Community Benefit Insight - Tax-exempt hospital

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Baker County Medical Services Inc

Ed Fraser Memorial Hospital

159 North 3rd Street
Macclenny, FL 32063

Bed count	25	Medicare provider number	100134	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 593202547

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

7.37%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 1,668,291 5.67 %
Medicaid as % of operating expenses	$ 0 0 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 0 0 %
Subsidized health services as % of operating expenses	$ 500,761 1.70 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 0 0 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 0 0 %
Community building* as % of operating expenses	$ 0 0 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	Not available
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 0 0 %
Physical improvements and housing as % of community building expenses	$ 0
Economic development as % of community building expenses	$ 0
Community support as % of community building expenses	$ 0
Environmental improvements as % of community building expenses	$ 0
Leadership development and training for community members as % of community building expenses	$ 0
Coalition building as % of community building expenses	$ 0
Community health improvement advocacy as % of community building expenses	$ 0
Workforce development as % of community building expenses	$ 0
Other as % of community building expenses	$ 0
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 59,562 0.20 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 0 0 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 25131438 including grants of $ 4370) (Revenue $ 0)
BAKER COUNTY MEDICAL SERVICES OPERATES ED FRASER MEMORIAL HOSPITAL, W. FRANK WELLS NURSING HOME, AND BAKER RURAL HEALTH CLINIC WHICH PROVIDE A WIDE RANGE OF HEALTHCARE SERVICES TO THE CITIZENS OF BAKER COUNTY AND THE SURROUNDING AREA.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

FACILITY 1, ED FRASER MEMORIAL HOSPITAL - PART V, LINE 3E
THE PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IS IDENTIFIED AND THE METHODOLOGY FOR PRIORITIZING EACH NEED IS DESCRIBED BEGINNING ON PAGE 12 OF THE 2021 CHNA.

FACILITY 1, ED FRASER MEMORIAL HOSPITAL - PART V, LINE 5
QUANTITATIVE DATA INPUT FOR THIS ASSESSMENT INCLUDES SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA) THAT ALLOWS FOR COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. QUALITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH AMONG COMMUNITY STAKEHOLDERS GATHERED THROUGH AN ONLINE KEY INFORMANT SURVEY. TO SOLICIT INPUT FROM COMMUNITY STAKEHOLDERS (KEY INFORMANTS), THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY ALSO WAS IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY ED FRASER MEMORIAL HOSPITAL; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 18 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY, INCLUDING 5 PUBLIC HEALTH RREPRESENTATIVES AND 9 SOCIAL SERVICES PROVIDERS. SEE THE DISCUSSION OF METHODOLOGY BEGINNING ON PAGE 6 OF THE 2021 CHNA.

FACILITY 1, ED FRASER MEMORIAL HOSPITAL - PART V, LINE 11
THE FOLLOWING PRIORITIZED NEEDS WERE IDENTIFIED BY THE COMMUNITY AND THE CHNA STEERING COMMITTEE. PARTICULAR FOCUS WAS PLACED UPON THESE NEEDS IN DEVELOPING THE IMPLEMENTATION STRATEGY. 1. TOBACCO USE 2. SUBSTANCE ABUSE 3. CANCER 4. HEART DISEASE & STROKE 5. DIABETES 6. NUTRITION, PHYSICAL ACTIVITY & WEIGHT 7. RESPIRATORY DISEASE 8. MENTAL HEALTH 9. POTENTIALLY DISABLING CONDITIONS 10. ORAL HEALTH 11. INFANT HEALTH & FAMILY PLANNING 12. ACCESS TO HEALTH CARE SERVICES 13. SEXUAL HEALTH 14. INJURY & VIOLENCE ED FRASER MEMORIAL HOSPITAL USED THE INFORMATION FROM THIS COMMUNITY HEALTH NEEDS ASSESSMENT TO DEVELOP AN IMPLEMENTATION STRATEGY TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY. WHILE THE HOSPITAL CANNOT IMPLEMENT STRATEGIES FOR ALL OF THE HEALTH ISSUES LISTED ABOVE, THE RESULTS OF THIS PRIORITIZATION EXERCISE WILL BE USED TO INFORM THE DEVELOPMENT OF THE HOSPITALS ACTION PLAN TO GUIDE COMMUNITY HEALTH IMPROVEMENT EFFORTS IN THE COMING YEARS. THE REASONS FOR NOT ADDRESSING THE REMAINING HEALTH NEEDS ARE COVERED IN MORE DETAIL ON PAGE FOUR OF THE IMPLEMENTATION STRATEGY. SEE THE 2018 AND 2021 CHNA AND IMPLEMENTATION STRATEGY DOCUMENTS AT HTTPS://EDFRASERHOSPITAL.COM/HEALTH-INFORMATION-LINKS/

Supplemental Information

Schedule H (Form 990) Part VI

SCHEDULE H, PART I, LINE 7G
BAKER COUNTY MEDICAL SERVICES PROVIDES FREE OF CHARGE, A CLINICAL ENVIRONMENT IN WHICH DOCTORS, INCLUDING MEDICAL SPECIALISTS FROM OUT OF THE AREA, CAN COME AND TREAT LOCAL CITIZENS FOR MEDICAL RELATED ILLNESSES AND INJURIES. WITHOUT SUCH A LOCATION, PHYSICIANS WOULD NOT BE AVAILABLE TO THE LOCAL COMMUNITY IN BAKER COUNTY. THE RURAL HEALTH CLINIC'S NET COSTS ARE INCLUDED AS A SUBSIDIZED SERVICE.

SCHEDULE H, PART I, LINE 7, COLUMN (F)
IN DERIVING THE DENOMINATOR TO BE USED FOR COLUMN (F), THE FOLLOWING ADJUSTMENTS WERE MADE TO THE TOTAL EXPENSES REPORTED ON FORM 990, PART IX, LINE 25: FORM 990, PART IX, LINE 25 27,960,295 LESS: NURSING HOME EXPENSES ( 3,812,166) DENOMINATOR FOR COLUMN (F) 24,148,129

SCHEDULE H, PART I, LINE 7
COSTS FOR PART I, LINE 7A AND 7B WERE CALCULATED USING THE RCC CALCULATED IN WORKSHEET 2. OTHER COSTS WERE OBTAINED FROM THE ORGANIZATION'S ACCOUNTING RECORDS. SEE ALSO THE DESCRIPTION FOR PART III, LINE 2.

SCHEDULE H, PART II
"THE ORGANIZATION IS CONSTANTLY TRYING TO IMPROVE THE ACCESS TO CARE BY RECRUITING PHYSICIANS TO JOIN OUR ORGANIZATION SO THAT THE COMMUNITY HAS ACCESS TO ""SPECIALTY"" CARE PROFESSIONALS. THUS THE ORGANIZATION IS CONSTANTLY RECRUITING PHYSICIANS TO MOVE TO OUR AREA SO THAT THE RESIDENTS OF THE COUNTY HAVE READILY AVAILABLE SPECIALTY CARE."

SCHEDULE H, PART III, LINE 2
BAD DEBTS ARE A COST TO THE FACILITY AND INCLUDE THE COST OF PROVIDING SERVICES TO THOSE WHO MAY HAVE THE OBLIGATION TO PAY BUT BECAUSE OF THE HIGH AMOUNT OF THEIR HOSPITAL DEDUCTIBLES AND COPAYS, THEY ARE UNABLE TO PAY AND DO NOT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FAP. IT BECOMES A MATTER OF CHOICE FOR THE PATIENT CHOOSING BETWEEN CURRENT LIVING EXPENSES OR MEDICAL CARE. BAKER COUNTY IS A VERY RURAL COMMUNITY AND AVERAGE WAGES ARE LOWER THAN THE NATIONAL AVERAGE. AMOUNTS INCLUDED ON PART III LINE 2 REPRESENT THE AMOUNT OF CHARGES CONSIDERED UNCOLLECTIBLE AFTER REASONABLE ATTEMPTS TO COLLECT, AND WRITTEN OFF TO BAD DEBT EXPENSE. THE AMOUNT INCLUDED IN BAD DEBT EXPENSE IS FURTHER REDUCED BY THE APPLICABLE PORTION OF DISPROPORTIONATE SHARE ADJUSTMENT FUNDS RECEIVED AND APPROPRIATED BY THE STATE OF FLORIDA.

SCHEDULE H, PART III, LINE 4
SEE PAGES 14-18 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR THE FOOTNOTE REGARDING IMPLICIT PRICE CONCESSIONS, BAD DEBTS, AND UNINSURED PATIENTS.

SCHEDULE H, PART III, LINE 8
MEDICARE ALLOWABLE COSTS ARE COMPUTED IN ACCORDANCE WITH COST REPORTING METHODOLOGIES UTILIZED ON THE MEDICARE COST REPORT AND IN ACCORDANCE WITH RELATED REGULATIONS. INDIRECT COSTS ARE ALLOCATED TO DIRECT SERVICE AREAS USING THE MOST APPROPRIATE STATISTICAL BASIS.

SCHEDULE H, PART III, LINE 9B
IF AT ANY TIME DURING THE COLLECTION PROCESS A PATIENT IS DETERMINED TO BE ELIGIBLE UNDER THE HOSPITAL'S CHARITY CARE POLICY, ALL COLLECTION PROCESSES CEASE AND THE ACCOUNT IS WRITTEN OFF ACCORDING TO CHARITY GUIDELINES.

SCHEDULE H, PART VI, LINE 2
BAKER COUNTY MEDICAL SERVICES (BCMS) MONITORS VARIOUS TYPES OF ASSESSMENTS TO DETERMINE THE COMMUNITY'S NEEDS FOR HEALTH AND PERSONAL SUPPORT SERVICES. BCMS COLLABORATES WITH OTHER NOT-FOR-PROFIT AGENCIES AND ORGANIZATIONS TO EXTEND AND STRENGTHEN OUR MISSION. EXAMPLES OF THESE COLLABORATIONS INCLUDE: BAKER COUNTY HEALTH DEPARTMENT, BAKER COUNTY COUNCIL ON AGING, LOCAL COLLEGES AND BAKER COUNTY PUBLIC SCHOOL SYSTEM. BCMS USES FEDERAL INFORMATION AND REPORTS FROM AGENCIES SUCH AS THE U.S. CENSUS BUREAU AND BUREAU OF LABOR STATISTICS AS WELL AS RESOURCES SUCH AS THE HEALTH PLANNING COUNCIL OF NORTHEAST FLORIDA AND THE NORTHEAST FLORIDA REGIONAL COUNCIL THAT PROVIDE A WIDE ARRAY OF DEMOGRAPHICS, HOUSEHOLD INCOME AND SERVICES, RETAIL OUTLETS, ETC. IN DEFINED ZIP CODES. THIS INFORMATION, COMBINED WITH OUR EXTENSIVE COLLABORATIONS AND OUR ROLE AS A LEADER IN THE COMMUNITY, PROVIDES US THE MEANS TO UNDERSTAND AND ADDRESS THE COMMUNITY'S NEEDS AND ENSURES OUR OUTREACH PROGRAMS ARE FOCUSED ON THE POPULATIONS WHO NEED OUR SERVICES THE MOST. THE ORGANIZATION CONDUCTED A CHNA AND SUBSEQUENTLY DEVELOPED AN IMPLEMENTATION PLAN TO ADDRESS THE HEALTH NEEDS OF THE COMMUNITY. THE INDIVIDUAL DOCUMENTS CAN BE FOUND AT THE LINKS BELOW: CHNA: HTTPS://EDFRASERHOSPITAL.COM/WP- CONTENT/UPLOADS/2018/11/2018NEEDSASSESSMENT.PDF IMPLEMENTATION PLAN: HTTPS://EDFRASERHOSPITAL.COM/WP- CONTENT/UPLOADS/2019/02/CHNA-IMPLEMENTATION-STRATEGY-2018-FORMATTED- FINAL.PDF

SCHEDULE H, PART VI, LINE 3
AT THE TIME OF DISCHARGE THE PATIENT OR RESPONSIBLE PARTY IS INFORMED ABOUT OUR FINANCIAL ASSISTANCE POLICY. IN ADDITION, SHOULD THE PATIENT OR RESPONSIBLE PARTY EXPRESS CONCERNS REGARDING MEETING THE FINANCIAL OBLIGATIONS THEY MAY ENROLL IN THE FINANCIAL ASSISTANCE PROGRAM AT ANY TIME DURING THE COLLECTIONS PROCESS. THE BUSINESS OFFICE THEN EVALUATES FOR FINANCIAL ASSISTANCE ELIGIBILITY AND OTHER PAYER SOURCES. THIS INFORMATION IS PROVIDED IN THE ADMISSIONS OFFICE AND IN THE EMERGENCY ROOM WAITING AREA. ALSO, THIS INFORMATION IS ATTACHED TO THE STATEMENTS THAT ARE SENT TO THE PATIENT WHEN ATTEMPTING TO COLLECT ON THE PATIENTS ACCOUNT.

SCHEDULE H, PART VI, LINE 4
AS THE SOLE COMMUNITY PROVIDER, WE SERVE THE ENTIRE POPULATION IN BAKER COUNTY, FLORIDA AND THE SURROUNDING AREA. BAKER COUNTY IS A RURAL AREA WITH A POPULATION OF 28,259 WITH A PER CAPITA INCOME OF 62,299. APPROXIMATELY 83% OF THE POPULATION IS WHITE, 14% BLACK AND 3% OTHER.

SCHEDULE H, PART VI, LINE 5
THE ORGANIZATION IS THE ONLY MEDICARE/MEDICAID CERTIFIED HOSPITAL IN THE COUNTY. THE BOARD OF DIRECTORS ARE ALL MEMBERS OF THE LOCAL COMMUNITY AND EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS WHO WISH TO PRACTICE IN BAKER COUNTY. THE HOSPITAL'S EMERGENCY ROOM IS THE MAIN SOURCE OF PRIMARY CARE FOR ALL WHO RESIDE IN BAKER COUNTY. BCMS WORKS WITH OTHER NOT-FOR-PROFIT ORGANIZATIONS IN THE COMMUNITY SUCH AS THE BAKER COUNTY HEALTH DEPARTMENT AND THE BAKER COUNTY COUNCIL ON AGING TO MEET THE NEEDS OF THE COMMUNITY. AS AN EXAMPLE, BCMS PARTICIPATES IN A FOCUS GROUP THAT MEETS MONTHLY TO DISCUSS THE ONGOING HEALTH NEEDS OF THE COMMUNITY AND HOW BEST TO MEET THOSE NEEDS. BCMS IS COMPOSED OF COMMUNITY MEMBERS WITH DIVERSE PROFESSIONAL AND COMMUNITY SERVICE BACKGROUNDS. IN OUR FACILITY, THE EMERGENCY ROOM IS OPERATED 24/7 AND OPEN TO ALL PERSONS, REGARDLESS OF ABILITY TO PAY. WE HAVE CLEARLY WRITTEN INDIGENT AND CHARITY CARE POLICIES THAT ARE AVAILABLE THROUGH THE BUSINESS OFFICE AND OFFERED TO ALL PATIENTS UPON DISCHARGE AND AVAILABLE UPON REQUEST. BCMS REINVESTS ALL OF ITS SURPLUS FUNDS FROM ITS OPERATING AND INVESTMENT ACTIVITIES TO IMPROVE ACCESS TO CARE, EXPAND AND REPLACE EXISTING FACILITIES AND EQUIPMENT, INVEST IN TECHNOLOGICAL ADVANCEMENTS, SUPPORT COMMUNITY HEALTH PROGRAMS AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH.

SCHEDULE H, PART VI, LINE 6
BAKER COUNTY MEDICAL SERVICES, INC. (BCMS) OPERATES ED FRASER MEMORIAL HOSPITAL, BAKER COUNTY RURAL HEALTH CLINIC, AND W. FRANK WELLS NURSING HOME. THESE FACILITIES CONSIST OF A 68-BED LONG TERM CARE FACILITY PROVIDING LONG TERM NURSING AND REHABILITATIVE SERVICES AND A 21-BED GENERAL ACUTE CARE FACILITY WHICH PROVIDES PRIMARILY EMERGENCY, SPECIALTY CARE SERVICES, AND SHORT STAY MEDICAL SERVICES TO RESIDENTS OF BAKER COUNTY AND ADJOINING AREAS. ADMITTING PHYSICIANS ARE PRIMARILY PRACTITIONERS IN THE LOCAL AREA. BAKER COUNTY HOSPITAL AUTHORITY LEASES THE HOSPITAL AND NURSING HOME TO BCMS AND IS AN INDEPENDENT SPECIAL DISTRICT CREATED BY ACT OF THE STATE OF FLORIDA LEGISLATURE FOR THE ESTABLISHMENT OF THE FACILITIES. BAKER COMMUNITY HEALTH CENTER, INC. IS OWNED AND OPERATED BY BCMS AND PROVIDES CERTAIN PROFESSIONAL EMERGENCY MEDICAL SERVICES.

Operating expenses	$ 29,448,723
Total amount spent on community benefits as % of operating expenses	$ 2,169,052 7.37 %