part of the community health needs assessment it will conduct in 2018. Measure the number of pre-diabetic and diabetic patients who receive care coordination services within Baptist Primary Care, Measure the number of patients served through the outpatient diabetes educational program at Baptist Medical Center Jacksonville, Track the participants in the 8 Weeks to Healthy Living Program and record outcomes and improvements in health screening categories, Track the number of people educated at community events, Track the number of people served through our affiliations with the YMCA and JCA, Track the number of diabetic patients who receive care coordination services through Baptist Primary Care and measure outcomes and health status. Program Results. 82 participants enrolled, 61 completed the program, total of 197.6 lbs lost to those who completed the program, Pre-diabetes Program: Partnered with one congregation to provide a new evidence-based program from the CDC to prevent diabetes by making lifestyle changes. Healthy Living Centers: The Baptist North and Johnson HLC were both opened during FY17, bringing the total number of these partnerships to 6. Baptist North, Johnson, and the Riverside Y served 1,060 individuals during FY17, providing 571 1-hour biometric screenings and 820 health coaching sessions. These sites also held 65 programs where physicians and other health experts provided education and answered health questions from participants. Health Screenings: BMC- J participated in over 29 health fairs and community events during FY17 at which health screenings were provided. 1,199 people received a health screening (blood pressure, BMI and/or blood glucose) and 451 people were identified with abnormal results. Those with abnormal results received a follow-up call from a Social Responsibility staff member who connected them to a primary care clinic if they had not already done so themselves. Care Coordination for Diabetic Patients: BPP continued to provide care coordinators for medically complex patients during FY17. Community Partnership. Humana Bold Goal Initiative: A diabetes subcommittee was created to develop a strategy to screen 100,000 people for diabetes by 2020. The group works to gather resources and connect participants to medical care as needed or educational opportunities. CHMI: The Clinton Health Matters Initiative (CHMI) invited Baptist Health to participate in its College Health Program; CHMI is convening local colleges and universities with community partners to identify health needs of college students in the realms of sexual health, mental health and physical health (nutrition and physical activity) and to work together to develop strategies to address these needs. Baptist Health staff attended the first workshop held in June 2017 and will continue this work in FY18, when the colleges will identify which specific areas they want to prioritize. Nutrition Classes: BMC-J facilitated a nutrition class for a community partner, Clara White, at which 7 people attended. Strategic Investments. Providing funding for "Creating a Healthier Jacksonville" conference held by the Florida Department of Health - Duval, Provided funding to Muslim American Social Services to provide primary care for people who live in Duval County and do not have health insurance. MASS provided health services to 1,333 patients, 231 who were treated for diabetes, Provided funding to Volunteers in Medicine to provide primary care for people who live or work in Duval County and do not have health insurance. 1,493 people were screened for diabetes, 314 were treated and 72% improved of 42 patients with three-month follow-up, Provided funding to MOSH to develop a health educational exhibit. The interactive exhibit includes information about the endocrine system and prevention information. More than 1,309 people attended the exhibit and/or educational programming, Provided funding to Sulzbacher to provide primary care for people living or working in Duval County who are un- or under-insured. 5,397 patients were screened for diabetes with 2,612 receiving treatment, Provided funding to Pine Castle to provide nursing care oversight for participants in the Adult Day Training program. The clinic nurse on site monitored the health and administered medicine for 280 people including 6 people with diabetes, Provided funding to Community Health Outreach to provide primary care to residents of Duval County who are un- or under-insured. 571 patients were seen at CHO and those with diabetes received appropriate treatment, Provided funding to Agape for diabetes education for patients diagnosed with diabetes or pre-diabetes. 219 patients were screened for diabetes, 123 received treatment and 41 received education.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 2 - Southern Baptist Hospital of FLorida, Inc. (dba BMC "South"). Mental Health. To address this need, Baptist Health Medical Center Jacksonville will undertake the following program initiatives: Partner with Adult Mental Health First Aid trained facilitators to offer training for non-clinicians in the service area. Mental Health First Aid is an eight-hour course that teaches participants how to help someone who is developing a mental health problem or experiencing a mental health crisis. The training helps participants identify, understand, and respond to signs of mental illnesses and substance-use disorders. Potential partners include Starting Point and Mental Health American, among others, 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, Provide mindfulness training and coaching through Y Health Living Centers and JCA Health Connexions, Provide information on mental health resources at community events, Host free postpartum support groups for all new mothers in the community, regardless of whether they are a Baptist Health patient, Partner with faith-based organizations to offer Faith and Mental Health education, Evaluate the impact of a geriatric psychiatric unit on the Baptist Medical Center Jacksonville campus in order to increase access and improve the quality of care received, Collaborate with other community providers to develop an integrated care clinic or clinics that will provide additional pediatric mental health resources in the community, Continue to provide financial investments to community organizations that are committed to increasing access to mental health services and/or decreasing stigma. Planned Collaborations. In implementing the above initiatives, Baptist Health Medical Center Jacksonville anticipates collaborating with the following organizations: United Way of Northeast Florida, YMCA, JCA, Starting Point, Mental Health America, and Others. Anticipated Impacts. Increased access to mental health services, Decreased stigma in the community surrounding mental health, Goal is to train 10,000 people in the community Mental Health First Aid classes. Evaluation Plan. Baptist Health Medical Center Jacksonville 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, The number of participants in the Adult Mental Health First Aid eight-hour training will be tracked and knowledge gains measured through surveys, The number of participants in training on youth mental illness and suicide will be tracked and knowledge gains will be measured via survey of participants, Monitor admissions in emergency department related to mental health, and Monitor rates of suicide in the community. Program Results. Health Fairs and Community Events: BMC-Jacksonville participated in over 29 health fairs and community events during FY17. Health literature on mental health maintenance and warning signs were provided at every event as well as flyers for local resources, workshops and trainings. Any participant who received a health screening was asked about their current mental health and those identified at risk received counseling from an RN and were directed to follow-up resources, Post-Partum Support Groups: During FY17, post-partum support groups were held in the Baptist Healthy Living Centers in Riverside and Ponte Vedra. 63 moms attended one of these groups, Mental Health First Aid: Baptist Health partnered with the other non-profit hospitals in Jacksonville with a goal to train 10,000 people in northeast Florida in Mental Health First Aid. The Non-Profit Hospital Partnership provided funding to train 53 new instructors in the region and covered the cost of materials for these instructors. During FY17, over 3,094 people in northeast Florida were trained in Adult Mental Health First Aid. Baptist Health also coordinated Youth Mental Health First Aid classes; during FY17, 16 classes were offered and 190 people participated, Faith &amp; Mental Health Conference: Baptist Health coordinated a Faith &amp; Mental Health Conference on November 4, 2016. Over 130 faith partners and community members were in attendance, Faith &amp; Health Volunteer Program: 9 volunteers participated in this program at Baptist MD Anderson Cancer Center, Baptist North, Johnson, and the Riverside Y served 1,060 individuals during FY17, providing 820 health coaching sessions. 16 free yoga classes were held for cancer survivors, Community Classes: Two Mindfulness classes were held with community partners at which 12 people attended, Bullying class was held on Baptist Jacksonville campus for 34 Tipping the Scale Mentoring program teens, A group discussion provided on the tragic shooting that occurred in Las Vegas to help students cope, Partnered with NAMI to hold Peer-to-Peer classes on the BMC-J campus, One Bullying class at Abyssinia MBC with 45 youth in attendance, Baptist Health provided bullying classes for Northside Community Involvement, Inc. A total of 183 girls ages 9 - 18 participated, Meditation: Weekly free meditation classes are held on the BMC-J campus, Spirit of Caregiving: Coordinated a two-day mental health retreat for community partners with 41 people in attendance, Community Collaborations: Baptist Health staff members participated on the Humana Mental Health sub-committee which aims to make significant improvements in the regions mental health outcomes by 2020, The Clinton Health Matters Initiative (CHMI) invited Baptist Health to participate in its College Health Program; CHMI is convening local colleges and universities with community partners to identify health needs of college students in the realms of sexual health, mental health and physical health and to work together to develop strategies to address these needs. Baptist Health staff attended the first workshop held in June 2017 and will continue this work in FY18. Strategic Investments. Provided funding to The Women's Center of Jacksonville to provide mental health counseling for women who cannot afford counseling. 165 women were provided therapy, Provided funding to the National Council for Behavioral Health to train 26 community members as Mental Health First Aid facilitators, Providing funding to support mental health services at the ARC Village, a unique independent living community for adults with disabilities. 90 residents received services with 58 residents in group counseling, Provided funding to Pine Castle for a clinical site nurse who served 280 individuals in Pine Castle's Adult Day Training program, 24 of whom participated in psycho-social rehabilitation with 1 successfully completing the program, Provided funding to Volunteers in Medicine to provide primary care for people who live or work in Duval County and do not have health insurance. 390 people were screened for behavioral health services and 50 received treatment, Provided funding to Museum of Science and History to develop a health educational exhibit. The interactive exhibit includes information about the brain and mental illness. 1,309 students and adults toured the exhibit and/or participated in health education programming, Provided funding to Sulzbacher to provide primary care for people living or working in Duval County who are un- or under-insured. 5,483 patients were screened for mental illness with 654 receiving treatment, Provided funding to Community Health Outreach to provide primary care to residents of Duval County who are un- or under-insured. 571 patients were seen at CHO and those with needing mental health services received appropriate care, Provided funding to Project for Healing to provide mental health case management for 78 refugees who resettled in Duval County, Provided funding to Health Planning Council to manage the Mental Health First Aid initiative. 3,400 people have been trained in adult mental health first aid, Provided funding to UNF to initiate a mental health nurse practitioner graduate program, Provided funding to Seniors on A Mission to provide volunteer opportunities to 8 seniors, and 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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 3 - Southern Baptist Hospital of FLorida, Inc. (Dba BMC "South"). Smoking. To address this need, Baptist Health Medical Center Jacksonville will undertake the following program initiatives: Utilize its partnership with MD Anderson Cancer Center to increase awareness about lifestyle factors, particularly the use of tobacco, that are linked to developing cancer and provide resources and information on prevention within the Baptist MD Anderson Cancer Center, Provide low-dose CT lung cancer screenings in the community, 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, Provide information at health fairs and other community events about the health risks associated with smoking and resources for smoking cessation, 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, Provide support to the Students Working Against Tobacco (SWAT) Club at The Bridge of Northeast Florida, Partner with local organizations in order to better educate women on the risks of smoking while pregnant, and Facilitate classes on the dangers of tobacco products in middle and high schools. Planned Collaborations. In implementing the above initiatives, Baptist Medical Center Jacksonville anticipates collaborating with the following organizations: Baptist MD Anderson Cancer Center. Northeast Florida AHEC, The Bridge of Northeast Florida, Baptist Primary Care, Duval County Public Schools, Faith-based organizations, and We Care. Anticipated Impacts. Increased number of lung cancer screenings in the community, Increased participation in smoking cessation programs, More middle and high school students educated on the dangers of smoking and smokeless tobacco. Baseline - In Duval County, twenty percent of adults have reported that they smoke regularly compared to the U.S. average of 18 percent. Evaluation Plan: Baptist Medical Center Jacksonville will assess the impact of the above initiatives as part of the community health needs assessment it will conduct in 2018. 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, Track the number of youth who participate in tobacco prevention classes via class surveys completed by participants, and analyze survey results from participants at health education sessions to measure knowledge gains and planned lifestyle changes. Program Results: Smoking Cessation Program: Smokers gave permission to be referred to a community smoking cessation program coordinated by American Health Education Centers. 249 smokers were referred for cessation intervention, Health Fairs and Community Events: BMC-Jacksonville participated in over 29 health fairs and community events during FY17. Educational materials were provided on the health risks associated with tobacco use. Any participant who received a health screening was asked about their current tobacco use and those that identified themselves as tobacco users received counseling from an RN. 1,199 people were screened for tobacco use, Support SWAT: Baptist Health continued to support SWAT activities through its partnership with the Boys and Girls Club. 26 Students are actively involved in programming, Tobacco Prevention Classes: BMC-J coordinated 2 tobacco prevention classes in the community during FY17, which 20 community members attended, Healthy Living Centers: Baptist North, Johnson, and the Riverside Y served 1,060 individuals during FY17, providing 820 health coaching sessions, where resources for smoking cessation are provided to individuals who identify as smokers. Strategic Investments. Provided funding to Sulzbacher to provide primary care for people living or working in Duval County who are un- or under-insured. 5,483 patients were screened for services to quit smoking, all were educated about the harmful effects of smoking and 2,612 smokers were provided smoking cessation education and support, Provided funding to Pine Castle for a clinical site nurse who served 280 individuals in Pine Castle's Adult Day Training program, 10 of whom participated in smoking cessation classes. No entity can address all of the health needs present in its community. Baptist Medical Center Jacksonville 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: Access. Baptist Medical Center Jacksonville provides support to Sulzbacher, Volunteers in Medicine, Muslim American Social Services, Community Health Outreach, We Care Jacksonville community clinic and health care access programs. While access is extremely important, due to resource constraints and the availability of other resources in the community, the hospital will focus at this time on other significant community health needs. Communicable Diseases. Baptist Medical Center Jacksonville does not anticipate implementing additional initiatives to address identified communicable disease needs. The majority of STIs are found in youth, and this issue is being addressed by Wolfson Children's Hospital. The hospital will focus on other significant community health needs. Health Disparities. Baptist Medical Center Jacksonville does not anticipate implementing additional initiatives to address identified health disparities. The hospital already provides education and faith-based programs throughout the community. 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 Jacksonville does not anticipate implementing additional initiatives to address identified maternal and child health needs. Many of the indicators pertain to the health of children and are being addressed by Wolfson Children's Hospital. There are a number of other resources in the community that are addressing maternal indicators, including Healthy Start, Planned Parenthood and March of Dimes. Nutrition, Physical Activity, and Obesity. Baptist Medical Center Jacksonville does not anticipate implementing additional initiatives to address identified needs surrounding nutrition, physical activity, and obesity. The hospital already provides health education through faith and community partners including nutrition and exercise. Due to resource constraints and the availability of other resources in the community, the hospital will focus on other significant community health needs. Poverty. Baptist Medical Center Jacksonville does not anticipate implementing additional initiatives to address identified poverty. This need is being addressed by other entities in Duval County, including United Way of Northeast Florida. The hospital does not have sufficient resources to effectuate a significant change in this area, and believes resources devoted to its implementation strategy should focus on other significant community health needs. Transportation. Baptist Medical Center Jacksonville does not anticipate implementing additional initiatives to address identified transportation. This need is being addressed by other entities in Duval County. The hospital does not have expertise in this area nor sufficient resources to effectuate a significant change. Accordingly, the hospital believes resources devoted to its implementation strategy should focus on other significant community health needs.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 4 - Southern Baptist Hospital of Florida, Inc. (Dba BMC "South"). Cancer. To address this need, Baptist South will undertake the following initiatives: Use its partnership with MD Anderson to increase awareness about lifestyle and other risk factors linked to cancer and provide resources and information on wellness and prevention within the Baptist MD Anderson Cancer Center, 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, Educate young adults and parents on the importance of the HPV vaccine in preventing cervical cancer, 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, Provide information at health fairs and other community events about the health risks associated with smoking and resources for smoking cessation, Partner with local organizations in order to better educate women on the risks of smoking while pregnant, Facilitate classes on the dangers of tobacco products in middle schools, high schools, colleges and universities. Planned Collaborations: In implementing the above initiatives, Baptist South anticipates collaborating with the following organizations: Baptist MD Anderson Cancer Center, Northeast Florida AHEC, Florida Department of Health Duval, St. Johns, and Clay counties, Public School Districts Duval, St. Johns, and Clay counties, Local colleges and universities, Faith-based and community organizations, and Others. Anticipated Impacts: Increased number of cancer screenings in the community, Increased awareness regarding lifestyle and other risks associated with developing cancer, Increased participation in smoking cessation programs, More young adults educated on the HPV vaccine, More middle school, high school, and college students educated on the dangers of smoking and smokeless tobacco. Baseline: Cancer rate in Clay County is 474, Duval County is 514.8, St. Johns County is 458.7, and all of Florida is 447. Evaluation Plan: Baptist South will assess the impact of the above initiatives as part of the community health needs assessment it will conduct in 2018 including: Track the number of men who have PSA screenings and the number of abnormal results requiring follow up, 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, 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, Analyze survey results from participants at health education sessions to measure knowledge gains and planned lifestyle changes, Track the number of individuals who receive HPV education, Monitor HPV vaccination rates. Program Results. BMCS participated in the Pink Ribbon Symposium on October 1, 2016 at the Thrasher Horne Center in Orange Park. Attendees were taught how to properly self-examine their breasts and more than 300 Buddy Check cards were distributed, Baptist South's Community Relations Coordinator presented on smoking cessation at Mandarin High School on November 30, 2016. There were 67 students in the interactive presentation, BMCS hosted a free lunch &amp; learn for the community on June 15, 2017 on Lung Cancer presented by Carolyn Baggett. There were 14 attendees in the talk and 100% of them said they learned something new and plan to make a lifestyle change. Attendees were also referred to our upcoming Tools to Quit class, BMCS hosted AHEC's Tools to Quit class on July 17, 2016 attended by 3 individuals from the community, Baptist South's Respiratory Therapy team identified inpatient individuals who were smokers and counseled them on smoking cessation. Therapists referred patients who had a desire to stop smoking to AHEC's Tools to Quit classes, There were 19 free yoga classes held for cancer survivors at the Williams Y Healthy Living Center, There were 33 free yoga classes held for cancer survivors at the JCA Wellness Connexions. Strategic Investments: Provided funding to Volunteers in Medicine to provide primary care for people who live or work in Duval County and do not have health insurance. 279 patients received breast exams and 237 received a mammogram, Provided funding to Pine Castle for a clinical site nurse who served 280 individuals in Pine Castle's Adult Day Training program, 10 of whom participated in smoking cessation classes, Provided funding to Sulzbacher to provide primary care for people living or working in Duval County who are un- or under-insured. 5,483 patients were screened for services to quit smoking, all were educated about the harmful effects of smoking and 2,612 smokers were provided smoking cessation education and support. 4,112 patients were screened for cancer with 11 receiving treatment. Communicable Diseases. To address this need, Baptist South will undertake the following initiatives: Offer community education sessions on STIs, Partner with local colleges and universities to enhance STI education programs, Offer STI prevention and safe sex education at community events and health fairs, Partner with Duval County, St. John's County, and Clay County Public Schools to enhance STI education and awareness, Partner with local agencies to increase awareness of existing HIV and STI testing and treatment sites and help grow additional HIV and STI testing sites in the community. Planned Collaborations: In implementing the above initiatives, Baptist South anticipates collaborating with the following organizations: The Way Clinic, Local colleges and universities, Public School Districts Duval, St. Johns, and Clay counties, Florida Department of Health Duval, St. Johns, and Clay counties, and Others. Anticipated Impacts: Increased educational programs offered on STI prevention, Increased awareness of screenings and treatment options in the community which will lead to a reduction in STI rates. Baselines: In 2015 Duval County ranked 62nd out of the 67 Florida counties for rates of STIs, The chlamydia rate in Duval County (606 per 100,000) exceeded the U.S. average by 32 percent. Evaluation Plan: Baptist Medical Center South will assess the impact of the above initiatives as part of the community health needs assessment it will conduct in 2018 including: Measure knowledge gained of the participants from educational sessions through a survey, Monitor STI rates as provided by the Florida Department of Health, Track the number of individuals who receive STI education, Track the number of individuals screened through planned collaborations. Program Results. On November 11, 2016, eleven Baptist Health team members were trained to teach Duval County Public School curriculum. We have been teaching in HOPE classes in Duval middle and high schools across the county. Over 1200 students have been educated in safe sex practices thus far. On April 28, 2017, BMCS participated in the annual Clay County Student Health Fair. This year's fair was held at Clay High School in Green Cove Springs, FL. At our booth, we educated over 800 students on the importance of safe sex practices and the importance of receiving the HPV vaccine. Each summer, BMCS hosts high school students as summer volunteers. This summer we hosted 85 students throughout the summer; during their orientation sessions on June 5, July 6, and July 18, 2017, the students were educated on the importance of good mental, physical, and sexual health. The students were also urged to receive the HPV vaccine if they had not already. Strategic Investments. Provided funding to JASMYN Sexual Health Clinic to offer testing and treatment for sexually transmitted diseases. 457 young people participated in the clinic in 2016. Provided funding to the BrdznBz program providing 577 youth and young adults sexual health information. Funded PACE Center for Girls to provide a Straight Talk Clinic. 130 girls were served with basic health services. 98% did not become pregnant and 98% remained STI free during the year. Provided funding to Delta Sigma Theta for 28 children affected by HIV/AIDS to attend summer camp where they learned about HIV/Aids and other communicable diseases and received mental health counseling. Provided funding to Sulzbacher to provide primary care for people living or working in Duval County who are un- or under-insured. 4,798 patients were screened for communicable diseases with 209 receiving treatment.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 5</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 5 - Southern Baptist Hospital of FLorida, Inc. (Dba BMC "Downtown"). Diabetes. To address this need, Baptist Medical Center South will undertake the following initiatives: Offer community education sessions on diabetes, obesity, nutrition, and lifestyle education, Provide glucose and BMI screenings at community events and health fairs and provide follow-up resources to people found to be high-risk for developing diabetes, Offer "8 Weeks to Healthy Living" program to local faith-based and community organizations. Activity. Provide care coordination services for pre-diabetic and diabetic patients in primary care offices, Partner with Duval, St. John's, and Clay counties Public School Districts to enhance diabetes, obesity, nutrition, and lifestyle education, Provide education to adults and children on healthy eating habits, obesity, nutrition, and lifestyle, Increase awareness of the resources provided by YMCA Healthy Living Centers and JCA Health Connexions. Planned Collaborations: In implementing the above initiatives, Baptist Medical Center South anticipates collaborating with the following organizations: YMCA, JCA, THE PLAYERS Center for Child Health at Wolfson Children's Hospital, American Diabetes Association, Public School Districts - Duval, St. Johns, and Clay counties, Faith-based and community organizations, and Others. Anticipated Impacts. Increased educational programs offered pertaining to diabetes, obesity, nutrition, and lifestyle choices, Increased number of BMI and glucose screenings in the community. Baselines: In 2015, Clay County ranked 58th and Duval County ranked 41st for diabetic screening, Diabetes has a mortality rate 27.7 in Duval County, compared to a rate in Florida of 19.6. Evaluation Plan: Baptist South will assess the impact of the above initiatives as part of the community health needs assessment it will conduct in 2018 including: Track number of people participating in health education sessions, Measure knowledge gains and planned lifestyle changes from participants at health education sessions via survey, Track the number of free glucose and BMI screenings provided to community members. Program Results: BMCS participated in the Family Fitness Night at Bartram Springs Elementary on October 14, 2016. We provided literature on diabetes prevention and answered questions on health disparities, On October 20, 2016, BMCS held a lunch &amp; learn for community members on Healthy Habits presented by Dr. Martinez-Whittinghan. Attendees learned about the importance of a balanced diet and proper exercise. We also learned about the effects of a poor diet including diabetes. There were 20 attendees in the presentation and 100% of attendees stated they planned to make a lifestyle change and that they learned something new, On November 10, 2016, Baptist Medical Center Clay held a Talk with a Doc event on High Cholesterol presented by Dr. Zamora. Dr. Zamora linked high cholesterol to additional risks including high blood pressure and diabetes. There were 8 attendees in the class and 100% stated they learned something new and plan to make a lifestyle change based on the information presented in the class, Baptist South participated in the Episcopal Children's Services Health Fair in Orange Park, FL on November 15, 2016. We screened 15 individuals and performed a total of 45 screenings including BMI, blood pressure, and glucose. Of the 45 screenings, 9 of the results were abnormal. Those with abnormal results received a follow up phone call after the health fair, on January 9, 2017, BMCS participated in the Kemper Health Fair. Baptist South participated in the Episcopal Children's Services Health Fair in Orange Park, FL on November 15, 2016. We screened 85 individuals and performed a total of 255 screenings including BMI, blood pressure, and glucose. Of the 255 screenings, 32 of the results were abnormal. Those with abnormal results received a follow up phone call after the health fair, On February 16, 2017, BMCS held a lunch &amp; learn on Preventative Cardiology presented by Dr. Gummadi. He stressed the importance of heart health and linked cardiology issues to other issues that may occur including diabetes. There were 20 attendees in the class and 100% of them stated they learned something new and plan to make a lifestyle change from the talk, On March 16, 2017, Baptist South hosted a lunch &amp; learn on Kidney Health in honor of World Kidney Day. Dr. Chataut was the presenter and talked about kidney health and how it can affect the rest of your overall health. Dr. Chataut stated that poor kidney health can bring about diabetes along with other ailments. There were 12 attendees in the class and 83% of them stated they learned something new and plan to make a lifestyle change based upon the presentation, On April 20, 2017, Dr. Futch presented a lunch &amp; learn at BMCS on Foot Health. Dr. Futch informed attendees about some of the negative effects from diabetes and how it affects your foot health. There were 18 attendees present and 94% of them learned something new and plan to make a lifestyle change after the presentation, On July 20, 2017, Dr. Cowart held a lunch &amp; learn at Baptist South on "10 Reasons to Visit Your Eye Doctor". The presentation was very informative and attendees learned that some of the early signs of diabetes can be detected through a regular eye exam. There were 21 attendees present at the talk and 100% of them stated they learned something new and plan to make a lifestyle change based upon the information presented to them, On July 29, 2017, BMCS participated in the Salvation Army Back to School Bash Health Fair in Middleburg, FL. We screened 114 individuals and performed a total of 342 screenings including BMI, blood pressure, and glucose. Of the 342 screenings, 41 of the results were abnormal. Those with abnormal results received a follow up phone call after the health fair, BMCS participated in the Westminster Woods annual health fair on August 7, 2017. Baptist South participated in the Episcopal Children's Services Health Fair in Orange Park, FL on November 15, 2016. We screened 32 individuals and performed a total of 96 screenings including BMI, blood pressure, and glucose. Of the 96 screenings, 8 of the results were abnormal. Those with abnormal results received a follow up phone call after the health fair, On September 21, 2017, BMCS held a lunch &amp; learn on the Mediterranean Diet presented by Dr. Denton. Attendees learned about healthy eating habits and the importance of a balanced diet to avoid obesity and the risk factors associated with obesity including diabetes. There were 25 individuals present for the talk and 92% of them stated they learned something new and plan to make a lifestyle change based on the talk, 85 people received free biometric screenings at the Williams Family Y Healthy Living Center and all individuals screened participated in health coaching provided by the Healthy Living Center, 254 people received free biometric screenings at the Jewish Community Alliance and all individuals screened participated in health coaching provided by the Healthy Living Center, 34 people participated in healthy eating, physical activity and diabetes education at the Williams Family Y Healthy Living Center, 15 people participated in healthy eating, physical activity and diabetes education at the Williams Family Y Healthy Living Center, Need Health Connexions education results (11/9/15 Diabetes Management class by Baptist Health Registered Dietician - 6 attendees at JCA Wellness Connexions), 254 people received free health screenings through JCA Wellness Connexions, 113 people received free health screenings through Williams Family Y Healthy Living Center. Strategic Investments. Providing funding for "Creating a Healthier Jacksonville" conference held by the Florida Department of Health - Duval, Provided funding to Muslim American Social Services to provide primary care for people who live in Duval County and do not have health insurance. MASS provided health services to 1,333 patients, 231 who were treated for diabetes, Provided funding to Volunteers in Medicine to provide primary care for people who live or work in Duval County and do not have health insurance. 1,493 people were screened for diabetes, 314 were treated and 72% improved of 42 patients with three-month follow-up, Provided funding to MOSH to develop a health educational exhibit. The interactive exhibit includes information about the endocrine system and prevention information. More than 1,309 people attended the exhibit and/or educational programming, Provided funding to Sulzbacher to provide primary care for people living or working in Duval County who are un- or under-insured. 5,397 patients were screened for diabetes with 2,612 receiving treatment, Provided funding to Pine Castle to provide nursing care oversight for participants in the Adult Day Training program.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 6 - Southern Baptist Hospital of FLorida, Inc. (dba BMC "Downtown"). Mental Health. To address this need, Baptist Medical Center South will undertake the following 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, Offer Mental Health education sessions and information to the community, Provide mindfulness training and coaching through Y Healthy Living Centers and JCA Health Connexions, Offer Youth Mental Health First Aid training for community members on the warning signs of mental illness and what to do to help young people, Offer Adult Mental Health First Aid training for community members on the warning signs of mental illness and what to do to help adults, 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 South anticipates collaborating with the following organizations: United Way of Northeast Florida, Mental Health America, Starting Point, YMCA, JCA, and Others. Anticipated Impacts. Increased access to mental health services, Reduction in stigma associated with mental illness, Goal is to train 10,000 people in the community Mental Health First Aid. Evaluation Plan: Baptist Medical Center South will assess the impact of the above initiatives as part of the community health needs assessment it will conduct in 2018 including: 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, The number of participants in the Adult Mental Health First Aid eight-hour training will be tracked and knowledge gains measured through surveys, The number of participants in training on youth mental illness and suicide will be tracked and knowledge gains will be measured via survey of participants, Monitor admissions in emergency department related to mental health, Monitor rates of suicide in the community. Program Results. As a focus to train 10,000 individuals in the community by 2018, we continued to host Adult Mental Health First Aid classes. For South's area, Baptist Health trained 358 individuals (32063 had 26 individuals, 32068 had 65 individuals, 32073 had 43 individuals, 32082 had 40 individuals, 32084 had 17 individuals, 32257 had 35 individuals, 32256 had 112 individuals, and 32258 had 20 individuals), On November 4, 2016, Baptist Health held our annual Faith and Mental Health Conference. This conference is widely attended across the city. This year we had 129 attendees present, On January 19, 2017, BMCS held a lunch &amp; learn for the community on Balance in the New Year presented by Dr. Sastre. He spoke on the importance of living a balanced life and focusing on one's mental health. There were 21 attendees in the class and 100% of them stated they learned something new and plan to make a lifestyle change based on the information presented to them, On January 24, 2017, Baptist Clay held a Talk with a Doc event on Bringing Balance to the New Year presented by Dr. Jones. Dr. Jones stressed the importance making time for yourself, balancing your priorities, and focusing on your mental health. There were 23 individuals in the talk and 91% of them stated they learned something new and plan to make a lifestyle change based on the information presented to them, On August 8, 2017, Baptist South hosted a lunch &amp; learn on "Making Yourself a Priority" presented by Nancy Crain, PA-C. Nancy stressed the importance of good mental health. There were 19 attendees present for the talk and 95% of them stated they learned something new and plan to make a lifestyle change based on information presented to them, 2 individuals were trained in Adult Mental Health First Aid at the Williams Family Y Healthy Living Center. Strategic Investments: Provided funding to The Women's Center of Jacksonville to provide mental health counseling for women who cannot afford counseling. 165 women were provided therapy, Provided funding to the National Council for Behavioral Health to train 26 community members as Mental Health First Aid facilitators, Providing funding to support mental health services at the ARC Village, a unique independent living community for adults with disabilities. 90 residents received services with 58 residents in group counseling, Provided funding to Pine Castle for a clinical site nurse who served 280 individuals in Pine Castle's Adult Day Training program, 24 of whom participated in psycho-social rehabilitation with 1 successfully completing the program, Provided funding to Volunteers in Medicine to provide primary care for people who live or work in Duval County and do not have health insurance. 390 people were screened for behavioral health services and 50 received treatment, Provided funding to YMCA for staffing to provide specialized activities for 30 adults with disabilities enhancing their quality of life and providing respite services for their caregivers, Provided funding to Museum of Science and History to develop a health educational exhibit. The interactive exhibit includes information about the brain and mental illness. 1,309 students and adults toured the exhibit and/or participated in health education programming, Provided funding to Sulzbacher to provide primary care for people living or working in Duval County who are un- or under-insured. 5,483 patients were screened for diabetes with 654 receiving treatment, Provided funding to Project for Healing to provide mental health case management for 78 refugees who resettled in Duval County, Provided funding to UNF to initiate a mental health nurse practitioner graduate program, Provided funding to Seniors on A Mission to provide volunteer opportunities to 8 seniors, 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. Other Programming. On April 12, 2017, individuals from BMCS judged Mandarin High School's health science fair. All of the students previously did their medical rotations at BMCS as a part of our partnership with Mandarin High School and formed relationships with mentors at the hospital. Each of the students were tasked with presenting on a health disparity of interest or a health career of interest. All of the students talked about their great experience, On May 23, 2017, Baptist Clay hosted a Talk with a Doc on Hearing Issues presented by Dr. Walker. Dr. Walker explained the different reasons an individual may be experiencing hearing loss. There were 7 attendees present in the talk and 100% of them stated they learned something new and plan to make a lifestyle change based on the information learned.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 7 - Southern Baptist Hospital of Florida, Inc. (dba BMC "Downtown"). No entity can address all of the health needs present in its community. Baptist South 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 needs that were identified in the 2015 Community Health Needs Assessment: Access. Baptist South supports The Way Free Clinic, Muslim American Social Services and Mission House clinic services to increase access to health care and does not anticipate implementing additional initiatives. Due to the availability of other resources in the community the hospital will focus on other significant community health needs. Dental Care. Baptist South is supporting the Florida Dental Health Association to provide dental services for people who currently do not have access and does not anticipate implementing additional initiatives. The hospital does not have sufficient resources to effectuate a significant change in this area, and will focus on other significant community health needs. Health Disparities. Baptist South supports The Way Free Clinic, Muslim American Social Services and Mission House clinic services to address health disparities and does not anticipate implementing additional initiatives. Due to the availability of other resources in the community the hospital will focus on other significant community health needs. Maternal and Child Health. Baptist South supports The Way Free Clinic, Muslim American Social Services and Mission House clinic services to provide maternal and child health services and does not anticipate implementing additional initiatives. In addition, Baptist Health is comprised of THE PLAYERS Center for Child Health which addresses maternal and child health across the five-county region. Baptist South 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 South's efforts to address the priority need of diabetes will incorporate nutrition, physical activity, and obesity as a whole. The hospital's efforts to address healthy living will focus on diabetes prevention. Poverty. Baptist South does not anticipate implementing additional initiatives to address poverty. This need is being addressed by other entities in Clay, Duval, and St. Johns counties including United Way of Northeast Florida. Baptist Health is an advocate and supporter of United Way which addresses poverty in northeast Florida. The hospital does not have sufficient resources to effectuate a significant change in this area, and will focus on other significant community health needs. Smoking. Baptist South's efforts in cancer programming will incorporate smoking cessation to decrease the prevalence of lung and other cancers associated with smoking. In addition, this need is being addressed by other entities in Clay, Duval, and St. Johns counties. Transportation. Baptist South does not anticipate implementing additional initiatives to address transportation. This need is being addressed by other entities in Clay, Duval, and St. Johns counties. 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 8</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 8 - Southern Baptist Hospital of Florida, Inc. (dba Wolfson Children's Hospital). Access. To address this need, Wolfson Children's Hospital will undertake the following program initiatives: Assure that financial assistance programs comply fully with state and federal requirements. Working with Patient Financial Services, patients without insurance are offered assistance with applicable insurance options or charity care, Increase enrollment in Florida KidCare, the Children's Health Insurance program for Florida, through both community and hospital outreach. Community outreach initiatives include participation in school events, health fairs and other health-related events. Additionally, Wolfson Children's Hospital will continue its hospital outreach to its self-pay patients by contacting and assisting them in enrolling in Florida KidCare. In FY 2016 and 2017, THE PLAYERS Center for Child Health team provided application assistance to 523 individuals, Work in conjunction with local school boards or other community partners in order to establish new avenues that will increase access to primary care services for children, Baptist Health has an MOU and is currently seeing patients at Ribault Middle and High School, Continue to evaluate how to best use and expand its home health and telehealth services in order to improve access to care, Reduce the number of preventable hospitalizations for asthma by continuing to build on the services offered by the Community Asthma Partnership at Wolfson (CAPW). CAPW provides education, events, workshops and other programs in order to teach children and their caregivers how to better manage their disease. CAPW also provides care coordination services to patients who present frequently to the Emergency Department in order to reduce the number of admissions for asthma, Train the Trainer: Takeisha Sessoms, RRT- 4/21/16 Trained Health Advocates on 30 min educational presentation to perform in communities 2016-2017 results: Workshop attendance - The Community Asthma Partnership offered 45 community based workshops, and 128 children and 168 adults attended, School based classes - Educators taught 119 programs and reached 1128 students in VPK, school based, and after school programs for children with asthma, Care Coordination - Provided Care Coordination for 118 newly identified high risk asthma patients in FY 2016 and FY 2017, Continue to support access to specialty care and reduce preventable hospitalizations through its investment in the Bower Lyman Center for Medically Complex Children. The Center offers medically complex children a coordinated, family-focused and team-based approach to achieve their highest possible quality of life and health outcomes, and to promote family well-being. Wolfson Children's Hospital continues to fund the operation expenses for the Bower Lyman Center for Medically Complex Children. This funding includes salaries for a parent liaison and two social workers, Offer free health-related programming in the community through partnerships between Baptist Health System, YMCA and Jewish Community Alliance. Wolfson Children's Hospital will evaluate how to best improve access for children through these centers, which may include offering school physicals. THE PLAYERS Center for Child Health educators offered unintentional injury prevention education to 85 children and 58 adults at the YMCA Healthy Kids Day on April 31, 2016. On July 22, 2017 team members provided education at 5 YMCA locations for their baby shower events. Educators participated in the YMCA Thingamajig event on August 3, 2016, and provided health and safety education to 144 individuals. 333 children received asthma education during the 2017 Thingamajig event, Continue to participate in local community health fairs, which provide health screenings, education, information on insurance coverage and other health-related services for children and their families. THE PLAYERS Center team participated in 216 health fairs and provided education to 30,649 individuals in FY 2016. In FY 2017, team members participated in 295 health events, and provided education to 21,755 individuals, Provide free "back to school" and sports physicals in varying locations across the community. In collaboration with the Jacksonville Sports Medicine Program, Wolfson Children's Hospital provided free back to school physicals on July 30, 2016 to 705 student athletes in Duval County. On July 29, 2017 665 athletes in Duval county participated in sports physicals, Support and advocate for legislation that is specifically focused on improving access to care for children. Wolfson Children's Hospital patient Jacob Lopez and his family participated in the Children's Hospital Association Speak Now for Kids Family Advocacy Days in Washington DC June 20-22, 2016. Jacob met with 5 legislators from Florida and Georgia. In July of 2017 Wolfson Children's Hospital patient Norah Sproles and her family traveled to Washington to meet with 4 legislators, Continue to support the UF Health Pediatric Weight Management Center - Wolfson Children's Hospital. This center provides obese and overweight pediatric patients with a comprehensive, family-centered and team-based approach to achieve weight loss, weight loss maintenance and reverse the co-morbidities of obesity. The treatment team works together to provide the best support and guidance for the patient and family, not only for weight loss, but also for weight loss maintenance. Wolfson Children's Hospital continues to provide the unmet reimbursed costs to run a pediatric weight management center, Continue to provide financial support to community organizations that are committed to increasing access for child health services. Planned Collaborations. In implementing the above initiatives, Wolfson Children's Hospital anticipates collaborating with the following organizations: Local health departments in the five-county area, Local school districts in the five-county area, Nemours Children's Specialty Care, Jacksonville, University College of Medicine - Jacksonville, YMCA, After -school programs and summer camps, Community PedsCare, Children's Hospital Association, Florida Association of Children's Hospitals, St. Vincent's HealthCare, and Jacksonville Sports Medicine Program. Anticipated Impacts. More children will have health insurance coverage, More children will have access to primary care from the baseline that in Baker, Clay, and Nassau counties the supply of primary care physicians, dentists, and mental health providers is below the U.S. average, More families will be better informed on the health resources that exist in the community for children and will be better educated about child health and wellness. Baseline - In Baker, Clay, and Nassau counties, the per-capita supply of primary care physicians, dentists, and mental health providers is below U.S. averages. Evaluation Plan. Wolfson Children's Hospital 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 families assisted and enrolled in KidCare -FY 16: 539; FY 17: 523, Track the number of families educated at community events - FY16: 30,649; FY 17: 21,755, Track the number of children and adults educated on care coordination services for asthma through CAPW - 118 new high risk patients in 2016; 116 patients in 2017, Track the number of families educated at YMCA - 620 participants in events. Strategic Investments. Funded a conference on increasing access to care for LGBTQ youth with 175 people attending, Provided funding to United Way for vision screenings and glasses for children identified as needing those services through the Full Service School. 158 children received vision screening and glasses if needed, Funded DLC Nurse and Learn to provide nursing care, physical and occupational therapies; treatment for diabetes and asthma for children who are physically and emotionally disabled. 196 children including more than 60 children with developmental disabilities and medical complications participated in the inclusion child development program, Provided funding to Sulzbacher Center to open a pediatric practice in a low-income health dessert in Jacksonville for children without insurance or on Medicaid. The practice is scheduled to open in spring 2018, Funded PACE Center for Girls to provide a Straight Talk Clinic. 130 girls were served with basic health services, Provided funding to Children's Home Society to provide counseling for students who do not have insurance or have Medicaid and attend high poverty schools in Jacksonville. 86 children received counseling or crisis intervention services and 190 teachers received training on trauma informed classrooms, Funded The Bridge to provide health screenings and access to medical, dental and vision services. 336 teens participated.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 9 - Southern Baptist Hospital of Florida, Inc. (Dba Wolfson Children's Hospital). Health Disparities. to address this need, Wolfson Children's Hospital will undertake the following program initiatives: Reduce disparities pertaining to access to affordable care by providing assistance in enrolling uninsured children in KidCare In FY 2016, THE PLAYERS Center for Child Health team provided application assistance to 539 individuals, and 523 in 2017, Improve the level of linguistically and culturally appropriate care by hiring bilingual staff who can better communicate with the Hispanic population and understand the cultural barriers to care THE PLAYERS Center for Child Health hired MariVi Wright to adapt educational offerings to the Spanish Speaking families. Over 750 Spanish speaking individuals received important educational information on prevention, access, and wellness in 2016, and 487 in 2017, Provide education and health screenings in low-income, Black (African American) and Hispanic (Latino) communities THE PLAYERS Center for Child Health participated in a Spanish speaking Health Fair on April 23, 2016 and educated 225 individuals. THE PLAYERS Center for Child Health participated in a Spanish Speaking Health fair on September 16th and educated 180 individuals, Continue to build on the efforts of CAPW and use its resources to target specifically populations in need of education and support, as asthma has been found to be a "highly problematic" health issue for low-income, Black and Hispanic residents. CAP- W educators participated in a health fair on August 5th at Potter's House and educated 80 individuals, work in conjunction with local school boards and/or other community partners in order to establish new avenues that will increase access to primary care services for children. Baptist Health has an MOU and is currently seeing patients at Ribault Middle and High School, Participate in local community health fairs to provide screenings, education, information on insurance coverage and other health-related services to children and their families. THE PLAYERS Center team participated in 216 health fairs and provided education to 30,649 individuals in FY 2016, and 247 health fairs and 21,775 in FY 2017, Offer school- and community-based educational programming aimed at improving child health. Current programming includes nutrition, hygiene, body systems, safe driving, and over-the-counter medication safety. THE PLAYERS Center for Child Health educators provided education to 4,674 students in 213 classes in FY 2016, and 5,162 students in 171 classes in FY 2017, Provide education to school nurses on diabetes prevention and maintenance. On February 17, 2016, diabetes educators provided a 2 hour training to 24 Duval County school nurses. Educators provided training to 88 teachers in Duval and Nassau counties in 2017, Educate the community and patients on the health risks associated with smoking and exposure to second-hand smoke and provide referrals to smoking cessation resources in the community, such as AHEC. Asthma educators refer appropriate patient families to AHEC, Implement Youth Mental Health First Aid training, an eight-hour course that teaches participants how to help someone who is developing a mental health problem or experiencing a mental health crisis. The training helps participants identify, understand, and respond to signs of mental illness and substance use disorders. Wolfson Children's Hospital offered 13 Youth Mental Health First Aid classes and were able to educate 152 individuals to identify and respond to mental illness and substance use disorders in 2016. In FY 2017, there were 190 participants in 16 classes, Educate the community regarding breastfeeding and safe sleep practices through social media and traditional news media campaigns, community events and classes. Educators provided safe sleep and breastfeeding to 7,348 individuals at 44 events in 2017, Work with community partners to increase access to pediatric care for all children, including children enrolled in KidCare or who do not have insurance. St. Vincent's Mobile Health outreach, Duval County Public schools and Full Service schools refer families without coverage to THE PLAYERS Center for Child Health team members, Continue to provide financial support to local organizations that are dedicating to reducing health disparities in the community. Planned Collaborations. In implementing the above initiatives, Wolfson Children's Hospital anticipates collaborating with the following organizations: KidCare referring partners, Healthy Start Coalition of Northeast Florida, AHEC, YMCA, Center for Language and Culture, Local school districts in the five-county area, Summer camps, Early education and after-school programs. Anticipated Impacts. Increased access to health insurance through KidCare enrollment, Increased access to primary care because between 2015 and 2020 the pediatric population is expected to grow 2.5 percent, Increased awareness and decreased stigma surrounding mental health, Reduced preventable hospitalizations for conditions such as asthma from the baseline of 60 percent being preventable, Increased awareness about diabetes maintenance, increased awareness and education on factors that impact overall child health and wellness. Baselines: Between 2015 and 2020, the pediatric population, aged 0-17 years, is expected to grow by 2.5 percent, In 2014, there were 1,208 ambulatory care-sensitive inpatient hospitalizations for asthma for residents of the five-county area aged 0-17 years. Sixty percent of preventable hospitalizations were for asthma. Evaluation Plan: Wolfson Children's Hospital 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 children and families assisted and enrolled in KidCare. FY 16 539; FY 17 523, Measure the number of participants educated at community events. 16: 30,649; 17: 21,775, track the number of referrals to AHEC, the number of people who enroll and complete a smoking cessation class, and the number of people who quit smoking, track the number of nurses educated on diabetes. 24 in FY16, 88 in FY17, Measure the number of children educated through community programs. FY 16 4,674: FY 17 5,162, Track the number of families educated at health fairs. FY16 30,649; FY 17 21,775, Track the number of people trained in Youth Mental Health First Aid. FY16: 152; FY17: 190. Strategic Investments: Funded a conference on increasing access to care for LGBTQ youth with 175 people attending, Provided funding to United Way for vision screenings and glasses for children identified as needing those services through the Full Service School. 158 children received vision screening and glasses if needed, Funded DLC Nurse and Learn to provide nursing care, physical and occupational therapies; treatment for diabetes and asthma for children who are physically and emotionally disabled, Provided funding to Sulzbacher Center to open a pediatric practice in a low-income health dessert in Jacksonville for children without insurance or on Medicaid. The practice is scheduled to open in spring 2018, Funded PACE Center for Girls to provide a Straight Talk Clinic. 130 girls were served, three of whom received care for diabetes, Provided funding to Children's Home Society to provide counseling for students who do not have insurance or have Medicaid and attend high poverty schools in Jacksonville. 86 children received counseling or crisis intervention services and 190 teachers received training on trauma informed classrooms, Funded The Bridge to provide health screenings and access to medical, dental and vision services. 336 physicals were arranged and received; 90 children received dental care. 28 children were educated on asthma, 29 youth received mental health services and 25 were educated on the dangers of smoking.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 10 - Southern Baptist Hospital of Florida, Inc. (Dba Wolfson Children's Hospital). Maternal and Child Health. to address this need, Wolfson Children's Hospital will undertake the following program initiatives: Continue to offer school- and community-based educational programming aimed at improving child health. Current programming includes nutrition, hygiene, body systems and safe driving, and over-the-counter medication safety. Wolfson Children's Hospital will continue to evaluate other educational needs in the community and implement new programming as needs arise and resources become available. THE PLAYERS Center for Child Health educators provided education to 4,674 students in 213 classes in FY 2016, and 5,162 students in 171 classes in FY 2017, Increase educational activities aimed at reducing the number of overweight youth in the community, not only through existing educational initiatives, but through partnerships in the community, such as Play 60 with the Jacksonville Jaguars and the Healthy Jacksonville Childhood Obesity Prevention Coalition. Over 7,000 sixth graders from 29 different schools participated in Play 60 during the 2015/2016 school year, and over 8,000 from 52 schools in 2016/2017, Increase awareness of safe sleep practices to reduce the risk of sleep-related deaths during infancy. Provide safe sleep, breastfeeding, infant and child CPR, and choking education to at-risk expectant families referred by community partners. Distribute safe sleep equipment and supplies to families in need, and work with Wolfson Children's Hospital to develop a strategy for wider distribution of selected safe sleep apparatus to at-risk families in need. Utilize paid, unpaid, social and in-house media to promote awareness of safe sleep practices during infancy to the community at large. In 2016, THE PLAYERS Center for Child Health educators provided safe sleep education to 6,978 people at 42 community events. Safe Sleep messaging had a program reach of 3,319,792 media impressions. 165 pack and plays were distributed. In 2017, 7,348 people at 44 events received safe sleep education, and 125 pack and plays were distributed, Provide education and resources through free classes and community events, including health fairs and safe sleep classes. In 2016, THE PLAYERS Center for Child Health educators provided safe sleep education to 6,978 people at 42 community events. In 2017, 7,348 people at 44 events received safe sleep education. In FY 2017, 1,125 people participated in parenting classes offered in Healthy Living Centers in YMCAs throughout Duval County, Work with partners and affiliates to develop and implement a child abuse prevention strategy, Provide education on the risks associated with smoking and second-hand smoke and provide smoking cessation referrals for pregnant moms, Train community members in CPR at community events, Create and provide an obesity toolkit for local pediatricians and the community that is accessible online. In collaboration with the Healthy Jacksonville Childhood Obesity Prevention Coalition and Nemours Children's Specialty Clinic, Wolfson Children's Hospital hosted a continuing education session on the role of a primary care pediatrician in addressing childhood obesity. Office toolkits were distributed, work with community partners to increase access to pediatric care for all children, including children enrolled in KidCare or who do not have insurance. Baptist Health has an MOU and is currently seeing patients at Ribault Middle and High School, Continue to provide financial support to community organizations that are committed to improving child health. Planned Collaborations: In implementing the above initiatives, Wolfson Children's Hospital anticipates collaborating with the following organizations: Healthy Jacksonville Childhood Obesity Prevention Coalition, Jacksonville Jaguars, Healthy Start Coalition of Northeast Florida, Local health departments in the five-county area, Local school districts in the five-county area, YMCA, AHEC, and Florida Department of Children and Families. Anticipated Impacts. Increased awareness and education on health and wellness, including health impacts caused by obesity from the baseline of having 11.1 percent middle school students and 14.3 percent high school students overweight in Florida, Increased awareness and education on infant mortality from sleep-related deaths, Increased awareness about child abuse prevention programs from the baseline of having a rate of 12.1 children abused in Florida. Baselines: Middle School Students overweight: 11.1 percent, high school students overweight 14.3 percent, Children 5-11 experiencing child abuse: 12.1, In Duval County, Births &lt; 2500 grams is 9.3 percent, compared to Florida at 8.6 percent, Birth to mothers who report smoking during pregnancy: In Duval county 7.3 percent and in Florida 6.6. Evaluation Plan. Wolfson Children's Hospital will assess the impact of the above initiatives as part of the Community Health Needs Assessment it will conduct in 2018. Track number of children and families who participate in classes and community events FY 16: 4,674 students in 213 classes; FY 17: 5,162 students in 171 classes, Track number of families educated on infant mortality FY 16: 6,978; FY 17: 7,348, Track number of lives touched through Play 60 FY 16: 7,000; FY 17: 8,000. Strategic Investments. Provided funding to the Jaguars Foundation to implement Play 60 physical activity programs in middle schools in 5 counties in Northeast Florida, Provided funding for the YMCA Kid Fit Challenge. 17 children participated and reduced their mile run time by 9 minutes, Provided funding to the Museum of Science and History to develop and maintain an exhibit on healthy lifestyles. 1,309 students and adults toured the exhibit and/or participated in health education programming.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 11 - Southern Baptist Hospital of FLorida, Inc. (dba WOlfson Children's Hospital). Mental Health. To address this need, Wolfson Children's Hospital will undertake the following program initiatives: Implement Youth Mental Health First Aid 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. Wolfson Children's Hospital offered 13 Youth Mental Health First Aid Classes, and had 152 people participate in the training in FY 2016. In FY 2017, 16 classes were offered and 190 people participated, provide mindfulness training and coaching through affiliations with the YMCA and the Jewish Community Alliance Wolfson Children's Hospital provided mindfulness training to 60 students at the DuPont YMCA. The students participated in three sessions with different mindfulness activities each week, Work with community providers to develop an integrated care clinic to provide additional access to mental health services. In partnership with the University of Florida College of Medicine - Jacksonville, Wolfson Children's Center for Behavioral Health, the Partnership for Child Health and additional community resources, we are able to provide a compassionate and comprehensive system of care to support children and youth with medical, mental and behavioral health needs. This integrated approach to the care of children and youth reflects our commitment to fulfill the rights of all children to achieve and maintain mind-body wellness, Partner with the United Way of Northeast Florida to develop and implement a community-wide effort to reduce the stigma associated with mental illness and increase access to care, Increase community awareness by hosting the annual Faith and Mental Health Conference, Support the National Alliance on Mental Illness (NAMI) in implementing youth education and awareness programs. THE PLAYERS Center for Child Health team assisted NAMI in completing a SHAC application, providing access to present in Duval County Public Schools, Continue to provide financial investments to community organizations that are committed to increasing access to mental health services and/or decreasing the stigma associated with mental health issues. Planned Collaborations. In implementing the above initiatives, Wolfson Children's Hospital anticipates collaborating with the following organizations: Local school districts in the five-county area, United Way of Northeast Florida, NAMI, YMCA, JCA, Nemours Children's Specialty Care, Jacksonville, and UF Health Jacksonville. Anticipated Impacts. Increased access to mental health services from the baseline that the suicide rate has increased 13.2 percent, Decreased stigma in the community surrounding mental health, Baseline - The Duval County suicide rate in 2012 increased 13.2 percent since 2008. Evaluation Plan: Wolfson Children's Hospital 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 - 152 people trained in 2016; 190 in 2017, The number of participants in training on youth mental illness and suicide will be tracked and knowledge gains will be measured via survey of participants, Monitor suicide rates in the community, and monitor mental health admissions through the Emergency Department. Strategic Investments: Funded an Autism Symposium for providers, clinicians and parents. 375 people attended, Provided funding to Children's Home Society to provide counseling for students who do not have insurance or have Medicaid and attend high poverty schools in Jacksonville. 86 children received counseling or crisis intervention services and 190 teachers received training on trauma informed classrooms, Funded Delta Sigma Theta's local chapter to provide a camp for children and siblings impacted by HIV/AIDS. 28 children were enrolled in the camp and received mental health counseling and activities in groups and/or one to one, Funded Hope Haven Children's Clinic to provide onsite mental health assessments and treatment services. 17 children were evaluated and 7 were diagnosed and treated, Funded DLC Nurse and Learn to provide mental health counseling for caregivers of children with a mental or physical disability and 34 people received counseling at DLC Nurse and Learn, 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. Unintentional Injury. to address this need, Wolfson Children's Hospital will undertake the following program initiatives: Continue its partnership with Safe Kids Worldwide in order to reduce the amount of unintentional childhood injuries. Through this partnership, Wolfson Children's Hospital educates the community on child water safety, home safety, child passenger safety, bicycle safety, pedestrian safety, infant mortality and safe sleep practices, heat illness, exertional heat stroke, lightning and sports-related concussions and head injuries, THE PLAYERS Center for Child Health is the coalition lead for Safe Kids Northeast Florida, whose mission is to bring together local organizations to promote pediatric injury prevention, Continue its affiliation with the Jacksonville Sports Medicine Program, a not-for-profit, volunteer-based organization that is dedicated to youth sports injury advocacy and prevention, Utilize paid, unpaid, social, in-house media and special events to promote awareness of injury prevention for children 19 and under and to the community at-large. In 2016 THE PLAYERS Center for Child Health secured over 7,000,000 media impressions through traditional print, radio, television and social media, that number reached over 11,365,327 in 2017. Planned Collaborations. In implementing the above initiatives, Wolfson Children's Hospital anticipates collaborating with the following organizations: Safe Kids Worldwide, Jacksonville Sports Medicine Program, Florida Department of Children and Families, The City of Jacksonville, Healthy Start Coalition of Northeast Florida, Department of Transportation, Century Ambulance, Health departments in the five-county area, Florida Swimming Pool Association, and the Jacksonville Sheriff's Office. Anticipated Impacts. Increased awareness about the causes of unintentional injuries and actions that can be taken to decrease the risk of injury. Baselines: In the 2015 Community Health Status Indicators, Clay, Duval, and Nassau counties ranked in the bottom quartile of peer counties for motor vehicle deaths. Duval and Nassau counties also benchmarked poorly for unintentional injury, In the Youth Risk Behavior Surveillance System (2013), 15 of 20 indicators for unintentional injuries and violence in Duval County are well above Florida averages, including high rates for behaviors associated with unsafe driving. Evaluation Plan. Wolfson Children's Hospital 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 child passenger seats distributed 385 and inspected 1,233 in FY 2016; distributed 377 and inspected 997 in FY 2017, Track the number of safe sleep spaces distributed 165 in FY 2016; 125 in FY 2017, Track the number of bike helmets distributed and the number of fittings performed 432 in FY 2016; 151 in 2017, Track the number of people educated at health fairs and through educational programs 30,765 in 2016; and to 17,908 in 2017, Track the number of people reached through media relations and social media campaigns Over 7,000,000 media impressions in 2016, and 11,365,327 in 2017.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 12</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 12 - Southern Baptist Hospital of Florida, Inc. (dba Wolfson Chilren's Hospital). Unprotected Sex/Teen Pregnancy. to address this need, Wolfson Children's Hospital will undertake the following program initiatives: Partner with local school districts and community organizations to enhance STI education and awareness, 6/17/16: Baptist Health, Tipping the Scale Year Round Mentoring Program: Summer Employment: "Wellness Fridays" STI by Planned Parenthood. 46 Total Attendance 41 Total Surveys. 90% Learned something new from presentation: 62% Plan to make a lifestyle or other health related changes, wolfson Children's Hospital team members assisted with condom demonstrations for 7 schools and 1020 students in 2017, Partner with local colleges, universities and military bases to enhance safe sex and STI education programs, Provide Teen Talk programming to community partners, Partner with local agencies to increase awareness of existing HIV and STI testing and treatment sites, and also help grow additional HIV and STI testing sites in the community, Work with Nassau Alcohol Crime and Drug Abatement Coalition (NACDAC) to educate teens in Nassau on the importance of the HPV vaccine in preventing cervical cancer, Offer STI prevention and safe sex education at community events and health fairs, 6/3/16 BrdsNBz text messaging service shared with Leadership Jacksonville Collegiate class of 2017 - 36 youth attended, Continue to provide financial support to community organizations that are committed to reducing the rates of unprotected sex and teen pregnancy in the community. Provided BrdsNBz funding to Healthy Start. Planned Collaborations. In implementing the above initiatives, Wolfson Children's Hospital anticipates collaborating with the following organizations: Healthy Start Coalition of Northeast Florida, School districts in the five-county area, Health departments in the five-county area, Local colleges and universities, as well as military bases, Nassau Alcohol Crime and Drug Abatement Coalition. Anticipated Impacts. Increased educational programs on STI prevention from the baseline of having 19.6 percent never taught in school about AIDS or HIV infection in Duval County, compared to Florida's percentage of 16.9, Increased awareness of screening and treatment options locally which will lead to a reduction in number of STI rates. Baselines: In Duval County had 19.6 percent that were never taught in school about AIDS or HIV infection, compared to Florida's percentage of 16.9, In 2015, Baker and Duval ranked in the bottom half of Florida counties for teen births. Baker ranked 55th and Duval ranked 34th out of 67 counties, in Duval County, the amount people that reported they did not use any method to prevent pregnancy were 15.2 percent compared to Florida which were 12.6 percent. Evaluation Plan: Wolfson Children's Hospital 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 people educated at events, Knowledge gained of the participants from educational sessions will be measured through a survey, Track the number of individuals screened through planned collaborations. Strategic Investments: Provided funding to JASMYN Sexual Health Clinic to offer testing and treatment for sexually transmitted diseases. 457 young people participated in the clinic in 2016, Provided funding to the BrdznBz program providing 500 youth and young adults sexual health information, Funded PACE Center for Girls to provide a Straight Talk Clinic. 130 girls were served with basic health services. 98% did not become pregnant and 98% remained STI free during the year, Provided funding to The Bridge of Northeast Florida to provide sexual health education to 156 students. No entity can address all of the health needs present in its community. Wolfson Children's Hospital 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: Dental Care. Wolfson Children's Hospital does not anticipate implementing additional initiatives to address identified dental care needs. Other organizations in the community such as the Children's Economy Dentistry and the Florida Dental Association are addressing this need. The hospital does not have sufficient resources to effectuate a significant change in this area, and believes resources devoted to its implementation strategy should focus on other significant community health needs. Nutrition, Physical Activity, and Obesity. Wolfson Children's Hospital partners with the Jacksonville Jaguars Foundation to provide Play 60 activities through northeast Florida middle schools. Due to resource constraints and the availability of other resources in the community, the hospital believes its implementation strategy should focus on other significant community health needs. Poverty. Wolfson Children's Hospital does not anticipate implementing additional initiatives to address identified poverty. This need is being addressed by other entities in Baker, Clay, Duval, Nassau, and St. Johns counties, including the United Way of Northeast Florida, which Baptist Health supports. The hospital does not have sufficient resources to effectuate a significant change in this area, and believes resources devoted to its implementation strategy should focus on other significant community health needs. Smoking. Wolfson Children's Hospital does not anticipate implementing additional initiatives to address the identified need to reduce smoking. This need is being addressed by other entities in Baker, Clay, Duval, Nassau, and St. Johns counties. Specifically, Baptist Medical Center Jacksonville, which shares a campus with Wolfson Children's Hospital, will be using its affiliation with MD Anderson Cancer Center to implement new initiatives and address this need in the community. The hospital does not have sufficient resources to effectuate a significant change in this area, and believes resources devoted to its implementation strategy should focus on other significant community health needs. Transportation. Wolfson Children's Hospital does not anticipate implementing additional initiatives to address identified transportation needs. This need is being addressed by other entities in Baker, Clay, Duval, Nassau, and St. Johns counties. The hospital does not have expertise in this area nor sufficient resources to effectuate a significant change. Accordingly, the hospital believes resources devoted to its implementation strategy should focus on other significant community health needs.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 20 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - Southern Baptist Hospital of Florida, 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 advocate and all financial assistance information. ALL APPLICANTS FOR FINANCIAL ASSISTANCE ARE MAINTAINED WHETHER OR NOT THE PATIENT QUALIFIES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>7</FacilityNum>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Baptist Emergency Center Clay</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1771 Baptist Clay Dr</AddressLine1Txt>
            <CityNm>Fleming Island</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32003</ZIPCd>
          </USAddress>
          <FacilityTxt>The facility features an emergency center with separate waiting areas and exam rooms for children.</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BAPTIST BEHAVIORAL HEALTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>800 PRUDENTIAL DR STE 510/512</AddressLine1Txt>
            <CityNm>JACKSONVILLE</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32207</ZIPCd>
          </USAddress>
          <FacilityTxt>COMPREHENSIVE MENTAL HEALTH SERVICES AT BAPTIST MEDICAL CENTER JACKSONVILLE'S HOSPITAL CAMPUS.</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BAPTIST BEHAVIORAL HEALTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>900 BEACH BLVD STE 930</AddressLine1Txt>
            <CityNm>JACKSONVILLE BEACH</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32250</ZIPCd>
          </USAddress>
          <FacilityTxt>COMPREHENSIVE MENTAL HEALTH SERVICES IN THE BEACHES' COMMUNITIES.</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BAPTIST BEHAVIORAL HEALTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>87010 PROFESSIONAL WAY</AddressLine1Txt>
            <CityNm>YULEE</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32097</ZIPCd>
          </USAddress>
          <FacilityTxt>COMPREHENSIVE MENTAL HEALTH SERVICES IN NASSAU COUNTY.</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BAPTIST BEHAVIORAL HEALTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>13241 BARTRAM PARK BLVD STE 1901</AddressLine1Txt>
            <CityNm>JACKSONVILLE</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32258</ZIPCd>
          </USAddress>
          <FacilityTxt>COMPREHENSIVE MENTAL HEALTH SERVICES IN THE MANDARIN COMMUNITY.</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BAPTIST BEHAVIORAL HEALTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1325 SAN MARCO BLVD STE 500</AddressLine1Txt>
            <CityNm>JACKSONVILLE</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32207</ZIPCd>
          </USAddress>
          <FacilityTxt>COMPREHENSIVE MENTAL HEALTH SERVICES IN THE SAN MARCO COMMUNITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BAPTIST BEHAVIORAL HEALTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4160 UNIVERSITY BLVD S</AddressLine1Txt>
            <CityNm>JACKSONVILLE</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32216</ZIPCd>
          </USAddress>
          <FacilityTxt>COMPREHENSIVE MENTAL HEALTH SERVICES in the southside community.</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Baptist Emergency Center North</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>11250 Baptist Health Drive</AddressLine1Txt>
            <CityNm>Jacksonville</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32218</ZIPCd>
          </USAddress>
          <FacilityTxt>Emergency and primary care, specialist physician offices, imaging, and labs for adults and children.</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Baptist Emergency Town Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>841 Prudential Drive Ste 1802</AddressLine1Txt>
            <CityNm>Jacksonville</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32207</ZIPCd>
          </USAddress>
          <FacilityTxt>The facility features two emergency centers under one roof. One for children and one for adults.</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State filing of the community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>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.baptist.jax.com website or at https://www.baptistjax.com/about-us/social-responsibility/assessing-community-health-needs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II, Line 2 Economic Development</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 2: Economic Development-New employment opportunities were provided to 50 teenagers 16 - 18 years old after successful completion of an eight-week job readiness training program. Teens are provided exposure to the scope of practice for one of their top three areas of career interest at our flagship hospital system. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II, Line 3 Community Support</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 3: Community Support- 31 Baptist Health 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, low income families and 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 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. Baptist employees supervise the volunteers giving them direction and support during their service. 130 teens participated in the summer volunteer program in FY 2017 on the Baptist Medical Center Jacksonville, Baptist Medical Center South and Wolfson Children's Hospital campuses. High School Medical Academy Rotation - Baptist Health partners with Mandarin High School to provide medical academy students hands-on learning of clinical and administrative aspects of health care. During the last semester of their senior year, students are required to complete four rotations (16 hours total) at a hospital where they receive hands-on experience before they are allowed to sit for their CMAA (Certified Medical Administrative Assistant) exam. 72 students completed their hospital rotation at Baptist Medical Center South during fiscal year 2017.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II, Line 7 Community Health Improvement Advocacy</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 7: Community Health Improvement Advocacy- To provide access to primary health care for the uninsured and the underinsured, Baptist Health partners with Sulzbacher Center, Muslim American Social Services, The Way Free Medical Clinic, We Care Jacksonville, Helping Hands Community Outreach, and Volunteers in Medicine. Baptist Health partners with DLC Nurse and Learn, Pine Castle, Youth Crisis Center, BASCA, YMCA and JASMYN to ensure targeted health care needs are met for the vulnerable clients within their organizations. Baptist Health provides access to safety net services to help frail elderly stay in their homes in partnership with the AgeWell Institute. CHNA Priority Communicable Diseases and Unprotected Sex/Teen Pregnancy - Baptist Health partners with JASMYN, Planned Parenthood and the Northeast Florida Healthy Start Coalition to reduce STD's and unprotected sex. In addition, Baptist Health staff received training to provide technical assistance to Duval County teachers implementing the school system's sexual health curriculum. CHNA Priority Mental Health - Baptist Health partners with The ARC of Jacksonville for physically and emotionally handicapped, ElderSource, United Way Full Service Schools, PACE Center for Girls, DLC Nurse and Learn, The Women's Center of Jacksonville, Children's Home Society, Project for Healing, and Hope Haven Children's Clinic to provide access to mental health services. In addition, Baptist Health has partnered with UNF Brooks College of Health to initiate a mental health nurse practitioner degree program to increase access to mental health services, and Mental Health America Northeast Florida to advocate for access to mental health services in Northeas Florida. Baptist Health partners with the Northeast Florida Health Planning Council and the National Council for Behavioral Health to train citizens in Mental Health First Aid. CHNA Priority Access to Care - Baptist Health provides access to vision services for children and adults through United Way Full Service Schools and Vision Is Priceless. Wolfson Children's Hospital, through THE PLAYERS Center for Child Health, is working with community partners to identify and help families complete Florida KidCare applications. In addition, outreach educators train and educate the community on the importance of coverage. In addition, Baptist Health worked with the Duval County School System, Sulzabcher Center, UF Health Jacksonville and the Department of Health-Duval to open school health centers for children in underserved areas. CHNA Priority Diabetes and Maternal and Child Health - In addition to supporting access to care for adults without insurance, Baptist Health partnered with the YMCA to pilot the Kid Fit Challenge to help young children and their families becom healthier. Baptist Health also partners with the Jacksonville Jaguars Foundation to implement PLAY 60, a nutrition and physical activity program targeted to 6th grade students and partners with faith organziations to implement 8 Weeks to Healthy Living, an exercise and healthy eating education program. CHNA Priorities Cancer/Smoking - In addition to supporting access to care for adults without insurance, Baptist Health partners with AHEC to offer smoking cessation classes in hospitals and other community locations. CHNA Priority Unintentional Injury - Baptist Health partners with Jacksonville Sports Medicne Program to provide trainers for high school athletics programs and health assessments for student athletes. In addition, Wolfson Children's Hospital is a member of the Duval Safety Coalition. CHNA Priority Health Disparities - In addition to supporting acces to care for adults without insurance, Baptist Health partners with The Bridge of Northeast Florida and United Way to address economic and educational conditions that foster health disparities. To increase health education and information, Baptist Health partners with the Health Planning Council of Northeast Florida and the Museum of Science and History.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II, Line 9 Other</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 9: 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 505 people during fiscal year 2017. Northeast Florida Medical Society - Baptist Health provided funding for college scholarships distributed by the Northeast Florida Medical Society to Duval County high school students.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 7 Other Website Address</FormAndLineReferenceDesc>
        <ExplanationTxt>http://www.hpcnef.org/wp-content/uploads/2016/01/Jacksonville-CB-Partnership-Summary-of-Findings-Final-Community-Health-Needs-Assessment.pdf</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II, Line 6 Coalition Building</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 6: 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 2017, 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. The New Town Children's Success Zone Coalition is a group of community stakeholders who work to provide a place-based continuum of services from prenatal to college, the military or some form of secondary training for the children and their families living in the neighborhood. Leaders from Baptist Health, UF Health, Mayo, St. Vincent's and Florida Blue serve as a coalition to provide programs and resources in the New Town Children's Success Zone in a coordinated effort to address some of the health care disparities such as asthma, diabetes, nutrition in addition to Florida KidCare enrollment. Baptist partnered with the neighborhood elementary and middle school to provide asthma training for children with asthma, faculty and parents. Baptist along with the rest of the coalition worked with families to get children enrolled in Florida KidCare insurance programs. Healthy Jacksonville Childhood Obesity Coalition - Baptist Health is a member of the the Healthy Jacksonville Childhood Obesity Prevention Coalition (HJCOPC), which is a public-private partnership devoted to reducing and preventing childhood obesity in Duval County. Citizens, business leaders and community organizations work to create healthy environments for children and families through advocacy, education, policy development and cultural changes. The Partnership for Child Health develops and implements programs and services to improve the health and wellbeing of all children and youth in Northeast Florida by collaborating with community partners in major child-serving organizations. Baptist Health is an active member of The Partnership which is focused on providing a medical home for children with complex medical conditions, mental, behavioral and addiction health disorders, developmental disabilities, access to dental care, family violence and dysfunction, poverty, child trafficking, and other marginalized children and families. Child Abuse Prevention and Permanence Local Planning Team is led by Family Support Services of Northeast Florida with the goal of preventing children from experiencing abuse or neglect, ensure the safety of children through improved investigative processes, and ensure the safety of children while preserving the family structure. Wolfson Children's Hospital is an active member of the planning team. Child Sexual Abuse Prevention Coalition's mission is to prevent child sexual abuse through the delivery of the Darkness to Light, Stewards of Children training program to adults in Northeast Florida and empowering an unprecedented preventative action movement with the awareness and knowledge to protect children. Wolfson Children's Hospital is an active member of the coalition.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II, Line 6 Coalition Building</FormAndLineReferenceDesc>
        <ExplanationTxt>Duval County Traffic Safety Team consists of advocates who are committed to solving traffic safety problems through a comprehensive, multi-jurisdictional, multidisciplinary approach. Members include city, county, state, private industry, citizens and Wolfson Children's Hospital. The goal is to reduce the number and severity of traffic crashes within their community. Duval County School Health Advisory Council's purpose is to offer recommendations and advice to the Duval County School Board and Duval County Public Schools Administration on issues that relate to the health of children and their families. in accordance with the Centers for Disease Control Coordinated School Health Model, including, but not limited to matters pertaining to Health Education, Physical Education, Health Services, Nutrition Services, Counseling and Psychological Services, Healthy School Environment, Health Promotion for Staff, Family/Community Involvement, the Safe and Drug Free Schools Program and the Wellness Policy. Wolfson Children's Hospital is an active member of the Council. Fetal Infant Mortality Review Committee aims to reduce infant mortality by gathering and reviewing detailed information to gain a better understanding of fetal and infant deaths in Northeast Florida. The project examines cases with the worst outcomes to identify gaps in maternal and infant services and to promote future improvements. Wolfson Children's Hosoital is an active member of the Committee. Full Service Schools Oversight Committee directs and guides the operation of Full Service Schools of Jacksonville led by United Way of Northeast Florida. Through Full Service Schools nearly 3,500 students and families are connected to a critical range of therapeutic, health and social services and address non-academic barriers to success in school. Each Full Service Schools site strives to meet the specific needs of the neighborhood in which it is based by providing a number of free services. Wolfson Children's Hospital is an active member of the Full Service Schools Oversight Committee. Florida Asthma Coalition's goal is to reduce the overall burden of asthma, with a focus on minimizing the disproportionate impact of asthma in racial/ethnic and low-income populations, by promoting asthma awareness and disease prevention at the community level and expanding and improving the quality of asthma education, management, and services through system and policy changes. Wolfson Children's Hospital is an active member of the Asthma Coalition. Help Me Grow Leadership Team provides assistance in identifying at-risk children birth through age eight, and then helps families find community-based programs and services. Wolfson Children's Hospital is an active member of the Leadership team. Healing Hands Community Advisory Council provides support to Healing Hands efforts to provide access to crisis intervention, case coordination, and medical services for at-risk children in Jacksonville and surrounding areas. The organization brings together physicians, psychologists, nurses and other medical professionals who diagnose cases of childhood physical and sexual abuse. Wolfson Children's Hospital is an active member of the Healing Hands Advisory Council. Infant Mortality Task Force - Clay County - Wolfson Children's Hospital is an active member of the Clay County Infant Mortality Task Force. With the goal of reducing infant mortality, the task force reviews and addresses maternal and infant health issues specific to Clay county. Infant Mortality Task Force - St. John's County - Wolfson Children's Hospital is an active member of the St. Johns County Infant Mortality Task Force. With the goal of reducing infant mortality, the task force reviews and addresses maternal and infant health issues specific to Clay county. Jacksonville Pediatric Injury Coalition offers children and their parents important safety topics in effort to reduce the number and severity of injuries in children Wolfson Children's Hospital is an active member of the Pediatric Injury Coalition. Mayor's Hispanic American Advisory Board promotes Jacksonville City services among the growing Hispanic community and advises the Mayor and his staff on specific needs within the community. The eleven members of the board are appointed by the mayor to effectively recognize the concerns and desires of the Hispanic community in Jacksonville. The purpose of the board is to provide a means by which the city may obtain information, guidance and on-going comprehensive studies relating to its citizens of Hispanic descent. Wolfson Children's Hospital is an active member of the Advisory Board. Northeast Florida Healthy Start Coalition leads a cooperative communtiy effort to reduce infant mortality and improve the health of children, childbearing women and their families in Northeast Florida. Wolfson Children's Hospital is an active member of the Healthy Start Coalition. Safe Kids Coalition Northeast Florida is a local coalition of Safe Kids Worldwide and led by THE PLAYERS Center for Child Health at Wolfson Children's Hospital , was founded in 2003. Funding is provided by Wolfson Children's Hospital, along with grants from Safe Kids Worldwide, and public and private contributors. Our mission brings together local organizations to promote pediatric injury prevention, and offer programs to prevent accidental injuries to children ages 19 and under. School Health Advisory Council Clay County Schools provides community guidance and input to Clay county school health services and education programs. Wolfson Children's Hospital is an active member. Uninsured Working Group is a consortium of organizations working together to improve access to care through enrollment in health insurance programs or increased provider availbaility. Wolfson Children's Hospital and Baptist Health are active members of the Uninsured Working Group. Florida Teen Safe Driving Coalition is a Coalition of more than 35 organizations committed to helping teens leverage the proven principles of Graduated Driver Licensing (GDL). The Safe Driving Coalition is affiliated with state and local government, law enforcement and public health agencies, traffic safety and injury prevention organizations, academia and business. Wolfson Children's Hospital is an active member. Lutheran Family Services Head Start Policy Committee is the governing body of the Head Start Program and acts as the parents' voice in making major decisions for the program. Policy Committee is comprised of parents/guardians of currently enrolled children and representatives of our community to make up the voting members. Wolfson Children's Hospital is an active member of the Policy Committee. Clay County Community Partnership School - The Community Partnership School model is a community school in which four core community partners - a school district, a university/college, a nonprofit and a health care provider - commit to a long-term partnership (25 years) to establish, develop and sustain the Community Partnership School. In this model, the school becomes a hub for the community where services are brought directly to the campus. Baptist Health has signed on to be the health care partner for the Community Partnership School at Wilkinson Junior High School in Clay County. The other partners are Clay County District Schools, Children's Home Society and St. Johns River State College. After a needs assessment is conducted and a strategic action plan is developed, Baptist will play the lead role in coordinating resources and other health care organizations to provide needed services onto the campus for students and the community.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II, Line 8 Workforce Development</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 8: Workforce Development Workforce Development opportunities were provided to 50 teenagers 16 - 18 years old after successful completion of an eight-week job readiness training program. Teens are provided exposure to the scope of practice for one of their top three areas of career interest at our flagship hospital system. 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. Southern Baptist Hospitals also 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 17, Southern Baptist Hospitals provided 2,433 students with 241,965 hours of clinical education supervision.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 6a Community benefit report prepared by related organization</FormAndLineReferenceDesc>
        <ExplanationTxt>Baptist Health System, Inc.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7g Subsidized Health Services</FormAndLineReferenceDesc>
        <ExplanationTxt>There were no physician clinic costs included in the subsidized health services cost.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation</FormAndLineReferenceDesc>
        <ExplanationTxt>0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - BAPTIST MEDICAL CENTER: Line 16a URL: https://www.baptistjax.com/patient-info/financial-assistance;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - BAPTIST MEDICAL CENTER: Line 16b URL: https://www.baptistjax.com/patient-info/financial-assistance;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - BAPTIST MEDICAL CENTER: Line 16c URL: https://www.baptistjax.com/patient-info/financial-assistance;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>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. BHS has partnered with 43 faith-based organizations located in vulnerable low-income neighborhoods 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>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 ONE OF OUR PATIENT FINANCIAL ADVOCATES TO ARRANGE A FINANCIAL EVALUATION. Signs are also posted in the emergency room and patient admission areas informing everyone that charity care is available with contact information. All bills sent to patients conspicuously show the web address and contact information of our patient financial services office to assist with financial assistance. A copy of the plain language summary is also mailed out to patients with a copy of their bill. Baptist Health also has the Financial Assistance policy, Plain language summary, application, contact information, and translations into different languages available on its website and free of charge at all hospital locations. Baptist Health makes a reasonable effort to ensure that a copy of the plain language summary is provided to patients and that patients know there is assistance if they need it. In the event that a patient has not submitted all information needed to apply for financial assistance, Baptist Health will contact the patient to request the remaining information to help complete the application process.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>The four counties served by Baptist Health System, Inc. (BHS), parent company of the filing organization, has close to 1.4 million people. The age range averages 18 to 44 year old. Females make up more of the population than males, but not more than 3%. Nassau and St. Johns Counties are nearly 90% Caucasian. Duval County has the region's largest African American population at 30 percent. Duval County also has the largest Asian population of 4.2 percent. Hispanic/ Latino residents make up 3.2 percent of Nassau County and 5.2 of St Johns County, while Duval is close to 9.0 percent. The population of the constituents in the urban core served is largely made up of African Americans with a very small percentage of Caucasians, Hispanic, and Asian culture. The average income in the area of focus is $21,000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>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 1.2 million dollars 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>Baptist Health System, Inc. (BHS) is the parent affiliate of Southern Baptist Hospital of Florida, Inc. (SBHF). The Social Responsibility and Community Health team at BHS coordinates the funding of nonprofit partners for SBHF and works with our employees in facilitating volunteer opportunities across our community. Members of the SBHF board of directors serve on the Social Responsibility and Community Health Committee. SBHF works closely with a number of nonprofit partners to meet the health needs in our community.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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          <AddressLine1Txt>611 E Adams St</AddressLine1Txt>
          <CityNm>Jacksonville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32202</ZIPCd>
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        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>To support Jacksonville's homeless with shelter, meals, medical, and dental care.</PurposeOfGrantTxt>
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          <CityNm>Jacksonville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32202</ZIPCd>
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        <PurposeOfGrantTxt>To support the community's toughest challenges by connecting people, resources, and Ideas.</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>THE ARC JACKSONVILLE INC</BusinessNameLine1Txt>
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          <CityNm>Jacksonville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32209</ZIPCd>
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        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>To support the Jacksonville Community people with intellectual and developmental disabilities to achieve their full potential and to participate in community life.</PurposeOfGrantTxt>
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        <PurposeOfGrantTxt>To support a place where children facing the challenges of living with chronic or life-threatening illnesses can be surrounded by other children.</PurposeOfGrantTxt>
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          <CityNm>Jacksonville</CityNm>
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        <PurposeOfGrantTxt>to support the greater Jacksonville area through strategic, financial, networking, and volunteer support for disadvantaged youth.</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>VOLUNTEERS IN MEDICINE</BusinessNameLine1Txt>
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          <CityNm>Jacksonville</CityNm>
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        <PurposeOfGrantTxt>To help support the health of the northeast Florida community by providing free primary and limited specialty care to the working poor, who cannot afford health insurance or healthcare for themselves and their families.</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>THE BRIDGE OF NE FLORIDA</BusinessNameLine1Txt>
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          <AddressLine1Txt>1824 N Pearl St</AddressLine1Txt>
          <CityNm>Jacksonville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
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        <PurposeOfGrantTxt>to help support low-income families and youth with medical, health, education, and social services.</PurposeOfGrantTxt>
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          <AddressLine1Txt>120 King St</AddressLine1Txt>
          <CityNm>Jacksonville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
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        <PurposeOfGrantTxt>to support quality, affordable, comprehensive health care services to the insured, under-insured, and uninsured population of Jacksonville.</PurposeOfGrantTxt>
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          <AddressLine1Txt>2251 St Johns Bluff Rd</AddressLine1Txt>
          <CityNm>Jacksonville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
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        <PurposeOfGrantTxt>to support the underserved and uninsured population of duval county residents through medical services and health education.</PurposeOfGrantTxt>
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          <AddressLine1Txt>4101-1 College St</AddressLine1Txt>
          <CityNm>Jacksonville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32205</ZIPCd>
        </USAddress>
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        <PurposeOfGrantTxt>to support year round, high-quality education, nursing care and therapies in an environment for children of all abilities.</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Museum of Science and History</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>1025 Museum Circle</AddressLine1Txt>
          <CityNm>Jacksonville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32207</ZIPCd>
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        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>to help support lifelong learning.</PurposeOfGrantTxt>
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          <CityNm>Jacksonville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32207</ZIPCd>
        </USAddress>
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        <PurposeOfGrantTxt>to support the promotion of the general welfare of developmentally disabled individuals and provide a center for training for persons with intellectual disabilities.</PurposeOfGrantTxt>
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          <CityNm>Jacksonville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
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        <PurposeOfGrantTxt>to support the improvement of the lives of women through advocacy, support, and education.</PurposeOfGrantTxt>
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          <CityNm>Jacksonville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
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        <PurposeOfGrantTxt>to support the LGBTQ young people by creating safe space, providing health and wholeness services, and offering youth development activities, while promoting equality and human rights.</PurposeOfGrantTxt>
      </RecipientTable>
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          <AddressLine1Txt>800 Shetter Ave</AddressLine1Txt>
          <CityNm>Jacksonville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32250</ZIPCd>
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        <PurposeOfGrantTxt>to support the empowerment of individuals affected by homelessness by providing food, clothing, medical care, and support services with an avenue to self-sufficiency.</PurposeOfGrantTxt>
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          <AddressLine1Txt>1400 K St NW 400</AddressLine1Txt>
          <CityNm>Washington</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20005</ZIPCd>
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        <CashGrantAmt>31500</CashGrantAmt>
        <PurposeOfGrantTxt>to support the efforts to ensure persons with mental illness/addiction disorders have the opportunity to live full lives.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1Txt>CHILDREN'S HOME SOCIETY OF Florida</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <CityNm>Orlando</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32810</ZIPCd>
        </USAddress>
        <RecipientEIN>590192430</RecipientEIN>
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        <PurposeOfGrantTxt>to support the efforts to turn lives around by providing shelter, group and foster homes, transitional and independent living services, counseling, adoption, case management, and prevention programs for children at risk of abuse and neglect, and families in need of support.</PurposeOfGrantTxt>
      </RecipientTable>
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        </RecipientBusinessName>
        <USAddress>
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          <CityNm>Jacksonville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32202</ZIPCd>
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        <CashGrantAmt>26842</CashGrantAmt>
        <PurposeOfGrantTxt>to support the Christian principles through programs that build health spirit, mind, and body for all.</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Community Health Outreach</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>5126 Timuquana Rd</AddressLine1Txt>
          <CityNm>Jacksonville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32210</ZIPCd>
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        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>to support an outreach program designed to provide a variety of services and tangible items for consumption to people who are living in temporary or permanent poverty situations.</PurposeOfGrantTxt>
      </RecipientTable>
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          <BusinessNameLine1Txt>Pace center for girls</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>One West Adams St Ste 301</AddressLine1Txt>
          <CityNm>Jacksonville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32202</ZIPCd>
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        <PurposeOfGrantTxt>to support the education and rehabilitation of adolescent females.</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Project for Healing</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>6015 E Morrow St</AddressLine1Txt>
          <CityNm>Jacksonville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32217</ZIPCd>
        </USAddress>
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        <PurposeOfGrantTxt>to support the therapy for refugees and survivors of torture and trafficking.</PurposeOfGrantTxt>
      </RecipientTable>
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          <BusinessNameLine1Txt>UNF - Brooks College of Health</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>1 UNF Dr Bld 39 Rm 2031</AddressLine1Txt>
          <CityNm>Jacksonville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32224</ZIPCd>
        </USAddress>
        <RecipientEIN>592976169</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>to support health education.</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Vision is priceless council</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>3 Shircliff Way Ste 546</AddressLine1Txt>
          <CityNm>Jacksonville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32204</ZIPCd>
        </USAddress>
        <RecipientEIN>593386495</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>to support vision screenings in children and adults.</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Mental Health America of Northeast Florida</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>8020 Princeton Sq Blvd W Ste 8</AddressLine1Txt>
          <CityNm>Jacksonville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32256</ZIPCd>
        </USAddress>
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        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>support the efforts to raise awareness of mental health and the advocacy for people with mental illness.</PurposeOfGrantTxt>
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          <CityNm>West Palm beach</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33409</ZIPCd>
        </USAddress>
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        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>to support the comprehensive sexual health care through direct services and education.</PurposeOfGrantTxt>
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        <USAddress>
          <AddressLine1Txt>3015 Parental Home Road</AddressLine1Txt>
          <CityNm>Jacksonville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32216</ZIPCd>
        </USAddress>
        <RecipientEIN>592176287</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>to support the providing of shelter and counseling services for youths and families.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Health Planning Council of Northeast Florida</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>4201 Baymeadows Rd</AddressLine1Txt>
          <CityNm>Jacksonville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32217</ZIPCd>
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        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>to support the planning and community projects throughout northeast florida.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1Txt>The Community Foundation for Northeast Florida</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <CityNm>Jacksonville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32202</ZIPCd>
        </USAddress>
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        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>to support the building of a better community.</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Hope Haven Association</BusinessNameLine1Txt>
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          <AddressLine1Txt>4600 Beach Blvd</AddressLine1Txt>
          <CityNm>Jacksonville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32207</ZIPCd>
        </USAddress>
        <RecipientEIN>590668485</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>8000</CashGrantAmt>
        <PurposeOfGrantTxt>to support the educational, psychological, and related therapeutic services for children, families, and young adults with special needs.</PurposeOfGrantTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.</FormAndLineReferenceDesc>
        <ExplanationTxt>OUR COMMUNITY HEALTH EFFORTS ARE GUIDED BY THE ORGANIZATION'S COMMUNITY HEALTH COMMITTEE, COMPRISED OF SELECTED BAPTIST HEALTH SYSTEM, INC. (BHS) BOARD MEMBERS (BHS IS THE PARENT AFFILIATE OF THE ORGANIZATION). THE COMMITTEE PROVIDES STRATEGIC DIRECTION RELATED TO OUR COMMUNITY HEALTH ACTIVITIES AND ENSURES WE FOCUS ON KEY PRIORITIES THAT ALIGN WITH OUR MISSION.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>Baptist Health System, Inc. (BHS) parent affiliate of Southern Baptist Hospital of Florida, 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. The following individuals accrued unvested benefits under these plans during calendar year 2016: John F. Wilbanks, $245,939, Harvey Granger, $175,522, and Scott Wooten, $183,644. These amounts are included on Schedule J, part II, column (c) for each of the listed individuals.</ExplanationTxt>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>35000000</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>0</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2003</SubstantialCompletionYr>
        <CurrentRefundingInd>true</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>20000000</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>0</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2003</SubstantialCompletionYr>
        <CurrentRefundingInd>true</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>50000000</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>0</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2004</SubstantialCompletionYr>
        <CurrentRefundingInd>true</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.0001</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0001</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>true</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.0001</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0001</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>true</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.0001</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0001</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>true</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.0001</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0001</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>true</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I, Column (c) Series 2007 CDE</FormAndLineReferenceDesc>
        <ExplanationTxt>Cusip #'s: 2007C: N/A 2007D: 469404UP0 2007E: 469404UM7</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="IRS990ScheduleK2" softwareId="16000421" softwareVersionNum="2016v3.0">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2007B</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>592263061</BondIssuerEIN>
        <CUSIPNum>469404UL9</CUSIPNum>
        <BondIssuedDt>2011-12-01</BondIssuedDt>
        <IssuePriceAmt>27750000</IssuePriceAmt>
        <PurposeDesc>Hospital Revenue Bond to refund prior issue 02/22/2007.</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2007CDE</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>592263061</BondIssuerEIN>
        <BondIssuedDt>2011-12-01</BondIssuedDt>
        <IssuePriceAmt>92969370</IssuePriceAmt>
        <PurposeDesc>Revenue refunding bonds to refund prior issue 05/17/2007.</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2010A</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>592263061</BondIssuerEIN>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2011-12-01</BondIssuedDt>
        <IssuePriceAmt>24400000</IssuePriceAmt>
        <PurposeDesc>Hospital revenue bonds to refund prior issue 06/24/2010.</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2010B</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>592263061</BondIssuerEIN>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2011-12-01</BondIssuedDt>
        <IssuePriceAmt>24400000</IssuePriceAmt>
        <PurposeDesc>Hospital Revenue bonds to refund prior issue 06/24/2010.</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>13250000</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>27750000</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>0</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2007</SubstantialCompletionYr>
        <CurrentRefundingInd>true</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>32777370</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>92969370</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>0</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2007</SubstantialCompletionYr>
        <CurrentRefundingInd>true</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <RetiredAmt>4140000</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>24400000</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>0</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>25000000</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2010</SubstantialCompletionYr>
        <CurrentRefundingInd>true</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <RetiredAmt>4140000</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>24400000</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>0</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2010</SubstantialCompletionYr>
        <CurrentRefundingInd>true</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.0001</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0001</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>true</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.0001</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0001</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>true</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.0001</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0001</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>true</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.0001</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0001</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>true</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>true</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>WELLS FARGO</BusinessNameLine1Txt>
        </HedgeProviderName>
        <TermOfHedgePct>10.9</TermOfHedgePct>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>true</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>UBS AND WELLS FARGO BANKS</BusinessNameLine1Txt>
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        <TermOfHedgePct>16.1</TermOfHedgePct>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
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        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="IRS990ScheduleK3" softwareId="16000421" softwareVersionNum="2016v3.0">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2010C</BusinessNameLine1Txt>
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        <BondIssuerEIN>592263061</BondIssuerEIN>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2011-12-01</BondIssuedDt>
        <IssuePriceAmt>24400000</IssuePriceAmt>
        <PurposeDesc>Hospital Revenue bonds to refund prior issue 06/24/2010.</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
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        <PoolFinancingInd>false</PoolFinancingInd>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2012A</BusinessNameLine1Txt>
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        <BondIssuerEIN>592263061</BondIssuerEIN>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2011-03-28</BondIssuedDt>
        <IssuePriceAmt>25000000</IssuePriceAmt>
        <PurposeDesc>HOSPITAL CAPITAL Improvements</PurposeDesc>
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        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2012B</BusinessNameLine1Txt>
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        <BondIssuerEIN>592263061</BondIssuerEIN>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2011-03-28</BondIssuedDt>
        <IssuePriceAmt>20000000</IssuePriceAmt>
        <PurposeDesc>HOSPITAL CAPITAL Improvements</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2012C</BusinessNameLine1Txt>
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        <BondIssuerEIN>592263061</BondIssuerEIN>
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        <BondIssuedDt>2011-03-28</BondIssuedDt>
        <IssuePriceAmt>15000000</IssuePriceAmt>
        <PurposeDesc>HOSPITAL Equipment</PurposeDesc>
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        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
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        <TotalProceedsAmt>24400000</TotalProceedsAmt>
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        <IssuanceCostsFromProceedsAmt>0</IssuanceCostsFromProceedsAmt>
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        <UnspentAmt>0</UnspentAmt>
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        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>4900000</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>25000000</TotalProceedsAmt>
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        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
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        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
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        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <RetiredAmt>3800000</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>20000000</TotalProceedsAmt>
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        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
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        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
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        <BondReferenceCd>D</BondReferenceCd>
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        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.0001</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0001</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>true</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
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        <PrivateBusUseByOthersPct>0.0001</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0001</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>true</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.0001</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0001</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>true</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>D</BondReferenceCd>
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        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
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        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
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        <BondIssMeetPrvtSecPymtTestInd>true</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
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        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
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        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
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        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>true</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>BBVA COMPASS</BusinessNameLine1Txt>
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        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
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        <HedgeIdentifiedInBksAndRecInd>true</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>SUN TRUST</BusinessNameLine1Txt>
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        <SuperintegratedHedgeInd>true</SuperintegratedHedgeInd>
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        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
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        <BondReferenceCd>D</BondReferenceCd>
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    <IRS990ScheduleK documentId="IRS990ScheduleK4" softwareId="16000421" softwareVersionNum="2016v3.0">
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        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>JACKSONVILLE HEALTH FACILITIES AUTHORITY SERIES 2012D</BusinessNameLine1Txt>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
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        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>City of Jacksonville Florida Series 2017</BusinessNameLine1Txt>
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        <BondIssuedDt>2017-08-15</BondIssuedDt>
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        <BondReferenceCd>A</BondReferenceCd>
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        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
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        <BondReferenceCd>B</BondReferenceCd>
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        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
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        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
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        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="16000421" softwareVersionNum="2016v3.0">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>HARDEN &amp; ASSOCIATES INC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR of filing organization</RelationshipDescriptionTxt>
        <TransactionAmt>1099617</TransactionAmt>
        <TransactionDesc>EMPLOYEE BENEFITS INSURANCE COMMISSIONS</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>HARDEN &amp; ASSOCIATES INC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR of filing organization</RelationshipDescriptionTxt>
        <TransactionAmt>299619</TransactionAmt>
        <TransactionDesc>INSURANCE CONSULTING FEES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>Sherman Blair</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Family member of director of filing organization</RelationshipDescriptionTxt>
        <TransactionAmt>22134</TransactionAmt>
        <TransactionDesc>Employed by filing organization</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>Laurence Edens</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Family member of a current officer of the filing organization</RelationshipDescriptionTxt>
        <TransactionAmt>13617</TransactionAmt>
        <TransactionDesc>Employed by filing organization</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="16000421" softwareVersionNum="2016v3.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization has a sole corporate member, Baptist Health System, Inc., whose Board of Directors elects the members of the organization's governing body.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors of Baptist Health System, Inc., the sole corporate member of the organization, has the right to elect and remove Directors of the Organization and must approve any amendments to the governing documents of the Organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors of Baptist Health System, Inc., the sole corporate member of the filing organization, has the right to remove Directors of the Organization and must approve any amendments to the governing documents of the Organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 and accompanying schedules are prepared internally and then provided to Baptist Health System, Inc. who is the sole corporate member of Southern Baptist Hospital of Florida, 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>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 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 ANUNUAL COMPENSATION COMMITTEE ARE RECORDED BY THE COMMITTEE'S COMPENSATION CONSULTANT AND ARE APPROVED PROMPTLY BY THE CHAIR OF SUCH COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes its governing documents, conflict of interest policy, financial statements, and three most recent forms 990 available to the public upon request. The organization's tax returns are also available on www.guidestar.com.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 2f Other Program Service Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Seminar Revenue - Total Revenue: 36824, Related or Exempt Function Revenue: 36824, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Rental Income - Total Revenue: 10254, Related or Exempt Function Revenue: 10254, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfers FROM affiliated organizations - 77959790;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="16000421" softwareVersionNum="2016v3.0">
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>Baptist Behavioral Health LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>841 Prudential Dr</AddressLine1Txt>
          <AddressLine2Txt>Ste 1601</AddressLine2Txt>
          <CityNm>Jacksonville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32207</ZIPCd>
        </USAddress>
        <EIN>464629700</EIN>
        <PrimaryActivitiesTxt>Provide medical and healthcare services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <TotalIncomeAmt>-1756282</TotalIncomeAmt>
        <EndOfYearAssetsAmt>1786151</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Southern Baptist Hospital of Florida Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BAPTIST MEDICAL CENTER OF THE BEACHES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1350 13TH AVE S</AddressLine1Txt>
          <CityNm>JACKSONVILLE BEACH</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32250</ZIPCd>
        </USAddress>
        <EIN>592980620</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BAPTIST HEALTH SYSTEM INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BAPTIST MEDICAL CENTER OF NASSAU INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1250 S 18TH ST</AddressLine1Txt>
          <CityNm>FERNANDINA BEACH</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32034</ZIPCd>
        </USAddress>
        <EIN>593234721</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BAPTIST HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BAPTIST HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>841 PRUDENTIAL DR STE 1602</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>32207</ZIPCd>
        </USAddress>
        <EIN>592487136</EIN>
        <PrimaryActivitiesTxt>Financial/management assistance for health system</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Coastal Community Health Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BAPTIST HEALTH SYSTEM FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>841 PRUDENTIAL DR 13TH FLR</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32207</ZIPCd>
        </USAddress>
        <EIN>592487135</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING FOR tax-exempt entities controlled by BHS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BAPTIST HEALTH SYSTEM INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BAPTIST HEALTH PROPERTIES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1660 Prudential Dr Ste 101</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32207</ZIPCd>
        </USAddress>
        <EIN>592487133</EIN>
        <PrimaryActivitiesTxt>Owns/manages real estate properties for health system</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BAPTIST HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BAPTIST HEALTH AMBULATORY SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1660 Prudential Dr Ste 203</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32207</ZIPCd>
        </USAddress>
        <EIN>593410739</EIN>
        <PrimaryActivitiesTxt>Medical Research and Education</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BAPTIST HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Coastal Community Health Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>841 Prudential Dr</AddressLine1Txt>
          <AddressLine2Txt>Ste 1450</AddressLine2Txt>
          <CityNm>Jacksonville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32207</ZIPCd>
        </USAddress>
        <EIN>471322041</EIN>
        <PrimaryActivitiesTxt>Regional affiliation of BHS with 2 other 501(c)(3) healthcare systems</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>na</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PAVILION ASSOCIATES LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3563 PHILIPS HWY BLD F STE 608</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32207</ZIPCd>
        </USAddress>
        <EIN>592505491</EIN>
        <PrimaryActivitiesTxt>NONRESIDENTIAL PROPERTY MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SOUTHERRN BAPTIST HOSPITAL OF FLORIDA INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>Excluded</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.985</OwnershipPct>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Corporate Health LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>841 Prudential Dr Ste 1802</AddressLine1Txt>
          <CityNm>Jacksonville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32207</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>Operation of a medically-based wellness program</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Baptist Health Ambulatory Services Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
        <OwnershipPct>0</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PAVILION HEALTH SERVICES</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3563 PHILIPS HWY BLD F STE 608</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32207</ZIPCd>
        </USAddress>
        <EIN>592059710</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN PRACTICES/RETAIL PHARMACIES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BAPTIST HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <OwnershipPct>0</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>IT4CIN Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>841 Prudential Dr</AddressLine1Txt>
          <AddressLine2Txt>Ste 1802</AddressLine2Txt>
          <CityNm>Jacksonville</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32207</ZIPCd>
        </USAddress>
        <EIN>473954500</EIN>
        <PrimaryActivitiesTxt>Purchase health information technology products and services for its members.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>na</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <OwnershipPct>0</OwnershipPct>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>