4A (Expenses $ 456930026 including grants of $ 0) (Revenue $ 389998183)
SEE SCHEDULE O

Schedule H, Part V, Section B, Line 5 Facility A, 1
"Facility A, 1 - BETHESDA HOSPITAL EAST/WEST. For its FY2021 Community Health Needs Assessment (""CHNA ""), Baptist Health South Florida, Inc. and its affiliates (""Baptist Health or ""BHSF"") conducted the assessment of the Bethesda Hospital East and West (collectively ""BHEW"") community. The CHNA prioritized the needs and areas of opportunity based on input from the BHEW community; analysis of local, State of Florida, and federal quantitative data; and focus groups. The designated service area for BHEW consists of 14 zip codes in Palm Beach County. BHEW invited key stakeholders to one of three scheduled focus groups held via Zoom in March and April 2021. In addition, an online survey was emailed to all invitees who were unable to participate in the live Zoom sessions. A total of 38 community and internal stakeholders shared their perspective on the overall health of the Bethesda Hospital East and West community. Internal stakeholders included various members of hospital leadership, representatives from case management, nursing, community relations, and physicians. External stakeholders included various community, non-profit organizations, and local government leaders. Focus group participants were asked to consider a compilation of data, which included statistical information focused on the BHEW primary service area residents, and, when available, Palm Beach County, Florida and the U.S. and their personal/professional perspective during the qualitative question and answer portion of the focus group session. Focus group participants discussed topics of behavioral health, unhealthy behaviors that lead to chronic disease, and improving the overall quality of life of the residents in the BHEW service area."

Schedule H, Part V, Section B, Line 6a Facility A, 1
Facility A, 1 - BETHESDA HOSPITAL EAST/WEST. For its FY2021 CHNA, Baptist Health conducted the assessment for BHEW. In order to ensure broad community input, Baptist Health utilized the existing CHNA steering committee composed of 25 representatives, including hospital representatives, with experience in assessing healthcare needs to organize BHEW's CHNA approach. The report takes into account the latest government and public statistics. Hospital data and feedback from the various focus groups and surveys.

Schedule H, Part V, Section B, Line 11 Facility A, 1
"Facility A, 1 - Bethesda Hospital East/West. BHEW CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT DURING FY2021 TO BETTER UNDERSTAND THE HEALTHCARE NEEDS OF THE COMMUNITY IT SERVES IN PALM BEACH COUNTY. AS A RESULT, THE FOLLOWING FIVE PRIORITY AREAS WERE IDENTIFIED: * CHRONIC DISEASE MANAGEMENT * HEALTHY LIFESTYLES AND WELLNESS * BEHAVIORAL HEALTH * AVAILABILITY OF PRIMARY CARE AND PREVENTION * ACCESS TO CARE THE WRITTEN IMPLEMENTATION PLAN ADDRESSES EACH OF THESE FIVE PRIORITY AREASE, WITH STRATEGIES ORGANIZED AROUND EACH PRIORITY AREA. Chronic Disease Management * Baptist Health contributed $269,200 to support chronic disease management organizations. In Palm Beach County, this included YMCA South Palm Beach. Additionally, support was provided to the Sabrina Cohen Foundation and Gift of Life, which serve residents in Monroe, Miami-Dade, Broward, and Palm Beach counties. Although BHEW does not directly provide cash contributions to these organizations, Baptist Health as a system provides support to directly impact BHEW community and the communities of Monroe, Miami-Dade, Broward, and Palm Beach counties. * Seventeen (17) chronic disease management support groups were offered throughout the Baptist Health system and the system hosted a total of 1,695 participants. Bethesda Hospital East and West hosted 173 participants in two chronic disease management support groups focused on stroke support. * Baptist Health is committed to improving the health and wellness of the community. The Community Health Department offers free chronic disease management education, focusing on topics such as diabetes management, nutrition, heart health, and other chronic disease issues. The Community Health Department offered 278 chronic disease management programs hosting 6,608 participants, with 19 programs hosted in the Bethesda Hospital East and West service area with 303 attendees. * Baptist Health's Community Health department (""Community Health"") offers free in-person and virtual exercise classes, health screenings, and health education programs to the community at large. Community Health offered 10 health fairs and 1,439 health screenings in FY22. One health fair and 41 health screenings were offered in the Bethesda Hospital East and West service area. * In collaboration with Everglades Area Health Education (AHEC), the Florida Department of Health's Tobacco Free-Florida program, Bethesda Hospital East and West referred one patient to the smoking cessation program. * To make prevention screenings accessible for everyone, Baptist Health offers special pricing for uninsured patients. Baptist Health provided a total of 4,800 discounted diagnostic tests and 62 lung cancer screenings. Additionally, Baptist Outpatient Services, in Palm Beach County, offered the following discounted diagnostic tests: 169 cardiac scoring, 16 lung screening, and 1,390 mammogram imaging exams to those who were uninsured in the community. Healthy Lifestyles and Wellness * The Community Health Department offered free exercise classes, health screenings, and health education programs to the community at large. The Community Health Department hosted 2,441 exercise classes for a total of 81,918 exercise encounters and 881 educational programs - many focused on healthy eating and nutrition - to 25,921 participants. In the Bethesda Hospital East and West service area, 22 nutrition programs were offered with 251 attendees, one orthopedics program was offered with 10 attendees, and 150 exercise classes were offered with 1,383 participants. * The Community Health Department offered the CDC's (Centers for Disease Control) fully recognized Diabetes Prevention Program, Beat Diabetes: Take Control, free of charge to 33 community participants with two participants from the Bethesda Hospital East and West service area. The two cohorts met via Zoom. The lifestyle change program provided weekly and monthly sessions over the course of the 12-month program, with the goal of participants reducing their starting weight by 5-7 percent by the culmination of the program. The two cohorts lost an average of 4.5 percent of their starting weight."

Schedule H, Part V, Section B, Line 11 Facility A, 2
Facility A, 2 - Bethesda Hospital East/West (Continued). Behavioral Health * Five Behavioral Health support groups were offered throughout the Baptist Health system and the system hosted a total of 729 participants. * Baptist Health is committed to improving the health and wellness of the community. The Community Health Department offers free in-person and virtual behavioral health education, focusing on topics such as stress management, mindfulness, meditation, and various mental health issues. These health programs and workshops are offered to the community at large and to smaller, restricted groups, in partnership with community organizations, or other media outlets, like Baptist Health Resource Blogs, Facebook and Instagram Live programs, Tik Tok videos, and articles for websites such as Healthline and newspapers. In FY2022, The Community Health Department offered 268 behavioral health-focused classes to 9,172 community participants. In the Bethesda Hospital East and West service area, five behavioral health programs were offered with 119 participants. * Baptist Health has been able to establish behavioral health partnerships to help support our communities through community benefit support. In FY2022, Baptist Health contributed $592,082 to support our partners. These organizations provide psychiatric assessments, free outpatient counseling, bereavement support groups, inpatient substance use treatment, and free/low-cost medications for Baptist Health's patients and our community's members. o Monroe County: 211 Miami-Dade and Monroe (Jewish Family Services), Autism Society of the Keys, Florida Keys Children's Shelter, and Island Dolphin Care o Miami-Dade County: 211 Miami-Dade and Monroe, Agape Network, Children's Bereavement Center, New Hope Corps, and Sofia's Hope. o Broward County: 211 Broward, Children's Bereavement Center, and Eagles Haven o Palm Beach County: Faulk Center for Counseling * Postpartum depression, a severe condition associated with a number of risk factors, affects women differently and at different points during the postpartum period. Baptist Hospital of Miami, South Miami Hospital, West Kendall Baptist Hospital, Homestead Hospital, Bethesda Hospital East, and Boca Raton Regional Hospital have standardized that all new mothers in their labor and delivery departments receive a postpartum depression screening prior to discharge. Patients who score high on the Edinburgh Postnatal Depression Scale are referred to the Social Work department for evaluation, and the patient's primary obstetrician is notified for further evaluation. * The Baker Act is a Florida law that enables families and loved ones to provide emergency mental health services and temporary detention for people who are impaired because of their mental illness, and who are unable to determine their needs for treatment. In partnership with Fort Lauderdale Behavioral Health, 100 percent of the patients in need of Baker Act transfers from a Baptist Health Palm Beach County entity to a federally qualified receiving facility were placed within four hours of being admitted to the emergency department. Baptist Health's Palm Beach County entities were able to coordinate the timely referral of 399 Baker Act patients to behavioral health providers in the community. * In FY2022, Baptist Health provided a total of 853 free behavioral health visits on Care-On-Demand to the community. Four of these services were provided to Palm Beach County residents. Although Bethesda Hospital East and West does not directly provide behavioral health support via tele-health, Baptist Health as a system provides support to directly impact the Bethesda Hospital East and West community and the communities of Monroe, Miami-Dade, Broward, and Palm Beach counties. * Pastoral care services and Palliative Care for Baptist Health totaled $388,396 and $4.291 million, respectively. Although Bethesda Hospital East and West does not directly provide pastoral care services and palliative care, Baptist Health as a system provides support to directly impact Bethesda Hospital East and West and the other Baptist Health entities. * Baptist Health has implemented a depression-screening questionnaire in our primary care practices for all patients. Patients who screen positive will be further evaluated to inform treatment planning. Bethesda Hospital East and West have implemented the Columbia Suicide Severity Rating Scale (C-SSRS) in the hospital's emergency department. The C-SSRS is a measure used to identify and assess individuals at risk for suicide. Providers should use the scale as a measure of suicidal ideation, intent or plan, and past suicidal behavior. This scale is used to guide appropriate therapeutic intervention and to facilitate safety monitoring and planning. Baptist Health has implemented the C-SSRS at all of its entities across the system. Availability of Primary Care and Prevention * Bethesda Health Physician Group has 22 offices serving Palm Beach County. Although Bethesda Hospital East and West does not directly provide primary care to the community, Bethesda Health Physician Group provides primary care services to directly impact the Bethesda Hospital East and West community and the community of Palm Beach County. * Baptist Health provides continuing medical education (CME) in support of its primary care providers and allied health professionals through its accredited program. Baptist Health continues to fund and support continuing medical education activities. It offered 511 conferences with 118,296 health professionals attending. In FY2022, 2,350 possible credits were offered. A total of 174,517 CME/CE credits were awarded as a result of participants completing more than one activity. Although BHEW does not provide CME directly to community physicians and health professionals, Baptist Health provides CME to directly impact the BHEW community and the communities of Monroe, Miami-Dade, Broward, and Palm Beach counties. * To make prevention screenings accessible for everyone, Baptist Health offers special pricing for uninsured patients. Baptist Health provided 4,800 discounted diagnostic tests. Baptist Outpatient Services, in Palm Beach County, offered the following discounted diagnostic tests; 169 cardiac scoring, 16 lung screening, and 1,390 mammograms. Although BHEW does not provide discounted diagnostic screenings directly to community, Baptist Health and Baptist Outpatient Services provides discounted diagnostic screenings to directly impact the BHEW community and the communities of Miami-Dade, Broward, and Palm Beach counties. Access to Care * Baptist Health contributed $4.188 million in cash to community clinics for the uninsured and $34,000 in foregone rent. Baptist Health provides funding to support operations for seven (7) community clinics: o Monroe County: Good Health Clinic o Miami-Dade County: Good News Care Center, Homestead Community Health Center, Open Door Health Center, and South Miami Children's Clinic o Palm Beach County: Caridad Center Baptist Health also made contributions to Chapman Partnership and Good Samaritan Clinic totaling $30,480 to support clinic operations and access to Care. In the Florida Keys, $75,000 was provided to Florida Keys Area Health Education Center to support the medical and dental program for school-age children. * Financial Assistance Policy - BHEW provided$2.702M in charity careto 807 unique individualsthrough1,169 totalpatientencounters. * Bethesda Hospital East and West incurred a Medicaid shortfall of $27.296M, resulting from 33,308 cases, during FY2022. * Care On Demand (COD) is Baptist Health's telehealth platform and digital front door to access the system. Service is now available for multiple specialties to treat our patients' needs. The platform provided 21,213 virtual urgent care visits of those visits, 11,455 were free of charge. In Palm Beach County, 2,152 virtual urgent care visits were provided by COD, of which 1,341 were free. In addition to urgent care visits, Baptist Health offered specialty visits on the COD platform, including 63 Diet and Nutrition and 4 Lactation specialty visits. Although BHEW does not directly provide telehealth support via COD, Baptist Health as a system provides support to directly impact the BHEW community and the communities of Monroe, Miami-Dade, Broward, and Palm Beach counties. ALL IDENTIFIED NEEDS ARE BEING ADDRESSED IN VARIOUS FORMS, EITHER DIRECTLY BY BAPTIST HEALTH OR IN COLLABORATION WITH EXTERNAL COMMUNITY-BASED ORGANIZATIONS.

Schedule H, Part V, Section B, Line 16 Facility A, 1
Facility A, 1 - Bethesda Hospital East/West. ALL SELF PAY PATIENTS RECEIVE WITH THEIR STATEMENTS A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY.

Schedule H, Part VI, Line 6 AFFILIATED HEALTH CARE SYSTEM
"THE BAPTIST HEALTH SYSTEM PROVIDES A COMPREHENSIVE CONTINUUM OF SERVICES, EITHER THROUGH ITS OWN PROGRAMS OR IN COOPERATION WITH OTHER AFFILIATED HOSPITALS AND HEALTH CARE PROVIDERS. BAPTIST HEALTH'S CARE PROGRAMS AND SERVICES INCLUDE THE FOLLOWING: MIAMI CARDIAC VASCULAR INSTITUTE: MIAMI CARDIAC VASCULAR INSTITUTE (""MCVI"") IS THE LARGEST AND MOST COMPREHENSIVE CARDIOVASCULAR FACILITY IN THE REGION. PATIENTS CAN EXPERIENCE CONSISTENT, EXCEPTIONAL, EVIDENCE-BASED CARE AT INSTITUTE LOCATIONS THROUGHOUT BAPTIST HEALTH. MCVI'S TEAM OF MULTILINGUAL, MULTIDISCIPLINARY SPECIALISTS HAVE PIONEERED THE DEVELOPMENT OF TECHNOLOGY USED TO TREAT ANEURYSMS, BLOCKAGES IN VEINS AND ARTERIES, AND HOLES IN THE HEART. MCVI PARTICIPATES IN CLINICAL RESEARCH STUDIES AND OFFERS THE MOST MINIMALLY INVASIVE OPTIONS WHENEVER POSSIBLE. MCVI ALSO OFFERS PERSONALIZED EDUCATION AND REHABILITATION SERVICES TO HELP MANAGE EXISTING CONDITIONS AND TO PREVENT CARDIOVASCULAR DISEASE. MCVI ADHERES TO QUALITY STANDARDS ESTABLISHED BY THE AMERICAN COLLEGE OF CARDIOLOGY, SOCIETY OF INTERVENTIONAL RADIOLOGY, AMERICAN COLLEGE OF RADIOLOGY, SOCIETY FOR VASCULAR SURGERY, AND SOCIETY OF THORACIC SURGERY. MCVI WAS ESTABLISHED IN 1987 UNDER THE LEADERSHIP OF BARRY T. KATZEN, M.D. DR. KATZEN IS THE RECIPIENT OF THE CARDIOVASCULAR AND RADIOLOGICAL SOCIETY OF EUROPE'S GOLD MEDAL AWARD FOR HIS GROUNDBREAKING WORK IN INTERVENTIONAL RADIOLOGY, INCLUDING THE USE OF STENTS FOR PROPPING OPEN MAJOR BLOOD VESSELS OUTSIDE THE HEART. DR. KATZEN HAS THE DISTINCTION OF BEING THE FIRST AMERICAN TO EARN THE CARDIOVASCULAR AND RADIOLOGICAL SOCIETY OF EUROPE'S TOP HONOR. MCVI HAS MORE THAN 100 PHYSICIANS WHO REPRESENT MORE THAN 15 SPECIALTIES AND HAVE MET STRINGENT REQUIREMENTS FOR ONGOING MEDICAL EDUCATION, TRAINING, AND RESEARCH. MCVI ALSO EMPLOYS MORE THAN 800 NURSES, TECHNOLOGISTS, AND OTHER ALLIED HEALTH PROFESSIONALS. EACH YEAR, MCVI HOSTS THE INTERNATIONAL SYMPOSIUM ON ENDOVASCULAR THERAPY, WITH MORE THAN 800 CARDIAC AND VASCULAR SPECIALISTS IN ATTENDANCE. MCVI IS MANAGED BY MIAMI CARDIAC VASCULAR INSTITUTE MANAGEMENT COMPANY, LLC, A FLORIDA LIMITED LIABILITY CORPORATION. BAPTIST HEALTH SOUTH FLORIDA, INC. HAS A 50% INTEREST IN MIAMI CARDIAC VASCULAR INSTITUTE MANAGEMENT COMPANY, LLC, WHICH WAS FORMED TO PROVIDE MANAGEMENT SERVICES TO MCVI IN ORDER TO IMPROVE CLINICAL PERFORMANCE AND ACHIEVE OPERATIONAL EFFICIENCY. Baptist Health Cancer Care Baptist Health Cancer Care is the largest cancer program in South Florida, providing local, out-of-state and international patients with the most advanced cancer care. With locations from the Florida Keys to the Palm Beaches, the program provides cancer patients access to a full array of innovative clinical trials, physicians dedicated to bringing discovery to the bedside, access to personalized cancer treatments and comprehensive patient support services - all delivered with unparalleled compassion. Baptist Health Cancer Care includes its state-of-the-art premier institutes, Baptist Health Miami Cancer Institute and Eugene M. Christine E. Lynn Cancer Institute, with renowned subspecialized surgical oncologists, medical oncologists and radiation oncologists, and highly advanced technologies available to treat every common and rare cancer. Baptist Health Cancer Care is also Florida's only member of the Memorial Sloan Kettering Cancer Alliance, an alliance based on common standards of care and many shared clinical trials. MIAMI CANCER INSTITUTE'S Facility and CANCER SERVICES: MIAMI CANCER INSTITUTE OFFICIALLY OPENED ITS DOORS IN JANUARY 2017. THE $430 MILLION, 445,000-SQUARE-FOOT FACILITY IS PART OF BAPTIST HEALTH. MIAMI CANCER INSTITUTE HAS BECOME THE THIRD FULL MEMBER, AND THE ONLY MEMBER IN FLORIDA, OF THE MEMORIAL SLOAN KETTERING (MSK) CANCER ALLIANCE, AN INITIATIVE DESIGNED TO COLLABORATIVELY GUIDE COMMUNITY PROVIDERS TOWARD STATE-OF-THE-ART CANCER CARE. MIAMI CANCER INSTITUTE FEATURES A UNIQUE, HYBRID ACADEMIC-COMMUNITY CANCER CENTER MODEL BACKED BY 30 YEARS OF BAPTIST HEALTH'S EXPERTISE IN CANCER CARE. THE FACILITY, LOCATED ON THE BAPTIST HOSPITAL CAMPUS, CONSOLIDATES MANY OUTPATIENT CLINICAL SERVICES, CLINICAL RESEARCH, AND TECHNOLOGY PLATFORMS UNDER ONE ROOF. THE INSTITUTE IS HOME TO ONE OF THE MOST COMPREHENSIVE AND ADVANCED RADIATION ONCOLOGY PROGRAMS IN THE WORLD, INCLUDING SOUTH FLORIDA'S FIRST PROTON THERAPY CENTER, ONE OF UNDER TWO DOZEN PROTON THERAPY CENTERS IN THE NATION. THE PRECISION OF PROTON THERAPY ALLOWS DOCTORS TO TARGET CANCER CELLS WITHOUT DAMAGING HEALTHY TISSUE AND VITAL ORGANS. MIAMI CANCER INSTITUTE DRAWS A SIGNIFICANT NUMBER OF PATIENTS FROM OUTSIDE THE UNITED STATES, AS WELL AS LEADING MEDICAL AND BUSINESS PROFESSIONALS TO SOUTH FLORIDA FOR CONFERENCES, SYMPOSIA AND OTHER EVENTS. THE HILTON MIAMI-DADELAND - A 184-ROOM, FULL-SERVICE HOTEL AND CONFERENCE CENTER - OPENED IN 2019 AND HAS BEEN AN ESSENTIAL COMPONENT TO SERVING OUT-OF-TOWN PATIENTS AND GUESTS VISITING THE CANCER INSTITUTE, AS WELL AS THOSE WHO COME TO THE AREA FOR OTHER TYPES OF CARE. OUR CANCER EXPERTS AND OTHER HEALTH CARE PROFESSIONALS WORK WITH PATIENTS IN A VARIETY OF SETTINGS, INCLUDING AN INTENSIVE CARE UNIT AND SPECIALIZED CANCER SETTINGS FOR INPATIENT AND OUTPATIENT TREATMENTS. BAPTIST HOSPITAL OF MIAMI, BAPTIST CHILDREN'S HOSPITAL, AND SOUTH MIAMI HOSPITAL ARE ACCREDITED WITH COMMENDATION BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER. MIAMI CANCER INSTITUTE IS ALSO LEADING EFFORTS TO ADDRESS INEQUITIES IN CANCER CARE AND CLINICAL TRIAL ENROLLMENT. THROUGH OUR RECENTLY ESTABLISHED CENTER FOR EQUITY IN CANCER CARE RESEARCH, WE ARE WORKING TO IDENTIFY AND DECREASE DISPARITIES IN CANCER CARE AND TO EXPAND THE PARTICIPATION OF UNDERSERVED POPULATIONS IN CINICAL TRIALS. MIAMI CANCER INSTITUTE IS PART OF BAPTIST HEALTH CANCER CARE. LYNN CANCER INSTITUTE Eugene M. Christine E. Lynn Cancer Institute is one of the largest cancer centers in South Florida and is accredited as a Comprehensive Cancer Center by the American College of Surgeons. The Lynn Cancer Institute treats an estimated 4,000 newly diagnosed cancer patients each year in facilities such as the Harvey Phyllis Sandler Pavilion, our state-of-the-art cancer center; as well as our other respective satellite locations in Delray Beach. LYNN CANCER INSTITUTE IS PART OF BAPTIST HEALTH CANCER CARE. BAPTIST HEALTH ORTHOPEDIC CARE BAPTIST HEALTH ORTHOPEDIC INSTITUTE IS COMPRISED OF BOARD-CERTIFIED, FELLOWSHIP-TRAINED ORTHOPEDIC PHYSICIANS WHO ARE RECOGNIZED LOCALLY, NATIONALLY, AND INTERNATIONALLY AS LEADERS IN ORTHOPEDICS AND THE CARE OF ATHLETES AND TREATMENT OF SPORTS INJURIES. BHOC COMBINES ITS RESOURCES OF EXPERIENCED PHYSICIANS AND LEADING-EDGE TREATMENTS AND TECHNOLOGY TO PROVIDE ADVANCED ORTHOPEDIC, PEDIATRIC ORTHOPEDIC, AND SPORTS MEDICINE CARE AT VARIOUS BAPTIST HEALTH LOCATIONS -. THE INSTITUTE'S EXPERIENCED PHYSICIANS TREAT PROFESSIONAL AND OLYMPIC ATHLETES FROM AROUND THE COUNTRY, THE CARIBBEAN, AND LATIN AMERICA, AS WELL AS RECREATIONAL ATHLETES AND NON-ATHLETES FROM SOUTH FLORIDA. BAPTIST HEALTH ORTHOPEDIC CARE PROVIDES SPORTS MEDICINE SERVICES FOR THE MIAMI DOLPHINS, MIAMI HEAT, INTERMIAMI CF, FLORIDA PANTHERS, FLORIDA INTERNATIONAL UNIVERSITY ATHLETICS, FLORIDA ATLANTIC UNIVERSITY, ORANGE BOWL, MIAMI-DADE COUNTY PUBLIC SCHOOLS ATHLETICS, MIAMI OPEN TENNIS AND THE MIAMI MARATHON AND HALF MARATHON."

Schedule H, Part V, Section B, Line 14 Bethesda Hospital East/West
UNINSURED INDIVIDUALS WITH LIMITED FINANCIAL RESOURCES WHO ARE UNABLE TO ACCESS ENTITLEMENT PROGRAMS ARE ELIGIBLE FOR FREE HEALTH CARE SERVICES BASED ON ESTABLISHED CRITERIA. SINCE PATIENTS QUALIFYING FOR CHARITY CARE RECEIVE A 100% DISCOUNT, BAPTIST HEALTH DOES NOT COMPUTE AMOUNTS GENERALLY BILLED TO INDIVIDUALS.

Schedule H, Part V, Section B, Line 22
PATIENTS QUALIFYING UNDER THE FINANCIAL ASSISTANCE POLICY WITH FAMILY INCOME AT OR BELOW 200% FPG RECEIVE FREE CARE. BAPTIST HEALTH USES THE PROSPECTIVE MEDICARE METHOD TO DETERMINE AGB.

Schedule H, Part I, Line 6a
BAPTIST HEALTH, THE HOSPITAL'S PARENT ORGANIZATION, PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH INCLUDES THE CHARITY CARE AND COMMUNITY BENEFITS PROVIDED BY BETHESDA HOSPITAL, Inc. AND THE OTHER NOT-FOR-PROFIT AFFILIATES OF BHSF.

Schedule H, Part I, Line 7f
BAD DEBT EXPENSE OF $ 32,864,001 IS INCLUDED IN FORM 990 PART IX LINE 25 COLUMN (A) BUT EXCLUDED FROM THE DENOMINATOR FOR PURPOSES OF CALCULATING THE PERCENTAGES ON LINE 7, COLUMN F.

Schedule H, Part V, Section B
FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: BETHESDA HOSPITAL EAST - FACILITY 2: BETHESDA HOSPITAL WEST

Schedule H, Part V, Section B, Line 20a
No extraordinary collection activities were permitted by Bethesda Hospital East and West; therefore, notice of such actions is not applicable and Bethesda Hospital was not required to make presumptive eligibility determinations.

Schedule H, Part V, Section B, Line 20d
No extraordinary collection activities were permitted by Bethesda Hospital East and West; therefore, notice of such actions is not applicable and Bethesda Hospital was not required to make presumptive eligibility determinations.

Schedule H, Part I OTHER INFORMATION
"AS PART OF BAPTIST HEALTH, THE LARGEST NOT-FOR-PROFIT HEALTHCARE CORPORATION IN THE REGION, BETHESDA HOSPITAL, INC. IS COMPRISED OF BETHESDA HOSPITAL EAST AND BETHESDA HOSPITAL WEST. WE SERVE A COMMUNITY WITH HEALTH NEEDS THAT SPAN ALL THE STAGES OF LIFE FROM PRENATAL CARE THROUGH PRIMARY CARE AND CONTINUING WITH CRITICAL CARE AND END-OF-LIFE NEEDS. WE ALSO HAVE A DIVERSE COMMUNITY THAT INCLUDES AN AGING POPULATION WITH CONCERNS ABOUT ACCESS TO HEALTHCARE SERVICES AND TRANSPORTATION TO THOSE SERVICES. WE ASSESS OUR COMMUNITY NEEDS THROUGH A VARIETY OF METHODS, INCLUDING ONE-ON-ONE INTERACTIONS WITH COMMUNITY INDIVIDUALS AND CIVIC LEADERS AND PATIENT INTERVIEWS FOLLOWING THEIR EXPERIENCES WITH HOSPITAL CARE AND SERVICES. WE CONTINUE TO DELIVER QUALITY HEALTH SERVICES IN A CARING MANNER, PROVIDING COMMUNITY BENEFITS THAT ARE TAILORED TO THEIR NEEDS. WE PROVIDE PRIMARY, ACUTE, EMERGENCY, SPECIALTY AND CRITICAL CARE TO OUR PATIENTS, AS WELL AS ASSISTANCE FOR OUR UNDER-INSURED COMMUNITY WITH A DEDICATED, HOSPITAL-BASED STAFF THAT HELPS PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE. RECOGNIZING THE NEED FOR ACCESS TO CARE, BETHESDA Hospital, Inc. PROVIDES TRANSPORTATION SERVICES TO HELP PATIENTS ATTEND DOCTORS' APPOINTMENTS OR HAVE A TEST OR PROCEDURE PERFORMED AT THE HOSPITAL. TO ENSURE ACCESS TO CARE FOR OUR DEAF AND HEARING-IMPAIRED PATIENTS, WE ALSO PROVIDE A VIDEO INTERPRETER SERVICE. AS WE STRIVE TO MEET THE NEEDS OF THE COMMUNITY, BETHESDA Hospital, Inc. CONTINUES TO ADD PROGRAMS AND SERVICES THAT WILL PROVIDE COMMUNITY BENEFIT FOR ALL SEGMENTS OF OUR POPULATION WITH THE HIGHEST COMMITMENT TO QUALITY AND SAFETY THROUGH EVERY STAGE OF THEIR LIVES. AS PART OF OUR ORGANIZATION'S AFFILIATED HEALTHCARE SYSTEM, OUR WOMEN'S CENTER PROVIDES COMPREHENSIVE SERVICES TO WOMEN IN OUR COMMUNITY, INCLUDING MEDICALLY-NEEDY AND UNDER-INSURED PATIENTS. WE OFFER A WIDE RANGE OF SERVICES FROM DIAGNOSTIC TO THERAPEUTIC SERVICES FOR BREAST CARE AND BREAST CANCER TREATMENT, INCLUDING A BREAST NAVIGATOR WHO HELPS PATIENTS GAIN ACCESS TO FINANCIAL ASSISTANCE AND SOCIAL SERVICES. OUR PHYSICIAN PRACTICES DEPARTMENT EMPLOYS PHYSICIANS AND LEASES SPACES TO A BROAD RANGE OF PHYSICIANS WHO SERVE IN SPECIFIC GEOGRAPHIC AREAS OF OUR COMMUNITY, INCLUDING PRIMARY CARE, CARDIOLOGY AND OBSTETRICS AND GYNECOLOGY. IN ADDITION, BETHESDA HOSPITAL, INC. PROVIDES ON-THE-JOB TRAINING FOR STUDENTS FROM THE GOODWILL INDUSTRIES SCHOOL FOR MENTALLY CHALLENGED INDIVIDUALS. MANY OF THESE STUDENTS GO ON TO BECOME EMPLOYEES OF BETHESDA Hospital, Inc. IN DEPARTMENTS SUCH AS FOOD AND NUTRITION AND CENTRAL SUPPLY. THIS PROGRAM ENABLES THESE YOUNG PEOPLE TO BECOME PRODUCTIVE MEMBERS OF SOCIETY, THUS PROVIDING ENHANCED COMMUNITY BENEFIT. In the latter half of the first quarter and early second quarter of fiscal year 2022, BHSF experienced surges in patients who tested positive for COVID-19. Elective and non-emergent procedures that require overnight stays were evaluated daily based on the capacity of each BHSF facility and some circumstances resulted in postponements. Should the COVID-19 pandemic intensify in South Florida and the country, BHSF may experience supply chain disruptions, including delays and price increases in equipment, pharmaceuticals and medical supplies due to the pandemic. Staffing, equipment, and pharmaceutical and medical supplies shortages may impact our ability to admit and treat patients. BHSF has incurred, and may continue to incur, increased expenses arising from the COVID-19 pandemic, including additional supply chain and other expenditures. The federal government has taken several actions to provide financial assistance to healthcare providers during this pandemic. As of September 30, 2022, Bethesda Hospital, Inc. has received $47.3 million in relief distributions under the Coronavirus Aid, Relief, and Economic Security Act, as amended by the Paycheck Protection Program and Health Care Enhancement Act (collectively, the ""CARES Act""). During FY2022, Baptist Health as a system received $52.3 million in relief distributions and recognized approximately $52.3 million of this funding as other operating revenue. In April 2020, BHSF, on behalf of its various affiliates, submitted Medicare Accelerated/Advance Payment Programs (""APP"") applications and received approximately $297 million in advanced payments for future Medicare services recorded as contract liabilities. The Centers for Medicare Medicaid Services (""CMS"") will automatically begin recouping the Medicare Advances by offsetting against any Medicare claims submitted by BHSF twelve months from the date of initial receipt of the advance payments by BHSF. Recoupment of Medicare APP funds were approximately $210,106,000 for the year ended September 30, 2022."

Schedule H, Part V, Section B, Line 16a URL FOR FINANCIAL ASSISTANCE POLICY
THE FAP has been made widely available on the Bethesda Health website: https://www.bethesdaweb.com/patients-and-visitors

Schedule H, Part V, Section B, Line 16b URL FOR FINANCIAL ASSISTANCE POLICY APPLICATION
THE FAP application has been made widely available on the Bethesda Health website: https://www.bethesdaweb.com/patients-and-visitors

Schedule H, Part V, Section B, Line 16c URL FOR FAP SUMMARY
A PLAIN LANGUAGE SUMMARY OF THE FAP has been made widely available on the Bethesda Health website: https://www.bethesdaweb.com/patients-and-visitors

Schedule H, Part I, Line 7
AMOUNTS CALCULATED AND REPORTED IN THIS TABLE WERE DERIVED FROM THE MOST ACCURATE, AVAILABLE SOURCES. CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS COSTS ARE DETERMINED USING THE COST ACCOUNTING SYSTEM WHICH CAPTURES ALL INPATIENTS AND OUTPATIENTS, INCLUDING EMERGENCY ROOM PATIENTS. THE SYSTEM ALSO CAPTURES ALL PATIENT PAY TYPES - PRIVATE INSURANCE, MEDICARE, MEDICAID, UNINSURED AND SELF PAY. THE COSTS HAVE BEEN OFFSET BY ANY PAYMENTS RECEIVED FROM MEDICAID OR ANY OTHER UNCOMPENSATED CARE PROGRAM. OTHER BENEFITS AT COST WERE COMPILED BY OUR FINANCE DEPARTMENT USING THE COST ACCOUNTING SYSTEM OR THE ACTUAL AMOUNTS PAID WHERE APPROPRIATE.

Schedule H, Part VI, Line 6 AFFILIATED HEALTH CARE SYSTEM CONTINUED
"WOMEN'S HEALTH SERVICES: A WIDE RANGE OF SERVICES FOR THE SPECIAL HEALTH NEEDS OF WOMEN ARE OFFERED THROUGHOUT BAPTIST HEALTH. THESE RANGE FROM MATERNITY AND NEWBORN SERVICES TO DIAGNOSTIC TESTING, HEALTH EDUCATION, AND WELLNESS. BAPTIST HEALTH PROVIDES FAMILY-CENTERED MATERNITY CARE FOR THE MORE THAN 14,439 BABIES BORN AT OUR FACILITIES EACH YEAR. ON AVERAGE, OVER THE PAST THREE YEARS, MORE THAN ONE-THIRD OF ALL BABIES BORN IN MIAMI-DADE COUNTY WERE DELIVERED AT A BHSF SYSTEM HOSPITAL. OVER 100 OBSTETRICS/GYNECOLOGY BOARD-CERTIFIED SPECIALISTS USE BAPTIST HEALTH FOR THEIR OBSTETRIC AND GYNECOLOGICAL PATIENTS. BAPTIST HEALTH FACILITIES OFFER A FULL SPECTRUM OF MATERNITY CARE OPTIONS, INCLUDING LABOR-DELIVERY-RECOVERY AND LABOR-DELIVERY-RECOVERY-POSTPARTUM ROOMS, AND THEY ARE EQUIPPED TO HANDLE HIGH-RISK MOTHERS AND BIRTHS, INCLUDING BABIES WHO ARE PREMATURE OR ILL. BAPTIST HOSPITAL OF MIAMI AND SOUTH MIAMI HOSPITAL EACH HAVE LEVEL II NEONATAL INTENSIVE CARE UNITS (""NICU"") AND LEVEL III NICUS. NEONATOLOGISTS ARE ON DUTY 24 HOURS A DAY AT BOTH BAPTIST HOSPITAL OF MIAMI AND SOUTH MIAMI HOSPITAL. WOMEN'S DIAGNOSTIC TESTING SERVICES ARE AVAILABLE AT A NUMBER OF HOSPITAL AND OUTPATIENT LOCATIONS THROUGHOUT THE HEALTH SYSTEM. BAPTIST HEALTH PERFORMED MAMMOGRAPHIES, CORE BIOPSIES, BONE DENSITY EXAMS, AND ULTRASOUND STUDIES IN FY2022 AT MULTIPLE SITES ACROSS MIAMI-DADE, BROWARD, PALM BEACH, AND MONROE COUNTIES. WITH A FOCUS ON WOMEN'S HEALTH EDUCATION AND WELLNESS ISSUES, THE WOMEN'S HEALTH RESOURCE CENTER, LOCATED ON THE BAPTIST HOSPITAL OF MIAMI CAMPUS, OFFERS INFORMATION, VIDEOS, INTERNET ACCESS, EDUCATIONAL CLASSES AND SUPPORT GROUPS. CLASSES AND SUPPORT GROUPS ARE OFFERED ON A VARIETY OF WOMEN'S HEALTH TOPICS FROM BREAST HEALTH TO MENOPAUSE AND FERTILITY. THE WOMEN'S HEALTH RESOURCE CENTER ALSO PROVIDES ASSISTANCE WITH PHYSICIAN REFERRALS. SURGICAL SERVICES: SURGICAL PROCEDURES PERFORMED IN BAPTIST HEALTH HOSPITALS RANGE FROM THE HIGHLY COMPLEX, SUCH AS OPEN HEART AND BRAIN SURGERY, TO THE MINIMALLY INVASIVE, SUCH AS ARTHROSCOPIC KNEE SURGERY. APPROXIMATELY 111,450 OUTPATIENT SURGERIES WERE PERFORMED IN BAPTIST HEALTH IN FY2022. RECENT ADDITIONS TO BAPTIST HEALTH COMPREHENSIVE SURGICAL SERVICES AND ADVANCED SURGICAL TECHNIQUES HAVE RESULTED IN AN INCREASED ACCURACY AND PRECISION, IMPROVED PATIENT SAFETY, SMALLER INCISIONS AND QUICKER RECOVERIES. CLINICAL IMAGING SERVICES: BAPTIST HEALTH HAS THE LATEST DIAGNOSTIC IMAGING EQUIPMENT, SUCH AS MRI, SPIRAL CT, CT, PET AND COMBINATION PET/CT. ALSO PROVIDED ARE GENERAL NUCLEAR MEDICINE IMAGING, COMPLETE WOMEN'S IMAGING SERVICES (3-D MAMMOGRAPHY, ULTRASOUND, BONE DENSITY AND BREAST BIOPSY), COMPREHENSIVE CARDIOVASCULAR TESTING AND A URODYNAMICS LAB FOR URINARY INCONTINENCE. CLINICAL IMAGING SERVICES FOR EMERGENCY, INPATIENT AND OUTPATIENT CARE ARE PROVIDED AT ALL BAPTIST HEALTH HOSPITALS AND OUTPATIENT DIAGNOSTIC LOCATIONS THROUGHOUT MIAMI-DADE, BROWARD, PALM BEACH, AND MONROE COUNTIES. INTERNATIONAL SERVICES: APPROXIMATELY 13,600 PATIENTS FROM OVER 140 COUNTRIES HAVE CHOSEN BAPTIST HEALTH AS THEIR HEALTHCARE PROVIDER. THE MULTILINGUAL REPRESENTATIVES IN BAPTIST HEALTH'S INTERNATIONAL PROGRAM ARE AVAILABLE 24 HOURS A DAY AND COORDINATE EVERY ASPECT OF PATIENT CARE. INTEGRATED CARE CENTERS IN THE COMMUNITY PROVIDE IMPROVED ACCESS TO BAPTIST HEALTH'S MULTI-DISCIPLINARY CARE. THESE FACILITIES PROVIDE A MULTITUDE OF SERVICES RANGING FROM PHYSICIAN OFFICES, PHYSICAL THERAPY, ENDOSCOPIES, DIAGNOSTIC IMAGING, AND URGENT CARE. SATELLITE SERVICES PROVIDED BY BAPTIST HEALTH'S CENTERS OF EXCELLENCE ARE ALSO BE INCLUDED. BAPTIST OUTPATIENT SERVICES: BAPTIST OUTPATIENT SERVICES OPERATES TWENTY-ONE DIAGNOSTIC IMAGING CENTERS WHICH PROVIDE OUTPATIENT CLINICAL AND IMAGING AND DIAGNOSTIC TESTING SERVICES THROUGHOUT MIAMI-DADE AND BROWARD COUNTIES. DURING FY2022, MORE THAN 367,698 PATIENTS WERE TREATED FOR MINOR INJURIES AND ILLNESS AT URGENT CARE CENTERS LOCATED THROUGHOUT MIAMI-DADE, BROWARD, AND PALM BEACH COUNTIES. IN ADDITION TO URGENT CARE AND DIAGNOSTIC IMAGING SERVICES, SELECT BAPTIST HEALTH MEDICAL PLAZAS PROVIDE COMMUNITY PROGRAMS, HEALTH INFORMATION, AND SUPPORT GROUPS. CONTINUING MEDICAL EDUCATION: BAPTIST HEALTH CONTINUING MEDICAL EDUCATION (""CME"") PROGRAM SYMPOSIUMS TARGETED REGIONAL, NATIONAL, AND INTERNATIONAL AUDIENCES. MORE THAN 118,296 HEALTHCARE PROFESSIONALS ATTENDED MORE THAN 511 COURSES AND EARNED ALMOST 174,517 CME CREDITS . BAPTIST HEALTH IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR CONTINUING MEDICAL EDUCATION (ACCME) TO PROVIDE CONTINUING MEDICAL EDUCATION FOR PHYSICIANS AND WAS AWARDED COMMENDATION BY THE ACME FOR THE THIRD TIME IN 2015 AS A PROVIDER OF CME FOR PHYSICIANS. THIS EXEMPLARY STATUS, ACHIEVED BY ONLY 40% OF ACCREDITED ORGANIZATIONS, REQUIRES THE CONTINUING MEDICAL EDUCATION PROVIDER TO DEMONSTRATE COMPLIANCE WITH 100% OF THE ACCREDITATION CRITERIA POSITIONING BAPTIST HEALTH'S CONTINUING MEDICAL EDUCATION PROGRAM AS A STRATEGIC PARTNER IN INSTITUTIONAL AND NATIONAL INITIATIVES TO IMPROVE HEALTHCARE QUALITY, PATIENT SAFETY AND TREATMENT OUTCOMES. HEALTH AND WELLNESS: EVERY YEAR THOUSANDS OF RESIDENTS FROM MIAMI-DADE, BROWARD, PALM BEACH, AND MONROE COUNTIES, AS WELL AS BAPTIST HEALTH EMPLOYEES ATTEND HEALTH-RELATED PROGRAMS SPONSORED BY BAPTIST HEALTH, THROUGHOUT ITS MULTIPLE LOCATIONS. TOPICS FOCUS ON HEALTHY LIFESTYLES, DISEASE PREVENTION, COPING WITH CHRONIC ILLNESS, STRESS MANAGEMENT, DIABETES, CHILDBIRTH AND INFANT CARE, SMOKING CESSATION, DIET, EXERCISE, CANCER AND MORE. IN FY2022 , 25,921 ATTENDEES VISITED COMMUNITY HEALTH PROGRAMS, 2,837 ATTENDEES VISITED COMMUNITY SUPPORT GROUPS, AND 81,918 INDIVIDUALS PARTICIPATED IN COMMUNITY EXERCISE ACTIVITIES. COMMUNITY OUTREACH: * IN ADDITION TO THE SERVICES DESCRIBED ABOVE, BAPTIST HEALTH PROVIDES FINANCIAL AND OTHER SUPPORT TO HELP UNDERWRITE THE OPERATING EXPENSES OF SEVERAL COMMUNITY CLINICS: Miami-Dade County: Camillus House, Chapman Partnership, Good News Care Center, Open Door Health Center and South Miami Children's Clinic, 211 Miami-Dade and Monroe, Agape Network, Children's Bereavement Center, New Hope Corps, and Sofia's Hope. Monroe County: Good Health Clinic, 211 Miami-Dade and Monroe (Jewish Family Services), Autism Society of the Keys, Florida Keys Children's Shelter, and Island Dolphin Care. * Palm Beach County: Caridad Center, and Faulk Center for Counseling CLINIC PATIENTS REQUIRING HOSPITALIZATION OR OUTPATIENT SERVICES NOT AVAILABLE AT THE CLINICS ARE OFTEN TREATED AT BAPTIST HEALTH FACILITIES UNDER THE HEALTH SYSTEM'S CHARITY PROGRAM."

Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation
32864001

Schedule H, Part III, Line 8 Community benefit methodology for determining medicare costs
MEDICARE COSTS WERE DERIVED USING THE COST ACCOUNTING SYSTEM WHICH CAPTURES ALL INPATIENTS AND OUTPATIENTS, INCLUDING EMERGENCY ROOM PATIENTS. THE COSTS HAVE BEEN OFFSET BY ANY PAYMENTS RECEIVED FROM MEDICARE. THE ORGANIZATION DOES NOT REPORT ANY AMOUNTS FROM PART III, LINE 7 AS COMMUNITY BENEFIT.

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
IN ORDER TO PROMOTE THE HEALTH AND WELL-BEING OF THE COMMUNITY SERVED, UNINSURED PATIENTS WITH LIMITED FINANCIAL RESOURCES WHO ARE UNABLE TO ACCESS ENTITLEMENT PROGRAMS SHALL BE ELIGIBLE FOR FREE HEALTHCARE SERVICES BASED ON ESTABLISHED CRITERIA. BHSF HAS A WRITTEN DEBT COLLECTION POLICY. NO COLLECTION EFFORTS ARE PUT FORTH FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE.

Schedule H, Part V, Section B, Line 13 FAP PROVIDER LIST
During part of the tax year, Baptist Health's financial assistance policy did not reflect a complete list of in-network and out-of-network providers covered, as well as all the BHSF wholly-owned Hospitals and affiliates. BHSF's financial policy did include a provider list, however the provider list was not updated on a regular basis. This was discovered during FY22 during a 501(r) compliance review (based on the final regulations) performed by BHSF and its outside tax consultants. BHSF updated the provider list on September 16, 2022 and posted the updated provider list on BHSF's website. BHSF has also implemented procedures to ensure compliance with this requirement in the future. BHSF will utilize a 501(r) compliance checklist on a regular basis to ensure continued compliance with the provider list requirement, at which point the provider list will be updated on BHSF's website.

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
BETHESDA HOSPITAL, INC. ESTIMATES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BY RESERVING A PERCENTAGE OF ACCOUNTS RECEIVABLE BASED ON HISTORICAL AND EXPECTED COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN REIMBURSEMENT, AND OTHER COLLECTION INDICATORS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, INCLUDING RECEIVABLES FROM GOVERNMENT AGENCIES, BETHESDA HOSPITAL, INC. ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR ALL PAYOR TYPES, WHEN BETHESDA HOSPITAL, INC. CAN NO LONGER REASONABLY ESTIMATE COLLECTABILITY OF AN ACCOUNT BASED ON THE AGING OF THE BALANCE DUE AND THE VOLATILITY AND UNPREDICTABLE NATURE OF THE AMOUNT, BETHESDA HOSPITAL, INC. RESERVES SUBSTANTIALLY ALL AMOUNTS DUE.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE REPORTED IN THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF BAPTIST HEALTH SOUTH FLORIDA, INC., WHICH INCLUDES BETHESDA HOSPITAL, INC ., IS AS FOLLOWS: BHSF has elected the practical expedient allowed under FASB ASC 606-10-32-18 and does not adjust the promised amount of consideration from patients and third-party payors for the effects of a significant financing component due to BHSF's expectation that the period between the time the service is provided to a patient and the time that the patient or a third-party payor pays for that service will be one year or less. However, BHSF in certain instances enters into payment agreements with patients that allow payments in excess of one year. For those cases, the financing component is deemed not significant to the contract. Generally, patients who are covered by third-party payors are responsible for related deductibles and coinsurance, which vary in amount. BHSF also provides services to uninsured patients, and offers those uninsured patients a discount, either by policy or law, from standard charges. BHSF estimates the transaction price for patients with deductibles and coinsurance and from those who are uninsured based on historical experience and current market conditions. The initial estimate of the transaction price is determined by reducing the standard charge by any contractual adjustments, discounts, and implicit price concessions. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay are recorded as bad debt expense. The combined effects from changes in estimates related to the valuation of prior period accounts receivables, primarily due to favorable payment experience from patients and third-party payors, was increase in income from operations of approximately $21,236,000 and $13,035,000 for the fiscal years ended September 30, 2022 and 2021, respectively. FOR SCHEDULE H PURPOSES, BAD DEBT AT COST WAS CALCULATED BY APPLYING THE COST TO CHARGE PERCENTAGE DERIVED BY THE COST ACCOUNTING SYSTEM AGAINST BAD DEBT EXPENSE REPORTED ON THE AUDITED FINANCIAL STATEMENTS.

Schedule H, Part V, Section B, Line 16a FAP website
A - BETHESDA HOSPITAL EAST: Line 16a URL: SEE PART VI;

Schedule H, Part V, Section B, Line 16b FAP Application website
A - BETHESDA HOSPITAL EAST: Line 16b URL: SEE PART VI;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
A - BETHESDA HOSPITAL EAST: Line 16c URL: PART VI;

Schedule H, Part VI, Line 2 Needs assessment
Bethesda Hospital, Inc. joined Baptist Health in October 2017. This merger created the largest health system in South Florida. The two organizations share similar values and a steadfast commitment to providing quality healthcare to our patients and a common goal of providing compassionate, patient-focused care to our community. AS A FAITH-BASED, NOT-FOR-PROFIT INSTITUTION, its MISSION FOCUSES ON PROVIDING HIGH-QUALITY, COMPASSIONATE CARE TO ALL PATIENTS, INCLUDING THE POOR AND UNINSURED. UNDERSTANDING THE ROLE OF WELLNESS AND PREVENTION IN MAXIMIZING THE OPPORTUNITIES TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE COMMUNITY, Bethesda Hospital, Inc. ALSO OFFERS A MULTITUDE OF FREE AND LOW-COST EDUCATIONAL PROGRAMS, EXERCISE CLASSES AND HEALTH SCREENINGS AT VARIOUS LOCATIONS. NEW WAYS ARE ALWAYS EXPLORED TO IMPROVE SERVICES AND EXPAND THE ABILITY TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY. A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED TO FOCUS ON THE PARTICULAR CHARACTERISTICS OF PATIENTS AND THE COMMUNITY AND TO PRECISELY PINPOINT SPECIFIC NEEDS. THIS ASSESSMENT SERVES AS A COMPREHENSIVE TOOL TO INCREASE KNOWLEDGE ABOUT THE PEOPLE BEING SERVED AND ENHANCE THE ABILITY TO PROVIDE TOP-LEVEL HEALTHCARE TO THE ENTIRE COMMUNITY IN THE MOST EFFECTIVE MANNER. See Health Priorities in Part V, Section B, Line 5 and Line 11. The Community Health Needs Assessment and Implementation plan reports have been made widely available on the Baptist Health website. https://baptisthealth.net/about-baptist-health/fulfilling-our-mission/community-needs-assessment-and-implementation-plans IT INCLUDES A DESCRIPTION OF THE COMMUNITY SERVED, THE METHOD USED TO MAKE DETERMINATIONS, A LOOK AT THE INPUT THEY RECEIVED FROM COMMUNITY EXPERTS AND RESIDENTS/CONSUMERS AND, FINALLY, THE RESULTING LIST OF THE COMMUNITY'S MOST SIGNIFICANT PRIORITY HEALTHCARE NEEDS. THE REPORT ALSO INCLUDES A LIST OF EXISTING PROGRAMS AND SERVICES THAT HELP ADDRESS THE COMMUNITY'S PRIORITY HEALTHCARE NEEDS. THESE PROGRAMS ARE BEING USED AS A FOUNDATION ON WHICH TO EXPAND AND PINPOINT SERVICES BASED ON THE PRIORITIES identified IN THIS REPORT. THIS IMPORTANT EXERCISE HAS HELPED Bethesda Hospital, Inc. BETTER UNDERSTAND its STAKEHOLDERS - THE PEOPLE WHO DEPEND ON THE ORGANIZATION WHEN THEY ARE ILL OR INJURED, AS WELL AS THEIR FAMILIES, AND THE ENTIRE COMMUNITY, whose HEALTH THE HOSPITAL STRIVES TO IMPROVE THROUGH EDUCATIONAL AND PREVENTIVE MEASURES, INNOVATIVE PARTNERSHIPS, HIGH-QUALITY CARE AND BY BEING A GOOD CORPORATE CITIZEN. BETHESDA HOSPITAL, INC. IS COMMITTED TO USING THIS ENLIGHTENING REPORT AS A ROADMAP TO PLAN THE BEST STRATEGIES TO SPECIFICALLY AND EFFECTIVELY ADDRESS THE MOST PRESSING HEALTHCARE NEEDS OF THE ENTIRE COMMUNITY, WITH A SPECIAL FOCUS ON THE MOST VULNERABLE RESIDENTS.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
UNINSURED PATIENTS ARE INFORMED ABOUT BETHESDA HOSPITAL, INC.'S FINANCIAL ASSISTANCE UNIT AT SEVERAL KEY ACCESS POINTS OF THE HOSPITAL. THESE ACCESS POINTS ARE: THE EMERGENCY DEPARTMENT, AMBULATORY SURGERY, OUTPATIENT REGISTRATION, CENTRAL SCHEDULING AND THE ADMITTING DEPARTMENT. BETHESDA HOSPITAL, INC. HAS A FINANCIAL ASSISTANCE UNIT WITH A DEDICATED TEAM OF EMPLOYEES WHO HELP PATIENTS AND FAMILIES QUALIFY FOR VARIOUS GOVERNMENTAL ASSISTANCE PROGRAMS AND FINANCIAL ASSISTANCE. THE FINANCIAL ASSISTANCE UNIT IS COMPRISED OF KNOWLEDGEABLE STAFF FROM DIVERSE BACKGROUNDS AND CULTURES, REFLECTIVE OF THE COMMUNITY BETHESDA HOSPITAL, INC. SERVES. IN AN EFFORT TO ENSURE EFFECTIVE CUSTOMER SERVICE AND COMMUNICATION, THESE STAFF MEMBERS ARE FLUENT IN ENGLISH, SPANISH AND CREOLE.

Schedule H, Part VI, Line 4 Community information
According to the U.S. Census Bureau, the 2019 population estimate for the Bethesda Hospital, Inc. service area is 488,501. The Bethesda Hospital, Inc. designated service area consists of 14 ZIP codes in Palm Beach County. The service area population by race is 72 percent White, 21 percent Black or African American, 2 percent Asian, and 5 percent other. This area in Palm Beach County is 24 percent Hispanic or Latino. The median household income for the service area is $57,053, which is slightly lower than Palm Beach County's median household income of $57,256. Approximately 12.4 percent of individuals in the service area are below 200 percent of the poverty level. The service area population age distribution is made up of 25 percent of the population under 24 years old, 49 percent between 25-64 years old, and 26 percent 65 and older.

Schedule H, Part VI, Line 5 Promotion of community health
BETHESDA HOSPITAL, INC. HAS AN ACTIVE BOARD OF TRUSTEES WHO LIVE AND WORK IN OUR COMMUNITY, PROVIDING INDEPENDENT LEADERSHIP AND GOVERNANCE, UNDER THE OVERSIGHT OF BAPTIST HEALTH, WHICH ACQUIRED BETHESDA HOSPITAL, INC. IN OCTOBER 2017. Bethesda Hospital, Inc. has AN OPEN MEDICAL STAFF THAT ACCEPTS APPLICATIONS FROM ALL PHYSICIANS WHO MEET OUR MEDICAL STAFF BYLAWS GUIDELINES. ALL EXCESS FUNDS FROM OPERATIONS STAY AT THE HOSPITAL TO ENSURE THAT BETHESDA CAN PROVIDE THE MOST ADVANCED EQUIPMENT TO BENEFIT OUR PATIENTS; PROVIDE THE LATEST TRAINING FOR OUR MEDICAL STAFF AND EMPLOYEES; AND ENSURE THAT THE HOSPITAL CAN PROVIDE NEW HEALTHCARE SERVICES TO CONTINUALLY IMPROVE THE HEALTH OF OUR COMMUNITY. Bethesda Hospital East and West have a 481 licensed bed capacity, combined. Bethesda Hospital East and West ADMITTED APPROXIMATELY 16,816 INPATIENTS IN FY2022, 80,019 PATIENTS RECEIVED EMERGENCY TREATMENT, and 2,795 BABIES WERE DELIVERED IN FY2022.

Schedule H, Part VI, Line 6 Affiliated health care system
MIAMI NEUROSCIENCE INSTITUTE MIAMI NEUROSCIENCE INSTITUTE PROVIDES COMPREHENSIVE AND INNOVATIVE TECHNIQUES TO DIAGNOSE AND TREAT CONDITIONS OF THE BRAIN, SPINE, AND NERVOUS SYSTEM. MNI CARES FOR PATIENTS WITH A VARIETY OF CHRONIC AND ACUTE CONDITIONS-FROM COMMON BACK PAIN TO COMPLEX BRAIN SURGERY. AS PART OF THE BAPTIST HEALTH SYSTEM, MNI BOASTS MULTIPLE CAMPUS CAPABILITIES GIVING PATIENTS ACCESS TO A MULTIDISCIPLINARY TEAM OF NEUROSCIENCE CLINICIANS AND SOPHISTICATED TECHNOLOGY. BY DRAWING ON THE KNOWLEDGE OF NUMEROUS EXPERTS, PATIENTS RECEIVE A WELL-ROUNDED TREATMENT PLAN. THE TEAM AT MIAMI NEUROSCIENCE INSTITUTE INCLUDES EXPERTS IN A WIDE RANGE OF SPECIALITIES, INCLUDING NEUROSURGEONS, NEURORADIOLOGISTS, INTERVENTIONAL NEURORADIOLOGISTS, NEUROLOGISTS, NEUROINTENSIVISTS, AND NEURO REHABILITATION SPECIALISTS. THE TEAM INCLUDES BOARD-CERTIFIED NEUROSURGEONS WHO SPECIALIZE IN BACK, NECK, AND SPINE SURGERY AND ARE FELLOWSHIP TRAINED IN COMPLEX SPINE SURGERY. THE DOCTORS AND SURGEONS ALSO WORK CLOSELY WITH ADVANCED PRACTICE PROVIDERS AND NURSES WHO HELP PATIENTS THROUGH EVERY STEP OF THE SURGERY PROCESS. MNI HAS ONE OF THE MOST ROBUST NEUROSCIENCE RESEARCH PROGRAMS IN THE REGION. MANY OF THE TRIALS AND RESEARCH STUDIES LEAD TO BETTER TREATMENTS AND OUTCOMES FOR PATIENTS. MIAMI NEUROSCIENCE INSTITUTE IS ACCREDITED BY THE JOINT COMMISSION AS A COMPREHENSIVE STROKE CENTER-THE HIGHEST LEVEL OF SPECIALIZED STROKE CARE. THE INSTITUTE IN CONJUNCTION WITH BAPTIST HOSPITAL, ALSO RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES-STROKE GOLD PLUS ACHIEVEMENT AWARD WITH TARGET: STROKESM HONOR ROLL ELITE PLUS, TARGET: STROKE ADVANCED THERAPY HONOR ROLL. MARCUS NEUROSCIENCE INSTITUTE THE MARCUS NEUROSCIENCE INSTITUTE AT BOCA RATON REGIONAL HOSPITAL, IS AN INNOVATIVE NEXUS FOR NEUROLOGIC AND NEUROSURGICAL CARE. THE INSTITUTE WAS CREATED OUT OF A LEAD $25 MILLION GRANT FROM THE MARCUS FOUNDATION AND WAS INITIATED BY BILLI AND BERNIE MARCUS, FORMER CEO OF HOME DEPOT. THE INSTITUTE IS STAFFED BY A TEAM OF CLINICIANS HIGHLY TRAINED IN ALL FACETS OF THE NEUROSCIENCES, INCLUDING STROKE, MOVEMENT DISORDERS, NEURO-ONCOLOGY, EPILEPSY, MEMORY DISORDERS, ALZHEIMER'S DISEASE, MULTIPLE SCLEROSIS, AND SPINAL CONDITIONS. THE MEDICAL STAFF ALSO INCLUDES NEUROINTENSIVISTS, PHYSICIANS WHO ARE SPECIFICALLY TRAINED IN NEUROCRTICAL CARE. ALONG WITH HAVING EXTENSIVE KNOWLEDGE ABOUT TREATING NEUROLOGICAL INJURIES, NEUROINTENSIVISTS ASSUME RESPONSIBILITY FOR OTHER AREAS OF CARE IN THE ICU THAT MAY HAVE OTHERWISE BEEN PROVIDED BY SPECIALISTS. MARCUS NEUROSCIENCE INSTITUTE AT BOCA RATON REGIONAL HOSPITAL HAS EARNED THE GOLD SEAL OF APPROVAL FOR SPINAL SURGERY CERTIFICATION FROM THE JOINT COMMISSION, THE NATION'S PREMIER INDEPENDENT ACCREDITATION ORGANIZATION. THE GOLD SEAL REFLECTS COMMITMENT TO THE HIGHEST STANDARDS OF EXCELLENCE AND SAFETY IN PATIENT CARE. THE INSTITUTE IS A DNV-CERTIFIED COMPREHENSIVE STROKE CENTER, WHICH IS THE NATION'S HIGHEST LEVEL OF STROKE ACCREDIATION.