4A (Expenses $ 142513870 including grants of $ 354345) (Revenue $ 174348334)
Guided by a volunteer board of directors comprised of business and civic leaders, Baptist Medical Center of the Beaches, Inc. (BMCB) is a not-for-profit organization owned by the community, and not shareholders. Local governance means we are uniquely structured to understand, respond, and anticipate community needs. It ensures our accountability to the communities we serve. Over the years, the generous support of donors has helped transform BMCB into a state-of-the-art medical center in the heart of the beaches community. Not every great medical center can say it is a community hospital. BMCB has been this area's community-driven hospital since 1961. We are not only physically in the center of the beaches and intracoastal communities; we are committed to the health and overall vibrancy of this extraordinary community. Baptist Medical Center of the Beaches, Inc. (BMCB) provides Jacksonville's thriving beach communities with a comprehensive range of high-tech health care services close to home. BMCB's campus includes the Wilson/Epstein center for diagnostic and rehabilitative services, Baptist Beaches Surgery Center, Wilson Cancer Care Center, and Physician office buildings. BMCB is a full-service medical center with (1) 146 licensed private patient rooms, including 16 spacious maternity suites, (2) more than 450 physicians, representing 30-plus medical specialties, (3) 10 state-of-the-art operating suites and 3 endoscopy suites for inpatient and outpatient procedures, (4) family-centered visiting areas with outdoor patios, kitchens and a health resource library, (5) the only 24-hour emergency service east of the intracoastal waterway, plus a 24-hour on-call surgical team, and (6) comprehensive diagnostic testing and interventional imaging services, and has earned magnet recognition for excellence in patient care. During fiscal year 2022, there were 962 employees, 8,885 total admissions accounting for 37,656 total patient days, 29,747 emergency room visits, and 5,533 surgeries. BMCB is committed to improving the lives of everyone, regardless of their ability to pay. BMCB is one hospital within Baptist Health System, Inc. and the region's only community-owned, faith-based healthcare system. BMCB's primary focus is addressing unmet health needs particularly among vulnerable populations who have limited health resources and access to health care. BMCB's community health efforts are guided by the community health committee, which is comprised of selected board members across our health system. A cornerstone of BMCB's commitment to the community is caring for the health of vulnerable, uninsured and underserved people among us. During fiscal year 2022, BMCB provided the following uncompensated care and community benefit; (1) charity care -$3.7 million, (2) unreimbursed Medicaid costs - $5.6 million, (3) unreimbursed Medicare costs - $20.8 million, and (4) specific community programs - $286 thousand, for a total of $30.4 million of uncompensated care and community benefits.

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 , 1
Facility , 1 - Baptist Medical Center of the Beaches, 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. Over 860 community members contributed their input on the community's health and health-related needs, barriers, and opportunities for Baptist Medical Center Beaches, with special focus on healthy equity in population health and community wellness. The Partnership aimed to solicit input from members of or representatives of vulnerable and underserved populations through key informant interviews and focus group discussions. There were 20 key informant interviews, 15 focus groups, 137 focus group participants and 706 survey respondents for a total of 863 participants. Key informant interviews were conducted with 20 community experts who either served or represented underserved communities (such as low-income individuals and groups experiencing disparities in health outcomes or health access). Stakeholders consisted of individuals who had worked in their respective counties for an average of 15 years. 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 Indicator values for Duval and St. Johns counties were compared to other Florida counties. 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 , 1
Facility , 1 - Baptist Medical Center of the Beaches, Inc.. 12 hospitals: (Baptist Medical Center Jacksonville, Wolfson Children's Hospital, Baptist Medical Center South, 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 , 1
Facility , 1 - Baptist Medical Center of the Beaches, 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 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 , 1
Facility , 1 - Baptist Medical Center of the Beaches, Inc.. 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 Beaches. 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 - 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 rates 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 Goals: * Increase access to health services for un- and under-insured people in the BMCB service area * Ensure Beaches seniors have access to care * Increase knowledge of chronic diseases and where to access services Strategies: * Continue participation in the Beaches Health and Wellness initiative. * Support JaxCareConnect to increase access to care. * Continue partnership with Beaches Council on Aging to provide transportation to seniors * Ensure seniors have information about Medicare * Provide community partners with education on chronic diseases 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 * Diabetes, hypertension and mental health outcomes * Number of trips provided * Number of flu shots given * Number of seniors receiving information/sessions * Educational opportunities provided * Number of people educated Potential Partnering/External Organizations: * Community Health Outreach (CHO) * Muslim American Social Services (MASS) * Sulzbacher Center * Volunteers in Medicine (VIM) * WeCare * JaxCareConnect * Beaches Council on Aging * Faith Partners Results: Year 1 (October 1, 2021 - September 30, 2022) * Community Health Outreach, MASS, Sulzbacher Beaches, We Care, and Volunteers in Medicine collectively served 4,321 un- and under-insured patients - 762 diabetic patients were served, of which 522 were seen at least twice during the 12-month period, and of those, 58.2% reported reaching within normal levels (HbA1c less than 7% or 8%) - 1,474 hypertensive patients were served, of which 1,134 were seen at least twice during the 12-month period, and of those, 53.8% measured less than 140/90 - 818 patients were seen at least one time with a previous or new diagnosis of mental health, of which 442 patients scored a 10 or greater on the PHQ9. 283 were referred for treatment, and 232 (82%) participated in treatment * Beaches Health and Wellness - Total program referrals - 66 - 21 (31%) of referred patients were eligible for support (eligibility based on zip code of residence, diagnosis insurance status, or income) and enrolled in care. - Served with 203 supportive visits, which included 64 encounters with an RN Case Manager or Wound Care Nurse - 15 of 21 (72%) received a complete Social Determinants of Health needs assessment resulting in 33 referrals to 19 organizations for additional services - 28 patients (42%) were ineligible for services but were provided additional referrals, such as JaxCareConnect for primary care navigation - 17 (26%) of referrals results in no contact or patient who declined care 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) * Beaches Council on Aging provided 1,361 round trips to 375 riders. * Beaches Council on Aging will be engaged in FY23 to ensure seniors are receiving transportation for flu shots. Year 1 (October 1, 2021 - September 30, 2022) * Information will be assembled and provided to Beaches Council on Aging in FY23 to assist seniors as they apply for Medicare. 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 , 2
Facility , 2 - Baptist Medical Center of the Beaches, Inc.. 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 Beaches 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 include lack of providers, cost, and long wait times. * Duval County: - 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: - 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. - 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 * 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 * Friendly callers - seniors developing phone friendships with seniors * Provide home visits to seniors * Engagement in community center activities 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 participants at conference * Satisfaction surveys * 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 home visits provided * Number of events held at community centers * Number of participants at events 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 * AgeWell and Baptist Primary Care * Baptist Health Auxiliary * Hart Felt Ministries * Beaches Council on Aging * City of Jacksonville Senior Services 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) * 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) * Hart Felt Ministries provided 2,858 service hours (friendly visits, light housekeeping, transportation, and shopping) with an average time of 2 hours spent per visit. Year 1 (October 1, 2021 - September 30, 2022) * Plans are being drafted to coordinate events at the local senior center.

Schedule H, Part V, Section B, Line 11 Facility , 3
"Facility , 3 - Baptist Medical Center of the Beaches, Inc.. 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 Beaches delivering over 1,050 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 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 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. Strategies: * Partner with the Northeast Florida Healthy Start Coalition to address needs of moms and babies including program and policy solutions * Expand WELLcome Home initiative to Baptist Beaches * Offer classes focused on increasing awareness of safe sleep practices and CPR to expectants mothers * Provide education about chronic diseases for preconception * Address SDoH in doctors' offices * Education on health equity, toxic stress and implicit bias for providers (LD and all providers) * 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 PMAD Metrics/What we are measuring: * Infant mortality * Preterm births * Low Birth-weight babies * Number of moms connected through phone and/or in-home support * Number of participants at classes * Educational opportunities provided * Number of people educated * Number of patients provided with material addressing SDoH * Number of people trained * Number of participants in support groups Potential Partnering/External Organizations: * Northeast Florida Healthy Start Coalition * Home visiting programs * Florida Department of Health * Private 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 - 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 * ""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) * Community organizations are being identified that can provide educational opportunities for women 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) * Community organizations are being identified that can provide educational opportunities for providers. 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 , 4
Facility , 4 - Baptist Medical Center of the Beaches, Inc.. 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 difficult accessing medical and dental services. * Top economic issues affecting health also include lack of a living wage, as well as 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 and St. Johns counties. Goals: * Address social needs that keep 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 food 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 provided services * Number of meals served Potential Partnering/External Organizations: * CareerSource * Family Links * JaxCareConnect * MASS * Pie in the Sky * UNF Meals on Wings 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%) * 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) * 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 609 meals to Beaches 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 , 5
Facility , 5 - Baptist Medical Center of the Beaches, Inc.. No entity can address all the health needs present in its community. Baptist Beaches 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 Beaches 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 Beaches 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 Beaches 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 Beaches 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 Beaches does not have additional resources to commit to transportation needs. The hospital is committed to addressing other social determinants of health. Housing - Beaches Habitat for Humanity, United Way, and other organizations in Northeast Florida are better positioned to assist residents with 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. Drug Abuse - While mental health is being addressed by Baptist Beaches, drug abuse is not a specific priority on which the hospital is focused. 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 Baptist Beaches services and participates in outreach and educational activities throughout Northeast Florida. Given this significant investment in cancer care and education in the Baptist Beaches service area, the hospital will focus on other significant community health needs.

Schedule H, Part V, Section B, Line 20 Facility , 1
"Facility , 1 - Baptist Medical Center of the Beaches, Inc.. 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 VI, Line 7 State filing of community benefit report
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.baptistjax.com website.

Schedule H, Part II, Line 3 Community Support
Tipping the Scale - Youth Mentoring Program: Eight Baptist Health employees volunteered their time to provide one-to-one mentoring for 10 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 1 of the 21 at Baptist Medical Center Beaches.

Schedule H, Part II, Line 6 Coalition Building
The Beaches Action Team is a coalition of 30 organizations and elected officials to reduce homelessness in the beaches communities through employment, access to services and housing. BMCB hosts meetings and co-leads the coalition. Transportation has expanded in the beaches community through a partnership between Dial-A-Ride and the Jacksonville Transportation Authority. The Beaches Action Team most recently focused on affordable housing reviewing information from the Florida Housing Coalition and Shimberg Center for Housing Studies at the University of Florida. The Beaches Safety Net is a coalition including Baptist Medical Center Beaches (BMCB), We Care Jacksonville, BEAM, Mission House, Muslim American Social Services and Sulzbacher Beaches for the purpose of providing primary care and social supports to improve the health and social outcomes of uninsured and underinsured residents with chronic diseases. An evaluation of the Safety Net Coalition in 2018 measured a 250% decrease in hospital admissions and a 37% decrease in emergency room visits for patients served. 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. 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. 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.

Schedule H, Part II, Line 7 Community Health Improvement Advocacy
CHNA Priority Access to Care: Baptist Health Beaches partnered with Community Health Outreach, Muslim American Social Services, Sulzbacher Center, Volunteers in Medicine, and We Care Jacksonville to provide access to primary and specialty care. Beaches Council on Aging provided transportation for seniors to medical appointments, and to address access to nutritious food for seniors, BMCB also partnered with the University of North Florida's Meals on Wings. 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. Hart Felt Ministries supported efforts to address senior isolation by coordinating home support visits. 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, provide meals to seniors and low-income residents. Family Links, JaxCareConnect, and MASS also helped identify food insecurity and provide means to support individuals and families 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
Baptist Medical Center Beaches provided Clinical Education and Training to undergraduate and graduate student interns procuring degrees in nursing, IT, pharmacy, physical therapy and other health care professional provided by Baptist Health clinicians. In fiscal year 2022, Baptist Medical Center Beaches provided 310 students with 13,254 hours of clinical education supervision (In FY 21 the amount was 297 students, in FY 20 the amount was 390 students and in FY 19 the amount was 419).

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 community members (1,107 in FY21, 1,114 in FY 20 and 2,517 in FY 19). Baptist Health provided 8 health education sessions on various topics to on average 33 attendees during fiscal year 2022.

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 COST.

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 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 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 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
- Baptist Medical Center of the Beaches, Inc.: Line 16a URL: https://www.baptistjax.com/patient-info/financial-assistance;

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

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
- Baptist Medical Center of the Beaches, Inc.: 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), parent affiliate of Baptist Medical Center of the Beaches, Inc. (BMCB). The Social responsibility and community health team at BHS coordinates the funding of nonprofit partners for BMCB and works with our employees in facilitating volunteer opportunities across our community. Members of the BMCB board of directors serve on the social responsibility and community health committee. BMCB 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
"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 advocate and all financial assistance information. ALL APPLICANTS FOR FINANCIAL ASSISTANCE ARE MAINTAINED WHETHER OR NOT THE PATIENT QUALIFIES."

Schedule H, Part VI, Line 4 Community information
The area served by Baptist Medical Center Beaches includes Duval and St. Johns counties. Within these counties, the primary ZIP codes include: 32082 (Ponte Vedra Beach, FL); 32224 (Jacksonville, FL); 32225 (Jacksonville, FL); 32233 (Atlantic Beach, FL); 32246 (Jacksonville, FL); 32250 (Jacksonville Beach, FL); 32266 (Neptune Beach, FL). The service area population estimate is 258,275 people. There are 107,431 households and 68,413 family households in the area. The racial makeup of the area is 67.86% White, 9.85% Black or African American, 0.42% native American, 6.81% Asian, 0.13% Pacific Islander, 4.66% from other races, and 10.27% from two or more races. Hispanic or Latino of any race is 13.01% of the population. The percentage of males in the service area is 49.07%, and the percentage of females in the service is 50.93%. The median age of the population is 39.6, with 19.93% of the population being from ages 0-17 and 17.37% of the population being 65+. The median and average household incomes are $84,985 and $122,279, respectively. The percentage of families below the poverty line is 5.55%. There are 4 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.