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MEDICAL SERVICES AND BCHC APPLY ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED 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, MEDICAL SERVICES AND BCHC ONLY RECOGNIZE THE 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 EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF SEPTEMBER 30, 2024 AND 2023 OR FOR THE YEARS THEN ENDED. MEDICAL SERVICES- AND BCHCS TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE 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 OF THOSE RETURNS. true true X true X true X true false false 4034671 400041 3634630 0.09560 7510699 10506630 11545370 10906671 3634630 0.09560 6703763 2963161 3740602 0.09840 6703763 2963161 3740602 0.09840 18249133 13869832 7375232 0.19400 true 3011159 8236451 7354301 882150 X true true 1 1 ED FRASER MEMORIAL HOSPITAL 159 NORTH THIRD STREET MACCLENNY FL 320632103 EDFRASERHOSPITAL.COM 4152 X X X SNF, RHC ED FRASER MEMORIAL HOSPITAL 1 false false true X X X X X X X X X X 23 true false false true X EDFRASERHOSPITAL.COM X true 24 false true false true X 200.000000000000 200.000000000000 X X X X true true X X X true X HTTPS://EDFRASERHOSPITAL.COM/WP-CONTEN X HTTPS://EDFRASERHOSPITAL.COM/WP-CONTEN X HTTPS://EDFRASERHOSPITAL.COM/WP-CONTEN X X X X X X true X false X X X true X false false FACILITY 1, ED FRASER MEMORIAL HOSPITAL - PART V, LINE 3E ON OCTOBER 18, 2023, HEALTHY BAKER MEMBERS GATHERED AT THE BAKER COUNTY HEALTH DEPARTMENT TO DISCUSS THE PRELIMINARY RESULTS OF THE BAKER COUNTY COMMUNITY HEALTH ASSESSMENT (CHA). A TOTAL OF 24 INDIVIDUALS ATTENDED THE MEETING. A TEAM FROM THE HEALTH PLANNING COUNCIL OF NORTHEAST FLORIDA, INC. (HPCNEF) PRESENTED THE CHA PRELIMINARY FINDINGS, WHICH CONSISTED OF PRIMARY (COMMUNITY SURVEY, FOCUS GROUPS, KEY STAKEHOLDER INTERVIEWS) AND SECONDARY DATA THAT SUPPORTED THE TOP FIVE OVERALL THEMES. AFTER THE CHA FINDINGS WERE PRESENTED, PARTICIPANTS WERE ASKED TO RANK THEIR TOP THREE HEALTH ISSUES FROM THE FOLLOWING: ACCESS TO HEALTHCARE (HEALTH PROFESSIONAL SHORTAGES, LACK OF SPECIALTY CARE, LONG DISTANCES TO CARE, INSURANCE COVERAGE ISSUES, HEALTHCARE AFFORDABILITY, TRANSPORTATION BARRIERS, LONG WAIT TIMES) BEHAVIORAL HEALTH (MENTAL HEALTH STATUS, MENTAL HEALTH SERVICES, YOUTH SUBSTANCE USE, OVERDOSES, DOMESTIC VIOLENCE, CHILD ABUSE/NEGLECT) TEEN PREGNANCY/MATERNAL & INFANT HEALTH (TEEN PREGNANCIES, INFANT MORTALITY RATE, PERCENTAGE OF MOTHERS/INFANTS WITH NO PRENATAL CARE, ACCESS TO BIRTH CONTROL METHODS) SOCIOECONOMIC FACTORS & DISPARITIES (INCOME, POVERTY LEVEL, DEMOGRAPHIC- SPECIFIC CHALLENGES, DISABILITY FOR ADULTS 65+) DISEASE PREVENTION & LIFESTYLE BEHAVIORS (HEALTH BEHAVIORS, OVERWEIGHT/OBESITY, HIGH CHRONIC DISEASE MORTALITY RATES, HEALTH EDUCATION AND KNOWLEDGE) THE TOP 3 PRIORITY HEALTH ISSUES SELECTED WERE: ACCESS TO HEALTHCARE DISEASE PREVENTION & LIFESTYLE BEHAVIORS BEHAVIORAL HEALTH FACILITY 1, ED FRASER MEMORIAL HOSPITAL - PART V, LINE 5 THE FLORIDA DEPARTMENT OF HEALTH IN BAKER COUNTY, ED FRASER MEMORIAL HOSPITAL, AND THE HEALTH PLANNING COUNCIL OF NORTHEAST FLORIDA, INC. SPEARHEADED AN INITIATIVE TO CONDUCT A COMPREHENSIVE, COUNTY-WIDE HEALTH NEEDS ASSESSMENT. THIS ASSESSMENT AIMED TO PROVIDE PRIMARY AND SECONDARY DATA TO EDUCATE AND MOBILIZE THE BAKER COUNTY COMMUNITY, DEVELOP PRIORITIES, GARNER RESOURCES, AND PLAN ACTIONS TO IMPROVE THE PUBLICS HEALTH. HEALTHY BAKER, A GROUP COMPRISED OF COMMUNITY LEADERS FROM LOCAL MEDICAL AND BEHAVIORAL HEALTH PROVIDERS, SOCIAL SERVICE AGENCIES, CIVIC ORGANIZATIONS, AND MINORITY AND FAITH-BASED GROUPS,CONVENED TO (1) REVIEW THE OUTCOMES OF PRIOR HEALTH NEEDS ASSESSMENT, AND (2) LAUNCH THE 2023 COUNTY-WIDE ASSESSMENT OF THE OVERALL HEALTH STATUS AND PRIORITY HEALTH ISSUES FACING BAKER COUNTY RESIDENTS. DATA FOR BAKER COUNTYS COMMUNITY HEALTH ASSESSMENT WAS COLLECTED FOR SEVERAL BROAD CATEGORIES: SOCIOECONOMIC CONDITIONS, CHARACTERISTICS OF THE PHYSICAL ENVIRONMENT, HEALTH OUTCOMES, HEALTH BEHAVIORS, AND ACCESS TO HEALTH RESOURCES FOR COUNTY RESIDENTS. THE DATA INCLUDED CHRONIC DISEASE DEATH RATES; INFECTIOUS DISEASE RATES; HOUSING, COMMUTING, AND FOOD ENVIRONMENT CHARACTERISTICS; THE PREVALENCE OF RISKY HEALTH BEHAVIORS; MATERNAL AND CHILD HEALTH INDICATORS; HOSPITAL UTILIZATION; AND AVAILABILITY OF PHYSICIANS AND HEALTH RESOURCES. INPUT FROM BAKER COUNTY RESIDENTS WAS OBTAINED FROM SIX FOCUS GROUPS WITH DIVERSE POPULATIONS. ADDITIONALLY, KEY STAKEHOLDER INTERVIEWS PROVIDED INSIGHT INTO THE HEALTH OF BAKER COUNTY RESIDENTS AND THE AVAILABILITY OF RESOURCES FOR SUBPOPULATIONS. FOCUS GROUPS AND KEY STAKEHOLDERS IDENTIFIED SEVERAL PRIORITY HEALTH ISSUES. THE FOCUS GROUPS IDENTIFIED KEY HEALTH ISSUES: ACCESS TO HEALTHCARE, MENTAL HEALTH, TRANSPORTATION BARRIERS, HEALTH EDUCATION AND KNOWLEDGE, AND COMMUNITY COLLABORATION AND ENGAGEMENT. THE KEY STAKEHOLDER INTERVIEWS IDENTIFIED THE FOLLOWING AS KEY HEALTH ISSUES: ACCESS TO HEALTHCARE, MENTAL HEALTH AND SUBSTANCE USE, SOCIOECONOMIC FACTORS AND DISPARITIES, TRANSPORTATION BARRIERS, AND HEALTH EDUCATION AND KNOWLEDGE. SECONDARY DATA INDICATORS SUPPORTED THE KEY HEALTH ISSUES IDENTIFIED IN THE QUALITATIVE ANALYSIS. THE OVERALL KEY THEMES FROM BOTH PRIMARY AND SECONDARY DATA ARE AS FOLLOWS: ACCESS TO HEALTHCARE, BEHAVIORAL HEALTH, TEEN PREGNANCY/MATERNAL AND INFANT HEALTH, SOCIOECONOMIC FACTORS AND DISPARITIES, AND DISEASE PREVENTION AND LIFESTYLE BEHAVIORS. TO FURTHER NARROW DOWN THESE PRIORITIES TO THE TOP THREE FOCUS AREAS, INPUT WAS SOUGHT FROM THE COMMUNITY THROUGH A PRELIMINARY RELEASE MEETING ON OCTOBER 18, 2023. INVITATIONS WERE SENT TO HEALTHY BAKER ATTENDEES. DURING THIS PRELIMINARY RESULTS AND RELEASE MEETING, THE CURRENT FINDINGS OF THE ASSESSMENT WERE DISCUSSED. THEN FEEDBACK WAS REQUESTED FROM THE COMMUNITY: ON A SCALE OF 1 TO 5, 1 BEING TOP PRIORITY AND 5 BEING LOWEST PRIORITY, PLEASE RANK THE 5 KEY HEALTH ISSUES IN ORDER OF IMPORTANCE TO BE INCLUDED IN THE CHIP. VOTING RESULTS SHOWED THAT ACCESS TO HEALTHCARE (HEALTH PROFESSIONAL SHORTAGES, SPECIALTY CARE, TRANSPORTATION BARRIERS) WAS THE TOP PRIORITY, FOLLOWED BY DISEASE PREVENTION AND LIFESTYLE BEHAVIORS (HEALTH BEHAVIORS, HEALTH EDUCATION AND KNOWLEDGE, CHRONIC DISEASE MORTALITY), AND BEHAVIORAL HEALTH (MENTAL HEALTH, SUBSTANCE USE, DOMESTIC VIOLENCE, CHILD ABUSE/NEGLECT). FACILITY 1, ED FRASER MEMORIAL HOSPITAL - PART V, LINE 11 TOP HEALTH ISSUES IDENTIFIED BY COMMUNITY SURVEYS DOH-BAKER AND ED FRASER MEMORIAL HOSPITAL GAVE COMMUNITY MEMBERS A CHANCE TO VOICE THEIR OPINIONS ON THE HEALTH STATUS AND HEALTH NEEDS OF BAKER COUNTY RESIDENTS BY DISTRIBUTING A SURVEY THROUGHOUT THE COUNTY. A TOTAL OF 850 PEOPLE COMPLETED THE SURVEY. SURVEY RESPONSES QUALIFIED FOR ANALYSIS IF THE PARTICIPANT COMPLETED AT LEAST 90% OF THE SURVEY AND HAD A ZIP CODE IN BAKER COUNTY. IN THE END, 822 SURVEYS WERE INCLUDED IN THE ANALYSIS. THE COMMUNITY SURVEY RESPONDENTS IDENTIFIED THE FOLLOWING AS THE TOP HEALTH ISSUES IN BAKER COUNTY: ACCESS TO HEALTHCARE MENTAL HEALTH & SUBSTANCE USE SPECIALTY CARE CHILD ABUSE/NEGLECT CHRONIC DISEASES TOP HEALTH ISSUES IDENTIFIED BY FOCUS GROUPS A TOTAL OF 39 COMMUNITY MEMBERS AND STAKEHOLDERS ATTENDED SIX COMMUNITY FOCUS GROUPS. THROUGH A DISCUSSION OF COMMUNITY HEALTH AND HEALTH NEEDS, FOCUS GROUP PARTICIPANTS IDENTIFIED THE FOLLOWING AS THE TOP HEALTH ISSUES OR KEY THEMES IN BAKER COUNTY: ACCESS TO HEALTHCARE MENTAL HEALTH TRANSPORTATION BARRIERS HEALTH EDUCATION & KNOWLEDGE COMMUNITY COLLABORATION & ENGAGEMENT TOP HEALTH ISSUES IDENTIFIED BY KEY STAKEHOLDER INTERVIEWS TEN REPRESENTATIVES FROM GOVERNMENTAL OFFICES, HEALTHCARE PROVIDERS, AND LOCAL COMMUNITY ORGANIZATIONS PARTICIPATED IN KEY STAKEHOLDER INTERVIEWS TO OFFER THEIR PERSPECTIVES ON THE MOST PRESSING LOCAL HEALTH CARE ISSUES AND NEEDS. KEY STAKEHOLDERS IDENTIFIED THE FOLLOWING AS THE TOP HEALTH ISSUES OR KEY THEMES IN BAKER COUNTY: ACCESS TO HEALTHCARE MENTAL HEALTH & SUBSTANCE USE SOCIOECONOMIC FACTORS AND DISPARITIES TRANSPORTATION BARRIERS HEALTH EDUCATION & KNOWLEDGE TOP HEALTH ISSUES IDENTIFIED BY QUANTITATIVE DATA OVER 100 SECONDARY DATA INDICATORS WERE ANALYZED IN THE COMMUNITY HEALTH STATUS ASSESSMENT. THE FOLLOWING WERE DETERMINED AS THE TOP HEALTH ISSUES OR KEY THEMES IN BAKER COUNTY: CHRONIC DISEASES COMMUNICABLE DISEASES TEEN PREGNANCY/MATERNAL & INFANT HEALTH MENTAL HEALTH & SUBSTANCE USE HEALTH PROFESSIONAL/SERVICE SHORTAGES ED FRASER MEMORIAL HOSPITAL USED THE INFORMATION FROM THIS COMMUNITY HEALTH NEEDS ASSESSMENT TO DEVELOP AN IMPLEMENTATION STRATEGY TO ADDRESS THE TOP THREE PRIORITY HEALTH NEEDS IN THE COMMUNITY. WHILE THE HOSPITAL CANNOT IMPLEMENT STRATEGIES FOR ALL OF THE HEALTH ISSUES IDENTIFIED DUE TO RESOURCE CONSTRAINTS OR BECAUSE THEY ARE OUTSIDE THE SCOPE OF THE HOSPITAL'S ABILITY, ED FRASER COLLABORATES WITH OTHER HEALTH CARE ORGANIZATIONS AND NON-PROFIT AGENCIES TO WORK TOWARD COMMUNITY SOLUTIONS. 2 W FRANK WELLS NURSING HOME 210 NORTH SECOND STREET MACCLENNY FL 32063 SKILLED NURSING FACILITY BAKER RURAL HEALTH CLINIC 155 NORTH THIRD STREET MACCLENNY FL 32063 RURAL HEALTH CLINIC SCHEDULE H, PART I, LINE 7G BAKER COUNTY MEDICAL SERVICES PROVIDES FREE OF CHARGE, A CLINICAL ENVIRONMENT IN WHICH DOCTORS, INCLUDING MEDICAL SPECIALISTS FROM OUT OF THE AREA, CAN COME AND TREAT LOCAL CITIZENS FOR MEDICAL RELATED ILLNESSES AND INJURIES. WITHOUT SUCH A LOCATION, PHYSICIANS WOULD NOT BE AVAILABLE TO THE LOCAL COMMUNITY IN BAKER COUNTY. THE RURAL HEALTH CLINIC'S NET COSTS ARE INCLUDED AS A SUBSIDIZED SERVICE. THE SUBSIDIZED HEALTH SERVICES ALSO INCLUDE OTHER PHYSICIAN PRACTICES. THE DISCLOSED SUBSIDY IS AFTER ALLOCATION OF INDIRECT COSTS AS CALCULATED IN THE MEDICARE COST REPORT. SCHEDULE H, PART I, LINE 7 COSTS FOR PART I, LINE 7A AND 7B WERE CALCULATED USING THE RCC CALCULATED IN WORKSHEET 2. OTHER COSTS WERE OBTAINED FROM THE ORGANIZATION'S ACCOUNTING RECORDS. SEE ALSO THE DESCRIPTION FOR PART III, LINE 2. SCHEDULE H, PART III, LINE 2 AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE. PURSUANT TO ASU NO. 2014-09 (TOPIC 606), THE AMOUNT IDENTIFIED AS BAD DEBT ON SCHEDULE H, PART II, LINE 2 PRIMARILY REPRESENTS AMOUNTS ESTIMATED AT THE TRANSACTION DATE THAT ARE CONSIDERED A PRICE CONCESSION. THE SYSTEM DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE SYSTEM'S POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. IMPLICIT PRICE CONCESSIONS REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED AND THE ESTIMATED CONSIDERATION THE SYSTEM EXPECTS TO RECEIVE FROM PATIENTS, WHICH ARE DETERMINED BASED ON HISTORICAL COLLECTION EXPERIENCE, CURRENT MARKET CONDITIONS, AND OTHER FACTORS. THE AMOUNT INCLUDED IN BAD DEBT EXPENSE IS FURTHER REDUCED BY THE APPLICABLE PORTION OF DISPROPORTIONATE SHARE ADJUSTMENT FUNDS RECEIVED AND APPROPRIATED BY THE STATE OF FLORIDA. SCHEDULE H, PART III, LINE 4 SEE PAGES 15-19 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR THE FOOTNOTES REGARDING IMPLICIT PRICE CONCESSIONS, BAD DEBTS,UNINSURED PATIENTS, AND UNCOMPENSATED SERVICES. SCHEDULE H, PART III, LINE 8 MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS. SCHEDULE H, PART III, LINE 9B IF AT ANY TIME DURING THE COLLECTION PROCESS A PATIENT IS DETERMINED TO BE ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, ALL COLLECTION PROCESSES CEASE AND THE ACCOUNT IS WRITTEN OFF ACCORDING TO CHARITY GUIDELINES. SCHEDULE H, PART VI, LINE 2 BAKER COUNTY MEDICAL SERVICES (BCMS) MONITORS VARIOUS TYPES OF ASSESSMENTS TO DETERMINE THE COMMUNITY'S NEEDS FOR HEALTH AND PERSONAL SUPPORT SERVICES. BCMS COLLABORATES WITH OTHER NOT-FOR-PROFIT AGENCIES AND ORGANIZATIONS TO EXTEND AND STRENGTHEN OUR MISSION. EXAMPLES OF THESE COLLABORATIONS INCLUDE: BAKER COUNTY HEALTH DEPARTMENT, BAKER COUNTY COUNCIL ON AGING, LOCAL COLLEGES AND BAKER COUNTY PUBLIC SCHOOL SYSTEM. BCMS USES FEDERAL INFORMATION AND REPORTS FROM AGENCIES SUCH AS THE U.S. CENSUS BUREAU AND BUREAU OF LABOR STATISTICS AS WELL AS RESOURCES SUCH AS THE HEALTH PLANNING COUNCIL OF NORTHEAST FLORIDA AND THE NORTHEAST FLORIDA REGIONAL COUNCIL THAT PROVIDE A WIDE ARRAY OF DEMOGRAPHICS, HOUSEHOLD INCOME AND SERVICES, RETAIL OUTLETS, ETC. IN DEFINED ZIP CODES. THIS INFORMATION, COMBINED WITH OUR EXTENSIVE COLLABORATIONS AND OUR ROLE AS A LEADER IN THE COMMUNITY, PROVIDES US THE MEANS TO UNDERSTAND AND ADDRESS THE COMMUNITY'S NEEDS AND ENSURES OUR OUTREACH PROGRAMS ARE FOCUSED ON THE POPULATIONS WHO NEED OUR SERVICES THE MOST. IN ADDITION, THE ORGANIZATION CONDUCTED A CHNA IN 2023 AS REQUIRED UNDER IRS REGULATIONS. SCHEDULE H, PART VI, LINE 3 AT THE TIME OF DISCHARGE THE PATIENT OR RESPONSIBLE PARTY IS INFORMED ABOUT OUR FINANCIAL ASSISTANCE POLICY. IN ADDITION, SHOULD THE PATIENT OR RESPONSIBLE PARTY EXPRESS CONCERNS REGARDING MEETING THE FINANCIAL OBLIGATIONS THEY MAY ENROLL IN THE FINANCIAL ASSISTANCE PROGRAM AT ANY TIME DURING THE COLLECTIONS PROCESS. THE BUSINESS OFFICE THEN EVALUATES FOR FINANCIAL ASSISTANCE ELIGIBILITY AND OTHER PAYER SOURCES. THIS INFORMATION IS PROVIDED IN THE ADMISSIONS OFFICE AND IN THE EMERGENCY ROOM WAITING AREA. ALSO, THIS INFORMATION IS ATTACHED TO THE STATEMENTS THAT ARE SENT TO THE PATIENT WHEN ATTEMPTING TO COLLECT ON THE PATIENTS ACCOUNT. SCHEDULE H, PART VI, LINE 4 AS THE SOLE COMMUNITY PROVIDER, WE SERVE THE ENTIRE POPULATION IN BAKER COUNTY, FLORIDA AND THE SURROUNDING AREA. BAKER COUNTY IS A RURAL AREA. BASED ON 2021 5-YEAR ESTIMATES FROM THE U.S. CENSUS, BAKER COUNTY HAD ESTIMATED POPULATIONS OF 28,003. BAKER COUNTY IS APPROXIMATELY 54% MALE AND 46% FEMALE. THE COUNTY POPULATION STEADILY ROSE FROM 2017 TO 2021 AT AN AVERAGE ANNUAL GROWTH RATE OF 1.56%. THE MEDIAN AGE FOR BAKER COUNTY IN 2021 WAS 37.0 YEARS. FLORIDA HAD A SLIGHTLY OLDER MEDIAN AGE OF 42.3 YEARS. BAKER COUNTY HAD A RACIAL DISTRIBUTION IS AS FOLLOWS: 79.1% IS WHITE, 12.6% IS AFRICAN AMERICAN, 2.9% IS HISPANIC OR LATINO. IN ADDITION, 7.2% OF BAKER COUNTY RESIDENTS IDENTIFY AS TWO OR MORE RACES. SCHEDULE H, PART VI, LINE 5 THE ORGANIZATION IS THE ONLY MEDICARE/MEDICAID CERTIFIED HOSPITAL IN THE COUNTY. THE BOARD OF DIRECTORS ARE ALL MEMBERS OF THE LOCAL COMMUNITY AND EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS WHO WISH TO PRACTICE IN BAKER COUNTY. THE HOSPITAL'S EMERGENCY ROOM IS THE MAIN SOURCE OF PRIMARY CARE FOR ALL WHO RESIDE IN BAKER COUNTY. BCMS WORKS WITH OTHER NOT-FOR-PROFIT ORGANIZATIONS IN THE COMMUNITY SUCH AS THE BAKER COUNTY HEALTH DEPARTMENT AND THE BAKER COUNTY COUNCIL ON AGING TO MEET THE NEEDS OF THE COMMUNITY. AS AN EXAMPLE, BCMS PARTICIPATES IN A FOCUS GROUP THAT MEETS MONTHLY TO DISCUSS THE ONGOING HEALTH NEEDS OF THE COMMUNITY AND HOW BEST TO MEET THOSE NEEDS. BCMS IS COMPOSED OF COMMUNITY MEMBERS WITH DIVERSE PROFESSIONAL AND COMMUNITY SERVICE BACKGROUNDS. IN OUR FACILITY, THE EMERGENCY ROOM IS OPERATED 24/7 AND OPEN TO ALL PERSONS, REGARDLESS OF ABILITY TO PAY. WE HAVE CLEARLY WRITTEN INDIGENT AND CHARITY CARE POLICIES THAT ARE AVAILABLE THROUGH THE BUSINESS OFFICE AND OFFERED TO ALL PATIENTS UPON DISCHARGE AND AVAILABLE UPON REQUEST. BCMS REINVESTS ALL OF ITS SURPLUS FUNDS FROM ITS OPERATING AND INVESTMENT ACTIVITIES TO IMPROVE ACCESS TO CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT, INVEST IN TECHNOLOGICAL ADVANCEMENTS, SUPPORT COMMUNITY HEALTH PROGRAMS AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH. SCHEDULE H, PART VI, LINE 6 BAKER COUNTY MEDICAL SERVICES, INC. (BCMS) OPERATES ED FRASER MEMORIAL HOSPITAL, BAKER COUNTY RURAL HEALTH CLINIC, AND W. FRANK WELLS NURSING HOME. THESE FACILITIES CONSIST OF A 68-BED LONG TERM CARE FACILITY PROVIDING LONG TERM NURSING AND REHABILITATIVE SERVICES AND A 21-BED GENERAL ACUTE CARE FACILITY WHICH PROVIDES PRIMARILY EMERGENCY, SPECIALTY CARE SERVICES, AND SHORT STAY MEDICAL SERVICES TO RESIDENTS OF BAKER COUNTY AND ADJOINING AREAS. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA. BAKER COUNTY HOSPITAL AUTHORITY LEASES THE HOSPITAL AND NURSING HOME TO BCMS AND IS AN INDEPENDENT SPECIAL DISTRICT CREATED BY ACT OF THE STATE OF FLORIDA LEGISLATURE FOR THE ESTABLISHMENT OF THE FACILITIES. BAKER COMMUNITY HEALTH CENTER, INC. IS OWNED AND OPERATED BY BCMS AND PROVIDES CERTAIN PROFESSIONAL EMERGENCY MEDICAL SERVICES. true TUITION REIMBURSEMENT 7 5761 SCHEDULE I, PAGE 1, PART I, LINE 2 THE ORGANIZATION PROVIDES A TUITION REIMBURSEMENT PROGRAM FOR ITS EMPLOYEES. AN APPLICANT MUST BE A FULL OR PART TIME EMPLOYEE HAVING WORKED WITH THE HOSPITAL CONTINUOUSLY FOR ONE YEAR. APPROVAL OF THE DEPARTMENT HEAD OR ADMINISTRATION MUST BE GRANTED. A GRADE OF "C- OR BETTER MUST BE ATTAINED AND PROOF OF GRADE IS REQUIRED UPON REQUEST FOR REIMBURSEMENT. EARLY RESIGNATION OF EMPLOYMENT WILL RESULT IN REPAYMENT OF TUITION ON A PRO RATED BASIS. X X false false false false false false false false false TIFFANY VARNADOE CEO 250784 8654 16346 5169 280953 MICHAEL A PETO NURSING DIRECTOR 140608 1145 9316 14167 165236 SARAH BRADLEY CFO(LEFT 6/23) 157112 1145 2633 160 161050 JAMES BRAND DIRECTOR OF OPERATIO 154391 1083 1145 156619 JESSICA L LUCIANO IT ANALYST 141143 893 8579 5146 155761 KIMBERLY CANADAY PHARMACIST 143046 1204 3311 5213 152774 SCHEDULE J, PART III THE BOARD OF DIRECTORS SHALL FIX THE COMPENSATION OF THE CEO. THE CEO IS NOT PRESENT DURING THE DISCUSSION OF HIS COMPENSATION DETERMINATION. THE CFO'S COMPENSATION IS DETERMINED BY THE CEO. COMPENSATION IS DETERMINED BASED ON THE EVALUATION OF THE OFFICERS' PERFORMANCE AND ACCOMPLISHMENT OF GOALS IN THE PAST YEARS. GENERALLY A SMALL COST-OF-LIVING INCREASE IS GRANTED ANNUALLY. THE BOARD OF DIRECTORS' COMPENSATION DETERMINATION PROCESS FOR THE CEO IS DOCUMENTED IN DETAIL. BONUS DETERMINATION: THE BOARD APPROVES A BONUS FOR CEO/CFO BASED ON OPERATIONAL RESULTS OF THE ORGANIZATION, CONSIDERING SUCH FACTORS AS OVERALL OPERATIONS OF FACILITY; GROWTH OF BUSINESS; EMPLOYEE TURNOVER; EQUITY GROWTH; CASH FLOW; DEVELOPMENT AND FUTURE PLANNING; COMMUNITY INVOLVEMENT. OTHER EMPLOYEES ARE ELIGIBLE FOR BONUS/INCENTIVE PAYMENTS. THESE PAYMENTS ARE RELIANT ON VARIOUS ORGANIZATIONAL AND PERSONAL GOALS ESTABLISHED BY THE GOVERNING BODY. FORM 990, PAGE 1, PART I, LINE 6 THE ORGANIZATION RECOGNIZES THAT THE BOARD MEMBERS VOLUNTARILY DEVOTE THEIR TIME AND ENERGY TO SERVE THEIR COMMUNITY BY PARTICIPATING IN THE GOVERNANCE OF THIS ORGANIZATION'S MISSION. FORM 990, PAGE 6, PART VI, LINE 11B BOARD MEMBERS WILL RECEIVE A COPY OF THE FINAL FORM 990 PRIOR TO ITS FILING WITH THE IRS. MANAGEMENT WILL REVIEW IN DETAIL ALL FINANCIAL AND NARRATIVE DATA PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C ANNUALLY, A CONFLICT OF INTEREST STATEMENT IS COMPLETED BY ALL KEY EMPLOYEES, TO INCLUDE OFFICERS, DIRECTORS, AND PHYSICIANS STATING WHETHER THEY HAVE ANY CONFLICTS OF INTEREST. THE FILING ORGANIZATION REQUIRES POTENTIAL OR KNOWN CONFLICTS BE DISCLOSED TO THE BOARD OF DIRECTORS OR THE COMMITTEE WITH THE AUTHORITY TO APPROVE THE CONTRACT OR TRANSACTION. FOR ANY KNOWN CONFLICTS, THE BOARD MEMBER IS PROHIBITED FROM THE VOTE AND DISCUSSION OF THE ISSUE. FORM 990, PAGE 6, PART VI, LINE 15A THE BOARD OF DIRECTORS DETERMINES THE COMPENSATION OF THE CEO. THE CEO IS NOT PRESENT DURING THE DISCUSSION OF HIS COMPENSATION DETERMINATION. THE BOARD OF DIRECTORS' COMPENSATION DETERMINATION PROCESS FOR THE CEO IS DOCUMENTED IN DETAIL. FORM 990, PAGE 6, PART VI, LINE 15B THE CEO DETERMINES THE COMPENSATION OF THE CFO. COMPENSATION IS DETERMINED BASED ON PERFORMANCE AND ACCOMPLISHMENT OF PRIOR GOALS. FORM 990, PAGE 6, PART VI, LINE 19 THE AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC BY PROVIDING COPIES ON REQUEST. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES 4,776,240 663,496 0 BAKER COMMUNITY HEALTH CENTER INC 159 NORTH THIRD STREET MACCLENNY FL 320632103 205672300 PHYSICIANS FL 501C3 12A BCMS BAKER COUNTY MEDICAL SERVICES true false false false true false false false false false false false true false true true true false false false BAKER COMMUNITY HEALTH CENTER INC N AMOUNT INDETERMINABLE BAKER COMMUNITY HEALTH CENTER INC O AMOUNT INDETERMINABLE BAKER COMMUNITY HEALTH CENTER INC P AMOUNT NOT DETERMINED BAKER COMMUNITY HEALTH CENTER INC D 12411123 GENERAL LEDGER ACCOUNT BAKER COMMUNITY HEALTH CENTER INC L AMOUNT NOT DETERMINED