2026-08-17T10:58:40+00:00 2025-09-30 440160260 FORVIS MAZARS LLP 120 E PALMETTO PARK ROAD SUITE 403 BOCA RATON FL 33432 990 2024-10-01 592425149 JAY HOSPITAL INC JAYH 4482278478 POST OFFICE BOX 17500 PENSACOLA FL 32522 CHARLES J BRINKLEY III CFO 4482278478 2026-08-17 true true APRIL ARNOLD P01559426 5612991820 2026-08-17 2024 2025-03-06 01:10:19Z KEITH STRICKLING 14114 ALABAMA STREET JAY FL 32565 21832095 false X WWW.EBAPTISTHEALTHCARE.ORG/JAYHOSPITAL X 1983 FL JAY HOSPITAL'S PRIMARY MISSION IS DEDICATED TO MEETING THE HEALTHCARE NEEDS IN THE JAY, CENTURY, FLOMATON AND SURROUNDING COMMUNITITES IN THE NORTHWEST FLORIDA-SOUTH ALABAMA AREA. 18 18 163 32 72067 26787 472495 711026 15829140 21051340 11 -5427 16610 7301 16318256 21764240 12500 13750 0 9718580 11229805 0 0 9983445 10619879 19714525 21863434 -3396269 -99194 6440403 5727430 4649113 4871231 1791290 856199 HELPING PEOPLE THROUGHOUT LIFE'S JOURNEY: JAY HOSPITAL'S PRIMARY MISSION IS DEDICATED TO MEETING THE HEALTHCARE NEEDS IN THE JAY, CENTURY, FLOMATON AND SURROUNDING COMMUNITITES IN THE NORTHWEST FLORIDA-SOUTH ALABAMA AREA. JAY HOSPITAL IS A 25-BED CRITICAL ACCESS HOSPITAL AND PART OF AN INTEGRATED NETWORK OF AFFILIATED ORGANIZATIONS. JAY HOSPITAL AND ITS AFFILIATED ORGANIZATIONS ARE COMMITTED TO PROVIDING A BROAD RANGE OF GENERAL AND SPECIALIZED HEALTH CARE SERVICES INCLUDING INPATIENT, PRIMARY CARE, LONG TERM AND OUTPATIENT HEALTHCARE SERVICES. 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ASC TOPIC 740 PROVIDES GUIDANCE FOR RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTES FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2024 AND 2025. true true X true X 300 false true true true false true true 1230800 0 1230800 0.06242 1832356 1656659 175697 0.00891 0 0.0 0 0 3063156 1656659 1406497 0.07133 0 0.0 0 0.0 0 0.0 0 0.0 13750 13750 0.00070 0 0 13750 0 13750 0.00070 0 0 3076906 1656659 1420247 0.07203 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 2144768 351742 13524045 10258093 3265952 X true true 1 1 JAY HOSPITAL 14114 ALABAMA STREET JAY FL 32565 WWW.EBAPTISTHEALTHCARE.ORG/JAYHOSPITAL 100048 X X X X JAY HOSPITAL 1 false false true X X X X X X X X X 24 true true true true X https://www.ebaptisthealthcare.org/community/chna X true 25 true https://www.ebaptisthealthcare.org/documents/community/bhc_implementation_strategy_2026-2028.pdf false true X 300.0 0 X X X X X X true true X X X true X https://www.ebaptisthealthcare.org/patientfinancialresources/financial-assistance-policies X https://www.ebaptisthealthcare.org/patientfinancialresources/financial-assistance-policies X https://www.ebaptisthealthcare.org/patientfinancialresources/financial-assistance-policies X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1 FACILITY , 1 - JAY HOSPITAL, INC.. THE FISCAL YEAR 2025 CHNA WAS CONDUCTED THROUGH ACHIEVE HEALTHY ESCAROSA (AHER), A COMMUNITY-WIDE COLLABORATIVE THAT INCLUDES HOSPITALS, HEALTH SYSTEMS, LOCAL HEALTH DEPARTMENTS, EDUCATIONAL INSTITUTIONS, NONPROFIT ORGANIZATIONS, BUSINESSES, FAITH-BASED ORGANIZATIONS, AND OTHER COMMUNITY STAKEHOLDERS. INPUT WAS OBTAINED THROUGH MORE THAN 2,600 RESIDENT SURVEYS, A COMMUNITY LEADER SURVEY WITH 97 PARTICIPANTS, PUBLIC COMMENTS, AND A FORCES OF CHANGE WORKSHOP INVOLVING REPRESENTATIVES FROM ORGANIZATIONS SERVING THE COMMUNITY. SPECIAL EFFORTS WERE MADE TO ENGAGE VULNERABLE AND UNDERSERVED POPULATIONS, INCLUDING LOW-INCOME, MINORITY, AND UNINSURED RESIDENTS. AN EFFORT WAS MADE TO INVOLVE INDIVIDUALS FROM MANY DIFFERENT SECTORS OF THE LOCAL ECONOMY IN DEVELOPING THIS CHNA. THE CHNA PLANNING TEAM, COMPRISED OF THE FLORIDA DEPARTMENT OF HEALTH IN ESCAMBIA AND SANTA ROSA COUNTIES, AREA HOSPITALS AND HEALTH PROVIDERS, EDUCATIONAL INSTITUTIONS, AREA HEALTH COALITIONS, NONPROFIT ORGANIZATIONS AND OTHERS, WAS ESTABLISHED TO PROVIDE GUIDANCE AND INPUT THROUGHOUT DATA GATHERING, ANALYSIS, AND PRODUCTION OF THE CHNA. THE CHNA PLANNING TEAM PROVIDED INPUT ON THEIR PERCEPTIONS OF HEALTH AND HEALTH SERVICES, REVIEWED HEALTH OUTCOMES, NARROWED THE FOCUS TO THE TOP HEALTH PRIORITIES ACROSS BOTH COUNTIES, AND APPROVED THIS REPORT. SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY , 1 FACILITY , 1 - JAY HOSPITAL, INC.. THE CHNA PROCESS WAS FACILITATED BY AHER, A NONPROFIT ORGANIZATION WHOSE MISSION IS TO UNITE AND ALIGN RESOURCES TO IMPROVE THE HEALTH AND WELL-BEING OF ESCAMBIA AND SANTA ROSA COUNTIES. THE CHNA PLANNING COMMITTEE INCLUDED REPRESENTATION FROM BAPTIST HEALTH CARE AND ASCENSION SACRED HEART. SCHEDULE H, PART V, SECTION B, LINE 6B FACILITY , 1 FACILITY , 1 - JAY HOSPITAL, INC.. NON-HOSPITAL STAKEHOLDER MEMBERS OF THE CHNA PLANNING COMMITTEE INCLUDED REPRESENTATIVES FROM THE FLORIDA DEPARTMENTS OF HEALTH IN ESCAMBIA AND SANTA ROSA COUNTIES, COMMUNITY HEALTH NORTHWEST FLORIDA (A FEDERALLY QUALIFIED HEALTH CENTER), THE UNIVERSITY OF WEST FLORIDA, AND THE UNITED WAY OF WEST FLORIDA. THE INPUT PROCESS AND PROCESS TO PRIORITIZE FOCUS AREAS ALSO INCLUDED INPUT FROM REPRESENTATIVES FROM OVER 35 NOT-FOR-PROFIT AND COMMUNITY-BASED ORGANIZATIONS. SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1 FACILITY , 1 - JAY HOSPITAL, INC.. BAPTIST HEALTH CARE RECOGNIZED THAT SUSTAINED COMMUNITY HEALTH IMPROVEMENT HAPPENS WHEN ORGANIZATIONS FROM ALL SECTORS OF THE COMMUNITY LANDSCAPE TAKE OWNERSHIP OF THE COMMUNITY'S HEALTH AND WORK TOGETHER FOR IMPROVEMENT. AS SUCH, AHER HOSTED A COMMUNITY CONVENING IN FEBRUARY OF 2022, DURING WHICH COMMUNITY MEMBERS WERE INTRODUCED TO THE PRIORITY FOCUS AREAS AND OTHER HEALTH METRICS THROUGH A REVIEW OF THE CHNA. THE CONVENING ALSO SERVED AS AN ACTION PLANNING WORKSHOP, IN WHICH PARTICIPANTS WERE ENCOURAGED TO PROVIDE INPUT TO ONE OF THE SIX PRIORITY HEALTH FOCUS AREAS. THE AHER EXECUTIVE COMMITTEE HAS TAKEN THE INPUTS PROVIDED AND IS IN THE PROCESS OF DEVELOPING A DRAFT ACTION PLAN TO SHARE WITH PARTICIPANTS AND THE BROADER COMMUNITY. THE CHNA RESULTS AND SUBSEQUENT PLANNING DISCUSSIONS DETERMINED THE PRIORITIZED FOCUS AREAS WHICH ARE: OVERWEIGHT AND OBESITY SUBSTANCE ABUSE MENTAL HEALTH CHILD ABUSE ACCESS TO HEALTHCARE FOOD INSECURITY BAPTIST HEALTH CARE SERVES AS A LEADER AND CONVENER OF THESE EFFORTS AND IS ACTIVELY ENGAGED IN MULTIPLE WAYS IN THIS ENHANCED APPROACH TO HEALTH AND WELLNESS IN THE COMMUNITIES WE SERVE. TEAM MEMBERS OF BAPTIST HEALTH CARE PARTICIPATE IN THE DATA, COMMUNICATIONS, AND CHNA COMMITTEES OF AHER. IN ADDITION, BAPTIST LEADERS AND TEAM MEMBERS ARE ACTIVELY ENGAGED IN THE COMMUNITY HEALTH IMPROVEMENT PLANNING PROCESS, THROUGH WHICH AHER WILL CONVENE WORKGROUPS TO BUILD ACTION PLANS IN EACH OF THESE PRIORITIZED FOCUS AREAS FOR THE COMMUNITY. BAPTIST ENGAGES IN COLLABORATIONS AND DIRECT SERVICE IN MANY OF THESE PRIORITIZED FOCUS AREAS, AND LOOKS FORWARD TO CONTINUED COLLABORATION WITH OTHER COMMUNITY PARTNERS TO IMPACT THE OUTCOMES IN THESE PRIORITIZED FOCUS AREAS. BAPTIST HEALTH CARE ACTIONS IN 2025: IN THE AREA OF ACCESS TO HEALTHCARE, BAPTIST HEALTH CARE ACHIEVED THE FOLLOWING IN 2025: * CONTINUED OPERATIONS IN THE NEW HOSPITAL CAMPUS TO OFFER AN ADVANCED STATE-OF-THE-ART HEALTHCARE EXPERIENCE TO THOSE IN THE COMMUNITIES WE SERVE. ACHIEVED * PARTNERED WITH ESCAMBIA COUNTY AREA TRANSIT TO CONTINUE RELIABLE AND PROMPT TRANSPORTATION FOR ALL IN THE COMMUNITY TO ACCESS QUALITY CARE AT THE NEW BAPTIST HOSPITAL CAMPUS. ACHIEVED * PROVIDED $.5M IN SUPPORT FOR OUR LOCAL FQHC, COMMUNITY HEALTH NORTHWEST FLORIDA, ANNUALLY TO ENSURE ACCESS FOR UNINSURED AND UNDERINSURED. ACHIEVED * IN 2025, BAPTIST HEALTH CARE ANNOUNCED THE DEVELOPMENT OF A NEW 40-BED INPATIENT REHABILITATION HOSPITAL ON THE BAPTIST HOSPITAL CAMPUS IN PENSACOLA THROUGH A PARTNERSHIP WITH PAM HEALTH. THE PROJECT EXPANDS ACCESS TO SPECIALIZED REHABILITATION SERVICES FOR RESIDENTS OF ESCAMBIA AND SANTA ROSA COUNTIES AND IS EXPECTED TO CREATE APPROXIMATELY 80 HEALTH CARE JOBS. IN THE AREA OF MENTAL HEALTH, BAPTIST HEALTH CARE ACHIEVED THE FOLLOWING IN 2025: COMPLETE * CONTINUED OPERATIONS AT OUR NEW BAPTIST HOSPITAL BEHAVIORAL HEALTH UNIT TO OFFER STATE-OF-THE-ART FACILITIES THAT ALLOW OUR TEAM TO PROVIDE THE MOST ADVANCED, QUALITY CARE IN THE REGION. ACHIEVED * COLLABORATED WITH THE SHARE YOUR HEART PROGRAM TO PROVIDE SOCIAL AND SPIRITUAL SUPPORT TO OUR COMMUNITY USING VOLUNTEER CHAPLAINS. O BAPTIST FAITH HEALTH NETWORK: GOAL TO TRAIN AND ONBOARD 26 (ONE PER ZIP CODE) - IN 2025, 30 CHURCHES TRAINED AND ONBOARDED. O GOAL OF 50 FAMILIES PER YEAR SERVED - IN 2025, 960 WERE ACHIEVED. O 50 CLOSED LOOP (FULL CONTINUUM OF CARE) REFERRALS PER YEAR GIVEN BY BAPTIST TEAM MEMBERS - IN 2025, ACHIEVED 440. * GOAL TO MEET IMMEDIATE BEHAVIORAL HEALTH NEEDS FOR CHILDREN AND ADOLESCENTS IN ESCAMBIA AND SANTA ROSA COUNTIES IN CRISIS THROUGH SERVING AS THE CENTRAL AND SOLE BAKER ACT RECEIVING FACILITY IN CIRCUIT 1 AND CONTINUE TO COLLABORATE IN ESTABLISHING AN ADULT BAKER ACT RECEIVING FACILITY ELSEWHERE IN OUR COMMUNITY COMPLETING THE VISION OF A FULLY FUNCTIONING BAKER ACT RECEIVING SYSTEM IN CIRCUIT 1. ACHIEVED * PROVIDE SUPPORT SERVICES AND SPIRITUAL CARE TO PATIENTS, FAMILY MEMBERS, TEAM MEMBERS AND COMMUNITY THROUGH SUPPORT SERVICES AND BAPTIST HEALTH CARE'S RISE PROGRAM. IN 2025, BHC ACHIEVED 6,387. IN THE AREA OF FOOD INSECURITY, BAPTIST HEALTH CARE ACHIEVED THE FOLLOWING IN 2025: * BAPTIST SUPPORTS TARGET PATIENT POPULATIONS THROUGH COMMUNITY FOOD PRESCRIPTION PROGRAM FOR THOSE EXPERIENCING FOOD INSECURITIES. GOAL OF 25 FAMILIES ENROLLED IN THE FOOD PRESCRIPTIONS PER YEAR. IN 2025, BHC SERVED 40 HOUSEHOLDS TOTALING 1,040 PEOPLE * BAPTIST'S FAITH HEALTH NETWORK OFFERS CHURCH TO CHURCH FOOD PANTRY PROGRAM. GOAL OF 1,000 HOUSEHOLDS SERVED PER YEAR. IN 2025, BHC ACHIEVED 8,400. * 20 CHURCHES TAKE PART IN THE CHURCH-TO-CHURCH PROGRAM EACH YEAR. IN 2025, ACHIEVED WITH 41 CHURCHES PARTICIPATING. IN THE AREA OF OVERWEIGHT AND OBESITY, BAPTIST HEALTH CARE ACHIEVED THE FOLLOWING IN 2025: * CONDUCT OUTREACH AND PROVIDE EDUCATION TO COMMUNITY THROUGH THE WELLNESS CONNECTION SERIES AT MULTIPLE BAPTIST HEALTH CARE LOCATIONS INCLUDING BAPTIST MEDICAL PARK - NINE MILE, BAPTIST TOWERS, ANDREWS INSTITUTE AND AT LOCATIONS THROUGHOUT THE COMMUNITY. IN 2025, BHC ACHIEVED 35 CLASSES WITH 1,863 PARTICIPANTS. IN THE AREA OF SUBSTANCE ABUSE, BAPTIST HEALTH CARE ACHIEVED THE FOLLOWING IN 2025: GOAL FOR BAPTIST TO WORK WITH COMMUNITY PARTNERS TO CREATE AND SUPPORT AN UPDATED DATABASE OF PROGRAMS AND SUPPORT GROUPS FOR ADDICTION RECOVERY OR INTERVENTION IN ESCAMBIA OR SANTA ROSA COUNTIES TO SUPPLY A TRUSTED CONTINUUM OF CARE. ACHIEVED THROUGH WORK DONE AS MEMBERS OF THE NORTHWEST FLORIDA MENTAL HEALTH TASK FORCE LED BY REPRESENTATIVE SALZMAN. IN THE AREA OF CHILD ABUSE, BAPTIST HEALTH CARE ACHIEVED THE FOLLOWING IN 2025: COMPLETE BAPTIST HEALTH CARE RAISED AWARENESS FOR AND SUPPORTED TEAM MEMBERS TO ENGAGE IN LOCAL CHILD ABUSE TRAINING "KNOW" CHILD ABUSE THROUGH GULF COAST KIDS HOUSE AND ENGAGED IN CHILD SAFETY MATTERS THROUGH ACHIEVE HEALTHY ESCAROSA. IN APRIL 2025, BHC PROVIDED TWO IN PERSON OPPORTUNITIES FOR TEAM MEMBERS TO COMPLETE KNOW CHILD ABUSE TRAINING AND MADE THE TRAINING AVAILABLE FOR TEAM MEMBERS TO COMPLETE ONLINE AT ANY TIME. SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY , 1 FACILITY , 1 - JAY HOSPITAL, INC.. IN ADDITION TO THE FPG THE ORGANIZATION USES AN ASSET TEST, MEDICAL INDIGENCY AND INSURANCE STATUS IN DETERMINING FREE OR DISCOUNTED CARE. 1 CENTURY MEDICAL CENTER 8401 N CENTURY BLVD CENTURY FL 32535 PRIMARY CARE PRACTICE SCHEDULE H, PART I, LINE 3C ELIGIBILITY CRITERIA FOR FREE OR DISCOUNTED CARE IN ADDITION TO THE FPG THE ORGANIZATION USES AN ASSET TEST, MEDICAL INDINGENCY AND INSURANCE STATUS IN DETERMINING FREE OR DISCOUNTED CARE. SCHEDULE H, PART I, LINE 7 BAD DEBT EXPENSE EXCLUDED FROM FINANCIAL ASSISTANCE CALCULATION 2144768 SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNT REPORTED ON LINE 7 IS THE COST TO CHARGE RATIO CALCULATED PURSUANT TO THE IRS SCHEDULE H WORKSHEET 2 INSTRUCTIONS. SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORT HAS BEEN FOLLOWED IN ACCORDANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS, AND SUBSEQUENT RECOVERIES ARE ADDED. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. THE HOSPITAL PROVIDES SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES, TO PATIENTS WHO MEET THE CRITERIA OF ITS CHARITY CARE POLICY. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO BE CHARITY CARE, SUCH SERVICES ARE NOT REPORTED AS NET REVENUE. THE HOSPITAL'S CHARITY CARE POLICY UTILIZES THE GENERALLY RECOGNIZED FEDERAL POVERTY INCOME LEVELS. FOR PATIENTS WHO DO NOT APPLY OR DO NOT QUALIFY, THE UNCOLLECTED AMOUNTS ARE RECOGNIZED AS BAD DEBT EXPENSE. ESTIMATED COST OF BAD DEBT IS BASED ON THE RATIO OF COST TO CHARGES AS DETERMINED BY HOSPITAL SPECIFIC DATA. SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGY BAD DEBT IS NOT INCLUDED AS PART OF JAY HOSPITAL'S COMMUNITY BENEFIT. APPROXIMATELY 16.4% OF JAY HOSPITAL'S PATIENTS QUALIFY FOR FREE OR DISCOUNTED CARE. THIS MEANS THAT APPROXIMATELY $351,742, OR 16.4%, OF JAY'S HOSPITAL'S BAD DEBT EXPENSE COULD BE INCLUDED AS COMMUNITY BENEFIT HAD THOSE INDIVIDUALS GONE THROUGH THE FINANCIAL ASSISTANCE PROCESS. SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE PATIENTS ARE DEEMED FINANCIALLY INDIGENT IF (A) THEY ARE UNINSURSED OR UNDERINSURED AND (B) THEIR INCOME IS BELOW 300% OF FPL (BASED UPON THE PATIENT'S HOUSEHOLD INCOME AS DEFINED ANNUALLY BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES IN THE FEDERAL REGISTER AS THE FEDERAL POVERTY LEVEL (FPL) GUIDELINES). IF A PATIENT IS FOUND TO BE FINANCIALLY INDIGENT OR MEDICALLY INDIGENT, APPROPRITE FINANCIAL ASSISTANCE DISCOUNTS ARE APPLIED TO THE PATIENT'S ACCOUNT. FOR ANY PATIENT THAT QUALIFIES UNDER THE ORGANIZATION'S CHARITY CARE POLICY, THE PATIENT ACCOUNT IS WRITTEN OFF AS CHARITY CARE AND THE ORGANIZATION DOES NOT PURSUE ANY COLLECTIONS. SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE - JAY HOSPITAL: LINE 16A URL: HTTPS://WWW.EBAPTISTHEALTHCARE.ORG/PATIENTFINANCIALRESOURCES/FINANCIAL-ASSISTANCE-POLICIES; SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE - JAY HOSPITAL: LINE 16B URL: HTTPS://WWW.EBAPTISTHEALTHCARE.ORG/PATIENTFINANCIALRESOURCES/FINANCIAL-ASSISTANCE-POLICIES; SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE - JAY HOSPITAL: LINE 16C URL: HTTPS://WWW.EBAPTISTHEALTHCARE.ORG/PATIENTFINANCIALRESOURCES/FINANCIAL-ASSISTANCE-POLICIES; SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT THE ORGANIZATION'S MISSION IS HELPING PEOPLE THROUGHOUT LIFE'S JOURNEY. IN RESPONSE TO THIS MISSION, THE ORGANIZATION HELPS ENSURE THAT ALL CITIZENS ARE AFFORDED ACCESS TO HEALTH CARE BY INVESTING IN COMMUNITY HEALTH, AND BY PARTICIPATING IN AND LEADING COLLABORATIVE, COMMUNITY-WIDE PARTNERSHIPS. FREE HEALTH SCREENINGS, SUPPORT GROUPS, EDUCATION SEMINARS, AND OTHER PROGRAMS THAT ARE OFFERED FOCUS ON AREAS THAT HAVE BEEN IDENTIFIED THROUGH INTERNAL STUDIES AND EXTERNAL SOURCES AS CRITICAL HEALTH CONCERNS IN THE SURROUNDING COMMUNITIES. A FULL COPY OF THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE ACCESSED USING THE FOLLOWING WEBSITE: HTTP://EBAPTISTHEALTHCARE.ORG/COMMUNITY/CHNA SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE JAY EMPLOYEES WORKING IN THE SCHEDULING, PATIENT ACCESS, PATIENT FINANCIAL SERVICES AND EMERGENCY DEPARTMENTS AREAS HAVE BEEN TRAINED TO BE FULLY VERSED IN ALL FINANCIAL ASSISTANCE-RELATED POLICIES, HAVE ACCESS TO THE CHARITY CARE APPLICATION FORMS, AND BE ABLE TO DIRECT QUESTIONS TO THE APPROPRIATE REPRESENTATIVES. FOR NON-EMERGENCY PURPOSES, EVERY FILE FOR A PATIENT THAT HAS PRE-SCHEDULED AN OFFICE VISIT OR PROCEDURE IS REVIEWED BEFORE THE PATIENT ARRIVES AT THE HOSPITAL. A FINANCIAL COUNSELOR IS ASSIGNED TO THAT PATIENT IF IT IS DETERMINED THAT THE INDIVIDUAL MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE, ETC. ALSO, WHEN A PATIENT RECEIVES A BILL, THE ORGANIZATION INCLUDES PAPERWORK EXPLAINING THAT FINANCIAL ASSISTANCE IS AVAILABLE. JAY HOSPITAL HAS POSTED MULTILINGUAL NOTICES OF FINANCIAL ASSISTANCE POLICIES IN THE EMERGENCY DEPARTMENT. SAID NOTICES HAVE BEEN PUBLISHED IN ENGLISH AND SPANISH, AND HAVE BEEN MADE CLEARLY VISIBLE TO THE PUBLIC FROM THE LOCATION AT WHICH THEY ARE POSTED. JAY HOSPITAL PROVIDES PATIENTS, IN A TIMELY MANNER, A SUMMARY OF ITS CHARITY CARE POLICY UPON REQUEST. THE SUMMARY, AT A MINIMUM, PROVIDES SPECIFIC INFORMATION AS TO INCOME LEVELS USED TO DETERMINE ELIGIBILITY AND THE MEANS FOR APPLYING FOR ASSISTANCE. ALSO, JAY HOSPITAL HAS POSTED A SUMMARY OF ITS CURRENT CHARITY CARE POLICY ON ITS INTERNET WEBSITE. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION JAY HOSPITAL, INC. OPERATES IN SANTA ROSA COUNTY, FLORIDA. APPROXIMATELY 211,000 INDIVIDUALS RESIDE IN THIS COUNTY, 10.3% OF WHICH LIVE BELOW POVERTY LEVEL. WHEN CONSIDERING THESE FACTORS, MORE THAN 22,000 RESIDENTS COULD BE ELIGIBLE TO QUALIFY FOR CHARITY CARE. APPROXIMATELY 16.4% OF JAY HOSPITAL'S PATIENTS DURING FY2025 WERE UNINSURED OR WERE MEDICAID RECIPIENTS. THREE HOSPITALS, INCLUDING JAY HOSPITAL, ARE LOCATED IN SANTA ROSA COUNTY. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH THE ORGANIZATION DOES NOT LIMIT MEDICAL STAFF PRIVILEGES TO THE ORGANIZATION'S EMPLOYED PHYSICIANS BUT EXTENDS THOSE PRIVILEGES TO QUALIFIED PHYSICIANS FOR MOST AREAS OF SERVICE.THE ORGANIZATION'S BOARD OF DIRECTORS PRIMARILY CONSISTS OF COMMUNITY LEADERS AND RESIDENTS WHO ARE INDEPENDENT OF THE ORGANIZATION. THE ORGANIZATION STRIVES TO EDUCATE ALL BOARD MEMBERS REGARDING THE HEALTH NEEDS OF THE COMMUNITY AND HOW THESE NEEDS RELATE TO THE ORGANIZATION'S MISSION AND VALUES.THE ORGANIZATION SEEKS TO STRATEGICALLY ALLOCATE AVAILABLE FUNDS TO BENEFIT THE SURROUNDING COMMUNITIES. FOCUS AREAS INCLUDE INCREASING THE TYPES OF CARE TO BE PROVIDED TO THE COMMUNITY, IMPROVING THE QUALITY OF PATIENT CARE, AND FURTHERING MEDICAL EDUCATION AND RESEARCH. SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM ALTHOUGH THE ORGANIZATION MAY OPERATE IN DIFFERENT SERVICE AREAS WHEN COMPARED TO ITS AFFILIATES, ALL AFFILIATES WORK COLLABORATIVELY TO ENSURE THAT THE NEEDS OF THE COMMUNITIES ARE BEING ADDRESSED. THE ORGANIZATION PARTICIPATES IN MANY FREE HEALTH SCREENINGS, SUPPORT GROUPS, EDUCATION SEMINARS, AND HEALTH FAIRS THAT BENEFIT ALL COMMUNITIES WITHIN THE SYSTEM AND ARE NOT LIMITED TO THE COMMUNITIES IN WHICH THE ORGANIZATION OPERATES. AFFILIATED ENTITIES INCLUDE: - BAPTIST HEALTH CARE, INC. - OPERATES BAPTIST HOSPITAL, GULF BREEZE HOSPITAL, AS WELL AS FREE-STANDING EMERGENCY DEPARTMENTS/URGENT CARES. - BAPTIST HEALTH CARE FOUNDATION, INC. - PROVIDES FINANCIAL AND FUNDRAISING ASSISTANCE FOR ALL AFFILIATES - BAPTIST URGENT CARE, LLC - DELIVER AMBULATORY CARE IN A DEDICATED MEDICAL FACILITY OUTSIDE OF A TRADITIONAL EMERGENCY ROOM. true COMMUNITY HEALTH NORTHWEST FLORIDA 2315 WEST JACKSON ST PENSACOLA FL 32505 593105246 501(C)(3) 13750 HEALTHCARE 1 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS WITHIN ONE YEAR, THE ORGANIZATION REQUESTS DOCUMENTATION FROM THE RECIPIENT REGARDING PROPER USE OF FUNDS PROVIDED FOR INDIGENT PATIENTS X X X X X false true false false false false false false false BRETT ALDRIDGE EXECUTIVE VICE PRESIDENT & COO 0 642780 0 118300 0 40561 0 7964 0 38364 0 847969 0 0 ELIZABETH CALLAHAN MEMBER/ASSISTANT SECRETARY 0 422361 0 68203 0 43964 0 8766 0 37380 0 580674 0 0 ANDREW TERRY MANAGED CARE CONSULTANT & OUTGOING CFO 0 618537 0 94199 0 54459 0 11049 0 26140 0 804384 0 0 KEITH STRICKLING ADMINISTRATOR 149502 29581 0 0 0 17 3655 487 31286 6373 184443 36458 0 0 DEBRA JENKINS ASSISTANT ADMINISTRATOR 163464 0 0 0 396 0 4210 0 37373 0 205443 0 0 0 SCOTT MOORE MD PHYSICIAN 41760 0 120040 0 0 0 0 0 0 0 161800 0 0 0 KARIN PARDUE MD PHYSICIAN 281301 0 50670 0 258 0 0 0 36749 0 368978 0 0 0 DANIEL DAYON SHEPPARD PHARMD MANAGER - PHARMACY 142347 0 0 0 138 0 3670 0 35855 0 182010 0 0 0 SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: BRETT ALDRIDGE ELIZABETH CALLAHAN THERE WERE NO CONTRIBUTIONS TO THE PLAN DURING THE TAX YEAR. SCHEDULE J, PART II THE RELATED COMPENSATION REPORTED ON FORM 990, PART VII, SECTION A & SCHEDULE J, PART II WAS PAID BY THE FOLLOWING RELATED ORGANIZATIONS: --BAPTIST HEALTH CARE, INC. FORM 990, PART V, LINE 1A 1099'S ARE ISSUED ON THE ORGANIZATION'S BEHALF BY BAPTIST HEALTH CARE, INC. (EIN: 59-0657322), A RELATED TAX EXEMPT ORGANIZATION. FORM 990, PART VI, LINE 2 PART VI, LINE 2 ANDREW TERRY, CHARLIE BRINKLEY, BRETT ALDRIDGE, ELIZABETH CALLAHAN, AND KEITH STRICKLING HAVE A BUSINESS RELATIONSHIP. THE BUSINESS RELATIONSHIP IS AN EMPLOYER/EMPLOYEE RELATIONSHIP AT RELATED TAX-EXEMPT ORGANIZATIONS. ALL BOARD MEMBERS OF JAY HOSPITAL, INC. HAVE A BUSINESS RELATIONSHIP WITH ANDREW TERRY, BRETT ALDRIDGE, ELIZABETH CALLAHAN, AND KEITH STRICKLING. ALL MEMBERS ALSO SERVE ON THE BOARD OF BAPTIST HEALTH CARE, INC. AND ANDREW TERRY, BRETT ALDRIDGE, ELIZABETH CALLAHAN, AND KEITH STRICKLING ARE EMPLOYEES OF BAPTIST HEALTH CARE, INC. FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS BAPTIST HEALTH CARE, INC., A FLORIDA CORPORATION NOT-FOR-PROFIT, IS THE SOLE MEMBER OF JAY HOSPITAL, INC. BAPTIST HEALTH CARE, INC. HAS THE RIGHT TO ELECT THE BOARD OF DIRECTORS OF JAY HOSPITAL, INC. FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY BAPTIST HEALTH CARE, INC., BEING THE SOLE MEMBER OF JAY HOSPITAL, INC. HAS THE RIGHT TO ELECT THE GOVERNING BODY OF JAY HOSPITAL, INC. FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS THE FOLLOWING SHALL REQUIRE APPROVAL BY THE BAPTIST HEALTH CARE, INC. THE SOLE MEMBER, BOARD OF DIRECTORS: A. ELECTION OF THE DIRECTORS OF THE CORPORATION AT THE ANNUAL MEETING OF THE MEMBERS FROM AMONG THOSE PERSONS NOMINATED BY THE BAPTIST HEALTH CARE CORPORATION NOMINATING COMMITTEE. B. REMOVAL OF A DIRECTOR OF THE CORPORATION WITH OR WITHOUT CAUSE WHENEVER SUCH ACTION WOULD BE IN THE BEST INTEREST OF THE CORPORATION C. ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS BEFORE THEY MAY BECOME EFFECTIVE. D. APPOINTMENT OF THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION E. ANY CONTRACT OR PURCHASE ORDER IN EXCESS OF $1,000,000 IN ADVANCE F. THE INCURRENCE BY THE CORPORATION OF ANY INDEBTEDNESS IN EXCESS OF $1,000,000 BEFORE SUCH INDEBTEDNESS IS CONTRACTED AND BEFORE EVIDENCE OF SUCH INDEBTEDNESS IS ISSUED G. ANNUAL CAPITAL AND OPERATING BUDGETS OF THE CORPORATION H. TRANSFER ASSETS BY THE CORPORATION DURING ANY FISCAL YEAR OF ASSETS EXCEEDING $100,000 IN NET VALUE FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY FORM 990 IS PREPARED AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S MANAGEMENT PERSONNEL. ANY QUESTIONS AND CONCERNS THE ORGANIZATION'S MANAGEMENT PERSONNEL HAS ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN MADE AVAILABLE TO THE EXECUTIVE COMPENSATION COMMITTEE AND ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990 WITH THE IRS. ALL BOARD MEMBERS ARE INFORMED THAT A PAPER COPY OF THE FORM 990 IS AVAILABLE AT THE ORGANIZATION'S PRINCIPAL OFFICE. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY BOARD MEMBERS AND OFFICERS RECEIVE CORRESPONDENCE EACH YEAR THAT MUST BE COMPLETED AND SIGNED. THE CORRESPONDENCE INCLUDES A CONFLICTS OF INTEREST QUESTIONAIRE. OFFICERS AND KEY STAFF ALSO RECEIVE AN ATTESTATION FORM THAT MUST BE SIGNED CONFIRMING THAT THEY WILL DISCLOSE ANY CONFLICTS THAT VIOLATE THE ORGANIZATION'S POLICY. THE BOARD REVIEWS ALL CONFLICTS AND DETERMINES IF FURTHER ACTIONS NEED TO BE TAKEN. WHEN A CONFLICT DOES EXIST, THE INTERESTED PERSON MUST SUBMIT A DISCLOSURE NOTICE TO THE BOARD AND ABSTAIN FROM MAKING MOTIONS, VOTING, NEGOTIATING, EXECUTING AGREEMENTS, OR TAKING ANY OTHER DIRECT ACTION ON BEHALF OF THE ORGANIZATION WHERE THE CONFLICT MIGHT PERTAIN. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION HAS ALL GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND THE ANNUAL FINANCIAL STATEMENTS ON FILE IN THE ACCOUNTING AND ADMINISTRATION DEPARTMENTS. ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER FEES PURCHASED SERVICES - TOTAL EXPENSE: 2260187, PROGRAM SERVICE EXPENSE: 2260187, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; PROFESSIONAL FEES - MEDICAL - TOTAL EXPENSE: 692166, PROGRAM SERVICE EXPENSE: 692166, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; PROFESSIONAL FEES - OTHER - TOTAL EXPENSE: 309859, PROGRAM SERVICE EXPENSE: 280556, MANAGEMENT AND GENERAL EXPENSES: 29303, FUNDRAISING EXPENSES: ; FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES TRANSFER FROM AFFILIATE - -650181; OTHER - -185716; TOTAL - -835897; FORM 990, PART VI, LINE 15A - & 15B PROCESS TO ESTABLISH COMPENSATION EACH YEAR, THE COMPENSATION COMMITTEE OF THE BAPTIST HEALTH CARE, INC. BOARD UTILIZES INDEPENDENT COMPENSATION STUDIES THAT REFLECT THE CURRENT MARKET VALUE OF SPECIFIC KEY MANAGEMENT POSITIONS AS BENCHMARK DATA. ALL COMPENSATION OF KEY INDIVIDUALS MUST BE APPROVED BY THE BAPTIST HEALTH CARE COMPENSATION COMMITTEE. 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