2024-04-15T15:20:13-04:00 2023-05-31 580914992 DRAFFIN & TUCKER LLP PO BOX 71309 ALBANY GA 317081309 990 2022-06-01 593122517 DOCTORS' MEMORIAL HOSPITAL INC DOCT 8505840800 333 NORTH BYRON BUTLER PARKWAY PERRY FL 323472300 JAMES C MILLER CEO 8505840800 2024-04-15 JAMES C MILLER XXX-XX-XXXX false WILLIAM EDWARD PHILLIPS P00451499 2298837878 2024-04-15 2022 2023-04-26 12:10:37Z JAMES C MILLER 333 NORTH BYRON BUTLER PARKWAY PERRY FL 323472300 20849808 false X WWW.DOCTORSMEMORIAL.COM X 1992 FL THE HOSPITAL PROVIDES INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO CITIZENS OF TAYLOR AND SURROUNDING COUNTIES. PATIENTS WHO MEET CERTAIN CRITERIA ARE PROVIDED FREE CARE OR CARE CHARGED AT REDUCED RATES. 8 8 283 14 0 5738046 1273978 19331263 19013050 4073 242951 290111 25073382 20820090 0 0 12091811 12104089 0 0 9356792 9595950 21448603 21700039 3624779 -879949 12891631 11477338 2434794 1900450 10456837 9576888 X THE HOSPITAL PROVIDES ACUTE INPATIENT, OUTPATIENT, EMERGENCY, AMBULANCE AND HEALTH CLINIC SERVICES TO THE CITIZENS OF TAYLOR COUNTY, FL AND SURROUNDING COUNTIES. PATIENTS WHO MEET CERTAIN CRITERIA ARE PROVIDED FREE CARE OR CARE AT REDUCED RATES. false false 20158124 19303161 THE HOSPITAL PROVIDED INPATIENT, OUTPATIENT, RURAL HEALTH CLINIC AND EMERGENCY SERVICES TO APPROXIMATELY 19,0000 RESIDENTS OF TAYLOR COUNTY FL AND SURROUNDING COUNTIES. TAYLOR COUNTY BOARD OF COMMISSIONERS PROVIDED 1,200,000 IN-KIND DONATIONS INCLUDING THE HOSPITAL BUILDING AND 71,790 IN MEDICAL EQUIPMENT. 20158124 true true false false false false false false false false true false false false false true true false false false false false false false false false true true false false true false false false false false false false false false false false false false false false false false true 34 0 283 true false false false false false false false false false false false false X 8 8 false false false false false false false true true false false true true true true true true true true false X JULIE YOUNG CONTROLLER 8505840800 333 NORTH BYRON BUTLER PARKWAY PERRY FL 323472300 CHRIS SCHMIDT CEO 40.00 X 318709 0 0 PAT BARBAREE CHAIRMAN 2.00 X X 0 0 0 MARK O'BRYANT BOARD MEMBER 2.00 X 0 0 0 LAUREN FAISON-CLARK BOARD MEMBER 2.00 X 0 0 0 DEBRA MCGREW BOARD MEMBER 2.00 X 0 0 0 PRISCILLA TRIPP VICE CHAIRMA 2.00 X X 0 0 0 KEN ARNOLD TREASURER 2.00 X X 0 0 0 NELDA PARKER-PACE BOARD MEMBER 2.00 X 0 0 0 JENNIFER SHOPLACK SECRETARY 2.00 X X 0 0 0 DOUG FAIRCLOTH CFO 40.00 X 130720 0 0 MILES NELSON MD PHYSICIAN 40.00 X 368965 0 16492 TAE YU MD PHYSICIAN 40.00 X 319503 0 20207 RAMEL FAILMA MD CHIEF OF STA 40.00 X 302912 0 19737 CARA PAPPAS APRN 32.00 X 121265 0 3070 TERRELL HEARTON-JONES RN 55.00 X 139424 0 10030 1701498 69536 10 false true false AYA HEALTHCARE INC BOX 123519 DALLAS TX 75312 NURSING STAFF 659536 EMCARE PHYSICIAN SERVICES 7032 COLLECTION CTR DRIVE CHICAGO IL 60693 ER PHYSICIANS 353958 BLUE MANAGEMENT SERVICES 2650 EASTPOINT PARKWAY SUITE 200 LOUISVILLE KY 40223 MGMT CONSULTING 198356 D FAIRCLOTH CONSULTING 315 BYRON PLANTATION ROAD ALBANY GA 31721 FINANCIAL CONS. 136680 QUEST DIAGNOSTICS PO BOX 530440 ATLANTA GA 303530440 REFERENCE LAB 135507 6 914947 347031 12000 1273978 NET PATIENT SERVICE REVENUE 621110 18358733 18358733 340B LAB REVENUE 654317 654317 19013050 84669 84669 82958 82958 82958 82958 188000 29718 158282 158282 158282 CAFETERIA AND VENDING 146228 146228 CREDIT CARD FEES 44404 44404 MISCELLANEOUS 12086 12086 4435 4435 207153 20820090 19303161 242951 449429 449429 9692916 9074798 618118 1255124 1255124 706620 706620 41177 41177 737208 737208 297634 297634 650006 650006 48420 48420 30882 30882 721259 721259 478939 76630 402309 SUPPLIES 3071798 3071798 SERVICES 2525283 2525283 REPAIRS & MAINTENANCE 721748 721748 INDIGENT TAX 152542 152542 119054 119054 21700039 20158124 1541915 0 5222614 3391377 346688 3242047 3219728 708088 587706 328055 364594 13798485 10723915 3390827 3074570 233675 259000 12891631 11477338 2083494 1744684 351300 155766 2434794 1900450 X 10456837 9576888 10456837 9576888 12891631 11477338 -879949 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 250000 250000 2659406 1607229 1052177 10798536 9116686 1681850 90543 90543 3074570 X 22091880 1271790 1271790 20820090 20820090 22971829 1271790 1271790 21700039 21700039 SCHEDULE D, PAGE 3, PART X THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOSPITAL APPLIES ACCOUNTING POLICIESTHAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE HOSPITAL ONLY RECOGNIZES THAT MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVAULATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURHTER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF MAY 31, 2023 OR 2022 OR FOR THE YEARS THEN ENDED. AS REQUIRED BY INTERNAL REVENUE SERVICE REGULATIONS, THE HOSPITAL ANNUALLY FILES A FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAXES WITH THE INTERNAL REVENUE SERVICE. THESE RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. SCHEDULE D, PAGE 4, PART XI, LINE 2D INTEREST EXPESNE 0 SCHEDULE D, PAGE 4, PART XII, LINE 4B INTEREST EXPENSE 0 true true X true X true X true true false true true 89877 89877 0.00410 3026575 2734863 291712 0.01340 3116452 2734863 381589 0.01760 3116452 2734863 381589 0.01760 false 2154076 3340190 4961660 -1621470 X true true 1 1 DOCTORS' MEMORIAL HOSPITAL INC 333 NORTH BYRON BUTLER PARKWAY PERRY FL 32347 WWW.DOCTORSMEMORIAL.COM 3857 X X X 3 RURAL HEALTH CLINICS DOCTORS' MEMORIAL HOSPITAL INC 1 false false true X X X X X X X X X X 22 true false true true X WWW.DOCTORSMEMORIAL.COM X WWW.FLORIDAHEALTH.GOV/CHDTAYLOR/INDEX. X X true 22 true WWW.FLORIDAHEALTH.GOV false false true X 200.000000000000 400.000000000000 true true X X X true X WWW.DOCTORSMEMORIAL.COM X WWW.DOCTORSMEMORIAL.COM X WWW.DOCTORSMEMORIAL.COM X X X X X X true X false X X X X true X false false FACILITY 1, DOCTORS' MEMORIAL HOSPITAL, INC. - PART V, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE HEALTH NEEDS OF THE COMMUNITY AND ARE IDENTIFIED THROUGH CHNA. THE NEEDS LISTED IN THE CHNA ARE: HEALTH AND HEALTH CARE HEALTH BEHAVIORS CHILDREN IN SINGLE PARENT HOMES LACK OF INSURANCE SEVERE HOUSING PROBLEMS NO PRENATAL CARE INCREASE IN DOMESTIC VIOLENCE INJURY DEATHS GRADUATION RATE LENGTH OF LIFE QUALITY OF LIFE AVAILABILITY OF HEALTH RESOURCES SMOKING AND OBESITY UNEMPLOYMENT POVERTY ACCESS TO EXERCISE OPPORTUNITIES VEHICLE CRASHES AND DEATHS ILLEGAL DRUG AND ALCOHOL USE FACILITY 1, DOCTORS' MEMORIAL HOSPITAL, INC. - PART V, LINE 5 THE COMMUNITY HEALTH ASSESSMENT RELIED ON A PARTICIPATORY, COLLABORATIVE APPROACH GUIDED BY THE MOBILIZATION FOR ACTION THROUGH PLANNING AND PARTNERSHIPS PROCESS (MAPP). THE TAYLOR COUNTY HEALTH DEPARTMENT WORKED WITHA NUMBER OF COMMUNITY HEALTH PARTNERS AND COMMUNITY RESIDENTS. MEETINGS AND WORKSHOPS WERE HELD TO IDENTIFY AND ASSESS PERCEPTIONS, HEALTH CONCERNS, STRENGTHS AND WEAKNESSES AND OTHER RELATED ISSUES ABOUT THE HEALTH PROGRAMS AND SERVICES AVAILABLE WITHIN TAYLOR COUNTY. THESE COMMUNITY HEALTH PARTNERS INCLUDED BOTH PUBLIC AND PRIVATE ORGANIZATIONS AND INDIVIDUAL MEMBERS ARE IDENTIFIED IN THE REPORT. THE COMMUNITY HEALTH STATUS PROFILE WAS CONDUCTED, A FORCES OF CHANGE WORKSHOP OCCURED AND INCLUDED 12 COMMUNITY HEALTH PARTNERS REPRESENTING SIX AGENCIES. THERE WAS ALSO A COMMUNITY THEMES AND STRENGTHS WORKSHOP WITH A SIGNIFICANT NUMBER OF COMMUNITY HEALTH PARTNERS ATTENDING. SOME WERE: TAYLOR COUNTY HEALTH DEPARTMENT TAYLOR COUNTY EMERGENCY MANAGEMENT BIG BEND AHEC HEALTH START TAYLOR COUNTY SCHOOL DISTRICT FLORIDA DEPARTMENT OF HEALTH FACILITY 1, DOCTORS' MEMORIAL HOSPITAL, INC. - PART V, LINE 6B TO LEVERAGE RESOURCES AND MOST EFFECTIVELY WORK TOGETHER, THE FLORIDA DEPARTMENT OF HEALTH, TAYLOR COUNTY, PARTNERED ITH DOCTORS' MEMORIAL HOSPITAL, INC. TO COMPLETE THE CHNA. FACILITY 1, DOCTORS' MEMORIAL HOSPITAL, INC. - PART V, LINE 7D THE TAYLOR COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IS MADE AVAILABLE TO THE GENERAL PUBLIC VIA THE FLORIDA DEPARTMENT OF HEALTH-TAYLOR COUNTY WEBSITE AS WELL AS DOCTORS' MEMORIAL HOSPITAL, INC. WEBSITE. A HARDCOPY MAY BE VIEWED AT THE OFFICE OF THE FDOH OR AT THE HOSPITAL. COPIES OF THE REPORT HAVE BEEN MADE AVAILABLE TO ALL OF THE COMMUNITY HEALTH PARTNERS. FACILITY 1, DOCTORS' MEMORIAL HOSPITAL, INC. - PART V, LINE 11 OBESITY WAS IDENTIFIED AS A SIGNIFICANT HEALTH NEED IN THE SERVICE AREA BUT WILL NOT BE ADDRESSED IN THIS CHNA. DUE TO A CONSTRAINT OF RESOURCES AND THE EFFORT REQUIRED TO ADDRESS THE HEALTH NEEDS, OBESITY WILL NOT BE DIRECTLY ADDRESSED AT THIS TIME. 4 DOCTORS' MEMORIAL FAMILY PRACTICE 555 N BRYON BUTLER PARKWAY PERRY FL 32347 RURAL HEALTH CLINIC DOCTORS' MEMORIAL FAMILY MEDICINE PO BOX 228 MAYO FL 32066 RURAL HEALTH CLINIC STEINHATCHEE FAMILY MEDICAL CLINIC 29 FIRST AVE STEINHATCHEE FL 32359 RURAL HEALTH CLINIC DOCTORS' MEMORIAL SURGICAL SERVICES 1224 N PEACOCK ST PERRY FL 32347 HEALTH CLINIC SCHEDULE H, PART I, LINE 7 THE COSTS FOR PART I, LINE 7A AND 7C WERE DETERMINED USING THE RATIO OF COSTS TO CHARGES CALCULATED USING WORKSHEET 2 IN THE IRS INSTRUCTIONS TO FORM 990 SCHEDULE H. THE COST TO CHARGE RATIO AND THE MEDICAID SHORTFALL CALCULATIONS ARE ADJUSTED FOR HOSPITAL BASED PROVIDER TAXES AND MEDICAID SUPPLEMENTAL REVENUES. SCHEDULE H, PART III, LINE 4 PROVISION FOR BAD DEBTS AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS THE PROVISION FOR BAD DEBTS IS BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON THESE TRENDS. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATION TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED UNDER THE HOSPITAL'S POLICIES. SCHEDULE H, PART III, LINE 8 THE AMERICAN HOSPITAL ASSOCIATION HAS REPORTED THE MEDICARE AND MEDICAID PROGRAMS PAID HOSPITALS 86 & 89 CENTS RESPECTIVELY FOR EACH DOLLAR SPENT ON PATIENT CARE. OUR HOSPITAL HAS EXPERIENCED A REDUCTION IN THESE PAYMENTS WITH THE EXPANSION OF MANAGED CARE. THIS SHORTFALL IS A GROWING FINANCIAL BURDEN ON RURAL HOSPITALS AND IS A BENEFIT TO PATIENTS WHO ARE RECEIVING THIS UNCOMPENSATED CARE. SEE UNCOMPENSATED SERVICES ON PAGE 19 OF AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 9B THE HOSPITAL ATTEMPTS TO IDENTIFY PATIENTS WHO QUALIFY FOR FINANCIAL ASSSITANCE AT THE TIME OF ADMISSION. IF THE PATIENT IS IDENTIFIED PRIOR TO RECEIVING SERVICE, THE PATIENT DOES NOT RECEIVE A BILL. IF THE PATIENT IS NOT IDENTIFIED PRIOR TO SERVICE, THE PATIENT WILL RECEIVE A BILL. THE BILL INCLUDES A NOTICE ADVISING THE PATIENT OF THE FINANCIAL ASSISTANCE PROGRAM AND ENCOURAGING THEM TO APPLY. SCHEDULE H, PART VI, LINE 3 THE HOSPITAL INFORMS & EDUCATES PATIENTS REGARDING OPTIONS FOR RESOLUTION OF THEIR ACCOUNT BALANCE, INCLUDING ASSISTANCE UNDER GOVERNMENT PROGRAMS AND THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM IN A VARIETY OF WAYS. SIGNAGE & BROCHURES ARE PLACED IN LOCATIONS WHERE PATIENTS REGISTER FOR CARE, PATIENT ACCESS AREAS AND VARIOUS POINTS OF ENTRY SUCH AS THE ER DEPARTMENT. ASSISTANCE FROM A FINANCIAL COUNSELOR IS AVAILABLE UPON REQUEST. ADMISSION SOFTWARE HAS THE CAPABILITY OF EVALUATING QUALIFICATION FOR ASSISTANCE BASED UPON INCOME LEVEL. THE PATIENT IS THEN PROVIDED AN APPLICATION AND REFERRED TO A FINANCIAL COUNSELOR. SCHEDULE H, PART VI, LINE 4 THE HOSPITAL PROVIDES HEALTH CARE SERVICES TO CITIZENS OF TAYLOR, LAFAYETTE, AND SURROUNDING COUNTIES IN FLORIDA. SCHEDULE H, PART VI, LINE 5 THE HOSPITAL PROMOTES COMMUNITY HEALTH THROUGH EDUCATION, COUNSELING & SUPPORT SERVICES, HEALTH SCREENINGS, EDUCATION IN A CLINICAL SETTING, SPECIALTY IN-SERVICE PROGRAMS, SCHOLARSHIPS FOR HEALTH PROFESSIONAL'S EDUCATION, SPONSORSHIPS FOR RELAY FOR LIFE, PARTICIPATION IN COMMUNITY HEALTH FESTIVALS AND SUPPORT FOR THE BOY & GIRLS CLUB IN PERRY, FL. X X X X false false false false false false false false false CHRIS SCHMIDT CEO 318709 318709 MILES NELSON MD PHYSICIAN 368965 16492 385457 TAE YU MD PHYSICIAN 319503 20207 339710 RAMEL FAILMA MD CHIEF OF STAFF 302912 19737 322649 FORM 990 - ORGANIZATION'S MISSION THE HOSPITAL PROVIDES ACUTE INPATIENT, OUTPATIENT, EMERGENCY, AMBULANCE AND HEALTH CLINIC SERVICES TO THE CITIZENS OF TAYLOR COUNTY, FL AND SURROUNDING COUNTIES. PATIENTS WHO MEET CERTAIN CRITERIA ARE PROVIDED FREE CARE OR CARE AT REDUCED RATES. FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 AND SUPPORTING SCHEDULES ARE DISTRIBUTED TO THE BUDGET & AUDIT COMMITTEE MEMBERS FOR A DETAIL REVIEW. THE CFO RESPONDS TO QUESTIONS AND CONCERNS FROM THE MEMBERS. COPIES ARE ALSO DISTRIBUTED TO EACH MEMBER OF THE GOVERNING BOARD FOR REVIEW AND APPROVAL. FORM 990, PAGE 6, PART VI, LINE 12C THE GOVERNING BODY REGULARLY REVIEWS AND DISCUSSES CONFLICT OF INTEREST POLICIES AND TAKES ACTION IF NECESSARY. FORM 990, PAGE 6, PART VI, LINE 15A HIRING AND COMPENSATION OF TOP MANAGEMENT IS EVALUATED BY A MANAGEMENT CONSULTING FIRM. FORM 990, PAGE 6, PART VI, LINE 15B SEE 15A ABOVE. FORM 990, PAGE 6, PART VI, LINE 19 UPON REQUEST, THE ORGANIZATION MAKES AVAILABLE ITS GOVERNING DOCUMENT, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS. THESE DOCUMENTS ARE MAINTAINED IN THE ADMINISTRATIVE OFFICES AND ARE AVAILABLE DURING BUSINESS HOURS. IN ADDITION, THE AUDITED FINANCIAL STATEMENTS, INTERNAL FINANCIAL STATEMENTS AND OTHER INFORMATION RELATED TO THE ORGANIZATION IS POSTED ON THE WEBSITE.