4A (Expenses $ 1488328956 including grants of $ 7534395) (Revenue $ 1812087873)
"Southern Baptist Hospital of Florida, Inc. (SBHF) is a subsidiary of Baptist Health System, Inc. (Baptist Health), a tax-exempt parent company located in Jacksonville, Florida. SBHF is a tax-exempt organization that operates two acute care hospitals, Baptist Medical Center (Baptist Jacksonville) and Baptist Medical Center South (Baptist South), and four emergency departments: Baptist Emergency Center Clay, Baptist Emergency Town Center, Baptist Emergency Center North, and Baptist Emergency Center Oakleaf. The two hospitals have 762 and 357 licensed beds, respectively. Baptist Jacksonville is a full-service, magnet-designated tertiary care hospital representing nearly all major specialties. This flagship hospital is also home to the Baptist Heart Hospital, offering comprehensive, high-quality cardiovascular care, and Wolfson Children's Hospital (WCH), the only full-service tertiary hospital for children in the region, serving North Florida, South Georgia, and beyond. WCH is a pediatric trauma referral center and is recognized year after year as one of America's best children's hospitals by U.S. News World Report. WCH serves as the main teaching facility for the University of Florida College of Medicine's Pediatric Residency Training Program. For fiscal year 2022, SBHF had 73,248 admissions accounting for 326,081 inpatient observation days, 316,407 emergency room visits, and 40,793 surgeries. SBHF's primary focus is addressing unmet health needs, particularly among vulnerable populations who have limited health resources and access to health care. SBHF's community health efforts are guided by the community health committee, which is comprised of selected Baptist Health board members from across our health system. A cornerstone of SBHF's commitment to the community is caring for the health of vulnerable, uninsured and underserved people among us. During fiscal year 2022, SBHF provided the following uncompensated care and community benefit; (1) charity care - $38.8 million, (2) unreimbursed Medicaid costs - $78.8 million, (3) unreimbursed Medicare costs - $121.5 million, and (4) specific community programs - $22.7 million, for a total of $261.8 million of uncompensated care and community benefits. MD Anderson Cancer Center and Baptist Health have united to create Baptist MD Anderson Cancer Center. This partnership brings together MD Anderson's world-renowned cancer expertise and Baptist Health's comprehensive health system to create an unprecedented range of options for adult cancer patients in our region. The goal of the partnership is to provide the same high-level, multidisciplinary cancer care to patients in Northeast Florida that is available to MD Anderson patients in Houston. This includes all aspects along the continuum of cancer care -- patient care, research, education and prevention. The following are some of the awards and honors received by Baptist Jacksonville and Baptist South: (1) recipient of American Heart Association's Get with the Guidelines Stroke Quality achievement award. (Baptist Jacksonville Baptist South), (2) ranked by U.S. News World Report's Best Hospitals in two pediatric specialties - neurology and neurosurgery at Wolfson Children's Hospital during 2022. (3) U.S. News World Report recognized the Neurology and Neurosurgery programs at Baptist Jacksonville and South as ""High Performing"" in their annual best hospitals list. In addition, the two hospitals ranked No. 2 in the metro Jacksonville region, and 11th best hospital in Florida (4) Leapfrog A and B safety grades (Baptist South - A-rating and Baptist Jacksonville - B rating), (5) Leapfrog named Wolfson Children's Hospital as a Top Children's Hospital, and (6) 2017-22 Magnet re-designation. Baptist Health is the first and only health system in North Florida to achieve Magnet recognition as a health system by the American Nurses Credentialing Center. Currently, only eight percent of the hospitals in the United States enjoy magnet designation, which is considered the gold standard for recognizing quality patient care, nursing excellence and innovations in professional nursing practice, an honor first earned in 2007. Many other awards and honors can be viewed at the organization's website www.baptistjax.com."

Schedule H, Part V, Section B, Line 3E
The significant health needs of the community are identified on our CHNA. The methodology to determine the significance of the community health needs and prioritization of the health needs are also described in our CHNA.

Schedule H, Part V, Section B, Line 5 Facility A, 1
Facility A, 1 - Southern Baptist Hospital of Florida, Inc.. The Community Health Needs Assessment was conducted to identify priority health needs within each community served by each hospital and to inform development of implementation strategies to address the identified needs selected by each hospital based on their ability to impact them. Additionally, the Partnership focuses collaborative efforts to include the five-county service area of Baker, Clay, Duval, Nassau, and St. Johns. The CHNAs were conducted to respond to federal regulatory requirements and sought to identify significant health needs for geographic areas and populations by focusing on the following questions: * Who in the community is most vulnerable in terms of health status or access to care? * What are the unique health status and/or access needs for these populations? * Where do these people live in the community? * Why are these problems present? * How are disparities based on racial and ethnic inequities affecting health? * What social determinants of health can the health systems significantly address? Primary Data Significant changes from traditional methods of community engagement to virtual engagement platforms were necessary due to the nature of the COVID-19 pandemic. Primary data gathered from various segments of the community with special knowledge and expertise in public health included residents, stakeholder organizations, and hospital staff. The Health Planning Council collected data through (1) virtual key stakeholder interviews, (2) virtual focus groups, and (3) a community survey, in English and Spanish, distributed throughout the service area through online and paper submissions. Around 660 community members contributed their input on the community's health and health-related needs, barriers, and opportunities for Baptist Medical Center Jacksonville's service area, around 865 contributed their input for Baptist Medical Center South, and around 1,390 contributed their input for Wolfson Children's Hospital. The Partnership aimed to solicit input from members of or representatives of vulnerable and underserved populations through key informant interviews and focus group discussions. Baptist Medical Center Jacksonville - Key informant interviews were conducted with 15 community experts who either served or represented underserved communities (such as low-income individuals and groups experiencing disparities in health outcomes or health access). Baptist Medical Center South - Key informant interviews were conducted with 20 community experts who either served or represented underserved communities. Wolfson Children's Hospital - Key informant interviews were conducted with 31 community experts who either served or represented underserved communities. For the focus groups, efforts were made to recruit participants who represent minority, low-income, veterans and medically underserved populations most at risk for health disparities and those experiencing challenges in accessing healthcare. Secondary Data Secondary data used for this assessment were collected and analyzed through universal measures recommended by Healthy People 2030 to evaluate the health status of communities and populations served by the Partnership. Data was obtained from the Behavioral Risk Factor Surveillance System, County Health Rankings and Roadmaps, Florida CHARTS, Florida Department of Health, Local Community Health Assessments, Hospital Utilization Reports, U.S. Census, and the Youth Risk Behavior Surveillance System. Indicators were used to evaluate areas of health and quality of life in the following areas through an equity lens: * Accessing Healthcare Services/Resources * Adolescent Health * Asthma * Cancer * Children's Health * Hospitalization and Incidence Ranking * COVID-19 * Diabetes * Disabilities * Fatal Injury * Health Outcomes * Health Factors * Healthcare Utilization * Healthcare Access * Heart Disease and Stroke * Household Income * Infectious Disease * Leading Causes of Death * Life Expectancy * Maternal and Infant Health * Mental Health * Pediatric Health * Poverty Indicators * Substance Abuse * Veterans' Health * Transportation Indicator values for Baker, Clay, Duval, Nassau, and St. Johns counties were compared to other Florida counties and other U.S. counties to identify relative need. Other considerations in weighing relative areas of need included comparisons to Florida state values and national values. Based on these comparisons in conjunction with primary data, health needs were identified and ranked from high to low need.

Schedule H, Part V, Section B, Line 6a Facility A, 1
Facility A, 1 - Southern Baptist Hospital of Florida, Inc.. 12 hospitals: (Baptist Medical Center Jacksonville, Baptist Medical Center South, Wolfson Children's Hospital, Baptist Medical Center of the Beaches, Inc., Baptist Medical Center of Nassau, Inc., Ascension St. Vincent's Medical Center Clay, Ascension St. Vincent's Medical Center Riverside, Ascension St. Vincent's Medical Center Southside, Brooks Rehabilitation Hospital Bartram, Brooks Rehabilitation Hospital University, Mayo Clinic Jacksonville, UF Health Jacksonville, and UF Health North)

Schedule H, Part V, Section B, Line 7 Facility A, 1
Facility A, 1 - Southern Baptist Hospital of Florida, Inc.. Public release was held May 26, 2022 with all health system CEOs presenting the assessment methodology, the needs identified in the assessment and the needs prioritized by each hospital. The public release was attended by approximately 50 people including media representatives. Newspaper articles and radio and television stories reported on the assessment and informed community members where they could find each hospital's assessment and implementation plans. Link to story in the Florida Times-Union - https://www.jacksonville.com/story/news/healthcare/2022/05/30/jacksonville-area-hospitals-release-report-community-health-issues/9905670002/

Schedule H, Part V, Section B, Line 11 Facility A, 1
Facility A, 1 - Southern Baptist Hosptial of Florida, Inc. (dba Baptist Medical Center Jacksonville). Although Baptist Jacksonville can play a direct role in addressing many health-related priorities, others will require the development of strategic partnerships with community service partners or involve the expertise of the hospital's staff in the development of new and effective efforts that will be administered by other local community organizations. Regardless of the role Baptist Jacksonville will play in meeting needs, Baptist remains committed to leading and supporting efforts that increase access to care and engage our patients in improving health and community wellbeing, especially through a health equity lens. All Community Health Plan efforts implemented by Baptist Jacksonville must be measurable, achievable, and financially feasible. This report reflects the goals and strategic objectives identified to address community priorities within Baptist Jacksonville's influence and scope of service. Access to Care The significant health need of access refers to access issues across the spectrum of both health and quality of life topic areas, including access to health services, transportation, housing, and nutritious food. Access issues were compiled due to their inextricable nature in impacting health behaviors and health outcomes. As access issues for Jacksonville residents continue to increase, the focus on this priority will occur during the 2022-2024 CHNA cycle Key Issues Identified in the Assessment: * Factors contributing to chronic disease include food deserts, level of access to physical activity, and air quality. - Lack of access to proper nutrition in some areas - food desert designation in Atlantic Beach * Transportation is identified as a need - 91% of survey respondents from zip code 32218 (Duval) indicated they do not have access to public transportation * Duval County 2018-2020 age-adjusted rates of chronic disease: - Asthma: The hospitalization rate was 3.36x higher for Black patients than White patients - Congestive heart failure: The hospitalization rate was 1.95x higher for Black patients than White patients - Diabetes: The hospitalization rate was 2.52x higher for Black patients than White patients - Stroke: The death rate was 1.36x higher for Black people than White people * Cancer is the leading cause of death in the region followed by heart disease. * The three leading cancer incidences are: breast cancer (females), lung cancer (females males) and prostate cancer (males) - Duval County 2018-2020 age-adjusted death rates: Breast cancer: The death rate was 1.55x higher for Black females than White females. Prostate cancer: The death rate was 2.13x higher for Black males than White males and 3.48x higher for non-Hispanic males than Hispanic males Goals: * Increase access to health services for un- and under-insured people in the BMCJ service area. * Increase knowledge of chronic diseases and where to access services. Strategies: * Continue partnering with organizations that provide access to care for Duval residents who do not have health insurance. * Support JaxCareConnect in collaborative efforts to increase access to care, access to interpretive services, and marketing and awareness of services * Continue partnering with organizations to provide referrals for and increase access to smoking cessation classes and assistive medication. * Continue providing screenings and health coaching through Y Healthy Living Centers and JCA Health Connexions. * Provide education and prevention programming in the community. * Implement a falls prevention initiative for Duval seniors Metrics/What we are measuring: * Number of people served * Percentage of people receiving preventative services * Evaluate health outcomes and wellness of participants in diabetes, hypertension and mental health * Evaluate health and wellness of participants * Number of people referred to programs * Percentage of people referred who are participating in classes * Percentage of people completing classes * Number of people receiving screening * Number of people receiving coaching * Evaluate health outcomes * Number of people educated * Evaluation of program satisfaction and health outcomes * Number of seniors participating in education sessions * Number of reported falls by participants before and after sessions. * Death rate from falls for seniors in the county Potential Partnering/External Organizations: * Agape Health * Community Health Outreach (CHO) * Mission House * Muslim American Social Services (MASS) * Sulzbacher Center * Volunteers in Medicine (VIM) * We Care Jacksonville * JaxCareConnect * Agency Health Education Center * Florida's First Coast YMCA * Jewish Community Alliance * Faith Partners Results: Year 1 (October 1, 2021 - September 30, 2022) * Community Health Outreach, MASS, Sulzbacher Downtown, We Care, and Volunteers in Medicine collectively served 5,269 un- and under-insured patients 895 diabetic patients were served, of which 548 were seen at least twice during the 12-month period, and of those, 66% reported reaching within normal levels (HbA1c less than 7% or 8%) 1,739 hypertensive patients were served, of which 1,200 were seen at least twice during the 12-month period, and of those, 54.3% measured less than 140/90 1,042 patients were seen at least one time with a previous or new diagnosis of mental health, of which 594 patients scored a 10 or greater on the PHQ9. 435 were referred for treatment, and 373 (85.7%) participated in treatment Year 1 (October 1, 2021 - September 30, 2022) * Baptist Health funded a facilitator to help the free clinics and FQHCs develop a model to create JaxCareConnect, a system of care led by WeCare Jacksonville As of September 31, 2021, 1,052 referrals for care were received from emergency department social workers, 649 (62%) moved forward successfully towards next steps and of those, 528 (81%) have appointments with a primary care provider within the Duval Safety Net Collaborative clinics. 127 (23%) of active or successfully served clients have been enrolled, or have pending appointments, in private or city sponsored healthcare through the UF Health City Contract Program or the Affordable Care Act Year 1 (October 1, 2021 - September 30, 2022) * 81 patients were referred to AHEC for a tobacco cessation program 32 patients enrolled and 20 (24.7%) of these patients participated in the classes 20 participants (100%) completed the course Year 1 (October 1, 2021 - September 30, 2022) Health Partnerships with the YMCA and JCA served 5,745 lives * 579 patients with biometric screenings * 1,288 1:1 health coaching sessions * Health outcome data is being refined for future comprehensive reporting Year 1 (October 1, 2021 - September 30, 2022) * Health education series Total attendance: 236 January: Dementia Cognition February: Heart Health March: Colorectal Cancer May: Stroke Awareness July: Diabetes August: Nutrition September: Mental Health 96.3% agreed or strongly agreed that the webinars delivered the information they expected to receive 92.5% agreed or strongly agreed that because of the webinar, they gained new knowledge that will help them with their well-being 95.3% agreed or strongly agreed that they plan to apply what they learned Year 1 (October 1, 2021 - September 30, 2022) * Falls Prevention Webinar, June 15 Total attendance: 30 * Age-Adjusted Death Rate from Falls, Ages 65+ (2021), per 100,000 Population Baker: 7.5 Clay: 10.6 Duval: 12.3 Nassau: 10.1 St. Johns: 13.7

Schedule H, Part V, Section B, Line 11 Facility A, 2
Facility A, 2 - Southern Baptist Hosptial of Florida, Inc. (dba Baptist Medical Center Jacksonville). Mental and Behavioral Health: Mental health is an integral and essential component of health. It is a state of well-being in which individuals realize their abilities, cope with the everyday stresses of life, work productively, and contribute to their community. Baptist Health has made behavioral health services a priority, providing comprehensive inpatient and outpatient services to both children and adults. Mental Health was a priority health need addressed by Baptist Medical Center Jacksonville in the last three-year CHNA cycle, and the focus on this health need continues into this CHNA cycle as behavioral health needs of Jacksonville residents continue to increase. Key Issues Identified in the Assessment * Mental Health was one of the most mentioned health concerns. * Priority issues identified involving mental health include lack of providers; cost; stigma; youth mental health; telehealth; suicide; LGBTQ mental health o The 2020 Duval County age-adjusted rates per 100,000 persons for opioid overdose deaths and drug overdose deaths were highest in Northeast Florida at 51.0 and 58.0, respectively, and higher than the state's rates of 29.9 and 36.0. Goals: * A healthy community with easy and timely access to high quality services when needed: 24-hour support and timely appointments (2 weeks - counseling, 4 weeks - psychiatry) More providers delivering the most advanced care Strong care continuum (enough of the right type of care) Seamless transitions along the care continuum Mental illness decriminalized Stigma eliminated and crises prevented Community advocating improvement Non-medical needs addressed (social determinants of health) * Decrease isolation of seniors Strategies: * Continue offering Mental Health First Aid, a proven best practice to reduce stigma of mental illness which increases the likelihood that people will access care. * Convene a leadership task force of providers, elected leaders and people with lived experience to prioritize identified opportunities and develop a plan for action * Host community-wide conferences on mental health to reduce stigma and barriers to care. * Provide education and prevention programming in the community. * Implement support groups for LGBT+ populations to address addictions, mental health, advocacy, community resources, etc. * Participate in Project Save Lives to provide access to peer support for ED patients with mental health and substance use disorder for the purpose of getting them into treatment. * Friendly callers - seniors developing phone friendships with seniors Metrics/What we are measuring: * 1,500 people trained by 2024 * Evaluate participant satisfaction * Evaluate the impact of each initiative according to its focus * Crisis calls (schools, EMT, police) * Rate of behavioral health ED visits * Number of people attending the conference * Satisfaction surveys * Number of people participating in programs * Evaluate impact of programming on participants * Number of people participating in support groups * Evaluation of quality and outcomes of support groups * Percentage of identified people who met with peer specialist * Percentage of people who enter treatment * Percentage of people who did or didn't consent to services and are readmitted into ED * Number of volunteers in program * Number of seniors in program * Number of phone calls * Total time invested in calls * Quality of phone calls (reported by volunteers) Potential Partnering/External Organizations: * Florida's First Coast YMCA * National Council for Behavioral Health * Hope Street Inc. * Karyn Purvis Institute of Child Development at TCU * Community mental health providers * Faith organizations * Universities * Faith Partners * JASMYN * PFLAG * University of North Florida * AgeWell and Baptist Primary Care * Baptist Health Auxiliary Results: Year 1 (October 1, 2021 - September 30, 2022) * 50 Adult MHFA classes were offered in which 624 participants were trained * 83% of participants rated the course as helpful and informative * 13 Youth MHFA classes were offered in which 179 participants were trained Year 1 (October 1, 2021 - September 30, 2022) * Hope Healing JAX: Building a Trauma Responsive Jacksonville was created in partnership with Hope Street, Inc. and the Karyn Purvis Institute of Child Development at Texas Christian University as a Jacksonville city-wide initiative to: (1) foster awareness and culture change; (2) prevent and reduce ACEs and trauma; (3) nurture learning committees. Wolfson Children's Hospital is represented with a member on a Hope Healing JAX Steering Committee to implement these objectives. Year 1 (October 1, 2021 - September 30, 2022) * The 2022 Mental Health Conference - Access and Advocacy: A Community Conversation, was hosted on April 27, 2022, with 191 individuals in attendance. The keynote address and presentation materials were posted on the Baptist Health Social Responsibility website 100% of survey respondents (n=34) rated the conference quality as excellent or good Year 1 (October 1, 2021 - September 30, 2022) * Health education series Total attendance: 75 January: Dementia Cognition September: Mental Health 97.1% agreed or strongly agreed that the webinars delivered the information they expected to receive 94.1% agreed or strongly agreed that because of the webinar, they gained new knowledge that will help them with their well-being 97.1% agreed or strongly agreed that they plan to apply what they learned Year 1 (October 1, 2021 - September 30, 2022) * Discussions were initiated with Baptist Pride ERG to implement a support group type program. Progress was put on hold due to the transition to the new Epic EHR. Year 1 (October 1, 2021 - September 30, 2022) * There were 726 patient encounters, of which 359 (49.45%) led to a consent to services and 61 (8.4%) led to patients entering treatment (BMC-Downtown/BMC-North) * Readmission counts are currently unavailable due to the transition to the new Epic HER Year 1 (October 1, 2021 - September 30, 2022) * 27 volunteers (2 for BMC Beaches, 9 for BMC Jacksonville, 4 for BMC Clay/South, and 12 team members) * 36 community members * 928 phone calls * 473.1 hours invested in calls * Quality of phone calls (reported by volunteers) - 703 phones calls rated Excellent: 87.34% (614) Pretty Good: 9.82% (69) OK: 1.71% (12) Weak: 0.57% (4) Poor: 0.57% (4)

Schedule H, Part V, Section B, Line 11 Facility A, 3
Facility A, 3 - Southern Baptist Hosptial of Florida, Inc. (dba Baptist Medical Center Jacksonville). Maternal and Child Health In 2020 17,920 babies were born in Northeast Florida with 12,490 born in Duval County and Baptist Medical Center Jacksonville delivering over 1,900 of these babies. Maternal health refers to the health of women during pregnancy, childbirth, and the postnatal period. Each stage should be a positive experience, ensuring women and their babies reach their full potential for health and well-being. Children's health is the extent to which individual children or groups of children are able or enabled to develop and realize their potential, satisfy their needs, and develop the capacities that allow them to interact successfully with their biological, physical, and social environments. Child health is the foundation to adult health and overall well-being. At Baptist Health, we are committed to providing quality care through every stage of life. Key Issues Identified in the Assessment: * The neonatal mortality rate per 1,000 live births in Duval is almost three-times higher among Black babies than White babies. * The infant mortality rate per 1,000 live births in Duval is over two-times higher among Black babies than White babies. * The child mortality rate in Duval (38.3 per 100,000 population aged 5-19) is the highest in Northeast Florida and above the state rate of 26.0. * The Duval County age-adjusted rate for all deaths ages 1-5 is 26.6, higher than the state rate of 24.4 * The rate of children in foster care in Duval is 234.8, higher than the state rate of 220.4. Goals: * Zero preventable deaths. Zero health disparities. * Support parents with perinatal mood disorders. * All children can see Strategies: * Partner with the Northeast Florida Healthy Start Coalition to address needs of moms and babies. * Expand WELLCome Home initiative to Baptist South in 2023 * Offer classes focused on increasing awareness of safe sleep practices. * Continue partnering with Duval County Public Schools to provide safe sex education through health curriculum * Provide a continuum of care including psychology and psychiatry support on an inpatient and outpatient basis. * Provide education on perinatal mood disorder (PMD) to clinicians. * Provide support groups to new mothers experiencing PMD. * Provide access to screenings, exams and glasses for children in need Metrics/What we are measuring: * Infant mortality * Pre-term births * Low Birth-weight babies * Number of moms connected through phone and/or in-home support * Number of participants in class * Number of students participating in classes * Number of participants * Number of people trained * Number of people participating in support groups * Number of screenings, exams and glasses provided * Percentage of students who failed a vision screening, who received an eye exam, and who received prescription glasses * Number and percent of students who fail vision screenings multiple years. Potential Partnering/External Organizations: * Northeast Florida Healthy Start Coalition * Home visiting programs * Florida Department of Health * Duval County Public Schools * University of North Florida * Private OBGYN Practices * Postpartum Support International * Florida's First Coast YMCA * Departments of Health in NEFL * School districts in NEFL * Vision is Priceless Results: Year 1 (October 1, 2021 - September 30, 2022) * 140 mothers referred to Northeast Florida Healthy Start Coalition WELLcome Home visiting nurse 110 mothers consented and participated to the WELLcome Home nurse visit and education (78.6% completion) 110 mothers educated on safe sleep practices and 73 mothers educated on infant and/or maternal nutrition * Northeast Florida Healthy Start Coalition community health workers targeted zip codes 32209 and 32210 as a Fetal Infant Mortality Review action plan to decrease infant mortality. 182 initial intakes completed by the community health workers with pregnant women Community health workers referred 111 mothers to maternal and child health home visiting programs More than 100 cases were connected to a home visiting program from an initial intake * 2021 Infant mortality rates Florida: 5.9/1,000 live births Duval: 6.7/1,000 live births 32209: 12.5/1,000 live births 32210: 6.6/1,000 live births * 2021 Preterm births Florida: 23,179 (10.85%) Duval: 1,518 (12.24%) 32209: 92 (16.64%) 32210: 110 (12.57%) * 2021 Low birth weight babies Florida: 19,211 (8.99%) Duval: 1,306 (10.53%) 32209: 94 (17%) 32210: 123 (14.06%) Year 1 (October 1, 2021 - September 30, 2022) * 1311 mothers called after discharge delivery, and 758 mothers participated in the WELLcome Home call back education program. * 132 mothers referred to Northeast Florida Healthy Start Coalition * 71 mothers referred to lactation consultation services * 10 mothers connected to maternal mental health services * Expanded WELLcome Home to include Baptist Medical Center Beaches Year 1 (October 1, 2021 - September 30, 2022) * A total of 456 adults were provided with safe sleep education. * Participated in 8 community events and 8 classes offering safe sleep practices and education * 532,207 total media impressions covering safe sleep education Year 1 (October 1, 2021 - September 30, 2022) * Wolfson Children's Hospital team members assisted with condom demonstration for 6 school classes education a total of 252 students * Duval County Public Schools discontinued the condom demonstration sexual health education for FY22 Year 1 (October 1, 2021 - September 30, 2022) * From November 2021 through September 2022, 45 participants attended PMAD lectures. Year 1 (October 1, 2021 - September 30, 2022) * 30 clinicians were trained by Baptist Maternal Mental Health Year 1 (October 1, 2021 - September 30, 2022) * 24 New Moms Support Group classes offered virtually for new mothers occurring every other week * 92 mothers participated in New Moms Support Group Year 1 (October 1, 2021 - September 30, 2022) * 30,495 children received vision screenings for the early detection of vision issues * 1,265 (4.15%) of students failed the screening and received comprehensive eye exams while at school * 1,075 (84.98%) of students who were examined, received prescription glasses

Schedule H, Part V, Section B, Line 11 Facility A, 4
Facility A, 4 - Southern Baptist Hosptial of Florida, Inc. (dba Baptist Medical Center Jacksonville). Social Determinants of Health While the traditional role of health care is to treat patients' physical symptoms and medical conditions, clinical care accounts for only about 20 percent of an individual's health outcomes. An individual's habits and behaviors account for about 30 percent of that person's quality and length of life. The social, economic, and environmental factors, also known as the Social Determinants of Health (SDOH) determine 50% of an individual's health outcomes, and they affect an individual's ability to stay healthy and recover from illness, manage chronic conditions, and maintain overall well-being. The Healthy People Initiative organized SDOH around five key domains: Economic stability; Education, access, and quality; Health care access and quality; Neighborhood and built environment; and Social and community context. Key Issues Identified in the Assessment: * Cost of care (copays, prescriptions) was commonly cited as an inhibiting factor for individuals who have difficulty accessing medical and dental services. * Top economic issues affecting health also include lack of a living wage and lack of affordable healthcare and insurance in Duval County. * CHNA survey respondents and interviewees indicated a community-wide concern regarding the lack of affordable and safe housing in Duval County. Goals: * Address social needs that prevent people from achieving optimal health Strategies: * Increase employment opportunities * Increase access to healthy food * Ensure parks are safe places for children and adults * Ensure seniors have access to in-home and other supports for health and wellbeing including foods * Research opportunities to address housing and transportation * Implement findhelp (Aunt Bertha) referral system for patients and community members Metrics/What we are measuring: * Percentage of people hired in low life expectancy zip codes * Percentage of identified FQHC and free clinic patients screened for food insecurity * Percentage of patients connected with food assistance programs * Number of home-delivered food boxes or meals * Evaluate community response and engagement at targeted park improvements * Evaluate level of programming at targeted parks * Number of meals provided * Percentage of seniors who need food assistance and are receiving meals * Percentage of seniors needing in-home medical services and receiving them * Evaluate organization's ability to address these social determinants * Number of organizations receiving referrals through findhelp Potential Partnering/External Organizations: * CareerSource * Family Links * JaxCareConnect * MASS * City of Jacksonville Parks and Recreation * Jaguars * Lift Jax * Blue Zones Jacksonville * Pie in the Sky * Meals on Wings * Healthcare Anchor Network * Community-based organizations addressing social needs Results: Year 1 (October 1, 2021 - September 30, 2022) * A partnership was created with CareerSource to provide job fairs in identified zip codes. Due to unforeseen circumstances with Hurricane Ian, the initiative was postponed to Q2 2023. Year 1 (October 1, 2021 - September 30, 2022) * 1274 families assisted with Supplemental Nutrition Assistance Program (SNAP) * Family Links at THE PLAYERS Center for Child Health at Wolfson Children's Hospital provided emergency food bags to 49 families with identified food insecurity needs * Muslim American Social Services 1,000 out of 1,130 patients (88.5%) screened for food insecurity 353 of non-chronic patients received at least one food packet/voucher (35.3%) 300 chronic care patients were enrolled in the Food as Medicine Program (30%) * JaxCareConnect 1,428 (100%) of clients were screened for food insecurity Of 624 eligible and active clients, 74 (11.86%) referrals were made to food stamps, food pantries, or for transportation to access food Year 1 (October 1, 2021 - September 30, 2022) * Lift Jax is focusing on Flossie Brunson and A. Philip Randolph Parks by upgrading equipment and amenities. Because construction has not finished, the community's response has not been evaluated. * A programmer position is being drafted with the aim of addressing park engagement. Ideally it will align with Blue Zones efforts. Year 1 (October 1, 2021 - September 30, 2022) * Pie in the Sky served 525 low-income seniors to provide fresh, healthy produce. This was 97.2% of identified seniors (540) who needed assistance. * Meals on Wings provided 4,820 meals to Jacksonville patients, and 8,980 meals to around 250 seniors systemwide. About 37,000 meals have been provided to Duval patients since October 2018. Year 1 (October 1, 2021 - September 30, 2022) * Through Blue Zones Jacksonville and the Health Anchor Network, Baptist Health is assessing its ability to play a role in affecting change by reviewing resources that address healthy and affordable housing and economic disparities resulting in limited transportation options. Year 1 (October 1, 2021 - September 30, 2022) * * Implementation of findhelp slowly occurred through the summer as the Epic EMR was being setup for a late July start. Thirty-six organizations received 46 referrals between them from May to September.

Schedule H, Part V, Section B, Line 11 Facility A, 5
Facility A, 5 - Southern Baptist Hosptial of Florida, Inc. (dba Baptist Medical Center Jacksonville). Needs Baptist Medical Center Jacksonville Will Not Address No entity can address all the health needs present in its community. Baptist Jacksonville is committed to serving the community by adhering to its mission, using its skills and capabilities, and remaining a strong organization so that it can continue to provide a wide range of community benefits. This plan does not include specific strategies to address the following health priorities that were identified in the 2021 Community Health Needs Assessment; however, each of these health needs will continue to be addressed through partnerships and ongoing initiatives: Areas of Poverty - This need is being addressed by other entities in Northeast Florida, including United Way of Northeast Florida, which is supported by Baptist Health. In addition, Baptist Health's Vice President of Community Investment and Impact actively participates in a community effort that includes businesses, city government and funders to end poverty in Jacksonville. Baptist Jacksonville does not anticipate implementing additional initiatives to address poverty. The hospital does not have sufficient resources to effectuate a significant change in this area and will focus resources on other significant community health needs. Chronic Disease - Baptist Jacksonville through Baptist Health operates 8 Weeks to Healthy Living, a nutrition and physical activity program, in partnership with faith organizations and the YMCA. Baptist Health also operates Healthy Living Centers in YMCA locations in the Baptist Jacksonville service area. Community members, regardless of membership with the YMCA, receive screenings and health coaching through the centers. Also, JaxCareConnect, a collaboration created by the local nonprofit safety net of free charitable clinics to assist uninsured adult Duval County residents find a primary care medical home, is better suited to connect residents with a primary care doctor and navigate community resources to address chronic disease concerns. Last, Baptist Health is a leader and significant sponsor of Blue Zones Jacksonville to increase the health and well-being of Jacksonville residents. The project does not specifically address chronic diseases but does focus on systems level factors to improve the places and spaces people live, work, and play. The prevalence of chronic disease may potentially be impacted by this initiative. Given these long-term investments, the hospital will focus on other significant community health needs, and Baptist Jacksonville does not anticipate implementing additional initiatives to address chronic disease. Transportation - The Jacksonville Transportation Authority, United Way, and other Northeast Florida organizations that Baptist Health collaborates with provide transportation options for residents. In addition, Blue Zones Jacksonville seeks to increase the health and safety of environments to enable residents to enjoy healthier lives. A key component of the Blue Zones work is to address transportation safety. Given this significant investment, Baptist Jacksonville does not have additional resources to commit to transportation needs. The hospital is committed to addressing other social determinants of health. Housing - Baptist Health partners with Habijax to help address housing needs. Baptist Health is committed to addressing social determinants of health and will advocate for ways to ensure residents have the means to a healthy life. Cancer - Baptist MD Anderson Cancer Center is part of the Baptist Jacksonville services and participates in outreach and educational activities throughout Northeast Florida. Given this significant investment in cancer care and education in the Baptist Jacksonville service area, the hospital will focus on other significant community health needs.

Schedule H, Part V, Section B, Line 11 Facility A, 6
Facility A, 6 - Southern Baptist Hospital of Florida, Inc. (dba Baptist Medical Center South). Although Baptist South can play a direct role in addressing many health-related priorities, others will require the development of strategic partnerships with community service partners or involve the expertise of the hospital's staff in the development of new and effective efforts that will be administered by other local community organizations. Regardless of the role Baptist South will play in meeting needs, Baptist remains committed to leading and supporting efforts that increase access to care and engage our patients in improving health and community wellbeing, especially through a health equity lens. All Community Health Plan efforts implemented by Baptist South must be measurable, achievable, and financially feasible. This report reflects the goals and strategic objectives identified to address community priorities within Baptist South's influence and scope of service. Access to Care The significant health need of access refers to access issues across the spectrum of both health and quality of life topic areas, including access to health services, transportation, housing, and nutritious food. Access issues were compiled due to their inextricable nature in impacting health behaviors and health outcomes. During the last three-year CHNA cycle, Access to Care was a priority health need addressed by Baptist Medical Center South. As access issues for Duval and St. Johns residents continue to increase, the focus on this priority will continue into the 2022-2024 CHNA cycle Key Issues Identified in the Assessment: * Transportation is identified as a need - 91% of respondents from zip code 32218 (Duval) 74% from zip code 32086 (St. Johns) indicated they do not have access to public transportation. * Factors contributing to chronic disease incidence are many and inclusive of the presence of food deserts, level of access to physical activity, and indoor/outdoor air quality. * Duval County 2018-2020 age-adjusted rates of chronic disease: - Congestive heart failure: The hospitalization rate was 1.95x higher for Black patients than White patients - Diabetes: The hospitalization rate was 2.52x higher for Black patients than White patients * St. Johns County 2018-2020 age-adjusted rate of chronic disease: - Congestive heart failure: The hospitalization rate was 2.06x higher for Black patients than White patients - Congestive heart failure: The hospitalization rate was 1.59x higher for non-Hispanic patients than Hispanic patients - Diabetes: The hospitalization rate was 3.24x higher for Black patients than White patients - Stroke: The death rate was 1.16x higher for White people than Black people - Stroke: The death rate was 1.22x higher for non-Hispanic people than Hispanic people * Cancer is the leading cause of death in the region, followed by heart disease. The three leading cancer death incidences are: breast cancer deaths (females), lung cancer deaths (females males) and prostate cancer deaths (males). - Duval County 2018-2020 age-adjusted death rates: Breast cancer: The death rate was 1.55x higher for Black females than White females. Prostate cancer: The death rate was 2.13x higher for Black males than White males and 3.48x higher for non-Hispanic males than Hispanic males - St. Johns County 2018-2020 age-adjusted deaths rates: Breast cancer: The death rate was 2.16x higher for Black females than White females Breast cancer: The death rate was 1.27x higher for non-Hispanic females than Hispanic females

Schedule H, Part V, Section B, Line 11 Facility A, 7
Facility A, 7 - Southern Baptist Hospital of Florida, Inc. (dba Baptist Medical Center South). Access to Care: Goals: * Increase access to health services for un- and under-insured people in the BMCS service area and Every Child in Northeast Florida has Health Care insured people in the BMCS service area. * Increase knowledge of chronic diseases and management and where to access services. Strategies: * Continue partnering with organizations who provide access to care for Duval and St. Johns residents who do not have health insurance. * Support JaxCareConnect to increase access to care. * Continue providing screenings and health coaching through Y Healthy Living Centers and JCA Health Connexions. * Provide education and prevention programming in the community. Metrics/What are we measuring: * Number of people served * Percentage of people receiving preventative services * Evaluate health outcomes and wellness of participants in diabetes, hypertension and mental health * Number of people receiving screening * Number of people receiving coaching * Evaluate health outcomes * Number of people educated * Number of people accessing care Potential Partnering/External Organizations: * Muslim American Social Services (MASS) * Sulzbacher Center * Volunteers in Medicine * The Way * We Care Jacksonville * JaxCareConnect * Florida's First Coast YMCA * Jewish Community Alliance * Faith Partners Results: Year 1 (October 1, 2021 - September 30, 2022) * Community Health Outreach, MASS, Sulzbacher Downtown, We Care, and Volunteers in Medicine collectively served 5,269 un- and under-insured patients 895 diabetic patients were served, of which 548 were seen at least twice during the 12-month period, and of those, 66% reported reaching within normal levels (HbA1c less than 7% or 8%) * 1,739 hypertensive patients were served, of which 1,200 were seen at least twice during the 12-month period, and of those, 54.3% measured less than 140/90 * 1,042 patients were seen at least one time with a previous or new diagnosis of mental health, of which 594 patients scored a 10 or greater on the PHQ9. 435 were referred for treatment, and 373 (85.7%) participated in treatment Year 1 (October 1, 2021 - September 30, 2022) * Baptist Health funded a facilitator to help the free clinics and FQHCs develop a model to create JaxCareConnect, a system of care led by WeCare Jacksonville As of September 31, 2021, 1,052 referrals for care were received and received from emergency department social workers, 649 (62%) moved forward successfully towards next steps and of those, 528 (81%) have appointments with a primary care provider within the Duval Safety Net Collaborative clinics. 127 (23%) of active or successfully served clients have been enrolled, or have pending appointments, in private or city sponsored healthcare through the UF Health City Contract Program or the Affordable Care Act. Year 1 (October 1, 2021 - September 30, 2022) Health Partnerships with the YMCA and JCA served 5,745 lives * 579 patients with biometric screenings * 1,288 1:1 health coaching sessions * Health outcome data is being refined for future comprehensive reporting Year 1 (October 1, 2021 - September 30, 2022) * Health education series Total attendance: 236 January: Dementia Cognition February: Heart Health March: Colorectal Cancer May: Stroke Awareness July: Diabetes August: Nutrition September: Mental Health 96.3% agreed or strongly agreed that the webinars delivered the information they expected to receive 92.5% agreed or strongly agreed that because of the webinar, they gained new knowledge that will help them with their well-being 95.3% agreed or strongly agreed that they plan to apply what they learned

Schedule H, Part V, Section B, Line 11 Facility A, 8
Facility A, 8 - Southern Baptist Hospital of Florida, Inc. (dba Baptist Medical Center South). Mental and Behavioral Health Mental health is an integral and essential component of health. It is a state of well-being in which individuals realize their abilities, cope with the everyday stresses of life, work productively, and contribute to their community. Baptist Health has made behavioral health services a priority, providing comprehensive inpatient and outpatient services to both children and adults. Mental Health was a priority health need addressed by Baptist Medical Center South in the last three-year CHNA cycle, and the focus on this health need continues into this CHNA cycle as behavioral health needs of Jacksonville residents continue to increase. Key Issues Identified in the Assessment * Mental Health was one of the most mentioned health concerns. * Priority issues identified involving mental health include lack of providers; cost; stigma; youth mental health; telehealth; suicide; LGBTQ mental health * Duval County: o The 2020 age-adjusted rates per 100,000 persons for opioid overdose deaths and drug overdose deaths are highest in Northeast Florida, at 51.0 and 58.0, respectively. * St. Johns County: o The 2020 age-adjusted rate per 100,000 for opioid deaths was 14.3 and drug overdose deaths was 18.3, lower than the state's rates of 29.9 and 36.0 respectively. o The 2018-2020 age-adjusted rate of suicide deaths for White and non-Hispanic populations is higher than state rate overall, with White individuals experiencing the highest rate. Goals: A healthy community with easy and timely access to high quality services when needed: * 24-hour support and timely appointments (2 weeks - counseling, 4 weeks - psychiatry) * More providers delivering the most advanced care * Strong care continuum (enough of the right type of care) * Seamless transitions along the care continuum * Mental illness decriminalized * Stigma eliminated and crises prevented * Community advocating improvement * Non-medical needs addressed (social determinants of health) Decrease isolation of seniors Strategies: * Continue offering Mental Health First Aid, a proven best practice to reduce stigma of mental illness which increases the likelihood that people will access care. * Convene a leadership task force of providers, elected leaders and people with lived experience to prioritize identified opportunities and develop a plan for action * Provide education and prevention programming in the community. * Host community-wide conferences on mental health to reduce stigma and barriers to care. * Beginning in 2022, participate in Project Save Lives to provide access to peer support for ED patients with mental health and substance use disorder for the purpose of getting them into treatment. * Friendly callers - seniors developing phone friendships with seniors * Check in on seniors through healthy food distributions Metrics/What we are measuring: * 1,500 people trained by 2024 * Evaluate participant satisfaction * Measure crisis calls (schools, EMT, police) * Evaluate the impact of each initiative according to its focus * Rate of behavioral health ED visits * Number of people participating in programs * Evaluate impact of programming on participants * Number of people attending the conference * Satisfaction surveys * Percentage of identified people who met with peer specialist * Percentage of people who enter treatment * Percentage of people who did or didn't consent to services and are readmitted into ED * Number of volunteers in program * Number of seniors in program * Number of phone calls * Total time invested in calls * Quality of phone calls (reported by volunteers) * Number of seniors receiving food deliveries Potential Partnering/External Organizations: * Florida's First Coast YMCA * National Council for Behavioral Health * Hope Street Inc. * Karyn Purvis Institute of Child Development at TCU * Faith organizations * Community mental health providers * Universities * City of Jacksonville * Gateway Services * AgeWell and Baptist Primary Care * Baptist Health Auxiliary * Meals on Wheels * Pie in the Sky Results: Year 1 (October 1, 2021 - September 30, 2022) * 50 Adult MHFA classes were offered in which 624 participants were trained * 83% of participants rated the course as helpful and informative * 13 Youth MHFA classes were offered in which 179 participants were trained Year 1 (October 1, 2021 - September 30, 2022) * Hope Healing JAX: Building a Trauma Responsive Jacksonville was created in partnership with Hope Street, Inc. and the Karyn Purvis Institute of Child Development at Texas Christian University as a Jacksonville city-wide initiative to: (1) foster awareness and culture change; (2) prevent and reduce ACEs and trauma; (3) nurture learning committees. Wolfson Children's Hospital is represented with a member on a Hope Healing JAX Steering Committee to implement these objectives. Year 1 (October 1, 2021 - September 30, 2022) * Health education series Total attendance: 75 January: Dementia Cognition September: Mental Health 97.1% agreed or strongly agreed that the webinars delivered the information they expected to receive 94.1% agreed or strongly agreed that because of the webinar, they gained new knowledge that will help them with their well-being 97.1% agreed or strongly agreed that they plan to apply what they learned Year 1 (October 1, 2021 - September 30, 2022) * The 2022 Mental Health Conference - Access and Advocacy: A Community Conversation, was hosted on April 27, 2022, with 191 individuals in attendance. * The keynote address and presentation materials were posted on the Baptist Health Social Responsibility website * 100% of survey respondents (n=34) rated the conference quality as excellent or good Year 1 (October 1, 2021 - September 30, 2022) * There were 726 patient encounters, of which 359 (49.45%) led to a consent to services and 61 (8.4%) led to patients entering treatment (BMC-Downtown/BMC-North) * Readmission counts are currently unavailable due to the transition to the new Epic HER Year 1 (October 1, 2021 - September 30, 2022) * 27 volunteers (2 for BMC Beaches, 9 for BMC Jacksonville, 4 for BMC Clay/South, and 12 team members) * 36 community members * 928 phone calls * 473.1 hours invested in calls * Quality of phone calls (reported by volunteers) - 703 phones calls rated Excellent: 87.34% (614) Pretty Good: 9.82% (69) OK: 1.71% (12) Weak: 0.57% (4) Poor: 0.57% (4) Year 1 (October 1, 2021 - September 30, 2022) * Pie in the Sky served 525 low-income seniors to provide fresh, healthy produce. This was 97.2% of identified seniors (540) who needed assistance. * Meals on Wings provided 3,551 meals to South patients, and 8,980 meals to around 250 seniors systemwide. About 37,000 meals have been provided to Duval patients since October 2018

Schedule H, Part V, Section B, Line 11 Facility A, 9
"Facility A, 9 - Southern Baptist Hospital of Florida, Inc. (dba Baptist Medical Center South). Maternal and Child Health In 2020 17,920 babies were born in Northeast Florida with 12,490 born in Duval County, 2,148 born in St. Johns County, and Baptist Medical Center South delivering over 2,450 of these babies. Maternal health refers to the health of women during pregnancy, childbirth, and the postnatal period. Each stage should be a positive experience, ensuring women and their babies reach their full potential for health and well-being. Children's health is the extent to which individual children or groups of children are able or enabled to develop and realize their potential, satisfy their needs, and develop the capacities that allow them to interact successfully with their biological, physical, and social environments. Child health is the foundation to adult health and overall well-being. At Baptist Health, we are committed to providing quality care through every stage of life. Key Issues Identified in the Assessment: * The neonatal mortality rate per 1,000 live births is almost three-times higher among Black babies than White babies in Duval. * The infant mortality rate per 1,000 live births is over two-times higher among Black babies than White babies in Duval. * The child mortality rate in Duval (38.3 per 100,000 population aged 5-19) is the highest in Northeast Florida and well over the state rate of 26.0. * The Duval age-adjusted rate for all deaths ages 1-5 is 26.6, higher than the state rate of 24.4 * The rate of children in foster care in Duval County is 234.8, higher than the state rate of 220.4. Goals: * Zero preventable deaths. Zero health disparities. * Support parents with perinatal mood disorders. * All children can see Strategies: * Partner with the Northeast Florida Healthy Start Coalition to address needs of moms and babies. * Expand WELLCome Home initiative to Baptist South in 2023 * Offer classes increasing awareness of safe sleep practices. * Continue partnering with Duval County Public Schools to provide safe sex education through health curriculum. * Address SDoH in doctors' offices * Explore offering infant CPR training for new parents * Provide a continuum of care including psychology and psychiatry support on an inpatient and outpatient basis. * Provide education on perinatal mood disorder (PMD) to clinicians. * Provide support groups to new mothers experiencing PMD. * Provide access to screenings, exams and glasses for children in need Metrics/What we are measuring: * Infant mortality * Pre-term births * Low Birth-weight babies * Number of moms connected through phone and/or in-home support * Number of participants to class * Number of students participating in classes * Number of physicians participating * Number of patients served * Number of participants trained * Number of people participating in support groups * Number of screenings, exams and glasses provided * Percentage of students who failed a vision screening, who received an eye exam, and who received prescription glasses * Number and percent of students who fail vision screenings multiple years. Potential Partnering/External Organizations: * Northeast Florida Healthy Start Coalition * Home visiting programs * Florida Department of Health * Duval County Public Schools * University of North Florida * AHA * Safe Kids Northeast Florida * Private OBGYN Practices * Postpartum Support International * Florida's First Coast YMCA * Departments of Health in NEFL * School districts in NEFL * Vision is Priceless Results: Year 1 (October 1, 2021 - September 30, 2022) * 140 mothers referred to Northeast Florida Healthy Start Coalition WELLcome Home visiting nurse 110 mothers consented and participated to the WELLcome Home nurse visit and education (78.6% completion) 110 mothers educated on safe sleep practices and 73 mothers educated on infant and/or maternal nutrition * Northeast Florida Healthy Start Coalition community health workers targeted zip codes 32209 and 32210 as a Fetal Infant Mortality Review action plan to decrease infant mortality. 182 initial intakes completed by the community health workers with pregnant women Community health workers referred 111 mothers to maternal and child health home visiting programs More than 100 cases were connected to a home visiting program from an initial intake * 2021 Infant mortality rates Florida: 5.9/1,000 live births Duval: 6.7/1,000 live births 32209: 12.5/1,000 live births 32210: 6.6/1,000 live births St. Johns: 7.2/1,000 live births * 2021 Preterm births Florida: 23,179 (10.85%) Duval: 1,518 (12.24%) 32209: 92 (16.64%) 32210: 110 (12.57%) St. Johns: 210 (8.91%) * 2021 Low birth weight babies Florida: 19,211 (8.99%) Duval: 1,306 (10.53%) 32209: 94 (17%) 32210: 123 (14.06%) St. Johns: 174 (7.38%) Year 1 (October 1, 2021 - September 30, 2022) * 1311 mothers called after discharge delivery, and 758 mothers participated in the WELLcome Home call back education program. * 132 mothers referred to Northeast Florida Healthy Start Coalition * 71 mothers referred to lactation consultation services * 10 mothers connected to maternal mental health services * Expanded WELLcome Home to include Baptist Medical Center Beaches Year 1 (October 1, 2021 - September 30, 2022) * A total of 456 adults were provided with safe sleep education. * Participated in 8 community events and 8 classes offering safe sleep practices and education * 532,207 total media impressions covering safe sleep education Year 1 (October 1, 2021 - September 30, 2022) * Wolfson Children's Hospital team members assisted with condom demonstration for 6 school classes education a total of 252 students * Duval County Public Schools discontinued the condom demonstration sexual health education for FY22 Year 1 (October 1, 2021 - September 30, 2022) * Initial conversations occurred to implement the SDOH System of Care screening pilot at a local OB-GYN's office that services Medicaid and uninsured patients. Due to changes in office staff, implementation was put on hold until further discussion can occur. Year 1 (October 1, 2021 - September 30, 2022) * ""First Year Baby Safety Essentials"" virtual classes included demonstration of infant/child CPR and addressed choking, first aid, and unintentional injury prevention. There were 8 classes offered to a total of 92 participants. Year 1 (October 1, 2021 - September 30, 2022) * From November 2021 through September 2022, 45 participants attended PMAD lectures. Year 1 (October 1, 2021 - September 30, 2022) * 30 clinicians were trained by Baptist Maternal Mental Health Year 1 (October 1, 2021 - September 30, 2022) * 24 New Moms Support Group classes offered virtually for new mothers occurring every other week * 92 mothers participated in New Moms Support Group Year 1 (October 1, 2021 - September 30, 2022) * 30,495 children received vision screenings for the early detection of vision issues * 1,265 (4.15%) of students failed the screening and received comprehensive eye exams while at school * 1,075 (84.98%) of students who were examined, received prescription glasses"

Schedule H, Part V, Section B, Line 11 Facility A, 10
Facility A, 10 - Southern Baptist Hospital of Florida, Inc. (dba Baptist Medical Center South). Social Determinants of Health While the traditional role of health care is to treat patients' physical symptoms and medical conditions, clinical care accounts for only about 20% of an individual's health outcomes. An individual's habits and behaviors account for about 30% of quality and length of life. The social, economic, and environmental factors, also known as Social Determinants of Health (SDOH), determine 50% of an individual's health outcomes, and they affect an individual's ability to stay healthy and recover from illness, manage chronic conditions, and maintain overall well-being. The Healthy People Initiative organized SDOH around 5 key domains: Economic stability; Education access and quality; Health care access and quality; Neighborhood and built environment; and Social and community context. Key Issues Identified in the Assessment: * Cost of care (copays, prescriptions) was commonly cited as an inhibiting factor for individuals who have difficult accessing medical and dental services. * Top economic issues affecting health also include lack of a living wage and lack of affordable healthcare and insurance in Duval County. * CHNA survey respondents and interviewees indicated a community-wide concern regarding the lack of affordable and safe housing in St. Johns and Duval counties. Goals: * Address social needs that prevent people from achieving optimal health Strategies: * Increase employment opportunities * Increase access to healthy food * Ensure seniors have access to in-home and other supports for health and wellbeing including foods * Implement findhelp (Aunt Bertha) referral system for patients and community members Metrics/What we are measuring: * Percentage of people hired in low life expectancy zip codes * Percentage of identified FQHC and free clinic patients screened for food insecurity * Percentage of patients connected with food assistance programs * Number of home-delivered food boxes or meals * Number of seniors receiving in-home support * Number of organizations receiving referrals through Find Help Potential Partnering/External Organizations: * CareerSource * Family Links * JaxCareConnect * MASS * Pie in the Sky * UNF Meals on Wings * Community-based organizations addressing social needs Results: Year 1 (October 1, 2021 - September 30, 2022) * A partnership was created with CareerSource to provide job fairs in identified zip codes. Due to unforeseen circumstances with Hurricane Ian, the initiative was postponed to March 2023. Year 1 (October 1, 2021 - September 30, 2022) * 1274 families assisted with Supplemental Nutrition Assistance Program (SNAP) * Family Links at THE PLAYERS Center for Child Health at Wolfson Children's Hospital provided emergency food bags to 49 families with identified food insecurity needs * Muslim American Social Services 1,000 out of 1,130 patients (88.5%) screened for food insecurity 353 of non-chronic patients received at least one food packet/voucher (35.3%) 300 chronic care patients were enrolled in the Food as Medicine Program (30%) * WeCare 1,428 (100%) of clients were screened for food insecurity Of 624 eligible and active clients, 74 (11.86%) referrals were made to food stamps, food pantries, or for transportation to access food Year 1 (October 1, 2021 - September 30, 2022) * Pie in the Sky served 525 low-income seniors to provide fresh, healthy produce. This was 97.2% of identified seniors (540) who needed assistance. * Meals on Wings provided 3,551 meals to South patients, and 8,980 meals to around 250 seniors systemwide. About 37,000 meals have been provided to Duval patients since October 2018. Year 1 (October 1, 2021 - September 30, 2022) * Implementation of findhelp slowly occurred through the summer as the Epic EMR was being setup for a late July start. Thirty-six organizations received 46 referrals between them from May to September.

Schedule H, Part V, Section B, Line 11 Facility A, 11
Facility A, 11 - Southern Baptist Hospital of Florida, Inc. (dba Baptist Medical Center South). Needs Baptist Medical Center South Will Not Address No entity can address all the health needs present in its community. Baptist South is committed to serving the community by adhering to its mission, using its skills and capabilities, and remaining a strong organization so that it can continue to provide a wide range of community benefits. This plan does not include specific strategies to address the following health priorities that were identified in the 2021 Community Health Needs Assessment; however, each of these health needs will continue to be addressed through partnerships and ongoing initiatives: Areas of Poverty - This need is being addressed by other entities in Northeast Florida, including United Way of Northeast Florida, which is supported by Baptist Health. In addition, Baptist Health's Vice President of Community Investment and Impact actively participates in a community effort that includes businesses, city government and funders to end poverty in Duval County. Baptist South does not anticipate implementing additional initiatives to address poverty. The hospital does not have sufficient resources to effectuate a significant change in this area and will focus its resources on other significant community health needs. Chronic Disease - Baptist South through Baptist Health operates 8 Weeks to Healthy Living, a nutrition and physical activity program, in partnership with faith organizations and the YMCA. Baptist Health also operates Healthy Living Centers in YMCA locations in the Baptist South service area. Community members, regardless of membership with the YMCA, receive screenings and health coaching through the centers. Also, JaxCareConnect, a collaboration created by the local nonprofit safety net of free charitable clinics to assist uninsured adult Duval County residents find a primary care medical home, is better suited to connect residents with a primary care doctor and navigate community resources to address chronic disease concerns. Last, Baptist Health is a leader and significant sponsor of Blue Zones Jacksonville to increase the health and well-being of Jacksonville residents. The project does not specifically address chronic diseases but does focus on systems level factors to improve the places and spaces people live, work, and play. The prevalence of chronic disease may potentially be impacted by this initiative. Given these long-term investments, the hospital will focus on other significant community health needs, and Baptist South does not anticipate implementing additional initiatives to address chronic disease. Transportation - The Jacksonville Transportation Authority, United Way, and other Northeast Florida organizations that Baptist Health collaborates with provide transportation options for residents. In addition, Baptist Health seeks to increase the health and safety of environments to enable residents to enjoy healthier lives. A key component of the Blue Zones work is to address transportation safety. Given this significant investment, Baptist South does not have additional resources to commit to transportation needs. The hospital is committed to addressing other social determinants of health. Housing - Baptist Health partners with Habijax and St. Johns Habitat for Humanity to help address housing needs. Baptist Health is committed to addressing social determinants of health and will advocate for ways to ensure residents have the means to a healthy life. Cancer - Baptist MD Anderson Cancer Center is part of the Baptist South services and participates in outreach and educational activities throughout Northeast Florida. Given this significant investment in cancer care and education in the Baptist South service area, the hospital will focus on other significant community health needs.

Schedule H, Part V, Section B, Line 11 Facility A, 12
Facility A, 12 - Southern Baptist Hospital of Florida, Inc. (dba Wolfson Children's Hospital). Although Wolfson Children's can play a direct role in addressing many health-related priorities, others will require the development of strategic partnerships with community service partners or involve the expertise of the hospital's staff in the development of new and effective efforts that will be administered by other local community organizations. Regardless of the role Wolfson Children's will play in meeting needs, Baptist remains committed to leading and supporting efforts that increase access to care and engage our patients in improving health and community wellbeing. All Community Health Plan efforts implemented by Wolfson Children's must be measurable, achievable, and financially feasible. This report reflects the goals and strategic objectives identified to address community priorities within the hospital's influence and scope of service. Access to Care The significant health need of access refers to access issues across the spectrum of both health and quality of life topic areas, including access to health services, transportation, housing, and nutritious food. By improving access and increasing utilization of primary care services, Baptist Health and Wolfson Children's Hospital can improve health outcomes and reduce preventable ED visits and hospitalizations. Wolfson Children's aims to partner with community organizations in order to ensure that every child in Northeast Florida has healthcare. Key Issues Identified in the Assessment: * Access issues were the most mentioned barriers to healthcare in the following: - Mental healthcare - Healthcare clinics and specialists - Public transportation * Across all 5 Northeast Florida counties, lack of access to public transportation was a challenge for 62% of survey respondents. * Lack of access also consists of inclusive community clinics that accept Medicaid. * Florida has the second most uninsured children in the United States. - Approximately 55,000 children under the age of 19 lost health insurance between 2016-2019. * Social determinants such as economic instability, poor neighborhoods, and lack of access to quality food and healthcare threaten the health and well-being of a significant portion of our most vulnerable populations and disproportionately affect minorities. - There are few nutritious food stores in certain zip codes, while cheap fast-food options are prevalent and convenient. Goals: * Every Child in Northeast Florida has Health Care * All children can see Strategies: * Continue operating health centers in schools in the Ribault and Raines feeder pattern in Duval County. * Provide enrollment assistance to children eligible for Florida KidCare. * Provide asthma education to children diagnosed with the chronic disease. * Partner with Children's Home Society, Clay Public Schools and Aza Health to support health services in the Clay County Community Schools and developing a plan if determined to be feasible. * Provide access to screenings, exams and glasses for children in need Metrics/What we are measuring: * Number of visits * Student health as measured through surveys * Number of children enrolled in Florida KidCare * Pre and post-test for knowledge gains * Number of children/adults educated * Feasibility of offering health services * Number of screenings, exams and glasses provided * Percentage of students who failed a vision screening, then received an eye exam and percentage of students who received prescription glasses * Number and percent of students who fail vision screenings multiple years. * Qualitative information about the impact of vision clinics in classroom behavior and confidence in school Potential Partnering/External Organizations: * Department of Health - Duval * Duval County Public Schools * UF Health Jacksonville * Full Service Schools * Hazel Health * Vision is Priceless * St. Vincent's Mobile Health outreach * Lutheran Services Florida Head Start * Clay County Public Schools * The Way Clinic * Northeast Florida Healthy Start Coalition * St. Johns County Head Start * Duval County Charter Schools * Children's Home Society Buckner Division * Aza Health * School districts in NEFL * Departments of Health in NEFL Results: Year 1 (October 1, 2021 - September 30, 2022) * Provided a total of 196 appointments at the Wolfson Children's @ School Ribault Family Resource Center * 151 sports physicals were conducted for students at the Wolfson Children's @ School Ribault Family Resource Center * R.A.W. (Ribault Access and Wellness) student advisory committee for Wolfson Children's @ School had 26 students participate in activities during the 2021-2022 school year and 33 students participate in the 2022-2023 school year. * 8 events and activities held in the community promoting the health center and student advisory committee, R.A.W. Year 1 (October 1, 2021 - September 30, 2022) * Provided application assistance to 1,651 individuals * Participated in 92 health fairs and events, providing health insurance education to 7,276 individuals * Florida KidCare messaging had a reach of 29,760 total media impressions * Florida KidCare PSA messaging on AM, FM, and Satellite Radio had a total of 1,667 PSA spots from 12/14/2021-06/29/2022 on 16 radio stations and an estimated reach of 338,800 listeners Year 1 (October 1, 2021 - September 30, 2022) * 1513 patients and their families provided with asthma management education * 34 high-risk patients receiving beside education and direction care coordination Year 1 (October 1, 2021 - September 30, 2022) * Wilkinson Jr. High opened a new Aza Telehealth Clinic on campus for students as well as adults who are in the school. * 58 individual appointments made at the health clinic on campus Year 1 (October 1, 2021 - September 30, 2022) * 30,495 children received vision screenings for the early detection of vision issues * 1,265 (4.15%) of students failed the screening and received comprehensive eye exams while at school * 1,075 (84.98%) of students who were examined, received prescription glasses

Schedule H, Part V, Section B, Line 11 Facility A, 13
"Facility A, 13 - Southern Baptist Hospital of Florida, Inc. (dba Wolfson Children's Hospital). Mental and Behavioral Health Baptist Health has made behavioral health services a priority providing comprehensive inpatient and outpatient services to children. Mental Health was a priority health need addressed by Wolfson Children's Hospital in the last three-year CHNA cycle, and the focus on this health need continues into this CHNA cycle as behavioral health needs of children and youth in the hospital's service area continue to increase. Key Issues Identified in the Assessment: * Mental health services were frequently identified as a priority need. * Priority issues identified involving mental health include lack of providers; youth mental health; telehealth; suicide; LGBTQ mental health * The rate of children ages 1-5 receiving mental health treatment services in all 5 area counties is higher than the state of Florida rate. * About 1 in 16 students in Northeast Florida ""seriously considered"" suicide in 2019. - Approximately 8% of Northeast Florida high school students reported attempting suicide one or more times during the past year. - Female students and Black students attempted suicide more than other groups of students. Goals: * A healthy community with easy and timely access to high quality services when needed: 24-hour support and timely appointments (2 weeks - counseling, 4 weeks - psychiatry) More providers delivering the most advanced care Strong care continuum (enough of the right type of care) Seamless transitions along the care continuum Mental illness decriminalized Stigma eliminated and crises prevented Community advocating improvement Strategies: * Continue offering Mental Health First Aid, a proven best practice to reduce stigma of mental illness which increases the likelihood that people will access care. * Convene a leadership task force of providers, elected leaders and people with lived experience to prioritize identified opportunities and develop a plan for action * Support implementation of Calm Classroom in Northeast Florida. * Host community-wide conferences on mental health to reduce stigma and barriers to care. * Support implementation of On Our Sleeves to provide free, easy-to-use educational tools and resources to help parents and caregivers start conversations, boost mental well-being, and break stigmas associated with children's mental health. Metrics/What we are measuring: * 1,500 people trained by 2024 * Evaluate participant satisfaction * Evaluate the impact of each initiative according to its focus * Crisis calls (schools, EMT, police) * Rate of behavioral health ED visits * Number of schools and organizations participating in Calm Classroom * Evaluation of implementation and results * Number of people attending the conference * Satisfaction surveys * Number of community partners joining initiative through awareness campaign, employee presentations, and/or support * Number of individual subscriptions to the On Our Sleeves monthly newsletter Potential Partnering/External Organizations: * Florida's First Coast YMCA * National Council for Behavioral Health * Partnership for Child Health * Duval County Public Schools * Clay County Public Schools * Hope Street Inc. * Karyn Purvis Institute of Child Development at TCU * Calm Classroom * Early learning centers * Early Learning Coalitions * Public School systems * Private/charter schools * Community mental health providers * Faith organizations * Universities * Community organizations addressing stigma and mental health * Pediatric healthcare providers Results: Year 1 (October 1, 2021 - September 30, 2022) * Wolfson Children's Hospital offered 13 classes for Youth Mental Health First Aid. * 179 adults were trained in Youth Mental Health First Aid, with participants rating high satisfaction with the training quality. Year 1 (October 1, 2021 - September 30, 2022) * Hope Healing JAX: Building a Trauma Responsive Jacksonville was created in partnership with Hope Street, Inc. and the Karyn Purvis Institute of Child Development at TCU as a Jacksonville city-wide initiative to: (1) foster awareness and culture change; (2) prevent and reduce ACEs and trauma; (3) nurture learning committees. * Wolfson Children's Hospital is represented with a member on a Hope Healing JAX Steering Committee and Action Groups to implement these objectives. Year 1 (October 1, 2021 - September 30, 2022) * Calm Classroom implemented within 106 schools in Duval County * 92% of teachers lead or participate in Calm Classroom techniques 1 or more times per day * Of 440 educators surveyed from 24 schools, 90% of teachers report ""students seem calmer and more peaceful after practicing Calm Classroom."" * Of 440 educators surveyed from 24 schools, 85% of teachers report ""students are more engaged and ready to learn after practicing Calm Classroom."" * Of 440 educators surveyed from 24 schools, 87% of teachers report Calm Classroom has helped teachers understand the importance of self-care Year 1 (October 1, 2021 - September 30, 2022) * The 2022 Mental Health Conference - Access and Advocacy: A Community Conversation, was hosted on April 27, 2022, with 191 individuals in attendance. The keynote address and presentation materials were posted on the Baptist Health Social Responsibility website * 100% of survey respondents (n=34) rated the conference quality as excellent or good Year 1 (October 1, 2021 - September 30, 2022) * On Our Sleeves participated in a total of 40 events throughout the community providing awareness for the stigma campaign as well as offered free educational resources promoting children's mental wellness. * On Our Sleeves had a total of 677 subscribers to the On Our Sleeves monthly e-mail newsletter including mental wellness resources and guides for families and children."

Schedule H, Part V, Section B, Line 11 Facility A, 14
Facility A, 14 - Southern Baptist Hospital of Florida, Inc. (dba Wolfson Children's Hospital). Maternal and Child Health Each year, approximately 17,500 babies are born in Northeast Florida and 2,000 babies are delivered at Baptist Medical Center Jacksonville. The health and wellbeing of the mothers, fathers and their babies is important to Baptist Health and Wolfson Children's Hospital. This health need continues to be a focus for Wolfson Children's due to the significant number of adverse outcomes in the hospital's service area Key Issues Identified in the Assessment: * Neonatal mortality, infant mortality, post neonatal mortality, and maternal mortality rates in Duval County are all higher than Florida's rates. * The neonatal mortality rate (per 1,000 live births) is almost 3 times higher among Black babies than white babies in Duval County. * The infant mortality rate (per 1,000 live births) is over 2 times higher among Black babies than white babies in Duval County * The child mortality rate in Duval (38.3 per 100,000 population aged 5-19) is the highest in Northeast Florida and above the state rate of 26.0. Goals: * Zero preventable deaths. Zero health disparities. * Support parents with perinatal mood disorders (PMADs). Strategies: * Partner with the Northeast Florida Healthy Start Coalition to address needs of moms and babies. * Expand WELLCome Home initiative to additional Baptist hospitals * Achieve Cribs for Kids National Safe Sleep Hospital Certification, designated to hospitals that model and teach infant safe sleep best practices. * Offer classes focused on increasing awareness of safe sleep practices to mothers. * Continue partnering with Duval County Public Schools to provide safe sex education through health curriculum * Provide a continuum of care including psychology and psychiatry support on an inpatient and outpatient basis. * Provide education on perinatal or postpartum mood and anxiety disorder (PMADs) to clinicians. * Provide support groups to new mothers experiencing PMADs. Metrics/What we are measuring: * Infant mortality * Pre-term births * Low Birth-weight babies * Number of moms connected through phone and/or in-home support * Number of sleep sacks distributed to mothers delivering at all Baptist campuses * Number of caregivers trained in safe sleep education * Number of participants in class * Number of students participating in classes * Number of participants * Number of people trained * Number of people participating in support groups Potential Partnering/External Organizations: * Northeast Florida Healthy Start Coalition * Home visiting programs * Cribs for Kids * Florida Department of Health * The Magnolia Project * Duval County Public Schools * University of North Florida * OBGYN Practices * Postpartum Support International * Florida's First Coast YMCA Results: Year 1 (October 1, 2021 - September 30, 2022) * 140 mothers referred to Northeast Florida Healthy Start Coalition WELLcome Home visiting nurse 110 mothers consented and participated to the WELLcome Home nurse visit and education (78.6% completion) 110 mothers educated on safe sleep practices and 73 mothers educated on infant and/or maternal nutrition * Northeast Florida Healthy Start Coalition community health workers targeted zip codes 32209 and 32210 as a Fetal Infant Mortality Review action plan to decrease infant mortality. 182 initial intakes completed by the community health workers with pregnant women Community health workers referred 111 mothers to maternal and child health home visiting programs More than 100 cases were connected to a home visiting program from an initial intake * 2021 Infant mortality rates Florida: 5.9/1,000 live births Baker: 0.0/1,000 live births Clay: 5.4/1,000 live births Duval: 6.7/1,000 live births 32209: 12.5/1,000 live births 32210: 6.6/1,000 live births Nassau: 2.4/1,000 live births St. Johns: 7.2/1,000 live births * 2021 Preterm births Florida: 23,179 (10.85%) Baker: 28 (8.75%) Clay: 268 (12.21%) Duval: 1,518 (12.24%) 32209: 92 (16.64%) 32210: 110 (12.57%) Nassau: 95 (11.46%) St. Johns: 210 (8.91%) * 2021 Low birth weight babies Florida: 19,211 (8.99%) Baker: 26 (8.13%) Clay: 196 (8.93%) Duval: 1,306 (10.53%) 32209: 94 (17%) 32210: 123 (14.06%) Nassau: 62 (7.48%) St. Johns: 174 (7.38%) Year 1 (October 1, 2021 - September 30, 2022) * 1311 mothers called after discharge delivery, and 758 mothers participated in the WELLcome Home call back education program. * 132 mothers referred to Northeast Florida Healthy Start Coalition * 71 mothers referred to lactation consultation services * 10 mothers connected to maternal mental health services * Expanded WELLcome Home to include Baptist Medical Center Beaches Year 1 (October 1, 2021 - September 30, 2022) * A total of 456 adults were provided with safe sleep education. * Participated in 8 community events and 8 classes offering safe sleep practices and education * Distributed a total of 7 Pack N Plays Year 1 (October 1, 2021 - September 30, 2022) * A total of 456 adults were provided with safe sleep education. * Participated in 8 community events and 8 classes offering safe sleep practices and education * 532,207 total media impressions covering safe sleep education Year 1 (October 1, 2021 - September 30, 2022) * Wolfson Children's Hospital team members assisted with condom demonstration for 6 school classes education a total of 252 students * Duval County Public Schools discontinued the condom demonstration sexual health education for FY22 Year 1 (October 1, 2021 - September 30, 2022) * From November 2021 through September 2022, 45 participants attended PMAD lectures. Year 1 (October 1, 2021 - September 30, 2022) * 30 clinicians were trained by Baptist Maternal Mental Health Year 1 (October 1, 2021 - September 30, 2022) * 24 New Moms Support Group classes offered virtually for new mothers occurring every other week * 92 mothers participated in New Moms Support Group

Schedule H, Part V, Section B, Line 11 Facility A, 15
Facility A, 15 - Southern Baptist Hospital of Florida, Inc. (dba Wolfson Children's Hospital). Social Determinants of Health While the traditional role of health care is to treat patients' physical symptoms and medical conditions, clinical care accounts for only about 20% of an individual's health outcomes. An individual's habits and behaviors account for about 30% of quality and length of life. The social, economic, and environmental factors, also known as Social Determinants of Health (SDOH), determine 50% of an individual's health outcomes, and they affect an individual's ability to stay healthy and recover from illness, manage chronic conditions, and maintain overall well-being. The Healthy People Initiative organized SDOH around 5 key domains: Economic stability; Education access and quality; Health care access and quality; Neighborhood and built environment; and Social and community context. Key Issues Identified in the Assessment: * Cost of care (copays, prescriptions) was a commonly cited concern for medical, dental, and mental health services. * Top economic issues affecting health also include lack of a living wage and lack of affordable healthcare and insurance. * Across all 5 counties, those with access to public transportation reported it can be difficult to navigate or prohibitive due to the length of time it takes to get places. * CHNA survey respondents and interviewees indicated a community-wide concern regarding the lack of affordable and safe housing. * Factors contributing to chronic disease include food deserts, level of access to physical activity, and air quality. * Pedestrian and bicycle safety were also cited as environmental health concerns by respondents. Goals: * Address social needs that keep people sick Strategies: * Increase employment opportunities * Increase access to healthy food * Ensure parks are safe places for children and adults * Research opportunities to address housing and transportation * Implement Fin Help (Aunt Bertha) referral system for patients and community members Metrics/What we are measuring: * Percentage of people hired in low life expectancy zip codes * Percentage of identified FQHC and free clinic patients screened for food insecurity * Percentage of patients connected with food assistance programs * Number of home-delivered food boxes or meals * Evaluate community response and engagement at targeted park improvements * Evaluate level of programming at targeted parks * Evaluate organization's ability to address these social determinants * Number of organizations receiving referrals through Find Help Potential Partnering/External Organizations: * CareerSource * Boys and Girls Club * Feeding Northeast Florida * JTA - Door to Store * Lift Jax - Deb Store * Meals on Wings * Blue Zones Jacksonville * City of Jacksonville Parks and Recreation * Jaguars * Lift Jax * Ability Housing * Jacksonville Transportation Authority * JWB * LISC * Community-based organizations addressing social needs Results: Year 1 (October 1, 2021 - September 30, 2022) * A partnership was created with CareerSource to provide job fairs in identified zip codes. Due to unforeseen circumstances with Hurricane Ian, the initiative was postponed to March 2023. Year 1 (October 1, 2021 - September 30, 2022 * 1274 families assisted with Supplemental Nutrition Assistance Program (SNAP) * Family Links at THE PLAYERS Center for Child Health at Wolfson Children's Hospital provided emergency food bags to 49 families with identified food insecurity needs Year 1 (October 1, 2021 - September 30, 2022) * Lift Jax is focusing on Flossie Brunson and A. Philip Randolph Parks by upgrading equipment and amenities. Because construction has not finished, the community's response has not been evaluated. * A programmer position is being drafted with the aim of addressing park engagement. Ideally it will align with Blue Zones efforts. Year 1 (October 1, 2021 - September 30, 2022) * Family Links at THE PLAYERS Center for Health at Wolfson Children's Hospital assisted 15 families with housing needs, such as rent/utilities assistance * 29 public transit bus passes provide to families in need of transportation through Family Links at THE PLAYERS Center for Child Health at Wolfson Children's Hospital * Through the Health Anchor Network, Baptist Health is assessing its ability to play a role in affecting change by reviewing resources that address healthy and affordable housing and economic disparities resulting in limited transportation options. Year 1 (October 1, 2021 - September 30, 2022) * Implementation of findhelp slowly occurred through the summer as the Epic EMR was being setup for a late July start. Thirty-six organizations received 46 referrals between them from May to September.

Schedule H, Part V, Section B, Line 11 Facility A, 16
Facility A, 16 - Southern Baptist Hospital of Florida, Inc. (dba Wolfson Chilren's Hospital). Needs Wolfson Children's Hospital Will Not Address No entity can address all the health needs present in its community. Wolfson Children's is committed to serving the community by adhering to its mission, using its skills and capabilities, and remaining a strong organization so that it can continue to provide a wide range of community benefits. This plan does not include specific strategies to address the following health priorities that were identified in the 2021 Community Health Needs Assessment; however, each of these health needs will continue to be addressed through partnerships and ongoing initiatives: Areas of Poverty - This need is being addressed by other entities in Northeast Florida, including United Way of Northeast Florida, which is supported by Baptist Health and Wolfson Children's. In addition, Baptist Health's Vice President of Community Investment and Impact actively participates in a community effort that includes businesses, city government and funders to end poverty in Jacksonville. Wolfson Children's does not anticipate implementing additional initiatives to address poverty. The hospital does not have sufficient resources to effectuate a significant change in this area and will focus resources on other significant community health needs. Chronic Disease - Wolfson Children's through THE PLAYERS Center for Child Health provides developmentally and age-appropriate nutrition education to children in classroom and community-based settings. In addition, Wolfson Children's provides support for the local Play 60 program, the NFL initiative that encourages 6th grade students to get 60 minutes of physical activity a day. To decrease hospital admissions, the Community Asthma Partnership teaches families of children with asthma how to successfully manage the disease. The program also provides other health services, wellness education, and resources for children, families, educators, and health professionals throughout Northeast Florida. Also, JaxCareConnect, a collaboration created by the local nonprofit safety net of free charitable clinics to assist uninsured adult Duval County residents find a primary care medical home, is better suited to connect residents with a primary care doctor and navigate community resources to address chronic disease concerns. Last, Wolfson Children's, through Baptist Health is a leader and significant sponsor for Blue Zones Jacksonville which will be working with schools in Duval County to change their environments to increase physical activity and health eating, and decrease obesity, which are causes of chronic diseases. Given these long-term investments, the hospital will focus on other significant community health needs, and Wolfson Children's does not anticipate implementing additional initiatives to address chronic disease. Transportation - The Jacksonville Transportation Authority, United Way, and other Northeast Florida organizations that Baptist Health collaborates with provide transportation options for residents. In addition, Blue Zones Jacksonville seeks to increase the health and safety of environments to enable residents to enjoy healthier lives. A key component of the Blue Zones work is to address transportation safety. Given this significant investment, Wolfson Children's does not have additional resources to commit to transportation needs. The hospital is committed to addressing other social determinants of health. Housing - Habitat for Humanity affiliates, United Way, and other organizations in Northeast Florida are better positioned to assist residents with housing needs. Wolfson Children's also partners with Jacksonville Area Legal Aid through the Northeast Florida Medical Legal Partnership to address civil legal problems adversely affecting the health of pediatric patients, including affordable housing, safe living conditions, and housing discrimination. Baptist Health is committed to addressing social determinants of health and will advocate for ways to ensure residents have the means to a healthy life. Drug Abuse - While mental health is being addressed by Wolfson Children's, drug abuse is not a specific priority that the hospital has the resources to significantly impact. Baptist Health is an active participant in the System of Care Initiative which coordinates services for children and youth with mental illness and substance use disorder. There are many organizations and addiction treatment centers in Northeast Florida that Baptist Health works with that can provide the support systems the community needs. Cancer - Baptist MD Anderson Cancer Center is part of the Wolfson Children's services and participates in outreach and educational activities throughout Northeast Florida. Wolfson Children's also partners with Nemours Children's Specialty Care to provide top-rated cancer care to children in the hospital's service area. Given these investments, partnerships, and limited resources, Wolfson Children's has determined it is best to use its resources to address the prioritized health needs of Access to Care, Behavioral Health and Maternal, Fetal and Infant Health.

Schedule H, Part V, Section B, Line 20 Facility A, 1
"Facility A, 1 - Facility A. Charity or Discounted Care posters are located in the Emergency Rooms and Patient Admission areas to inform patients of financial assistance and who to contact regarding financial assistance. AT PATIENT ACCESS POINTS, ""GUIDELINES FOR CHARITY CARE ELIGIBILITY"" CARDS ARE PROVIDED THAT CONTAIN FINANCIAL DISCOUNT AND CHARITY CARE INFORMATION. THIS INCLUDES A GENERAL CHART OF ELIGIBLE INCOME LEVELS AND ENCOURAGES PATIENTS TO SPEAK WITH OUR PATIENT FINANCIAL ADVOCATES TO ARRANGE A FINANCIAL EVALUATION. All billing statements conspicuously display the phone number, address, and website which directs patients to our financial assistance advocates and contains all financial assistance information. ALL APPLICANTS FOR FINANCIAL ASSISTANCE ARE MAINTAINED WHETHER OR NOT THE PATIENT QUALIFIES. All attempts to contact the patient are exhausted before sending to collections. All patients are sent through a system that analyses the financial position of the individual. All patients who are scored a certain number in accordance with our policy and who have not already applied for financial assistance are automatically deemed eligible for financial assistance."

Schedule H, Part II, Line 3 Community Support
Tipping the Scale - Youth Mentoring Program: Twenty-two Baptist Health employees volunteered their time to provide one-to-one mentoring for 35 high school students every other week. The students who participate in the program are from our most vulnerable communities and low-income families. In this career guidance mentoring program, mentors introduce students to various careers in healthcare. In addition, they serve as supporters and encouragers for teens as they navigate the challenges of adolescence. Tipping the Scale - Summer Employment Experience: New employment opportunities are provided to teenagers 16-18 years old after successful completion of an eight-week job readiness training program. Teens are provided exposure to the scope of practice for one of their top three areas of career interest at our flagship hospital system. This exposure to real-life careers motivates them to prepare appropriately for their life after high school. Session topics included how to be successful on the job, resume writing, the interview and hiring process, money management, accountability and consequences, and interpersonal skills. Sixty teenagers participated in the job readiness training, but only 21 were a part of and completed the summer sessions with 18 at Baptist Medical Center Jacksonville.

Schedule H, Part II, Line 6 Coalition Building
Baker County School Health Advisory Council - THE PLAYERS Center for Child Health participates in the Baker County School District's advisory council. The advisory council supports the school district's efforts to assess and design programs to help children develop the knowledge, skills, and attitudes they need to become healthy, productive citizens. Child Protection Team Child Death Review Committee - Reviews infant deaths to develop a community plan to reduce infant deaths. Wolfson Children's Hospital is an active member of the committee which review for all Northeast Florida surrounding counties: Baker, Clay, Duval, Nassau, and St. Johns. Clay County Community Health Improvement Plan Workgroups aim to improve health in Clay County, so that adults, children, and families are healthy participants living in their communities. Current workgroups focus on disease prevention and lifestyle behaviors; and behavioral health (to include mental health, mental health resources, and substance misuse). Clay County Community Partnership School - The Community Partnership School model is a community school in which four core community partners (a school district; a university/college; a non-profit; healthcare provider) commit to a long-term partnership (25 years) to establish, develop, and sustain the Community Partnership School. In this model, the school becomes a hub for the community where services are brought directly to the campus. Baptist Health has agreed to be the healthcare partner for the Community Partnership School at Wilkinson Junior High School in Clay County. The other partners are Aza Health, Clay County District Schools, Children's Home Society and St. Johns River State College. After a needs assessment is conducted and a strategic action plan is developed, Baptist Health will play the lead role in coordinating resources and other healthcare organizations to provide needed services onto the campus for students and the community. Clay County Department of Health Minority Health Equity Taskforce analyzes data and resources, coordinates existing efforts, and establishes collaborative initiatives to increase health equity within Clay County. The group addresses upstream factors to achieve this. Clay County School Health Advisory Council offers recommendations and advice to the Clay County School Board and Clay County Public Schools Administration on issues that relate to the health of children and their families. In accordance with the Centers for Disease Control Coordinated School Health Model, including, but not limited to matters pertaining to Health Education, Physical Education, Health Services, Nutrition Services, Counseling and Psychological Services, Healthy School Environment, Health Promotion for Staff, Family/Community Involvement, the Safe and Drug Free Schools Program and the Wellness Policy. Wolfson Children's Hospital is an active member of the Council. Clay, Duval, and St. Johns Counties Traffic Safety Teams consists of advocates who are committed to solving traffic safety problems through a comprehensive, multi-jurisdictional, multidisciplinary approach. Members include city, county, state, private industry, citizens, and Wolfson Children's Hospital. The goal is to reduce the number and severity of traffic crashes within their community. Clay Safety Net Alliance is a network of Clay County nonprofit, faith-based and local government agencies which bring support to the county's 200,000 residents. The group works to share resources and avoid duplication of services to Clay residents. Community-Based Crime Reduction (CBCR) Program was formed to address three main goals: reduce crime, increase mutual trust between police and neighborhood residents, and improve community safety. It is responsible for devising and recommending strategies to be implemented, along with being involved in the on-going work of making the focus area neighborhoods of Grand Park, New Town, Durkeville, and LaVilla safer. These target locations were chosen due to their now high crime and distressed neighborhoods. The program includes, but is not limited to, the following partners: Baptist Health, CareerSource of Northeast Florida, Citizen Planning Advisory Committee District (CPACD) 1 - Urban Core, CPACD 5 - Northwest Jacksonville, City of Jacksonville (COJ) Kids Hope Alliance, COJ Neighborhoods, COJ Parks, Recreation Social Services, COJ Public Works, Cultural Council of Greater Jacksonville, Edward Waters College, Emmanuel Missionary Baptist Church, Family Support Services, Florida Department of Health, Florida Department of Juvenile Justice, Florida State College at Jacksonville, Jacksonville Area Legal Aid, the Jacksonville Re-Entry Center, Jacksonville Sheriff's Office, LISC, Northwest Behavioral Health, Public Defender's Office, UF Health, United States Attorney's Office, and other churches and faith based organizations. Duval and St. Johns Child Abuse Death Review Committee - The local child abuse death review committee is a community group, which is sanctioned by the Governor's office and reviews all child deaths received by the Department of Children and Families. The CADR group uses the data from meetings to determine trends based on the numbers and causes of the deaths occurring in the respective counties, which are then used to determine and develop prevention initiative/activities which are implemented to help prevent other child deaths. Duval County Community Health Improvement Plan Committee was developed to oversee implementation and monitoring of the CHIP action plans. IT is made up of community partners that are subject-matter experts in one or more of the fields associated with the CHIP's goals. Meetings are held to review the status of each objective and progress made to ate, as well a to identify strategies to overcome barriers to reaching strategic objectives. Duval County Public Schools Behavioral Health Subcommittee - This committee collaborates to enhance the behavioral health of students within the Duval County Public Schools system. Processes are enhanced and streamlined to better coordinate available resources. Duval County Public Schools Health Education Committee - The purpose of the Health Education Committee (HEC) is to review programs, organizations, and speakers who would like to present in Duval County Public Schools on health topics. The committee is comprised of Duval County Public Schools staff, teachers, and community organization staff. Duval County School Health Advisory Council offers recommendations and advice to the Duval County School Board and Duval County Public Schools Administration on issues that relate to the health of children and their families. in accordance with the Centers for Disease Control Coordinated School Health Model, including, but not limited to matters pertaining to Health Education, Physical Education, Health Services, Nutrition Services, Counseling and Psychological Services, Healthy School Environment, Health Promotion for Staff, Family/Community Involvement, the Safe and Drug Free Schools Program and the Wellness Policy. Wolfson Children's Hospital is an active member of the Council. Episcopal Children's Services Health Services Advisory Council for Baker, Clay, Duval and Nassau counties provides a network of community connections to support Head Start and Early Head Start programs with integrated, comprehensive health services. Wolfson Children's Hospital representatives are active members in these councils and provide services to Head Start and Early Head Start centers such as health education and access to healthcare. Fetal Infant Mortality Review Committee aims to reduce infant mortality by gathering and reviewing detailed information to gain a better understanding of fetal and infant deaths in Northeast Florida. The project examines cases with the worst outcomes to identify gaps in maternal and infant services and to promote future improvements. Wolfson Children's Hospital and Baptist Health representatives are active members of the Committee. Florida Asthma Coalition's goal is to reduce the overall burden of asthma, focusing on minimizing the disproportionate impact of asthma in racial/ethnic and low-income populations, by promoting asthma awareness and disease prevention at the community level and expanding and improving the quality of asthma education, management, and services through system and policy changes. Wolfson Children's Hospital is an active member of the Asthma Coalition. Florida Mental Health Advocacy Coalition, through the local Nation Alliance on Mental Illness, is a non-profit, non-partisan coalition of organizations that advocate for policy changes to improve the quality of life for those who live with a mental illness and/or substance use disorder in the state of Florida.

Schedule H, Part II, Line 6 Coalition Building
Florida Occupant Protection Coalition - The Florida Occupant Protection Coalition (FOPC) was formed to identify and prioritize Florida's most pressing occupant protection issues. The Coalition reviews proven strategies and discusses promising new practices. The FOPC is developing a strategic plan that will serve as the blueprint for legislation, program, and funding strategies to maximize Florida's ability to reduce unrestrained motor vehicle occupant crashes. The FOPC is responsible for overseeing the implementation of the Occupant Protection Strategic Plan. Wolfson Children's Hospital is active on the coalition, providing a child passenger safety technician support. Florida PedBike SRC - The Florida Pedestrian and Bicycling Safety Resource Center coordinates the statewide bicycle helmet distribution program. The PedBike SRC also provides helmet fitter certification training, as well as provides free education materials and resources to address the many causes of pedestrian and bicycle crashes, injuries, and fatalities. Florida Teen Safe Driving Coalition is a coalition of more than 47 organizations committed to helping teens leverage the proven principles of Graduated Driver Licensing (GDL). The Florida Teen Safe Driving Coalition is affiliated with state and local government, law enforcement and public health agencies, traffic safety and injury prevention organizations, academia, and business. Full Service Schools Oversight Committee directs and guides the operation of Full Service Schools of Jacksonville led by United Way of Northeast Florida. Through Full Service Schools nearly 3,500 students and families are connected to a critical range of therapeutic, health and social services and address non-academic barriers to success in school. Each Full Service Schools site strives to meet the specific needs of the neighborhood in which it is based by providing several free services. Wolfson Children's Hospital is an active member of the Full Service Schools Oversight Committee. Healing Hands Community Advisory Council provides support to Healing Hands efforts to provide access to crisis intervention, case coordination, and medical services for at-risk children in Jacksonville and surrounding areas. The organization brings together physicians, psychologists, nurses, and other medical professionals who diagnose cases of childhood physical and sexual abuse. Wolfson Children's Hospital is an active member of the Healing Hands Advisory Council. Hope Healing Jax brings together those already working in Jacksonville to address unresolved trauma and Positive Adverse Childhood Experiences (PACEs) to promote healing and build resilience in children, families, individuals, and the community. Hope Healing Jax networks within Jacksonville to strengthen and grow existing efforts. Wolfson Children's Hospital is an active member on the Hope Healing Jax Steering Committee. Impact Clay helps the Clay County community meet the crucial social service needs of families, individuals, and children through collaborative projects. The organization links the private, public, nonprofit, and faith-based sectors to proactively improve the community. Infant Mortality Task Force Duval County - Baptist Health and Wolfson Children's Hospital are active members of the Duval County Infant Mortality Task Force. With the goal of reducing infant mortality, the task force reviews and addresses maternal and infant health issues specific to Duval County. Jacksonville Nonprofit Hospital Partnership came together to develop a multi-hospital system collaborative community health needs assessment. The Partnership is a network of five health systems that are a shared voice to improve population health by eliminating the gaps that prevent quality, integrated health care and to improve access to resources that support a healthier lifestyle. During FY 2016, the Partnership initiated, and continues today, a collaboration to reduce stigma and crises related to mental illness through a community implementation of Mental Health First Aid, a best-practices program recognized by the Substance Abuse and Mental Health Services Administration. Jacksonville System of Care Initiative is a collaboration of governmental agencies and community-based organizations to develop a system of mental health care for Jacksonville's children. Baptist Health is an active member of the Initiative. Lutheran Family Services Health Adversity Board - THE PLAYERS Center Child Health at Wolfson Children's Hospital attends quarterly health adversity board meeting which focuses on health care challenges in the head start population. THE PLAYERS Center also has a MOU with Lutheran Family Services which allows us the opportunity to assist Luther Family Services families with access to health care by offering application assistance with Medicaid or KidCare applications. Mayor's Council On Fitness and Well-Being is dedicated to improving the health and well-being of all residents by the promotion of lifelong physical activity and healthy lifestyles through education, promotion, programs, resources, materials and events. The council seeks to help people understand the benefits of physical activity and provide opportunities for all citizens to participate in safe and effective exercise. Nemours Children's Health pulmonologists collaborate with the Community Asthma Partnership at Wolfson (CAP-W) to provide continued care for asthmatic pediatric patients at Wolfson Children's Hospital. The New Town Success Zone is a group of community stakeholders who work to provide a place-based continuum of services from prenatal to college, the military, or some form of secondary training for the children and their families living in the neighborhood. Leaders from Baptist Health, UF Health Jacksonville, Mayo, St. Vincent's, and Florida Blue serve as a coalition to provide programs and resources in the New Town Children's Success Zone in a coordinated effort to address some of the health care disparities such as asthma, diabetes, nutrition in addition to Florida KidCare enrollment. Baptist partnered with the neighborhood elementary and middle school to provide asthma training for children with asthma, faculty, and parents. Baptist Health along with the rest of the coalition worked with families to get children enrolled in Florida KidCare insurance programs. Northeast Florida Coalition for Access to Healthcare will address COVID-19 and Testing, Cancer Control, Telemedicine, services to the undocumented individuals. The overarching goal of the coalition is to ensure that local providers and other healthcare partners work collaboratively and identify available local resources to address issues related to healthcare. A Community Partnership Coordinator from Wolfson Children's Hospital sits on the Coalition. Northeast Florida Healthy Start Coalition leads a cooperative community effort to reduce infant mortality and improve the health of children, childbearing women, and their families in Northeast Florida. Wolfson Children's Hospital is an active member of the Northeast Florida Healthy Start Coalition. Northeast Florida Healthy Start Community Action Group - The Community Action Group works to implement the Fetal and Infant Mortality Review (FIMR) recommendations to reduce infant mortality in Northeast Florida. Wolfson Children's Hospital is an active member. The Partnership for Child Health develops and implements programs and services to improve the health and well-being of all children and youth in Northeast Florida by collaborating with community partners in major child-serving organizations. Wolfson Children's Hospital is an active member of The Partnership which is focused on providing a medical home for children with complex medical conditions, mental, behavioral and addiction health disorders, developmental disabilities, access to dental care, family violence and dysfunction, poverty, child trafficking, and other marginalized children and families. Safe Kids Northeast Florida is a local coalition of Safe Kids Worldwide and led by THE PLAYERS Center for Child Health at Wolfson Children's Hospital, was founded in 2003. Funding is provided by Wolfson Children's Hospital, along with grants from Safe Kids Worldwide, and public and private contributors. Safe Kids brings together local organizations to promote pediatric injury prevention and offer programs to prevent accidental injuries to children ages 19 and under. St. Johns School Health and Wellness Advisory Committee - THE PLAYERS Center for Child Health at Wolfson Children's Hospital has supported the SHWAC by offering curriculum programs at multiple VPK/Elementary School locations within St. John's County.

Schedule H, Part II, Line 7 Community Health Improvement Advocacy
CHNA Priority Access to Care: Baptist Health partnered with Community Health Outreach, Muslim American Social Services, Sulzbacher Center, Volunteers in Medicine, The Way Free Medical Clinic, and We Care Jacksonville to provide access to primary and specialty care. The YMCA and Jewish Community Alliance also assisted in ensuring targeted health care needs are met for the vulnerable clients within their organizations. Access to vision services for children and adults was provided through United Way Full Service Schools and Vision Is Priceless. Wolfson Children's Hospital, through THE PLAYERS Center for Child Health, worked with community partners to identify and help families complete Florida KidCare applications. In addition, outreach educators trained and educated the community on varying health topics. CHNA Priority Mental and Behavioral Health: Baptist Health partnered with the National Council for Mental Wellbeing to provide Mental Health First Aid training. Mental Health First Aid teaches participants a five-step action plan to assess a situation, select and implement interventions, and secure appropriate care for an individual showing signs of mental illness or substance abuse disorders. Baptist Health also partnered with Gateway Community Services to increase access to mental health treatment for individuals identified with substance use disorders. Baptist provided funding and referrals for ED patients to receive services with appropriate permission. Baptist Health also held a Behavioral Health Conference to address health and well-being in Northeast Florida. CHNA Priority Maternal and Child Health: In addition to supporting access to care for adults without insurance, Baptist Health partnered with the Northeast Florida Healthy Start Coalition to research infant mortality and implement solutions such as home visits by nurses and community health workers. In partnership with Florida Blue, UF Health, and Northeast Florida Healthy Start Coalition, Baptist also developed the WELLcome Home visiting program which focuses on newborn and maternal education for families that is being replicated at other Baptist facilities. CHNA Priority Social Determinants of Health: For support services and bridging gaps in care, Baptist Health partnered with CareerSource for workforce recruitment in area with low life expectancies. Regarding access to food, Meals on Wings and Pie in the Sky, provided meals to seniors and low-income residents. Family Links, JaxCareConnect, and MASS also helped identify food insecurity and provided means to support individuals and families. LiftJax is also working to enhance green space usage by renovating local parks and supporting community programing. To increase health education and information, Baptist Health partners with the Health Planning Council of Northeast Florida and the Museum of Science and History.

Schedule H, Part II, Line 8 Workforce Development
Southern Baptist Hospitals also provided Clinical Education and Training to undergraduate and graduate student interns procuring degrees in nursing, pharmacy, physical therapy, and other health care professional provided by Baptist Health clinicians. In fiscal year 2022, Southern Baptist Hospitals provided 2,856 (2,538 in FY21, 2,413 in FY20 and 3,099 in FY19) students with 72,655 hours of clinical education supervision.

Schedule H, Part II, Line 9 Other
Mental Health First Aid: Baptist Health provided 8-hour certification training in Mental Health First Aid, Youth and Adult, to 803 (1,107 in FY21, 1,114 in FY20 and 2,517 in FY19) community members. Baptist Health provided 8 health education sessions on various topics to on average 33 attendees during fiscal year 2022.

Schedule H, Part VI, Line 7 State Filing Requirements
Baptist Health System, Inc. (BHS), parent company of the filing organization, is located within the northeast Florida quadrant. There are no requirements for state filing in Florida of the annual community benefit report. However, BHS does publish the report and it is available upon request or at the www.baptist.jax.com website or at https://www.baptistjax.com/about-us/social-responsibility/assessing-community-health-needs.

Schedule H, Part I, Line 6a Community benefit report prepared by related organization
Baptist Health System, Inc.

Schedule H, Part I, Line 7g Subsidized Health Services
THERE WERE NO PHYSICIAN CLINIC COSTS INCLUDED IN THE SUBSIDIZED HEALTH SERVICES COSTS.

Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation
0

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
WE OBTAINED OUR COST USING OUR CCA ACCOUNTING SYSTEM TO DEVELOP PAYOR-LEVEL RCC'S WHICH WERE APPLIED TO PAYOR CHARGES TO CALCULATE COST.

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
THE ENTIRE PROVISION FOR BAD DEBTS IS RECORDED AS A DEDUCTION FROM PATIENT SERVICE REVENUES. NONE OF THE PROVISION IS INCLUDED IN THE EXPENSES OF THE FORM 990 INCLUDING SCHEDULE H AND THE CALCULATION OF COMMUNITY BENEFIT.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
Baptist Health System, Inc. and Subsidiaries Notes to Consolidated Financial Statements Footnote 2, Significant Accounting Policies, Page 16.

Schedule H, Part III, Line 8 Community benefit methodology for determining medicare costs
Medicare allowable costs of care based on the organization's cost accounting system which is used to determine the amount reported on Line 6. None of the shortfall reported on Line 7 is included in Schedule H, Part I. The shortfall reported on Line 7 should be treated as community benefit because the revenue received from Medicare reimbursements does not exceed the cost of providing Medicare services. The organization will continue to provide excellent patient care to the Medicare patient population in our community.

Schedule H, Part II, Line 6 Coalition BUilding
WaterSmart Florida Drowning Prevention Task Force - WaterSmart Florida is a state-wide coalition led by the Florida Department of Health and key partners Safe Kids Northeast Florida and YMCA. Members represent local drowning prevention task forces and many regions and counties in our state, all working together to decrease fatal and non-fatal drowning in Florida's children through awareness, education, and swimming lessons. Wolfson Children's Health Center Community Advisory Council consists of community partners that meet quarterly to discuss the data and operations of the Health Center. Zero Preventable Infant Deaths Leadership Council was formed as a result of the 2018 Fetal Infant Mortality Review that investigated and studied every infant death that occurred in 2018 in Northeast Florida. The Northeast Florida Healthy Start Coalition has developed a plan to achieve Zero preventable deaths and Zero disparities in 32208, 32209, 32210, and 32211 zip codes. The Coalition will also regularly monitor for additional tipping points in the five-county region and include strategies in those areas. The plan includes structural improvement including policy changes, community engagement through education and advocacy, and programming to address the social issues that kill our babies at the individual and community levels. This Leadership Council guide the Coalition's efforts to implement the plan to achieve Zero preventable infant deaths and Zero disparities. Including monitoring progress, supporting plan implementation, and developing course corrections. Wolfson Children's Hospital is an active member of the leadership council.

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
PATIENT SERVICE REVENUES ARE REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FOR SERVICES RENDERED. BHS RECOGNIZES PATIENT SERVICE REVENUES ASSOCIATED WITH PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ON THE BASIS OF CONTRACTUAL RATES FOR THE SERVICES RENDERED. FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, REVENUE IS RECOGNIZED ON THE BASIS OF DISCOUNTED RATES IN ACCORDANCE WITH BHS' POLICY. PATIENT SERVICE REVENUES ARE REDUCED BY THE PROVISION FOR BAD DEBTS AND ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THESE AMOUNTS ARE BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS FOR EACH MAJOR PAYOR SOURCE, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. MANAGEMENT REGULARLY REVIEWS COLLECTIONS DATA BY MAJOR PAYOR SOURCES IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF BHS' SELF-PAY PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, BHS RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD SERVICES ARE PROVIDED RELATED TO SELF-PAY PATIENTS. FOR RECEIVABLES ASSOCIATED WITH PATIENTS WHO HAVE THIRD-PARTY COVERAGE, BHS ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH BHS' POLICIES.

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
YES, THE ORGANIZATION DOES HAVE A WRITTEN DEBT COLLECTION POLICY. THE POLICY DOES NOT SPECIFICALLY ADDRESS THOSE PATIENTS WHO ARE KNOWN TO QUALIFY OR HAVE APPLIED FOR CHARITY CARE AS THE ORGANIZATION DOES NOT BILL THESE PATIENTS. THE ORGANIZATION'S COST ACCOUNTING SYSTEM IDENTIFIES ALL PATIENTS WHO HAVE A PENDING OR APPROVED CHARITY APPLICATION. THE ORGANIZATION WOULD ONLY BILL THE PATIENT IF, AFTER MULTIPLE ATTEMPTS TO OBTAIN ANY NEEDED DOCUMENTATION FROM THE PATIENT TO COMPLETE THE CHARITY APPROVAL PROCESS, THE PATIENT WAS NONCOMPLIANT.

Schedule H, Part V, Section B, Line 16a FAP website
A - Baptist Medical Center: Line 16a URL: https://www.baptistjax.com/patient-info/financial-assistance;

Schedule H, Part V, Section B, Line 16b FAP Application website
A - Baptist Medical Center: Line 16b URL: https://www.baptistjax.com/patient-info/financial-assistance;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
A - Baptist Medical Center: Line 16c URL: https://www.baptistjax.com/patient-info/financial-assistance;

Schedule H, Part VI, Line 2 Needs assessment
Baptist Health System Inc. (BHS), parent company of the filing organization, is a member of the Jacksonville Community Benefit Partnership that is a collaborative of 5 hospitals who work together to access and address important community health needs. Data is gathered from the Florida Health Community Health Assessment Resource Tool Set (CHARTS) website which serves as a source of population data and health statistics about Florida and its counties. Queries, reports, and individual indicators are available for Baker, Clay, Duval, Nassau, and St. Johns counties. In addition, with the implementation of the Epic EMR, Baptist Health is developing reports to improve identification of healthcare and social needs of patients and the communities they live in.

Schedule H, Part VI, Line 6 Affiliated health care system
Baptist Health System, Inc. (BHS) is the parent affiliate of Southern Baptist Hospital of Florida, Inc. (SBHF). The Social Responsibility and Community Health team at BHS coordinates the funding of nonprofit partners for SBHF and works with our employees in facilitating volunteer opportunities across our community. Members of the SBHF board of directors serve on the Social Responsibility and Community Health Committee. SBHF works closely with a number of nonprofit partners to meet the health needs in our community.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
"AT PATIENT Access POINTs, ""GUIDELINES FOR CHARITY CARE ELIGIBILITY"" CARDS ARE PROVIDED THAT CONTAIN FINANCIAL DISCOUNT AND CHARITY CARE INFORMATION. THIS INCLUDES A GENERAL CHART OF ELIGIBLE INCOME LEVELS AND ENCOURAGES PATIENTS TO SPEAK WITH ONE OF OUR PATIENT FINANCIAL ADVOCATES TO ARRANGE A FINANCIAL EVALUATION. Signs are also posted in the emergency room and patient admission areas informing everyone that charity care is available with contact information. All bills sent to patients conspicuously show the web address and contact information of our patient financial services office to assist with financial assistance. A copy of the plain language summary is also mailed out to patients with a copy of their bill. Baptist Health also has the Financial Assistance policy, Plain language summary, application, contact information, and translations into different languages available on its website and free of charge at all hospital locations. Baptist Health makes a reasonable effort to ensure that a copy of the plain language summary is provided to patients and that patients know there is assistance if they need it. In the event that a patient has not submitted all information needed to apply for financial assistance, Baptist Health will contact the patient to request the remaining information to help complete the application process."

Schedule H, Part VI, Line 4 Community information
Baptist Medical Center Jacksonville's service area is Duval County and all its associated zip codes with a total land area of 918 square miles. The population residing in the county is 1,022,909. The racial makeup is 59.53% White, 29.65% Black or African American, 5.33% Asian, 0.51% Native American, 0.10% Pacific Islander, 5.43% from other race, and 9.46% from two or more races. Hispanic or Latino of any race is 13.18% of the population. The population's age groups are 22.61% under 18, 8.47% from 18-24, 29.1% from 25- 44, 23.84% from 45-64, and 15.98% who are 65+. The median age is 37.5 years. The median and average household incomes are $65,578 and $89,561, respectively. The percentage of families below the poverty line is 10.36% and 7.55% for families with children. The hospital's patients include 8.8% uninsured and 8.9% Medicaid recipients. There are 8 other hospitals serving the area community, and there are 4 Federally Designated Medically Underserved Areas present in the service area. Baptist Medical Center South's service area includes south Duval, and north St. Johns counties which includes the following zip codes: 32081, 32092, 32095, 32223, 32256, 32257, 32258, and 32259. The total land area is 374.39 square miles, and the resident population is 331,355. The racial makeup of the service area is 68.66% White, 8.53% Black Or African American, 7.24% Asian, 0.37% Native American, 0.08% Pacific Islander, 3.91% from other race, and 11.21% from two or more races. Hispanic or Latino of any race is 12.52% of the population. The population's age groups are 22.68% under 18, 7.97% from 18-24, 25.93% from 25-44, 26.74% from 45-64, and 16.68% who are 65+. The median age is 40.0 years. The median household income is $95,932. The percentage of families below the poverty line is 4.64% and 2.81 % for families with children. The hospital's patients include 6.4% uninsured and 6.8% Medicaid recipients. There is 1 other hospital serving the area and there are no Federally Designated Medically Underserved Areas present in the service area. Wolfson Children's Hospital's service area includes Baker, Clay, Duval, Nassau, and St. Johns counties. It has a total land area of 3202.3 square miles, and the resident population is 1,677,079. The racial makeup of area is 59.79% White, 21.63% Black or African American, 4.45% Asian, 0.49% Native American, 0.10% Pacific Islander, 4.3% from other race, and 9.24% from two or more races. Hispanic or Latino of any race is 11.72% of the population. The population's age groups are 5.97% from 0- 4, 6.10% from 5-9, 6.20% from 10-14, 3.69% from 15-17, and 3.64% from 18-20. The median household income is $73,016. The percentage of families below the poverty line is 8.51% and 6.08% for families with children. The hospital's patients include 4.0% Uninsured and 46.6% Medicaid recipients. There are 14 other Hospitals serving the area, and there are 7 Federally Designated Medically Underserved Areas present in the service area.

Schedule H, Part VI, Line 5 Promotion of community health
Baptist Health System, Inc. (BHS) continues to maintain an open medical staff. A designated Social Responsibility Community Health Board Committee is established to provide direction to the community health work based on the community need within the five county area served by BHS. In FY22, BHS provided over $44 Million in charity care to people who where under/un-insured, over $19 million in community benefit, and over $4 Million in direct cash to the community to support nonprofit organizations that provide health services to the underserved and low income community. Some of the nonprofit organizations provide primary care for the uninsured and the underinsured. Some provide behavioral health services to families who would not otherwise have access while others provide health services and transportation for the frail elderly.