DOCTORS MEMORIAL HOSPITAL INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- DOCTORS MEMORIAL HOSPITAL INC (EIN 59-3122517)
- Tax period
- 2024-06-01 to 2025-05-31
- Filed
- 2026-04-13
- IRS object ID
- 202641039349301439
- Schema version
- 2024v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-04-13T16:44:06-04:00 | ReturnTs |
| Tax Period End | 2025-05-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 580914992 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DRAFFIN & TUCKER LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 71309 | AddressLine1Txt |
| City | ALBANY | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 317081309 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-06-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593122517 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOCTORS' MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DOCT | BusinessNameControlTxt |
| Phone | 8505840800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 NORTH BYRON BUTLER PARKWAY | AddressLine1Txt |
| City | PERRY | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 323472300 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LAUREN FAISON-CLARK | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 8505840800 | PhoneNum |
| Signature | 2026-04-13 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WILLIAM EDWARD PHILLIPS | PreparerPersonNm |
| PTIN | P00451499 | PTIN |
| Phone | 2298837878 | PhoneNum |
| Preparation | 2026-04-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LAUREN FAISON-CLARK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 NORTH BYRON BUTLER PARKWAY | AddressLine1Txt |
| City | PERRY | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 323472300 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $27,188,303 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.DOCTORSMEMORIAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1992 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | THE HOSPITAL PROVIDES ACUTE INPATIENT, OUTPATIENT, EMERGENCY, AND HEALTH CLINIC SERVICES TO THE CITIZENS OF TAYLOR COUNTY, FL AND SURROUNDING COUNTIES. PATIENTS WHO MEET CERTAIN CRITERIA ARE PROVIDED FREE CARE OR CARE AT REDUCED RATES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 293 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $326,714 | PYContributionsGrantsAmt |
| CY Contributions Grants | $938,029 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $20,210,371 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $25,037,718 | CYProgramServiceRevenueAmt |
| PY Investment Income | $113,753 | PYInvestmentIncomeAmt |
| CY Investment Income | $85,459 | CYInvestmentIncomeAmt |
| PY Other Revenue | $276,863 | PYOtherRevenueAmt |
| CY Other Revenue | $181,556 | CYOtherRevenueAmt |
| PY Total Revenue | $20,927,701 | PYTotalRevenueAmt |
| CY Total Revenue | $26,242,762 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $12,423,756 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $15,844,181 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $10,301,094 | PYOtherExpensesAmt |
| CY Other Expenses | $10,914,286 | CYOtherExpensesAmt |
| PY Total Expenses | $22,724,850 | PYTotalExpensesAmt |
| CY Total Expenses | $26,758,467 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,797,149 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$515,705 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $10,287,146 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,069,915 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,458,391 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,053,884 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,828,755 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,016,031 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE HOSPITAL PROVIDES ACUTE INPATIENT, OUTPATIENT, EMERGENCY, AND HEALTH CLINIC SERVICES TO THE CITIZENS OF TAYLOR COUNTY, FL AND SURROUNDING COUNTIES. PATIENTS WHO MEET CERTAIN CRITERIA ARE PROVIDED FREE CARE OR CARE AT REDUCED RATES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $24,994,355 | ExpenseAmt |
| Revenue | $25,219,274 | RevenueAmt |
| Desc | THE HOSPITAL PROVIDED INPATIENT, OUTPATIENT, RURAL HEALTH CLINIC AND EMERGENCY SERVICES TO APPROXIMATELY 16,891 RESIDENTS OF TAYLOR COUNTY FL AND SURROUNDING COUNTIES. TAYLOR COUNTY PROVIDED A TOTAL OF 1,435,445 OF IN-KIND DONATIONS. | Desc |
| Total Program Service Expenses | $24,994,355 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 49 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 293 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JULIE YOUNG CONTROLLER | PersonNm |
| Phone | 8505840800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 NORTH BYRON BUTLER PARKWAY | AddressLine1Txt |
| City | PERRY | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 323472300 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| TAE YU MD | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $450,655 | $0 | $38,276 | |||
| MILES NELSON MD | ||||||||
| BOARD MBR/CH | 40.00 | $384,308 | $0 | $26,815 | Yes (X) | |||
| RAMEL FAILMA MD | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $355,129 | $0 | $32,618 | |||
| WILMOTH BAKER | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $158,657 | $0 | $4,949 | |||
| CARA PAPPAS | ||||||||
| APRN | 40.00 | Yes (X) | $156,435 | $0 | $0 | |||
| TERRELL HEATON-JONES | ||||||||
| RN | 40.00 | Yes (X) | $136,956 | $0 | $15,104 | |||
| SARA GRAMBLING | ||||||||
| COO/CFO | 40.00 | $106,546 | $0 | $26,279 | Yes (X) | |||
| ASHLEY BIDDY | ||||||||
| CNO | 40.00 | $100,553 | $0 | $16,893 | Yes (X) | |||
| KEN ARNOLD | ||||||||
| TREASURER | 2.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| PAT BARBAREE | ||||||||
| CHAIRMAN | 2.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| SCOTT BARTON | ||||||||
| BOARD MEMBER | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| SHERRI ELLIS | ||||||||
| BOARD MEMBER | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| DEBRA MCGREW | ||||||||
| BOARD MEMBER | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| MARK O'BRYANT | ||||||||
| BOARD MEMBER | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| NELDA PARKER-PACE | ||||||||
| SECRETARY | 2.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| ANDREW STARR | ||||||||
| BOARD MEMBER | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| PRISCILLA TRIPP | ||||||||
| VICE CHAIRMA | 2.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| LAUREN FAISON-CLARK | ||||||||
| CEO | 40.00 | $0 | $0 | $0 | Yes (X) | |||
| JAMES C MILLER | ||||||||
| CFO (TERM 9/ | $0 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,849,239 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $160,934 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 14 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ALLIANT MANAGEMENT SERVICES | |||||
| 12800 N MERIDIAN ST SUITE 400 | CARMEL | IN | 46032 | MANAGEMENT FEES | $709,818 |
| TK CONSTRUCTION SERVICES | |||||
| 1326 LAWNDALE ROAD | TALLAHASSEE | FL | 32317 | CONTRACTOR SVS | $512,533 |
| EMCARE PHYSICIAN SERVICES | |||||
| 7032 COLLECTION CTR DRIVE | CHICAGO | IL | 60693 | ER PHYSICIANS | $331,663 |
| TRUBRIDGECPSI | |||||
| PO BOX 11407 | BIRMINGHAM | AL | 352466448 | IT SUPPORT | $322,675 |
| ANESTHESIA MANAGEMENT SERVICES | |||||
| 28 N PALAFOX STREET | PENSACOLA | FL | 32502 | BILLING AND MGT | $221,195 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 11 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $826,622 | GovernmentGrantsAmt |
| All Other Contributions | $111,407 | AllOtherContributionsAmt |
| Total Contributions | $938,029 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $24,494,277 | $24,494,277 |
| 340B PHARMACY REVENUE | $543,441 | $543,441 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $25,037,718 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $85,824 | TotalRevenueColumnAmt |
| Exclusion | $85,824 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $74,913 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $74,913 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $74,913 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $74,913 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $945,176 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $945,541 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$365 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$365 | TotalRevenueColumnAmt |
| Exclusion | -$365 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| CREDIT CARD FEES | $51,637 | $51,637 |
| CAFETERIA AND VENDING | $33,720 | $33,720 |
| MISCELLANEOUS | $18,016 | $18,016 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,270 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,270 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $106,643 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,242,762 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,219,274 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $85,459 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $661,394 | TotalAmt |
| Program Services | $411,123 | ProgramServicesAmt |
| Management And General | $250,271 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,636,187 | TotalAmt |
| Program Services | $12,201,800 | ProgramServicesAmt |
| Management And General | $434,387 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,636,332 | TotalAmt |
| Program Services | $1,596,748 | ProgramServicesAmt |
| Management And General | $39,584 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $910,268 | TotalAmt |
| Program Services | $866,120 | ProgramServicesAmt |
| Management And General | $44,148 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,991 | TotalAmt |
| Management And General | $22,991 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,103,683 | TotalAmt |
| Program Services | $1,103,683 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $474,277 | TotalAmt |
| Program Services | $407,003 | ProgramServicesAmt |
| Management And General | $67,274 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $572,923 | TotalAmt |
| Program Services | $474,151 | ProgramServicesAmt |
| Management And General | $98,772 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,183 | TotalAmt |
| Program Services | $44,183 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,306 | TotalAmt |
| Management And General | $76,306 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,050,229 | TotalAmt |
| Program Services | $923,113 | ProgramServicesAmt |
| Management And General | $127,116 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $566,628 | TotalAmt |
| Program Services | $90,660 | ProgramServicesAmt |
| Management And General | $475,968 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $3,068,157 | $3,068,157 | |
| SERVICES | $2,854,106 | $2,854,106 | |
| REPAIRS & MAINTENANCE | $738,371 | $611,076 | $127,295 |
| INDIGENT TAX | $174,934 | $174,934 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,498 | TotalAmt |
| Program Services | $167,498 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,758,467 | TotalAmt |
| Program Services | $24,994,355 | ProgramServicesAmt |
| Management And General | $1,764,112 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,181,529 | BOYAmt |
| EOY | $1,924,897 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,720,309 | BOYAmt |
| EOY | $3,495,387 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $546,557 | BOYAmt |
| EOY | $597,850 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $378,619 | BOYAmt |
| EOY | $403,949 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $13,848,354 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $10,466,364 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,303,343 | BOYAmt |
| EOY | $3,381,990 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,117,484 | BOYAmt |
| EOY | $1,184,960 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,305 | BOYAmt |
| EOY | $80,882 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,287,146 | BOYAmt |
| EOY | $11,069,915 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,993,829 | BOYAmt |
| EOY | $3,575,330 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $250,730 | BOYAmt |
| EOY | $324,687 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,127,090 | BOYAmt |
| EOY | $1,124,957 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,742 | BOYAmt |
| EOY | $28,910 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,458,391 | BOYAmt |
| EOY | $5,053,884 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,828,755 | BOYAmt |
| EOY | $6,016,031 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,828,755 | BOYAmt |
| EOY | $6,016,031 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,287,146 | BOYAmt |
| EOY | $11,069,915 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$515,705 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$297,019 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $658 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $658 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART IV | FormAndLineReferenceDesc |
| Explanation | SCHEDULE C, PART II-B, LINE 1 THE FILING ENTITY IS A MEMBER OF VARIOUS NATIONAL AND STATE HOSPITAL ASSOCIATIONS. A PERCENTAGE OF THE DUES PAID TO THESE ORGANIZATIONS IS ALLOCATED TO LOBBYING ACTIVITES CONDUCTED BY THE ASSOCIATION. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $250,000 | OtherCostOrOtherBasisAmt |
| Book Value | $250,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,478,144 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,011,504 | DepreciationAmt |
| Book Value | $1,466,640 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,102,270 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,454,860 | DepreciationAmt |
| Book Value | $1,647,410 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,940 | OtherCostOrOtherBasisAmt |
| Book Value | $17,940 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,381,990 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | THIRD PARTY SETTLEMENT | Desc |
| Amt | $28,910 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $28,910 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $27,678,205 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $1,435,443 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $1,435,443 | RevenueNotReportedAmt |
| Revenue Subtotal | $26,242,762 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $26,242,762 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $28,193,910 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $1,435,443 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $1,435,443 | ExpensesNotReportedAmt |
| Expenses Subtotal | $26,758,467 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $26,758,467 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOSPITAL APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE HOSPITAL ONLY RECOGNIZES THAT MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVAULATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF MAY 31, 2025 OR 2024 OR FOR THE YEARS THEN ENDED. AS REQUIRED BY INTERNAL REVENUE SERVICE REGULATIONS, THE HOSPITAL ANNUALLY FILES A FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAXES WITH THE INTERNAL REVENUE SERVICE. THESE RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $45,187 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $45,187 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,098,623 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $709,971 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,388,652 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05190 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,143,810 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $709,971 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,433,839 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05360 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,143,810 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $709,971 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,433,839 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05360 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,683,630 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $2,038,591 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $1,448,272 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $590,319 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOCTORS' MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 NORTH BYRON BUTLER PARKWAY | AddressLine1Txt |
| City | PERRY | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32347 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.DOCTORSMEMORIAL.COM | WebsiteAddressTxt |
| State License | 3857 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | 3 RURAL HEALTH CLINICS | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOCTORS' MEMORIAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 25 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.DOCTORSMEMORIAL.COM | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 26 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | DOCTORSMEMORIAL.COM/ABOUT-US/ | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.DOCTORSMEMORIAL.COM | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.DOCTORSMEMORIAL.COM | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.DOCTORSMEMORIAL.COM | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, DOCTORS' MEMORIAL HOSPITAL, INC. - PART V, LINE 3E | IN 2025, THE FLORIDA DEPARTMENT OF HEALTH, TAYLOR COUNTY AND DOCTORS MEMORIAL HOSPITAL, PARTNERED TO UPDATE THEIR COMMUNITY HEALTH ASSESSMENT OR COMMUNITY HEALTH NEEDS ASSESSMENT TO IDENTIFY AND PRIORITIZE THE SIGNIFICANT HEALTH NEEDS OF THE RESIDENTS OF THE COUNTY. IN CONSIDERATION OF THE QUANTITATIVE AS WELL AS QUALITATIVE FEEDBACK, THE FOLLOWING COMMUNITY HEALTH NEEDS WERE IDENTIFIED AND PRIORITIZED: MENTAL HEALTH SERVICES SUBSTANCE ABUSE/REHABILITATION SERVICES MORE HEALTHCARE PROVIDERS/SPECIALTY PHYSICIANS FREE OR AFFORDABLE HEALTH SCREENINGS THESE ARE THE SAME NEEDS IDENTIFIED IN THE 2022 CHNA. |
| FACILITY 1, DOCTORS' MEMORIAL HOSPITAL, INC. - PART V, LINE 5 | IN 2025, DOCTORS' MEMORIAL HOSPITAL AND THE FLORIDA DEPARTMENT OF HEALTH TAYLOR PARTNERED TO INITIATE AN UPDATE OF THE PREVIOUS TAYLOR COUNTY COMMUNITY HEALTH ASSESSMENT. THIS YEAR, DMH COMPLETED THE ASSESSMENT IN CONJUNCTION WITH THE ORGANIZATION'S STRATEGIC PLANNING PROCESS. THIS SERVICE AREA WAS RE-VALIDATED AND REMAINED UNCHANGED FROM 2022 AND A COMBINED QUANTITATIVE AND QUALITATIVE APPROACH WAS USED. IN ADDITION TO A REVIEW OF DOZENS OF HEALTH INDICATORS FOR THE SERVICE AREA, TWO COMMUNITY FOCUS GROUPS WERE FACILITATED TO COLLECT FEEDBACK FROM COMMUNITY REPRESENTATIVES, AND AN ONLINE SURVEY WAS DEPLOYED TO ASSESS COMMUNITY NEEDS. |
| FACILITY 1, DOCTORS' MEMORIAL HOSPITAL, INC. - PART V, LINE 6B | TO LEVERAGE RESOURCES AND MOST EFFECTIVELY WORK TOGETHER, THE FLORIDA DEPARTMENT OF HEALTH, TAYLOR COUNTY, PARTNERED ITH DOCTORS' MEMORIAL HOSPITAL, INC. TO COMPLETE THE CHNA. |
| FACILITY 1, DOCTORS' MEMORIAL HOSPITAL, INC. - PART V, LINE 11 | THE CHNA IDENTIFIED 4 PRIORITY HEALTH NEEDS FOR TAYLOR COUNTY THAT WILL BE ADDRESSED BY THE ORGANIZATION. THE LACK OF JOB OPPORTUNITIES AND INCREASING ACCESS TO HEALTHY FOODS WERE ALSO IDENTIFIED BUT ARE OUTSIDE THE SCOPE OF SERVICES AND RESOURCES OF THE HOSPITAL, AND ARE BETTER ADDRESSED BY OTHER ORGANIZATIONS OR GOVERNMENT AGENCIES WITHIN THE COMMUNITY. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| DOCTORS' MEMORIAL FAMILY PRACTICE | ||||
| 555 N BRYON BUTLER PARKWAY | PERRY | FL | 32347 | RURAL HEALTH CLINIC |
| DOCTORS' MEMORIAL FAMILY MEDICINE | ||||
| PO BOX 228 | MAYO | FL | 32066 | RURAL HEALTH CLINIC |
| STEINHATCHEE FAMILY MEDICAL CLINIC | ||||
| 29 FIRST AVE | STEINHATCHEE | FL | 32359 | RURAL HEALTH CLINIC |
| DOCTORS' MEMORIAL SURGICAL SERVICES | ||||
| 1224 N PEACOCK ST | PERRY | FL | 32347 | HEALTH CLINIC |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 7 | THE COSTS FOR PART I, LINE 7A AND 7C WERE DETERMINED USING THE RATIO OF COSTS TO CHARGES CALCULATED USING WORKSHEET 2 IN THE IRS INSTRUCTIONS TO FORM 990 SCHEDULE H. THE COST TO CHARGE RATIO AND THE MEDICAID SHORTFALL CALCULATIONS ARE ADJUSTED FOR HOSPITAL BASED PROVIDER TAXES AND MEDICAID SUPPLEMENTAL REVENUES. |
| SCHEDULE H, PART III, LINE 4 | PROVISION FOR BAD DEBTS AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON THESE TRENDS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATION TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED UNDER THE HOSPITAL'S POLICIES. |
| SCHEDULE H, PART III, LINE 8 | THE AMERICAN HOSPITAL ASSOCIATION HAS REPORTED THE MEDICARE AND MEDICAID PROGRAMS PAID HOSPITALS 86 & 89 CENTS RESPECTIVELY FOR EACH DOLLAR SPENT ON PATIENT CARE. OUR HOSPITAL HAS EXPERIENCED A REDUCTION IN THESE PAYMENTS WITH THE EXPANSION OF MANAGED CARE. THIS SHORTFALL IS A GROWING FINANCIAL BURDEN ON RURAL HOSPITALS AND IS A BENEFIT TO PATIENTS WHO ARE RECEIVING THIS UNCOMPENSATED CARE. SEE FOOTNOTE 3 IN THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR A DISCUSSION OF UNSPONSORED COMMUNITY BENEFIT AND UNCOMPENSATED SERVICES BEGINNING ON PAGE 29. |
| SCHEDULE H, PART III, LINE 9B | THE HOSPITAL ATTEMPTS TO IDENTIFY PATIENTS WHO QUALIFY FOR FINANCIAL ASSSITANCE AT THE TIME OF ADMISSION. IF THE PATIENT IS IDENTIFIED PRIOR TO RECEIVING SERVICE, THE PATIENT DOES NOT RECEIVE A BILL. IF THE PATIENT IS NOT IDENTIFIED PRIOR TO SERVICE, THE PATIENT WILL RECEIVE A BILL. THE BILL INCLUDES A NOTICE ADVISING THE PATIENT OF THE FINANCIAL ASSISTANCE PROGRAM AND ENCOURAGING THEM TO APPLY. |
| SCHEDULE H, PART VI, LINE 3 | THE HOSPITAL INFORMS & EDUCATES PATIENTS REGARDING OPTIONS FOR RESOLUTION OF THEIR ACCOUNT BALANCE, INCLUDING ASSISTANCE UNDER GOVERNMENT PROGRAMS AND THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM IN A VARIETY OF WAYS. SIGNAGE & BROCHURES ARE PLACED IN LOCATIONS WHERE PATIENTS REGISTER FOR CARE, PATIENT ACCESS AREAS AND VARIOUS POINTS OF ENTRY SUCH AS THE ER DEPARTMENT. ASSISTANCE FROM A FINANCIAL COUNSELOR IS AVAILABLE UPON REQUEST. ADMISSION SOFTWARE HAS THE CAPABILITY OF EVALUATING QUALIFICATION FOR ASSISTANCE BASED UPON INCOME LEVEL. THE PATIENT IS THEN PROVIDED AN APPLICATION AND REFERRED TO A FINANCIAL COUNSELOR. |
| SCHEDULE H, PART VI, LINE 4 | THE HOSPITAL PROVIDES HEALTH CARE SERVICES TO CITIZENS OF TAYLOR, LAFAYETTE, AND SURROUNDING COUNTIES IN FLORIDA. |
| SCHEDULE H, PART VI, LINE 5 | THE HOSPITAL PROMOTES COMMUNITY HEALTH THROUGH EDUCATION, COUNSELING & SUPPORT SERVICES, HEALTH SCREENINGS, EDUCATION IN A CLINICAL SETTING, SPECIALTY IN-SERVICE PROGRAMS, PARTICIPATION IN COMMUNITY HEALTH FESTIVALS, PARTICIPATION IN COMMUNITY BREAST CANCER AWARENESS ACTIVITIES, PROVISION OF ANNUAL SPORTS PHYSICALS IN LOCAL SCHOOLS, AND PARTICIPATION IN CAREER FAIRS AT LOCAL SCHOOLS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|
| TAE YU MD | |||
| PHYSICIAN | $450,655 | $38,276 | $488,931 |
| MILES NELSON MD | |||
| BOARD MBR/CHIEF OF S | $384,308 | $26,815 | $411,123 |
| RAMEL FAILMA MD | |||
| PHYSICIAN | $355,129 | $32,618 | $387,747 |
| WILMOTH BAKER | |||
| PHYSICIAN | $158,657 | $4,949 | $163,606 |
| CARA PAPPAS | |||
| APRN | $156,435 | $156,435 | |
| TERRELL HEATON-JONES | |||
| RN | $136,956 | $15,104 | $152,060 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART III | FormAndLineReferenceDesc |
| Explanation | ALLIANT MANAGEMENT SERVICES PROVIDES MANAGEMENT SERVICES TO DOCTORS' MEMORIAL HOSPITAL. ALLIANT WAS PAID 489,455 FOR 2024 CALENDAR YEAR WAGES PAID BY ALLIANT FOR THE SERVICES OF JAMES MILLER AND LAUREN FAISON-CLARK WHO BOTH SERVED AS OFFICERES OF THE ORGANIZATION DURING THE YEAR. REIMBURSEMENTS TO ALLIANT FOR MR. MILLER'S WAGES FOR 2024 WERE 209,452, AND FOR MS. FAISON-CLARK, 280,003. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | THE HOSPITAL PROVIDES ACUTE INPATIENT, OUTPATIENT, EMERGENCY, AND HEALTH CLINIC SERVICES TO THE CITIZENS OF TAYLOR COUNTY, FL AND SURROUNDING COUNTIES. PATIENTS WHO MEET CERTAIN CRITERIA ARE PROVIDED FREE CARE OR CARE AT REDUCED RATES. |
| FORM 990, PAGE 6, PART VI, LINE 11B | FORM 990 AND SUPPORTING SCHEDULES ARE DISTRIBUTED TO THE BUDGET & AUDIT COMMITTEE MEMBERS FOR A DETAIL REVIEW. THE CFO RESPONDS TO QUESTIONS AND CONCERNS FROM THE MEMBERS. COPIES ARE ALSO DISTRIBUTED TO EACH MEMBER OF THE GOVERNING BOARD FOR REVIEW AND APPROVAL. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE GOVERNING BODY REGULARLY REVIEWS AND DISCUSSES CONFLICT OF INTEREST POLICIES AND TAKES ACTION IF NECESSARY. |
| FORM 990, PAGE 6, PART VI, LINE 15A | HIRING AND COMPENSATION OF TOP MANAGEMENT IS EVALUATED BY A MANAGEMENT CONSULTING FIRM. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SEE 15A ABOVE. |
| FORM 990, PAGE 6, PART VI, LINE 19 | UPON REQUEST, THE ORGANIZATION MAKES AVAILABLE ITS GOVERNING DOCUMENT, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS. THESE DOCUMENTS ARE MAINTAINED IN THE ADMINISTRATIVE OFFICES AND ARE AVAILABLE DURING BUSINESS HOURS. |
| FORM 990, PART XI, LINE 9 | IMPLEMENTATION OF GASB NO. 101 -297,019 |