Civic Intelligence

Baker County Medical Services Inc.

990 • Fiscal year 2017 • EIN 59-3202547

Oct 01, 2016 to Sep 30, 2017 • Filed on Aug 15, 2018

159 North Third StreetMacclenny, FL 32063-2103

(904) 259-3151

Siviq Scores

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

Liabilities / Assets

54th percentile

0.30x

Higher debt load relative to assets than 54% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Liabilities / Revenue

58th percentile

0.41x

Higher debt load relative to revenue than 58% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Net Margin

42nd percentile

1.4%

Higher net margin than 42% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Top Officer Pay

77th percentile

$407,600

Higher top officer pay than 77% of similar nonprofits.

Top officer pay equals 1.5% of source-year revenue.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Asset Growth

19th percentile

-2.8%

Faster asset growth than 19% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2016 to 2017

Revenue Growth

28th percentile

-1.7%

Faster revenue growth than 28% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2016 to 2017

Assets

Flat

$37,290,967

Flat from 2017

Net Assets

Flat

$26,030,361

Flat from 2017

Liabilities

Flat

$11,260,606

Flat from 2017

Revenue

Flat

$27,446,626

Flat from 2017

Expenses

Flat

$27,073,957

Flat from 2017

Net Income

Flat

$372,669

Flat from 2017

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 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

2017

Assets$37,290,967
Liabilities$11,260,606
Net Assets$26,030,361

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 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

2017

Revenue$27,446,626
Expenses$27,073,957
Net Income$372,669
Jump To
Filing Snapshot
Filing Period
Oct 1, 2016 to Sep 30, 2017
Signed
Aug 15, 2018
Return Version
2016v3.1
Gross Receipts
$27,645,383
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$13,692,738$13,985,620▲ $292,882
Savings and Temporary Cash Investments$12,203,838$9,819,576▼ $2,384,262
Investments in Publicly Traded Securities$3,998,871$4,067,454▲ $68,583
Accounts Receivable$2,456,913$2,199,177▼ $257,736
Inventories for Sale or Use$674,827$702,998▲ $28,171
Prepaid Expenses and Deferred Charges$316,902$368,293▲ $51,391
Cash and Non-Interest-Bearing Accounts$332,608$219,932▼ $112,676
Intangible Assets$50,000$50,000→ $0
Total Assets$38,346,836$37,290,967▼ $1,055,869
Other Assets Total$4,620,139$5,877,917▲ $1,257,778
Liabilities
Other Liabilities$5,920,487$4,602,616▼ $1,317,871
Tax Exempt Bond Liabilities$4,889,969$4,359,131▼ $530,838
Accounts Payable and Accrued Expenses$2,015,380$2,298,859▲ $283,479
Total Liabilities$12,825,836$11,260,606▼ $1,565,230
Net Assets / Fund Balance
Unrestricted Net Assets$25,521,000$26,030,361▲ $509,361
Total Net Assets Fund Balance$25,521,000$26,030,361▲ $509,361
Total Liabilities and Net Assets / Fund Balance$38,346,836$37,290,967▼ $1,055,869

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$5,599,433$8,772,117$14,371,550
Buildings$7,721,682$5,627,759$13,349,441
Leasehold Improvements$664,505$207,793$872,298
Other Assets Org$7,019--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Dennis R MarkosCEOFT$212,241$195,359$407,600
Steve DudleyPast CFOFT$111,235$56,572$167,807
Wajih AramanPharmacistFT$130,406$12,499$142,905
Earnest WallerIt DirectorFT$110,420$6,100$116,520
Lyndall FarleyCNOFT$108,061$3,193$111,254
Tricia M MartinCFOFT$81,877$7,909$89,786
Charles WilsonBoard Member-$1,100-$1,100
Gary Dopson MdChairman-$1,100-$1,100
Luanne WilliamsBoard Member-$1,100-$1,100
Sherri RaulersonBoard Member-$1,100-$1,100
Steve KennedyVice Chairma-$1,100-$1,100
Paula BartonSecretary/tr-$1,000-$1,000
Phil RhodenBoard Member-$900-$900

Board Members and Trustees

NameTitle
Edward AndersonCurrent CFO

Highest Paid Contractors

ContractorServicesLocationCompensation
Henry BuchananhudsonsuberLegal ServicesPO BOX 14079, Tallahassee, FL 32317-4079$491,805
Draffin & Tucker LLPAudit SvcsPO BOX 71309, Albany, GA 31708$102,958
Revenue and Support

Revenue Composition

Contributions and Grants
$775,000
Program Service Revenue
$25,955,569
Investment Income
$192,780
Other Revenue
$523,277
Change in Net Assets
$372,669
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$17,170,145
Other Expenses$9,884,984
Grants and Similar Amounts Paid$18,828
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$12,143,139$338,967-$12,482,106
Other Employee Benefits$2,374,410$66,390-$2,440,800
Depreciation Depletion$1,811,251$121,368-$1,932,619
Fees for Services Other$944,439$127,505-$1,071,944
Payroll Taxes$882,811$70,961-$953,772
Office Expenses$586,597$128,400-$714,997
Current Officers, Directors, Trustees, and Key Employees-$672,593-$672,593
Occupancy$619,326$41,500-$660,826
Pension Plan Contributions$603,986$16,888-$620,874
Advertising$23,206$387,147-$410,353
Fees for Services Legal-$397,356-$397,356
Other Expenses$229,444$398,075-$229,444
All Other Expenses$200,303$3,810-$204,113
Insurance$37,788$62,679-$100,467
Fees for Services Accounting-$67,801-$67,801
Travel$56,737$9,344-$66,081
Grants to Domestic Individuals$18,828--$18,828
Fees for Service Investment Mgmnt Fees-$18,252-$18,252
Total Functional Expenses$24,144,921$2,929,036$0$27,073,957
International Activity

International Summary

Offices
1
Employees
1
Spending
$1,019,647

International Compliance

Foreign grant records maintained
No
Activity in boycott countries
No
Foreign corporation ownership
Yes
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
No

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the CaribbeanInvestments-11$1,019,647
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$4,076,445
Deferred Compensation$526,171
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
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
No
Other officer compensation reviewed
No
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 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
Edward Anderson
Title
Current CFO
Phone
9042593151
Signed
2018-08-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dennis R Markos
Formed
1993
Legal Domicile
Fl
Voting Board Members
7
Independent Board Members
7
Employees
455
Volunteers
7

Preparer

Firm
Draffin & Tucker Llp
Address
PO BOX 71309, ALBANY, GA 31708-1309
Preparer
Jacqueline G Atkins
Phone
2298837878
Supplemental Narrative

Additional Explanations

Form 990, Part V, Line 4B

CAYMAN ISLANDS

Financial Statement Notes

Schedule D, Page 3, Part X

Medical services and bchc are not-for-profit corporations that have been recognized as tax-exempt pursuant to section 501(c)(3) of the internal revenue code. Baker county medical services sp intends to conduct its affairs in a manner in which it will not be subject to u.s. Federal income tax. 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 balance sheet for unrecognized income tax positions. Further, no interest or penalties have been accrued or charged to expense as of september 30, 2017 and 2016 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. Legend: bchc is baker community health center, inc., the supporting organization. Baker county medical services sp is a segregated portfolio which provides malpractice insurance for medical services.

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IRS990/MissionDesc0PROVISION OF ACUTE CARE AND LONG-TERM HEALTHCARE SERVICES TO CITIZENS OF BAKER COUNTY AND THE SURROUNDING AREA.
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IRS990/OtherExpensesGrp/Desc1REPAIRS AND MAINTENANCE
IRS990/OtherExpensesGrp/Desc2NURSING HOME ASSESSMENT
IRS990/OtherExpensesGrp/Desc3PROVIDER TAX
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IRS990/OtherExpensesGrp/ProgramServicesAmt2387399
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IRS990/OtherExpensesGrp/TotalAmt2387399
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IRS990/OtherRevenueMiscGrp/Desc0EHR REVENUE
IRS990/OtherRevenueMiscGrp/Desc1CAFETERIA
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IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt025955569
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IRS990/PYExcessBenefitTransInd0false
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IRS990ScheduleD/OtherAssetsOrgGrp/Desc0DUE FROM BCHC
IRS990ScheduleD/OtherAssetsOrgGrp/Desc1DEFERRED ANNUITY
IRS990ScheduleD/OtherAssetsOrgGrp/Desc2CAPITAL LEASE FINANCING COSTS
IRS990ScheduleD/OtherAssetsOrgGrp/Desc3OTHER RECEIVABLES
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IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0THIRD PARTY SETTLEMENTS
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0MEDICAL SERVICES AND BCHC ARE NOT-FOR-PROFIT CORPORATIONS THAT HAVE BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. BAKER COUNTY MEDICAL SERVICES SP INTENDS TO CONDUCT ITS AFFAIRS IN A MANNER IN WHICH IT WILL NOT BE SUBJECT TO U.S. FEDERAL INCOME TAX. 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 BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF SEPTEMBER 30, 2017 AND 2016 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. LEGEND: BCHC IS BAKER COMMUNITY HEALTH CENTER, INC., THE SUPPORTING ORGANIZATION. BAKER COUNTY MEDICAL SERVICES SP IS A SEGREGATED PORTFOLIO WHICH PROVIDES MALPRACTICE INSURANCE FOR MEDICAL SERVICES.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PAGE 3, PART X
IRS990ScheduleD/TotalBookValueLandBuildingsAmt013985620

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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
2017Detailed filing. Detailed filing data is available for this year.$37.3$11.3$26.0$27.4$27.1$0.37
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