2021-05-17T12:50:46-05:00 2020-06-30 366055558 GRANT THORNTON LLP 2001 MARKET STREET SUITE 700 PHILADELPHIA PA 19103 990 2019-07-01 510067938 BEEBE MEDICAL CENTER INC BEEB 3026453300 424 SAVANNAH ROAD LEWES DE 19958 PAUL PERNICE CFO 3026453300 2021-05-17 1 ALYCIA SOLECKI P01272637 2155614200 2019 2022-09-23 18:48:47Z DAVID TAM MD 424 SAVANNAH ROAD LEWES DE 19958 511298879 0 X WWW.BEEBEHEALTHCARE.ORG X 1916 DE BEEBE MEDICAL CENTER'S MISSION IS TO ENCOURAGE HEALTHY LIVING, PREVENT ILLNESS SEE SCHEDULE O 22 16 2549 422 42783 40033 479036 34836968 422067709 407022134 3472123 8101177 4634502 4532501 430653370 454492780 1137259 1298088 0 0 172181739 175650851 0 0 0 209946107 227798689 383265105 404747628 47388265 49745152 602362321 695597598 350305947 451709559 252056374 243888039 X SEE SCHEDULE OBEEBE MEDICAL CENTER'S CHARITABLE MISSION IS TO ENCOURAGE HEALTHY LIVING, PREVENT ILLNESS AND RESTORE OPTIMAL HEALTH WITH THE PEOPLE RESIDING, WORKING AND VISITING IN THE COMMUNITIES WE SERVE. BEEBE MEDICAL CENTER PROVIDES HEALTHCARE SERVICES REGARDLESS OF RACE, COLOR, RELIGION, AGE, GENDER OR SEX, NATIONAL ORIGIN OR ANCESTRY, DISABILITY, VETERAN'S STATUS, GENETIC INFORMATION, SEXUAL ORIENTATION, GENDER IDENTITY OR ANY OTHER LEGALLY PROTECTED CHARACTERISTIC. 0 0 339963590 1298088 397966113 GENERAL MEDICAL SURGICAL PATIENT CARE. BEEBE MEDICAL CENTER EXPERIENCED 9,548 DISCHARGES IN 2020 RESULTING IN 43,793 PATIENT DAYS OF WHICH 6,435 DISCHARGES AND 31,626 PATIENT DAYS WERE COVERED UNDER THE MEDICARE PROGRAM. THE MEDICAID PROGRAM COVERED 998 DISCHARGES AND 4,061 PATIENT DAYS. ADDITIONAL VOLUMES ACHIEVED IN 2020 INCLUDE 43,982 EMERGENCY VISITS; 13,113 OPERATING ROOM CASES OF WHICH 110 WERE OPEN HEART SURGERIES; 4,288 CARDIAC CATHETERIZATION PROCEDURES; AND 160,461 OUTPATIENT IMAGING PROCEDURES. TOTAL SELF-PAY INPATIENT DAYS WERE 901 AND SELF-PAY DISCHARGES WERE 191 IN 2020. 7773646 8864947 BEEBE HOME HEALTH (BHHA) PROGRAM COVERS EASTERN SUSSEX COUNTY. IN 2020, BHHA ADMITTED 3,885 NEW PATIENTS AND HAD AN ACTIVE CASELOAD OF 7,121 PATIENTS. THERE WERE A TOTAL OF 77,228 VISITS DURING THE YEAR. 2312325 586354 THE MARGARET D ROLLINS SCHOOL OF NURSING CONTINUES TO BE FULLY CERTIFIED. THE SCHOOL HAD A TOTAL OF 70 STUDENT ENROLLED IN FY20, 29 SENIORS AND 41 FIRST YEAR STUDENTS. 2050556 776136 COMMUNITY OUTREACH PROGRAM EXPENSES OF $810,634, DELMARVA HEALTH NETWORK, LLC EXPENSES OF $549,831 AND REVENUE OF $473,370, ADULT DAY CARE PROGRAM EXPENSES OF $690,091 AND REVENUE OF $302,766. 2050556 776136 352100117 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 1 0 0 1 170 0 1 2549 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 22 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X MARCIA RIGSBY-DYKES 3026453460 431C SAVANNAH ROAD LEWES DE 19958 JEFFREY M FRIED FORMER PRESIDENT/CEO (END MAR. 2019) 0.00 0.00 X 884608 0 7191 NISARG DESAI PHYSICIAN 40.00 0.00 X 699926 0 29959 RICHARD SCHAFFNER EXED VP/COO 40.00 0.00 X 634690 0 31652 PAUL J PERNICE VP FINANCE CFO 40.00 4.00 X 631249 0 7272 SRIHARI PERI PHYSICIAN 40.00 0.00 X 632538 0 4457 SRUJITHA MURUKUTLA PHYSICIAN 40.00 0.00 X 588046 0 21617 JEFFREY HAWTOF MD VP MEDICAL OPS & INFORMATICS 40.00 0.00 X 558921 0 25739 BRUCE LESHINE VP CORPORATE COUNSEL 40.00 0.00 X 419570 0 31847 MICHAEL MAKSYMOW VP INFORMATION SYSTEMS 40.00 0.00 X 347611 0 35733 CATHERINE HALEN VP HUMAN RESOURCES 40.00 0.00 X 361424 0 16742 STEVEN D RHONE VP PATIENT CARE (END JAN. 2020) 40.00 0.00 X 340753 0 23686 ALEX SYDNOR VP EXTERNAL AFFAIRS (END OCT. 2020) 40.00 0.00 X 295167 0 35098 MICHAEL SALVATORE PHYSICIAN 40.00 0.00 X 283281 0 29665 MARCY JACK VP QUALITY, SAFETY, RISK MGMT 40.00 0.00 X 276190 0 28398 MARK LOUKIDES VP LOUKIDES 40.00 0.00 X 255669 0 35852 PRAMOD VADLAMANI PHYSICIAN 40.00 0.00 X 223330 0 9556 MOUHANAD FREIH MD DIRECTOR/PHYSICIAN 2.00 0.00 X 85583 0 0 PAUL C PEET MD DIRECTOR/PRESIDENT OF MEDICAL STAFF 2.00 0.00 X 82925 0 0 WILSON C CHOY MD DIRECTOR/PHYSICIAN 2.00 0.00 X 38216 0 0 DAVID A HERBERT CHAIRMAN 2.00 0.00 X X 0 0 0 TERRY A MEGEE VICE CHAIRMAN 2.00 0.00 X X 0 0 0 DAVID A TAM MD SECRETARY/CEO (START MAR 2020) 40.00 2.00 X X 0 0 0 PAUL T COWAN JR DO TREASURER 2.00 0.00 X X 0 0 0 GERGORY A BAHTIARIAN DO DIRECTOR 2.00 0.00 X 0 0 0 JAMES W BARTLE DIRECTOR 2.00 0.00 X 0 0 0 DANEL CUOZZO DO DIRECTOR 2.00 0.00 X 0 0 0 FRANK CZERWINSKI DIRECTOR 2.00 0.00 X 0 0 0 ANDREW W DAHLKE MD DIRECTOR 2.00 0.00 X 0 0 0 STEPHEN M FANTO MD DIRECTOR 2.00 0.00 X 0 0 0 R CHRISTIAN HUDSON DIRECTOR 2.00 0.00 X 0 0 0 JANET B MCCARTY DIRECTOR 2.00 0.00 X 0 0 0 MICHAEL A MEOLI DIRECTOR 2.00 0.00 X 0 0 0 WESLEY E PERKINS DIRECTOR 2.00 0.00 X 0 0 0 ANIS K SALIBA MD DIRECTOR 2.00 0.00 X 0 0 0 ERIC C SUGRUE DIRECTOR 2.00 0.00 X 0 0 0 CHRISTOPHER J WEEKS DIRECTOR 2.00 0.00 X 0 0 0 MICHAEL L WILGUS DIRECTOR 2.00 0.00 X 0 0 0 JACQUELYN O WILSON EDD DIRECTOR 2.00 0.00 X 0 0 0 JOSEPH R HUDSON CHAIRMAN EMERITUS 1.00 0.00 X 0 0 0 PAUL H MYLANDER DIRECTOR (EMERITUS OCT. 18) 2.00 0.00 X 0 0 0 WILLIAM SWAIN LEE DIRECTOR (EMERITUS OCT. 19) 2.00 0.00 X 0 0 0 R MICHAEL CLEMMER DIRECTOR (END JUNE 2020) 2.00 0.00 X 0 0 0 7639697 0 374464 211 1 1 0 WHITING-TURNER CONTRACTING CO 300 EST JOPPA ROAD BALTIMORE MD 21286 CONTRACTOR 40516463 MEDICAL SOLUTIONS 1010 N 102 STREET SUITE 300 OMAHA NE 68114 CONTRACT LABOR 9725871 WILLOW CONSTRUCTION LLC 400 MARYLAND AVENUE EASTON MD 21601 CONTRACTOR 6164608 DELAWARE ANESTHESIA ASSOCIATES PO BOX 719 LEWES DE 19958 ANESTHESIA SERVICES 2667494 MAYO MEDICAL LABORATORY PO BOX 9146 MINNEAPOLIS MN 554809146 LAB SERVICES 2262441 98 12590686 20586859 1659423 34836968 GENERAL MEDICAL SURGICAL 900099 398157187 398157187 HOME HEALTH 621610 8864947 8864947 407022134 1885939 42783 1843156 336178 0 336178 336178 336178 62949177 72160 56642547 163552 6306630 -91392 6215238 6215238 CAFETERIA 900099 1496353 1496353 DISTRIBUTION INCOME 900099 682596 682596 NMH MED ONCOL REIMBURSEMENT 900099 472804 472804 1544570 1051874 492696 4196323 454492780 408074008 42783 11539021 1298088 1298088 6652143 1214268 5437875 131790577 120606233 11184344 5341029 4886643 454386 22200645 20314425 1886220 9666457 8753803 912654 243882 87239 156643 198454 198454 233330 233330 36416350 31056156 5360194 1533123 70467 1462656 8467276 7408625 1058651 12337713 1715631 10622082 7271384 6662663 608721 356055 307671 48384 470470 392267 78203 1044897 990586 54311 20921985 11803337 9118648 4054949 4054949 PATIENT RELATED SUPPLIE 99540885 99510794 30091 BAD DEBT EXPENSE 21378699 21378699 MAINTENANCE 10944520 8597003 2347517 EMPLOYEE RECRUITMENT 919958 1006 918952 1464759 989564 475195 404747628 352100117 52647511 0 70432235 148990001 50965254 46338838 9346863 10095652 8959175 9191677 489465059 244041639 158944386 245423420 245689827 185656705 0 0 0 0 3104085 3104085 54920496 46797220 602362321 695597598 52204000 124136098 0 0 221095776 218065998 77006171 109507463 350305947 451709559 X 219448862 217419878 32607512 26468161 252056374 243888039 602362321 695597598 X 49745152 -4732951 -53180536 X 0 1 X 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 0 1 300 0 1 11659 11959 0 PART II-B, LINE 1G THE PRESIDENT AND THE VP OF CORPORATE AFFAIRS OF BEEBE MEDICAL CENTER HAVE QUARTERLY BREAKFAST MEETINGS WITH STATE AND LOCAL POLITICIANS. PART II-B, LINE 1I OTHER ACTIVITIES INCLUDE THE PERCENTAGE OF DHA MEMBERSHIP DUES ALLOCATED TO LOBBYING. 81718611 2929214 114275 84533550 76272284 5546389 100062 81718611 71360235 4999696 87647 76272284 63901344 7763189 29477 274821 71360235 64097414 124797 320867 63901344 0.98900 0.01100 0 1 1 10534572 10534572 199627179 102675239 96951940 8143384 6268753 1874631 177739174 135097647 42641527 93420750 93420750 245423420 INT IN FDN. RESTRICT NET ASSET 27410997 OTHER ASSETS 7733447 WORK COMP & MALP INSURANCE 4909583 INT IN FDN. UNRESTR NET ASSETS 4103772 EQUITY IN BEEBE PHYS. NETWORK 1359075 TEMPORARILY RESTRICTED FUNDS 650832 PERMANENTLY RESTRICTED FUNDS 315761 EBRIGHT 313753 46797220 ACCRUED PENSION LIABILITY 43606165 ACC. POST RETIREMENT BENEFIT 24536331 RIGHT OF USE LIABILITY 17100958 ACC. MEDICAL MALPRACTICE LIABILI 8427989 OTHER LIABILITIES 6020336 ASBESTOS REMOVAL OBLIGATION 4375464 ACC. WORKERS COMP. LIABILITY 4295396 CAPITAL LEASE OBLIGATION NET 1144824 109507463 X PART V, LINE 4: BEEBE MEDICAL CENTER USES ITS ENDOWMENT FUNDS FOR CAPITAL ASSET ACQUISITIONS AND TO SUPPORT THE OPERATIONS OF THE MEDICAL CENTER. PART X, LINE 2: FIN 48 (ASC 740) THE SYSTEM FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTIES IN INCOME TAX POSITIONS WHICH REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS. AT JUNE 30, 2020, THE SYSTEM S TAX YEARS ENDED JUNE 30, 2017 THROUGH 2020 FOR THE FEDERAL TAX JURISDICTION REMAIN OPEN. 1 1 1 X 1 X 1 1 1 0 1 1 10673842 7369524 3304318 0.00860 0.00000 10673842 7369524 3304318 0.00860 2820170 932861 1887309 0.00490 29243082 29243082 0.07630 224535 3036 221499 0.00060 174429 174429 0.00050 32462216 935897 31526319 0.08230 43136058 8305421 34830637 0.09090 368326 368326 0.00090 6339111 6339111 0.01570 6707437 6707437 0.01660 1 21378699 163647665 238950721 -75303056 X 1 1 1 1 BEEBE MEDICAL CENTER INC 424 SAVANNAH ROAD LEWES DE 19958 WWW.BEEBEHEALTHCARE.ORG HSPTL-007 X X X BEEBE MEDICAL CENTER 1 0 0 1 X X X X X X X X X 19 1 1 1 1 X WWW.BEEBEHEALTHCARE.ORG X WWW.DELAWAREHEALTHTRACKER.COM; WWW.HEALTHIERSUSSEXCOUNTY.COM X 1 19 1 WWW.BEEBEHEALTHCARE.ORG 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X WWW.BEEBEHEALTHCARE.ORG X WWW.BEEBEHEALTHCARE.ORG X WWW.BEEBEHEALTHCARE.ORG X X X X X X X 1 X 0 X X X X 1 X 0 0 BEEBE MEDICAL CENTER PART V, SECTION B, LINE 5: TO MAINTAIN ALIGNMENT OF BEEBE HEALTHCARE WITH THE HEALTH AND NEEDS OF OUR COMMUNITY, A COMMUNITY HEALTH NEEDS ASSESSMENT WAS ONCE AGAIN INITIATED IN THE SUMMER OF 2018 AND COMPLETED IN JUNE 2019. MULTIPLE STAKEHOLDERS, FOCUS GROUP PARTICIPANTS AND COMMUNITY MEMBERS ACROSS THE COUNTY WERE SURVEYED FOR THEIR VIEWS OF THE HEALTH NEEDS OF OUR COMMUNITY. THROUGH A VARIETY OF METHODS, THE COMMUNITY WAS ASSESSED FOR THEIR GREATEST HEALTH NEEDS, GREATEST BARRIERS, ACCESS TO CARE, PREVENTATIVE CARE, HEALTH ISSUES AND HABITS. ANALYSIS OF THE DATA LED TO IDENTIFICATION OF MAJOR THEMES WHICH WERE RECURRENT THROUGH MULTIPLE GROUPS. THE MAJOR THEMES WERE THEN PRIORITIZED, AND A PLAN OF ACTION IS BEING DEVELOPED TO STRATEGICALLY UTILIZE OUR RESOURCES AND IMPLEMENT PROGRAMS FOR THE COMMUNITY'S UNMET HEALTH NEEDS. BEEBE MEDICAL CENTER PART V, SECTION B, LINE 6A: BAYHEALTH MILFORD AND NANTICOKE HEALTH SERVICES. EACH HEALTHCARE SYSTEM PUBLISHED AN INDIVIDUAL REPORT AND IMPLEMENTATION PLAN. BEEBE MEDICAL CENTER PART V, SECTION B, LINE 6B: SUSSEX COUNTY HEALTH COALITION, SUSSEX COUNTY'S FEDERALLY QUALIFIED HEALTH CENTER - LA RED, MULTIPLE INSURERS, LOCAL UNIVERSITIES AND THE DELAWARE DIVISION OF PUBLIC HEALTH. BEEBE MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED NEEDS WERE PRIORITIZED ON THE BASIS OF MULTIPLE DYNAMICS INCLUDING PRIMARY AND SECONDARY DATA, ALONG WITH CURRENT RESOURCES, COLLABORATIONS AND FEASIBILITY OF EFFECTIVE PROGRAMMING. THE PRIORITIZATION WAS AGREED UPON BY BEEBE HEALTHCARE'S COMMUNITY HEALTH WORKGROUP WITH CONTRIBUTION FROM THE HEALTHIER SUSSEX COUNTY TASK FORCE'S CHNA WORKGROUP. THE THREE HIGHEST RANKING NEEDS, IN ORDER ARE: (1) BEHAVIORAL HEALTH AND MENTAL HEALTH (2) CANCER / PREVENTION & SCREENING (3) OBESITY / NUTRITION / CHRONIC DISEASE. LACK OF ACCESS TO CARE AND RISKS RESULTING FROM SOCIAL DETERMINANTS OF HEALTH HAVE ALSO BEEN IDENTIFIED AS AREAS OF BROAD IMPACT ON HEALTH OUTCOMES FOR THOSE LIVING IN SUSSEX COUNTY THROUGH FINDINGS IN THE COMMUNITY HEALTH NEEDS ASSESSMENT AND SECONDARY DATA SOURCES. BEEBE HEALTHCARE'S IMPLEMENTATION PLAN INTEGRATES AND ADDRESSES THESE NEEDS, AS RELEVANT, THROUGHOUT THE 3 PRIORITY AREAS: BEHAVIORAL AND MENTAL HEALTH, CANCER, SCREENING AND PREVENTION AND OBESITY AND NUTRITION WITH A FOCUS ON CHRONIC DISEASE. BEEBE HEALTHCARE HAS IMPLEMENTED THE FOLLOWING PROGRAMS TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA. THEY ARE AS FOLLOWS: PRIORITY AREA: MENTAL AND BEHAVIORAL HEALTH 1) BEEBE HEALTHCARE EXPANDED ITS MENTAL AND BEHAVIORAL HEALTH NURSE NAVIGATOR TEAM TO FOUR FULL-TIME AND THREE PER-DIEM STAFF MEMBERS, ALLOWING FOR GREATER CAPACITY TO OFFER BEHAVIORAL HEALTH SERVICES 24 HOURS A DAY TO ALL PATIENTS EXPERIENCING ANY MENTAL HEALTH OR SUBSTANCE ABUSE CRISIS IN BOTH THE EMERGENCY DEPARTMENT AND OUR INPATIENT UNITS. THE MENTAL AND BEHAVIORAL HEALTH NURSE NAVIGATORS COMPLETE BEHAVIORAL HEALTH AND MENTAL HEALTH SCREENINGS AS WELL AS ASSESSMENTS TO IDENTIFY TAILORED CARE FOR EACH INDIVIDUAL. THE NURSE NAVIGATOR COLLABORATES WITH OUR TELEHEALTH PSYCHIATRISTS, THE PATIENT, FAMILY, AND ANY OUTPATIENT PROVIDERS TO DEVELOP AND IMPLEMENT A PLAN OF CARE. THROUGH ON-SITE NURSE NAVIGATION SERVICES AND A PARTNERSHIP WITH INSIGHT TELEPSYCHIATRY, BEEBE OFFERS: PSYCHIATRIC CONSULTATIONS FOR ANY PATIENT 24/7 IN THE EMERGENCY DEPARTMENT AND INPATIENT MEDICAL FLOORS; 24HR DETENTION ON ADULTS WHO MEET CRITERIA FOR FURTHER ASSESSMENT AT AN INPATIENT PSYCHIATRIC FACILITY; REFERRALS AND TRANSFERS TO DETOX, REHAB, CRISIS, INPATIENT PSYCHIATRIC FACILITIES, AND OTHER BEHAVIORAL UNITS; OUTPATIENT RESOURCES FOR MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES FUNDED BY THE STATE AND THOSE THAT ARE PRIVATE ENTITIES; COORDINATION WITH OUTPATIENT PROVIDERS WHEN APPROPRIATE; VERIFICATION OF METHADONE DOSING SO PATIENTS CAN CONTINUE THEIR TREATMENT IN THE HOSPITAL; DE-ESCALATION, BEHAVIORAL MANAGEMENT, THERAPEUTIC SUPPORT, AND CRISIS INTERVENTION, WHEN APPLICABLE. 2) REFERRALS TO RECOVERY INNOVATIONS INCLUDE OPPORTUNITY FOR TEAM MEMBERS TO COME TO THE HOSPITAL TO PROVIDE SERVICES FOR PATIENTS WITH AN IDENTIFIED NEED AND CONTINUE TO SUPPORT THOSE INDIVIDUALS AS THEY TRANSITION BACK TO THEIR RESIDENCE IN THE COMMUNITY. 3) RECENT INITIATION OF THE BEHAVIORAL HEALTH INPATIENT BEHAVIORAL EMERGENCY RESPONSE TEAM (BERT) FOR PATIENTS IN OR EXHIBITING POTENTIAL FOR CRISIS. AN ALERT TO THIS TEAM CAN BE ACTIVATED BY ANY STAFF MEMBER WHEN NEED IS IDENTIFIED AND WILL ALSO BE ACTIVATED THROUGH THE BROSET VIOLENCE CHECKLIST SCORE VIA THE NURSING EMR WORKFLOW. 4) EXPANSION OF MENTAL AND BEHAVIORAL HEALTH SERVICES AT BEEBE HEALTHCARE'S ADVANCED CARE CLINIC. 5) PALLIATIVE CARE SERVICES OFFERED INPATIENT AND OUTPATIENT. 6) EDUCATION PROVIDED TO BEEBE HEALTHCARE'S MEDICAL STAFF AND EMERGENCY DEPARTMENT STAFF THROUGH THE DIVISION OF PROFESSIONAL REGULATION BASED ON CDC AND STATE OF DELAWARE RESTRICTIONS REGARDING OPIOID PRESCRIBING PRACTICES FOR BOTH ACUTE AND CHRONIC PAIN MANAGEMENT. 7) COMMUNITY-BASED TRAININGS OFFERED IN PARTNERSHIP WITH THE MENTAL HEALTH FIRST AID USA PROGRAM TO CREATE AWARENESS AND PROVIDE LAY PERSON EDUCATION AROUND IDENTIFYING AND RESOURCING INDIVIDUALS WHO MAY BE DEMONSTRATING SIGNS AND SYMPTOMS OF A MENTAL HEALTH CONCERN. 8) ORGANIZATION OF COMMUNITY-BASED EVENTS TO CREATE AWARENESS, OFFER PARTNER RESOURCES AND PROGRAMS IN ADDITION TO REDUCING THE STIGMA AROUND SUBSTANCE USE DISORDER. 9) BEEBE HEALTHCARE'S POPULATION HEALTH DEPARTMENT PARTNERED WITH DELAWARE TECHNICAL COMMUNITY COLLEGE ON EVENTS THAT PROVIDE RESOURCES AND OFFER WELLNESS-BASED SERVICES TO VETERANS, ACTIVE MILITARY AND THEIR FAMILY MEMBERS, TO RAISE AWARENESS AROUND POST-TRAUMATIC STRESS DISORDER AND ITS ASSOCIATED SYMPTOMS AS WELL AS PROVIDE OPPORTUNITIES TO CONNECT TO ELIGIBLE PROGRAMS AND SERVICES. 10) BEEBE HEALTHCARE IS A PARTNER IN THE VETERANS' CONTINUED CARE IN THE COMMUNITY PROGRAM THAT ENABLES VETERANS IN SUSSEX COUNTY TO SEEK SPECIALTY CARE AND DIAGNOSTICS SERVICES IN OUR HEALTHCARE SYSTEM UTILIZING THEIR VA BENEFITS. 11) COLLABORATION WITH HEALTH MANAGEMENT ASSOCIATES, PARTNER IN DELAWARE'S LIEUTENANT GOVERNOR'S THREE YEAR BEHAVIORAL HEALTH CONSORTIUM ACTION PLAN, TO PARTICIPATE AS MEMBERS OF THE COMMUNITY RESPONSE TEAM (CRT) IN SUSSEX COUNTY, STRATEGY AIMED AT INCREASING AND ORGANIZING COMMUNICATIONS THROUGHOUT THE COMMUNITY AND MULTIPLE SECTORS IN A SYSTEMATIC WAY TO DISSEMINATE REAL TIME UPDATES ON CONTAMINATED SUPPLIES OF ILLICIT DRUGS AND IMPROVING EMERGENCY RESPONSE TIME TO SUPPORT LOCAL AUTHORITIES IN MANAGING OVERDOSE SPIKES. 12) NEONATAL ABSTINENCE SYNDROME PROGRAMMING NOW INCLUDES UNIVERSAL DRUG SCREENING ON ALL MOTHERS. 13) WOMEN'S HEALTH NURSE NAVIGATION SERVICES NOW INCLUDES POST-PARTUM DEPRESSION SCREENING, INPATIENT ROUNDING ON NEW MOTHERS TO EDUCATE ON POST-PARTUM DEPRESSION SIGNS AND SYMPTOMS, ON-SITE EDUCATION TO PREGNANT WOMEN AND MOTHERS AT AREA MAT CENTERS. AREA PEDIATRICIANS CONDUCT POST-PARTUM DEPRESSION SCREENINGS AS WELL AS ACE SCREENING DURING MOM/BABY VISITS, REFERRING MOTHERS BACK TO HER WOMEN'S HEALTH PROVIDER FOR FOLLOW-UP. 14) HIGH SCHOOL WELLNESS CENTERS PROVIDE FREE HEALTH EDUCATION, NUTRITIONAL HELP, MENTAL HEALTH COUNSELING, EDUCATIONAL PROGRAMS ON STRESS REDUCTION, EMOTIONAL SUPPORT, AND, WHEN APPROPRIATE, REFERRALS TO STUDENTS' PERSONAL PHYSICIANS FOR FOLLOW-UP CARE. IN ADDITION, THE CENTERS OFFER ALATEEN GROUP MEETINGS. 15) BEEBE HEALTHCARE IMPLEMENTED AN OPIOID STEWARDSHIP PROGRAM TO RAISE AWARENESS, EDUCATE PROVIDERS AND TEAM MEMBERS ON PRESCRIPTION DOSE GUIDELINES, SHARE CURRENT LOCAL AND NATIONAL STATISTICS AND OFFER RESOURCES.PRIORITY AREA: OBESITY, NUTRITION, AND CHRONIC DISEASE - 1) COMMUNITY OUTREACH PROGRAMS WHICH PROVIDE FREE HEALTH SCREENINGS AND EDUCATION TO THE SUSSEX COUNTY COMMUNITY BY MEANS OF HEALTH FAIRS AND THROUGH CONNECTIONS WITH CIVIC ORGANIZATIONS AND LOCAL BUSINESSES. 2)FOOD PRESCRIPTION PROGRAM - THIS IS A PARTNERSHIP BETWEEN THE FOOD BANK OF DELAWARE AND BEEBE HEALTHCARE TO PROVIDE FOOD PRESCRIPTION VOUCHERS TO INPATIENT AND OUTPATIENT CLIENTS IDENTIFIED AS HAVING FOOD CONCERNS. 3) ESTABLISHED PARTNERSHIP WITH UNIVERSITY OF DELAWARE COOPERATIVE EXTENSION TO OFFER FARM MARKET VOUCHERS TO QUALIFYING SENIORS TO ASSIST IN PURCHASING AND CONSUMPTION OF FRUITS AND VEGETABLES. 4) BEEBE INTEGRATIVE HEALTH PROVIDES A COLLECTION OF BEWELL PROGRAMMING THAT INCLUDES EXPERIENTIAL WORKSHOPS, LECTURE SERIES AND MIND/BODY RELAXATION TECHNIQUES, AS WELL AS ONE-ON-ONE COACHING. 5) BEWELL LIFESTYLE PROGRAM, A 12-WEEK PROGRAM PROVIDES KNOWLEDGE AND SKILL-BUILDING THAT PROMOTES HEALTHFUL BEHAVIORS AND LIFESTYLE MODIFICATIONS. 6) HEALTH COACHING PROGRAM - THE BEEBE HEALTH COACH WORKS 1:1 OR IN SMALL GROUPS, PARTNERING WITH INDIVIDUALS TO HELP THEM MAKE LIFESTYLE CHANGES. WORKING TOGETHER, THE HEALTH COACH AND INDIVIDUAL(S) WORK TOGETHER TO CREATE A PERSONALIZED HEALTH PLAN TO HELP TAKE A PERSON FROM WHERE HE/SHE CURRENTLY IS TO WHERE HE/SHE WANTS TO BE WITH OVERALL HEALTH AND WELLNESS GOALS. THIS MAY INCLUDE HEALTHY EATING, WEIGHT MANAGEMENT/WEIGHT LOSS, MOVEMENT AND EXERCISE OR STRESS MANAGEMENT. 7) DIABETES MANAGEMENT & MEDICAL NUTRITION THERAPY PROGRAM - SINCE 1998, BEEBE HEALTHCARE'S DIABETES MANAGEMENT TEAM HAS PROVIDED OUTPATIENT DIABETES EDUCATION FOR THE COMMUNITY. THIS COMPREHENSIVE PROGRAM RECEIVED NATIONAL RECOGNITION BY THE AMERICAN DIABETES ASSOCIATION (ADA) FOR PROVIDING EDUCATION THAT MEETS THE NATIONAL STANDARD FOR DIABETES SELF-MANAGEMENT EDUCATION PROGRAMS. IN 2018, PROGRAM OFFERINGS WERE EXPANDED TO EVENINGS AND WEEKENDS AT FIVE LOCATIONS IN THE COUNTY. 8) ORNISH REVERSAL PROGRAM - THE PROGRAM TEACHES PARTICIPANTS TO ADOPT A HEALTHY LIFESTYLE BASED ON THE FOUR KEY ELEMENTS: A LOW-FAT, WHOLE FOODS, PLANT-BASED DIET; AT LEAST 30 MINUTES OF EXERCISE EACH DAY; A PRACTICE OF STRESS MANAGEMENT TECHNIQUES; AND ACTIVE ENGAGEMENT IN SUPPORTIVE RELATIONSHIPS. THIS PROGRAM HAS BEEN PROVEN TO UNDO HEART DISEASE BY DEALING WITH THE ROOT CAUSES AND NOT JUST ITS EFFECTS. 9) ROBUST PARTNERSHIP WITH DIVISION OF PUBLIC HEALTH THAT INCREASES CHRONIC DISEASE, DIABETES, CHRONIC PAIN AND CANCER SELF-MANAGEMENT WORKSHOP OFFERINGS IN EASTERN AND SOUTHERN ...(CO BEEBE MEDICAL CENTER PART V, SECTION B, LINE 16J: BEEBE CURRENTLY PUBLISHES POLICIES AND PROCEDURES VIA ITS WEBSITE WITH THE ABILITY TO APPLY ONLINE, AT COMMUNITY OUTREACH EVENTS COORDINATED BY POPULATION HEALTH TO INCLUDE ANNUAL HEALTH FAIR AND ONSITE VIA PATIENT FINANCIAL SERVICES. BEEBE ALSO SENDS THE FAP NOTIFICATION TO ALL PATIENTS WITHIN OUR CHARITY RESIDENTIAL AREA TO MAKE THEM AWARE OF THE PROGRAM AS WELL AS EDUCATE THEM VIA PHONE CALLS WHEN MAKING ARRANGEMENTS. PART V, SECTION B, LINE 11 (.... CONTINUATION) SUSSEX COUNTY...(10) POPULATION HEALTH AND INTEGRATIVE HEALTH PARTNERED TO OFFER HEALTH AND WELLNESS PROGRAMMING TO BEEBE TEAM MEMBERS. 11) ESTABLISHED PARTNERSHIP WITH UNIVERSITY OF DELAWARE COOPERATIVE EXTENSION TO OFFER 5 WEEK WORKSHOPS ON BUDGET-FRIENDLY HEALTHY EATING AND MEAL PREPARATION. 12) BEEBE MEDICAL GROUP IMPLEMENTED A CHRONIC CARE MANAGEMENT PROGRAM FOR ENROLLED MEDICARE PATIENTS THAT INCLUDES MONTHLY NON FACE-TO-FACE ENCOUNTERS DURING WHICH CHRONIC CONDITION AND BARRIER ASSESSMENTS ARE CONDUCTED RESULTING IN RELATED EDUCATION AND RESOURCES BEING PROVIDED. 13) PHARMACY NAVIGATOR ROLE IMPLEMENTED TO PROVIDE ASSISTANCE, EDUCATION AND RESOURCES TO PATIENTS IN THE HOSPITAL AND EMERGENCY DEPARTMENT SETTINGS PRIOR TO AND POST DISCHARGE AS WELL AS PRESCRIPTION AND MEDICATION DELIVERY. 14) PULMONARY NAVIGATOR ROLE IMPLEMENTED TO COORDINATE DISEASE-SPECIFIC CARE FOR PATIENTS ADMITTED INTO THE HOSPITAL WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) AND/OR PNEUMONIA AND WORKS TO IDENTIFY BARRIERS TO CARE LEADING TO NON-ADHERENCE AND/OR READMISSION. 15) ONGOING PARTNERSHIPS WITH AREA COMMUNITIES WITH HEALTH AND WELLNESS COMMITTEES TO SUPPORT THEIR PROGRAMMING ON HEALTH-RELATED TOPICS AND SERVICES. 16) CIPHERHEALTH, A PATIENT ENGAGEMENT SOLUTION THAT CONTACTS PATIENTS POST-DISCHARGE AND OFFERS THE CHOICE TO BE CONTACTED BY THE DISCHARGE RN WHO CAN ASSIST WITH TRANSITION OF CARE AND RELATED CONCERNS. PRIORITY AREA: CANCER, PREVENTION AND SCREENING - 1) TUNNELL CANCER CENTER CANCER SCREENING, EDUCATION, AND OUTREACH PROGRAM - BEEBE HEALTHCARE'S TUNNELL CANCER CENTER LAUNCHED THE LUNG CANCER SCREENING USING LOWDOSE COMPUTED TOMOGRAPHY (LDCT) IN APRIL 2015. BEGINNING JUNE 1, 2016, PHYSICIANS ASSUMED THE RESPONSIBILITY OF SCREENING THEIR PATIENTS FOR APPROPRIATENESS FOR SCREENING. THE PROGRAM ALSO PROVIDES EDUCATION TO COMMUNITY RESIDENTS ABOUT SMOKING CESSATION AND LUNG CANCER SCREENING. 2) CANCER SCREENING NURSE NAVIGATOR PROVIDES COMMUNITY EDUCATION ON SCREENINGS FOR BREAST, COLON, PROSTATE AND CERVICAL CANCERS, OFFERS ASSISTANCE FOR ACCESS, FOLLOWS PATIENTS WITH ABNORMAL RESULTS FOR FUTURE SCREENING NEEDS AND HELPS COORDINATE CANCER CARE. 3) BREAST HEALTH NURSE NAVIGATOR PROVIDES PATIENTS THROUGHOUT THEIR CANCER JOURNEY WITH EDUCATION, RESOURCES AND SUPPORT. 4) SMOKING CESSATION COUNSELORS AVAILABLE TO OFFER READINESS TO QUIT SESSIONS. BEEBE DID IDENTIFY NEEDS WHICH IT WAS NOT ABLE TO ADDRESS AS PART OF ITS PLAN. AS WITH ALL ORGANIZATIONS, THERE ARE LIMITED FINANCIAL AND CAPACITY ISSUES. 15 1 - TUNNEL CANCER CENTER 18947 JOHN J WILLIAMS HWY REHOBOTH BEACH DE 19971 CANCER CENTER 2 - BOOK HAMMER OUTPATIENT CENTER 18941 JOHN J WILLIAMS HWY REHOBOTH BEACH DE 19971 DI, LAB,REHAB, SURG, WC 3 - GEORGETOWN HEALTH CAMPUS 21635 BIDEN AVENUE GEORGETOWN DE 19947 IMAGING CENTER, LAB DRAWS, REH 4 - MILLVILLE HEALTH CENTER 32550 DOCS PLACE UNIT 1 MILLVILLE DE 19967 IMAGING CENTER, LAB DRAWS, REH 5 - BEEBE HOME HEALTH 232 MITCHELL ST SUITE 200 MILLSBORO DE 19966 HOME HEALTH AGENCY 6 - BEEBE PHYSICAL REHAB CENTER 19324 LIGHTHOUSE PLAZA BLVD REHOBOTH BEACH DE 19971 REHAB 7 - BEEBE ENDOSCOPY CENTER 33633 BAYVIEW MEDICAL DRIVE LEWES DE 19958 ENDOSCOPY CENTER 8 - SOUTH COASTAL HEALTH CAMPUS 32750 ROXANA RD FRANKFORD DE 19945 ED, DI, LAB, CANCER CENTER 9 - MILLSBORO HEALTH CENTER 28538 DUPONT BLVD MILLSBORO DE 19966 IMAGING CENTER, LAB DRAWS, REH 10 - BAYVIEW VASCULAR LAB 33664 BAYVIEW MEDICAL DRIVE UNIT 2 LEWES DE 19958 VASCULAR LAB 11 - BEEBE MRI AT FIVE POINTS 17252 N VILLAGE MAIN BLVD LEWES DE 19958 MRI IMAGING 12 - BEEBE SCHOOL OF NURSING 420 MARKET STREET LEWES DE 19958 CERTIFIED NURSING SCHOOL 13 - GULL HOUSE 34382 CARPENTER WAY LEWES DE 19958 ADULT DAY CARE 14 - MILTON IMAGINGLAB 614 MULBERRY STREET MILTON DE 19968 IMAGING CENTER, LAB DRAWS, REH 15 - LONG NECK LAB EXPRESS 32060 LONG NECK ROAD MILLSBORO DE 19966 LAB DRAWS PART III, LINE 2: THE ORGANIZATION'S METHODOLOGY FOR REPORTING BAD DEBT ON SCHEDULE, H, LINE 2 IS GROSS CHARGES. PART III, LINE 4: UNDER THE PROVISIONS OF ASU-2014-09, WHEN THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO PASSAGE OF TIME, THE RIGHT IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS, WHICH HAVE THE UNCONDITIONAL RIGHT TO PAYMENT AND ESTIMATED AMOUNTS DUE FROM THIRD PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECORDED AS RECEIVABLES SINCE THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. THE ESTIMATED UNCOLLECTIBLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE RECORDED AS A DIRECT REDUCTION TO PATIENT ACCOUNTS RECEIVABLE RATHER THAN AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 8: BEEBE MEDICAL CENTER (BMC) SERVES THE COMMUNITY AS A WHOLE. IT IS THE ONLY HOSPITAL WITHIN 23 MILES AND IS THE ONLY TERTIARY HOSPITAL WITHIN 40 MILES. BMC ACCEPTS ALL PATIENTS REGARDLESS OF ABILITY TO PAY. BEEBE MEDICAL CENTER'S PRIMARY SERVICE AREA IS RURAL WITH A VERY HIGH MEDICARE POPULATION. MEDICARE REPRESENTS 63% OF HOSPITAL BUSINESS. MEDICARE RATES DO NOT KEEP UP WITH HEALTHCARE COSTS AND WITH THE HIGH PERCENTAGE OF MEDICARE VOLUMES. THE MEDICARE SHORTFALL OF $(75,303,056) IS CONSIDERED A COMMUNITY BENEFIT.RATIO OF COST TO CHARGES WAS USED TO DETERMINE THE AMOUNT ON LINE 6. PART III, LINE 9B: BEEBE MEDICAL CENTER COLLECTION POLICY INCLUDES INFORMATION ABOUT OUR FINANCIAL ASSISTANCE POLICY (FAP) AND HOW TO FIND THE FAP. THE DEBT COLLECTION POLICY APPLIES TO ALL PATIENTS. ADDITIONALLY, OUR COLLECTION POLICY INSTRUCTIONS THAT EXTRAORDINARY COLLECTION ACTIONS (ECA) WILL BE SUSPENDED WHEN A PATIENT REQUESTS INFORMATION ON OUR FAP OR SUBMITS A FINANCIAL ASSISTANCE APPLICATION WITHIN 240 DAYS OF THE FIRST POST-DISCHARGE BILLING STATEMENT. OUR POLICY DESCRIBES WHAT TO DO IF THE FINANCIAL ASSISTANCE APPLICATION IS INCOMPLETE AND WHAT IS REQUIRED TO BE REFUNDED IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE AFTER MAKING A PAYMENT. WE INCLUDE DATES IN WHICH SERVICES ARE INCLUDE IN THE FINANCIAL ASSISTANCE SO THAT WE UNDERSTAND WHEN NORMAL COLLECTIONS EFFORTS ARE APPROPRIATE.WITHIN OUR COLLECTION POLICY WE DESCRIBE THAT A PATIENT DENIED FINANCIAL ASSISTANCE MAY REQUEST A RECONSIDERATION. FOR DATES OF SERVICES APPROVED FOR FINANCIAL ASSISTANCE COLLECTIONS PROCESSES ARE HALTED AS THE ACCOUNT IS ADJUSTED TO ZERO DUE FROM PATIENT. THE POLICY STATES HOW TO PROCESS THE PATIENT BALANCE WHEN ONLY A PORTION OF THE CHARGE QUALIFIED FOR FINANCIAL ASSISTANCE, COLLECTIONS WILL ONLY BE PURSUED ON THE AMOUNT THAT DID NOT QUALIFY. PART VI, LINE 2 BEEBE MEDICAL CENTER HAS VARIOUS METHODS FOR ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES: - COMMUNITY-BASED BOARD OF DIRECTORS - NON-DIRECTOR MEMBERS OF THE BUILDING AND EQUIPMENT COMMITTEE, SAFETY AND QUALITY COMMITTEE AND COMMUNITY HEALTH WORKGROUP - CONSUMER PERCEPTION SURVEY - NEIGHBORS' COMMITTEE - PATIENT FAMILY ADVISORY COUNCIL - WELLNESS NEEDS ASSESSMENTS WITHIN PARTNERED COMMUNITIES - PRESS-GANEY PATIENT SATISFACTION SURVEY - POST-PARTICIPATION PROGRAM SURVEYS - PUBLIC DATA - COMMUNITY FOCUS GROUPS PART VI, LINE 3 BEEBE MEDICAL CENTER (BMC) IS A NOT-FOR-PROFIT, COMMUNITY-BASED HEALTHCARE FACILITY. IT IS HOSPITAL POLICY THAT NO ONE WILL BE DENIED MEDICALLY NECESSARY HOSPITAL SERVICES BASED UPON THE PATIENT'S ABILITY TO PAY FOR THOSE SERVICES. A PUBLIC NOTICE OF THE AVAILABILITY OF FINANCIAL AID IS VISIBLE WITHIN THE HOSPITAL. BEEBE MEDICAL CENTER COMPLIES WITH ALL FEDERAL, STATE AND CONTRACTUAL LAWS, REGULATIONS AND REQUIREMENTS.OBJECTIVE: THE PATIENT OR GUARANTOR HAS THE ULTIMATE FINANCIAL RESPONSIBILITY FOR CARE RECEIVED FROM BEEBE MEDICAL CENTER. BMC COOPERATES WITH AND ASSISTS ALL PATIENTS IN THE FULFILLMENT OF THEIR FINANCIAL RESPONSIBILITY. THIS COOPERATION INCLUDES ASSISTANCE WITH ENROLLMENT IN PUBLIC OR PRIVATE INSURANCE PROGRAMS, CHARITY-BASED PROGRAMS, FINANCIAL ASSISTANCE PROGRAMS, OR OTHER THIRD PARTY PAYMENT PROGRAMS. PATIENTS HAVE THE RESPONSIBILITY TO PROVIDE TIMELY AND ACCURATE INFORMATION WHEN SEEKING CONSIDERATION UNDER THE BMC CHARITY AND FINANCIAL AID POLICY.PROCEDURES:1. PATIENTS RESIDING IN OUR DESIGNATED RESIDENTIAL AREA WHO MAY QUALIFY FOR OUR CHARITY OR FINANCIAL ASSISTANCE PROGRAM RECEIVE A NOTIFICATION OF OUR PROGRAM (INSURED AND UNINSURED).2. PATIENT APPLIES AND SUBMITS ALL RELATIVE DOCUMENTATION FOR THE BMC FINANCIAL ASSISTANCE PROGRAM APPLICATION PROCESS. SELF PAY PATIENT RECEIVES SERVICES FROM BMC AND IS REGISTERED AS A SELF PAY WITH NO INSURANCE COVERAGE. A. APPROVAL FOR THE ELIGIBILITY FOR THE BMC FINANCIAL ASSISTANCE PROGRAM IS COMMUNICATED IN A LETTER INDICATING THE COVERAGE PERIOD. THE PATIENT MAY RECEIVE 40% TO 100% OF FINANCIAL ASSISTANCE BASED ON FINANCIAL INFORMATION PRESENTED. ALL OUTSTANDING ELIGIBLE ACCOUNTS ARE WRITTEN OFF TO CHARITY OR FINANCIAL ASSISTANCE BASED ON THE APPROVAL LEVEL. B. FINANCIAL ASSISTANCE APPROVALS ARE GOOD FOR UP TO A YEAR AS LONG AS ELIGIBILITY DOES NOT CHANGE. PATIENTS ARE REQUIRED TO REAPPLY ANNUALLY. C. THE PATIENT RECEIVES A FINANCIAL ASSISTANCE CARD INDICATING THE APPLICATION TIME PERIOD AND THE FINANCIAL ASSISTANCE NUMBER. D. THE PATIENT IS INSTRUCTED TO PRESENT THE CARD AT EACH EPISODE OF CARE AT REGISTRATION. FINANCIAL ASSISTANCE IS ENTERED IN THE REGISTRATON IN THE SAME MANNER AS INSURER COVERAGE.3. PATIENT RETURNS FOR SERVICES PRESENTING WITH THE FINANCIAL ASSISTANCE/CHARITY CARD AT REGISTRATION. A. PATIENT IS REGISTERED AS THE PRIMARY PLAN AND FINANCIAL ASSISTANCE IS REGISTERED AS SECONDARY COVERAGE. B. A WEEKLY REPORT IS GENERATED LISTING ALL PATIENTS THAT VISITED THE HOSPITAL WITH A FINANCIAL ASSISTANCE LISTED IN THE SECONDARY INSURANCE. C. THE REPORT IS REVIEWED BY THE HOSPITAL FINANCIAL COUNSELOR AND THE ACCOUNT IS WRITTEN OFF ACCORDING TO THE ASSISTANCE PROGRAM OF WHICH THE PATIENT IS ELIGIBLE. I. IF PATIENT QUALIFIES FOR THE CHARITY PROGRAM, CHARITY WRITE OFF IS 100% OF CHARGES (UNLESS APPROVED UNDER HEALTH CARE CONNECTION (HCC) FEE FOR SERVICE). PATIENT RECEIVES NO FURTHER STATEMENTS UNLESS OUTSTANDING FEE FOR SERVICE APPROVED UNDER HEALTH CARE CONNECTION (HCC). II. IF PATIENT QUALIFIES FOR THE BMC FINANCIAL ASSISTANCE DISCOUNTED PROGRAM - ACCOUNT IS WRITTEN OFF FOR THE PERCENTAGE OF APPROVED DISCOUNT AMOUNT THAT THE PATIENT QUALIFIED FOR. FINANCIAL ASSISTANCE CAN BE GRANTED FOR UP TO 100% OF CHARGES. 1. PATIENT WILL THEN RECEIVE STATEMENTS FOR THE REMAINING BALANCE ON NON BAD DEBT ACCOUNTS. SYSTEM DOES NOT GENERATE PATIENT STATEMENTS AFTER ACCOUNT IS DEEMED BAD DEBT. 2. THE NEW ACCOUNTS ARE COMBINED WITH EXISTING PAYMENT ARRANGMENTS AND A MONTHLY PAYMENT IS RE-CALCULATED BASED ON QUALIFICATION AND PATIENT ABILITY TO PAY. PART VI, LINE 4 THE MEDICAL CENTER IS LOCATED IN SUSSEX COUNTY, THE SOUTHERN-MOST OF THREE DELAWARE COUNTIES, WHICH CONSISTS OF 938 SQUARE MILES, OR 48% OF DELAWARE'S ENTIRE LAND AREA. BECAUSE OF ITS CLIMATE AND LOW PROPERTY TAXES, SUSSEX COUNTY HAS BECOME AN ATTRACTIVE RETIREMENT COMMUNITY. ALL OF THE COUNTY'S GROWTH OVER THE NEXT DECADE IS POJECTED TO COME FROM PERSONS MOVING INTO THE COUNTY.TRADITIONALLY, SUSSEX COUNTY HAS BEEN REGARDED AS A RURAL AGRICULTURAL AREA. HOWEVER, THE EASTERN EDGE OF SUSSEX COUNTY THAT FRONTS ON THE DELAWARE BAY AND ATLANTIC OCEAN HAS BECOME A MAJOR TOURIST RESORT AND, MOST RECENTLY, A FAVORED RETIREMENT AREA, RETAIL, AND HOSPITALITY CENTER. EASTERN AND SOUTHEASTERN SUSSEX COUNTY, WHICH IS BEEBE MEDICAL CENTER'S PRIMARY SERVICE AREA, IS PARTICULARLY ATTRACTIVE DUE TO ITS PROXIMITY TO THE ATLANTIC OCEAN AND DELAWARE BAY. AS A RESULT, THE MEDICAL CENTER GENERALLY EXPERIENCES A SIGINIFICANT INCREASE IN PATIENT VISITS DURING THE SUMMER PERIODS.ACCORDING TO THE 2010 CENSUS, DELAWARE'S POPULATION WAS 897,934, WITH 61% LIVING IN NEW CASTLE COUNTY, 21% IN SUSSEX, AND 18% IN KENT COUNTY (DELAWARE HEALTH TRACKER). THERE HAS BEEN NO CENSUS SINCE 2010, BUT THE ESTIMATED POPULATION OF DELAWARE IN 2014 WAS 935,614 (DELAWARE HEALTH TRACKER). THE ESTIMATED POPULATION FOR SUSSEX COUNTY IN 2010 WAS 197,145 WITH A POPULATION OF 41,073 (20.8%) OVER THE AGE OF 65. SUSSEX ALSO HAS A VERY HIGH PERCENTAGE OF MEDICARE RECIPIENTS AT 23.3%. THE PERCENTAGE IN POVERTY IS LISTED AT 13.9%. THE SERVICE AREA POPULATION IS ESTIMATED AT 199,118 WITH A 3-YEAR GROWTH RATE OF 4.6%, APPROXIMATELY 9,197 RESIDENTS. IT IS NOTED THAT OUR SERVICE AREA HAS A 21% POPULATION AGE 65 OR OLDER WHERE THE U.S AVERAGE IS 13%. (BEEBE MEDICAL STAFF DEVELOPMENT PLAN, NOVEMBER 18, 2012). PART VI, LINE 5 BEEBE MEDICAL CENTER'S MISSION IS ROOTED IN THREE ACTIONS, EMPOWERING HEALTHY LIVING, PREVENTING ILLNESS AND RESTORING OPTIMAL HEALTH WITH THE PEOPLE RESIDING, WORKING, OR VISITING THE COMMUNITIES WE SERVE. BEEBE MEDICAL CENTER'S BOARD IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATIONS PRIMARY SERVICE AREA AND THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL PHYSICIANS IN ITS COMMUNITY.ADDITIONALLY, AS A COMMUNITY ORGANIZATION, BEEBE HEALTHCARE IS CONTINUOUSLY PARTICIPATING IN COMMUNIT EVENTS AND PARTICIPATING WITH COMMUNITY ORGANIZATIONS TO OFFER NO-COST SEMINARS, WORKSHOPS AND ACTVITITES DEDICATED TO EDUCATING AND SUPPORT THE COMMUNITY ALONG WITH THE CONTINUUM OF CARE. EMPOWERMENT AND EDUCATION ARE INTEGRAL COMPONENTS IN THE PROMOTION OF SELF-ADVOCACY AND SELF-CARE. THESE OFFERINGS CREATE OPPORTUNITIES FOR OUR RESIDENTS TO ENGAGE IN KNOWLEDGE-BUILDING AND SKILL-BUILDING EXPERIENCES THAT TEACH WAYS TO BETTER SELF-MANAGE THEIR CONDITIONS AND IMPROVE THEIR HEALTH OUTCOMES. PART VI, LINE 6 BEEBE MEDICAL CENTER (BMC) IS A MEMBER OF AN AFFILIATED HEALTH CARE SYSTEM THAT INCLUDES BEEBE PHYSICIAN NETWORK (BPN), A NOT-FOR-PROFIT TAX-EXEMPT CORPORATION THAT OPERATES A PHYSICIAN NETWORK PROVIDING INTEGRATED PHYSICIAN SERVICES IN COORDINATION WITH THE MEDICAL CENTER. BMC IS LOCATED IN A COMMUNITY THAT HAS BEEN DESIGNATED AS A PHYSICIAN UNDER-SERVED AREA SINCE 1976 AND BPN WAS ORGANIZED TO ENCOURAGE PHYSICIANS TO PRACTICE IN THE AREA TO ENSURE ACCESS TO CARE FOR THE SURROUNDING COMMUNITIES.IN MAY 2013 BMC'S HEALTH CARE SYSTEM ADDED DELMARVA HEALTHCARE NETWORK, LLC (DHN). DHN IS AN ACCOUNTABLE CARE ORGANIZATION (ACO) WITH BEEBE AS THE SOLE MEMBER. PART VI, LINE 7 COMMUNITY BENEFIT REPORT IS FILED WITH THE STATE OF DELAWARE. 1 BEEBE MEDICAL FOUNDATION 902 SAVANNAH ROAD LEWES DE 19958 510319455 501(C)(3) 1298088 FMV GENERAL SUPPORT 1 SCHEDULE I, PART I, LINE 2 THE MEDICAL CENTER ONLY MAKES GRANTS TO ITS RELATED, TAX-EXEMPT FOUNDATION BEEBE MEDICAL FOUNDATION. 1 X X X X 1 0 0 0 0 0 0 1 0 JEFFREY M FRIED FORMER PRESIDENT/CEO (END MAR. 2019) 186607 0 50000 0 648001 0 3748 0 3443 0 891799 0 0 0 NISARG DESAI PHYSICIAN 442348 0 248438 0 9140 0 5600 0 24359 0 729885 0 0 0 RICHARD SCHAFFNER EXED VP/COO 483346 0 71905 0 79439 0 5569 0 26083 0 666342 0 0 0 PAUL J PERNICE VP FINANCE CFO 453523 0 82241 0 95485 0 5600 0 1672 0 638521 0 0 0 SRIHARI PERI PHYSICIAN 540450 0 92088 0 0 0 4438 0 19 0 636995 0 0 0 SRUJITHA MURUKUTLA PHYSICIAN 441139 0 129119 0 17788 0 5433 0 16184 0 609663 0 0 0 JEFFREY HAWTOF MD VP MEDICAL OPS & INFORMATICS 423165 0 63772 0 71984 0 4250 0 21489 0 584660 0 0 0 BRUCE LESHINE VP CORPORATE COUNSEL 313495 0 52394 0 53681 0 4730 0 27117 0 451417 0 0 0 MICHAEL MAKSYMOW VP INFORMATION SYSTEMS 267307 0 45876 0 34428 0 3809 0 31924 0 383344 0 0 0 CATHERINE HALEN VP HUMAN RESOURCES 273662 0 43524 0 44238 0 3570 0 13172 0 378166 0 0 0 STEVEN D RHONE VP PATIENT CARE (END JAN. 2020) 253219 0 44910 0 42624 0 4135 0 19551 0 364439 0 0 0 ALEX SYDNOR VP EXTERNAL AFFAIRS (END OCT. 2020) 233350 0 44409 0 17408 0 3270 0 31828 0 330265 0 0 0 MICHAEL SALVATORE PHYSICIAN 264283 0 1100 0 17898 0 4302 0 25363 0 312946 0 0 0 MARCY JACK VP QUALITY, SAFETY, RISK MGMT 213601 0 40171 0 22418 0 3875 0 24523 0 304588 0 0 0 MARK LOUKIDES VP LOUKIDES 206218 0 38023 0 11428 0 4317 0 31535 0 291521 0 0 0 PRAMOD VADLAMANI PHYSICIAN 205757 0 10000 0 7573 0 1385 0 8171 0 232886 0 0 0 PART I, LINE 4A LINE 4A: JEFFREY M. FRIED : 464,000 PART I, LINE 7 EXECUTIVES AND MANAGEMENT TEAM MEMBERS ARE ELIGIBLE FOR BONUSES IF THEY MEET SPECIFIC ORGANIZATIONAL OBJECTIVES INCLUDING QUALITY AND SAFETY ISSUES, PATIENT SATISFACTION SCORES, AND CERTAIN FINANCIAL GOALS. FOR VICE PRESIDENTS, 80% OF THEIR ELIGIBLE INCENTIVE IS BASED UPON ORGANIZATION - WIDE GOALS AND 20% IS BASED UPON INDIVIDUAL GOALS. FOR THE CEO, 100% OF THE ELIGIBLE INCENTIVE IS BASED UPON ORGANIZATION - WIDE OR TEAM GOALS. CERTAIN PHYSICIANS ARE ELIGIBLE FOR AN INCENTIVE BASED ON THE PHYSICIAN'S INDIVIDUAL PRACTICE NUMBER OF WORKED RVU'S. A DELAWARE HEALTH FACILITIES AUTH SERIES 2014A 510272458 2014-06-01 31020000 REFUND DHFA SERIES 2002A BONDS 0 0 0 B DELAWARE HEALTH FACILITIES AUTH SERIES 2014B 510272458 2014-06-01 9670000 REFUND DHFA SERIES 2002A BONDS 0 0 0 C DELAWARE HEALTH FACILITIES AUTH SERIES 2015A 510272458 2015-09-14 16207224 RFUND DHFA SERIES 2005A BONDS 0 0 0 D DELAWARE HEALTH FACILITIES AUTH SERIES 2018 510272458 2018-12-19 179937451 PLANNED EXPANSION 0 0 0 A 5195000 31020000 266666 14998308 15755000 2015 1 0 1 1 B 6300000 9670000 75871 9594129 2014 1 0 1 1 C 4520000 16207224 324144 15883080 2015 1 0 1 1 D 179937451 19435922 1450773 77571116 81479640 0 0 0 1 A 0 0 1 1 1 1 0 0 1 B 0 0 1 1 1 1 0 0 1 C 0 1 1 1 1 1 0.00960 0.00960 0 0 1 D 0 0 0 0 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 0 0 1 1 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 SCHEDULE K, PART I, LINE C, COLUMN (F) DESCRIPTION OF PURPOSE: REFUNDING BOND ISSUE TO FINANCE CURRENT FUNDING OF THE DELAWARE HEALTH FACILITIES AUTHORITY'S $23,450,000 REVENUE BONDS. BEEBE MEDICAL CENTER PROJECT SERIES 15A BONDS OUTSTANDING AS OF 6/30/2020 WAS $11,300,000. SCHEDULE K, PART I, LINE A, COLUMN (F): DESCRIPTION OF PURPOSE: REFUNDING BOND ISSUE TO FINANCE CURRENT REFINANCING OF THE DELAWARE HEALTH FACILITIES AUTHORITY'S $15,755,025 REVENUE BONDS. AND ALSO ISSUED TO FINANCE$14,998,308 IN CAPITAL EQUIPMENT EXPENDITURES. BEEBE MEDICAL CENTER PROJECT SERIES 2014A BONDS OUTSTANDING AS OF 6/30/2020 WAS $25,825,000 SCHEDULE K, PART I, LINE B, COLUMN (F): DESCRIPTION OF PURPOSE: REFUNDING BOND ISSUE TO FINANCE CURRENT REFINANCING OF THE DELAWARE HEALTH FACILITIES AUTHORITY'S $29,455,000 REVENUE BONDS. BEEBE MEDICAL CENTER PROJECT SERIES 2014B BONDS OUTSTANDING AS OF 6/30/2020 WAS $3,370,000 SCHEDULE K, PART I, LINE D, COLUMN (F): DESCRIPTION OF PURPOSE: BOND ISSUE TO FINANCE PLANNED EXPANSION AND CAPITAL EQUIPMENT EXPENDITURES IN SUSSEX COUNTY, DE. BEEBE MEDICAL CENTER PROJECT SERIES 2018 BONDS OUTSTANDING AS OF 6/30/2020 WAS $169,870,000. SCHEDULE K: PART IV LINE 1 COLUMNS A AND B: THE REBATE CALCULATION FOR SERIES 2014A & B WAS PERFORMED ON 6/1/2020 SCHEDULE K: PART IV LINE 1 COLUMN C: THE REBATE CALCULATION FOR SERIES 2015 WAS PERFORMED ON 9/3/2019 SCHEDULE K: PART IV LINE 1 COLUMN D: THE REBATE CALCULATION FOR SERIES 2018 WAS PERFORMED 12/20/2019 SALIBA FAMILY LLC SEE PART V 352481 SEE PART V 0 CARRIE SNYDER FAMILY MEMBER 136577 WAGES 0 BEACON PEDIATRICS LLC FAMILY MEMBER 149454 SEE PART V 0 SCHEDULE L, PART IV FOR THE TRANSACTIONS WITH SALIBA FAMILY LLC, ANIS SALIBA, MD, A DIRECTOR OF BEEBE MEDICAL CENTER, IS A MEMBER OF THE LLC. BEEBE MEDICAL CENTER RENTS OFFICE SPACE FROM THE LLC.FOR THE TRANSACTION WITH BEACON PEDIATRICS, LLC. THE WIFE OF A BOARD MEMBER IS 100% OWNER. THE AMOUNT LISTED ON PART IV WAS PAID TO BEACON PEDIATRICS, LLC FOR PHYSICIAN CALL PAY. FORM 990, PART I, LINE 1 BEEBE MEDICAL CENTER'S CHARITABLE MISSION IS TO ENCOURAGE HEALTHY LIVING, PREVENT ILLNESS AND RESTORE OPTIMAL HEALTH WITH THE PEOPLE RESIDING, WORKING AND VISITING IN THE COMMUNITIES WE SERVE. BEEBE MEDICAL CENTER PROVIDES HEALTHCARE SERVICES REGARDLESS OF RACE, COLOR, RELIGION, AGE, GENDER OR SEX, NATIONAL ORIGIN OR ANCESTRY, DISABILITY, VETERAN'S STATUS, GENETIC INFORMATION, SEXUAL ORIENTATION, GENDER IDENTITY OR ANY OTHER LEGALLY PROTECTED CHARACTERISTIC. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED INTERNALLY BY MANAGEMENT OF BEEBE MEDICAL CENTER, INC. THE RETURN IS REVIEWED BY A THIRD PARTY ACCOUNTING FIRM, GRANT THORNTON LLP. A COPY OF THE FORM 990 WAS PROVIDED TO THE GOVERNING BODY BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C BEEBE MEDICAL CENTER REQUIRES ANNUAL COMPLETION OF A CONFLICT OF INTEREST STATEMENT FOR ALL BOARD MEMBERS, EXECUTIVES, AND MANAGEMENT TEAM MEMBERS. NON-MANAGEMENT TEAM MEMBERS ARE REQUIRED TO SUBMIT A CONFLICT OF INTEREST STATEMENT UPON HIRE. CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY THE BOARD AND AUDIT COMMITTEE FOR THE EXISTENCE OF ANY ADVERSE INTEREST. ANY MEMBER WITH AN ACTUAL OR PERCEIVED CONFLICT RECUSES HIMSELF OR HERSELF FROM ANY DELIBERATIONS ON THE CONFLICTED MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS GOVERNS AND CONTROLS EXECUTIVE COMPENSATION. PAY IS DETERMINED BY COMPARING LIKE POSITIONS TO OTHER TAX-EXEMPT HEALTH SYSTEMS SIMILAR TO BEEBE MEDICAL CENTER IN SIZE AND COMPLEXITY LOCATED REGIONALLY AND THROUGHOUT THE UNITED STATES. PAY IS POSITIONED AT A RANGE AROUND THE 50TH PERCENTILE OF BEEBE MEDICAL CENTER'S PEER GROUP, ON A NATIONAL BASIS. THE EXECUTIVE COMMITTEE UTILIZES A CONSULTANT FOR EXECUTIVE COMPENSATION ADVICE. THE EXECUTIVE COMMITTEE IS MADE UP OF INDEPENDENT PERSONS AND MINUTES OF MEETINGS ARE MAINTAINED TO DOCUMENT DELIBERATION AND DECISIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: EQUITY LOSSES IN SUBSIDIARIES -28,070,853. INCREASE IN FOUNDATION NET ASSETS -6,931,571. CHANGE IN BENEFIT PLANS LIABILITY 317,024. OTHER CHANGES IN UNRESTRICTED NET ASSETS -4,309. NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS -1,561,889. INCREASE IN VALUE OF PERPETUAL TRUST -41,441. OTHER ACCRUED RETIREMENT COSTS -16,887,497. DELMARVA HEALTH NETWORK LLC 424 SAVANNAH ROAD LEWES DE 19958 462829886 ACO DE 473370 1292575 BEEBE MED CT BEEBE PHYSICIAN NETWORK INC PO BOX 760 LEWES DE 19958 212011066 PHYS SUPPORT DE 501(C)(3) LINE 12A, I BEEBEMEDICAL 1 BEEBE MEDICAL FOUNDATION 902 SAVANNAH ROAD LEWES DE 19958 510319455 FUNDRAISING DE 501(C)(3) LINE 10 BEEBEMEDICAL 1 0 1 1 0 0 0 0 0 0 1 0 1 1 0 0 0 0 1 0 BEEBE MEDICAL FOUNDATION B 1298088 FMV BEEBE MEDICAL FOUNDATION C 12590686 FMV BEEBE PHYSICIAN NETWORK INC J 287738 FMV BEEBE PHYSICIAN NETWORK INC L 80707550 FMV BEEBE PHYSICIAN NETWORK INC R 37900000 FMV