2023-03-07T16:10:19-06:00 2021-06-30 366055558 GRANT THORNTON LLP 2001 MARKET STREET SUITE 700 PHILADELPHIA PA 19103 990 2020-07-01 510064318 BAYHEALTH MEDICAL CENTER INC BAYH 3027447162 640 SOUTH STATE STREET DOVER DE 19901 MICHAEL J TRETINA TREASURER & CFO 3027447162 2023-03-07 1 MICHAEL TRETINA 999009999 ALYCIA SOLECKI P01272637 2155614200 0 AAL1 IAL1 2020 2023-04-26 12:10:37Z TERRY M MURPHY 640 SOUTH STATE STREET DOVER DE 19901 1048766834 0 X WWW.BAYHEALTH.ORG X 1943 DE TO STRENGTHEN THE HEALTH OF OUR COMMUNITY, ONE LIFE AT A TIME. 9 3 4620 282 0 0 988910 17175448 681812069 801143134 16297731 36860395 42189237 6330322 741287947 861509299 308810 183600 0 0 414385317 441524866 0 0 0 281876488 335256877 696570615 776965343 44717332 84543956 1383876273 1592804671 443889755 433971239 939986518 1158833432 X TO STRENGTHEN THE HEALTH OF OUR COMMUNITY, ONE LIFE AT A TIME. 0 0 531064162 183600 801143134 SEE SCHEDULE OBAYHEALTH MEDICAL CENTER, INC. PROVIDES A FULL RANGE OF PATIENT CARE, EMERGENCY SERVICES, AND WELLNESS SERVICES. BAYHEALTH MEDICAL CENTER IS COMPRISED OF A TOTAL OF 394 BEDS IN TWO ACUTE-CARE HOSPITALS, KENT GENERAL HOSPITAL IN DOVER (266 BEDS) AND MILFORD MEMORIAL HOSPITAL (128 BEDS). BAYHEALTH ALSO HAS OUTPATIENT SITES THROUGHOUT THE SERVICE AREA. BOTH HOSPITALS HAVE LEVEL III TRAUMA CENTERS. THEY PROVIDE A FULL RANGE OF SURGICAL AND MEDICAL CARE; RADIATION AND MEDICAL ONCOLOGY AND CHEMOTHERAPY; INFUSION THERAPY; CARDIOVASCULAR SERVICES; ENDOVASCULAR SURGERY; ELECTROPHYSIOLOGY; AMBULATORY SURGERY; WOUND CARE, PERINATOLOGY SERVICES, AND A LEVEL II NICU AND PICU. DURING THE TWELVE MONTHS ENDING JUNE 30, 2021, BAYHEALTH RECORDED 90,135 EMERGENCY ROOM VISITS, 18,346 PATIENTS ADMITTED TO BEDS, 2,160 BIRTHS, 515,834 OUTPATIENT VISITS, AND PROVIDED $73.2 MILLION IN UNREIMBURSED CARE TO PATIENTS.BAYHEALTH HAS AFFILIATIONS WITH THE UNIVERSITY OF PENNSYLVANIA'S PENN HEALTH IN CARDIOLOGY, ONCOLOGY, AND ORTHOPAEDICS. IT PROVIDES PHYSICIAN AND MEDICAL CLINICAL ROTATIONS, HOUSING, AND MEALS FOR INTERNS AND RESIDENTS FROM SURROUNDING STATES. IN FY 2020, BAYHEALTH HOSTED STUDENTS FROM VOCATIONAL SCHOOLS, COMMUNITY COLLEGES, AND UNIVERSITIES FOR CLINICAL ROTATIONS IN NURSING AND OTHER HEALTH PROFESSIONS. BECAUSE THE SERVICE AREA IS DEEMED TO BE MEDICALLY UNDERSERVED, WITH A SHORTAGE OF HEALTH PROFESSIONALS, BAYHEALTH ACTIVELY RECRUITS PHYSICIANS TO THE AREA. IN ADDITION, IT OWNS AND OPERATES 34 PHYSICIAN PRACTICES IN CENTRAL AND SOUTHERN DELAWARE.BAYHEALTH HAS AN ACTIVE EDUCATION PROGRAM, INCLUDING HEALTH-RELATED CLASSES, SUPPORT GROUPS, FREE PUBLIC SCREENINGS, FREE SPEAKERS FOR COMMUNITY GROUPS, AND REPRESENTATION AT COMMUNITY EVENTS.BAYHEALTH MEDICAL CENTER, INC. PROVIDES CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR THE SERVICES RENDERED. 531064162 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 531 0 1 4620 1 0 0 0 0 0 0 0 0 0 0 1 0 X 9 3 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X MICHAEL TRETINA 3027447162 640 S STATE STREET DOVER DE 19901 TERRY M MURPHY CHAIR & CEO 38.00 2.00 X X 1619267 0 45060 GARY SIEGELMAN MD SVP & CMO 40.00 0.00 X X 820716 0 28005 MICHAEL J TRETINA TREASURER & CFO 38.00 2.00 X X 681775 0 45060 DEBORAH WATSON VICE CHAIR COO 40.00 0.00 X X 666855 0 37207 BRENDA BLAIN SR VP, PT CARE 40.00 0.00 X 392584 0 28005 MICHAEL ASHTON ADMINISTRATOR 40.00 0.00 X 313766 0 45060 CRAIG D HOCHSTEIN MD BOARD MEMBER 1.00 0.00 X 0 0 0 MICHAEL P MEYER DO BOARD MEMBER 1.00 0.00 X 0 0 0 GURMEET SINGH DO BOARD MEMBER 1.00 0.00 X 0 0 0 JONATHAN KAUFMANN DO CMIO 40.00 0.00 X 429022 0 45060 JOHN VAN GORP SVP, PLANNING & BUSINESS DEVEL 40.00 0.00 X 423869 0 45060 RICHARD MOHNK VP & CIO 40.00 0.00 X 353857 0 37207 SHANA ROSS VP, HUMAN RESOURCES 40.00 0.00 X 360500 0 28005 BRADLEY KIRKES VP, ANCILLARY & CLINICAL SERVI 40.00 0.00 X 327185 0 37207 DAWN TARTAGLIONE MD PHYSICIAN 40.00 0.00 X 1133539 0 37207 GARY W SZYDLOWSKI MD STAFF PHYSICIAN 40.00 0.00 X 824276 0 37207 TRINITY PILKINGTON MD PHYSICIAN 40.00 0.00 X 788250 0 45060 AMIT GOYAL MD STAFF PHYSICIAN 40.00 0.00 X 774639 0 45060 JOHN LAHANIATIS MD PHYSICIAN 40.00 0.00 X 790518 0 27878 ERIC GLOSS FORMER VP MEDICAL AFFAIRS 0.00 0.00 X 367746 0 20107 11068364 0 633455 607 1 1 0 MCKESSON DRUG COMPANY 6000 FELDWOOD RD LOCKBOX 409521 COLLEGE PARK GA 30349 PHARMACEUTICALS 43922973 CARDINAL HEALTH 7000 CARDINAL PLACE DUBLIN OH 43017 SUPPLIES 17450803 ZONES LLC 1102 15TH ST SW STE 102 AUBURN WA 98001 IT EQUIPMENT 9139642 APOGEE MEDICAL MANAGEMENT 15059 N SCOTTSDALE RD SCOTTSDALE AZ 85254 HOSPITALISTS 8118830 WHITING-TURNER CONTRACTING COMPANY 300 EAST JOPPA RD BALTIMORE MD 21286 CONSTRUCTION 7673751 325 17175448 17175448 PATIENT CHARGES 900099 792625895 792625895 PHARMACY 900099 8427576 8427576 HEALTH & WELLNESS PROGRAM 900099 89663 89663 801143134 18082466 18082466 525844 404900 120944 120944 120944 186129697 19500867 167217502 19635133 18912195 -134266 18777929 18777929 GIFT SHOP/FOOD SALES 900099 2788426 2788426 OTHER REVENUE 900099 2675272 2675272 CHILDCARE REVENUE 900099 745680 745680 6209378 861509299 801143134 0 43190717 183600 183600 6810333 6810333 387853 387853 334262370 247818131 86444239 12621118 1738960 10882158 67134704 9249937 57884767 20308488 2798139 17510349 1936725 1936725 382917 382917 2329822 2329822 3916441 3916441 772070 772070 3589266 1170446 2418820 10204486 10204486 1522576 1522576 5041266 5041266 48426622 48426622 7868467 1442788 6425679 DEPARTMENTAL SUPPLIES 138860084 84052923 54807161 PATIENT BAD DEBT 42962901 42962901 OTHER PURCHASED SERVICE 26507006 26507006 MAINTENANCE 17945764 17945764 22990464 22990464 776965343 531064162 245901181 0 151069722 130175648 63683840 70851551 17991463 22703076 28548694 21758298 949612413 407468921 551148649 542143492 556686466 768283470 14747439 36889136 1383876273 1592804671 193372653 207741304 183183428 202968668 67333674 23261267 443889755 433971239 X 926458701 1144505415 13527817 14328017 939986518 1158833432 1383876273 1592804671 X 84543956 98711601 35591357 X 0 1 X 1 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 34467092 34467092 428392927 132866038 295526889 7413352 4837882 2575470 446131096 269765001 176366095 33207946 33207946 542143492 ESTIMATED PROFESSIONAL LIABILITY 13696131 ESTIMATED WORKERS COMP COST, L/T 1960944 FAIR VALUE OF INTEREST SWAP 274122 RETIREMENT BENEFITS 7330070 23261267 1036950110 98711601 78564256 177275857 859674253 2329823 -494777 1835046 861509299 732167396 404900 404900 731762496 2329823 42873024 45202847 776965343 PART XI, LINE 2D - OTHER ADJUSTMENTS: CHG IN BENEFICIAL INT IN PERPETUAL TRUST 1,369,035. CHG IN BENEFICIAL INTEREST IN NA OF BHF 3,611,243. CHG IN BENEFIT OBLIGATIONS 30,359,194. CHG IN FAIR VALUE OF INTEREST RATE SWAP 261,883. PATIENT BAD DEBT 42,962,901. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -404,900. K-1 EXPENSES -89,877. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 404,900. PART XII, LINE 4B - OTHER ADJUSTMENTS: K-1 EXPENSES -89,877. PATIENT BAD DEBT 42,962,901. 1 1 X 0 1 X 1 1 0 1 1 10238107 10238107 0.01320 63168075 60036976 3131099 0.00400 73406182 60036976 13369206 0.01720 2821177 2821177 0.00360 8382505 8382505 0.01080 30016200 30016200 0.03860 1515788 1515788 0.00200 2017545 2017545 0.00260 44753215 44753215 0.05760 118159397 60036976 58122421 0.07480 1088387 1088387 0.00140 26895 26895 0.00000 774 774 0.00000 967679 967679 0.00120 1183715 1183715 0.00150 17629 17629 0.00000 3285079 3285079 0.00410 0 13395349 182701422 242738397 -60036975 X 1 1 1 PREMIER PURCHASING PTNRS LP GROUP PURCHASING 0.00240 2 DOVER MEDICAL PROPERTIES REAL ESTATE 0.00460 3 HEALTHPARTNERS DELMARVA LLC HEALTHCARE COLLABORATION 0.50000 4 HOME HEALTH AT BAYADA JOINT VENTURE 0.48000 2 1 BAYHEALTH KENT CAMPUS 640 S STATE STREET DOVER DE 19901 WWW.BAYHEALTH.ORG X X X A 2 BAYHEALTH SUSSEX CAMPUS 100 WELLNESS WAY MILFORD DE 19963 WWW.BAYHEALTH.ORG X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X 19 1 1 1 1 X WWW.BAYHEALTH.ORG/ABOUT-US X 1 19 1 WWW.BAYHEALTH.ORG/ABOUT-US 0 0 0 1 X X X 1 X WWW.BAYHEALTH.ORG X WWW.BAYHEALTH.ORG X WWW.BAYHEALTH.ORG X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: BAYHEALTH KENT CAMPUS, - FACILITY 2: BAYHEALTH SUSSEX CAMPUS FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5: ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITYTO BETTER UNDERSTAND THE HEALTH NEEDS IN BAYHEALTH'S SERVICE AREA, BAYHEALTH CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). BAYHEALTH ANALYZED A VARIETY OF PUBLICLY REPORTED DATA AND GATHERED INPUT FROM KEY STAKEHOLDERS IN KENT AND SUSSEX COUNTY. DILIGENT ATTEMPTS WERE MADE TO COLLECT, INTERVIEW, AND SURVEY RESPONSES FROM INDIVIDUALS AND COMMUNITY-BASED ORGANIZATIONS TO GAIN INSIGHT ON THE NEEDS OF VULNERABLE FAMILIES IN KENT AND SUSSEX COUNTY.THE 2019 NEEDS ASSESSMENT RESULTS REVEALED OPPORTUNITIES FOR IMPROVEMENT IN HEALTH PROMOTION, DISEASE PREVENTION AND IMPROVING ACCESS TO HEALTH CARE IN KENT AND SUSSEX COUNTY, DE. THE NEEDS ASSESSMENT TEAM COLLATED INTERVIEW AND SURVEY RESPONSES IN ORDER TO PRIORITIZE IDENTIFIED HEALTH NEEDS AND DEVELOP IMPLEMENTATION STRATEGIES TO FULFILL BAYHEALTH'S MISSION. BASED ON THE ANALYSIS IN 2019, THE FOLLOWING HEALTH NEEDS AS A PRIORITY FOR BOTH KENT AND SUSSEX COUNTY ARE: MENTAL HEALTH, OBESITY, CANCER, AND AVAILABILITY OF PROVIDERS.DESCRIPTION OF COMMUNITY SERVED:KENT COUNTY IS LOCATED IN THE CENTRAL PART OF THE STATE OF DELAWARE. DOVER IS THE COUNTY SEAT AND THE STATE'S CAPITAL. HISTORICALLY, A RURAL FARMLAND COMMUNITY, KENT COUNTY IS ATTEMPTING TO PRESERVE ITS FARMLAND AND NATURAL RESOURCES WHILE EFFECTIVELY MANAGING THE POPULATION GROWTH THAT IS OCCURRING IN THE COUNTY. KENT COUNTY HAS A POPULATION OF 180,786. THE COUNTY POPULATION HAS GROWN 11.4% SINCE 2010, WHICH IS HIGHER THAN THE STATE AVERAGE RATE OF APPROXIMATELY 8.4% FOR THE SAME TIME FRAME. THE MOST PREVALENT RACE IN KENT COUNTY IS WHITE, WHICH REPRESENT OVER 65.6% OF THE TOTAL POPULATION. THE AVERAGE KENT COUNTY EDUCATION LEVEL IS SLIGHTLY LOWER THAN THE STATE AVERAGE.BAYHEALTH KENT CAMPUS, ONE OF THE TWO HOSPITAL FACILITIES OWNED AND OPERATED BY BAYHEALTH, OPENED ITS DOORS IN 1927. BAYHEALTH KENT CAMPUS HAS GROWN IN SIZE AND SERVICES TO MEET THE HEALTH NEEDS OF THE COMMUNITIES SERVED. BAYHEALTH KENT CAMPUS' BUILDINGS, INCLUDE A COMPLEX COMPOSED OF AN ORIGINAL THREE-STORY CORE BUILDING RECENTLY EXPANDED TO SEVEN FLOORS, PLUS TWO MAJOR WINGS AND A SEPARATE SIX-STORY PATIENT CARE BUILDING. IN 2012, BAYHEALTH INVESTED 168 MILLION DOLLARS TO COMPLETE PHASE II CONSTRUCTION OF BAYHEALTH KENT CAMPUS, PART OF BAYHEALTH'S 10 YEAR STRATEGIC PLAN DESIGNED TO ADDRESS PRESENT AND FUTURE HEALTH CARE NEEDS. PHASE II ADDED 415,000 SQUARE FEET TO THE KENT CAMPUS CONSTRUCTING A NEW WELCOME CENTER, CENTRAL SERVICES BUILDING, EXPANDED EMERGENCY DEPARTMENT, INTEGRATED CANCER CENTER AND PARKING GARAGE. IN 2015, BAYHEALTH OPENED THE PROGRESSIVE CARE UNIT (PCU) TO SERVE PATIENTS WHO NEED STEP-DOWN CARE.BAYHEALTH'S CHNA FOCUSES ON THE RESIDENTS OF KENT COUNTY. APPROXIMATELY 73% OF BAYHEALTH'S KENT CAMPUS PATIENTS ORIGINATE FROM KENT COUNTY. MOREOVER, KENT COUNTY RESIDENTS RELY HEAVILY ON THE KENT CAMPUS FOR INPATIENT SERVICES, AS EVIDENCED BY THE APPROXIMATE 85% OF KENT COUNTY RESIDENTS WHO UTILIZED BAYHEALTH'S KENT GENERAL FOR INPATIENT SERVICES.BAYHEALTH SUSSEX CAMPUS, LOCATED ON THE BORDER OF KENT AND SUSSEX COUNTIES, HAS BEEN OFFERING QUALITY HEALTHCARE SINCE 1938. IN FEBRUARY 2018, BAYHEALTH INVESTED $300 MILLION TO COMPLETE A NEW ACUTE CARE FACILITY (BAYHEALTH SUSSEX CAMPUS) REPLACING THE EXISTING MILFORD MEMORIAL HOSPITAL. BUILT ON A 169 ACRE SITE, APPROXIMATELY THREE MILES SOUTHEAST OF THE EXISTING MILFORD MEMORIAL CAMPUS, THE NEW HOSPITAL IS STRATEGICALLY LOCATED ALONG DELAWARE ROUTE 1, THE MAJOR NORTH - SOUTH HIGHWAY IN THE STATE AND 20 MILES SOUTH OF THE KENT CAMPUS. THE HOSPITAL OFFERS 128 SINGLE INPATIENT ROOMS MAKING IT THE ONLY 100% PRIVATE ROOM FACILITY IN THE STATE. SERVICE ENHANCEMENTS INCLUDE A SIGNIFICANTLY EXPANDED EMERGENCY DEPARTMENT, THE LATEST RADIATION THERAPY SERVICES FOR THE TREATMENT OF CANCER, A CARDIAC CATHETERIZATION LAB AND STATE OF THE ART SURGICAL SUITES.SUSSEX COUNTY IS LOCATED IN THE SOUTHERN PART OF THE STATE OF DELAWARE. THE COUNTY SEAT IS GEORGETOWN. HISTORICALLY, A RURAL FARMLAND COMMUNITY, SUSSEX COUNTY IS ATTEMPTING TO PRESERVE ITS FARMLAND AND NATURAL RESOURCES WHILE EFFECTIVELY MANAGING THE POPULATION GROWTH THAT IS OCCURRING IN THE COUNTY. SUSSEX COUNTY HAS A POPULATION OF 234,225, MAKING IT THE SECOND LARGEST COUNTY IN THE STATE IN TERMS OF THE SIZE OF ITS POPULATION. THE POPULATION HAS GROWN 18.8% SINCE 2010, WHICH IS MUCH HIGHER THAT THE STATE AVERAGE RATE OF APPROXIMATELY 8.4% FOR THE SAME TIME FRAME. THE MOST PREVALENT RACE IN SUSSEX COUNTY IS WHITE, WHICH CURRENTLY REPRESENTS OVER 83% OF THE TOTAL POPULATION. THE AVERAGE EDUCATION LEVEL IN SUSSEX COUNTY IS SLIGHTLY LOWER THAN THE STATE AVERAGE.SUSSEX COUNTY IS HOME TO THREE ACUTE CARE HOSPITAL FACILITIES: BAYHEALTH'S SUSSEX CAMPUS, BEEBE MEDICAL CENTER IN LEWES, AND NANTICOKE HEALTH SERVICES IN SEAFORD. THESE THREE HOSPITALS ARE JOINING WITH LOCAL COMMUNITY AND HEALTH RESOURCES TO FOCUS ON ONE MISSION - TO MAKE SUSSEX COUNTY ONE OF THE HEALTHIEST IN THE NATION. AS PART OF THE HEALTHIER SUSSEX COUNTY INITIATIVE, BAYHEALTH WILL FOCUS ON ADDRESSING IMPORTANT HEALTH ISSUES IMPACTING RESIDENTS OF SUSSEX COUNTY.BAYHEALTH SUSSEX CAMPUS COMMUNITY HEALTH NEEDS ASSESSMENT FOCUSES ON THE RESIDENTS OF SUSSEX COUNTY, THE HOME COUNTY OF THE HOSPITAL. APPROXIMATELY 73% OF SUSSEX CAMPUS PATIENTS ORIGINATE FROM SUSSEX COUNTY.WHO WAS INVOLVED IN THE ASSESSMENT:THE ASSESSMENT PROCESS WAS INITIATED JOINTLY BY THE EDUCATION AND STRATEGIC PLANNING DEPARTMENTS OF BAYHEALTH. THE ASSESSMENT WAS PRIMARILY CONDUCTED BY THE EDUCATION DEPARTMENT.TO GAIN FEEDBACK FROM PERSONS WITH BROAD KNOWLEDGE OF THE COMMUNITY SERVED, BAYHEALTH SOUGHT INPUT FROM BOTH COMMUNITY MEMBERS AND COMMUNITY STAKEHOLDERS. BAYHEALTH WAS ABLE TO OBTAIN INPUT FROM 876 COMMUNITY MEMBERS OF KENT COUNTY AND 1,050 COMMUNITY MEMBERS RESIDING IN SUSSEX COUNTY. COMMUNITY STAKEHOLDERS INCLUDED:--HOPE MEDICAL CLINIC--DELAWARE DIVISION OF PUBLIC HEALTH DEPARTMENT OF HEALTH AND SOCIAL SERVICES 1. JAMES W. WILLIAMS STATE SERVICE CENTER 2. THURMAN ADAMS STATE SERVICE CENTER 3. DELAWARE DIVISION OF PUBLIC HEALTH OFFICE OF MINORITY HEALTH 4. DELAWARE DIVISION OF PUBLIC HEALTH OFFICE OF WOMEN'S HEALTH 5. DELAWARE DIVISION OF PUBLIC HEALTH NURSING 6. DELAWARE DIVISION OF PUBLIC HEALTH SOCIAL SERVICES--LARED MEDICAL CENTER--WESTSIDE FAMILY HEALTH CENTER--PA/MIDATLANTIC AIDS EDUCATION AND TRAINING CENTER--BAYHEALTH HIGH SCHOOL WELLNESS CENTERS, ADVANCED PRACTICE NURSES 1. CAESAR RODNEY 2. LAKE FOREST 3. DOVER 4. MILFORD 5. SMYRNA 6. WOODBRIDGE 7. POLYTECH--COMMUNITY PHYSICIANSPERSONAL INVITATIONS WERE EXTENDED TO COMMUNITY PARTNER ORGANIZATIONS WHO INTERACT WITH LOW-INCOME GROUPS TO PARTICIPATE IN ONE-ON-ONE INTERVIEWS REGARDING THE HEALTH NEEDS OF KENT COUNTY RESIDENTS. THE GOAL WAS TO ALERT BAYHEALTH PARTNERS WITH THE 2019 ONLINE SURVEY, GARNER THEIR PARTICIPATION, AND HELP US IDENTIFY THE HEALTH NEEDS OF BOTH KENT AND SUSSEX RESIDENTS.HOW THE ASSESSMENT WAS CONDUCTED:QUANTITATIVE AND QUALITATIVE ANALYSES METHODS WERE UTILIZED TO GENERATE A COMPREHENSIVE ASSESSMENT TO FULLY UNDERSTAND THE HEALTH NEEDS OF THE COMMUNITY SERVED. QUANTITATIVE ANALYSES WERE CONDUCTED USING THE MOST RECENT DATA AVAILABLE FROM FIVE PRIMARY SOURCES:--DELAWARE HEALTH TRACKER (A PRODUCT OF THE HEALTHY COMMUNITY NETWORK);--COUNTY HEALTH RANKINGS & ROADMAPS (A COLLABORATION BETWEEN THE ROBERT WOOD JOHNSON FOUNDATION AND THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE);--DEMOGRAPHIC DATA FROM THE DELAWARE POPULATION CONSORTIUM;--DELAWARE HEALTH STATISTICS CENTER; AND,--DEMOGRAPHIC AND SOCIOECONOMIC DATA FROM THE US CENSUS BUREAU.TO GAIN INSIGHT, BAYHEALTH REVIEWED AVAILABLE DATA TO COMPARE HEALTH STATISTICS AT THE STATE AND COUNTY LEVELS TO IDENTIFY AREAS OF HEALTH DISPARITY. BASED ON THIS ANALYSIS, THE EDUCATION DEPARTMENT OF BAYHEALTH DEVELOPED DISCUSSION TOPICS FOR A VARIETY OF COMMUNITY ENGAGEMENTS, INCLUDING INTERVIEWS WITH KEY STAKEHOLDERS, FOCUS GROUPS, AND ONLINE SURVEYS. A VARIETY OF COMMUNITY SETTINGS WERE SELECTED WITH A SPECIAL EMPHASIS ON THOSE PERSONS AND AREAS MOST IMPACTED BY HEALTH DISPARITIES. THEMATIC ANALYSIS IDENTIFIED HEALTH NEEDS BASED ON AVAILABLE QUANTITATIVE DATA AND RESPONSES FROM INTERVIEWS AND ONLINE SURVEYS.PRIORITY CRITERIA AND OUTCOMES:THE CRITERIA USED TO EVALUATE AND PRIORITIZE THE HEALTH NEEDS IDENTIFIED THROUGH THE FACT-FINDING PROCESS INCLUDED:--THE SERIOUSNESS OF THE ISSUE;--THE RELATIVE SIZE OF THE POPULATIONS AFFECTED;--THE DEGREE TO WHICH THE NEED PARTICULARLY AFFECTED PERSONS LIVING IN POVERTY OR REFLECTED HEALTH DISPARITIES;--ALIGNMENT WITH BAYHEALTH'S MISSION AND VISION; AND ,--AVAILABILITY OF COMMUNITY RESOURCES TO ADDRESS THE NEED. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A: AFTER CLOSE REVIEW OF THE COMMUNITY DATA AND DISCUSSIONS WITH MEDICAL STAFF MEMBERS OF BAYHEALTH, HEALTH NEEDS WERE PRIORITIZED JOINTLY BY THE EDUCATION AND STRATEGIC PLANNING DEPARTMENTS. BAYHEALTH'S ADMINISTRATION WAS GIVEN THE OPPORTUNITY TO DISCUSS AND REPRIORITIZE AS NEEDED. THE FOUR HEALTH CONCERNS IDENTIFIED AS PRIORITY ISSUES ARE: 1. MENTAL HEALTH 2. OBESITY 3. CANCER 4. AVAILABILITY OF PROVIDERSLIST OF OTHER HOSPITAL FACILITIES THAT JOINTLY CONDUCTED NEEDS ASSESSMENTBAYHEALTH KENT CAMPUSBAYHEALTH SUSSEX CAMPUS FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6B: CHNA CONDUCTED BY ORGNIZATIONS OTHER THAN HOSPITALBAYHEALTH WORKED WITH DELAWARE DIVISONS OF SOCIAL SERVICES, PUBLIC HEALTH, HOSPITAL OF CHRONICALLY ILL THE COMMISSION OF VETERANS AFFAIRS AND VARIOUS OTHER AGENCIES ON THE ASSESSMENTS FOR KENT AND SUSSEX COUNTIES.BAYHEALTH DID IDENTIFY NEEDS WHICH IT WAS NOT ABLE TO ADDRESS AS PART OF ITS PLAN AS WITH OTHER ORGANIZATIONS THERE ARE LIMITED FINANCIAL AND CAPACITY ISSUES. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11: HOW SIGNIFICANT NEEDS IDENTIFIED IN MOST RECENT CHNA HAVE BEEN ADDRESSED:BAYHEALTH'S 2019 COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED THE FOLLOWING FOUR HEALTH CONCERNS IDENTIFIED AS PRIORITY ISSUES AT OUR KENT AND MILFORD HOSPITALS. 1. MENTAL HEALTH 2. OBESITY 3. CANCER 4. AVAILABLITY OF PROVIDERSBAYHEALTH HAS BEEN ACTIVELY PROMOTING HEALTH AWARENESS AND ADDRESSING THE ABOVE CONCERNS THROUGH OUR ROUTINE ACTIVITIES OFFERED ON A REGULAR BASIS WHICH INCLUDE COMMUNITY SCREENINGS, CLINICS AND FREE ACTIVITIES FOR OUR PATIENT POPULATION. PACE (PROMOTING ACTIVE COMMUNITY ENGAGEMENT) CLINICS ARE HELD MONTHLY AT SLAUGHTER NECK COMMUNITY CENTER IN LINCOLN, HOUSE OF HOPE SHELTER IN DOVER, BAGLEY HALL IN DOVER, DOVER INTERFAITH MISSION IN DOVER. PACE CLINICS IS A FREE PROGRAM FOR ANYONE IN BAYHEALTH'S SERVICE ARE WHO IS INTERESTED IN HEALTHIER LIVING, BUT IS ESPECIALLY DESIGNED FOR PEOPLE WITH CHRONIC CONDITIONS SUCH AS DIABETES, OBESITY, COPD, AND DEPRESSION, THOSE AT RISK FOR HEART ATTACK AND STROKE, AND THOSE DEALING WITH TOBACCO, ALCOHOL, AND DRUG ABUSE. THESE CLINICS INCLUDE INDIVIDUALIZED COUNSELING FROM A REGISTERED NURSE BASED ON EACH PATIENT'S HEALTH PROBLEMS, MEDICATIONS, AND BLOOD PRESSURE AND WEIGHT.ONCOLOGY ATTENDS COMMUNITY EVENTS WITH US AND OFFERS INFORMATION FOR FREE/LOW COST CANCER SCREENING EXAMS INCLUDING PROSTATE, SKIN AND MAMMOGRAMS, AS WELL AS EDUCATION ON PREVENTING CANCER.TO INCREASE ACCESS AND AWARENESS OF EXISTING HEALTH CARE SERVICES TO MEET THE COMMUNITIES' NEEDS, BAYHEALTH OFFERS LECTURE SERIES QUARTERLY IN DOVER AND MILFORD. THESE EVENTS PROVIDE FREE EDUCATION ON HEALTH-RELATED TOPICS SUCH AS CANCER, HEALTHY EATING AND PERSONAL CARE FOR GROWING OLDER, AS WELL AS INFORMATION ON PROGRAMS AND SERVICES OFFERED IN THE COMMUNITY. WE AVERAGE ABOUT 200 ATTENDEES ANNUALLY BETWEEN THE SITES.LARGE SCALE COMMUNITY EVENTS, WHERE SCREENINGS AND INFORMATION ARE AVAILABLE, INCLUDE BOTH OUR KENT AND SUSSEX HEALTH FAIRS; THE RIVER WALK EVENT; LA VIDA EVENTS PARTNERED WITH DBCC; WOMEN'S HEALTH EVENTS AT DAFB; 55+ AT DOVER DOWNS, AND THE GREAT AMERICAN SMOKE OUT. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 13B: CRITERIA FOR PROVIDING DISCOUNTED CARE IF NOT FPGBAYHEALTH DOES NOT HAVE A TIERED FINANCIAL ASSISTANCE PROGRAM, ALL UNINSURED PATIENTS RECEIVE A 10% DISCOUNT ON SERVICE PROVIDED. 63 1 - EDEN HILL OUTPATIENT IMAGING CENTER 200 BANNING ST SUITE 140 DOVER DE 19904 OUTPATIENT DIAGNOSTIC CENTER 2 - MILFORD OUTPATIENT IMAGING 1020 MATTLIND WAY MILFORD DE 19963 OUTPATIENT DIAGNOSTIC CENTER 3 - HARRINGTON OUTPATIENT CENTER 201 SHAW AVE HARRINGTON DE 19952 OUTPATIENT SERVICE CENTER 4 - MIDDLETOWN MEDICAL CENTER 209 E MAIN ST MIDDLETOWN DE 19709 OUTPATIENT SERVICE CENTER 5 - MILTON OUTPATIENT CENTER 632 MULBERRY ST MILTON DE 19968 OUTPATIENT SERVICE CENTER 6 - WOMENS CENTER - DOVER 540 S GOVERNORS AVE SUITE 200 DOVER DE 19901 OUTPATIENT SERVICE CENTER 8 - WOMEN'S CENTER AT MILFORD 1020 MATTLIND WAY MILFORD DE 19963 OUTPATIENT SERVICE CENTER 9 - SMYRNA-CLAYTON PROFESSIONAL CENTER 401 N CARTER ROAD SMYRNA DE 19977 OUTPATIENT SERVICE CENTER 11 - BAYHEALTH WOMEN'S CARE ASSOC MILFORD 101 WELLNESS WAY SUITE 300 MILFORD DE 19963 OUTPATIENT PHYSICIAN CLINIC 18 - BAYHEALTH HEART & VASCULAR 112 SUSSEX AVE STE 201 MILFORD DE 19963 OUTPATIENT PHYSICIAN CLINIC 19 - BAYHEALTH ENDOCRINOLOGY MILFORD 101 WELLNESS WAY SUITE 300 MILFORD DE 19963 OUTPATIENT PHYSICIAN CLINIC 20 - BAYHEALTH ENT DOVER 826 S GOVERNORS AVE DOVER DE 19901 OUTPATIENT PHYSICIAN CLINIC 21 - WELLNESS CENTER AT CAESAR RODNEY HIGH SCHO 239 OLD NORTH ROAD CAMDEN DE 19934 SCHOOL-BASED WELLNESS CENTER 22 - WELLNESS CENTER AT MILFORD HIGH SCHOOL 1019 N WALNUT ST MILFORD DE 19963 SCHOOL-BASED WELLNESS CENTER 23 - WELLNESS CENTER AT SMYRNA HIGH SCHOOL 500 DUCK CREEK PARKWAY SMYRNA DE 19977 SCHOOL-BASED WELLNESS CENTER 24 - WELLNESS CENTER AT WOODBRIDGE HIGH SCHOOL 14712 WOODBRIDGE RD GREENWOOD DE 19950 SCHOOL-BASED WELLNESS CENTER 25 - BAYHEALTH ENT MILFORD 101 WELLNESS WAY SUITE 300 MILFORD DE 19963 OUTPATIENT PHYSICIAN CLINIC 26 - BAYHEALTH GENERAL SURGERY - SUSSEX 101 WELLNESS WAY MILFORD DE 19963 OUTPATIENT PHYSICIAN CLINIC 27 - BAYHEALTH FAMILY PRACTICE GEORGETOWN 25 BRIDGEVILLE RD GEORGETOWN DE 19947 OUTPATIENT PHYSICIAN CLINIC 28 - BAYHEALTH MEDICAL GRP ORTHOPAEDIC DOVER 655 BAY RD STE F1 DOVER DE 19901 OUTPATIENT PHYSICIAN CLINIC 29 - BAYHEALTH HEART & VASCULAR 200 BANNING ST SUITE 340 DOVER DE 19904 OUTPATIENT PHYSICIAN CLINIC 32 - DOVER OCCUPATIONAL HEALTH 1275 SOUTH STATE STREET DOVER DE 19901 OCCUPATIONAL HEALTH SERVICES 33 - MILFORD OCCUPATIONAL HEALTH & URGENTCARE 800 N DUPONT BLVD MILFORD DE 19963 OCCUPATIONAL HEALTH SERVICES AND WALK-IN URGENT CARE SERVICES 34 - KENT OUTPATIENT IMAGING-DOVER 540 S GOVERNORS AVE DOVER DE 19901 OUTPATIENT DIAGNOSTIC CENTER 35 - WELLNESS CENTER AT LAKE FOREST HIGH SCHOOL 5407 KILLENS POND ROAD FELTON DE 19943 SCHOOL-BASED WELLNESS CENTER 36 - WELLNESS CENTER AT POLYTECH HIGH SCHOOL 823 WALNUT SHADE ROAD WOODSIDE DE 19980 SCHOOL-BASED WELLNESS CENTER 37 - WELLNESS CENTER AT DOVER HIGH SCHOOL 1 DOVER HIGH DRIVE DOVER DE 19904 SCHOOL-BASED WELLNESS CENTER 39 - BAYHEALTH UROLOGY 101 WELLNESS WAY SUITE 300 MILFORD DE 19963 OUTPATIENT PHYSICIAN CLINIC 40 - BAYHEALTH GENERAL SURGERY DOVER 724 S NEW STR DOVER DE 19901 OUTPATIENT PHYSICIAN CLINIC 43 - CARDIAC DIAGNOSTIC CTR-MILFORD 802 N DUPONT HWY MILFORD DE 19963 OUTPATIENT DIAGNOSTIC CENTER 45 - BAYHEALTH SLEEP CARE CENTER 103 WOLF CREEK BLVD SUITE 2 DOVER DE 19901 OUTPATIENT SERVICES CENTER 47 - BAYHEALTH SLEEP CARE CENTER ABBY MED CTR 1 CENTURIAN DRIVE NEWARK DE 19711 OUTPATIENT SERVICES CENTER 48 - BAYHEALTH SLEEP CARE CENTER 291 CARTER DRIVE MIDDLETOWN DE 19709 OUTPATIENT SERVICES CENTER 49 - BAYHEALTH SLEEP CARE CENTER 2 LEE AVE GEORGETOWN DE 19947 OUTPATIENT SERVICES CENTER 50 - FAMILY MEDICINE-MILTON 630 MULBERRY STR MILTON DE 19968 OUTPATIENT PHYSICIAN CLINIC 52 - BAYHEALTH MEDICAL GRP CARDIOLOGY 315 N CARTER RD SMYRNA DE 19977 OUTPATIENT PHYSICIAN CLINIC 54 - BAYHEALTH COLON RECTAL SURGERY - MILFORD 100 WELLNESS WAY MILFORD DE 19963 OUTPATIENT PHYSICIAN CLINIC 56 - BAYHEALTH MEDICAL GRP ENDOCRINOLOGY 1058 S GOVERNORS AVE STE 101 DOVER DE 19904 OUTPATIENT PHYSICIAN CLINIC 57 - BAYHEALTH PRIMARY CARE DOVER EAST 77 MILFORD NECK RD SUITE 103 MILFORD DE 19963 OUTPATIENT PHYSICIAN CLINIC 58 - BAYHEALTH MEDICAL GRP FAMILY MEDICINE 77 MILFORD NECK RD SUITE 103 MILFORD DE 19963 OUTPATIENT PHYSICIAN CLINIC 59 - BAYHEALTH MEDICAL GRP FAMILY MEDICINE 205 SHAW AVE HARRINGTON DE 19952 OUTPATIENT PHYSICIAN CLINIC 60 - BAYHEALTH MEDICAL GRP FAMILY MEDICINE 401 N CARTER RD STE 201 SMYRNA DE 19977 OUTPATIENT PHYSICIAN CLINIC 61 - BAYHEALTH GASTROENTEROLOGY - LEWES 1532 SAVANNAH RD LEWES DE 19958 OUTPATIENT PHYSICIAN CLINIC 62 - BAYHEALTH MEDICAL GRP GASTROENTEROLOGY 1058 S GOVERNORS AVE STE 101 DOVER DE 19904 OUTPATIENT PHYSICIAN CLINIC 63 - BAYHEALTH MEDICAL GRP ORTHOPAEDIC 315 N CARTER RD SMYRNA DE 19977 OUTPATIENT PHYSICIAN CLINIC 64 - BAYHEALTH ORTHOPAEDIC -SUSSEX 100 WELLNESS WAY MILFORD DE 19963 OUTPATIENT PHYSICIAN CLINIC 65 - BAYHEALTH SLEEP CARE CENTER 100 S MAIN STREET SUITE 201 SMYRNA DE 19977 OUTPATIENT SERVICES CENTER 66 - BAYHEALTH SLEEP CARE CENTER 611 N DUPONT HWY MILFORD DE 19963 OUTPATIENT SERVICES CENTER 67 - BAYHEALTH ORTHOPAEDIC SURGERY 1532 SAVANNAH RD LEWES DE 19958 OUTPATIENT PHYSICIAN CLINIC 68 - BAYHEALTH UROLOGY 1532 SAVANNAH RD LEWES DE 19958 OUTPATIENT PHYSICIAN CLINIC 69 - BAYHEALTH COLON-RECTAL 1532 SAVANNAH RD LEWES DE 19958 OUTPATIENT PHYSICIAN CLINIC 70 - CARDIOLOGY CONSULTANTS 540 S GOVERNORS AVE STE 201 DOVER DE 19904 OUTPATIENT PHYSICIAN CLINIC 71 - BAYHEALTH HEART & VASCULAR - SMYRNA 315 N CARTER RD SMYRNA DE 19977 OUTPATIENT PHYSICIAN CLINIC 72 - MILFORD PRIMARY CARE 804 N DUPONT BLVD MILFORD DE 19963 OUTPATIENT SERVICE CENTER 73 - MILFORD PRIMARY CARE - AIRPORT 310 MULLET RUN ST MILFORD DE 19963 OUTPATIENT SERVICE CENTER 74 - BAYHEALTH DERMATOLOGY - MILFORD 517 S DUPONT BLVD MILFORD DE 19963 OUTPATIENT SERVICE CENTER 75 - BAYHEALTH GASTROENTEROLOGY - SUSSEX 100 WELLNESS WAY MILFORD DE 19963 OUTPATIENT SERVICE CENTER 76 - BAYHEALTH CARDIOLOGY CONSULTANTS SUSSEX 101 WELLNESS WAY SUITE 300 MILFORD DE 19963 OUTPATIENT PHYSICIAN CLINIC 77 - BAYHEALTH MATERNAL FETAL MEDICINE 101 WELLNESS WAY SUITE 250 MILFORD DE 19963 OUTPATIENT PHYSICIAN CLINIC 78 - BAYHEALTH PEDIATRICS 705 NORTH STREET MILFORD DE 19963 OUTPATIENT PHYSICIAN CLINIC 79 - BAYHEALTH GASTROENTEROLOGY DOVER 793 S QUEEN ST DOVER DE 19904 OUTPATIENT PHYSICIAN CLINIC 80 - BAYHEALTH INTERNAL MEDICINE MILFORD 804 N DUPONT BLVD MILFORD DE 19963 GME CONTINUITY CLINIC 81 - BAYHEALTH FAMILY MEDICINE DOVER 1074 S STATE STREET DOVER DE 19901 GME CONTINUITY CLINIC PART I, LINE 7: EXPLANATION OF COSTING METHODOLOGYA VARIETY OF METHODS WERE USED IN ORDER TO OBTAIN THE MOST ACCURATE RESULTS. MEDICARE COSTS WERE CALCULATED USING THE DATA FROM THE MEDICARE COST REPORT, AND ITS RATIO OF COST TO CHARGES. THE RCC WAS ALSO APPLIED TO BAD DEBT AFTER ALLOWABLE MEDICARE BAD DEBT WAS EXCLUDED. OTHER DATA WAS DETERMINED TO BE MOST ACCURATE WHEN PULLED FROM A COST ACCOUNTING SYSTEM. PART I, LINE 7G: COSTS ASSOCIATED WITH PHYSICANS CLINICSBAYHEALTH HAS ESTABLISHED A NUMBER OF PHYSICIANS' PRACTICES IN ORDER TO PROVIDE NECESSARY MEDICAL CARE IN UNDERSERVED AREAS. THE PHYSICIANS AND THE STAFFS ARE ALL BAYHEALTH EMPLOYEES. THE PRACTICES FREQUENTLY OPERATE AT A LOSS, ESPECIALLY IN THE EARLY YEARS. ADJUSTMENTS HAVE BEEN MADE FOR MEDICAID REVENUE AND FOR BAD DEBT, REPORTED ELSEWHERE ON THIS FORM. PART I, LN 7 COL(F): EXPLANATION OF BAD DEBT EXPENSEBAD DEBT IS REPORTED ELSEWHERE ON FORM 990, BUT IS SUBTRACTED FOR PURPOSES OF CALCULATING THE MEDICARE RATIO OF COSTS TO CHARGES (RCC). THE PROVISION FOR BAD DEBT IS THE RESULT OF AN ESTIMATE BY MANAGEMENT. IT IS REVIEWED FREQUENTLY IN THE LIGHT OF HISTORICAL AND EXPECTED COLLECTIONS, AND IS BASED ON THE HISTORICAL PERCENTAGE COLLECTED IN EACH CATEGORY. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIESBAYHEALTH HAS INVESTED HEAVILY IN RECRUITING PRIMARY CARE AND CERTAIN SPECIALTY PHYSICIANS TO THIS MEDICALLY UNDERSERVED AREA. TO ENCOURAGE PHYSICIANS TO RELOCATE TO ITS SERVICE AREA, BAYHEALTH HAS FORMED A NUMBER OF WHOLLY-OWNED PHYSICIAN PRACTICES, CURRENTLY EMPLOYING MORE THAN 135 PHYSICIANS. ADDITIONALLY, A HOSPITALIST PROGRAM HAS BEEN ESTABLISHED. BAYHEALTH STAFF MEMBERS SERVE ON VARIOUS PROFESSIONAL, EDUCATIONAL, AND COMMUNITY BOARDS THROUGHOUT DELAWARE. EXAMPLES INCLUDE THE DELAWARE CHAPTER OF MARCH OF DIMES; DELAWARE HEALTH MOTHER AND INFANT CONSORTIUM; BRAIN INJURY ASSOCIATION OF DELAWARE; DELAWARE CANCER CONSORTIUM ADVISORY BOARD; DELAWARE BREAST CANCER COALITION; AND THE HOPE MEDICAL CLINIC, DELAWARE'S ONLY 100% FREE MEDICAL FACILITY. PART III, LINE 2: METHODOLOGY USED TO ESTIMATE BAD DEBTBAD DEBT IS SHOWN AT COST, AS DETERMINED BY APPLYING AN RCC IN OUR COST ACCOUNTING SYSTEM. MANY PATIENTS DO NOT COMPLETE THE APPLICATION FOR CHARITY CARE, EVEN IF THEY ARE ENCOURAGED TO DO SO. THERE ARE MANY REASONS FOR THEIR REFUSAL. BAYHEALTH INCLUDES PATIENTS WITH CERTAIN VERIFIABLE REASONS FOR NON-PAYMENT AND ESTIMATES AN AMOUNT FOR BAD DEBT $42 M IN CHARGES AND $13M OF COST. THE AMOUNT IS REDUCED TO COST BY APPLYING THE RCC. PART III, LINE 4: BAD DEBT EXPENSETHE MEDICAL CENTER PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR ESTIMATED LOSSES RESULTING FROM THE UNWILLINGNESS OR INABILITY OF PATIENTS TO MAKE PAYMENTS FOR SERVICES. THE ALLOWANCE IS DETERMINED BY ANALYZING SPECIFIC ACCOUNTS AND HISTORICAL DATA AND TRENDS. PATIENT ACCOUNTS RECEIVABLE ARE CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WHEN MANAGEMENT DETERMINES THAT RECOVERY IS UNLIKELY AND THE MEDICAL CENTER CEASES COLLECTION EFFORTS.IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISIONS FOR BAD DEBT. MANAGEMENT REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE MEDICAL CENTER ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AND ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE MEDICAL CENTER RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT ANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE INTERNAL COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 8: EXPLANATION OF SHORTFALL AS COMMUNITY BENEFITBAYHEALTH'S SERVICE AREA IS EXPERIENCING AN INFLUX OF PEOPLE FROM AREAS WITH A HIGHER COST OF LIVING. MANY OF THESE PEOPLE ARE SENIOR CITIZENS AND ARE MEDICARE RECIPIENTS. BAYHEALTH PROVIDES SERVICES TO THEM AS PART OF ITS MISSION TO CARE FOR THE ENTIRE COMMUNITY. THE MEDICARE LOSSES SUSTAINED BY BAYHEALTH ARE A RESULT OF MEDICARE REIMBURSING AT LESS THAN OPERATING COSTS. THE IRS COMMUNITY BENEFIT STANDARD FOR HOSPITALS THAT SERVE PATIENTS COVERED BY GOVERNMENTAL HEALTH BENEFITS (INCLUDING MEDICARE) IS THAT IT MUST DO SO WHILE PROMOTING THE HEALTH OF THE COMMUNITY. THEREFORE, MEDICARE LOSSES SHOULD BE COUNTED AS A COMMUNITY BENEFIT. NET REVENUE FROM THE MEDICARE PROGRAM ACCOUNTED FOR APPROXIMATELY 25% OF BAYHEALTH'S NET PATIENT REVENUE FOR THE YEAR ENDED 6/30/20. PART III, LINE 9B: PROVISIONS ON COLLECTION PRACTICES FOR QUALIFIED PATIENTSBAYHEALTH POLICY IS TO COMPLY WITH ALL STATE AND FEDERAL LAW AND THIRD-PARTY REGULATIONS AND TO PERFORM ALL CREDIT AND COLLECTION FUNCTIONS IN A DIGNIFIED AND RESPECTFUL MANNER. EMERGENCY SERVICES WILL BE PROVIDED TO ALL PATIENTS REGARDLESS OF ABILITY TO PAY. FINANCIAL ASSISTANCE IS AVAILABLE FOR PATIENTS BASED ON FINANCIAL NEED AS DEFINED IN THE FINANCIAL ASSISTANCE POLICY. BAYHEALTH DOES NOT DISCRIMINATE ON THE BASIS OF AGE, GENDER, RACE, SOCIAL OR IMMIGRATION STATUS, SEXUAL ORIENTATION, OR RELIGIOUS AFFILIATION. PATIENTS WHO ARE UNABLE TO PAY MAY REQUEST A FINANCIAL ASSISTANCE APPLICATION AT ANY TIME PRIOR TO SERVICE AND UP TO 120 DAYS FROM THE BILL DATE. BAYHEALTH MAY REQUEST THE PATIENT TO APPLY FOR MEDICAL ASSISTANCE PRIOR TO APPLYING FOR FINANCIAL ASSISTANCE. OUR ORGANIZATION DOES NOT PURSUE COLLECTION ACTIVITY ON PATIENTS DETERMINED TO BE ELIGIBLE FOR OUR FINANCIAL ASSISTANCE PROGRAM. PART VI, LINE 2: NEEDS ASSESSMENTBAYHEALTH DOES SERVICE-SPECIFIC NEEDS ASSESSMENTS PERIODICALLY BY USING PATIENT SURVEYS. BAYHEALTH ALSO SURVEYS OTHER NOT-FOR-PROFITS, HEALTH ORGANIZATIONS, ATTENDEES AT CLASSES, SUPPORT GROUPS AND SCREENINGS TO ASSESS THE STRENGTHS AND WEAKNESSES OF THE PROGRAMS THAT BAYHEALTH OFFERS. BAYHEALTH HAS ON-GOING COMMUNICATIONS WITH THE STATE OF DELAWARE AND WITH NATIONAL NOT-FOR-PROFIT HEALTH ORGANIZATIONS. REGULAR PRESCRIBED COMMUNITY HEALTH NEEDS ASSESSMENTS ARE ALSO IN PLACE. THE LAST COMMUNITY NEEDS ASSESSMENT WAS COMPLETED IN 2019 AND THEY ARE COMPLETED EVERY 3 YEARS. IN ADDITION, BAYHEALTH REVIEWS THE DATA AVAILABLE IN THE DE HEALTH TRACKER WHICH IS A REPOSITORY OF HEALTHCARE STATISTICS PUBLISHED BY THE DELAWARE HEALTHCARE ASSOCIATION. BAYHEALTH ALSO PARTNERED WITH LOCAL SCHOOLS, UNIVERSITIES AND THE STATE OF DELAWARE TO ADDRESS CONCERNS RELATED TO SUBSTANCE ABUSE AND SUBSEQUENT BEHAVIOR. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEALL PATIENTS OR FAMILY MEMBERS WHO INQUIRE ABOUT FINANCIAL ASSISTANCE ARE DIRECTED TO THE FINANCIAL COUNSELOR TEAM OF THE PATIENT ACCESS DEPARTMENT (ADMISSIONS). SELF-PAY PATIENTS ARE DIRECTED TO PATHS, A SERVICE CONTRACTED BY BAYHEALTH, THAT SCREENS THEM FOR MEDICAID AND HELPS THEM WITH FINANCIAL APPLICATION PAPERS. BAYHEALTH'S INVOICES STATE, "IF YOU ARE NOT ABLE TO PAY PLEASE CONTACT OUR BILLING SUPPORT DEPARTMENT TO MAKE SUITABLE ARRANGEMENTS." THE PATIENT BILLING GUIDE IS DISTRIBUTED BY THE PATIENT FINANCE AND ADMISSIONS DEPARTMENTS. THE BOOKLET DESCRIBES TYPES OF BILLS, UNDERSTANDING YOUR BILL, PRIVACY POLICY, COLLECTION POLICY, DISPUTE RESOLUTION, PAYMENT METHODS, AND HAS A GLOSSARY OF FINANCIAL AND INSURANCE TERMS. THE BILLING SUPPORT/SELF PAY/FINANCIAL COUNSELOR DEPARTMENT'S LOCAL TELEPHONE NUMBER AND A DIRECT TOLL-FREE TELEPHONE NUMBER IS AVAILABLE BY CALLING THE MAIN HOSPITAL TELEPHONE NUMBER, ON OUR WEBSITE, AND IS ALSO LISTED ON BROCHURES AND ON OTHER INFORMATIONAL MATERIAL. EMTALA AND PATIENT RIGHTS INFORMATION IS CONSPICUOUSLY PLACED FOR ALL PATIENTS AND VISITORS TO SEE.BAYHEALTH'S FINANCIAL ASSISTANCE POLICY WAS ESTABLISHED TO PROVIDE FINANCIAL RELIEF TO THOSE WHO ARE UNABLE TO MEET THEIR OBLIGATION FOR SERVICES RENDERED, A PATIENT'S INABILITY TO OBTAIN FINANCIAL ASSISTANCE DOES NOT, IN ANY WAY, PRECLUDE THE PATIENT'S RIGHT TO RECEIVE AND HAVE ACCESS TO MEDICAL TREATMENT. OUR FINANCIAL ASSISTANCE POLICY INFORMS PATIENTS AND PERSONS WHO WOULD OTHERWISE BE BILLED FOR SERVICES ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS.OUR FINANCIAL ASSISTANCE POLICY AND CONTACT INFORMATION IS POSTED IN ALL ADMISSION AREAS, THE EMERGENCY ROOM, ALL OTHER OUTPATIENT AREAS THROUGHOUT THE FACILITY, AND ON OUR WEBSITE. A COPY OF THE POLICY IS INCLUDED UPON PATIENT ADMISSION AND DISCHARGE, AS WELL AS PROVIDED IN PATIENT BILLS AN OUR WEBSITE. BAYHEALTH DISCUSSES WITH PATIENTS THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND EMPLOYS DEDICATED STAFF ON-SITE TO ASSIST PATIENTS WITH QUALIFICATIONS FOR SUCH PROGRAMS. PART VI, LINE 4: COMMUNITY INFORMATIONBAYHEALTH'S SERVICE AREA IS DESIGNATED AS A "MEDICALLY UNDERSERVED AREA AND A "HEALTH PROFESSIONAL SHORTAGE AREA" BY THE FEDERAL AND STATE GOVERNMENTS. THE POPULATION OF BAYHEALTH'S SERVICE AREA IS GROWING RAPIDLY BECAUSE OF AN INFLUX OF RETIREES ARRIVING FROM HIGHER-COST-OF-LIVING AREAS IN NEIGHBORING STATES, AND BECAUSE OF RETIRED MILITARY FAMILIES ATTRACTED BY THE PROXIMITY OF DOVER AIR FORCE BASE. KENT AND SUSSEX COUNTIES ALSO HAVE A GROWING POPULATION OF RESIDENTS WHO DO NOT SPEAK ENGLISH FLUENTLY. TEEN PREGNANCY, SCHOOL DROP-OUT, INFANT MORTALITY, AND CANCER RATES ARE RELATIVELY HIGH COMPARED TO NATIONAL AVERAGES.IN RECENT YEARS, DELAWARE HOUSING VALUES HAVE INCREASED FASTER THAN THOSE IN MOST OF THE U.S. HOUSING VALUES HAVE INCREASED FASTER THAN THE RATE OF INFLATION. HOUSING PRICES ARE WELL OVER 3 TIMES THE MEDIAN HOUSEHOLD INCOME. EMPLOYMENT GROWTH IS FASTEST IN LOW-PAYING SECTORS, WITH MOST OF THE GROWTH IN JOB SECTORS PAYING LESS THAN $26,000 ANNUALLY. THE FASTEST GROWING JOB SECTOR IN SUSSEX COUNTY AVERAGES $25,000 ANNUAL SALARY. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHBAYHEALTH IS INVESTING HEAVILY IN EXPANDING AND UPGRADING ITS FACILITIES AND EQUIPMENT. BAYHEALTH'S MEDICAL STAFF OF 500+ PHYSICIANS IS OPEN TO ANY QUALIFIED PHYSICIAN IN ITS SERVICE AREA. BAYHEALTH HOSTS STUDENTS FOR RESIDENCIES, INTERNSHIPS AND CLINICAL STUDIES AND ASSISTS SOME STUDENTS WITH ROOM AND BOARD DURING THE HOST PERIOD. BAYHEALTH'S EDUCATION DEPARTMENT OFFERS FREE BLOOD PRESSURE, DIABETES, AND OSTEOPOROSIS SCREENINGS; AND FREE OR DISCOUNTED MAMMOGRAMS, PROSTATE, SKIN, AND COLORECTAL SCREENINGS TO UNDER-INSURED OR UNINSURED INDIVIDUALS.THEY ALSO HOST A WIDE VARIETY OF FREE MONTHLY SUPPORT GROUPS, CLASSES, AND INFORMATION SESSIONS AT BOTH HOSPITALS.BAYHEALTH OPERATES AND SUBSIDIZES 7 HIGH SCHOOL WELLNESS CENTERS IN KENT AND SUSSEX COUNTIES, UNDER AN AGREEMENT WITH THE STATE OF DELAWARE. TO ENCOURAGE INTEREST IN HEALTH-RELATED CAREERS, BAYHEALTH CONTRIBUTES MONIES AND EQUIPMENT TO NEARBY COLLEGES AND UNIVERSITIES. BAYHEALTH STAFF MEMBERS DELIVER LECTURES AND PRESENTATIONS, MENTOR HEALTHCARE STUDENTS, AND WORK AS MEMBERS OF COMMITTEES TO DEVELOP HEALTHCARE CURRICULA. BAYHEALTH HOSTS AN EXPLORER TROOP WHICH FOCUSES ON MEDICAL CAREERS.BAYHEALTH IS AN ACTIVE MEMBER OF THE KENT ECONOMIC PARTNERSHIP, THE DOWNTOWN DOVER PARTNERSHIP, AND SIX CHAMBERS OF COMMERCE. AS BAYHEALTH REPRESENTATIVES, STAFF MEMBERS ARE ACTIVE IN COMMUNITY ROTARY CLUBS AND OTHER SERVICE ORGANIZATIONS. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEMBAYHEALTH IS A MEMBER OF THE UNIVERSITY OF PENNSYLVANIA CANCER NETWORK, UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM'S PENN CARDIAC CARE, AND PENN ORTHOPAEDICS OF PENN MEDICINE. THESE ALLIANCES PROVIDE DIRECT ACCESS TO THE LATEST MEDICAL RESEARCH, CLINICAL TRIALS, AND SPECIALTY CARE. PART VI, LINE 7, REPORTS FILED WITH STATES DE 1 AMERICAN HEART ASSOC 200 CONTINENTAL DRIVE STE101 NEWARK DE 19713 135613797 22500 PROGRAM SUPPORT CANCER SUPPORT COMMUNITY 812 S BRADFORD STREET DOVER DE 19904 510351883 5500 PROGRAM SUPPORT DE BREAST CANCER 111 W 11TH ST STE 101 WILMINGTON DE 19801 522045298 5500 PROGRAM SUPPORT DE TURF SPORTS COMPLEX 4000 BAY RD FREDERICA DE 19946 461001385 50000 PROGRAM SUPPORT EASTER SEALS DELAWARE 61 CORPORATE CIRCLE NEW CASTLE DE 19720 510066728 5500 PROGRAM SUPPORT SUSSEX CO HEALTH COALITION PO BOX 1636 WILMINGTON DE 19899 222804785 10000 PROGRAM SUPPORT THE LEAPFROG GROUP 1775 K ST NW STE 400 WASHINGTON DC 20006 522359517 14250 PROGRAM SUPPORT TODAY MEDIA 3301 LANCASTER PIKE STE 5-C WILMINGTON DE 19805 510371415 8672 PROGRAM SUPPORT WESTSIDE FAMILY HEALTHCARE 300 WATER STREET STE 200 WILMINGTON DE 19801 222488654 15000 PROGRAM SUPPORT 7 4 PART I, LINE 2: PROCEDURES FOR MONITORING USE OF GRANTS FUNDS IN U.S. THE ORGANIZATION REQUIRES ADMINISTRATIVE APPROVAL FOR ALL REQUESTED GRANTS AND ASSISTANCE TOWARD ORGANIZATIONS, GOVERNMENTAL AGENCIES OR INDIVIDUALS. A MONTHLY ANALYSIS IS MAINTAINED TO MONITOR FUNDING AND ASSISTANCE PROVIDED. THIS ANALYSIS IS REGULARLY REVIEWED BY AN EXECUTIVE. 1 X X X X 0 1 0 1 0 0 0 1 0 TERRY M MURPHY CHAIR & CEO 791298 0 770109 0 57860 0 17100 0 27960 0 1664327 0 0 0 DAWN TARTAGLIONE MD PHYSICIAN 969496 0 50000 0 114043 0 17100 0 20107 0 1170746 0 0 0 GARY W SZYDLOWSKI MD STAFF PHYSICIAN 717905 0 25000 0 81371 0 17100 0 20107 0 861483 0 0 0 GARY SIEGELMAN MD SVP & CMO 618817 0 185528 0 16371 0 17100 0 10905 0 848721 0 0 0 TRINITY PILKINGTON MD PHYSICIAN 710054 0 25000 0 53196 0 17100 0 27960 0 833310 0 0 0 AMIT GOYAL MD STAFF PHYSICIAN 689294 0 50000 0 35345 0 17100 0 27960 0 819699 0 0 0 JOHN LAHANIATIS MD PHYSICIAN 711275 0 25000 0 54243 0 17100 0 10778 0 818396 0 0 0 MICHAEL J TRETINA TREASURER & CFO 483865 0 147905 0 50005 0 17100 0 27960 0 726835 0 0 0 DEBORAH WATSON VICE CHAIR COO 493854 0 150774 0 22227 0 17100 0 20107 0 704062 0 0 0 JONATHAN KAUFMANN DO CMIO 374022 0 42897 0 12103 0 17100 0 27960 0 474082 0 0 0 JOHN VAN GORP SVP, PLANNING & BUSINESS DEVEL 304161 0 93924 0 25784 0 17100 0 27960 0 468929 0 0 0 BRENDA BLAIN SR VP, PT CARE 278765 0 98805 0 15014 0 17100 0 10905 0 420589 0 0 0 RICHARD MOHNK VP & CIO 304098 0 34454 0 15305 0 17100 0 20107 0 391064 0 0 0 SHANA ROSS VP, HUMAN RESOURCES 309028 0 34426 0 17046 0 17100 0 10905 0 388505 0 0 0 ERIC GLOSS FORMER VP MEDICAL AFFAIRS 0 0 0 0 367746 0 0 0 20107 0 387853 0 0 0 BRADLEY KIRKES VP, ANCILLARY & CLINICAL SERVI 291203 0 32917 0 3065 0 17100 0 20107 0 364392 0 0 0 MICHAEL ASHTON ADMINISTRATOR 279731 0 32288 0 1747 0 17100 0 27960 0 358826 0 0 0 PART I, LINE 4B RECEIVED SEVERANCE, SUPPLEMENTAL NQ RETIREMENT, EQUITY-BASED COMPENSATION SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN--DURING THE FISCAL YEAR ENDED JUNE 30, 2021, CERTAIN OFFICERS AND KEY EMPLOYEES PARTICIPATED IN THE BAYHEALTH SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE INDIVIDUALS LISTED BELOW HAVE NOT VESTED IN THE PLAN THEREFORE THE ACCRUED CONTRIBUTION TO THE PLAN FOR THE FISCAL YEAR IS REPORTED ON SCHEDULE J, PART II, COLUMN (C), RETIREMENT AND OTHER DEFERRED COMPENSATION: BRENDA BLAIN PART I, LINE 5 COMPENSATION CONTINGENT ON REVENUES OR RELATED ORGANIZATION CERTAIN EMPLOYED PHYSICIANS HAVE CONTRACTS WHICH INCLUDE BONUSES BASED ON COLLECTED REVENUE GENERATED BY THE DEPARTMENT (MEDICAL PRACTICE) IN WHICH THEY ARE EMPLOYED, OR BY THEIR OWN ACTIVITY WITHIN THE DEPARTMENT. PART I, LINE 7 NON-FIXED PAYMENTS NOT LISTED NON-FIXED PAYMENTS--BONUSES PAID ARE BASED ON A NUMBER OF VARIABLES INCLUDING BUT NOT LIMITED TO INDIVIDUAL GOAL ACHIEVEMENTS AS WELL AS ORGANIZATION OPERATIONAL ACHIEVEMENTS. THE FINAL DETERMINATION OF THE BONUS AMOUNT IS DETERMINED AND APPROVED BY THE BOARD AS PART OF THE OVERALL COMPENSATION REVIEW OF THE OFFICERS AND KEY EMPLOYEES. A DELAWARE HEALTH FAC 246388SS2 2017-12-01 112120000 REF 2009A - 2017A BOND 0 0 0 B DELAWARE HEALTH FAC 000000000 2017-12-01 77250000 REF 2012-2017B BOND 0 0 0 A 7185000 119466666 1232712 118233954 0 0 1 1 B 8085000 77250000 247859 15000000 62002141 2019 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 0 B 0 0 1 0 1 0 0 0 0 A 1 B 1 SCHEDULE K, PART I, LINE A: IN DECEMBER 2017, THE MEDICAL CENTER ENTERED INTO A FINANCING ARRANGEMENT WITH THE DELAWARE HEALTH FACILITIES AUTHORITY (THE AUTHORITY) TO ISSUE $112,120,000 REVENUE BONDS, BAYHEALTH MEDICAL CENTER PROJECT, SERIES 2017A (SERIES 2017A). THE SERIES 2017A BONDS PROCEEDS WERE USED TO ADVANCE REFUND THE PROJECT REVENUE BONDS, SERIES 2009A (SERIES 2009A). SCHEDULE K, PART I, LINE B: IN DECEMBER 2017, THE MEDICAL CENTER ENTERED INTO A FINANCING ARRANGEMENT WITH THE AUTHORITY AND A NATIONAL BANK TO ISSUE PRIVATELY PLACED $77,250,000 VARIABLE RATE REFUNDING REVENUE BONDS, BAYHEALTH MEDICAL CENTER PROJECT, SERIES 2017B (SERIES 2017B). THE SERIES 2017B BONDS PROCEEDS WERE USED TO CURRENT REFUND THE VARIABLE RATE REFUNDING REVENUE BONDS (SERIES 2012) AND TO FINANCE A PORTION OF THE COST OF CONSTRUCTION AND VARIOUS CAPITAL PROJECTS FOR MILFORD MEMORIAL REPLACEMENT HOSPITAL. BOND ISSUANCE COSTS RELATING TO THE SERIES 2017A BONDS ARE BEING AMORTIZED OVER THE LIFE OF THE BONDS. FORM 990, PART VI, SECTION A, LINE 6 BAYHEALTH INC. IS THE SOLE MEMBER OF BAYHLEATH MEDICAL CENTER, INC. FORM 990, PART VI, SECTION A, LINE 7A BAYHEALTH INC. HAS THE POWER TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY OF BAYHEALTH MEDCIAL CENTER INC. FORM 990, PART VI, SECTION A, LINE 7B BAYHEALTH INC. HAS FINAL AUTHORITY AND APPROVAL OVER GOVERANCE DECISIONS OF BAYHEALTH MEDICAL CENTER, INC. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS THE ENTIRE FORM 990 IS REVIEWED BY THE CFO. UPON CONFIRMATION OF A SUCCESSFUL E-FILING FROM THE IRS, A COPY OF THE FINAL E-FILED RETURN IS MADE AVAILABLE TO ANY INTERESTED MEMBERS OF THE GOVERNING BODY. THE RETURN HAS BEEN REVIEWED BY THE EXTERNAL AUDITORS. FORM 990, PART VI, SECTION B, LINE 12C EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTS BAYHEALTH REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY FOR ALL OFFICERS AND DIRECTORS. A CONFLICT OF INTEREST QUESTIONNAIRE IS DISTRIBUTED TO AND COLLECTED FROM OFFICERS AND DIRECTORS ANNUALLY. ANY POTENTIAL CONFLICTS OF INTEREST ARE INVESTIGATED FURTHER BY BAYHEALTH'S EXECUTIVE TEAM. IN THE EVENT OF AN ACTUAL OR PERCEIVED CONFLICT OF INTEREST, SUBSEQUENT RECUSAL AND ABSTENTION BY THE OFFICER OR DIRECTOR MAY BE NECESSARY. THESE AND OTHER REQUIREMENTS ARE MONITORED, REVIEWED AND RESOLVED ON AN ON-GOING BASIS PURSUANT TO THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION REVIEW & APPROVAL PROCESS - CEO & TOP MANAGEMENT A COMPENSATION COMMITTEE OF THE BOARD DETERMINES THE COMPENSATION OF THE CEO, CFO, COO, AND CHIEF MEDICAL OFFICER. AN INDEPENDENT CONSULTANT PROVIDES INFORMATION AND RECOMMENDATIONS, USING A VARIETY OF COMPENSATION SURVEYS AND STUDIES. WRITTEN EMPLOYMENT CONTRACTS ARE IMPLEMENTED. THE FULL BOARD OF DIRECTORS APPROVES THE COMPENSATION. COMPENSATION REVIEW & APPROVAL PROCESS - OFFICERS & KEY EMPLOYEES FOR OFFICERS AND KEY EMPLOYEES OTHER THAN THE CEO, CFO, COO, AND CHIEF MEDICAL OFFICER REFERRED TO IN THE PREVIOUS QUESTION, A VARIETY OF TECHNIQUES ARE USED TO DETERMINE COMPENSATION. THE HUMAN RESOURCES DEPARTMENT AND AN INDEPENDENT CONSULTANT PROVIDE INFORMATION AND RECOMMENDATIONS, USING A VARIETY OF COMPENSATION SURVEYS AND STUDIES. WRITTEN EMPLOYMENT CONTRACTS ARE UTILIZED FOR SOME POSITIONS. THE BOARD OF DIRECTORS AND ITS COMPENSATION COMMITTEE IS KEPT INFORMED OF EVENTS. FORM 990, PART VI, SECTION C, LINE 19 OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE FORM 990-T, GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF BH FOUNDATION 35,591,357. SUSSEX CAMPUS DEVELOPMENT LLC 100 WELLNESS WAY MILFORD DE 19963 852638051 REAL ESTATE DE 0 0 N/A BAYHEALTH EMERGENCY PHYSICIANS LLC 640 SOUTH STATE STREET DOVER DE 19901 823462523 EMERGENCY MEDICAL SERVICES DE 0 0 N/A BAYHEALTH FOUNDATION INC 640 SOUTH STATE STREET DOVER DE 19901 222559843 FUNDRAISING FOR BAYHEALTH MEDICAL DE 501(C)(3) LINE 7 N/A 0 BAYHEALTH INC 640 SOUTH STATE STREET DOVER DE 19901 222561849 PARENT ORGANIZATION OF MEDICAL CENTER DE 501(C)(3) LINE 7 N/A 0 HEALTH PARTNERS DELMARVA LLC 640 SOUTH STATE STREET DOVER DE 19901 471940284 HEALTHCARE COLLABORATION FOR SERVICES DE N/A -1088 9386 0 0 BAYHEALTH DEVELOPMENT CORP 640 SOUTH STATE STREET DOVER DE 19901 510281107 REAL ESTATE DE N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0