2021-05-17T11:14:48-07:00 2020-06-30 990 2019-07-01 510064318 Bayhealth Medical Center Inc BAYH 3027447162 640 South State Street Dover DE 19901 Michael Tretina Treasurer/CFO 2021-05-17 2019 2022-09-23 18:48:47Z 640 South State Street Dover DE 19901 916045543 false X www.bayhealth.org X 1943 DE To improve the health status of all members of the community within Bayhealth's service area. 9 3 4620 225 72416 71416 969914 988910 672181208 681812069 18185338 16297731 4281700 42189237 695618160 741287947 280100 308810 0 375108453 414385317 0 0 261438539 281876488 636827092 696570615 58791068 44717332 1271640299 1383876273 367334016 443889755 904306283 939986518 To improve the health status of all members of the community within Bayhealth's service area. false false 463846452 681812069 Bayhealth Medical Center, Inc. provides a full range of patient care, emergency services, and wellness services. Bayhealth Medical Center is comprised of a total of 445 beds in two acute-care hospitals, Kent General Hospital in Dover (317 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, 2020, Bayhealth recorded 96,820 Emergency Room visits, 18,574 patients admitted to beds, 2,241 births, 486,614 outpatient visits, and provided $68.1 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. 463846452 true false false false false false false false false true true false false false true true false false false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true false false false true 531 0 true 4620 true true true false false false false false false 0 false false false false false true false X 9 3 false false false false false false false true true false false true true true true true true true true true true X X Michael Tretina 3027447162 640 S State Street Dover DE 19901 Terry M Murphy Chair & CEO 38.00 2.00 X X 1743695 0 43862 Dawn Tartaglione MD Physician 40.00 0.00 1130886 0 43862 James Mills MD Physician 40.00 0.00 1014194 0 36266 John Lahaniatis MD Physician 40.00 0.00 909803 0 27255 Trinity Pilkington MD Physician 40.00 0.00 862937 0 43862 Khanh Nguyen MD Physician 40.00 0.00 800721 0 43862 Gary Siegelman MD SVP & CMO 40.00 0.00 X X 781612 0 31035 Deborah Watson Vice Chair COO 40.00 0.00 X X 656508 0 36266 Michael J Tretina Treasurer &CFO 38.00 2.00 X X 620291 0 43862 Jonathan Kaufmann DO CMIO 40.00 0.00 408098 0 43862 John Van Gorp SVP, Planning & Business Developmnt 40.00 0.00 390857 0 43862 Brenda Blain SR VP, Pt Care 40.00 0.00 X 363905 0 27385 Bradley Kirkes VP, Ancillary & Clinical Services 40.00 0.00 346996 0 36266 Richard Mohnk VP & CIO 40.00 0.00 346833 0 36266 Michael S Ashton Administrator 40.00 0.00 X 336673 0 43862 Eric Gloss VP, Medical Affairs 40.00 0.00 334941 0 39480 Shana Ross VP, Human Resources 40.00 0.00 311709 0 27385 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 Bonnie Perratto Former SVO, Patient Care 0.00 0.00 0 0 0 11360659 648500 17 true true false McKesson Drug Company 6000 Feldwood Rd College Park GA 30349 Drugs 42623280 Cardinal Health 2 7000 Cardinal Place Dublin OH 43017 Health Care 16268051 Zones LLC 1102 15th St SW Ste 102 Auburn WA 98001 Technical Expertise 9407158 Aetna PO Box 981107 El Paso TX 79998 Employee Medical 44490353 Lincoln Financial 1300 South Clinton Street Fort Wayne IN 468023506 Retirement Plan 12448262 330 988910 988910 Health & Wellness Program 900099 3410635 3410635 Patient Charges, Net 900099 671885336 671885336 Pharmacy 900099 6516098 6516098 681812069 19122372 72416 19049956 0 0 515079 396611 118468 118468 118468 171536344 174360985 -2824641 -2824641 -2824641 0 0 0 CHILDCARE REVENUE 900099 736900 736900 Covid Cares ACT 900099 37749528 37749528 Gift Shop/Food Sales 900099 3043350 3043350 540991 540991 42070769 741287947 681812069 72416 58414552 308810 308810 0 0 0 7095511 7095511 0 318410532 247553384 70857148 15437024 208259 15228765 53891769 727048 53164721 19550481 263753 19286728 0 1546750 1546750 230249 230249 0 0 1857131 1857131 3219790 3219790 766999 766999 3589001 1279498 2309503 0 0 9820158 9820158 1622927 1622927 0 0 6031918 6031918 0 49843110 49843110 16073944 1259027 14814917 Departmental Supplies 121449551 73339812 48109739 Other Purchased Services 28957703 28957703 Equipment Rental & Maintenance 22369886 22369886 Licenses & Taxes 10162494 10162494 4334877 4334877 696570615 463846452 232724163 0 0 28222666 151069722 0 65762253 63683840 0 0 0 15777274 17991463 24354876 28548694 932146693 380998044 576923080 551148649 544053825 556686466 0 0 0 16546325 14747439 1271640299 1383876273 118868551 193372653 188752857 183183428 59712608 67333674 367334016 443889755 X 887889161 926458701 16417122 13527817 904306283 939986518 1271640299 1383876273 X 44717332 2583021 -11620118 X false true X true false X 6559209 -240816 6318393 6562833 -3624 6559209 6407165 155668 6562833 6007066 400099 6407165 5629495 377571 6007066 1.00000 false false false 33053752 33053752 421850298 120693247 301157051 7271923 4327302 2944621 459023732 255977495 203046237 10946988 10946988 551148649 Estimated Professional Liability 14102378 Estimated Workers' Comp Cost, L/T 2085392 Fair Value of Interest Swap 536007 Retirement Benefits 50609897 67333674 X 731854239 2583021 -11620118 -9037097 740891336 396611 396611 741287947 696570615 696570615 696570615 Part V, Line 4: Intended uses of the endowment fund. The Endowment Funds are to be held in perpetuity. The investment income from the funds is not restricted. Part X : FIN48 Footnote The Medical Center 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 that not" threshold. This applies to positions taken or expected to be taken in a tax return. The Medical Center does not believe its financial statements include any material uncertain tax positions. At June 30, 2020, the Medical Center's tax years ended June 30, 2017 through 2019 for the federal tax jurisdiction remain open. Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S Rental Expense $396611 true true X true X false true true false false true true 9121899 9121899 0.01310 79228972 76297851 2931121 0.00420 88350871 76297851 12053020 0.01730 3423676 3423676 0.00490 4751246 4751246 0.00680 33557557 33557557 0.04820 1452148 1452148 0.00210 1974473 1974473 0.00280 45159100 45159100 0.06480 133509971 76297851 57212120 0.08210 964218 964218 0.00140 14362 14362 12567 12567 967679 967679 0.00140 1082643 1068815 0.00150 51985 51985 0.00010 3093454 3079626 0.00440 false 40534874 163802676 243080680 -79278004 X true true Premier Purchasing PtnrsLP Group Purchasing 0.00244 HealthPartners Delmarva LLC Healthcare Collaboration 0.50000 Home Health at Bayada Joint Venture 0.48000 2 1 Bayhealth Kent Campus www.bayhealth.org 2 Bayhealth Sussex Campus www.bayhealth.org false false true X X X X X X X X 19 true true false true X true 19 true www.bayhealth.org/about-us false false true X 200.0000 false true X X X true X X X X X X true X X X true X X X X X X X true false false Facility: - Part V, Section B, Line 5 To 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 caner, 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 community stakeholders, to include the following:--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. 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. Obesity Rates 2. Mental Health and Substance Abuse 3. Cancer 4. Diabetes Facility: - Part V, Section B, Line 6a Bayhealth Kent CampusBayhealth Sussex Campus Facility: - 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. Obesity/Nutrition; 2. Mental Health and Substance Abuse; 3. Cancer; and, 4. DiabetesBayhealth 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. blood pressure clinics are offered weekly at Smyrna, Dover & Milford sites with 2000 visits annually. 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. Eduation provides free tobacco cessation classes throughout the year. Bayhealth has collaborated with stae, county and voluntary organizations such as attack addiction to advocate for mental health and promote an awareness of substance abuse. 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: - Part V, Section B, Line 13b Bayhealth does not have a tiered financial assistance program, all uninsured patients receive a 10% discount on service provided. Facility: - Part V, Section B, Line 16j All patient statements advise patients to call our billing support department if they need financial assistance. Eden Hill Outpatient Imaging Center 200 Banning St Suite 140 Dover DE 19904 Outpatient Diagnostic Center Milford Outpatient Imaging 1020 Mattlind Way Milford DE 19963 Outpatient Diagnostic Center Harrington Outpatient Center 201 Shaw Ave Harrington DE 19952 Outpatient Service Center Middletown Medical Center 209 E Main St Middletown DE 19709 Outpatient Services Center Milton Outpatient Center 632 Mulberry St Milton DE 19968 Outpatient Services Center Womens Center - Dover 540 S Governors Ave Dover DE 19901 Outpatient Services Center Womens Center at Milford 200 Kings Hwy Suite 3 Milford DE 19963 Outpatient Services Center Smyrna-Clayton Professional Center 401 N Carter Road Smyrna DE 19977 Outpatient Services Center Bayhealth Womens Care Assoc Milford 800 N DUPONT BLVD Milford DE 19963 Outpatient Physician Clinic Bayhealth Maternal Fetal Medicine 1060 S Governors Ave Dover DE 19901 Outpatient Physician Clinic Bayhealth Heart & Vascular 112 Sussex Ave Ste 201 Milford DE 19963 Outpatient Physician Clinic Bayhealth Endocrinology Milford 800 N DUPONT BLVD Milford DE 19963 Outpatient Physician Clinic Bayhealth ENT Dover 826 S Governors Ave Dover DE 19901 Outpatient Physician Clinic Wellness Center at Caesar Rodney High School 239 Old North Road Camden DE 19934 School-Based Wellness Center Wellness Center at Milford High School 1019 N Walut St Milford DE 19963 School-Based Wellness Center Wellness Center at Smyrna High School 500 Duck Creek Parkway Smyrna DE 19977 School-Based Wellness Center Wellness Center at Woodbridge High School 307 Laws Street Bridgeville DE 19933 School-Based Wellness Center Bayhealth ENT Milford 806 Seabury Ave Milford DE 19963 Outpatient Physician Clinic Bayhealth General Surgery - Sussex 100 Wellness Way Milford DE 19963 Outpatient Physician Clinic Bayhealth Family Practice Georgetown 25 Bridgeville Rd Georgetown DE 19947 Outpatient Physician Clinic Bayhealth Medical Grp Orthopaedic Dover 655 Bay Rd Ste F1 Dover DE 19901 Outpatient Physician Clinic Bayhealth Heart & Vascular 200 Banning St Suite 340 Dover DE 19904 Outpatient Physician Clinic Dover Occupational Health 1275 South State Street Dover DE 19901 Occupational Health Services Milford Occupational Health & UrgentCare 301 Jefferson St Milford DE 19963 Occupational Health Services and Walk-In Urgent Care Services Kent Outpatient Imaging-Dover 540 S Governors Ave Dover DE 19901 Outpatient Diagnostic Center Wellness Center at Lake Forest High School 5407 Killens Pond Road Felton DE 19943 School-based Wellness Center Wellness Center at Polytech High School 823 Walnut Shade Road Dover DE 19901 School-based Wellness Center Wellness Center at Dover High School 1 Dover High Drive Dover DE 19904 School-based Wellness Center Bayhealth Urology 800 N DuPont Blvd Milford DE 19963 Outpatient Physician Clinic Bayhealth General Surgery Dover 724 S New Str Dover DE 19901 Outpatient Physician Clinic Cardiac Diagnostic Ctr-Milford 802 N Dupont Hwy Milford DE 19963 Outpatient Diagnostic Center Bayhealth Sleep Care Center 103 Wolf Creek Blvd Suite 2 Dover DE 19901 Outpatient Services Center Bayhealth Sleep Care Center Abby Med Ctr 1 Centurian Drive Newark DE 19711 Outpatient Services Center Bayhealth Sleep Care Center 291 Carter Drive Middletown DE 19709 Outpatient Services Center Bayhealth Sleep Care Center 2 Lee Ave Georgetown DE 19947 Outpatient Services Center Family Medicine-Milton 630 Mulberry Str Milton DE 19968 Outpatient Physician Clinic Bayhealth Medical Grp Cardiology 315 N Carter Rd Smyrna DE 19977 Outpatient Physician Clinic Bayhealth Colon Rectal Surgery - Milford 100 Wellness Way Milford DE 19963 Outpatient Physician Clinic Bayhealth Medical Grp Endocrinology 1058 S Governors Ave Ste 101 Dover DE 19904 Outpatient Physician Clinic Bayhealth Primary Care Dover East 793 S Queen St Dover DE 19904 Outpatient Physician Clinic Bayhealth Medical Grp Family Medicine 793 Queen Str Dover DE 19904 Outpatient Physician Clinic Bayhealth Medical Grp Family Medicine 205 Shaw Ave Harrington DE 19952 Outpatient Physician Clinic Bayhealth Medical Grp Family Medicine 401 N Carter Rd Ste 201 Smyrna DE 19977 Outpatient Physician Clinic Bayhealth Gastroenterology - Lewes 1532 Savannah Rd Lewes DE 19958 Outpatient Physician Clinic Bayhealth Medical Grp Gastroenterology 1058 S Governors Ave Ste 101 Dover DE 19904 Outpatient Physician Clinic Bayhealth Medical Grp Orthopaedic 315 N Carter Rd Smyrna DE 19977 Outpatient Physician Clinic Bayhealth Orthopaedic -Sussex 100 Wellness Way Milford DE 19963 Outpatient Physician Clinic Bayhealth Sleep Care Center 100 S Main Street Suite 201 Smyrna DE 19977 Outpatient Services Center Bayhealth Sleep Care Center 611 N DuPont Hwy Milford DE 19963 Outpatient Services Center Bayhealth Orthopaedic Surgery 1532 Savannah Road Lewes DE 19958 Outpatient Physician Clinic Bayhealth Urology 1532 Savannah Road Lewes DE 19958 Outpatient Physician Clinic Bayhealth Colon-Rectal 1532 Savannah Road Lewes DE 19958 Outpatient Physician Clinic Cardiology Consultants 540 S Governors Ave Ste 201 Dover DE 19904 Outpatient Physician Clinic Bayhealth Heart & Vascular - Smyrna 315 N Carter Rd Smyrna DE 19977 Outpatient Physician Clinic Milford Primary Care 804 N Dupont Blvd Milford DE 19963 Outpatient Service Center Milford Primary Care - Airport 310 Mullet Run St Milford DE 19963 Outpatient Service Center Bayhealth Dermatology - Milford 517 S DuPont Blvd Milford DE 19963 Outpatient Service Center Bayhealth Gastroenterology - Sussex 100 Wellness Way Milford DE 19963 Outpatient Service Center Part I, Line 7 - Explanation of Costing Methodology A 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 7, Column F - Explanation of Bad Debt Expense Bad 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 I, Line 7g - Costs Associated With Physicans Clinics Bayhealth 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 III, Line 2 - Methodology Used To Estimate Bad Debt Expense Bad debt is shown at cost, as determined by applying an RCC. 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. The amount is reduced to cost by applying the RCC. Part III, Line 4 - Bad Debt Expense The 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 Benefit Bayhealth'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 Patients Bayhealth 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 Assessment Bayhealth 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. Part VI, Line 3 - Patient Education of Eligibility for Assistance All 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 Information Bayhealth's service area is designated as a "Medically Underserved AreaX 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 4 - Community Building Activities Bayhealth 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 57 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 VI, Line 5 - Promotion of Community Health Promotion of Community HealthBayhealth is investing heavily in expanding and upgrading its facilities and equipment. Bayhealth's medical staff of 400+ 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 - Affilated Health Care System Bayhealth 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 - States Filing of Community Benefit Report DE true American Heart Association 200 Continental Dr Ste 101 Newark DE 19713 135613797 13500 0 Program Support Chamber of Commerce for Milfo 24 NW Front St Ste 101 Milford DE 19963 510319055 10000 0 Program Support DE Turf Sports Complex 4000 Bay Rd Frederica DE 19946 461001385 50000 0 Program Support Delaware Breast Cancer Coalit 111W 11th St Ste 3 Wilmington DE 19801 522045298 18000 0 Program Support Delaware Community Foundation 100 W 10th St Ste 115 Wilmington DE 19801 222804785 10000 0 Program Support Delaware Technical Community 100 Campus Dr Dover DE 19904 510246178 75250 0 Program Support Dogfish Head Craft Brewery 6 Cannery Village Center Milton DE 19968 201985996 6500 0 Program Support Downtown Milford 207 S Walnut Str Milford DE 19963 510364402 8000 0 Program Support Modern Maturity Center 1121 Forrest Ave Dover DE 19904 510108568 50000 0 Program Support Other Vendors less than 5K 111 Various Streets Dover DE 19901 56560 0 Program Support YMCA of Delaware 100 West 10th St Wilmington DE 19801 510065748 6000 0 Program Support 6 5 Grantmaker's Description of How Grants are Used 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. X true true X X X X X false true false true false false false true false Bradley Kirkes VP, Ancillary & Clinical Services 278776 40250 27970 16800 19466 383262 Brenda Blain SR VP, Pt Care 270806 78257 14842 16800 10585 391290 Dawn Tartaglione MD Physician 953678 50000 127208 16800 27062 1174748 Deborah Watson Vice Chair COO 463672 170644 22192 16800 19466 692774 Eric Gloss VP, Medical Affairs 290744 24405 19792 16800 22680 374421 Gary Siegelman MD SVP & CMO 605508 159690 16414 16800 14235 812647 James Mills MD Physician 962754 50000 1440 16800 19466 1050460 John Lahaniatis MD Physician 705032 150536 54235 16800 10455 937058 John Van Gorp SVP, Planning & Business Developmnt 288933 79240 22684 16800 27062 434719 Jonathan Kaufmann DO CMIO 364213 32086 11799 16800 27062 451960 Khanh Nguyen MD Physician 665381 134380 960 16800 27062 844583 Michael J Tretina Treasurer &CFO 463117 124305 32869 16800 27062 664153 Michael S Ashton Administrator 271968 63750 955 16800 27062 380535 Richard Mohnk VP & CIO 295096 36795 14942 16800 19466 383099 Shana Ross VP, Human Resources 283234 26063 2412 16800 10585 339094 Terry M Murphy Chair & CEO 766562 922116 55017 16800 27062 1787557 Trinity Pilkington MD Physician 710154 137743 15040 16800 27062 906799 Part I, Line 1a: Relevant information in regards to selections on 1a. Discretionary Spending Account--Under terms of their Employment Agreements, certain senior executives participate in a Flexible Benefit Plan. They receive a predetermined amount of additional compensation per quarter, which is intended to be used for automobile expenses, estate planning, legal assistance, tuition, supplemental life & disability insurance, or other expenses. Part I, Line 7: Non-Fixed payments not listed above 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 246388xxx 2017-12-01 112120000 Ref 2009A -2017A Bond false false false B Delaware Health Fac 246388PZ9 2017-12-01 77250000 Ref 2012-2017B Bond false false false A 17391928 119466666 135625882 1232712 117000038 18320 true false true true B 77416357 62095000 247859 15000000 true false true true A false false false false true B false false false false true A false false false false false B false false false false false A true B true Part VI Schedule K, Part I, Line AIn December 2017, the Medical Center entered into a financing arragement 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 useed to extinguish the Project Revenue Bonds, Series 2009A (Series 2009A). The bond premium and issuance costs relating ot the Series 2017A bonds are being amortized over the life of the bonds.Schedule K, Part I, Line B In December 2017, the Medical Center entered into a financing arragement 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 extinguish the Variable Rate Refunding Revenue Bonds. Series 2012 (Series 2012) and to finance the Milford Memforal replacement hospital. Bond issuance costs relating to the Series 2017A bonds are being amortized over the life of the bonds. Form 990, Part VI, Line 11b: Form 990 Review Process The entire Form 990 is reviewed by the CFO and the CEO. Schedule J is reviewed by the entire Board of Directors. 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. After filing, a copy is also sent to Bayhealth's outside audit firm for review. Form 990, Part VI, 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, Line 15a: 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. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and 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, Line 19: Other Organization Documents Publicly Available Form 990 is available on www.Guidestar.org. Form 990-T, governing documents, policies, and financial statements are available upon request. Other Changes In Net Assets Or Fund Balances - Other Increases = $0 Other Changes In Net Assets Or Fund Balances - Other Increases Change in Beneficial Interest in Net Assets of BH Foundation = $1441930 Other Changes In Net Assets Or Fund Balances - Other Decreases Change in Beneficial Interest in Perpetual Trusts = -$240816 Other Changes In Net Assets Or Fund Balances - Other Decreases Change in Benefit Obligations = -$12880190 Other Changes In Net Assets Or Fund Balances - Other Increases Change in Fair Value of Interest Rate Swap = $58958 Sussex Campus Development LLC 100 Wellness Way Milford DE 19963 852638051 Real Estate DE N/A Bayhealth Foundation Inc 640 South State Street Dover DE 19901 222559843 Fundraising for Bayhealth Medical Center DE 501(c)(3) 7 N/A false Sussex Campus Partners LLC 425 7th St NE Charlottesville VA 22902 384099946 Real Estate DE N/A false false 0.00500 EbrightHealth LLC 4000 Nexus Dr Suite SW2-700 Wilmington DE 19803 813188461 Healthcare Network DE N/A false false 0.00250 BBKSHH LLC 4300 Haddonfield Rd Pennsaukent NJ 08109 820884867 Healthcare Network DE N/A false false 0.00480 Bayhealth Development Corp 640 South State Street Dover DE 19901 510281107 Real Estate DE N/A C Corp false false false false false false false false false false false false false false false false false false false false