2020-05-14T14:30:46-05:00 2019-06-30 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2018-07-01 591006663 Boca Raton Regional Hospital Inc BOCA 5619554200 800 MEADOWS ROAD BOCA RATON FL 33486 Lincoln Mendez CEO 2020-05-14 true BRITTNEY KOCAJ P01320603 9542028600 2018 2021-01-29 14:40:06Z Lincoln Mendez 800 MEADOWS RD BOCA RATON FL 33486 565897652 false X WWW.BRRH.COM X 1967 FL BRRH DELIVERS THE HIGHEST QUALITY PATIENT CARE WITH UNRELENTING ATTENTION TO CLINICAL EXCELLENCE, PATIENT SATISFACTION & SAFETY. OUR PROFESSIONALS DEMONSTRATE UNPARALLELED COMMITMENT TO THOSE WE SERVE. 19 14 3432 862 1989827 0 15084577 17078273 497199907 545919063 161968 263175 2635908 2492701 515082360 565753212 256091 307577 0 188852501 198232816 0 0 298628297 330534560 487736889 529074953 27345471 36678259 677175543 750437696 124876627 145461570 552298916 604976126 BRRH DELIVERS THE HIGHEST QUALITY PATIENT CARE WITH UNRELENTING ATTENTION TO CLINICAL EXCELLENCE, PATIENT SATISFACTION AND PATIENT SAFETY. OUR TEAM OF PROFESSIONALS DEMONSTRATES UNPARALLELED COMPASSION AND COMMITMENT TO THOSE WE SERVE. false false 425393419 307577 543977662 MISSION: BRRH DELIVERS THE HIGHEST QUALITY PATIENT CARE WITH UNRELENTING ATTENTION TO CLINICAL EXCELLENCE, PATIENT SATISFACTION AND PATIENT SAFETY. OUR TEAM OF PROFESSIONALS DEMONSTRATES UNPARALLELED COMPASSION AND COMMITMENT TO THOSE WE SERVE. VISION: TO BE THE PREEMINENT REGIONAL LEADER IN HEALTHCARE DELIVERY AND THE HOSPITAL OF CHOICE FOR PATIENTS, PHYSICIANS, EMPLOYEES AND VOLUNTEERS. HISTORY: IN 1962, GLORIA AND ROBERT DRUMMOND'S TWO YOUNG CHILDREN, DEBRA AND JAMES RANDALL WERE TRAGICALLY AND FATALLY POISONED. HAD MEDICAL TREATMENT BEEN CLOSER THAN 30 MINUTES FROM BOCA RATON, THE CHILDREN'S LIVES MAY HAVE BEEN SAVED. (CONTINUED IN SCHEDULE O) 425393419 true true false false false false true false false true false false true true true false true false false false false false false false false true true true true true false false false false false false false false false false false false true true false false false true 429 0 true 3432 true true true false false false false false true false false false false false X 19 14 true false false false true true true true true false false true true true true true true true true false FL X Jami Mahon 5619554200 800 MEADOWS RD BOCA RATON FL 33486 JERRY FEDELE PRESIDENT AND CEO 40.0 6.0 X X 3591734 0 77054 CHRISTINE E LYNN CHAIR 2.0 4.0 X X 0 0 0 WARREN ORLANDO Vice Chair 2.0 2.0 X X 0 0 0 LAWRENCE FELDMAN TRUSTEE 2.0 4.0 X 0 0 0 JOSEPH KLEINMAN Trustee 2.0 2.0 X 0 0 0 LARRY ALTSCHUL Trustee 2.0 2.0 X 0 0 0 PETER R BARONOFF Trustee 2.0 2.0 X 0 0 0 STANLEY L BARRY TRUSTEE 2.0 4.0 X 0 0 0 J RICHARD DAMRON JR Trustee 2.0 2.0 X 0 0 0 DAVID A KIRSCHNER Trustee 2.0 2.0 X 0 0 0 MATTHEW KLEIN MD TRUSTEE 2.0 40.0 X 1300 390431 32047 IRA LAZAR MD Trustee 2.0 2.0 X 0 0 0 MARK SALTZMAN MD Trustee 2.0 2.0 X 19961 0 0 HARVEY SANDLER TRUSTEE 2.0 2.0 X 0 0 0 CHRISTOPHER WHEELER TRUSTEE 2.0 2.0 X 0 0 0 ALAN SAITOWITZ MD Trustee 2.0 44.0 X 29000 505426 27375 SHERRY THOMAS TRUSTEE 2.0 6.0 X 0 0 0 Jerry Glassman Trustee 2.0 2.0 X 0 0 0 MICHAEL ARONSOHN MD Trustee 2.0 4.0 X 27129 0 0 ALEX EREMIA Secretary 40.0 6.0 X 509647 0 66416 DAWN JAVERSACK Treasurer and CFO 40.0 6.0 X 677482 0 80492 MINDY RAYMOND ASST SECRETARY/VICE PRESIDENT 40.0 6.0 X 373998 0 63616 MINDY SHIKIAR VICE PRESIDENT/CHIEF OPERATING OFFICER 40.0 2.0 X 458716 0 61960 CRISTINA BOSCH-MATA CMO 40.0 0 X 491626 0 71806 MARIA DULANEY Director, Clinical 40.0 0 X 205094 0 20740 ROBIN HILDWEIN CIO AND EXECUTIVE DIRECTOR 40.0 0 X 285684 0 39781 LOUISE MORRELL MD Medical Director 40.0 0 X 948976 0 30023 Melissa Durbin Chief Nursing Officer 40.0 0 X 430245 0 51594 Dan Sacco Vice President 40.0 0 X 556592 0 57094 THOMAS CHAKURDA Vice President 40.0 0 X 355032 0 50680 SAMER FAHMY EXECUTIVE DIRECTOR 40.0 0 X 392054 0 27273 BRIAN ALTSCHULER VP 40.0 0 X 312650 0 41926 ZOUBIR OUHIB CHIEF MEDICAL PHYSICIST 40.0 0 X 244635 0 24289 KAREN POOLE CHIEF OPERATING OFFICER (through 4/2018) 0 X 717666 0 158224 CHARLES POSTERNACK CHIEF MEDICAL OFFICER (through 6/16/2017) 0 X 268561 0 0 10897781 895857 982390 230 true true false THE CENTER FOR HEMATOLOGY - ONCOLOGY PA 701 NW 13TH ST BOCA RATON FL 33486 MED/PHYS FEES 15591280 CERNER CORPORATION PO BOX 959156 ST LOUIS MO 63195 SOFTWARE DEVELOPMENT SYSTEM 3784967 ENGEL CONSTRUCTION INC 1523 21ST AVENUE FORT LAUDERDALE FL 33312 CONTRACTORS 2846645 CHANGE HEALTHCARE TECHNOLOGIES LLC PO BOX 98347 CHICAGO IL 60693 BILLING SERVICE FEES, PROFESSIONAL FEES 1755580 DENTONS US LLP DEPT 3078 CAROL STREAM IL 60132 LEGAL 1333283 104 X 17078273 17078273 NET PATIENT REVENUE 622110 541676868 541676868 Outreach Lab 621500 1898012 1898012 MEDICAL RECORD REVENUE 900099 3066 3066 CLINICAL RESEARCH 541715 1687073 1687073 Women's Center Programs 621300 138184 5493 132691 515860 515860 0 0 545919063 275452 275452 91287 132163 -40876 0 -40876 -40876 0 0 60 12217 -60 -12217 -12277 -12277 REBATES 900099 360637 360637 Cafeteria 722514 2083638 2083638 Miscellaneous 900099 89302 89302 0 0 0 0 2533577 565753212 543977662 1989827 2707450 X 299207 299207 8370 8370 0 0 0 0 8753888 6565416 2188472 157144719 117858539 39286180 2300639 1725479 575160 18512255 13884191 4628064 11521315 8640986 2880329 3019011 3019011 96122 96122 19008 19008 68542372 30620617 37921755 0 1701809 1446538 255271 32106869 28896182 3210687 10031413 7523560 2507853 844401 675521 168880 117601 94081 23520 364829 91207 273622 499066 49907 449159 24249337 21824404 2424933 6544763 4712229 1832534 PROVISION FOR BAD DEBT 10551118 10551118 INDIGENT CARE ASSESSMENT 5514878 5514878 MEDICAL SUPPLIES 157784985 157784985 REPAIRS AND MAINTENANCE 4315419 3452335 863084 4231559 3173669 1057890 0 529074953 425393419 103681534 0 881159 -1449775 781212 853516 67289802 66781531 0 0 0 8945228 10774372 5422534 5105536 546025474 333925450 208552652 212100024 7536706 7761701 0 0 1898563 1874263 375867687 446636528 677175543 750437696 58918435 65440458 209557 32727 0 81991 778692 65666644 79209693 124876627 145461570 X 403039617 425286007 149259299 179690119 552298916 604976126 677175543 750437696 X 36678259 30970 15967981 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 313125 X false 16415397 16415397 203485542 90532163 112953379 293776612 225670725 68105887 32347923 17722562 14625361 212100024 INTEREST IN BRRH FOUNDATION 302443821 DUE FROM AFFILIATES 143583739 other assets 608968 446636528 PENSION LIABILITY 48431695 RESERVE FOR PROFESSIONAL LIABILITIES 14848771 CAPITAL LEASE PAYABLE 1861669 OTHER LIABILITIES 344524 ESTIMATED THIRD PARTY SETTLEMENTS 836796 CERNER PHASE I & II 10078639 COMPENSATION PLAN FOR RETIREES LONG TERM 1042041 COMPENSATION PLAN FOR RETIREES SHORT TERM 1765558 79209693 X Schedule D, Part III, Line 4 Collections of art - description of collections THE ORGANIZATION HAS SEVERAL PIECES IN ITS COLLECTION. THEY ARE A PAINTING, STATUE AND STAINED GLASS MURAL. THE WORKS OF ART DISPLAY EMBODIES THE SPIRIT OF THE ORGANIZATION. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE ORGANIZATION IS INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS. BELOW IS THE TEXT OF THE ASC 740 FOOTNOTE FROM THOSE FINANCIAL STATEMENTS. "The Hospital, Foundation, Parent and Home Health are exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code (IRC) and from state income taxes under the provisions of Chapter 220.13 of the Florida Income Tax Code. There is no tax liability for BocaCare, Inc. for 2019 and 2018. BocaCare, Inc. is organized as a limited liability company (LLC) for which taxable income, if any, is taxable to its members in certain instances (including BRRH Oncology, Boca Thoracic & Cardiovascular Surgery, BRRH Medical Group, LLC and Palm Accountable Care Organization, LLC of which the Hospital or the Foundation is the sole member). Any income taxes related to these subsidiaries are not material to the Corporation. As defined by ASC 740, the amount of unrecognized tax benefits or liabilities that would affect the Corporation if they were recognized is not material." true true X true X true X true true false false 1655652 1655652 0.0032 12659155 1913610 10745546 0.0207 788511 240538 547973 0.0011 0 0 15103318 2154148 12949171 0.0250 879321 879321 0.0017 9436063 6566841 2869222 0.0055 0 0.0 0 0.0 308805 308805 0.0006 0 0 10624189 6566841 4057348 0.0078 0 0 25727507 8720989 17006519 0.0328 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 10551118 1925579 232194179 243022826 -10828647 X true true 1 1 BOCA RATON REGIONAL HOSPITAL INC 800 MEADOWS RD BOCA RATON FL 33486 www.brrh.com 3983 X X X X X BOCA RATON REGIONAL HOSPITAL INC 1 false false true X X X X X X X X X 18 true false false true X https://www.brrh.com/documents/Community-Assessment-Report-2018.pdf X true 18 true https://www.brrh.com/documents/2019-Implementation-Strategy-Executive-Summary-rev11.8.pdf false true X 200.0 300.0 X X X X X X true true X X X true X https://www.brrh.com/documents/Financial-Assistance/FAP-English-Updated-11012018-19.pdf X https://www.brrh.com/documents/Financial-Assistance-Program-Application-ENGLISH-2018.pdf X https://www.brrh.com/documents/Financial-Assistance-Program-Summary-2018.pdf X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E The significant health needs of the community are included and prioritized within the CHNA. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Boca Raton Regional Hospital. THE MAIN GOALS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT ARE TO IMPROVE THE HEALTH STATUS OF PALM BEACH COUNTY AND BROWARD COUNTY RESIDENTS, ADDRESS SOCIOECONOMIC FACTORS THAT HAVE A NEGATIVE IMPACT ON COMMUNITY HEALTH, AND INCREASE ACCESS TO PREVENTATIVE HEALTHCARE SERVICES, ESPECIALLY WITHIN AT-RISK SUB-POPULATIONS. A COMMUNITY HEALTH NEEDS ASSESSMENT ADVISORY COUNCIL WAS CONVENED WITH THE MISSION TO GUIDE THE ASSESSMENT PROCESS, ACT AS A SOUNDING BOARD AND ASSIST IN OBTAINING COMMUNITY INPUT, PARTICIPATE WITH THE PLANNING TEAM IN EVALUATING HEALTH ISSUES AND PRIORITIES ONCE THE ASSESSMENT IS COMPLETED, AND ENGAGE IN COLLABORATIVE ACTION PLANNING ON AN ONGOING Basis. Prioritized Needs from the 2018 CHNA and Areas of opportunity were based on input from the BRRH Community Advisory and Leadership Group meetings; analysis of local, State of Florida, and federal quantitative data; community input; and, the needs evaluation process. The prioritization process included an in-depth workshop-style meeting with over 30 community and hospital leaders. Prior to the meeting, analysis of the Stage 1 survey (as well as the prior secondary and primary research) led to the categorization of needs into a rank order list and three general clusters or categories. Access to Affordable Care, Behavioral Health/Mental Health Services, Coordination of Care. The workshop-style meeting embedded activities designed to evaluate the three general clusters or categories, review individual community needs, and - importantly - help develop tactical initiatives by which higher-priority needs can be addressed. In January of 2019 a CHNA Steering Committee was formed consisting of Hospital Senior Leadership to provide guidance on the aforementioned community advisory board proposed strategic initiatives. At the encouragement and with the support of the CHNA Steering Committee, BRRH will focus our initiatives and efforts to address our identified prioritized community health needs on the following BRRH Community Advisory and Leadership Group BRRH ACTIVELY SOUGHT THE COLLABORATION OF THE FOLLOWING COMMUNITY PARTNERS IN THE PRIORITIZED AREAS. ENHANCED BEHAVIORAL HEALTH SERVICES: -PHYSICIAN LEADERSHIP -MEDICAL DIRECTOR, PALM BEACH COUNTY HEALTH DEPARTMENT -EXECUTIVE DIRECTOR, BOCA HELPING HANDS -CEO, FAULK CENTER FOR COUNSELING -FIRE CHIEF, PALM BEACH COUNTY FIRE RESCUE -CHIEF OF EMS, PALM BEACH COUNTY FIRE RESCUE -FIRE CHIEF, CITY OF BOCA RATON FIRE RESCUE -CHIEF OF EMS, CITY OF BOCA RATON FIRE RESCUE -CEO, BOCA RATON'S PROMISE -FORT LAUDERDALE BEHAVIORAL HEALTH HOSPITAL -BAPTIST HEALTH SOUTH FLORIDA IMPROVED CARE COORDINATION FOR SENIORS: -PHYSICIAN LEADERSHIP -BAPTIST HEALTH SOUTH FLORIDA -DIRECTOR OF CLINICAL SERVICES, VOLEN CENTER -FIRE CHIEF, PALM BEACH COUNTY FIRE RESCUE -CHIEF OF EMS, PALM BEACH COUNTY FIRE RESCUE -FIRE CHIEF, CITY OF BOCA RATON FIRE RESCUE -CHIEF OF EMS, CITY OF BOCA RATON FIRE RESCUE SPECIALTY CARE ACCESS TO LOW INCOME PATIENTS. -PHYSICIAN LEADERSHIP -EXECUTIVE DIRECTOR, DIXIE MANOR/HOUSING AUTHORITY -EXECUTIVE DIRECTOR, BOCA HELPING HANDS -PHYSICIAN LEADERSHIP -CEO, FAULK CENTER FOR COUNSELING -CEO, BOCA RATON'S PROMISE -CEO, PALM BEACH COUNTY MEDICAL SOCIETY/PROJECT ACCESS Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Boca Raton Regional Hospital. Please refer to to the CHNA Implementation Report for information about the prioritized Community Health Needs. Following are the strategies being explored and programs implemented in the targeted areas: Proposed Implementation Strategies: Access to Affordable Care: Increase access to care for people with limited transportation abilities by utilizing the BRRH community health van to a greater degree and provide off-site services to underserved and elderly populations. Strategic implementation: * Collaboration with Community Outreach: Vision for assigning the BRRH Mobile Screening Unit a place of service shared with Community Outreach leaders in an effort to facilitate Primary Care Services on the mobile unit. * Collaboration with Palm Beach County Medical Society-Project Access In FY2019 work began to onboard 5 GI and 6 OBGYN providers to the Project Access Network in an effort to expand these services to underserved individuals. * BRRH is actively researching pathways to provide free or reduced cost Colonoscopy services to underserved individuals/ communities this service and a free or reduced cost. Coordination of Care: Prior to patient discharge, connect inpatient physicians to outpatient care providers in order to enhance effective "hand-offs continuity of care. Strategic Implementation: * Enhanced Post Discharge Navigation: Inpatient IT system established to notify BRRH Network Primary Care physicians by IS when panel patients admitted in effort to ensure patient is scheduled for timely follow up after hospital admission. * Enhanced Patient Education: Pad in Motion Total Joint Education * Enhanced Discharge Follow Up: * Developed workflow to address expansion of discharge follow up phone call process in line with HCAHPS. Behavioral Health/Mental Health Services: Develop a pre-crisis pilot program for deployment via the integrated provider network, urgent care centers, the FAU residency clinic, on-site At Work Care clinic, BocaCare, and community outreach and health screening programs. Strategic Implementation: * Pre-Crisis Screening and Education: BRRH Primary Care began depression screening annually on all patients. * A collaborative partnership with Fort Lauderdale Behavioral Health Hospital was developed enhancing resources for mental health treatment identified during depression screening in PCP's office. * Mental Health First Aid Training for employees and providers implemented * Delirium Prevention Tool Kit developed and deployed hospital wide 12/2019. Clinical staff can use to help minimize and manage delirium in hospitalized older adults. Develop a collaborative care network of mental health providers, including psychiatry, psychologists, mental health social workers, psychiatric nurses and tele-psychiatry and deploy evidence based best practices. Strategic Implementation * A Collaborative Partnership with Fort Lauderdale Behavioral Health Hospital was developed enhancing identification and treatment of behavioral health concerns prior to crisis. In addition to outpatient referrals FLBHH assist with placement of behavioral health patient with in 12hr of medical clearance who require ongoing inpatient mental health treatment. * BERT (Behavioral Emergency Response Team) written into the code assist policy. An interdepartmental, specialized team with the unique skill set and competencies to provide crisis de-escalation adjunctive service for patients, families and significant others in order to mitigate and/or prevent workplace violence situations. * Behavioral Health Integrated Care Outpatient Model: This model allows a single consult liaison Psychiatrist to manage a significant volume of the behavioral health population as opposed to a finite caseload. This model would increase the reach of Psychiatric care we could provide with limited resources. 8 LYNN CANCER INSTITUTE - SANDLER PAVILION 701 NW 13TH ST BOCA RATON FL 33486 CANCER TREATMENT CENTER THE CENTER FOR HEMATOLOGY & ONCOLOGY 6282 LINTON BLVD DELRAY BEACH FL 33484 CANCER TREATMENT CENTER Christine E Lynn Women's Health & Wellness Institute 690 MEADOWS RD BOCA RATON FL 33486 WOMEN'S SERVICES / CANCER TREATMENT CENTER / IMAGING CENTER BRRH IMAGING AT BOCA CLINIC 1601 CLINT MOORE RD STE 140 BOCA RATON FL 33487 IMAGING CENTER DIAGNOSTIC IMAGING CENTER 1905 CLINT MOORE RD STE 114 BOCA RATON FL 33496 IMAGING CENTER OUTPATIENT CENTER - DEERFIELD 3313 W Hillsboro Blvd DEERFIELD BEACH FL 33442 OUTPATIENT IMAGING GLORIA DRUMMOND PHYSICAL REHABILITATION INSTITUTE 650 GLADES RD BOCA RATON FL 33486 REHABILITATION LYNN CANCER INSTITUTE - DELRAY 16313 S MILITARY TRAIL DELRAY BEACH FL 33484 CANCER TREATMENT CENTER Schedule H, Part I, Line 7h Explanation of research activities Boca Raton Regional Hospital (BRRH) engages in clinical research in human subjects of new investigational drugs, devices, treatments, or diagnostic testing to assess safety, efficacy, benefits, costs and outcomes. These trials are industry funded clinical trials. The grants are from private industry and the studies are peer-reviewed and published in prestigious journals. In addition, the publications are made available to our community through our website. In FY19, the portfolio includes trials in the areas of neuroscience, cardiovascular, oncology and women's health. A total of 95 open running trials and close to 700 patients in clinical trials were managed in this period. Schedule H, Part I, Line 7a Financial Assistance at Cost BRRH reports the cost of gross patient charges written off to financial assistance on Part I, Line 7a. Prior to writing off charges to financial assistance, uninsured patient accounts are administratively discounted. The discounted charges are not reported as financial assistance because BRRH grants the discount to all uninsured patients, without regard to whether a patient will ultimately qualify for financial assistance or not. This practice by definition understates the full value of financial assistance that BRRH provides each year. During Fiscal Year 2019, the cost of charges discounted for patients who qualify for financial assistance, but which was not reported as part of the cost of financial assistance on Part i, Line 7a, was $2,068,507. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 10551118 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance In order to calculate costs reported in Part I, Line 7, BRRH developed a cost to charge ratio using worksheet 2, included in the instructions to Schedule H. Total operating expenses for BRRH were adjusted for non-patient care activities and Medicaid provider taxes, community benefit expenses, and community building expenses. These expenses were divided by gross patient charges, to arrive at the cost-to-charge ratio. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount BRRH accounts for bad debt expense as a component of implicit price concessions under ASU 2014-09, Revenue from Contracts with Customers (Topic 606), which are recorded as a direct reduction of net patient service revenue, by using prior years' write-off experience as an expectation of the current year's write-offs. The historical percentage is applied to current patient accounts receivable. Schedule H, Part III, Line 3 Bad Debt Expense Methodology BRRH has used professional judgment to determine that approximately 18% of bad debt write-offs reasonably could have been attributable to patients who likely would qualify for financial assistance under BRRH's financial assistance policy. Patients with little concern for their credit rating, who are too ill to complete paperwork, et cetera, are examples of such patients. BRRH makes every effort to qualify patients for financial assistance. BRRH estimates that had these patients completed the appropriate paperwork, they would have qualified for financial assistance. BRRH considers this portion of bad debt to be a community benefit. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote The following disclosure regarding the provision for bad debts (i.e. a component of implicit price concessions) was included in Footnote 3 to the consolidated financial statement of BRRH Corporation and Affiliates, as of and for the year ended June 30, 2019: Consistent with the Corporation's mission, care is provided to patients regardless of their ability to pay. Therefore, the Corporation has determined it has provided implicit price concessions to uninsured patients and patients with other uninsured balances (for example, copays and deductibles.) The implicit price concessions included in estimating the transaction price represent the difference between amounts billed to patients and the amounts the Corporation expects to collect based on its collection history with those similar patients. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs Boca Raton Regional Hospital's mission is to serve the health care needs of its patients within the community. BRRH considers the provision of care to patients, despite reporting a Medicare operating shortfall, to be a community benefit. Medicare revenue and allowable costs were determined based upon the Medicare cost report. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance BRRH has a formal written debt collection policy; it is BRRH's policy and practice to screen all uninsured inpatient, emergency room, and select outpatient service patients for alternative funding sources, including Medicaid, Palm Beach County Health District (a local tax funded program), Medicare disability, and financial assistance from BRRH (charity care). Financial assistance information is provided to patients at time of admission. Financial counselors visit all uninsured patients prior to the patients' discharge, in order to provide information to the patients about the availability of various forms of financial assistance. Financial assistance is advertised to patients both on the Organization's website, and on all statement mailers to patients. Uninsured patients are assisted with the application process until final disposition of the application. During the qualification process, patients continue to be billed, until alternative funding is obtained. If appropriate paperwork is not completed after reasonable efforts are made by the organization to notify the patient of financial assistance, patients may be referred to collections; however, if a patient account has been referred to collections and subsequently qualifies for alternative funding, such as financial assistance (charity care), the account is recalled from the collection agency and the patient's account is settled based on the alternative funding source. Schedule H, Part V, Section B, Line 16a FAP website - BOCA RATON REGIONAL HOSPITAL INC: Line 16a URL: https://www.brrh.com/documents/Financial-Assistance/FAP-English-Updated-11012018-19.pdf; Schedule H, Part V, Section B, Line 16b FAP Application website - BOCA RATON REGIONAL HOSPITAL INC: Line 16b URL: https://www.brrh.com/documents/Financial-Assistance-Program-Application-ENGLISH-2018.pdf; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - BOCA RATON REGIONAL HOSPITAL INC: Line 16c URL: https://www.brrh.com/documents/Financial-Assistance-Program-Summary-2018.pdf; Schedule H, Part VI, Line 2 Needs assessment BRRH assesses the health care needs of the community it serves by analysis of the external and internal environments. Each year during creation of the capital budget capital projects are evaluated with respect to their impact on patient care. Capital assets which will improve patient care are prioritized over capital assets which are more administrative in nature. BRRH established a Community Health Needs Assessment (CHNA) Advisory Committee made up of our community's non-profit leaders and Executive Directors, as well as a wide variety of internal BRRH staff. The Advisory committee met monthly for 6 months onsite at BRRH, with each session lasting approximately 2 hours. Sessions were facilitated and all data was gathered and reported by Crescendo Consulting Group LLC. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Financial assistance information is provided to patients at time of admission. Financial counselors visit all uninsured inpatient, emergency room, and select outpatient service patients prior to the patients' discharge, in order to provide information to the patients about the availability of various forms of financial assistance. Financial assistance is advertised to patients both on the Organization's website, and on all statement mailers to patients. Uninsured patients are assisted with the application process until final disposition of the application. During the qualification process, patients continue to be billed, until alternative funding is obtained. Schedule H, Part VI, Line 4 Community information BRRH is located in Boca Raton, Palm Beach County, Florida. Boca Raton is bounded on the east by the Atlantic Ocean, on the west by the Florida Everglades. The population is dense (about 75,000 residents), and many residents are seasonal, living in the area from approximately October through April of each year. BRRH's primary service area (PSA) includes about 650,000 residents. BRRH has a market share of about 21% of the overall PSA. 55% of residents of the service area have incomes greater than $50,000; about 4% of residents are below the federal poverty level. There are approximately 9 hospitals within BRRH's service area. In FY19, about 2% of hospital revenues were related to uninsured patients or patients who were Medicaid recipients. Schedule H, Part VI, Line 5 Promotion of community health A majority of BRRH's governing body is comprised of independent members who reside in BRRH's primary service area, and who are neither employees, family members of employees, nor independent contractors, of BRRH. The organization has an open medical staff. Membership on the open Medical Staff shall be extended to professionally competent Practitioners who continuously meet the qualifications, standards and requirements set forth in the Medical Staff Bylaws. 99% of the medical staff is board certified. Each year, BRRH determines what level of surplus funding from operations is available to fund improvements in patient care and research. Funds are allocated to these pursuits through the operating and capital budgets of the organization. During the year ended June 30, 2019, BRRH spent approximately $29.0 million on capital asset purchases, for new equipment and improvements to the hospital facilities, for the provision of patient care. Each year BRRH has continued to make investments in clinical programs focusing resources and growth initiatives in cardiac services, oncology, neurosciences, women's services and primary care. BRRH furthers its exempt purpose of promoting the health of the community in many ways. Recognizing the importance of reaching out to the community, the BRRH Board of Trustees launched the Community Outreach Program in July 1998. The purpose of the program is to improve the overall health and wellness of the local BRRH community. A mobile health van visits areas from northern Broward County to northern Palm Beach County. The Community Outreach Van Program provides blood pressure, cholesterol, glucose, and BMI screenings. The Van is also used to provide skin cancer screenings. Boca Raton Regional Hospital is an official American Heart Association (AHA) Training Center for BLS CPR. The Family Health Carnival, an annual event coordinated as part of the local Spirit of Giving network, provides Mammograms, Blood Pressure testing, BMI / Body Fat testing, and Cholesterol / Glucose testing. BRRH hosts many free and low cost classes, events and support groups throughout the year, including cancer survivorship classes, oncology yoga, stroke support for survivors and caregivers, bereavement support, nutrition, diabetes education and management, prenatal care, basics of baby care, boot camp for new dads, and heart health support. Schedule H, Part VI, Line 6 Affiliated health care system BRRH IS PART OF AN AFFILIATED HEALTH CARE SYSTEM (SYSTEM). BRRH CORPORATION IS THE NOT-FOR-PROFIT PARENT HOLDING COMPANY OF THE SYSTEM, AND WAS FORMED EXCLUSIVELY FOR CHARITABLE, BENEVOLENT, EDUCATIONAL AND SCIENTIFIC PURPOSES, TO SUPPORT AND ENCOURAGE HEALTH CARE SERVICES THROUGH THE PROMOTION OF THE SERVICES, ACTIVITIES, AND OBJECTIVES OF THE AFFILIATE MEMBERS OF THE SYSTEM. THE AFFILIATES OF THE SYSTEM INCLUDE: Boca Raton Regional Hospital, A 400 BED NOT-FOR-PROFIT HOSPITAL FORMED TO PROVIDE HEALTH CARE SERVICES; BOCA RATON REGIONAL HOSPITAL FOUNDATION, INC., A NOT-FOR-PROFIT CORPORATION FORMED TO RAISE FUNDS TO SUPPORT THE ORGANIZATION AND OTHER RELATED ORGANIZATIONS; AND BRRH HOME HEALTH SERVICES, INC., A NOT-FOR-PROFIT CORPORATION FORMED TO ASSIST BRRH IN THE FURTHERANCE OF SPECIALIZED CARE IN THE AREA OF HOME HEALTH MEDICINE. BocaCare, Inc., a taxable not-for-profit corporation was formed to provide primary care services to the residents of the community. true FLORIDA ATLANTIC UNIVERSITY FOUNDATION 777 GLADES ROAD ADM 295 BOCA RATON FL 33431 590917284 501(C)(3) 40000 0 N/A N/A SUPPORT FOR MEMORY AND WELLNESS CENTER FLORIDA ATLANTIC UNIVERSITY FOUNDATION 777 GLADES ROAD BOCA RATON FL 33431 590917284 501(C)(3) 60000 0 N/A N/A GRANT FOR FAU INTERNAL MEDICINE RESIDENT CLINIC AT BRRH FAMILY PROMISE OF SOUTH PALM BEACH COUNT 840 GEORGE BUSH BLVD BLDG D DELRAY BEACH FL 33483 562656166 501(C)(3) 10000 0 N/A N/A SUPPORT YMCA OF BOCA RATON OF SOUTH PALM BEACH 6631 PALMETTO CIRCLE SOUTH BOCA RATON FL 33433 591416281 501(C)(3) 9100 0 N/A N/A SUPPORT BOCA HELPING HANDS INC 1500 NW 1st Court Boca Raton FL 33432 311713631 501(C)(3) 10000 0 N/A N/A Support RUTH & NORMAN RALES JEWISH FAMILY SERVICE 21300 RUTH BARON COLEMAN BLVD BOCA RATON FL 33428 651115689 501(C)(3) 15000 0 N/A N/A Support FLORENCE FULLER CHILD DEVELOPMENT CENTER INC 200 NE 14TH ST BOCA RATON FL 33483 591312245 501(C)(3) 10000 0 N/A N/A Support ELIZABETH H FAULK FOUNDATION INC 22455 BOCA RIO RD BOCA RATON FL 33433 237153172 501(C)(3) 15000 0 N/A N/A SUPPORT PALM BEACH MEDICAL SOCIETY 3540 FOREST HILL BLVD SUITE 101 WEST PALM BEACH FL 33406 651082899 501(C)(3) 15000 0 N/A N/A SUPPORT AMERICAN ASSOC OF CAREGIVING YOUTH 1515 NORTH FEDERAL HWY 218 BOCA RATON FL 33432 650866677 501(C)(3) 5400 0 N/A N/A SUPPORT BOCA RATON'S PROMISE THE ALLIANCE FOR YOUTH INC 6300 PARK OF COMMERCE BLVD BOCA RATON FL 33487 650878294 501(C)(3) 8000 0 N/A N/A SUPPORT DELRAY STUDENTS FIRST INC 1730 S FEDERAL HWY SUITE 297 Delray Beach FL 33483 454916115 501(C)(3) 7500 0 N/A N/A Support KIDSAFE FOUNDATION INC 5944 CORAL RIDGE DR 241 Coral Springs FL 33076 271067698 501(C)(3) 10000 0 N/A N/A Support TRUSTBRIDGE INC 1531 West Palmetto Park Road Boca Raton FL 33486 591952942 501(C)(3) 10000 0 N/A N/A Support 13 0 Provided bus passes to discharged patients. 300 0 1200 FMV bus passes provided Provided heart/life vests to patients upon discharge 2 0 6400 fmv provided life vest defibrillators Provided home health care visits 2 0 770 fmv Home health care visits Schedule I, Part III, Column (b) Estimated Number Of Recipients Provided bus passes to discharged patients. : 300 bus passes were purchased Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. BRRH DELIVERS THE HIGHEST QUALITY PATIENT CARE WITH UNRELENTING ATTENTION TO CLINICAL EXCELLENCE, PATIENT SATISFACTION AND PATIENT SAFETY. OUR TEAM OF PROFESSIONALS DEMONSTRATES UNPARALLELED COMPASSION AND COMMITMENT TO THOSE WE SERVE. X X true true X X X X true true false false false false false true false JERRY FEDELE PRESIDENT AND CEO 790747 0 503878 0 2297109 0 62356 0 14698 0 3668788 0 2206808 0 MATTHEW KLEIN MD TRUSTEE 1300 385107 0 0 0 5324 0 11000 0 21047 1300 422478 0 0 ALAN SAITOWITZ MD Trustee 29000 491684 0 12500 0 1242 0 11000 0 16375 29000 532801 0 0 KAREN POOLE CHIEF OPERATING OFFICER (through 4/2018) 594148 0 110000 0 13517 0 152671 0 5553 0 875890 0 11188 0 CHARLES POSTERNACK CHIEF MEDICAL OFFICER (through 6/16/2017) 0 0 0 0 268561 0 0 0 0 0 268561 0 0 0 ALEX EREMIA Secretary 311354 0 150000 0 48293 0 43623 0 22793 0 576063 0 35231 0 DAWN JAVERSACK Treasurer and CFO 447992 0 225000 0 4490 0 62777 0 17715 0 757975 0 0 0 MINDY RAYMOND ASST SECRETARY/VICE PRESIDENT 254336 0 75000 0 44662 0 41843 0 21773 0 437614 0 31860 0 MINDY SHIKIAR VICE PRESIDENT/CHIEF OPERATING OFFICER 321157 0 100000 0 37559 0 40573 0 21387 0 520676 0 26632 0 CRISTINA BOSCH-MATA CMO 402860 0 81000 0 7766 0 56100 0 15706 0 563431 0 0 0 MARIA DULANEY Director, Clinical 195748 0 7963 0 1383 0 5034 0 15706 0 225834 0 0 0 ROBIN HILDWEIN CIO AND EXECUTIVE DIRECTOR 232994 0 50000 0 2690 0 24652 0 15129 0 325465 0 0 0 LOUISE MORRELL MD Medical Director 720178 0 225000 0 3798 0 8250 0 21773 0 978999 0 0 0 Melissa Durbin Chief Nursing Officer 236082 0 75000 0 119163 0 37154 0 14440 0 481839 0 114784 0 Dan Sacco Vice President 274743 0 150000 0 131849 0 41388 0 15706 0 613686 0 113487 0 THOMAS CHAKURDA Vice President 253642 0 65000 0 36390 0 32002 0 18678 0 405712 0 21811 0 SAMER FAHMY EXECUTIVE DIRECTOR 362539 0 22088 0 7427 0 5500 0 21773 0 419328 0 0 0 BRIAN ALTSCHULER VP 231294 0 75000 0 6356 0 34815 0 7111 0 354576 0 0 0 ZOUBIR OUHIB CHIEF MEDICAL PHYSICIST 236308 0 2399 0 5928 0 8583 0 15706 0 268924 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments THE CEO RECEIVES A HOUSING ALLOWANCE PER EMPLOYMENT CONTRACT WHICH IS GROSSED UP FOR TAX PURPOSES. Schedule J, Part I, Line 1a Housing allowance or residence for personal use THE CEO RECEIVES A HOUSING ALLOWANCE. THE HOUSING ALLOWANCE IS TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUAL. Schedule J, Part I, Line 4a Severance or change-of-control payment Dr. Charles Posternack (former Chief Medical Officer) received severance payments totaling $268,561 in calendar year 2018. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan DURING CALENDAR YEAR 2018, 457(F) PLAN CONTRIBUTIONS WERE MADE FOR: ALEX EREMIA $38,951.75; DAWN JAVERSACK $55,902.25; MINDY RAYMOND $32,319.25; MINDY SHIKIAR $34,503.00; CRISTINA BOSCH-MATA $50,600.09; ROBIN HILDWEIN $17,625.00; MELISSA DURBIN $29,875.00; DAN SACCO $34,512.75; THOMAS CHAKURDA $32,002.00; BRIAN ALTSCHULER $27,864.25. A SERP PLAN CONTRIBUTION WAS MADE FOR JERRY FEDELE FOR $55,481.33. DISTRIBUTIONS TAKEN DURING CALENDAR YEAR 2018 ARE AS FOLLOWS: JERRY FEDELE $501,201.92; ALEX EREMIA $35,230.97; MINDY RAYMOND $31,860.49; MINDY SHIKIAR $26,631.58; MELISSA DURBIN $114,783.58; DAN SACCO $113,487.11; THOMAS CHAKURDA $21,811.08; KAREN POOLE $11,188.00. Karen Poole and Jerry Fedele had a deferred compensation component contained in their employment agreements. In 2018, the following amounts were deferred: $149,175 for Karen Poole. In 2018, the following amounts were distributed: $1,705,606 for Jerry Fedele. Schedule J, Part I, Line 7 Non-fixed payments The following individuals received a bonus during the year which was not determined by a fixed formula: Alex Eremia Dawn Javersack Mindy Raymond Mindy Shikiar Cristina Bosch-Mata Maria Dulaney Robin Hildwein Louise Morrell Melissa Durbin Dan Sacco Thomas Chakurda Samer Fahmy Brian Altschuler Zoubir Ouhib Karen Poole The bonuses of all executives listed are recommended by the CEO and approved by the executive compensation committee. Form 990, Part III, Line 4a PROGRAM DESCRIPTION (CONTINUED FROM PART III) THE DEBBIE-RAND MEMORIAL SERVICE LEAGUE WAS FORMED THAT YEAR WITH THE MISSION OF RAISING FUNDS NEEDED TO BUILD A MEDICAL FACILITY IN BOCA RATON. OUTSIDE CONSULTANTS WHO WERE CALLED IN INFORMED THE LEAGUE BOCA RATON WOULD NEVER WARRANT A HOSPITAL. UNDAUNTED, THE 18 FOUNDING LEAGUE MEMBERS PERSEVERED AND USED "FUNDS INSTEAD OF FLOWERS" AS THEIR RALLYING CRY. BY 1967, THE LEAGUE HAD RAISED $3.5 MILLION AND THE "MIRACLE ON MEADOWS ROAD" OPENED ON JULY 17 OF THAT YEAR. HOSPITAL SERVICES: BOCA RATON REGIONAL HOSPITAL IS AN ADVANCED, TERTIARY MEDICAL CENTER WITH 400 BEDS AND MORE THAN 800 PRIMARY AND SPECIALTY PHYSICIANS ON STAFF. THE HOSPITAL IS A RECOGNIZED LEADER IN ONCOLOGY, CARDIOVASCULAR CARE, ORTHOPEDICS, WOMEN'S HEALTH, EMERGENCY MEDICINE AND THE NEUROSCIENCES, ALL OF WHICH OFFER STATE-OF THE-ART DIAGNOSTICS AND IMAGING CAPABILITIES. THE HOSPITAL IS ACCREDITED BY THE JOINT COMMISSION. * The Marcus Neuroscience Institute is one of a select number of hospitals nationally that has access to both intraoperative MRI and intraoperative CT for use in advanced neurosurgical procedures of the brain and spine. * The Christine E. Lynn Heart & Vascular Institute established the Fern F. Steinfeld Transcatheter Aortic Valve Replacement (TAVR) Center in January 2016. This latest component of the LHVI provides a highly therapeutic treatment option for patients with symptomatic aortic stenosis and who are considered a high risk for standard valve replacement surgery. * The Lynn Women's Health and Wellness Institute focuses on five centers of excellence, including the Schmidt Center for Breast Care, the Jean and David Blechman Center for Specialty Care, the Phyllis Sandler Center for Living Well, the Barbara Gutin Center for Pelvic Health and the Center for Imaging. In January 2016, the Women's Institute and the General Electric Company entered into an agreement making the LWHWI the worldwide exclusive show site for GE healthcare for women's services. The LWHWI also added the GE healthcare Invenia Automated Breast Ultrasound System (ABUS) to the spectrum of breast imaging capabilities. * Following receipt of a lead donation of $10.0 million, the Davis Therapy Center is being transformed from a physical therapy center into a more comprehensive physical rehabilitation institute known as the Gloria Drummond Physical Rehabilitation Institute. The vision for this transformation is to create an expansive outpatient rehabilitation program to complement the strategic initiatives of the Hospital. * The Florida Atlantic University (FAU) College of Medicine Graduate Medical Education Consortium (the "GME Consortium") is comprised of three health system partners, including BRRH as the principal facility for the internal medicine, surgery and neurology residency programs. During fiscal year 2019, BRRH trained an average of 47 internal medicine residents, 15 surgery residents and 2 neurology residents daily. The integration of the Hospital's medical staff into the program also continues to expand, with over 100 physicians actively participating. THE FOLLOWING STATISTICS REPRESENT THE YEAR ENDED JUNE 30, 2019: * TOTAL DISCHARGES (INPATIENT AND OBSERVATION) 28,058 * PATIENT DAYS (INPATIENT AND OBSERVATION) 104,454 * EMERGENCY ROOM VISITS 55,270 * OUTPATIENT VISITS 288,805 * SURGERIES 11,082 The Hospital continues to earn numerous awards and accolades recognizing its quality of care, the most recent of which include: * 2019-2020 Listed by U.S. News & World Report for the fifth consecutive year as a Top-Ranked Regional Hospital in South Florida. Boca Regional is ranked #1 in Palm Beach County, #8 in the Miami-Ft. Lauderdale metro area and #21 in Florida. * 2019-2020 Listed by U.S. News & World Report among nation's High Performing Hospitals in chronic obstructive pulmonary disease (COPD), colon cancer surgery, heart failure and lung cancer surgery. * 2019 Boca Regional had the most primary-affiliated physicians of any hospital in Palm Beach County recognized as Top Doctors by Castle Connolly for the seventh year in a row. * 2018 Listed by Becker's Hospital Review as one of "150 Top Places to Work in Healthcare" for the second consecutive year. * 2015-2016 National Research Corporation awards Boca Raton Regional Hospital the Consumer Choice Award - Boca Regional is the only hospital in Palm Beach County to receive the distinction. * 2016 American Heart Association / American Stroke Association's Get With The Guidelines - Gold Plus Target Stroke Honor Roll. * 2015 NAMED ONE OF FLORIDA'S 10 "BEST VALUE HOSPITALS" ACCORDING TO VERRAS HEALTHCARE INTERNATIONAL'S MEDICAL VALUE INDEX. Form 990, Part VI, Line 2 FAMILY AND BUSINESS RELATIONSHIPS JERRY FEDELE, DAWN JAVERSACK, MINDY RAYMOND, MINDY SHIKIAR, ALEX EREMIA, ALAN SAITOWITZ, AND MATTHEW KLEIN HAVE A BUSINESS RELATIONSHIP, IN THAT THEY SERVE ON THE BOARD AND/or ARE EMPLOYEES or officers OF THE FOLLOWING RELATED FOR-PROFIT CORPORATION: BOCACARE, INC. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE MEMBER OF BOCA RATON REGIONAL HOSPITAL, INC., IS BRRH CORPORATION, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE SOLE CORPORATE MEMBER, BRRH CORPORATION, MAY ELECT, REMOVE WITH OR WITHOUT CAUSE, REPLACE AND FILL ANY VACANCY ON THE BOARD OF TRUSTEES OF THE HOSPITAL. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY THE SOLE CORPORATE MEMBER, BRRH CORPORATION INCLUDE: - APPROVE IN ADVANCE: CANDIDATES ARE PROPOSED BY THE CORPORATION TO BE ELECTED BY THE CORPORATION'S BOARD AS OFFICERS OF THE CORPORATION AND APPROVE IN ADVANCE THE REMOVAL, TERMINATION AND REPLACEMENT OF SUCH OFFICERS BY THE CORPORATION'S BOARD; - APPROVE IN ADVANCE: CANDIDATES PROPOSED BY THE CORPORATION TO BE ELECTED BY THE CORPORATION TO SERVE AS TRUSTEES OR DIRECTORS ON THE BOARDS OF THOSE AFFILIATED ORGANIZATIONS OF WHICH THE CORPORATION IS THE SOLE MEMBER OR SHAREHOLDER, INCLUDING BRRH HOME HEALTH SERVICE, INC., BOCA RATON REGIONAL HOSPITAL SELF INSURANCE TRUST AND BRRH HEALTH PLANS, INC.; - AMEND THE ARTICLES OF INCORPORATION OF THE CORPORATION; - AMEND, ALTER, RESTATE, RESCIND OR REPEAL THESE BYLAWS; PROVIDED, HOWEVER, THAT THESE BYLAWS AND ANY AMENDMENTS HERETO SHALL NOT BE INCONSISTENT WITH PROVISION OF THE ARTICLES OF INCORPORATION; - APPROVE IN ADVANCE OF ADOPTION BY THE CORPORATION ANY ANNUAL OR LONG-TERM CAPITAL OR OPERATIONAL BUDGET OF THE CORPORATION OR ANY CHANGE THEREIN EXCEEDING ONE PERCENT (1%) IN THE AGGREGATE OF THE TOTAL ORIGINAL APPROVED BUDGET; - APPROVE IN ADVANCE OF THE CORPORATION'S AUTHORIZATION ANY CONTRACTS OR ANY TRANSACTIONS OF THE CORPORATION WHICH ARE NOT PROVIDED FOR IN THE ANNUAL OR LONG TERM CAPITAL OR OPERATIONAL BUDGET APPROVED BY THE MEMBER WHERE THE AMOUNT INVOLVED EXCEEDS ONE HUNDRED THOUSAND DOLLARS ($100,000) IN THE AGGREGATE; - CAUSE THE CORPORATION TO ENTER INTO SUCH CONTRACTS FROM TIME TO TIME AS THE MEMBER MAY DETERMINE AND DIRECT, AND TO PLEDGE, HYPOTHECATE, MORTGAGE, TRANSFER OR OTHERWISE ENCUMBER ALL OR ANY PORTION OF THE ASSETS OF THE CORPORATION FROM TIME TO TIME, IN EACH CASE AS DETERMINED BY THE MEMBER IN ITS DISCRETION AND WITHOUT THE NECESSITY OF ANY FORMAL CORPORATE ACTION BY THE CORPORATION; - ADOPT ANY NEW, OR ANY CHANGES TO EXISTING, LONG-TERM OR MASTER INSTITUTIONAL PLANS OF THE HOSPITAL AFTER CONSIDERING ANY RECOMMENDATIONS OF THE CORPORATION; -ADOPT A PLAN OF DISSOLUTION OF THE CORPORATION; - AUTHORIZE THE CORPORATION TO ENGAGE IN, OR ENTER INTO, ANY TRANSACTION PROVIDING FOR THE SALE, MORTGAGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE HOSPITAL; - ADOPT A PLAN OF MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER CORPORATION; - APPROVE ANY CONTRIBUTION, GRANTS, OR LOANS PROPOSED TO BE MADE BY THE CORPORATION TO ANY OTHER ORGANIZATION OR CORPORATION OTHER THAN THE MEMBER; OR - CAUSE OR PERMIT THE CORPORATION'S ORGANIZATION OR ACQUISITION OF OR INVESTMENT IN, ANY ENTITY, INCLUDING ANY CORPORATION, LIMITED LIABILITY COMPANY, ASSOCIATION, PARTNERSHIP, TRUST, JOINT VENTURE OR OTHER ENTITY. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS REVIEWED IN DETAIL BY MANAGEMENT. THE FORM 990 IS ALSO REVIEWED AND DISCUSSED WITH THE FINANCE COMMITTEE, A SUBCOMMITTEE COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES, AS WELL AS THE BOARD OF TRUSTEES PRIOR TO FILING. ANY QUESTIONS AND CONCERNS ARE ADDRESSED PRIOR TO THE SUBMISSION OF THE FORM 990 TO THE INTERNAL REVENUE SERVICE. NOT ALL MEMBERS OF THE FINANCE COMMITTEE OR BOARD OF TRUSTEES ARE PRESENT AT THE RESPECTIVE MEETINGS. Form 990, Part VI, Line 12c Conflict of interest policy ANNUALLY THE CHAIR OF THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD, THE CHIEF COMPLIANCE OFFICER, AND THE VICE PRESIDENT, GENERAL COUNSEL REVIEW THE CONFLICT OF INTEREST STATEMENTS COMPLETED BY THE BOARD OF DIRECTORS, MANAGEMENT, AND OTHER KEY PERSONNEL WHO INTERACT WITH OUTSIDE ORGANIZATIONS OR BUSINESSES ON BEHALF OF THE CORPORATION. THE DISCLOSURES ARE PRESENTED TO THE AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW AND CONSIDERATION. IT IS DOCUMENTED IN THE BOARD MEETING MINUTES THAT MEMBERS WITH POTENTIAL CONFLICTS RECUSE THEMSELVES FROM INVOLVEMENT IN DISCUSSIONS/BOARD ACTIONS RELATING TO THE POTENTIAL CONFLICTS. MANAGEMENT OF POTENTIAL CONFLICTS WOULD BE DISCLOSED TO AUDIT & COMPLIANCE COMMITTEE. Form 990, Part VI, Line 15a Process to establish compensation of top management official The executive compensation committee of the Board of Trustees annually reviews the compensation for the President and CEO. The Committee determines the compensation for the President and CEO. The process includes a review of current compensation data that benchmarks BRRH executive salaries with other healthcare organizations of a similar size and net revenue. The review process was performed internally for the year ended June 30, 2019, and also by an independent consultant. The review and approval process is documented in the Executive Compensation Committee minutes at the time of the review. Form 990, Part VI, Line 15b Process to establish compensation of other employees The executive compensation committee of the Board of Trustees annually reviews the compensation for the other officers and key employees. The Committee also reviews and approves the merit increases as recommended by the President and CEO. The process includes a review of current compensation data that benchmarks BRRH executive salaries with other healthcare organizations of a similar size and net revenue. The review process was performed internally for the year ended June 30, 2019, and also by an independent consultant. The review and approval process is documented in the Executive Compensation Committee minutes at the time of the review. Form 990, Part VI, Line 19 Required documents available to the public THE FINANCIAL STATEMENTS ARE AVAILABLE FOR REVIEW ON WWW.DACBOND.COM. THE CONFLICT OF INTEREST POLICY IS NOT PUBLICLY POSTED BUT IS AVAILABLE UPON REQUEST. THE GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. Form 990, Part VIII, Line 2f Other Program Service Revenue - Total Revenue: 515860, Related or Exempt Function Revenue: 515860, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees CHO management fees - Total Expense: 15307497, Program Service Expense: , Management and General Expenses: 15307497, Fundraising Expenses: ; Other fees - Total Expense: 37971079, Program Service Expense: 19744961, Management and General Expenses: 18226118, Fundraising Expenses: ; Physician services - Total Expense: 6121838, Program Service Expense: 6121838, Management and General Expenses: , Fundraising Expenses: ; Service contracts - Total Expense: 9141958, Program Service Expense: 4753818, Management and General Expenses: 4388140, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN BENEFICIAL INTEREST IN FOUNDATION - 34544243; PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST - -18518146; CHANGE IN INVESTMENT IN SUBSIDIARY - -58116; BRRH ONCOLOGY LLC 800 MEADOWS RD BOCA RATON FL 33486 203825398 CANCER TREATMENT FL 5146733 660999 BRRH INC BOCA THORACIC & CARDIOVASCULAR SURGERY 800 MEADOWS RD BOCA RATON FL 33486 205347210 HEART SURGERY FL 0 0 BRRH INC BRRH SELF INSURANCE TRUST 800 MEADOWS ROAD BOCA RATON FL 33486 591862898 SELF INS TRUST FL 210980 7744346 BRRH INC PALM ACCOUNTABLE CARE ORGANIZATION LLC 800 MEADOWS ROAD BOCA RATON FL 33486 352453857 SUPPORT CHARITABLE MISSIONS OF BRRH AND AFFILIATES FL 0 0 BRRH INC BRRH Medical Group LLC 800 Meadows Rd Boca Raton FL 33486 472388852 HEALTHCARE FL 0 0 BRRH INC BRRH FOUNDATION INC 745 MEADOWS RD BOCA RATON FL 33486 592406425 FUNDRAISING FL 501(c)(3) 7 BRRH CORP false BRRH CORPORATION INC 800 MEADOWS RD BOCA RATON FL 33486 592406033 PARENT FL 501(c)(3) Type III-FI NA false BRRH HOME HEALTH SERVICES INC 800 MEADOWS RD BOCA RATON FL 34486 650044715 HEALTHCARE SERVICES FL 501(c)(3) Type III-FI BRRH CORP false DEBBIE RAND MEMORIAL SERVICE LEAGUE 800 MEADOWS RD BOCA RATON FL 33486 591055553 VOLUNTEER ORGANIZATION FL 501(c)(3) Type III-FI NA false BOCACARE INC 800 MEADOWS RD BOCA RATON FL 33486 264190328 PRIMARY CARE PHYSICIANS FL NA C Corporation false false false true false false false false false false false false false true true true true true false false