Civic Intelligence

Baker County Medical Services Inc

EIN 59-3202547 • 501(c)3 • Macclenny, FL

View Organization Page

Profile

Provision of acute care and long-term healthcare services to citizens of baker county and the surrounding area.

159 North Third StreetMacclenny, FL 32063-2103

bcmedsvcs.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

65th percentile

0.38x

Higher debt load relative to assets than 65% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

56th percentile

0.35x

Higher debt load relative to revenue than 56% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

30th percentile

-1.2%

Higher net margin than 30% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

54th percentile

$280,953

Higher top officer pay than 54% of similar nonprofits.

Top officer pay equals 0.7% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

48th percentile

4.6%

Faster asset growth than 48% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

65th percentile

15%

Faster revenue growth than 65% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets65th percentile

Assets

Up

$34,844,983

Up $1,546,123 (+4.6%) from 2023

Liabilities

Up

$13,186,300

Up $2,001,789 (+18%) from 2023

Net Assets

Down

$21,658,683

Down $455,666 (-2.1%) from 2023

Operations
Liabilities / Revenue56th percentileNet Margin30th percentile

Revenue

Up

$37,557,716

Up $5,030,534 (+15%) from 2023

Expenses

Up

$38,024,871

Up $4,374,239 (+13%) from 2023

Net Income

Up

-$467,155

Up $656,295 (+58%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth48th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$60M$40M$20M$0Assets 2010: $26,886,907Liabilities 2010: $10,860,051Net Assets 2010: $16,026,8562010Assets 2011: $28,791,279Liabilities 2011: $10,915,852Net Assets 2011: $17,875,4272011Assets 2012: $32,046,965Liabilities 2012: $10,943,911Net Assets 2012: $21,103,0542012Assets 2013: $33,168,546Liabilities 2013: $10,560,158Net Assets 2013: $22,608,3882013Assets 2014: $35,395,419Liabilities 2014: $14,047,183Net Assets 2014: $21,348,2362014Assets 2015: $36,468,164Liabilities 2015: $13,858,817Net Assets 2015: $22,609,3472015Assets 2016: $38,346,836Liabilities 2016: $12,825,836Net Assets 2016: $25,521,0002016Assets 2017: $37,290,967Liabilities 2017: $11,260,606Net Assets 2017: $26,030,3612017Assets 2018: $37,609,709Liabilities 2018: $10,670,598Net Assets 2018: $26,939,1112018Assets 2019: $39,077,957Liabilities 2019: $12,113,943Net Assets 2019: $26,964,0142019Assets 2020: $41,630,487Liabilities 2020: $16,258,215Net Assets 2020: $25,372,2722020Assets 2021: $43,060,539Liabilities 2021: $11,545,128Net Assets 2021: $31,515,4112021Assets 2022: $50,479,249Liabilities 2022: $10,371,510Net Assets 2022: $40,107,7392022Assets 2023: $33,298,860Liabilities 2023: $11,184,511Net Assets 2023: $22,114,3492023Assets 2024: $34,844,983Liabilities 2024: $13,186,300Net Assets 2024: $21,658,6832024

Highlighted filing

2024

Assets$34,844,983
Liabilities$13,186,300
Net Assets$21,658,683
Open 2024 Filing

Operations Trend

Revenue Growth65th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$40M$20M$0-$20MExpenses 2010: $18,887,1922010Expenses 2011: $20,832,7222011Expenses 2012: $23,073,0262012Expenses 2013: $20,215,7222013Revenue 2014: $20,230,685Expenses 2014: $21,474,540Net Income 2014: -$1,243,8552014Revenue 2015: $25,304,350Expenses 2015: $23,611,099Net Income 2015: $1,693,2512015Revenue 2016: $27,924,587Expenses 2016: $25,233,264Net Income 2016: $2,691,3232016Revenue 2017: $27,446,626Expenses 2017: $27,073,957Net Income 2017: $372,6692017Revenue 2018: $28,648,206Expenses 2018: $27,583,794Net Income 2018: $1,064,4122018Revenue 2019: $27,925,889Expenses 2019: $28,012,801Net Income 2019: -$86,9122019Revenue 2020: $27,025,437Expenses 2020: $28,778,153Net Income 2020: -$1,752,7162020Revenue 2021: $33,154,487Expenses 2021: $27,958,424Net Income 2021: $5,196,0632021Revenue 2022: $39,911,391Expenses 2022: $29,448,723Net Income 2022: $10,462,6682022Revenue 2023: $32,527,182Expenses 2023: $33,650,632Net Income 2023: -$1,123,4502023Revenue 2024: $37,557,716Expenses 2024: $38,024,871Net Income 2024: -$467,1552024

Highlighted filing

2024

Revenue$37,557,716
Expenses$38,024,871
Net Income-$467,155
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$34,844,983
Liabilities
$13,186,300
Net assets
$21,658,683
Revenue
$37,557,716
Expenses
$38,024,871
Net income
-$467,155
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$34.8$13.2$21.7$37.6$38.0$0.47
2023Summary only. Only limited summary data is available for this year.$33.3$11.2$22.1$32.5$33.7$1.12
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$50.5$10.4$40.1$39.9$29.4$10.5
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$43.1$11.5$31.5$33.2$28.0$5.20
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$41.6$16.3$25.4$27.0$28.8$1.75
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$39.1$12.1$27.0$27.9$28.0$0.09
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$37.6$10.7$26.9$28.6$27.6$1.06
2017Summary only. Only limited summary data is available for this year.$37.3$11.3$26.0$27.4$27.1$0.37
2016Detailed filing. Detailed filing data is available for this year.$38.3$12.8$25.5$27.9$25.2$2.69
2015Detailed filing. Detailed filing data is available for this year.$36.5$13.9$22.6$25.3$23.6$1.69
2014Detailed filing. Detailed filing data is available for this year.$35.4$14.0$21.3$20.2$21.5$1.24
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$33.2$10.6$22.6$20.2
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$32.0$10.9$21.1$23.1
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$28.8$10.9$17.9$20.8
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$26.9$10.9$16.0$18.9
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 14, 2025
Return Version
2023v6.0
Gross Receipts
$37,744,870
Mission and Program Overview

Mission

Provision of acute care and long-term healthcare services to citizens of baker county and the surrounding area.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$8,931,332$8,294,709▼ $636,623
Accounts Receivable$2,569,023$3,247,382▲ $678,359
Savings and Temporary Cash Investments$3,164,039$1,718,236▼ $1,445,803
Inventories for Sale or Use$811,637$945,976▲ $134,339
Investments in Publicly Traded Securities$974,237$527,465▼ $446,772
Cash and Non-Interest-Bearing Accounts$383,681$500,968▲ $117,287
Intangible Assets$10,000$10,000→ $0
Prepaid Expenses and Deferred Charges$7,102$7,602▲ $500
Total Assets$33,298,860$34,844,983▲ $1,546,123
Other Assets Total$16,447,809$19,592,645▲ $3,144,836
Liabilities
Accounts Payable and Accrued Expenses$4,507,008$6,474,905▲ $1,967,897
Other Liabilities$6,051,345$5,839,684▼ $211,661
Deferred Revenue-$854,015-
Tax Exempt Bond Liabilities$626,158$17,696▼ $608,462
Total Liabilities$11,184,511$13,186,300▲ $2,001,789
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$22,114,349$21,658,683▼ $455,666
Total Net Assets Fund Balance$22,114,349$21,658,683▼ $455,666
Total Liabilities and Net Assets / Fund Balance$33,298,860$34,844,983▲ $1,546,123

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,463,301$12,405,775$13,869,076
Buildings$5,303,331$7,765,715$13,069,046
Leasehold Improvements$1,010,559$1,499,916$2,510,475
Other Land Buildings$517,518-$517,518
Other Assets Org$70,346--
Compensation and Service Providers
Top Officer Pay54th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Tiffany VarnadoeCEOFT$250,784$31,314$280,953
Michael a PetoNursing DireFT$141,753$23,483$165,236
Michael a PetoNursing Director-$140,608$24,628$165,236
Sarah BradleyCFO(left 6/2FT$158,257$2,793$161,050
Sarah BradleyCFO(left 6/23)-$157,112$3,876$161,050
James BrandDirector ofFT$155,474$1,145$156,619
James BrandDirector of Operatio-$154,391$10,617$156,619
Jessica L LucianoIt AnalystFT$141,143$9,661$155,761
Kimberly CanadayPharmacistFT$143,046$5,213$152,774
Charles JacksonAdministrato-$131,813$1,369$133,182
Paula BartonVice Chairma-$1,100-$1,100
Steve KennedyChairman-$1,100-$1,100
Luanne WilliamsSecretary-$1,000-$1,000
Phil RhodenBoard Member-$1,000-$1,000
Sherrie RaulersonBoard Member-$1,000-$1,000
Charles WilsonBoard MemberFT$900-$900

Board Members and Trustees

NameTitle
Jeff ChilsonCFO (1/24)

Highest Paid Contractors

ContractorServicesLocationCompensation
Ward Medical PracticeMedicalPO BOX 87, White Springs, FL 32096$853,159
Jeremie Young MdEr Physician5970 COPPER DR, Macclenny, FL 32063$251,325
Paul Jaraczyk MdEr PhysicianPO BOX 10284, Fleming Island, FL 32006$142,515
Draffin & Tucker LLPAccountingPO BOX 71309, Albany, GA 31708$134,351
Ahmed Abdelmagio MdEr Physician2821 MARMARIS DR, Jacksonville, FL 32246$123,510
Revenue and Support

Revenue Composition

Contributions and Grants
$1,330,794
Program Service Revenue
$35,330,802
Investment Income
$516,106
Other Revenue
$380,014
Change in Net Assets
$-467,155
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$23,348,122
Other Expenses$14,670,988
Grants and Similar Amounts Paid$5,761
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$16,287,238$1,586,984-$17,874,222
Fees for Services Other$4,776,240$663,496-$5,439,736
Other Employee Benefits$2,916,281$363,018-$3,279,299
Office Expenses$923,378$497,690-$1,421,068
Payroll Taxes$1,182,105$147,148-$1,329,253
Depreciation Depletion$1,160,300$77,749-$1,238,049
Occupancy$516,051$34,580-$550,631
Other Expenses$173,283$281,411-$454,694
All Other Expenses$180,065$261,246-$441,311
Pension Plan Contributions$376,482$46,864-$423,346
Insurance$205,967$108,542-$314,509
Current Officers, Directors, Trustees, and Key Employees-$280,952-$280,952
Comp Disqual Persons-$161,050-$161,050
Advertising$45,620$79,457-$125,077
Interest$58,235$23,722-$81,957
Fees for Services Legal-$50,292-$50,292
Travel$21,056$10,974-$32,030
Grants to Domestic Individuals$5,761--$5,761
Total Functional Expenses$32,583,658$5,441,213$0$38,024,871
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Third Party Settlements$4,636,100
Finance Lease$1,019,802
Deferred Compensation$113,436
Operating Lease$70,346
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

“Board members will receive a copy of the final form 990 prior to its filing with the irs. Management will review in detail all financial and narrative data prior to filing.”

Form 990, Page 6, Part VI, Line 12C

“Annually, a conflict of interest statement is completed by all key employees, to include officers, directors, and physicians stating whether they have any conflicts of interest. The filing organization requires potential or known conflicts be disclosed to the board of directors or the committee with the authority to approve the contract or transaction. For any known conflicts, the board member is prohibited from the vote and discussion of the issue.”

Form 990, Page 6, Part VI, Line 15A

“The board of directors determines the compensation of the ceo. The ceo is not present during the discussion of his compensation determination. The board of directors' compensation determination process for the ceo is documented in detail.”

Form 990, Page 6, Part VI, Line 15B

“The ceo determines the compensation of the cfo. Compensation is determined based on performance and accomplishment of prior goals.”

Form 990, Page 6, Part VI, Line 19

“The audited financial statements are made available to the public by providing copies on request.”

Filing and Contact Details

Filer

Filer Name
Baker County Medical Services Inc
EIN
59-3202547
Phone
9042593151
Address
159 NORTH THIRD STREET, MACCLENNY, FL 32063-2103
Doing Business As
Ed Fraser Memorial Hospital

Signing Officer

Name
Tiffany Varnadoe
Title
CEO
Phone
9042593151
Signed
2025-08-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tiffany Varnadoe
Formed
1993
Legal Domicile
Fl
Voting Board Members
6
Independent Board Members
6
Employees
482

Preparer

Firm
Draffin & Tucker Llp
Address
PO BOX 71309, ALBANY, GA 31708-1309
Preparer
William Edward Phillips
Phone
2298837878
Supplemental Narrative

Additional Explanations

Form 990, Page 1, Part I, Line 6

“The organization recognizes that the board members voluntarily devote their time and energy to serve their community by participating in the governance of this organization's mission.”

Form 990, Part IX, Line 11G

“Professional fees 4,776,240 663,496 0”

Financial Statement Notes

Schedule D, Page 3, Part X

“Medical services and bchc are not-for-profit entities that have been recognized as tax-exempt pursuant to section 501(c)(3) of the internal revenue code. Medical services and bchc apply accounting policies that prescribe when to recognize and how to measure the financial statement effects of income tax positions taken or expected to be taken on its income tax returns. These rules require management to evaluate the likelihood that, upon examination by the relevant taxing jurisdictions, those income tax positions would be sustained. Based on that evaluation, medical services and bchc only recognize the maximum benefit of each income tax position that is more than 50% likely of being sustained. To the extent that all or a portion of the benefits of an income tax position are not recognized, a liability would be recognized for the unrecognized benefits, along with any interest and penalties that would result from disallowance of the position. Should any such penalties and interest be incurred, they would be recognized as operating expenses. Based on the results of management's evaluation, no liability is recognized in the accompanying consolidated balance sheets for unrecognized income tax positions. Further, no interest or penalties have been accrued or charged to expense as of september 30, 2024 and 2023 or for the years then ended. Medical services- and bchcs tax returns are subject to possible examination by the taxing authorities. For federal income tax purposes, the tax returns essentially remain open for possible examination for a period of three years after the respective filing of those returns.”

Raw XML AppendixShowing 400 of 793 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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