Civic Intelligence

Baker County Medical Services Inc.

990 • Fiscal year 2011 • EIN 59-3202547

Oct 01, 2010 to Sep 30, 2011 • Filed on Jul 15, 2012

159 North Third Street32063
Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

55th percentile

0.38x

Higher debt load relative to assets than 55% of similar nonprofits.

2011 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2011

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2011

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2011

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2011

Asset Growth

64th percentile

7.1%

Faster asset growth than 64% of similar nonprofits.

2011 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2010 to 2011

Revenue Growth

Score unavailable

No value available

No valid filing value is available for this score.

Assets

Up

$28,791,279

Up $1,904,372 (+7.1%) from 2010

Net Assets

Up

$17,875,427

Up $1,848,571 (+12%) from 2010

Liabilities

Up

$10,915,852

Up $55,801 (+0.5%) from 2010

Revenue

-

No earlier filing loaded for comparison.

Expenses

Up

$20,832,722

Up $1,945,530 (+10%) from 2010

Net Income

-

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$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

2011

Assets$28,791,279
Liabilities$10,915,852
Net Assets$17,875,427

Operations Trend

Revenue, expenses, and net income across loaded years, with this 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

2011

Revenue-
Expenses$20,832,722
Net Income-
Jump To
Filing Snapshot
Filing Period
Oct 1, 2010 to Sep 30, 2011
Signed
Jul 15, 2012
Return Version
2010v3.7
Gross Receipts
$23,115,676
Mission and Program Overview

Mission

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

Filing and Contact Details

Filer

EIN
59-3202547
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IRS990ScheduleD/Form990ScheduleDPartXIV/Explanation0MEDICAL SERVICES IS A NOT-FOR-PROFIT MEDICAL CENTER THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)3 OF THE INTERNAL REVENUE CODE. BCMP AND BCHC, MEDICAL SERVICES' WHOLLY OWNED SUBSIDIARIES, INCLUDE A PROVISION FOR INCOME TAXES ON EARNINGS, IF ANY, AT APPLICABLE RATES AS PROVIDED BY CURRENT LAW. BCMP AND BCHC FILE SEPARATE INCOME TAX RETURNS. MEDICAL SERVICES APPLIES 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 ONLY RECOGNIZES 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 BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF SEPTEMBER 30, 2011 AND 2010 OR FOR THE YEARS THEN ENDED. MEDICAL SERVICES' OPEN AUDIT PERIODS ARE FOR TAX YEARS ENDED 2008-2010.
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IRS990ScheduleH/BadDebtExpenseAmount01264694
IRS990ScheduleH/BadDebtExpenseReported0true
IRS990ScheduleH/CharityCareAtCost/NetCommunityBenefitExpense01581354
IRS990ScheduleH/CharityCareAtCost/PercentOfTotalExpense00.11460
IRS990ScheduleH/CharityCareAtCost/TotalCommunityBenefitExpense01581354
IRS990ScheduleH/CharityCarePolicy0true
IRS990ScheduleH/CostingMethodologyUsed/Other0X
IRS990ScheduleH/CostOfCareReimbursedByMedicare02890773
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation0BAKER COUNTY MEDICAL SERVICES PROVIDES FREE OF CHARGE A CLINICAL ENVIRONMENT IN WHICH DOCTORS INCLUDING MEDICAL SPECIALISTS FROM OUT OF THE AREA CAN COME AND TREAT LOCAL CITIZENS FOR MEDICAL RELATED ILLNESSES AND INJURIES WITHOUT SUCH A LOCATION PHYSICIANS WOULD NOT BE AVAILABLE TO THE LOCAL COMMUNITY IN BAKER COUNTY TOTAL OPERATING COST OF THE CLINIC IS INCLUDED AND INCLUDES SALARY AND BENEFITS OF SUPPORT STAFF AND OTHER OPERATING EXPENSES THERE ARE NO COSTS ASSOCIATED WITH PHYSICIANS
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation1IN DERIVING THE DENOMINATOR TO BE USED FOR COLUMN F THE FOLLOWING ADJUSTMENTS WERE MADE TO THE TOTAL EXPENSES REPORTED ON FORM 990 PART IX LINE 25 FORM 990 PART IX LINE 25 20832722 LESS BAD DEBTS IN PART IX 3493582 LESS NURSING HOME EXPENSES 3545453 DENOMINATOR FOR COLUMN F 13793687
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation2RATIO OF OPERATING COST TO PATIENT CHARGES IS THE RATIO OF COST TO CHARGES USED TO IDENTIFY PATIENT COST
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation3BAD DEBTS ARE A COST TO THE FACILITY AND INCLUDE THE COST OF PROVIDING SERVICES TO THOSE WHOM MAY HAVE THE OBLIGATION TO PAY BUT BECAUSE OF THE HIGH AMOUNT OF THEIR HOSPITAL DEDUCTIBLES AND COPAYS THEY ARE UNABLE TO PAY BUT DO NOT QUALIFY FOR REDUCED SERVICES IT IS A MATTER OF PAYING THEIR RENT AND BUYING FOOD VERSUS PAYING THEIR HOSPITAL DEDUCTIBLE AND COPAYS BAKER COUNTY IS A VERY RURAL COMMUNITY AND WAGES ARE LOW COMPARED TO THE COST OF MEDICAL SERVICES NOW BEING CHARGED TO THE FACILITIES TO PROVIDE THE CARE THE COST OF BAD DEBTS IS DETERMINED BY USING THE GENERAL RATIO OF COST TO CHARGES EXCERPT FROM AUDITED FINANCIAL STATEMENTS ALLOWANCE FOR DOUBTFUL ACCOUNTS MEDICAL SERVICES PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED ON THE OVERALL COLLECTIBILITY OF THE ACCOUNTS RECEIVABLE AS ACCOUNTS ARE KNOWN TO BE UNCOLLECTIBLE THE ACCOUNT IS CHARGED AGAINST THE ALLOWANCE
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation4MEDICARE ALLOWABLE COSTS WERE CALCULATED USING CMSS CERTIFIED COST REPORT SOFTWARE THE FACILITY IS A SOLE COMMUNITY HOSPITAL AND IS THE ONLY FACILITY TO SUPPORT ALL OF THE MEDICARE AND MEDICAID BENEFICIARIES IN THE COUNTY AND SURROUNDING AREA WITHOUT THIS FACILITY THE MEDICARE PATIENTS WOULD HAVE MUCH MORE OUT OF POCKET COST HAVING TO TRAVEL TO THE MAJOR CITIES WHERE COST ARE MUCH HIGHER THE FACILITY IS THERE TO SERVE THE COMMUNITY WHICH IS MOSTLY MEDICARE AND MEDICAID THE FACILITY STAFFS ITS EMERGENCY ROOM AND INPATIENT CENTER 24 HOURS A DAY 7 DAYS A WEEK MAINTAINING THE REQUIRED STAFF PER STATE GUIDELINES FOR PROPER AND ADEQUATE MEDICAL CARE THIS FACILITY IS THEIR FIRST AND ONLY LINE OF HEALTHCARE IN BAKER COUNTY
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation5IF AT ANY TIME DURING THE COLLECTION PROCESS A PATIENT IS DETERMINED TO BE ELIGIBLE UNDER THE HOSPITALS CHARITY CARE POLICY ALL COLLECTION PROCESSES CEASE AND THE ACCOUNT IS WRITTEN OFF ACCORDING TO CHARITY GUIDELINES
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation6BAKER COUNTY MEDICAL SERVICES MONITORS VARIOUS TYPES OF ASSESSMENTS TO DETERMINE THE COMMUNITYS NEEDS FOR HEALTH AND PERSONAL SUPPORT SERVICES OUR FACILITY COLLABORATES WITH OTHER NOTFORPROFIT AGENCIES AND ORGANIZATIONS TO EXTEND AND STRENGTHEN OUR MISSION A FEW EXAMPLES OF THESE COLLABORATIONS INCLUDE THE BAKER COUNTY HEALTH DEPARTMENT THE BAKER COUNTY COUNCIL ON AGING LOCAL COLLEGES AND THE BAKER COUNTY PUBLIC SCHOOL SYSTEM BCMS USES FEDERAL INFORMATION AND REPORTS FROM AGENCIES SUCH AS THE US CENSUS BUREAU AND BUREAU OF LABOR STATISTICS AS WELL AS RESOURCES SUCH AS THE HEALTH PLANNING COUNCIL OF NORTHEAST FLORIDA AND THE NORTHEAST FLORIDA REGIONAL COUNCIL THAT PROVIDE A WIDE ARRAY OF DEMOGRAPHICS HOUSEHOLD INCOME AND SERVICES RETAIL OUTLETS ETC IN DEFINED ZIP CODES THIS INFORMATION COMBINED WITH OUR EXTENSIVE COLLABORATIONS AND OUR ROLE AS A LEADER IN THE COMMUNITY PROVIDES US THE MEANS TO UNDERSTAND AND ADDRESS THE COMMUNITYS NEEDS AND ENSURES OUR OUTREACH PROGRAMS ARE FOCUSED ON THE POPULATIONS WHO NEED OUR SERVICES THE MOST
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation7AT THE TIME OF DISCHARGE THE PATIENT OR RESPONSIBLE PARTY IS INFORMED ABOUT OUR CHARITY CARE POLICY IN ADDITION SHOULD THE PATIENT OR RESPONSIBLE PARTY EXPRESS CONCERNS REGARDING MEETING THE FINANCIAL OBLIGATIONS THEY MAY ENROLL IN THE CHARITY PROGRAM AT ANY TIME DURING THE COLLECTIONS PROCESS THE BUSINESS OFFICE THEN EVALUATES FOR CHARITY ELIGIBILITY AND OTHER PAYER SOURCES
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation8AS THE SOLE COMMUNITY PROVIDER WE SERVE THE ENTIRE POPULATION IN BAKER COUNTY FLORIDA AND THE SURROUNDING AREA BAKER COUNTY IS A RURAL AREA WITH A POPULATION OF 26000 WITH A PER CAPITA INCOME OF 20034 APPROXIMATELY 80 OF THE POPULATION IS WHITE 17 BLACK AND 3 OTHER
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation9THE ORGANIZATION IS THE ONLY MEDICAREMEDICAID CERTIFIED HOSPITAL IN THE COUNTY THE BOARD OF DIRECTORS ARE ALL MEMBERS OF THE LOCAL COMMUNITY AND EXTENDS MEDICAL STAFF PRIVILEGES TO ALL PHYSICIANS WHO WISH TO PRACTICE IN BAKER COUNTY THE HOSPITALS EMERGENCY ROOM IS THE MAIN SOURCE OF PRIMARY CARE FOR ALL WHO RESIDE IN BAKER COUNTY BAKER COUNTY MEDICAL SERVICES WORKS WITH OTHER NONFORPROFIT ORGANIZATIONS IN THE COMMUNITY SUCH AS THE BAKER COUNTY HEALTH DEPARTMENT AND THE BAKER COUNTY COUNCIL ON AGING TO MEET THE NEEDS OF THE COMMUNITY AS AN EXAMPLE BAKER COUNTY MEDICAL SERVICES PARTICIPATES IN A FOCUS GROUP THAT MEETS MONTHLY TO DISCUSS THE ONGOING HEALTH NEEDS OF THE COMMUNITY AND HOW BEST TO MEET THOSE NEEDS BAKER COUNTY MEDICAL SERVICES IS COMPOSED OF COMMUNITY MEMBERS WITH DIVERSE PROFESSIONAL AND COMMUNITY SERVICE BACKGROUNDS IN OUR FACILITY THE EMERGENCY ROOM IS OPERATED 247 AND OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY WE HAVE CLEARLY WRITTEN INDIGENT AND CHARITY CARE POLICIES THAT ARE AVAILABLE THROUGH THE BUSINESS OFFICE AND OFFERED TO ALL PATIENTS UPON DISCHARGE AND AVAILABLE UPON REQUEST
IRS990ScheduleH/Form990ScheduleHPartVI/Identifier0SUBSIDIZED HEALTH SERVICES EXPLANATION
IRS990ScheduleH/Form990ScheduleHPartVI/Identifier1EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE
IRS990ScheduleH/Form990ScheduleHPartVI/Identifier2COSTING METHODOLOGY EXPLANATION
IRS990ScheduleH/Form990ScheduleHPartVI/Identifier3BAD DEBT EXPENSE EXPLANATION
IRS990ScheduleH/Form990ScheduleHPartVI/Identifier4MEDICARE EXPLANATION
IRS990ScheduleH/Form990ScheduleHPartVI/Identifier5COLLECTION PRACTICES EXPLANATION
IRS990ScheduleH/Form990ScheduleHPartVI/Identifier6NEEDS ASSESSMENT
IRS990ScheduleH/Form990ScheduleHPartVI/Identifier7PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE
IRS990ScheduleH/Form990ScheduleHPartVI/Identifier8COMMUNITY INFORMATION
IRS990ScheduleH/Form990ScheduleHPartVI/Identifier9HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE
IRS990ScheduleH/Form990ScheduleHPartVI/ReturnReference0PART I LINE 7G
IRS990ScheduleH/Form990ScheduleHPartVI/ReturnReference1PART I LINE 7 COLUMN F
IRS990ScheduleH/Form990ScheduleHPartVI/ReturnReference2PART I LINE 7
IRS990ScheduleH/Form990ScheduleHPartVI/ReturnReference3PART III LINE 4
IRS990ScheduleH/Form990ScheduleHPartVI/ReturnReference4PART III LINE 8
IRS990ScheduleH/Form990ScheduleHPartVI/ReturnReference5PART III LINE 9B
IRS990ScheduleH/Form990ScheduleHPartVI/ReturnReference6PART VI
IRS990ScheduleH/Form990ScheduleHPartVI/ReturnReference7PART VI
IRS990ScheduleH/Form990ScheduleHPartVI/ReturnReference8PART VI
IRS990ScheduleH/Form990ScheduleHPartVI/ReturnReference9PART VI
IRS990ScheduleH/Form990ScheduleHPartVSectionA/Address/AddressLine10159 NORTH THIRD STREET
IRS990ScheduleH/Form990ScheduleHPartVSectionA/Address/City0MACCLENNY
IRS990ScheduleH/Form990ScheduleHPartVSectionA/Address/State0FL
IRS990ScheduleH/Form990ScheduleHPartVSectionA/Address/ZIPCode032063
IRS990ScheduleH/Form990ScheduleHPartVSectionA/Er24Hours0X

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Filings

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