HOMESTEAD HOSPITAL INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: HOMESTEAD HOSPITAL INC (EIN 65-0232993)
Tax period: 2020-10-01 to 2021-09-30
Filed: 2022-08-12
IRS object ID: 202232249349300738
Schema version: 2020v4.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-08-12T11:04:13-05:00	ReturnTs
Tax Period End	2021-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	861065772	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	DELOITTE TAX LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	695 TOWN CENTER DRIVE SUITE 1000	AddressLine1Txt
City	COSTA MESA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92626	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	650232993	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Homestead Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	HOME	BusinessNameControlTxt
Phone	7866627000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	975 Baptist Way	AddressLine1Txt
City	Homestead	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33033	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JANETTE SANCHEZ	PersonNm
Person Title	CORPORATE VP OF FINANCE	PersonTitleTxt
Signature	2022-08-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JANETTE	PersonFirstNm
Person Last	SANCHEZ	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JOHN W SADOFF JR	PreparerPersonNm
PTIN	P00540589	PTIN
Phone	7144367100	PhoneNum

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Kenneth Spell	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	975 Baptist Way	AddressLine1Txt
City	Homestead	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33033	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$446,605,551	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.BAPTISTHEALTH.NET	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1991	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	SEE FORM 990 , PART III, LINE 1	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	1527	TotalEmployeeCnt
Total Volunteers	5	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$8,188,374	PYContributionsGrantsAmt
CY Contributions Grants	$16,716,827	CYContributionsGrantsAmt
PY Program Service Revenue	$399,601,815	PYProgramServiceRevenueAmt
CY Program Service Revenue	$428,185,045	CYProgramServiceRevenueAmt
PY Investment Income	$137,807	PYInvestmentIncomeAmt
CY Investment Income	-$96,925	CYInvestmentIncomeAmt
PY Other Revenue	$1,338,845	PYOtherRevenueAmt
CY Other Revenue	$1,194,475	CYOtherRevenueAmt
PY Total Revenue	$409,266,841	PYTotalRevenueAmt
CY Total Revenue	$445,999,422	CYTotalRevenueAmt
PY Grants And Similar Paid	$28,520	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$13,750	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$111,843,273	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$120,956,320	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$311,474,548	PYOtherExpensesAmt
CY Other Expenses	$314,930,888	CYOtherExpensesAmt
PY Total Expenses	$423,346,341	PYTotalExpensesAmt
CY Total Expenses	$435,900,958	CYTotalExpensesAmt
PY Revenues Less Expenses	-$14,079,500	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$10,098,464	CYRevenuesLessExpensesAmt
Total Assets BOY	$84,032,014	TotalAssetsBOYAmt
Total Assets EOY	$129,832,589	TotalAssetsEOYAmt
Total Liabilities BOY	$600,486,828	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$634,974,400	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$516,454,814	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$505,141,811	NetAssetsOrFundBalancesEOYAmt
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$394,143,026	ExpenseAmt
Grant	$13,750	GrantAmt
Revenue	$428,185,045	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$394,143,026	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1527	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FINANCE DEPARTMENT	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7866627000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6855 RED ROAD STE 600	AddressLine1Txt
City	CORAL GABLES	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33143	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Barbara C Hanck
Director	2.0	0	Yes (X)	$0	$0	$0
Bill R Tillett
Director	2.0	8.0	Yes (X)	$0	$140	$0
George E Cadman III
Director - End 10/2020	2.0	4.0	Yes (X)	$0	$0	$0
Herbert H Greene MD
Director - End 12/2020	2.0	4.0	Yes (X)	$0	$3,417	$0
Jeanne F Jacobs MD
Director	2.0	0	Yes (X)	$0	$0	$0
Johanna Paterson Carrier
Director	2.0	2.0	Yes (X)	$0	$0	$0
John P Maas ESQ
Director (End Oct 2020)	2.0	0	Yes (X)	$0	$0	$0
Jose Prado
Director	2.0	0	Yes (X)	$0	$0	$0
Maria Costa Smith
Director	2.0	0	Yes (X)	$0	$1,226	$0
Ramon Oyarzun
Director - End Oct 2020	2.0	2.0	Yes (X)	$0	$0	$0
Rao Uppaluri
Director	2.0	0	Yes (X)	$0	$0	$0
Rene W Taylor
Director - End 10/2020	2.0	0	Yes (X)	$0	$0	$0
Rev William Chambers III
Chairman	2.0	4.0	Yes (X)	$0	$0	$0
Steven Sapp
Director	2.0	0	Yes (X)	$0	$0	$0
Willie Carpenter
Director - End 10/2020	2.0	0	Yes (X)	$0	$0	$0
Kenneth Spell
CEO	50.0	0		$631,907	$0	$122,143	Yes (X)
Ana Cabrera
VP	50.0	0		$246,267	$0	$43,101		Yes (X)
Nancy Gordon
VP & CNO - End 4/2020	50.0	0		$190,739	$0	$7,467		Yes (X)
Ann Allen
AVP Nursing	45.0	0		$222,482	$0	$25,606			Yes (X)
Charles Anderson Augustus II
CMO	45.0	0		$307,140	$0	$26,716			Yes (X)
Karl W Cetta
AVP Strategic Projects	45.0	0		$205,740	$0	$23,985			Yes (X)
Kurt Kadel
AVP Hospital Administration	45.0	0		$225,578	$0	$25,255			Yes (X)
Marie-Elsie Ade
Pharmacy Director	45.0	0		$230,176	$0	$19,717			Yes (X)
William M Duquette
Former CEO	0.0	50.0		$0	$972,260	$165,918				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,260,029	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$977,043	TotReportableCompRltdOrgAmt
Total Other Compensation	$459,908	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	216	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SOUTH DADE MEDICAL GROUP LLP
PO BOX 901430	HOMESTEAD	FL	33090	PHYSICIAN SERVICES	$5,507,515
GREATER MIAMI ANESTHESIA SERVICES PA
7337 SW 169 TERRACE	PALMETTO BAY	FL	33157	PHYSICIAN SERVICES	$4,634,469
PEDIATRIC EMERGENCY NETWORK PA
2080 SW 59th Ave	PLANTATION	FL	33317	PHYSICIAN SERVICES	$2,752,031
BIO MEDICAL APPLICATIONS OF FLORIDA INC
PO Box 919214	DALLAS	TX	75391	PHYSICIAN SERVICES	$1,638,267
KIDZ MEDICAL SERVICES INC
5955 Ponce De Leon BLVD	CORAL GABLES	FL	33146	PHYSICIAN SERVICES	$1,512,639

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	47	CntrctRcvdGreaterThan100KCnt
Related Organizations	$372,329	RelatedOrganizationsAmt
Government Grants	$16,344,498	GovernmentGrantsAmt
Total Contributions	$16,716,827	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	621300	$428,152,283	$428,152,283
GRANT REVENUE	900099	$32,762	$32,762

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$428,185,045	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$100,518	TotalRevenueColumnAmt
Exclusion	$100,518	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$360,929	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$406,256	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$45,327	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$45,327	TotalRevenueColumnAmt
Exclusion	-$45,327	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$2,430	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$199,873	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	-$197,443	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$197,443	TotalRevenueColumnAmt
Exclusion	-$197,443	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA	722514	$765,884	$765,884
GIFT SHOP	453220	$401,322	$401,322
ELECTRONIC HEALTH RECORDS	900099	$43,963	$43,963

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$28,633	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$28,633	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,239,802	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$445,999,422	TotalRevenueColumnAmt
Related Or Exempt Func Income	$428,185,045	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,097,550	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$13,750	TotalAmt
Program Services	$13,750	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$500,223	TotalAmt
Management And General	$500,223	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$98,990,638	TotalAmt
Program Services	$84,567,232	ProgramServicesAmt
Management And General	$14,423,406	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,756,740	TotalAmt
Program Services	$2,343,229	ProgramServicesAmt
Management And General	$413,511	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,529,907	TotalAmt
Program Services	$9,800,421	ProgramServicesAmt
Management And General	$1,729,486	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,178,812	TotalAmt
Program Services	$6,101,990	ProgramServicesAmt
Management And General	$1,076,822	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$706,164	TotalAmt
Management And General	$706,164	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$44,498,495	TotalAmt
Program Services	$40,664,427	ProgramServicesAmt
Management And General	$3,834,068	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,160,566	TotalAmt
Program Services	$2,686,481	ProgramServicesAmt
Management And General	$474,085	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,180,210	TotalAmt
Program Services	$6,953,179	ProgramServicesAmt
Management And General	$1,227,031	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$19,587,165	TotalAmt
Program Services	$16,649,090	ProgramServicesAmt
Management And General	$2,938,075	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,580,364	TotalAmt
Program Services	$3,893,310	ProgramServicesAmt
Management And General	$687,054	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$12,188	TotalAmt
Program Services	$10,360	ProgramServicesAmt
Management And General	$1,828	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,563	TotalAmt
Program Services	$2,179	ProgramServicesAmt
Management And General	$384	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,923,184	TotalAmt
Program Services	$3,334,706	ProgramServicesAmt
Management And General	$588,478	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,057,960	TotalAmt
Program Services	$3,449,266	ProgramServicesAmt
Management And General	$608,694	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$8,370,888	TotalAmt
Program Services	$8,290,858	ProgramServicesAmt
Management And General	$80,030	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
CHARITY CARE	$84,610,374	$84,610,374
PROVISION FOR BAD DEBTS	$83,759,186	$83,759,186
MEDICAL SUPPLIES	$25,769,424	$25,769,424
MANAGEMENT FEES	$9,614,355	$8,172,202	$1,442,153

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,097,802	TotalAmt
Program Services	$3,071,362	ProgramServicesAmt
Management And General	$11,026,440	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$435,900,958	TotalAmt
Program Services	$394,143,026	ProgramServicesAmt
Management And General	$41,757,932	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,460	BOYAmt
EOY	$4,460	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$26,196,747	BOYAmt
EOY	$32,547,805	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,948,774	BOYAmt
EOY	$1,854,622	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$510,970	BOYAmt
EOY	$447,051	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$85,254,308	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$48,098,451	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$35,563,875	BOYAmt
EOY	$37,155,857	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$19,807,188	BOYAmt
EOY	$57,822,794	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$84,032,014	BOYAmt
EOY	$129,832,589	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$32,233,272	BOYAmt
EOY	$28,712,026	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$35,235,577	BOYAmt
EOY	$9,402,488	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$109,174,048	BOYAmt
EOY	$106,623,435	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$423,843,931	BOYAmt
EOY	$490,236,451	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$600,486,828	BOYAmt
EOY	$634,974,400	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$521,243,895	BOYAmt
EOY	-$511,145,431	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,789,081	BOYAmt
EOY	$6,003,620	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$516,454,814	BOYAmt
EOY	-$505,141,811	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$84,032,014	BOYAmt
EOY	$129,832,589	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$10,098,464	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$1,214,539	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,592,721	OtherCostOrOtherBasisAmt
Book Value	$5,592,721	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$32,711,611	OtherCostOrOtherBasisAmt
Depreciation	$15,275,806	DepreciationAmt
Book Value	$17,435,805	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,248,683	OtherCostOrOtherBasisAmt
Depreciation	$1,176,615	DepreciationAmt
Book Value	$72,068	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$40,548,878	OtherCostOrOtherBasisAmt
Depreciation	$30,470,099	DepreciationAmt
Book Value	$10,078,779	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,152,415	OtherCostOrOtherBasisAmt
Depreciation	$1,175,931	DepreciationAmt
Book Value	$3,976,484	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$37,155,857	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
BENEFICIAL INTEREST IN BHSF FOUNDATION, INC	$6,003,620
OTHER RECEIVABLES	$2,640,652
PHYSICIAN GUARANTEE ASSET	$48,565,918
OTHER ASSETS	$0
RIGHT OF USE ASSETS	$612,604

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$57,822,794	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
SELF INSURANCE RESERVES	$11,842,853
DUE TO TAX EXEMPT AFFILIATE	$429,212,074
PHYSICIAN GUARANTEE LIABILITY	$48,565,919
RIGHT OF USE ST LIABILITY	$225,365
RIGHT OF USE LT LIABILITY	$387,240
ASSET RETIREMENT OBLIGATION	$3,000

Field	Value	IRS element (for citing)
Total Liability	$490,236,451	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$277,797,994	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	-$168,369,560	OtherRevenueAmt
Revenue Not Reported	-$168,369,560	RevenueNotReportedAmt
Revenue Subtotal	$446,167,554	RevenueSubtotalAmt
Other Revenues Not Included	-$168,132	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$168,132	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$445,999,422	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$267,728,840	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	-$168,369,560	OtherExpensesIncludedAmt
Expenses Not Reported	-$168,369,560	ExpensesNotReportedAmt
Expenses Subtotal	$436,098,400	ExpensesSubtotalAmt
Other Expenses Not Included	-$197,442	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	-$197,442	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$435,900,958	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	BHSF, the BHSF Hospitals, Bethesda Health, BOS, BHMG, MCIBH, BRRH, BRRH Hospital, BRRH Home Health, BH Foundation, and BHSF Foundation are not-for-profit corporations and recognized as tax-exempt pursuant to Section 501(c)(3) of the Internal Revenue Code. BHMG affiliated physician practices are single-member LLCs, which are treated as disregarded entities for federal income tax purposes. BHE, BocaCare, BHC, and the Insurance Companies are for-profit entities. BHSF provides for income taxes in accordance with the provisions of FASB ASC 740, Income Taxes ("ASC 740"). As required under ASC 740, deferred tax assets and liabilities are recognized under the balance sheet approach, which recognizes the future tax effect of temporary differences between the amounts recorded in the financial statements and the tax basis of these amounts. Deferred tax assets and liabilities are measured using the enacted tax rates expected to apply to taxable income in the periods in which the deferred tax assets or liabilities are expected to be realized or settled. Taxes collected from patients, tenants, customers and others, concurrent with specific revenue-producing transactions and subsequently remitted to governmental authorities, are recorded on a net basis and excluded from revenues. As of September 30, 2021 and 2020, BHSF had no material unrecognized tax positions. No material unrecognized tax positions are expected through September 30, 2022. BHSF is periodically audited by federal and state taxing authorities. The outcome of these audits may result in BHSF being assessed taxes in addition to amounts previously paid. Federal returns for fiscal years 2017 through 2020 remain open and subject to examination by the Internal Revenue Service.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990	CHARITY CARE - -84610374 BAD DEBT EXPENSE - -83759186
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	LOSS ON SALE OF FIXED ASSETS - -197442 Transfer from Restricted Fund Equipment - 29310
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990	CHARITY CARE - -84610374 BAD DEBT EXPENSE - -83759186
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	LOSS ON SALE OF FIXED ASSETS - -197442 -

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	3059	PersonsServedCnt
Total Community Benefit Expns	$21,099,533	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,099,533	NetCommunityBenefitExpnsAmt
Total Expense	0.0599	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$56,970,063	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,454,620	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,515,443	NetCommunityBenefitExpnsAmt
Total Expense	0.0412	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	3059	PersonsServedCnt
Total Community Benefit Expns	$78,069,596	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,454,620	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,614,976	NetCommunityBenefitExpnsAmt
Total Expense	0.1011	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$678,834	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,400	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$676,434	NetCommunityBenefitExpnsAmt
Total Expense	0.0019	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,462,522	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,462,522	NetCommunityBenefitExpnsAmt
Total Expense	0.0042	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$700,869	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$700,869	NetCommunityBenefitExpnsAmt
Total Expense	0.0020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$2,842,225	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,400	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,839,825	NetCommunityBenefitExpnsAmt
Total Expense	0.0081	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	3059	PersonsServedCnt
Total Community Benefit Expns	$80,911,821	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,457,020	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,454,801	NetCommunityBenefitExpnsAmt
Total Expense	0.1092	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$18,414,575	BadDebtExpenseAmt
Reimbursed By Medicare	$31,817,575	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$31,438,530	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$379,045	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HOMESTEAD HOSPITAL INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	975 BAPTIST WAY	AddressLine1Txt
City	HOMESTEAD	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33033	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.BAPTISTHEALTH.NET	WebsiteAddressTxt
State License	FL LICENSE #4486	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HOMESTEAD HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://baptisthealth.net/about-baptist-health/fulfilling-our-mission/community-needs-assessment-and	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://baptisthealth.net/about-baptist-health/fulfilling-our-mission/community-needs-assessment-and	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	false	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART VI	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART VI	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	PART VI	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - HOMESTEAD HOSPITAL. For its FY2019 Community Health Needs Assessment ("CHNA"), Baptist Health South Florida, Inc. and its affiliates ("Baptist Health" or "BHSF") conducted the assessment of the Homestead Hospital South Dade community. The designated service area for Homestead Hospital consists of six (6) Zip Codes in Miami-Dade County. FOCUS GROUPS: Homestead Hospital hosted two (2) focus groups in order 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 focus group 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 Homestead Hospital 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. Homestead Hospital Focus group insights: The focus group participants discussed the topics of access to care, primary care affordability, behavioral health, and socioeconomic challenges facing the South Dade community. The community struggles with accessing care and health-related resources like healthy foods. Residents of South Dade often struggle to find resources to aid in the prevention of substance abuse and care for drug overdoses, both of which are necessary behavioral health services. There is a lack of health literacy and knowledge of self-care, which is difficult to alleviate due to the scarcity in available primary care resources. Social determinants of health, such as income, education and neighborhood affect residents' access to insurance and healthcare, which subsequently affects an individual's health status. Another topic discussed at length was the impact that the lack of Medicaid expansion has had on some individuals with limited healthcare options. Opportunities to improve the health of our community discussed by the focus groups emphasized expanding or creating more outpatient indigent clinics focused on disease prevention to alleviate the use of emergency departments. Members identified opportunities in expanding community education through partnerships with churches and schools.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - HOMESTEAD HOSPITAL. For its FY2019 CHNA, Baptist Health conducted the assessment for Homestead Hospital. In order to ensure broad community input, Baptist Health utilized the existing CHNA Steering Committee composed of 22 representatives, including hospital representatives, with experience in assessing healthcare needs to organize the Homestead Hospital CHNA approach. 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 , 1	Facility , 1 - HOMESTEAD HOSPITAL. HOMESTEAD HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT IN FY2019 TO BETTER UNDERSTAND THE HEALTHCARE NEEDS OF THE COMMUNITY IT SERVES IN SOUTHERN MIAMI-DADE COUNTY. AS A RESULT, THE FOLLOWING FIVE PRIORITY AREAS WERE IDENTIFIED: * ACCESS TO CARE * AVAILABILITY OF PRIMARY CARE AND PREVENTION * BEHAVIORAL HEALTH * SOCIOECONOMIC CHALLENGES * HEALTHY LIFESTYLES AND WELLNESS THE WRITTEN IMPLEMENTATION PLAN ADDRESSES EACH OF THESE FIVE PRIORITY AREAS, WITH STRATEGIES ORGANIZED AROUND EACH PRIORITY AREA. Access to care * Baptist Health contributed $2.186 million in cash to community clinics for the uninsured and $32,889 in foregone rent . Homestead Hospital contributed $212,479 in pharmaceutical support to the Open Door Health Center. Baptist Health provides funding to support operations for seven (7) community clinics: - Monroe County: Good Health Clinic - Miami-Dade County: Camillus House, Chapman Partnership, Good News Care Center, Open Door Health Center and South Miami Children's Clinic - Palm Beach County: Caridad Center Although Homestead Hospital does not directly provide cash contributions to these organizations, Baptist Health as a system provides support to directly impact the Homestead Hospital community and the communities of Monroe, Miami-Dade, and Palm Beach counties. * Homestead Hospital had a total of 1,224 clinic patient encounters at a total cost of $474,982. * Baptist Health provided $28.663 million in direct support to community physicians for medical care to treat uninsured patients. Although Homestead Hospital does not directly provide support to community physicians, Baptist Health as a system provides support to directly impact the Homestead Hospital community and the communities of Monroe and Miami-Dade counties. * Homestead Hospital provided $18.013 million in charity care to 3,059 unique individuals through 5,516 total patient encounters and contributed $474,640 in pharmaceutical support to charity patients. * Homestead Hospital provided outpatient dialysis, transportation, and other medical equipment payments for unfunded patients totaling $931,423. * A Medicaid shortfall of $30.7 million, resulting from 21,187 cases, was incurred at Homestead Hospital during FY2021. * 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 9,226 virtual urgent care visits, of those visits 8,898 were free of charge. In addition to urgent care visits, Baptist Health offered specialty visits on the COD platform, including: 398 visits for Baptist Health Primary Care, 240 for Cancer Care (Miami Cancer Institute and Lynn Cancer Institute), 280 for Therapy Services, and 292 other COD specialty visits. Although Homestead Hospital does not directly provide telehealth support via COD, Baptist Health as a system provides support to directly impact the Homestead 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 FY2021, Catalyst Miami supported healthcare navigation to residents throughout Homestead, Florida City and the greater South Dade community. Although Homestead 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. * Baptist Health contributed $35,000 to Miami Lighthouse for the Blind and Visually Impaired, through the Community Benefit department, to support the Florida Heiken Children's Vision Program that address the unmet need for vision correction of disadvantaged school children in South Dade. In FY2021, Miami Lighthouse for the Blind and Visually Impaired supported 851 dilated eye exams, distributed 515 pairs of eyeglasses, and referred 67 patients to specialists. Although Homestead Hospital does not directly provide cash contributions to Miami Lighthouse for the Blind and Visually Impaired, Baptist Health as a system provides support to directly impact the communities of South Dade. Availability of Primary Care and Prevention * Baptist Health primary care has 13 offices serving Miami-Dade County. Although Homestead Hospital does not directly provide primary care to the community, Baptist Health Primary Care provides primary care services to directly impact the Homestead Hospital and the communities of Monroe, Miami-Dade, Broward, and Palm Beach 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 732 conferences with 109,606 health professionals in attendance. In FY2021, 3,552 possible credits were offered. A total of 174,919 CME/CE credits were awarded as a result of participants completing more than one activity. Although Homestead Hospital does not provide CMEs directly to community physicians and health professionals, Baptist Health provides CMEs to directly impact the Homestead Hospital community and the communities of Monroe, Miami-Dade, Broward, and Palm Beach counties. * In FY2021, Baptist Outpatient Services administered 2,548 flu vaccines to residents of Miami-Dade and Broward counties, as part of the free flu vaccination campaign. Baptist Health also partnered with Camillus Health Concern Light of the World Clinic, Good News Care Center, South Miami Children's Clinic, St. John Bosco Clinic, Open Door Health Center, and other community partners to provide over 2,260 flu vaccine doses to community clinic patients. Although Homestead Hospital does not provide free flu vaccinations directly to the community, Baptist Health and Baptist Outpatient Services provide free flu vaccinations to directly impact the Homestead Hospital community and the communities of Miami-Dade and Broward counties . * Baptist Outpatient Services offered a total of 15,643 discounted calcium scoring & lung screening, mammogram, and breast ultrasound imaging exams to those who were uninsured in the community. Although Homestead Hospital does not provide discounted imaging exams directly to the community, Baptist Health and Baptist Outpatient Services provide discounted imaging exams to directly impact the Homestead Hospital community and the communities of Miami-Dade and Broward counties. * In FY2021, Baptist Health committed $733,000 to support community organizations in their COVID-19 vaccine efforts. Through these contributions, Baptist Health supported the distribution of more than 9,000 first dose COVID-19 vaccines and nearly 4,000 second doses in over 200 community vaccination events throughout Monroe, Miami-Dade, Broward, and Palm Beach Counties. Additionally, Baptist Health supported various non-profit organizations in the efforts to increase vaccine confidence among South Florida residents, by way of COVID-19 vaccine information campaigns via radio spots, television ads, and grassroots marketing campaigns. Community partners included: Banyan Health Systems Bridge to Hope Caridad Center Cleveland Clinic Community Health of South Florida, Inc. Florida International University Health Foundation of South Florida Hispanic Unity of Florida Mexican American Council Sant La The College of the Florida Keys YMCA of South Florida YWCA South Florida Although Homestead Hospital did not provide funding to support COVID-19 vaccine community distribution and information campaigns directly, Baptist Health as a system provides support to directly impact the Homestead Hospital community and the communities of Monroe, Miami-Dade, Broward, and Palm Beach counties.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - HOMESTEAD HOSPITAL, CONT.. Behavioral Health Twenty-six (26) Behavioral Health support groups were offered that hosted a total of 2,758 participants throughout the Baptist Health system. Baptist Health is committed to improving the health and wellness of the community. The Community Health department offers free behavioral health education, focusing on topics such as stress management, mindfulness, meditation and various mental health issues. In accordance with the CDC's social distancing guidelines about limiting close face-to-face contact with others to reduce the spread of COVID-19, all Community Health education classes were offered on the virtual meeting platform, Zoom, throughout FY2021. These health programs and workshops are offered to the community-at-large and to smaller, restricted groups, in partnership with a community organization, or other media outlets, like Baptist Health Resource Blogs, Instagram Live programs, Continuing Medical Education seminars, and articles for websites such as Healthline. In FY2021, the Community Health department offered 314 behavioral health-focused classes to the community-at-large. 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 1,077 Baker Act patients to behavioral health providers in the community, of which 843 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 FY 2021, Baptist Health contributed $528,000 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, 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 and Eagles Haven - Palm Beach County: Faulk Center for Counseling Although Homestead Hospital does not directly provide cash contributions to these organizations, Baptist Health as a system provides support to directly impact the Homestead Hospital community and the communities of Monroe, Miami-Dade, Broward, and Palm Beach counties. Psychotherapists have continued collaboration with Baptist Health Primary Care physicians in supporting their Empowerment Program for depression patients. Although Homestead 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 FY2021, Baptist Health provided a total of 1,251 behavioral health visits on Care-On-Demand to the community, 1,056 of these services were provided to Miami-Dade County residents. Although Homestead Hospital does not directly provide behavioral health support via tele-health, Baptist Health as a system provides support to directly impact the Homestead Hospital community and the communities of Monroe, Miami-Dade, Broward, and Palm Beach counties. Pastoral care services and Palliative Care for Baptist Health totaled $218,749 and $3.830 million, respectively. Although Homestead Hospital does not directly provide pastoral care services and palliative care, Baptist Health as a system provides support to directly impact Homestead 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. Homestead 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. Socioeconomic Challenges Housing insecurities - Baptist Health, through its partnership with Habitat for Humanity, contributed to housing projects in Monroe, Miami-Dade and Palm Beach counties. Specifically, contributions were made to help sponsor the Villas in Boynton Beach, FL; five houses in Miami-Dade County, and to construct a 4 Unit project at MM87.7 on Plantation Key, and a 16 Unit project on Windley Key in Monroe County. In addition to employee volunteer hours, Baptist Health contributed $265,000. Although Homestead Hospital does not directly provide cash contributions to these organizations, Baptist Health as a system provides support to directly impact the Homestead Hospital community and the communities of Monroe, Miami-Dade, and Palm Beach counties. Healthy Lifestyles and Wellness Fifteen chronic disease management support groups were offered throughout Baptist Health and hosted a total 1,248 participants. 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. In accordance with the CDC's social distancing guidelines about limiting close face-to-face contact with others to reduce the spread of COVID-19, all Community Health education classes were offered on the virtual meeting platform, Zoom, throughout FY2021. The Community Health department offered CDC fully-recognized Diabetes Prevention Program, Beat Diabetes: Take Control, free-of-charge to 20 community participants. Due to COVID-19 restrictions, the program cohort met from January - December 2021, virtually via Zoom. The lifestyle change program provided weekly and monthly sessions over the course of the 12-month program, with the ultimate goal of participants reducing their starting weight by 5-7% by the culmination of the program. The cohort lost an average of 5.23% of their starting weight. A second program was launched August 2021 with a total of 14 participants. The Community Health department offered free exercise classes, health screenings and health education programs to the community-at-large. Due to COVID-19, in-person programming was suspended on March 16, 2020 and all programming was offered via the Zoom platform. The Community Health department hosted 1,813 exercise classes for a total of 87,963 exercise encounters and 715 programs - many focused on healthy eating and nutrition - to 21,223 participants. Although Homestead Hospital does not directly provide community health exercise classes or health screenings, Baptist Health community health department provides support to directly impact the Homestead Hospital community and the communities of Monroe, Miami-Dade, Broward, and Palm Beach counties. Homestead Hospital pioneered the Grow2Heal (G2H) Garden in 2014 to help educate the community about nutrition and disease prevention. In FY2021, G2H staff participated in various community events, education programs, student field trips, and harvested produce. Homestead Hospital G2H participation efforts included one local event, six virtual education programs, hosting 67 interns and volunteers, donating seven produce boxes, and harvesting over 1,400 lbs. of produce.

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Supplemental Information Detail SupplementalInformationDetail (26 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part VI, Line 6 AFFILIATED HEALTH CARE SYSTEM CONTINUED	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 13,923 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 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 FY2021 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 104,713 OUTPATIENT SURGERIES WERE PERFORMED IN BAPTIST HEALTH IN FY2021. 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 13,000 PATIENTS FROM 140 COUNTRIES HAVE CHOSEN BAPTIST HEALTH AS THEIR HEALTH-CARE PROVIDER. THE MULTILINGUAL REPRESENTATIVES IN BAPTIST HEALTH'S INTERNATIONAL PROGRAM ARE AVAILABLE 24 HOURS A DAY AND COORDINATE EVERY ASPECT OF PATIENT CARE. SEVERAL MEDICAL ARTS BUILDINGS ARE OPEN IN THE SERVICE AREA THAT PROVIDE IMPROVED ACCESS TO BAPTIST HEALTH'S MULTI-DISCIPLINARY CARE. THESE FACILITIES WILL 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 WILL ALSO BE INCLUDED. A 65,000-SQUARE-FOOT FACILITY OPENED IN MIAMI BEACH IN 2018 AND A LARGER FACILITY OF APPROXIMATELY 100,000 SQUARE FEET IS CURRENTLY BEING PLANNED FOR CENTRAL BROWARD COUNTY. CENTER OF EXCELLENCE IN NURSING: INITIALLY DEVELOPED AT BAPTIST HOSPITAL OF MIAMI IN 1988 BY NURSES WHO WANTED TO ENCOURAGE AND RECOGNIZE INNOVATIVE PATIENT CARE, THE PROGRAM TODAY HAS EXPANDED TO BECOME THE BAPTIST HEALTH CENTER OF EXCELLENCE IN NURSING, COVERING ALL BAPTIST HEALTH HOSPITALS AND FACILITIES. SLEEP DISORDERS: PEOPLE WITH SLEEP DISORDERS CAN UNDERGO DIAGNOSTIC TESTING AT THE SLEEP DIAGNOSTIC CENTERS AT BAPTIST HOSPITAL OF MIAMI, SOUTH MIAMI HOSPITAL, HOMESTEAD HOSPITAL, AND MARINERS HOSPITAL. BAPTIST HEALTH'S FREE-STANDING OUTPATIENT SLEEP CENTERS INCLUDE BAPTIST SLEEP CENTER OF SOUTH FLORIDA, 7400 SW 87 AVENUE, MIAMI; BAPTIST SLEEP CENTER AT SUNSET, 6141 SUNSET DRIVE, SOUTH MIAMI; AND BAPTIST SLEEP CENTER AT PEMBROKE PINES, 7261 SHERIDAN STREET, HOLLYWOOD. SPECIALISTS IN NEUROLOGY, PULMONARY MEDICINE, PSYCHIATRY, UROLOGY, AND POLYSOMNOGRAPHY (SLEEP STUDIES) WORK TOGETHER TO DIAGNOSE AND TREAT SLEEP DISORDERS SUCH AS SLEEP APNEA, INSOMNIA, PERIODIC LEG MOVEMENT SYNDROME, AND NARCOLEPSY. 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 FY2021, MORE THAN 455,598 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 109,606 HEALTHCARE PROFESSIONALS ATTENDED MORE THAN 732 COURSES AND EARNED ALMOST 174,919 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 FY2021 , 22,241 ATTENDEES VISITED COMMUNITY HEALTH PROGRAMS, 2,758 ATTENDEES VISITED COMMUNITY SUPPORT GROUPS, AND 95,160 INDIVIDUALS PARTICIPATED IN COMMUNITY EXERCISE ACTIVITIES. In accordance with the CDC's social distancing guidelines regarding close face-to-face contact with others due to the spread of COVID-19, all Community Health activities were offered to the extent possible on the virtual meeting platform, Zoom, during FY2021. COMMUNITY OUTREACH: IN ADDITION TO THE SERVICES DESCRIBED ABOVE, BAPTIST HEALTH PROVIDES FINANCIAL AND OTHER SUPPORT TO HELP UNDERWRITE THE OPERATING EXPENSES OF SEVEN COMMUNITY CLINICS: * Miami-Dade County: Camillus House, Chapman Partnership, Good News Care Center, Open Door Health Center and South Miami Children's Clinic * Monroe County: Good Health Clinic * Palm Beach County: Caridad Center 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.
Schedule H, Part V, Section B, Line 14	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	PATIENTS QUALIFYING UNDER THE FINANCIAL ASSISTANCE POLICY WITH FAMILY INCOME AT OR BELOW 300% FPG RECEIVE FREE CARE. NONE OF THE MEASURES INDICATED IN PART V, SECTION B, LINE 22 ARE APPLICABLE.
Schedule H, Part VI OTHER INFORMATION	OTHER INFORMATION HOMESTEAD HOSPITAL, INC. HAS ITS OWN GOVERNING BOARD, THE MEMBERS OF WHICH CONSIST OF REPRESENTATIVES OF THE PROFESSIONAL, PASTORAL AND BUSINESS COMMUNITIES. HOMESTEAD HOSPITAL, INC. PROVIDES MEDICAL AND SURGICAL SERVICES AND OFFERS OTHER SERVICES AND PROGRAMS INCLUDING: EMERGENCY CENTER: HOMESTEAD HOSPITAL, INC. HAS THE ONLY EMERGENCY CENTER FOR 14 MILES IN ALL DIRECTIONS AND IS OPEN 24 HOURS A DAY, SEVEN DAYS A WEEK. DURING FY2021, MORE THAN 63,480 PATIENTS WERE SEEN IN THE EMERGENCY DEPARTMENT . THE EMERGENCY CENTER INCLUDES A RAPID TREATMENT AREA FOR MINOR INJURIES AND A NINE-BED PEDIATRIC EMERGENCY UNIT. HOMESTEAD HOSPITAL, INC. AND THE EMERGENCY CENTER HAVE BEEN GRANTED CHEST PAIN CENTER ACCREDITATION. MATERNITY CARE: MORE THAN 835 BABIES WERE DELIVERED AT THE FAMILY-CENTERED MATERNITY UNIT AT HOMESTEAD HOSPITAL, INC. IN FY2021 . HOMESTEAD HOSPITAL, INC.'S MATERNITY SERVICES INCLUDE PRENATAL CARE AND CHILDBIRTH EDUCATION PROGRAMS. PEDIATRIC SERVICES: HOMESTEAD HOSPITAL, INC.'S PEDIATRIC SERVICES INCLUDE PEDIATRICIANS AND SPECIALLY TRAINED PEDIATRIC NURSES WHO TREAT MINOR TO SERIOUS PEDIATRIC ILLNESSES AND INJURIES. THE BETTY JANE FRANCE CHILDREN'S EMERGENCY CENTER, ALSO KNOWN AS "SPEEDIATRICS", IS A DEDICATED PEDIATRIC EMERGENCY UNIT. PHYSICAL THERAPY CENTER: THE PHYSICAL THERAPY CENTER PROVIDES A DEDICATED AREA FOR REHABILITATION THERAPIES OFFERED BY PHYSICAL THERAPISTS. EQUIPMENT IS AVAILABLE FOR TREATING NEUROLOGICAL, ORTHOPEDIC, ONCOLOGICAL, SPORTS-INJURY, CARDIAC, PEDIATRIC, CHRONIC PAIN, OPEN WOUND AND BURN PATIENTS. PHYSICAL THERAPY IS ALSO PROVIDED TO INPATIENTS FOR POSTOPERATIVE AND ACUTE CARE NEEDS. In March 2020, the outbreak of the COVID-19 pandemic began to impact BHSF's patients, communities, and business operations. The spread of COVID-19 and the ensuing response of federal, state and local authorities, beginning in March 2020, resulted in a significant reduction in the number of surgeries, physician office visits and emergency room volumes at BHSF facilities. This was due to measures meant to slow the spread of the virus, including quarantines and stay-at-home and shelter-in-place orders, as well as the community's general concerns related to the risk of contracting COVID-19. In fiscal year 2021, BHSF experienced surges in patients who tested positive for COVID-19 during the first and fourth quarters. Elective and non-emergent procedures that required overnight stays were evaluated daily based on the capacity of each BHSF facility and some circumstances resulted in postponements. Should the 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, 2021, Homestead Hospital, Inc. has received $28.6 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 FY2021, the Baptist Health as a system received $136.4 million in relief distributions and recognized approximately $166.3 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 $78,589,000 for the year ended September 30, 2021 .
Schedule H, Part I, Line 7f	BAD DEBT EXPENSE OF $ 83,759,186 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 V, Section B, Line 20a	No extraordinary collection activities were permitted by Homestead Hospital; therefore, notice of such actions is not applicable and Homestead Hospital was not required to make presumptive eligibility determinations.
Schedule H, Part V, Section B, Line 20d	No extraordinary collection activities were permitted by Homestead Hospital; therefore, notice of such actions is not applicable and Homestead Hospital was not required to make presumptive eligibility determinations.
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 Homestead Hospital, Inc. AND THE OTHER NOT-FOR-PROFIT AFFILIATES OF BHSF.
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. PART II COMMUNITY BUILDING ACTIVITIES HOMESTEAD HOSPITAL, INC. 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 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 I, Line 6a Community benefit report prepared by related organization	BAPTIST HEALTH SOUTH FLORIDA, INC. ("BHSF"), THE HOSPITAL'S PARENT ORGANIZATION, PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH INCLUDES THE CHARITY CARE AND COMMUNITY BENEFITS PROVIDED BY HOMESTEAD HOSPITAL AND THE OTHER NOT-FOR-PROFIT AFFILIATES OF BHSF.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	83759186
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	HOMESTEAD HOSPITAL, INC. 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, HOMESTEAD HOSPITAL, INC. ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR ALL PAYOR TYPES, WHEN HOMESTEAD HOSPITAL, INC. 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, HOMESTEAD HOSPITAL, INC. 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 HOMESTEAD HOSPITAL, INC. 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 $13,035,000 and $35,257,000 for the fiscal years ended September 30, 2021 and 2020, 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 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 HEALTH CARE 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	- HOMESTEAD HOSPITAL INC: Line 16a URL: SEE PART VI;
Schedule H, Part V, Section B, Line 16b FAP Application website	- HOMESTEAD HOSPITAL INC: Line 16b URL: SEE PART VI;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- HOMESTEAD HOSPITAL INC: Line 16c URL: PART VI;
Schedule H, Part VI, Line 2 Needs assessment	HOMESTEAD HOSPITAL, INC., A PART OF BAPTIST HEALTH, IS A MODERN, FULL-SERVICE FACILITY WITH A RICH HISTORY IN THE SOUTH MIAMI-DADE COMMUNITY. IT WAS ONE OF THE COUNTY'S FIRST HOSPITALS, FOUNDED IN 1940 NEAR KROME AVENUE. BAPTIST HEALTH INVESTED $135 MILLION TO BUILD A NEW, 142-BED HOMESTEAD HOSPITAL, WHICH OPENED IN 2007 IN A NEW LOCATION ON CAMPBELL DRIVE TO BRING SOPHISTICATED MEDICAL CARE TO A FAST-GROWING AND TRADITIONALLY RURAL AND UNDERSERVED COMMUNITY. 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, Homestead Hospital, Inc. 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 THE HOSPITAL 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 Homestead Hospital, Inc. 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 ALL PATIENTS A ONE-PAGE INFORMATION HANDOUT regarding 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 2018 population estimate for Miami-Dade County was 2,761,581. The estimated population for Homestead Hospital's service area is 184,676. The Homestead Hospital designated service area consists of six (6) ZIP codes in Miami-Dade County. The geographical area includes neighborhoods of Homestead, Redlands, and Florida City. The service area population by race is 89 percent White, 7 percent Black or African American, 2 percent Asian, and 2 percent other. This area in Miami-Dade County is 63.9 percent Hispanic or Latino. The median household income for the service area is $43,215 for Homestead and $34,545 for Florida City, both below Miami-Dade's median household income of $46,338. Approximately 43.1 percent of individuals in the service area are below 200 percent of the poverty level. The service area population age distribution is made up of 39 percent of the population under 24 years old, 37 percent between 25-49 years old, 15 percent between 50-64 years old, and 9 percent 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, HOMESTEAD HOSPITAL, INC. OPERATES A 147-BED COMMUNITY HOSPITAL LOCATED IN HOMESTEAD, FLORIDA; APPROXIMATELY 31 MILES FROM DOWNTOWN MIAMI. THE ORIGINAL HOSPITAL WAS ESTABLISHED WITH 10 BEDS IN 1940 AS JAMES ARCHER SMITH HOSPITAL. IT WAS LATER ACQUIRED BY THE CITY OF HOMESTEAD, AND THEN ACQUIRED IN 1990 BY THE THEN-PARENT COMPANY OF SOUTH MIAMI HOSPITAL, AND FINALLY IN 1995 BY BHSF. HOMESTEAD HOSPITAL, INC. ADMITTED APPROXIMATELY 7,225 INPATIENTS IN FY2021, AND MORE THAN 63,480 PATIENTS RECEIVED EMERGENCY CARE. WITH APPROVAL IN 2002 FROM THE STATE OF FLORIDA'S AGENCY FOR HEALTH CARE ADMINISTRATION, CONSTRUCTION OF A REPLACEMENT FACILITY FOR HOMESTEAD HOSPITAL, INC. COMMENCED, LOCATED JUST EAST OF THE FLORIDA TURNPIKE, APPROXIMATELY THREE MILES EAST OF THE PREVIOUS SITE BUT STILL WITHIN THE LIMITS OF THE CITY OF HOMESTEAD. THIS EXPANSION AND RELOCATION RESPONDED TO THE NEEDS OF THE SOUTH DADE COMMUNITY. IN MAY 2007, HOMESTEAD HOSPITAL, INC. WAS OPENED AT ITS CURRENT LOCATION, AND IN JULY 2008 AN ADDITIONAL 22 BEDS WERE ADDED. ALL 147 LICENSED BEDS ARE IN PRIVATE CONFIGURATION, INCLUDING 16 POST-PARTUM BEDS, 9 PEDIATRIC BEDS, 16 CRITICAL AND INTERMEDIATE CARE BEDS, AND 83 GENERAL MEDICAL/SURGICAL BEDS. THE FACILITY HAS FOUR OPERATING ROOMS, TWO C-SECTION ROOMS, AND ALSO INCLUDES AN ADJOINING MEDICAL OFFICE BUILDING, WHICH HOUSES PHYSICIAN PRACTICES AND ADMINISTRATIVE FUNCTIONS.
Schedule H, Part VI, Line 6 Affiliated health care system	SCHEDULE H - 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. MIAMI CANCER INSTITUTE'S 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 ASLEADING 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 SPECIALISTS 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 ORTHOPEDICS & SPORTS MEDICINE INSTITUTE: MIAMI ORTHOPEDICS & SPORTS MEDICINE INSTITUTE ("MOSMI") 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. MOSMI COMBINES ITS RESOURCES OF EXPERIENCED PHYSICIANS AND LEADING-EDGE TREATMENTS AND TECHNOLOGY TO PROVIDE ADVANCED ORTHOPEDIC, PEDIATRIC ORTHOPEDIC AND SPORTS MEDICINE CARE AT SIX BAPTIST HEALTH LOCATIONS - DOCTORS HOSPITAL, BAPTIST HOSPITAL OF MIAMI, BAPTIST CHILDREN'S HOSPITAL, SOUTH MIAMI HOSPITAL, WEST KENDALL BAPTIST HOSPITAL, AND BAPTIST HEALTH MEDICAL PLAZA IN DAVIE. 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. MOSMI PROVIDES SPORTS MEDICINE SERVICES FOR THE MIAMI DOLPHINS, MIAMI HEAT, FLORIDA PANTHERS, FLORIDA INTERNATIONAL UNIVERSITY ATHLETICS, ORANGE BOWL, MIAMI-DADE COUNTY PUBLIC SCHOOLS ATHLETICS, MIAMI OPEN TENNIS AND MIAMI MARATHON AND HALF MARATHON.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
William M Duquette
Former CEO	$0	$515,480	$0	$384,237	$0	$72,543	$0	$133,160	$0	$32,758	$0	$1,138,178	$0	$82,441
Kenneth Spell
CEO	$375,436	$0	$241,386	$0	$15,085	$0	$100,046	$0	$22,097	$0	$754,050	$0	$21,423	$0
Ana Cabrera
VP	$175,834	$0	$58,634	$0	$11,799	$0	$11,684	$0	$31,417	$0	$289,368	$0	$0	$0
Nancy Gordon
VP & CNO - End 4/2020	$56,396	$0	$60,866	$0	$73,476	$0	$1,594	$0	$5,873	$0	$198,205	$0	$8,325	$0
Marie-Elsie Ade
Pharmacy Director	$177,638	$0	$37,321	$0	$15,217	$0	$4,678	$0	$15,039	$0	$249,892	$0	$0	$0
Ann Allen
AVP Nursing	$155,680	$0	$48,393	$0	$18,410	$0	$4,541	$0	$21,065	$0	$248,089	$0	$0	$0
Karl W Cetta
AVP Strategic Projects	$157,688	$0	$40,222	$0	$7,829	$0	$4,229	$0	$19,756	$0	$229,725	$0	$0	$0
Kurt Kadel
AVP Hospital Administration	$146,500	$0	$39,734	$0	$39,344	$0	$4,539	$0	$20,716	$0	$250,834	$0	$0	$0
Charles Anderson Augustus II
CMO	$275,884	$0	$22,374	$0	$8,882	$0	$5,500	$0	$21,216	$0	$333,856	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	THE CEO OF HOMESTEAD HOSPITAL IS COMPENSATED BY BHSF, A RELATED ORGANIZATION. THE DETERMINATION OF THE COMPENSATION OF THE CEO FOLLOWS THE SAME PROCESS DELINEATED HEREIN. THE BYLAWS OF HOMESTEAD HOSPITAL DELEGATE THE AUTHORITY TO SET EXECUTIVE COMPENSATION TO BHSF. BHSF'S COMPENSATION COMMITTEE IS COMPRISED EXCLUSIVELY OF INDEPENDENT BOARD MEMBERS WHO SERVE VOLUNTARILY WITHOUT ANY REMUNERATION, AND WHO MUST ADHERE TO A STRINGENT CONFLICT OF INTEREST POLICY THAT PRECLUDES THEM OR THEIR FAMILIES FROM DOING BUSINESS WITH BAPTIST HEALTH. THE COMMITTEE IS RESPONSIBLE FOR REVIEWING THE PERFORMANCE AND APPROVING THE COMPENSATION FOR EXECUTIVES. THE TERM "COMPENSATION" INCLUDES SALARIES, BENEFITS AND INCENTIVES. THE COMPENSATION COMMITTEE ANNUALLY ENGAGES A NATIONALLY-RECOGNIZED, INDEPENDENT CONSULTANT TO CONDUCT COMPENSATION SURVEYS AND TO ADVISE THE BOARD ON COMPENSATION POLICIES. THE COMPENSATION COMMITTEE DECISIONS ARE BASED ON THE FOLLOWING: 1. TOTAL COMPENSATION PACKAGE: RECRUITMENT AND RETENTION OF CAPABLE, PRODUCTIVE EXECUTIVES IS ACCOMPLISHED THROUGH DESIGN OF A TOTAL COMPENSATION PACKAGE THAT INCLUDES A BASE SALARY, AT-RISK INCENTIVE PAY, AND BENEFITS. IT IS THE OBJECTIVE OF BAPTIST HEALTH TO ENSURE A CONSISTENT COMPENSATION PHILOSOPHY ACROSS ALL EMPLOYEE AND LEADERSHIP LEVELS THAT REWARDS OUTSTANDING PERFORMANCE USING A CASH PLUS EMPLOYEE BENEFITS PACKAGE TARGETING THE 75TH PERCENTILE. BASE SALARIES OF FULLY PRODUCTIVE EXECUTIVES ARE INDEXED TO THE MEDIAN (50TH PERCENTILE) SALARY PAID BY SIMILAR HEALTHCARE ORGANIZATIONS. INCENTIVE PAY FOR SUPERIOR ACHIEVEMENT PROVIDES THE OPPORTUNITY FOR TOTAL CASH COMPENSATION AT THE 75TH PERCENTILE OF THE EXECUTIVE'S PEER GROUP IF THE EXECUTIVE EXCEEDS HIS/HER PERFORMANCE METRICS. 2. PERFORMANCE-BASED SALARY INCREASES: ONE OF THE KEY ELEMENTS OF BAPTIST HEALTH'S EXECUTIVE COMPENSATION PHILOSOPHY IS "PAY FOR PERFORMANCE." SALARY INCREASES ARE BASED UPON THE DEGREE TO WHICH EACH EXECUTIVE ACHIEVES HIS/HER INDIVIDUAL PERFORMANCE OBJECTIVES FOR THE YEAR, WHICH ARE TIED TO CORPORATE OBJECTIVES. GENERALLY THESE OBJECTIVES RELATE TO CLINICAL QUALITY; PATIENT, PHYSICIAN AND COMMUNITY SATISFACTION; CHARITY CARE AND MISSION GOALS; FINANCIAL PERFORMANCE AND EXPENSE MANAGEMENT. INDIVIDUAL AND GROUP PERFORMANCE AGAINST THESE OBJECTIVES IS REVIEWED BY THE COMPENSATION COMMITTEE AND BOARD OF TRUSTEES ANNUALLY AFTER THE CLOSE OF THE FISCAL YEAR. 3. MARKET-BASED SALARY INCREASES: THE BOARD'S COMPENSATION COMMITTEE REVIEWS THE MARKET VALUE OF EXECUTIVE POSITIONS ANNUALLY TO ASSURE THAT BAPTIST HEALTH'S PAY LEVELS ARE COMPETITIVE. THE INDEPENDENT CONSULTANT, SELECTED BY THE COMPENSATION COMMITTEE, OBTAINS EXECUTIVE SALARY INFORMATION FOR FUNCTIONALLY COMPARABLE POSITIONS AT HEALTHCARE INSTITUTIONS OF COMPARABLE SIZE WITHIN FLORIDA AND THE UNITED STATES. BAPTIST HEALTH'S PEER GROUP IS COMPRISED OF OTHER COMPLEX NOT-FOR-PROFIT HOSPITAL SYSTEMS OF SIMILAR SIZE. THE PEER GROUP DOES NOT INCLUDE FOR-PROFIT HOSPITALS, WHOSE COMPENSATION PRACTICES ARE FAR MORE GENEROUS (AND INCLUDE SUCH THINGS AS STOCK OPTIONS AND EQUITY/OWNERSHIP INTERESTS). 4. NO GUARANTEED SALARY INCREASES: THERE IS NO GUARANTEE OF ANNUAL EXECUTIVE SALARY INCREASES. SALARY INCREASES DEPEND UPON THE ORGANIZATION'S ABILITY TO PAY, THE EXECUTIVE'S SALARY IN RELATION TO THE MARKET, THE EXECUTIVE'S PERFORMANCE LEVEL, AND INTERNAL PAY RELATIONSHIPS TO PEERS. 5. AT-RISK INCENTIVE PAY: KEY EXECUTIVES WHO CONTROL SIGNIFICANT ASSETS OR WHO HAVE A MAJOR IMPACT ON OPERATIONS MAY EARN INCENTIVE PAY. THE PURPOSE OF INCENTIVE PAY IS TO FOCUS EXECUTIVE ACTION ON KEY "PERFORMANCE THRESHOLDS" AND CORPORATE GOALS THAT ARE APPROVED BY THE BOARD'S COMPENSATION COMMITTEE. THE ACHIEVEMENT OF THESE GOALS REQUIRES EXTRAORDINARY EFFORT, COMMITMENT AND ACHIEVEMENT. THE INCENTIVE COMPONENT OF THE EXECUTIVE'S TOTAL COMPENSATION IS VARIABLE AND TOTALLY AT RISK, DEPENDING UPON THE ACHIEVEMENT OF THE AGREED-UPON GOALS. 6. PERQUISITES: BAPTIST HEALTH EXECUTIVES ARE PROVIDED WITH A COMMON SET OF PERQUISITES THAT ARE TYPICAL OF OTHER RESPONSIBLE NOT-FOR-PROFIT ORGANIZATIONS TO ENABLE THEM TO MORE EFFECTIVELY CONDUCT THEIR BUSINESS. THESE BENEFITS ARE DEEMED BY THE COMPENSATION COMMITTEE TO BE APPROPRIATE AND CONSERVATIVE. PERQUISITES ARE GENERALLY LIMITED TO AUTO AND CELL PHONE ALLOWANCES WHICH ARE FULLY TAXABLE TO THE EXECUTIVE. OTHER PERQUISITES PROVIDED TO EXECUTIVES, SUCH AS PAID TIME OFF OR REIMBURSEMENT FOR RELEVANT EDUCATIONAL EXPENSES, ARE OFFERED TO ALL EMPLOYEES IN ACCORDANCE WITH ENTERPRISE-WIDE POLICIES AND PROCEDURES. BUSINESS TRAVEL FOR EXECUTIVES ON COMMERCIAL AIRLINES IS LIMITED TO COACH FARES (AN UPGRADE TO THE NEXT AVAILABLE CLASS OF SERVICE, E.G., BUSINESS CLASS, MAY BE PERMITTED WHEN THE FLIGHT DURATION IS IN EXCESS OF FIVE HOURS OR AN OVERNIGHT ACCOMMODATION CAN BE AVOIDED). CHARTERED PLANE TRAVEL, SPOUSAL TRAVEL, LUXURY RESIDENCES FOR PERSONAL USE, HEALTH, AND PERSONAL SERVICES (SUCH AS MAID, CHAUFFEUR, CHEF, LANDSCAPER) ARE NOT PROVIDED (OR REIMBURSED) TO BAPTIST HEALTH EXECUTIVES.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	AS PART OF THE BHSF EXECUTIVE BENEFIT PLAN, EXECUTIVES ARE ELIGIBLE TO ALLOCATE A PORTION OF THEIR FLEXIBLE SPENDING ALLOWANCE TO A SUPPLEMENTAL SURVIVOR ACCUMULATION BENEFIT (SSAB) ACCOUNT. THE SSAB IS A LIFE INSURANCE PRODUCT THAT PROVIDES A DEFERRED RETIREMENT BENEFIT FOR THE EXECUTIVE OR A DEATH BENEFIT FOR THE EXECUTIVE'S SURVIVORS. CONTRIBUTIONS TO THE SSAB MAY BE MADE ANNUALLY TO THE PARTICIPANT'S ACCOUNT. ALL CONTRIBUTIONS ACCUMULATE, ALONG WITH INVESTMENT EARNINGS, FOR THE PERIOD THE EXECUTIVE PARTICIPATES. THE EXECUTIVE DOES NOT HAVE ACCESS TO THE CONTRIBUTIONS MADE OR THE RELATED INVESTMENT INCOME, ALL OF WHICH IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. PURSUANT TO THE SSAB PLAN GUIDELINES, THIS BENEFIT IS TERMINATED UPON AN EXECUTIVE REACHING AGE 65, HOWEVER, PAYMENT CAN BE DEFERRED TO A DATE AT LEAST TWO YEARS AFTER REACHING AGE 65 BUT NO LATER THAN 68. AT THAT TIME THE ENTIRE AMOUNT ACCUMULATED IS PAID OUT IN A LUMP SUM.
Schedule J, Part I, Line 7 Non-fixed payments	KEY EXECUTIVES WHO CONTROL SIGNIFICANT ASSETS OR WHO HAVE A MAJOR IMPACT ON OPERATIONS MAY EARN INCENTIVE PAY, CAPPED AT A PRE-DETERMINED PERCENTAGE OF THE EXECUTIVE'S BASE SALARY. THE PURPOSE OF INCENTIVE PAY IS TO FOCUS EXECUTIVE ACTION ON KEY "PERFORMANCE THRESHOLDS" AND CORPORATE GOALS THAT ARE APPROVED BY THE BOARD'S COMPENSATION COMMITTEE. THE ACHIEVEMENT OF THESE GOALS REQUIRES EXTRAORDINARY EFFORT, COMMITMENT AND ACHIEVEMENT. THE INCENTIVE COMPONENT OF THE EXECUTIVE'S TOTAL COMPENSATION IS VARIABLE AND TOTALLY AT RISK, DEPENDING UPON THE ACHIEVEMENT OF THE AGREED-UPON GOALS.
Schedule J, Part II, Column (B)(ii) Executive Compensation	ALL EXECUTIVE COMPENSATION IS REVIEWED AND APPROVED ANNUALLY BY THE COMPENSATION COMMITTEE, WHICH IS COMPRISED OF INDEPENDENT UNCOMPENSATED MEMBERS OF THE BOARD OF TRUSTEES WHO HAVE CERTIFIED THAT THEY HAVE NO CONFLICT OF INTEREST WITH THE ORGANIZATION. REPORTABLE COMPENSATION INCLUDES BASE SALARY AS WELL AS PAYMENTS UNDER A FORMAL INCENTIVE PLAN, WHICH REWARDS SUCCESSFUL ACHIEVEMENT OF QUALITY, MISSION, CHARITY CARE, AND FINANCIAL CORPORATE OBJECTIVES.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARTHA MAAS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	SISTER OF JOHN MAAS, BOD	RelationshipDescriptionTxt
Transaction	$46,047	TransactionAmt
Transaction	EMPLOYEE	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 1 ORGANIZATION'S MISSION	As part of the Baptist Health network, THE MISSION OF Homestead Hospital, Inc. IS TO IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS, AND TO PROMOTE THE SANCTITY AND PRESERVATION OF LIFE, IN THE COMMUNITIES WE SERVE. BAPTIST HEALTH IS A FAITH-BASED ORGANIZATION GUIDED BY THE SPIRIT OF JESUS CHRIST AND THE JUDEO-CHRISTIAN ETHIC. WE ARE COMMITTED TO MAINTAINING THE HIGHEST STANDARDS OF CLINICAL AND SERVICE EXCELLENCE, ROOTED IN THE UTMOST INTEGRITY AND MORAL PRACTICE. CONSISTENT WITH ITS SPIRITUAL FOUNDATION, BAPTIST HEALTH IS DEDICATED TO PROVIDING HIGH-QUALITY, COST-EFFECTIVE, COMPASSIONATE HEALTHCARE SERVICES TO ALL, REGARDLESS OF RELIGION, CREED, RACE OR NATIONAL ORIGIN, INCLUDING, AS PERMITTED BY ITS RESOURCES, CHARITY CARE TO THOSE IN NEED.
Form 990, Part III, Line 4a PROGRAM ACCOMPLISHMENTS	CONSISTENT WITH Baptist Health's SPIRITUAL FOUNDATION, Homestead Hospital, Inc. IS DEDICATED TO PROVIDING HIGH-QUALITY, COST-EFFECTIVE, COMPASSIONATE HEALTHCARE SERVICES TO ALL, INCLUDING, AS PERMITTED BY OUR RESOURCES, CHARITY CARE TO THOSE IN NEED. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2021, BAPTIST HEALTH PROVIDED PATIENT SERVICES TO THE SOUTH FLORIDA AREA WITH 99,464 ADULT ADMISSIONS, 572,443 PATIENT DAYS, AND 441,082 EMERGENCY ROOM VISITS. DURING THAT SAME TIME PERIOD, URGENT CARE VISITS TOTALED 455,598, OUTPATIENT SURGERY CASES totaled 106,991, AND TOTAL OUTPATIENT VISITS WERE 1,954,194 SYSTEM-WIDE. AS OF SEPTEMBER 30, 2021, THE SYSTEM HAD 2,793 LICENSED INPATIENT BEDS COMPRISED OF 2,608 ACUTE CARE BEDS. IN TOTAL, BAPTIST HEALTH PROVIDED MORE THAN $403,000,000 IN COMMUNITY BENEFIT DURING FY2021. WE PROVIDED CHARITY CARE VALUED AT $102,486,347 AS WELL AS $210,913,175 IN UNCOMPENSATED SERVICES. THE ESTIMATED COST OF PROVIDING CHARITY SERVICES AND UNCOMPENSATED SERVICES IS BASED ON RECENT HISTORICAL COST-TO-CHARGE RATIOS FOR CHARITY PATIENTS AND MEDICAID PATIENTS FROM BAPTIST HEALTH'S COST ACCOUNTING SYSTEM, APPLIED TO THE CURRENT PERIOD GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY AND MEDICAID PATIENTS. BAPTIST HEALTH ALSO CONTRIBUTED $42,737,290 TO THE INDIGENT CARE FUND AND EXPENDED $6,306,604 FOR EDUCATIONAL PROGRAMS, SCREENINGS, CORPORATE SPONSORSHIPS AND DONATIONS. FREE COMMUNITY HEALTH AND WELLNESS PROGRAMS COVERED TOPICS RANGING FROM INSOMNIA AND FOOD SAFETY TO DIABETES AND WEIGHT CONTROL. IN ADDITION, BAPTIST HEALTH PROVIDED FREE SCREENINGS FOR CHOLESTEROL, BLOOD PRESSURE, BODY COMPOSITION AND OSTEOPOROSIS. BAPTIST HEALTH ALSO HELPED THOSE IN NEED OF PRIMARY CARE SERVICES BY DONATING APPROXIMATELY $2,136,000 TO NEIGHBORHOOD NOT-FOR-PROFIT CLINICS, including: THE GOOD NEWS CARE CENTER IN FLORIDA CITY, OPEN DOOR HEALTH CENTER IN HOMESTEAD, THE GOOD HEALTH CLINIC IN TAVERNIER, THE CARIDAD CENTER IN BOYNTON BEACH, THE SOUTH MIAMI CHILDREN'S CLINIC IN SOUTH MIAMI, AND CARING FOR Miami Mobile Dental Clinical. BAPTIST HEALTH SPENT $28,663,102 PAYING PHYSICIANS WHO PROVIDE CARE TO OUR COMMUNITY MEMBERS IN NEED. ADDITIONALLY, WE PROVIDED $6,306,604 IN CONTINUING MEDICAL EDUCATION, $4,048,753 IN PALLIATIVE CARE AND CHAPLAINCY CARE, AND $733,067 IN COVID VACCINATION EFFORTS DURING FY2021. BAPTIST HEALTH FULFILLS ITS MISSION TO PROVIDE COMPASSIONATE CARE NOT ONLY BY PROVIDING ASSISTANCE TO THOSE IN FINANCIAL NEED, BUT ALSO BY SUPPORTING SERVICES THAT INCUR OPERATING LOSSES THAT ARE ESSENTIAL TO THE COMMUNITY. IN ADDITION TO THE HEALTH-RELATED BENEFITS LISTED ABOVE, BAPTIST HEALTH ALSO HAS A SIGNIFICANT AND POSITIVE FINANCIAL IMPACT ON OUR COMMUNITY. AS OF FY2021, BAPTIST HEALTH EMPLOYED MORE THAN 23,000 INDIVIDUALS. AS SOUTH FLORIDA'S LARGEST PRIVATE EMPLOYER, BAPTIST HEALTH IS TAKING A LEADERSHIP ROLE BY COMMITTING TO THE ENVIRONMENTALLY RESPONSIBLE, ENERGY-EFFICIENT DESIGN AND FUNCTION OF OUR FACILITIES. THIS COMMITMENT APPLIES TO OUR DAY-TO-DAY OPERATIONS, AS WELL, FROM THE SUPPLIES WE PURCHASE TO THE VEHICLES WE USE. IN ACCORDANCE WITH OUR FAITH-BASED MISSION, BAPTIST HEALTH IS COMMITTED TO MAKING A SIGNIFICANT, POSITIVE IMPACT ON THE COMMUNITY IT SERVES.
Form 990, Part IV, Line 24a BOND LIABILITIES	ALL TAX-EXEMPT BOND LIABILITIES ARE REPORTED AT THE PARENT LEVEL, ON SCHEDULE K OF BAPTIST HEALTH SOUTH FLORIDA, INC.'S 2020 FORM 990.
Form 990, Part V, Line 1a US INFORMATIONAL RETURNS	BAPTIST HEALTH HAS A SYSTEM-WIDE TREASURY POLICY, WHICH RECOGNIZES ITS RESPONSIBILITY TO OVERSEE, MANAGE, AND COORDINATE ALL AFFILIATE OPERATIONS, INCLUDING THE TREASURY FUNCTIONS. BAPTIST HEALTH SOUTH FLORIDA, INC. ("BHSF") SERVES AS THE CENTRALIZED CASH RECEIPT AND DISBURSING AGENT FOR ALL BHSF ENTITIES. AS SUCH ONLY BHSF ISSUES US INFORMATIONAL RETURNS.
Form 990, Part V, Line 2a EMPLOYEES REPORTED ON FORM W-3	BHSF IS THE APPOINTED PAY AGENT FOR ALL OF ITS AFFILIATES. AS SUCH ONLY BHSF ISSUES FORM W-3.
Form 990, Part VI, Line 15 PERFORMANCE-BASED EXECUTIVE COMPENSATION	THE SOUTH FLORIDA MARKET FOR HIGHLY COMPETENT HEALTHCARE EXECUTIVES REFLECTS A VERY COMPETITIVE ENVIRONMENT FOR QUALIFIED EXECUTIVES. IT IS COMPRISED OF LARGE, NATIONAL, FOR PROFIT CHAINS AND NOT-FOR-PROFIT HOSPITAL SYSTEMS AND STAND-ALONE HOSPITALS. THE BOARD OF TRUSTEES OF BAPTIST HEALTH SOUTH FLORIDA, INC. SEEKS EXECUTIVES OF VISION AND LEADERSHIP TO CARRY OUT THE ORGANIZATION'S FAITH-BASED MISSION OF QUALITY CARE AND COMMUNITY SERVICE. THE BOARD EXPECTS THESE EXECUTIVES TO PROVIDE LEADERSHIP THAT WILL PLACE BAPTIST HEALTH AMONG THE BEST HEALTHCARE SYSTEMS IN THE NATION FOR QUALITY AND EXCELLENCE. THE BOARD EXPECTS EXECUTIVES TO DEMONSTRATE INTEGRITY AND LOYALTY IN THE PERFORMANCE OF THEIR DUTIES AND TO ADHERE TO BAPTIST HEALTH'S CONFLICT OF INTEREST POLICY, EXECUTIVE CODE OF CONDUCT AND ALL COMPLIANCE/ETHICS POLICIES. EXECUTIVE COMPENSATION IS CONSIDERED THE FOUNDATION TO ATTRACT AND RETAIN EXECUTIVES WITH THE TALENT, EXPERIENCE AND CHARACTER TO MEET THESE EXPECTATIONS. THE CEO OF HOMESTEAD HOSPITAL IS COMPENSATED BY BAPTIST HEALTH SOUTH FLORIDA, A RELATED ORGANIZATION. THE DETERMINATION OF THE COMPENSATION OF THE CEO FOLLOWS THE SAME PROCESS DELINEATED HEREIN. THE BYLAWS OF HOMESTEAD HOSPITAL DELEGATE THE AUTHORITY TO SET EXECUTIVE COMPENSATION TO BHSF. BHSF'S COMPENSATION COMMITTEE IS COMPRISED EXCLUSIVELY OF INDEPENDENT BOARD MEMBERS WHO SERVE VOLUNTARILY WITHOUT ANY REMUNERATION, AND WHO MUST ADHERE TO A STRINGENT CONFLICT OF INTEREST POLICY THAT PRECLUDES THEM OR THEIR FAMILIES FROM DOING BUSINESS WITH BAPTIST HEALTH. THE COMMITTEE IS RESPONSIBLE FOR REVIEWING THE PERFORMANCE AND APPROVING THE COMPENSATION FOR all of the entity's EXECUTIVES. THE TERM "COMPENSATION" INCLUDES SALARIES, BENEFITS AND INCENTIVES. THE COMPENSATION COMMITTEE ANNUALLY ENGAGES A NATIONALLY RECOGNIZED, INDEPENDENT CONSULTANT TO CONDUCT COMPENSATION SURVEYS AND TO ADVISE THE BOARD ON COMPENSATION POLICIES. For further detail regarding the compensation structure, please reference to Schedule J, Part I, Line 3.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THIS ORGANIZATION IS PART OF BAPTIST HEALTH, AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. THE BOARD OF TRUSTEES OF BAPTIST HEALTH SOUTH FLORIDA, INC. HAS THE RIGHT TO APPOINT SOME BOARD MEMBERS TO THE HOSPITAL'S BOARD OF DIRECTORS.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	THIS ORGANIZATION IS PART OF BAPTIST HEALTH, AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. THE BOARD OF TRUSTEES OF BAPTIST HEALTH SOUTH FLORIDA, INC. HAS THE RIGHT TO APPROVE OR RATIFY CERTAIN CORPORATE DECISIONS OF THE ORGANIZATION.
Form 990, Part VI, Line 11b Review of form 990 by governing body	BAPTIST HEALTH MANAGEMENT IS RESPONSIBLE FOR THE ACCURACY AND COMPLETENESS OF THE TAX RETURNS OF BHSF AND ALL OF ITS NONPROFIT, CHARITABLE AFFILIATES. THIS FORM 990 HAS BEEN PREPARED IN CONFORMITY WITH THE INTERNAL REVENUE CODE AND TREASURY REGULATIONS. INDEPENDENT TAX CONSULTANTS AND MEMBERS OF MANAGEMENT HAVE REVIEWED IN DETAIL THE COMPLETED FORM 990. PRIOR TO FILING, THE FORM 990 PREPARATION PROCESS AND THE DOCUMENTS ARE DISCUSSED AT A MEETING OF THE FINANCE & RISK MANAGEMENT COMMITTEE OF THE BOARD OF TRUSTEES AND MADE AVAILABLE ELECTRONICALLY TO ALL MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW AND COMMENTARY. ADDITIONALLY, THE EXECUTIVE AND COMPENSATION COMMITTEES OF THE BHSF BOARD OF TRUSTEES, COMPOSED OF INDEPENDENT UNCOMPENSATED MEMBERS, REVIEW OTHER PERTINENT AREAS OF THE RETURN, AS NEEDED. THE PRESIDENT AND CEO AS WELL AS THE EXECUTIVE VICE PRESIDENT AND CFO, HEREBY CERTIFY AS TO THE ACCURACY AND COMPLETENESS OF THIS FORM 990.
Form 990, Part VI, Line 12c Conflict of interest policy	EMPLOYEE CONFLICT OF INTEREST AN ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST OCCURS IN THOSE CIRCUMSTANCES WHERE AN EMPLOYEE'S JUDGEMENT COULD BE AFFECTED BECAUSE THE EMPLOYEE HAS A PERSONAL INTEREST, OTHER THAN THE RECEIPT OF COMPENSATION FROM BAPTIST HEALTH, IN THE OUTCOME OF A DECISION OVER WHICH THE EMPLOYEE HAS CONTROL OR INFLUENCE. FOR THE PURPOSES OF THIS POLICY, IT IS PRESUMED THAT MANAGERS HAVE CONTROL OR INFLUENCE OVER ANY DECISION AFFECTING A MATTER FOR WHICH A MANAGER HAS RESPONSIBILITY. A PERSONAL INTEREST EXISTS WHEN AN EMPLOYEE OR A MEMBER OF HIS OR HER FAMILY STANDS TO DIRECTLY OR INDIRECTLY OBTAIN FINANCIAL GAIN AS A RESULT OF A DECISION. THIS POLICY IS INTENDED FOR ALL EMPLOYEES TO UNDERSTAND, IDENTIFY, MANAGE, AND APPROPRIATELY DISCLOSE THOSE TRANSACTIONS, WHICH COULD RESULT IN AN ACTUAL, POTENTIAL OR PERCEIVED CONFLICT OF INTEREST. IN ACCORDANCE WITH OUR CODE OF ETHICS, HIGH ETHICAL STANDARDS MUST BE OBSERVED IN THE NEGOTIATION AND EXECUTION OF ALL BUSINESS ACTIVITIES CONDUCTED AT, BY OR WITH BAPTIST HEALTH. ANY DECISIONS MADE BY BAPTIST HEALTH EMPLOYEES MUST BE MADE IN COMPLIANCE WITH APPLICABLE LAWS AND REGULATIONS, WITH THE BEST ORGANIZATIONAL INTERESTS OF BAPTIST HEALTH AS THE HIGHEST PRIORITY AND WITHOUT REGARD TO THE PERSONAL GAIN OR INTEREST OF ANY OTHER PERSON OR ENTITY. LIKEWISE, THE APPEARANCE OF ANY SUCH IMPROPER INFLUENCE ON ANY DECISIONS SHOULD BE CONSCIOUSLY AVOIDED. EMPLOYEES SHOULD ALSO ADHERE TO POLICY 828 WHICH PROHIBITS VENDOR SPONSORED TRAVEL, AND POLICY 829 LIMITING ACCEPTANCE OF PERSONAL HONORARIUMS, AND POLICY 831 WHICH PROVIDES LIMITATIONS AND GUIDELINES ON PHILANTHROPIC SOLICITATION OF VENDORS. A POTENTIAL OR PERCEIVED CONFLICT OR INTEREST MAY EXIST IRRESPECTIVE OF THE INTENT OF THE EMPLOYEE. BOARD CONFLICT OF INTEREST Baptist Health has a strong and robust Conflict of Interest policy. The policy is meant to ensure that each member of the Board of Trustees governs the affairs of Baptist Health and its affiliates with honesty and integrity and makes decisions for the benefit of Baptist Health. Board of Trustee members may not be employed by Baptist Health, not engaged to provide services to Baptist Health or any of its affiliates in exchange for cash compensation. Conflict free decision making extends beyond the Board members to include transactions that might benefit (I) the private interest of a member or his or her family (II) an organization controlled by a member of his or her family (III) an organization in which a member or his or her familiar has a material interest. Since the appearance of a conflict of interest may be as damaging to Baptist Health's reputation as actually permitting a conflict to exist, each voting Board member of Baptist Health and its affiliates has a continuing obligation to disclose any potential conflicts. This continuing obligation is supplemented by an annual certification that the Board member is free from actual or potential conflicts of interest. The annual certification is reviewed by the Vice President of Audit and Compliance and the Chief Compliance Officer who reports directly to the Board. Potential conflicts are further reviewed by the Board's Ethics Committee. If a conflict does exist, the conflicted Board member may be required (I) resign from the Board (II) eliminate the relationship, which gives rise to the conflict or (III) recuse himself or herself from all discussions, votes or actions with regard to the matter creating the actual or potential conflict of interest. CONFLICT OF INTEREST POLICY COMPLIANCE ONE OF BAPTIST HEALTH'S GREATEST ASSETS IS THE INTEGRITY OF ITS VOLUNTEER BOARD MEMBERS. ONE WAY TO ASSURE INTEGRITY IS THE ORGANIZATION'S COMMITMENT TO A STRINGENT CONFLICT OF INTEREST POLICY FOR THEIR GOVERNING BOARDS AND MANAGEMENT. AS A PART OF A ROBUST CONFLICT OF INTEREST POLICY, BOARD MEMBERS MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST DECLARATION FORM. THE AUDIT AND COMPLIANCE DEPARTMENT MONITOR TO ENSURE ALL VOTING MEMBERS SUBMIT THE DECLARATION FORM AND PERFORM NECESSARY RESEARCH TO UNDERSTAND IF A POTENTIAL CONFLICT EXISTS. ALL DISCLOSURES AND THE RELATED RESEARCH ARE SUMMARIZED FOR THE ETHICS COMMITTEE OF THE BAPTIST HEALTH SOUTH FLORIDA, INC. BOARD OF TRUSTEES. ANY DISCLOSURES THAT MAY RESULT IN THE APPEARANCE OF A CONFLICT ARE ADDRESSED BY THE COMMITTEE FOR ITS CONSIDERATION AND RESOLUTION.
Form 990, Part VI, Line 19 Required documents available to the public	DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST. IN ADDITION, BOTH THE FORM 990 AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC VIEWING ON THIRD PARTY WEBSITES. THE CONFLICT OF INTEREST POLICY IS AVAILABLE ON WWW.BAPTISTHEALTH.NET.
Form 990, Part VII, Section A REPORTABLE COMPENSATION	THE AMOUNTS APPEARING AS REPORTABLE COMPENSATION ON FORM 990 PART VII FOR VOLUNTEER BOARD MEMBERS ARE COMPOSED OF EITHER PAYMENTS FOR SERVICES AS AN ELECTED REPRESENTATIVE OF THE MEDICAL STAFF, NON-CLINICAL SERVICES RENDERED TO BAPTIST HEALTH WHICH MAKE POSSIBLE AN IMPORTANT ADMINISTRATIVE FUNCTION, OR MINOR DISCOUNTS ON CLINICAL SERVICES RECEIVED AT A BAPTIST HEALTH FACILITY. ALL OF THESE AMOUNTS ARE REPORTED IN ACCORDANCE WITH THE RULES AND REGULATIONS PERTAINING TO IRS FORMS W-2 AND 1099 RESPECTIVELY.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	OTHER REVENUE - Total Revenue: 28633, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 28633;
Form 990, Part IX, Line 11g Other Fees	OTHER FEES - Total Expense: 44498495, Program Service Expense: 40664427, Management and General Expenses: 3834068, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	BENEFICIAL INTEREST IN NET ASSETS OF BHSF FOUNDATION - 1214539;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
BAPTIST HEALTH SOUTH FLORIDA INC
6855 RED ROAD STE 600	CORAL GABLES	FL	33143	650267668	SUPPORT	FL	501(c)(3)	Type III-FI	NA	false
BAPTIST HOSPITAL OF MIAMI INC
8900 N KENDALL DRIVE	MIAMI	FL	33176	590910342	HOSPITAL	FL	501(c)(3)	3	BHSF	false
SOUTH MIAMI HOSPITAL INC
6200 SW 73 ST	MIAMI	FL	33143	590872594	HOSPITAL	FL	501(c)(3)	3	BHSF	false
HOMESTEAD HOSPITAL INC
975 BAPTIST WAY	HOMESTEAD	FL	33033	650232993	HOSPITAL	FL	501(c)(3)	3	BHSF	false
MARINERS HOSPITAL INC
91500 OVERSEAS HIGHWAY	TAVERNIER	FL	33070	591987355	HOSPITAL	FL	501(c)(3)	3	BHSF	false
WEST KENDALL BAPTIST HOSPITAL INC
9555 SW 162 AVE	MIAMI	FL	33196	522438452	HOSPITAL	FL	501(c)(3)	3	BHSF	false
DOCTORS HOSPITAL INC
5000 UNIVERSITY DRIVE	CORAL GABLES	FL	33146	043775926	HOSPITAL	FL	501(c)(3)	3	BHSF	false
BAPTIST OUTPATIENT SERVICES INC
6855 RED ROAD STE 600	CORAL GABLES	FL	33143	562290370	MED. DIAG.	FL	501(c)(3)	3	BHSF	false
BAPTIST HEALTH SOUTH FLORIDA FOUNDATION INC
6855 RED ROAD STE 600	CORAL GABLES	FL	33143	591923401	FUNDRAISING	FL	501(c)(3)	7	BHSF	false
BHSF REAL ESTATE FOUNDATION INC
6855 RED ROAD STE 600	CORAL GABLES	FL	33143	650611015	SUPPORT	FL	501(c)(3)	Type I	BHSF	false
BAPTIST HEALTH MEDICAL GROUP INC
6855 RED ROAD STE 600	CORAL GABLES	FL	33143	462597739	HEALTHCARE	FL	501(c)(3)	10	BHSF	false
MIAMI CANCER INSTITUTE AT BAPTIST HEALTH INC
6855 RED ROAD STE 600	CORAL GABLES	FL	33143	473090066	HEALTHCARE	FL	501(c)(3)	Type III-FI	BHSF	false
FISHERMENS HEALTH INC
3301 OVERSEAS HWY	MARATHON	FL	33050	821682066	HOSPITAL	FL	501(c)(3)	3	BHSF	false
BETHESDA HEALTH INC
2815 S SEACREST BLVD	BOYNTON BEACH	FL	33435	592447553	SUPPORT ORGANIZATION	FL	501(c)(3)	Type III-FI	BHSF	false
BETHESDA HEALTH COMPREHENSIVE IMAGING SERVICES INC
2815 S SEACREST BLVD	BOYNTON BEACH	FL	33435	592771779	O/P MEDICAL SERVICES	FL	501(c)(3)	10	BHI	false
BETHESDA HEALTH OUTPATIENT SERVICES INC
2815 S SEACREST BLVD	BOYNTON BEACH	FL	33435	650561263	O/P MEDICAL SERVICES	FL	501(c)(3)	10	BHI	false
BETHESDA HOSPITAL INC
2815 S SEACREST BLVD	BOYNTON BEACH	FL	33435	592447554	HOSPITAL	FL	501(c)(3)	3	BHI	false
BETHESDA HOSPITAL FOUNDATION INC
2815 S SEACREST BLVD	BOYNTON BEACH	FL	33435	596137805	FUNDRAISING	FL	501(c)(3)	7	BHI	false
BETHESDA PAYROLL SERVICES INC
2815 S SEACREST BLVD	BOYNTON BEACH	FL	33435	650523164	PAYROLL SUPPORT	FL	501(c)(3)	Type I	BHI	false
BOCA RATON REGIONAL HOSPITAL INC
800 MEADOWS ROAD	BOCA RATON	FL	33486	591006663	HOSPITAL	FL	501(c)(3)	3	BRRH	false
BRRH CORPORATION INC
800 MEADOWS ROAD	BOCA RATON	FL	33486	592406033	SUPPORT	FL	501(c)(3)	Type III-FI	BHSF	false
BRRH HOME HEALTH SERVICES INC
800 MEADOWS ROAD	BOCA RATON	FL	33486	650044715	O/P MEDICAL SERVICES	FL	501(c)(3)	Type III-FI	BRRH	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt
KENDALL PROFESSIONAL CENTER LIMITED
6855 RED ROAD SUITE 600	CORAL GABLES	FL	33143	592645094	LEASING OFFICE SPACE	FL	NA	N/A
BAPTIST SLEEP CENTERS OF SOUTH FLORIDA LLC
6855 RED ROAD SUITE 600	CORAL GABLES	FL	33143	273597226	MEDICAL SERVICES	FL	NA	N/A
BAPTIST SURGERY AND ENDOSCOPY CENTERS LLC
6855 RED ROAD SUITE 600	CORAL GABLES	FL	33143	201796841	MEDICAL SERVICES	FL	NA	N/A
BAPTIST HEALTH SURGERY CENTER LLC
8900 N KENDALL DRIVE	MIAMI	FL	33176	650663357	MEDICAL SERVICES	FL	NA	N/A
AMSURG BAPTIST NETWORK ALLIANCE LLC
6855 RED ROAD SUITE 600	CORAL GABLES	FL	33143	473088958	HOLDING COMPANY	FL	NA	N/A
BAPTIST AMBULATORY ALLIANCE LLC
6855 RED ROAD SUITE 600	CORAL GABLES	FL	33143	814431967	HOLDING COMPANY	FL	NA	N/A
HEALTH NETWORK AMBULATORY ALLIANCE LLC
6855 RED ROAD SUITE 600	CORAL GABLES	FL	33143	814490589	HOLDING COMPANY	FL	NA	N/A
MIAMI CARDIAC AND VASCULAR INSTITUTE MANAGEMENT COMPANY
6855 RED ROAD SUITE 600	CORAL GABLES	FL	33143	474128811	CARDIAC MEDICAL CENTER	FL	NA	N/A
MEDLEY OPPORTUNITY FUND III LP
280 PARK AVENUE 6TH FLOOR EAST	NEW YORK	NY	10152	471284126	INVESTMENT IN DEBT	NY	NA	N/A
SOUTH FLORIDA CENTER FOR ENDOSCOPY & DIGESTIVE DISEASE LLC
7875 SW 104TH ST SUITE 201	Miami	FL	33156	651112489	MEDICAL SERVICES	FL	NA	N/A
CARE SERVICES OF BETHESDA LLC
CENTRAL EXPY STE 1300	DALLAS	TX	75206	201745631	HOME HEALTH	TX	NA	N/A
MCCOY INVESTMENTS III LP
250 W 55TH ST 13D	NEW YORK	NY	10019	471225274	INVESTMENT IN FUNDS	NY	NA	N/A
BAPTISTBELMONT CG JV LLC
7660 WOODWAY DRIVE SUITE 400	HOUSTON	TX	77063	843628646	MEDICAL SERVICES	TX	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line2USAddress/AddressLine2Txt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
BAPTIST HEALTH ENTERPRISES INC
6855 RED ROAD STE 600	CORAL GABLES	FL	33143	592572862	REAL ESTATE MANAGEMENT	FL	NA	C Corporation	false
SAMARITAN RISK RETENTION GROUP
146 Fairchild Street	Charleston	SC	29492	203433505	INSURANCE	SC	NA	C Corporation	false	Suite 135
PINEAPPLE INSURANCE COMPANY
				980465790	INSURANCE		NA	C Corporation	false		CJ
BMAB EAST TOWER INC
6855 RED ROAD STE 600	CORAL GABLES	FL	33143	654047110	LEASE OFFICE SPACE	FL	NA	C Corporation	false
BAPTIST MEDICAL SERVICES CORP
6855 RED ROAD STE 600	CORAL GABLES	FL	33143	650506620	HOLDING COMPANY	FL	NA	C Corporation	false
KENDALL CREDIT & BUSINESS SERVICES INC
6855 RED ROAD STE 600	CORAL GABLES	FL	33143	650434778	COLLECTION AGENCY	FL	NA	C Corporation	false
WEST KENDALL PROFESSIONAL SERVICES INC
6855 RED ROAD STE 600	CORAL GABLES	FL	33143	650475570	COLLECTION AGENCY	FL	NA	C Corporation	false
SOUTH MIAMI HEALTH ENTERPRISES INC
6855 RED ROAD STE 600	CORAL GABLES	FL	33143	592623930	MEDICAL CENTER	FL	NA	C Corporation	false
BAPTIST AMBULATORY SERVICES INC
6855 RED ROAD STE 600	CORAL GABLES	FL	33143	421573814	HOLDING COMPANY	FL	NA	C Corporation	false
BHE REALTY INC
6855 RED ROAD STE 600	CORAL GABLES	FL	33143	900152617	REAL ESTATE BROKER	FL	NA	C Corporation	false
BAPTIST ANCILLARY SERVICES INC
6855 RED ROAD STE 600	CORAL GABLES	FL	33143	550800138	HOLDING COMPANY	FL	NA	C Corporation	false
BETHESDA HEALTH PHYSICIAN GROUP INC
2815 S SEACREST BLVD	BOYNTON BEACH	FL	33435	650561267	PHYSICIAN OFFICES	FL	NA	C Corporation	false
BETHESDA HOLDING COMPANY INC
2815 S SEACREST BLVD	BOYNTON BEACH	FL	33435	592663767	HOLDING COMPANY	FL	NA	C Corporation	false
PALM BEACH CREDIT ADJUSTORS INC
2815 S SEACREST BLVD	BOYNTON BEACH	FL	33435	592507658	INVESTMENT	FL	NA	C Corporation	false
BOCACARE INC
800 MEADOWS ROAD	BOCA RATON	FL	33486	264190328	PHYSICIAN OFFICES	FL	NA	C Corporation	false
BAPTIST HEALTH INTERNATIONAL CAYMAN ISLAND LTD
					MEDICAL SERVICES		NA	C Corporation	false		CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	Yes (true)	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd