4A (Expenses $ 642538869 including grants of $ 53236) (Revenue $ 805335236)
SEE SCHEDULE O

Schedule H, Part V, Section B, Line 5 Facility A, 1
"Facility A, 1 - SOUTH MIAMI HOSPITAL. For its FY2022 Community Health Needs Assessment (""CHNA""), Baptist Health South Florida, Inc. and its affiliates (""Baptist Health or ""BHSF"") conducted the assessment together as a system for the four urban hospitals in the Greater Miami community, home to Baptist Hospital of Miami, Doctors Hospital, South Miami Hospital and West Kendall Baptist Hospital (the ""Urban Four Hospitals""), which are situated within six miles of one another. The report combines the service areas for the four hospitals into one designated as Baptist Health's Urban Four Hospitals. The close proximity of these facilities allows for easy accessibility amongst them. The designated service area for the Urban Four Hospitals consists of 37 Zip Codes in Miami-Dade County. FOCUS GROUPS: A total of eight (8) focus groups were held to gather key internal and external stakeholder feedback. Internal stakeholders included various members of hospital leadership, representatives from case management, nursing, community relations, and physicians. External stakeholders included community first responders, clergy leaders, local government, patients, and representatives from various community-based organizations. Stakeholders were presented with various levels of public health data, encompassing national, state, county, and zip code specific data, when available. Focus group participants were asked to consider this data and personal/professional perspective during the qualitative question and answer portion of the session. Some topics addressed were: What are the greatest health challenges our communities are facing? Explain potential challenges to improving health outcomes and how the Urban Four Hospitals can provide support in improving health outcomes. In addition to the in-person focus groups, an online survey was administered to organizations that were unable to attend the in-person focus group sessions. This ten (10) question survey provided an additional avenue to receive feedback from community stakeholders. Urban Four Hospitals Focus group insights: The focus group participants discussed the topic of physical, mental, and spiritual health. The group highlighted how the community's most serious health issues include limited access to care and health insurance, mental health, and lack of health-related education. Some examples of alarming risky behaviors mentioned include fear of exposure to COVID-19, dropping out of school, distracted driving, substance abuse, lack of measures to prevent disease, inadequate physical activity, and unhealthy dietary behaviors. Another topic discussed at length was the importance of providing affordable health screenings, bringing screenings to patients via mobile units, and the need for follow-up care after positive diagnoses for early intervention and treatment. On the topic of mental health, the impact of the pandemic was highlighted, as it played a negative role in mental health, as well as the stigma and lack of health-related education surrounding the topic, which prevents people from seeking treatment. Opportunities to improve the health of our community through increased access to and awareness of health education and accessibility for preventive resources, community-based programming and partnerships that encourage healthier lifestyles and wellness were highlighted as well. The focus group participants provided insights into various community partners who can assist in supporting the primary areas of concern in the community."

Schedule H, Part V, Section B, Line 6a Facility A, 1
Facility A, 1 - SOUTH MIAMI HOSPITAL, INC.. For its FY2022 CHNA, Baptist Health conducted the assessment together as a system for the Urban Four Hospitals. In order to ensure broad community input, a representative from each of the Four Urban Hospitals' CHNA steering committee organized the 2022 CHNA process. External and internal community partners were also identified to participate in the focus groups and were invited to one of eight scheduled focus groups, virtually held via Zoom. In addition, an online survey was emailed to all invitees who were unable to participate in the Zoom meetings. As a result, a total of 104 community and internal stakeholders shared their perspectives on the overall health of the Four Urban Hospitals' communities, with 94 providing input at one of the three focus groups and 10 via the online survey. The report considers the latest government and public statistics, hospital data and feedback from the various focus groups and surveys.

Schedule H, Part V, Section B, Line 11 Facility A, 1
Facility A, 1 - SOUTH MIAMI HOSPITAL. THE URBAN FOUR HOSPITALS CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN FY2022 TO BETTER UNDERSTAND THE HEALTHCARE NEEDS OF THE COMMUNITY IT SERVES IN SOUTHERN MIAMI-DADE COUNTY. DURING FY2022, THE PRIORITIES ADDRESSED WERE RELATED TO THE PREVIOUS COMPLETED FY2019 CHNA, WHICH INCLUDED THE FOLLOWING FIVE PRIORITY AREAS: * BEHAVIORAL HEALTH * ACCESS TO CARE * AVAILABILITY OF PRIMARY CARE AND PREVENTION * CHRONIC DISEASE MANAGEMENT * HEALTHY LIFESTYLES AND WELLNESS THE WRITTEN IMPLEMENTATION PLAN ADDRESSES EACH OF THESE FIVE PRIORITY AREAS, WITH STRATEGIES ORGANIZED AROUND EACH PRIORITY AREA. Behavioral Health * Five Behavioral Health support groups were offered throughout the Baptist Health system and hosted a total of 729 participants. South Miami Hospital hosted a total of 212 participants in one behavioral health support group focused on addiction support. * Baptist Health is committed to improving the health and wellness of the community. The Community Health Department offers free in-person and virtual behavioral health education, focusing on topics such as stress management, mindfulness, meditation, and various mental health issues. These health programs and workshops are offered to the community-at-large and to smaller, restricted groups, in partnership with community organizations, or other media outlets, like Baptist Health Resource Blogs, Facebook and Instagram Live programs, Tik Tok videos, and articles for websites such as Healthline and newspapers. In FY2022, the Community Health Department offered 268 behavioral health-focused classes to 9,172 community participants. In the Urban Four service area, 10 behavioral health programs were offered with 376 participants. * Postpartum depression, a severe condition associated with a number of risk factors, affects women differently and at different points during the postpartum period. Baptist Hospital of Miami, South Miami Hospital, West Kendall Baptist Hospital, Homestead Hospital, Bethesda Hospital East, and Boca Raton Regional Hospital have standardized that all new mothers in their labor and delivery departments receive a postpartum depression screening prior to discharge. Patients who score high on the Edinburgh Postnatal Depression Scale are referred to the Social Work department for evaluation, and the patient's primary obstetrician is notified for further evaluation. * The Baker Act is a Florida law that enables families and loved ones to provide emergency mental health services and temporary detention for people who are impaired because of their mental illness, and who are unable to determine their needs for treatment. In partnership with Banyan Health Systems, 78 percent of the patients in need of Baker Act transfers from a Baptist Health Miami-Dade County entity to a federally qualified receiving facility were placed within four hours of being admitted to the emergency department. Baptist Health's Miami-Dade County entities were able to coordinate the referral of 892 Baker Act patients to behavioral health providers in the community, of which 700 were transferred within 4 hours. * Baptist Health has been able to establish behavioral health partnerships to help support our communities through community benefit support. In FY2022, Baptist Health contributed $592,082 to support our partners. These organizations provide psychiatric assessments, free outpatient counseling, bereavement support groups, inpatient substance use treatment, and free/low-cost medications for Baptist Health's patients and our community's members. * Monroe County: 211 Miami-Dade and Monroe (Jewish Family Services), Autism Society of the Keys, Florida Keys Children's Shelter, and Island Dolphin Care * Miami-Dade County: 211 Miami-Dade and Monroe, Agape Network, Children's Bereavement Center, New Hope Corps, and Sofia's Hope. * Broward County: 211 Broward, Children's Bereavement Center, and Eagles Haven * Palm Beach County: Faulk Center for Counseling * Psychotherapists have continued collaboration with Baptist Health Primary Care physicians in supporting their Empowerment Program for depression patients. Although South Miami Hospital does not directly offer the Empowerment Program, Baptist Health Primary Care provides this program as a resource to the primary care patients in Miami-Dade County. * In FY2022, Baptist Health provided a total of 853 free behavioral health visits on Care-On-Demand to the community. 837 of these services were provided to Miami-Dade County residents. Although South Miami Hospital does not directly provide behavioral health support via tele-health, Baptist Health as a system provides support to directly impact the South Miami Hospital community and the communities of Monroe, Miami-Dade, Broward, and Palm Beach counties. * Pastoral care services and Palliative Care for Baptist Health totaled $388,396 and $4.291 million, respectively. Although South Miami Hospital does not directly provide pastoral care services and palliative care, Baptist Health as a system provides support to directly impact South Miami Hospital and the other Baptist Health entities. * Baptist Health has implemented a depression-screening questionnaire in our primary care practices for all patients. Patients who screen positive will be further evaluated to inform treatment planning. South Miami Hospital has implemented the Columbia Suicide Severity Rating Scale (C-SSRS) in the hospital's emergency department. The C-SSRS is a measure used to identify and assess individuals at risk for suicide. Providers should use the scale as a measure of suicidal ideation, intent or plan, and past suicidal behavior. This scale is used to guide appropriate therapeutic intervention and to facilitate safety monitoring and planning. Baptist Health has implemented the C-SSRS at all of its entities across the system. Access to Care * Baptist Health contributed $4.188 million in cash to community clinics for the uninsured and $34,000 in foregone rent. Baptist Health provides funding to support operations for seven (7) community clinics: o Monroe County: Good Health Clinic o Miami-Dade County: Good News Care Center, Homestead Community Health Center, Open Door Health Center, and South Miami Children's Clinic o Palm Beach County: Caridad Center Baptist Health also made contributions to Chapman Partnership and Good Samaritan Clinic totaling $30,480 to support clinic operations and access to Care. In the Florida Keys, $75,000 was provided to Florida Keys Area Health Education Center to support the medical and dental program for school-age children. * South Miami Hospital had a total of 3,407 clinic patient encountersat a total cost of $2.336 million.

Schedule H, Part V, Section B, Line 11 Facility A, 2
Facility A, 2 - SOUTH MIAMI HOSPITAL - Line 11 (Continued). Access to Care (Continued) * Financial Assistance Policy - South Miami Hospital provided$9.039 million in charity care to 1,890 unique individualsthrough3,158 totalpatientencounters.South Miami Hospital pharmacy contributed $24,962 in pharmaceutical support to charity patients. * South Miami Hospital providedoutpatient dialysis, transportation, and Assisted Living Facilities/Skilled Nursing facilities for unfunded patientstotaling$181,432. * South Miami Hospital incurred a Medicaid shortfall of $42.821 million, resulting from 26,804 cases, during FY2022. * Care On Demand (COD) is Baptist Health's telehealth platform and digital front door to access the system. Service is now available for multiple specialties to treat our patients' needs. The platform provided 21,213 virtual urgent care visits. Of those visits, 11,455 were free of charge. In Miami-Dade County, 15,010 virtual urgent care visits were provided by COD, of which 8,263 were free. In addition to urgent care visits, Baptist Health offered specialty visits on the COD platform, including: 63 Diet and Nutrition and 4 Lactation specialty visits. Although South Miami Hospital does not directly provide telehealth support via COD, Baptist Health as a system provides support to directly impact the South Miami Hospital community and the communities of Monroe, Miami-Dade, Broward, and Palm Beach counties. * Baptist Health contributed $145,000 to Catalyst Miami, through the Community Benefit department, to assist clients with SNAP (food stamps), Medicaid, financial coaching, Children's Health Insurance Program (CHIP), tax preparation, and SSI/Disability linkage. In FY2022, Catalyst Miami supported healthcare navigation to residents throughout Homestead, Florida City and the greater South Dade community. Although South Miami Hospital does not directly provide cash contributions to Catalyst Miami, Baptist Health as a system provides support to directly impact the communities of Miami-Dade County. * In partnership with Florida International University (FIU), Baptist Health contributed $1 million to support the FIU NeighborhoodHELP program in the communities of South Miami and West Kendall to provide enhanced primary and preventive care to uninsured residents in these communities. The program has integrated healthcare services to help uninsured household members access care and remove barriers. FIU NeighborhoodHELP connects patients to healthcare services provided through mobile health centers and refers patients to other community resources, as needed. In FY2022, FIU NeighborhoodHELP had a total of 123 active Households of which 77 households were located in South Miami. Although South Miami Hospital does not directly provide cash contributions to FIU NeighborhoodHELP, Baptist Health as a system provides support to directly impact the communities of South Miami and West Kendall. Availability of Primary Care and Prevention * Baptist Health primary care has 13 offices serving Miami-Dade County. Although South Miami Hospital does not directly provide primary care to the community, Baptist Health Primary Care provides primary care services to directly impact the South Miami Hospital and the communities of Monroe, Miami-Dade, and Broward counties. * Baptist Health provides continuing medical education (CME) in support of its primary care providers and allied health professionals through its accredited program. Baptist Health continues to fund and support continuing medical education activities. It offered 511 conferences with 118,296 health professionals attending. In FY2022, 2,350 possible credits were offered. A total of 174,517 CME/CE credits were awarded as a result of participants completing more than one activity. Although South Miami Hospital does not provide CME directly to community physicians and health professionals, Baptist Health provides CME to directly impact the South Miami Hospital community and the communities of Monroe, Miami-Dade, Broward, and Palm Beach counties. * To make prevention screenings accessible for everyone, Baptist Health offers special pricing for uninsured patients. Baptist Health provided 4,800 discounted diagnostic tests, of which 2,503 were in Miami-Dade. At South Miami Hospital, 195 cardiac scoring, 42 lung screenings, and 102 mammograms were administered. Baptist Outpatient Services, in Miami-Dade County, offered the following discounted diagnostic tests: 235 cardiac scoring, 548 lung screening, and 1,018 mammograms. Chronic Disease Management * Baptist Health contributed $269,200 to support chronic disease management organizations. In Miami-Dade County, this included American Heart Association, BRCA Strong, Leukemia Lymphoma Society, Look Good Feel Better, Miggy's Gift, Purple Stride Pancreatic Cancer Network, Susan G. Komen, Sharsheret, Lotus House, and Gift of Life. Although South Miami Hospital does not directly provide cash contributions, Baptist Health as a system provides support to directly impact the communities of Miami-Dade County. * Seventeen (17) chronic disease management support groups were offered throughout Baptist Health and hosted 1,695 participants. South Miami Hospital hosted 104 participants in two chronic disease management support groups on arthritis and bladder issues, respectively. * Baptist Health is committed to improving the health and wellness of the community. The Community Health Department offers free chronic disease management education, focusing on topics such as diabetes management, nutrition, heart health, and other chronic disease issues. Community Health offered 278 chronic disease management programs hosting 6,608 participants, in the Urban Four Hospital service area, 20 programs were offered with 262 attendees. * Baptist Health's Community Health department offers free in-person and virtual exercise classes, health screenings, and health education programs to the community at large. Community Health offered 10 health fairs and 1,439 health screenings in FY22; three of these health fairs were offered at South Miami Hospital with 480 health screenings provided. * In partnership with Area Health Education Center, Baptist Health supports the AHEC smoking cessation program by providing direct patient referrals to the free program. In FY22, Miami Cancer Institute referred 39 patients, South Miami Hospital referred 7 patients, and Baptist Health provided an additional 4 referrals. Healthy Lifestyles and Wellness * The Community Health Department hosted 2,441 exercise classes for a total of 81,918 exercise encounters and 881 educational programs - many focused on healthy eating and nutrition - to 25,921 participants. In the Urban Four Hospital service area, 23 nutrition programs were offered with 781 attendees, one healthy aging program with 57 attendees, two maternal and child programs with 50 attendees, one men's health program with 31 attendees, and one women's health program with six attendees. Additionally, in the Urban Four service area, 233 exercise classes were offered with 19,783 participants. Although South Miami Hospital does not directly provide community health exercise classes or health screenings, Baptist Health community health department provides support to directly impact the South Miami Hospital community and the communities of Monroe, Miami-Dade, Broward, and Palm Beach counties. * The Community Health Department offered CDC (Centers for Disease Control) fully recognized Diabetes Prevention Program, Beat Diabetes: Take Control, free of charge to 33 community participants, 16 participants were from the Baptist Hospital of Miami service area. The two cohorts met via Zoom. The lifestyle change program provided weekly and monthly sessions over the course of the 12-month program, with the goal of participants reducing their starting weight by 5-7 percent by the culmination of the program. The two cohorts lost an average of 4.5 percent of their starting weight. ALL IDENTIFIED NEEDS ARE BEING ADDRESSED IN VARIOUS FORMS, EITHER DIRECTLY BY BAPTIST HEALTH OR IN COLLABORATION WITH EXTERNAL COMMUNITY-BASED ORGANIZATIONS.

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

Schedule H, Part V, Section B, Line 22 DETERMINING AMOUNTS CHARGED
PATIENTS QUALIFYING UNDER THE FINANCIAL ASSISTANCE POLICY WITH FAMILY INCOME AT OR BELOW 300% FPG RECEIVE FREE CARE. BAPTIST HEALTH USES THE PROSPECTIVE MEDICARE METHOD TO DETERMINE AGB.

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

Schedule H, Part I, Line 7f
BAD DEBT EXPENSE OF $ 77,935,206 IS INCLUDED IN FORM 990 PART IX LINE 25 COLUMN (A) BUT EXCLUDED FROM THE DENOMINATOR FOR PURPOSES OF CALCULATING THE PERCENTAGES ON LINE 7, COLUMN F.

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

Schedule H, Part II COMMUNITY BUILDING ACTIVITIES
South Miami Hospital AND ITS OTHER not-for-profit HOSPITAL AFFILIATES PARTNER WITH OTHER NOT-FOR-PROFIT ORGANIZATIONS IN ITS PRIMARY SERVICE AREA TO PROVIDE NEEDED SERVICES TO THE COMMUNITY. THESE SERVICES INDIRECTLY IMPROVE POOR HEALTH BY ADDRESSING UNDERLYING BASIC NEED ISSUES OF FOOD, HOUSING, SAFETY, AND ECONOMIC DEVELOPMENT.

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

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

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

Schedule H, Part V, Section B, Line 16a FAP website URL
THE FAP has been made widely available on the Baptist Health website: https://baptisthealth.net/patient-resources/billing-and-financial-assistance/financial-assistance-program/financial-assistance-application

Schedule H, Part V, Section B, Line 16b FAP application form website URL
THE FAP application has been made widely available on the Baptist Health website: https://baptisthealth.net/patient-resources/billing-and-financial-assistance/financial-assistance-program/financial-assistance-application

Schedule H, Part V, Section B, Line 16c FAP plain language summary website URL
A PLAIN LANGUAGE SUMMARY OF THE FAP has been made widely available on the Baptist Health website: https://baptisthealth.net/patient-resources/billing-and-financial-assistance/financial-assistance-program/financial-assistance-application

Schedule H, Part V, Section B
FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: SOUTH MIAMI HOSPITAL - FACILITY 2: BAPTIST HEALTH HOSPITAL AT DORAL

Schedule H, Part V, Section A BAPTIST HEALTH HOSPITAL AT DORAL
In November of 2021, Baptist Health Hospital at Doral opened for patients. It encompasses over 43,000 square feet of space, the two-story hospital provides 24/7 emergency care, 15 private inpatient beds, an innovative da Vinci surgical system, an inpatient pharmacy and other necessary healthcare services to the Doral community. This is the latest addition to the Baptist Health system in Miami-Dade County.

Schedule H, Part VI OTHER INFORMATION
"SOUTH MIAMI HOSPITAL HAS ITS OWN GOVERNING BOARD, THE MEMBERS OF WHICH CONSIST OF REPRESENTATIVES OF THE PROFESSIONAL, PASTORAL AND BUSINESS COMMUNITIES. SOUTH MIAMI HOSPITAL PROVIDES MEDICAL AND SURGICAL SERVICES CONSISTENT WITH ITS STATUS AS A TERTIARY CARE PROVIDER. IT ALSO HAS A HIGHLY REGARDED ROBOTIC SURGERY PROGRAM. OTHER SERVICES RENDERED AND PROGRAMS OFFERED AT SOUTH MIAMI HOSPITAL INCLUDE: SOUTH MIAMI HOSPITAL CENTER FOR WOMEN INFANTS: THE CENTER FOR WOMEN INFANTS WAS ESTABLISHED IN FISCAL YEAR 2009 BRINGING ALL MAJOR WOMEN AND INFANT SERVICE LINES UNDER ONE UMBRELLA, ALLOWING FOR A MORE SEAMLESS AND COMPREHENSIVE APPROACH TO CARE. WOMEN AND INFANT SERVICES INCLUDE: OBSTETRICS, GYNECOLOGICAL CARE, BREAST CARE, WOMEN'S HEALTHY LIFESTYLE, WOMEN'S DIAGNOSTICS, NEONATAL SERVICES AND PEDIATRIC DEVELOPMENTAL THERAPY (CHILD DEVELOPMENT CENTER). MATERNITY SERVICES: SOUTH MIAMI HOSPITAL HAS 29 FULL-SERVICE COMBINATION LABOR-DELIVERY-RECOVERY-POSTPARTUM ROOMS, THREE OPERATING ROOMS FOR C-SECTION PROCEDURES, 27 PRIVATE POSTPARTUM BEDS AND A SHORT-TERM NURSERY. THE LEVEL II NICU IS LICENSED FOR 47 BEDS, AND THE LEVEL III NICU IS LICENSED FOR 15 BEDS. MORE THAN 3,463 BABIES WERE DELIVERED AT SOUTH MIAMI HOSPITAL IN FY2022. SOUTH MIAMI HOSPITAL OFFERS ALL-NATURAL, MIDWIFE-ASSISTED BIRTHS, PROGRAMS FOR FIRST-TIME PARENTS AND FOR MOTHERS WITH GESTATIONAL DIABETES OR OTHER HIGH-RISK PREGNANCIES, AND THE MOST CURRENT TREATMENT METHODS FOR MEDICAL COMPLICATIONS ASSOCIATED WITH PREGNANCY. CHILD DEVELOPMENT CENTER: OPENED IN 1992, THE CHILD DEVELOPMENT CENTER IS STAFFED BY PEDIATRIC DEVELOPMENT SPECIALISTS INCLUDING PEDIATRICIANS, PSYCHOLOGISTS, PHYSICAL THERAPISTS, OCCUPATIONAL THERAPISTS, AUDIOLOGISTS, SOCIAL WORKERS AND DIETITIANS. THESE SPECIALISTS WORK CLOSELY WITH PRIMARY CARE PHYSICIANS TO PROVIDE EVALUATION AND INTERVENTION FOR GIFTED AND CHALLENGED INFANTS AND CHILDREN WITH INDIVIDUALIZED PROGRAMS DESIGNED TO ENHANCE ABILITIES OR CORRECT DEFICIENCIES. EMERGENCY CENTER: THE EMERGENCY CENTER AT SOUTH MIAMI HOSPITAL, OPEN 24 HOURS A DAY, SEVEN DAYS A WEEK, PROVIDED TREATMENT TO MORE THAN 38,657 PATIENTS DURING FY2022. A NEW EMERGENCY CENTER OPENED IN JANUARY 2013 AS PART OF A MULTIMILLION DOLLAR EXPANSION PROJECT TO HELP THE HOSPITAL CONTINUE MEETING ITS LONG-STANDING COMMITMENT TO THE GROWING HEALTHCARE NEEDS OF THE COMMUNITY. THE EMERGENCY CENTER AT SOUTH MIAMI HOSPITAL INCLUDES: * 27 EMERGENCY BEDS, INCLUDING A TRAUMA AND HEART ATTACK ROOM FOR STABILIZING CRITICALLY-ILL PATIENTS. * 12 BED CLINICAL DECISION UNIT FOR OBSERVATION PATIENTS. CARDIOVASCULAR SERVICES: SOUTH MIAMI HOSPITAL TAKES A COMPREHENSIVE APPROACH TO THE PREVENTION, DIAGNOSIS AND TREATMENT OF CARDIOVASCULAR DISEASE. AS PART OF BAPTIST HEALTH'S MIAMI CARDIAC VASCULAR INSTITUTE, SOUTH MIAMI HOSPITAL'S CARDIOVASCULAR CARE UNIFIES CARDIAC TESTING, INVASIVE AND NON-INVASIVE PROCEDURES, PRE- AND POST-CARE, CRITICAL CARE, TELEMETRY AND CARDIAC REHAB UNDER ONE UMBRELLA TO CREATE A SEAMLESS FLOW OF PATIENT CARE. TO PROVIDE OPTIMAL CARE FOR ALL PATIENTS, SUB-SPECIALTIES WORK TOGETHER IN PROVIDING A MULTI-DISCIPLINARY COMPREHENSIVE APPROACH TO CARE. THESE SUB-SPECIALTIES INCLUDE: MEDICAL CARDIOLOGY, INTERVENTIONAL CARDIOLOGY, CARDIOTHORACIC SURGERY, INTERVENTIONAL RADIOLOGY, VASCULAR SURGERY AND ELECTROPHYSIOLOGY. SOUTH MIAMI HOSPITAL IS ACCREDITED BY THE SOCIETY OF CHEST PAIN CENTERS. CLINICAL EXCELLENCE HAS BEEN ENHANCED WITH PARTICIPATION IN NATIONAL REGISTRIES AND THE IMPLEMENTATION OF A RESEARCH PROGRAM. THE OUTPATIENT HEART RHYTHM CENTER PROVIDES A RELIABLE AND ACCESSIBLE LOCATION FOR REGULAR DEVICE CHECKS, WHILE MAINTAINING CONSISTENT COMMUNICATION WITH CARDIOVASCULAR PHYSICIANS. LUNG HEALTH PROGRAM: SOUTH MIAMI HOSPITAL TREATS A FULL RANGE OF RESPIRATORY CONDITIONS WITH A COMPREHENSIVE PROGRAM ENCOMPASSING DIAGNOSIS, EDUCATION, REHABILITATION AND THERAPY. In the latter half of the first quarter and early second quarter of fiscal year 2022, BHSF experienced surges in patients who tested positive for COVID-19. Elective and non-emergent procedures that require overnight stays were evaluated daily based on the capacity of each BHSF facility and some circumstances resulted in postponements. Should the COVID-19 pandemic intensify in South Florida and the country, BHSF may experience supply chain disruptions, including delays and price increases in equipment, pharmaceuticals and medical supplies due to the pandemic. Staffing, equipment, and pharmaceutical and medical supplies shortages may impact our ability to admit and treat patients. BHSF has incurred, and may continue to incur, increased expenses arising from the COVID-19 pandemic, including additional supply chain and other expenditures. The federal government has taken several actions to provide financial assistance to healthcare providers during this pandemic. As of September 30, 2022, South Miami Hospital has received $44.6 million in relief distributions under the Coronavirus Aid, Relief, and Economic Security Act, as amended by the Paycheck Protection Program and Health Care Enhancement Act (collectively, the ""CARES Act""). During FY2022, Baptist Health as a system received $52.3 million in relief distributions and recognized approximately $52.3 million of this funding as other operating revenue. In April 2020, BHSF, on behalf of its various affiliates, submitted Medicare Accelerated/Advance Payment Programs (""APP"") applications and received approximately $297 million in advanced payments for future Medicare services recorded as contract liabilities. The Centers for Medicare Medicaid Services (""CMS"") will automatically begin recouping the Medicare Advances by offsetting against any Medicare claims submitted by BHSF twelve months from the date of initial receipt of the advance payments by BHSF. Recoupment of Medicare APP funds were approximately $210,106,000 for the year ended September 30, 2022."

Schedule H, Part I, Line 6a Community benefit report prepared by related organization
"BAPTIST HEALTH SOUTH FLORIDA, INC. (""BHSF or ""Baptist Health""))"

Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation
77935206

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

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

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

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

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

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

Schedule H, Part V, Section B, Line 22 PROSPECTIVE MEDICARE METHOD
During FY2022, BHSF did not specify the method used by the facilities to determine the amounts billed to individuals who have insurance covering emergency or other necessary care (AGB). This was discovered during FY2022 during a 501(r) compliance review (based on the final regulations) performed by BHSF and its outside tax consultants. BHSF did complete an analysis in which they believed they were complying with the 501(r) regulations as there was no charge to charity patients. Additionally, BHSF asserted at that time that no individual that qualified for financial assistance under the FAP was charged more than AGB. As suggested by the consultants, BHSF adopted the prospective Medicare method to determine AGB. Under this method, AGB is calculated by using the billing and coding process BHSF would use if the FAP-eligible individual were a Medicare fee-for-service beneficiary and setting AGB for the care at the amount BHSF determines would be the total amount Medicare would allow for the care. BHSF does not bill or expect payment of gross charges from individuals who qualify for financial assistance under this policy. In addition, BHSF has implemented a procedure to ensure compliance through various guidelines and communications to complete the AGB calculation and update the FAP as required annually.

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

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

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

Schedule H, Part VI, Line 2 Needs assessment
"SOUTH MIAMI HOSPITAL IS PART OF BAPTIST HEALTH, ONE OF THE REGION'S MOST PREFERRED HEALTHCARE ORGANIZATIONS. IT HAS BEEN COMMITTED TO SERVING THE COMMUNITY SINCE ITS FOUNDING IN 1960. AS A FAITH-BASED, NOT-FOR-PROFIT INSTITUTION, ITS MISSION FOCUSES ON PROVIDING HIGH-QUALITY, COMPASSIONATE CARE TO ALL PATIENTS, INCLUDING THE POOR AND UNINSURED. UNDERSTANDING THE ROLE OF WELLNESS AND PREVENTION IN MAXIMIZING THE OPPORTUNITIES TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THE COMMUNITY, South Miami Hospital ALSO OFFERS A MULTITUDE OF FREE AND LOW-COST EDUCATIONAL PROGRAMS, EXERCISE CLASSES AND HEALTH SCREENINGS AT VARIOUS LOCATIONS. NEW WAYS ARE ALWAYS EXPLORED TO IMPROVE SERVICES AND EXPAND THE ABILITY TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY. A ""COMMUNITY HEALTH NEEDS ASSESSMENT"" WAS CONDUCTED TO FOCUS ON THE PARTICULAR CHARACTERISTICS OF PATIENTS AND THE COMMUNITY AND TO PRECISELY PINPOINT SPECIFIC NEEDS. THIS ASSESSMENT SERVES AS A COMPREHENSIVE TOOL TO INCREASE KNOWLEDGE ABOUT THE PEOPLE BEING SERVED AND ENHANCE THE ABILITY TO PROVIDE TOP-LEVEL HEALTHCARE TO THE ENTIRE COMMUNITY IN THE MOST EFFECTIVE MANNER. See Health Priorities in Part V, Section B, Line 5 and Line 11. The Community Health Needs Assessment and Implementation plan reports have been made widely available on the Baptist Health website. https://baptisthealth.net/about-baptist-health/fulfilling-our-mission/community-needs-assessment-and-implementation-plans IT INCLUDES A DESCRIPTION OF THE COMMUNITY SERVED, THE METHOD USED TO MAKE DETERMINATIONS, A LOOK AT THE INPUT THEY RECEIVED FROM COMMUNITY EXPERTS AND RESIDENTS/CONSUMERS AND, FINALLY, THE RESULTING LIST OF THE COMMUNITY'S MOST SIGNIFICANT PRIORITY HEALTHCARE NEEDS. THE REPORT ALSO INCLUDES A LIST OF EXISTING PROGRAMS AND SERVICES THAT HELP ADDRESS THE COMMUNITY'S PRIORITY HEALTHCARE NEEDS. THESE PROGRAMS ARE BEING USED AS A FOUNDATION ON WHICH TO EXPAND AND PINPOINT SERVICES BASED ON THE PRIORITIES identified IN THIS REPORT. THIS IMPORTANT EXERCISE HAS HELPED South Miami Hospital BETTER UNDERSTAND its STAKEHOLDERS - THE PEOPLE WHO DEPEND ON THE ORGANIZATION WHEN THEY ARE ILL OR INJURED, AS WELL AS THEIR FAMILIES, AND THE ENTIRE COMMUNITY, whose HEALTH THE HOSPITAL STRIVES TO IMPROVE THROUGH EDUCATIONAL AND PREVENTIVE MEASURES, INNOVATIVE PARTNERSHIPS, HIGH-QUALITY CARE AND BY BEING A GOOD CORPORATE CITIZEN. THE HOSPITAL IS COMMITTED TO USING THIS ENLIGHTENING REPORT AS A ROADMAP TO PLAN THE BEST STRATEGIES TO SPECIFICALLY AND EFFECTIVELY ADDRESS THE MOST PRESSING HEALTHCARE NEEDS OF THE ENTIRE COMMUNITY, WITH A SPECIAL FOCUS ON THE MOST VULNERABLE RESIDENTS."

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
FINANCIAL ASSISTANCE INFORMATION IS PROVIDED IN MULTIPLE LOCATIONS. PATIENT REGISTRATION PROVIDES TO ALL PATIENTS A ONE-PAGE INFORMATION HANDOUT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. THIS HELPS TO CREATE AWARENESS OF THE CHARITY CARE PROGRAM. PATIENT REGISTRATION ALSO PROVIDES INFORMATION REGARDING BAPTIST HEALTH'S CHARITY CARE POLICY TO ALL UNINSURED, NON-EMERGENT PATIENTS PRIOR TO SERVICE. ALL LETTERS AND STATEMENTS TO UNINSURED PATIENTS, INCLUDING THOSE SENT BY THIRD-PARTY COLLECTION AGENCIES, INCLUDE A REFERENCE TO FINANCIAL ASSISTANCE PROGRAMS. ALL PUBLIC INFORMATION AND FORMS REGARDING THE PROVISION OF CHARITY CARE USE LANGUAGE THAT IS APPROPRIATE FOR THE BAPTIST HEALTH SERVICE AREA. WHERE POSSIBLE, PRIOR TO THE REGISTRATION OF A PATIENT POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE, A FINANCIAL COUNSELOR WILL CONDUCT A PRE-REGISTRATION INTERVIEW WITH THE PATIENT. IF A PRE-REGISTRATION INTERVIEW IS NOT POSSIBLE, THE INTERVIEW IS CONDUCTED AS SOON AS POSSIBLE THEREAFTER. IN THE CASE OF AN EMERGENCY ADMISSION, THE EVALUATION OF PAYMENT ALTERNATIVES DOES NOT TAKE PLACE UNTIL THE MEDICAL CARE NEEDED TO STABILIZE THE PATIENT HAS BEEN PROVIDED. THOSE PATIENTS WHO MAY QUALIFY FOR FINANCIAL ASSISTANCE FROM A GOVERNMENTAL PROGRAM ARE REFERRED TO THE APPROPRIATE PROGRAM SUCH AS MEDICAID, PRIOR TO CONSIDERATION FOR CHARITY CARE. ADDITIONALLY, INFORMATION REGARDING THE CHARITY CARE PROGRAM AND QUALIFYING FOR FINANCIAL ASSISTANCE APPEARS ON THE WEBSITE AT BAPTISTHEALTH.NET.

Schedule H, Part VI, Line 4 Community information
According to the U.S. Census Bureau, the 2015 through 2019 five-year estimated population for the Urban Four Hospitals' service area was 1,448,699. The release of the ACS updated five-year data for the years 2016-2020 was delayed due to the impact of COVID-19 on data collection. The Urban Four Hospitals' designated service area consists of 37 ZIP codes in Miami-Dade County. The geographical area includes neighborhoods of Miami, Doral, Sweetwater, Palmetto Bay, Pinecrest, Kendall, Olympia Heights, Goulds, Quail Heights, Cutler Bay, Cutler Ridge, South Miami, Coral Gables, Coconut Grove, Key Biscayne, Homestead, Florida City, Naranja, and Princeton. The service area population by race is 84 percent White, 9 percent Black or African American, 2 percent Asian, and 5 percent other. This area in Miami-Dade County is 76.9 percent Hispanic or Latino. The median household income for the service area is $61,033. Approximately 15.8 percent of the population is below the poverty level, compared to 17.1 percent in Miami-Dade County, 14.0 percent in Florida and 13.4 percent in the U.S. The service area population age distribution is made up of 34 percent of the population under 24 years old, 54 percent between 25-64 years old, and 16 percent between 65 and older.

Schedule H, Part VI, Line 5 Promotion of community health
IN FURTHERANCE OF ITS EXEMPT PURPOSE TO PROVIDE HEALTHCARE TO IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS AND TO PROMOTE THE SANCTITY AND PRESERVATION OF LIFE IN THE COMMUNITY IT SERVES, SOUTH MIAMI HOSPITAL OPENED IN 1960 AS A 100-BED HOSPITAL IN WHAT WAS THEN A SMALL SUBURBAN COMMUNITY. AS THE AREA'S POPULATION INCREASED, SOUTH MIAMI HOSPITAL EXPANDED AS WELL, AND CURRENTLY HAS 436 LICENSED BEDS, CONSISTING OF 374 ACUTE CARE BEDS, 47 LEVEL II NICU BEDS, AND 15 LEVEL III NICU BEDS. THIS EXPANSION RESPONDED TO THE NEEDS OF THE GREATER MIAMI COMMUNITY. SOUTH MIAMI HOSPITAL CURRENTLY OCCUPIES MORE THAN 1,132,400 SQUARE FEET AND IS LOCATED APPROXIMATELY THREE MILES NORTHEAST OF BAPTIST HOSPITAL, 10 MILES SOUTHWEST OF DOWNTOWN MIAMI, AND THREE MILES FROM THE UNIVERSITY OF MIAMI AND DOCTORS HOSPITAL, BOTH OF WHICH ARE LOCATED IN CORAL GABLES. SOUTH MIAMI HOSPITAL ADMITTED APPROXIMATELY 13,864 INPATIENTS IN FY2022 AND MORE THAN 38,657 PATIENTS RECEIVED EMERGENCY TREATMENT.

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