2020-07-15T09:30:27-05:00 2019-06-30 GRANT THORNTON LLP 2001 MARKET STREET SUITE 700 PHILADELPHIA PA 19103 990 2018-07-01 510067938 BEEBE MEDICAL CENTER INC % MARCIA RIGSBY-DYKES BEEB 3026453300 424 Savannah Road Lewes DE 19958 PAUL PERNICE CFO 3026453300 2020-07-15 true Alycia Solecki P01272637 2155614200 71.185.74.81 23695320201975000038 2020-07-15 P D18C9A8B35809B645196590CFBD76077E64CF42D 435BF8AECAD1483B504E3BFCA9FF337394A871F0 2018 2020-09-23 17:36:50Z Richard Schaffner Jr 424 Savannah Road Lewes DE 19958 439363932 false X www.beebehealthcare.org X 1916 DE BEEBE MEDICAL CENTER'S MISSION IS TO ENCOURAGE HEALTHY LIVING, PREVENT ILLNESS AND RESTORE OPTIMAL HEALTH IN THE COMMUNITIES WE SERVE. SEE SCHEDULE O ATTACHMENT 1 24 20 2454 647 42001 37256 2330849 479036 399288649 422067709 4144366 3472123 4133592 4634502 409897456 430653370 1150106 1137259 0 0 170548801 172181739 0 0 0 196528782 209946107 368227689 383265105 41669767 47388265 392408956 602362321 161583702 350305947 230825254 252056374 X BEEBE MEDICAL CENTER'S CHARITABLE MISSION IS TO ENCOURAGE HEALTHY LIVING, PREVENT ILLNESS AND RESTORE OPTIMAL HEALTH WITH THE PEOPLE RESIDING, WORKING AND VISITING IN THE COMMUNITIES WE SERVE. BEEBE MEDICAL CENTER PROVIDES HEALTHCARE SERVICES REGARDLESS OF RACE, COLOR, RELIGION, AGE, GENDER OR SEX, NATIONAL ORIGIN OR ANCESTRY, DISABILITY, VETERAN'S STATUS, GENETIC INFORMATION, SEXUAL ORIENTATION, GENDER IDENTITY OR ANY OTHER LEGALLY PROTECTED CHARACTERISTIC. false false 316698905 1137259 414853095 GENERAL MEDICAL SURGICAL PATIENT CARE. BEEBE MEDICAL CENTER EXPERIENCED 10,655 DISCHARGES IN 2019 RESULTING IN 44,831 PATIENT DAYS OF WHICH 7,220 DISCHARGES AND 31,960 PATIENT DAYS WERE COVERED UNDER THE MEDICARE PROGRAM. THE MEDICAID PROGRAM COVERED 1,165 DISCHARGES AND 4,778 PATIENT DAYS. ADDITIONAL VOLUMES ACHIEVED IN 2019 INCLUDE 48,881 EMERGENCY VISITS; 14,975 OPERATING ROOM CASES OF WHICH 173 WERE OPEN HEART SURGERIES; 5,453 CARDIAC CATHETERIZATION PROCEDURES; AND 157,788 OUTPATIENT IMAGING PROCEDURES. TOTAL SELF-PAY INPATIENT DAYS WERE 571 AND SELF-PAY DISCHARGES WERE 156 IN 2019. 7564326 0 9312198 BEEBE HOME HEALTH (BHHA) PROGRAM COVERS EASTERN SUSSEX COUNTY. IN 2019, BHHA ADMITTED 3,828 NEW PATIENTS AND HAD AN ACTIVE CASELOAD OF 6,987 PATIENTS. THERE WERE A TOTAL OF 74,858 VISITS DURING THE YEAR. 2306798 0 450321 THE MARGARET D ROLLINS SCHOOL OF NURSING CONTINUES TO BE FULLY CERTIFIED. THE SCHOOL HAD A TOTAL OF 66 STUDENT ENROLLED IN FY19, 23 SENIORS AND 43 FIRST YEAR STUDENTS. 658230 0 353775 Delmarva Health Network, LLC 1363131 0 0 Community Outreach 715534 0 128226 Adult Day Care - Gull House 2736895 0 482001 329306924 true true false true false false false false false true true false false true true true false true false false false false false false false false true true true false true true true false false false false false false false true true false false false false true true true true false false true 183 0 true 2454 true true true false false false false false false false false false false false X 24 20 false false false false false false false true true false false true true true true true true true true true false X MARCIA RIGSBY-DYKES 3026453460 431C SAVANNAH ROAD Lewes DE 19958 X David A Herbert Chairman 2.0 0.0 X X 0 0 0 Terry A Megee Vice Chairman 2.0 0.0 X X 0 0 0 Jeffrey M Fried President/CEO (term 3/26/19) 40.0 2.0 X X 830651 0 18944 Paul T Cowan Jr DO Treasurer 2.0 0.0 X X 0 0 0 Richard Schaffner Interim CEO, Bod Sec & COO 40.0 4.0 X X 440058 0 30365 Gregory A Bahtiarian DO Director 2.0 0.0 X 0 0 0 James W Bartle Director 2.0 0.0 X 0 0 0 Wilson C Choy MD Director 2.0 0.0 X 36811 0 0 R Michael Clemmer Director 2.0 0.0 X 0 0 0 Thomas J Cooper Director (Term 10/26/18) 2.0 0.0 X 0 0 0 Frank Czerwinski Director 2.0 0.0 X 0 0 0 Stephen M Fanto MD Director 2.0 0.0 X 0 0 0 James P Marvel Jr Director (Term 10/26/18) 2.0 0.0 X 0 0 0 Janet B McCarty Director 2.0 0.0 X 0 0 0 Andrew W Dahlke MD Director 2.0 0.0 X 0 0 0 Michael Meoli Director 2.0 0.0 X 0 0 0 Paul H Mylander Director (Emeritus 10/26/18) 2.0 0.0 X 0 0 0 Paul C Peet MD Director 2.0 0.0 X 88576 0 0 Wesley E Perkins Director 2.0 0.0 X 0 0 0 Anis K Saliba MD Director 2.0 0.0 X 0 0 0 Eric Sugrue Director 2.0 0.0 X 0 0 0 Michael L Wilgus Director 2.0 0.0 X 0 0 0 Jacquelyn O Wilson EdD Director 2.0 0.0 X 0 0 0 Christopher J Weeks Director 2.0 0.0 X 0 0 0 Joseph R Hudson Chairman Emeritus 1.0 0.0 X 0 0 0 Halsey G Knapp Emeritus (Deceased 12/20/17) 0.0 0.0 X 0 0 0 Paul J Pernice VP Finance CFO 40.0 4.0 X 521080 0 7022 Catherine Halen VP Human Resources 40.0 0.0 X 305875 0 15934 Jeffrey Hawtof MD VP Medical OPS & Informatics 40.0 0.0 X 489321 0 25972 Marcy Jack VP Quality, Safety, Risk Mgmt 40.0 0.0 X 222390 0 28847 Bruce Leshine VP Corporate Counsel 40.0 0.0 X 355353 0 29529 Michael Maksymow VP Information Systems 40.0 0.0 X 291569 0 34419 Steven D Rhone VP Patient Care 40.0 0.0 X 287862 0 22659 Alex Sydnor VP Eexternal Affairs 40.0 0.0 X 241352 0 33773 Joan Thomas VP Clinical & Ambulatory Svcs 40.0 0.0 X 108631 0 0 Robert Portz MD Physician (term 12/31/18) 40.0 0.0 X 286183 0 27778 Srujitha Murukutla MD Physician 40.0 0.0 X 475725 0 20898 Porselvi Lingam MD Physician 40.0 0.0 X 401981 0 18014 Nisarg Desai MD Physician 40.0 0.0 X 516649 0 28495 Michael Salvatore MD Physician 40.0 0.0 X 284741 0 28584 6184808 0 371233 150 false true false Whiting-Turner Contracting Co 300 East Joppa Road BALTIMORE MD 21286 Contractor 12281305 Mayo Medical Laboratory PO Box 9146 MINNEAPOLIS MN 554809146 Lab Services 2969563 Delaware Anesthesia Assoc PO Box 719 LEWES DE 19958 Anesthesia Services 2913388 Wilmot Sanz 18310 Montgomery Village Ave GAITHERSBURG MD 20879 Contractor 2663535 KB Coldiron PO Box 297 FRANKFORD DE 19945 Contractor 2266084 93 160285 318751 0 479036 GENERAL MEDICAL SURGICAL 900099 412755511 412755511 0 0 HOME HEALTH 621610 9312198 9312198 0 0 422067709 2071600 42001 2029599 14257 14257 0 416804 416804 0 416804 416804 10083105 13723 8479896 230666 1603209 -216943 1386266 1386266 0 0 0 0 0 0 0 0 0 CAFETERIA 900099 1569332 0 0 1569332 NMH MED ONCOL REIMBURSEMENT 900099 635940 0 0 635940 DISTRIBUTION INCOME 900099 624420 0 0 624420 1388006 958306 0 429700 4217698 430653370 423026015 42001 7106318 1137259 1137259 0 0 0 5721528 1120546 4600982 0 129943408 116924809 13018599 4682371 4212748 469623 22839410 20549980 2289430 8995022 8159096 835926 0 254665 143855 110810 194358 194358 0 0 170755 170755 29087887 23709146 5378741 0 1643067 16528 1626539 7739391 6482450 1256941 13843916 1793836 12050080 0 7288116 6584335 703781 318446 298760 19686 0 637416 511173 126243 1390254 1373175 17079 0 19842771 11794626 8048145 3282365 3282365 PATIENT RELATED SUPPLIES 95761133 95761133 0 0 BAD DEBT EXPENSE 16444784 16444784 0 0 MAINTENANCE 9615210 7657095 1958115 0 EMPLOYEE RECRUITMENT 700539 1964 698575 0 1731034 1347261 383773 383265105 329306924 53958181 0 0 0 63823238 70432235 0 0 41420210 50965254 0 0 0 0 0 0 8460873 9346863 9159954 8959175 382406000 223461614 141267744 158944386 83120620 245689827 0 0 0 0 3104085 3104085 42052232 54920496 392408956 602362321 46470215 52204000 0 0 0 0 45264559 221095776 0 0 0 0 0 0 0 0 69848928 77006171 161583702 350305947 X 204427346 219448862 23900248 28244310 2497660 4363202 230825254 252056374 392408956 602362321 X 47388265 2510014 -28667159 X false true X true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 300 false true 6914 7214 false Schedule C, Part II-B, Line 1g SUPPLEMENTAL INFORMATION THE PRESIDENT AND THE VP OF CORPORATE AFFAIRS of BEEBE MEDICAL CENTER HAVE QUARTERLY BREAKFAST MEETINGS WITH STATE AND LOCAL POLITICIANS. Schedule C, Part II-B, Line 1i Other activities include the percentage of AHA Membership Dues allocated to lobbying. 76272284 5546389 100062 81718611 71360235 4999696 87647 76272284 63901344 7763189 29477 274821 71360235 64097414 124797 320867 63901344 62926250 1495519 3323 321032 64097414 0.98800 0.01200 false true true 10542972 10542972 158369386 97557663 60811723 8130073 5703183 2426890 166021218 120200768 45820450 39342351 39342351 158944386 EBRIGHT 132241 EQUITY IN BEEBE PHYS. NETWORK 4665281 INT IN FDN. UNRESTR NET ASSETS 4020708 INT IN FDN. RESTRICT NET ASSET 33529282 TEMPORARILY RESTRICTED FUNDS 681250 PERMANENTLY RESTRICTED FUNDS 326784 WORK COMP & MALP INSURANCE 4663403 LAND HELD FOR FUTURE SALE 1838339 PREMIER + DUES FROM FOUNDATION 5063208 54920496 0 ACC. POST RETIREMENT BENEFIT 22050412 DEFERRED COMPENSATION OBLIGATION 140127 CAPITAL LEASE OBLIGATION NET 1667451 ACCRUED PENSION LIABILITY 33532306 ACCRUED MEDICAL MALPRACTICE LIABILITIES 7248082 ACC. WORKERS COMP. LIABILITY 4705939 ASBESTOS REMOVAL OBLIGATION 4173072 SETTLEMENT LIABILITY 792925 OTHER LIABILITIES 1383703 CONSTRUCTION RETAINAGE 1312154 77006171 X Schedule D, Part V, Line 4 BEEBE MEDICAL CENTER USES ITS ENDOWMENT FUNDS FOR CAPITAL ASSET ACQUISITIONS AND TO SUPPORT THE OPERATIONS OF THE MEDICAL CENTER. FIN 48 (ASC 740) THE SYSTEM FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTIES IN INCOME TAX POSITIONS WHICH REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS. AT JUNE 30, 2019, THE SYSTEMS TAX YEARS ENDED JUNE 30, 2015 THROUGH 2019 FOR THE FEDERAL TAX JURISDICTION REMAIN OPEN. true true X true X true X true true true false true true 10982390 7781060 3201330 0.00870 35344915 37091809 -1746894 46327305 44872869 1454436 0.00870 3702655 1045186 2657469 0.00720 28141437 28141437 0.07670 300354 300354 0.00080 185290 185290 0.00050 32329736 1045186 31284550 0.08520 78657041 45918055 32738986 0.09390 311116 311116 0.00080 5917560 5917560 0.01610 6228676 6228676 0.01690 true 16444784 175488154 225936628 -50448474 X true true 1 1 Beebe Medical Center Inc 424 Savannah Road Lewes DE 19958 www.beebehealthcare.org HSPTL-007 X X X A BEEBE MEDICAL CENTER 1 false false true X X X X X X X X X 19 true true true true X www.beebehealthcare.org X SEE SECTION C X true 19 true www.beebehealthcare.org false true X 200. 400. X X X X X true true X X X X true X www.beebehealthcare.org X www.beebehealthcare.org X www.beebehealthcare.org X X X X X X X true X false X X X X true X false false PART V.B., LINE 5: BEEBE HEALTHCARE RE-INITIATED THE COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS IN THE SPRING OF 2018, CAPTURING DATA FROM A VARIETY OF PRIMARY AND SECONDARY SOURCES. FOLLOWING THE 2016 CHNA METHODOLOGY AND GUIDELINES SET FORTH BY THE CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES (CHA) IN COLLABORATION WITH VIZIENT INCORPORATED, AND HEALTHY COMMUNITIES INSTITUTE, THE BEEBE CHNA PROCESS ADHERED TO THE FOLLOWING STEPS: STEP 1: PLAN AND PREPARE FOR THE ASSESSMENT STEP 2: DETERMINE THE PURPOSE AND SCOPE OF THE CHNA STEP 3: IDENTIFY DATA THAT DESCRIBES THE HEALTH AND NEEDS OF THE COMMUNITY STEP 4: UNDERSTAND AND INTERPRET THE DATA STEP 5: DEFINE AND VALIDATE PRIORITIES STEP 6: DOCUMENT AND COMMUNICATE RESULTS. IN AN EFFORT TO DEVELOP A SOCIAL, ECONOMIC AND HEALTH PORTRAIT OF BEEBE HEALTHCARES PRIORITY COMMUNITIES AND TO MITIGATE LIMITATIONS WITH UTILIZING SOLELY SECONDARY DATA SOURCES FOR A POPULATION THAT IS RURAL IN MAJORITY, BEEBE HEALTHCARE DECIDED IT WAS IMPERATIVE IN 2018-2019 TO CONTINUE TO ENGAGE AND UTILIZE PRIMARY DATA SOURCES. IT IS IMPORTANT TO RECOGNIZE SEVERAL DATA LIMITATIONS WHEN INTERPRETING RESULTS FOR CITIES AND TOWNS AS SOME DATA EXIST ONLY AT A COUNTY-WIDE OR STATE-WIDE LEVEL OF DETAIL, SUCH AS COUNTY HEALTH RANKINGS AND COMMUNITY HEALTH STATUS INDICATORS. THOSE DATA SOURCES DO NOT ALLOW ASSESSING HEALTH NEEDS AT A MORE GRANULAR LEVEL OF DETAIL, SUCH AS BY ZIP CODE OR CENSUS TRACT. THEREFORE, AN IDEAL APPROACH INCORPORATES BOTH PRIMARY AND SECONDARY DATA. IN ORDER TO FULLY INCORPORATE THE PRIMARY DATA ELEMENTS, THE 2018-2019 CHNA TEAM CONDUCTED FOCUS GROUPS WITH REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS AND SERVICE AGENCIES THROUGH THEIR PARTNERSHIP WITH SUSSEX COUNTY HEALTH COALITION, STAKEHOLDER INTERVIEWS, AND ONLINE SURVEYS. BY GATHERING INFORMATION FROM LOCAL RESIDENTS AND AREA ORGANIZATIONS, BEEBE HEALTHCARE AIMS TO GATHER CURRENT INFORMATION REGARDING THE PRIORITY NEEDS OF THOSE LIVING IN THE SERVICE AREA. ADDITIONAL DATA WAS ALSO COLLECTED THROUGH COMPLETION OF A COMMUNITY HEALTH SURVEY BY AREA RESIDENTS, COMMUNITY PARTNERS, LOCAL BUSINESSES AND HEALTH CARE PROVIDERS. IN 2018-2019, A PORTION OF THE SUSSEX COUNTY HOMELESS POPULATION WAS SURVEYED AT THE LOCAL HOMELESS SHELTERS THROUGH AN ESTABLISHED PARTNERSHIP WITH THE LOCAL COMMUNITY RESOURCE CENTER. DATA WAS ORGANIZED AND ANALYZED BY BEEBES POPULATION HEALTH DEPARTMENT STAFF. DEDICATED TEAM MEMBERS WERE RESPONSIBLE FOR COLLECTING CURRENT DEMOGRAPHIC INFORMATION FROM THE DELAWARE POPULATION CONSORTIUM, U.S. CENSUS BUREAU AND THE DELAWARE HEALTH TRACKER. INCLUDED IN THE PROCESS WAS A COMMUNITY ASSETS AND RESOURCE ANALYSIS, WHICH WAS A WEIGHTED CONSIDERATION IN THE OVERALL ASSESSMENT AND RATIONALE FOR PRIORITIZED COMMUNITY NEEDS. THE COMMUNITY HEALTH NEEDS ASSESSMENT FINAL REPORT REFLECTS THE ANALYSIS OF PRIMARY DATA COLLECTED VIA SURVEYS IN CONJUNCTION WITH THE SECONDARY DATA OBTAINED FROM ALL OF THE AVAILABLE NATIONAL DATA SOURCES THAT ARE ACCESSIBLE THROUGH DATA REPOSITORIES SUCH AS THE DELAWARE HEALTH TRACKER. THE BEEBE COMMUNITY HEALTH WORKGROUP SYNTHESIZED THE INFORMATION AND EVALUATED THE RESULTS OF THE DATA COLLECTION AND ANALYSIS USING THE PRINCIPLES OF THE ROBERT WOOD JOHNSON FOUNDATION COUNTY HEALTH RANKINGS MODEL, INCORPORATING CONSIDERATION OF THE ROLE OF SOCIAL DETERMINANTS OF HEALTH IN PROMOTING HEALTH AND HEALTH EQUITY. ULTIMATELY, PRIORITIES WERE ESTABLISHED BY EVALUATING ALL OF THE IDENTIFIED NEEDS IN THE CONTEXT OF THE FEASIBILITY, STRENGTHS AND RESOURCES OF THE BEEBE HEALTHCARE SYSTEM. PART V.B, LINES 6A AND 6B: BAYHEALTH MILFORD AND NANTICOKE HEALTH SERVICES. EACH HEALTHCARE SYSTEM PUBLISHED AN INDIVIDUAL REPORT AND IMPLEMENTATION PLAN. SUSSEX COUNTY HEALTH COALITION, SUSSEX COUNTY'S FEDERALLY QUALIFIED HEALTH CENTER - LA RED, MULTIPLE INSURERS, LOCAL UNIVERSITIES AND THE DELAWARE DIVISION OF PUBLIC HEALTH PART V.B, LINE 7B: BEEBE MEDICAL CENTER'S COMMUNITY HEALTH NEEDS ASSESSMENT IS ALSO AVAILABLE ON THE FOLLOWING WEBSITES: WWW.DELAWAREHEALTHTRACKER.COM WWW.HEALTHIERSUSSEXCOUNTY.COM PART V.B, LINE 11: THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED NEEDS WERE PRIORITIZED ON THE BASIS OF MULTIPLE DYNAMICS INCLUDING PRIMARY AND SECONDARY DATA, ALONG WITH CURRENT RESOURCES, COLLABORATIONS AND FEASIBILITY OF EFFECTIVE PROGRAMMING. THE PRIORITIZATION WAS AGREED UPON BY BEEBE HEALTHCARES COMMUNITY HEALTH WORKGROUP WITH CONTRIBUTION FROM THE HEALTHIER SUSSEX COUNTY TASK FORCES CHNA WORKGROUP. THE THREE HIGHEST RANKING NEEDS, IN ORDER ARE: (1) BEHAVIORAL HEALTH AND MENTAL HEALTH (2) CANCER / PREVENTION & SCREENING (3) OBESITY / NUTRITION / CHRONIC DISEASE. LACK OF ACCESS TO CARE AND RISKS RESULTING FROM SOCIAL DETERMINANTS OF HEALTH HAVE ALSO BEEN IDENTIFIED AS AREAS OF BROAD IMPACT ON HEALTH OUTCOMES FOR THOSE LIVING IN SUSSEX COUNTY THROUGH FINDINGS IN THE COMMUNITY HEALTH NEEDS ASSESSMENT AND SECONDARY DATA SOURCES. BEEBE HEALTHCARE'S IMPLEMENTATION PLAN INTEGRATES AND ADDRESSES THESE NEEDS, AS RELEVANT, THROUGHOUT THE 3 PRIORITY AREAS: BEHAVIORAL AND MENTAL HEALTH, CANCER, SCREENING AND PREVENTION AND OBESITY AND NUTRITION WITH A FOCUS ON CHRONIC DISEASE. BEEBE HEALTHCARE HAS IMPLEMENTED THE FOLLOWING PROGRAMS TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA. THEY ARE AS FOLLOWS: PRIORITY AREA: MENTAL AND BEHAVIORAL HEALTH 1) BEEBE HEALTHCARE EXPANDED ITS MENTAL AND BEHAVIORAL HEALTH NURSE NAVIGATOR TEAM TO FOUR FULL-TIME AND THREE PER-DIEM STAFF MEMBERS, ALLOWING FOR GREATER CAPACITY TO OFFER BEHAVIORAL HEALTH SERVICES 24 HOURS A DAY TO ALL PATIENTS EXPERIENCING ANY MENTAL HEALTH OR SUBSTANCE ABUSE CRISIS IN BOTH THE EMERGENCY DEPARTMENT AND OUR INPATIENT UNITS. THE MENTAL AND BEHAVIORAL HEALTH NURSE NAVIGATORS COMPLETE BEHAVIORAL HEALTH AND MENTAL HEALTH SCREENINGS AS WELL AS ASSESSMENTS TO IDENTIFY TAILORED CARE FOR EACH INDIVIDUAL. THE NURSE NAVIGATOR COLLABORATES WITH OUR TELEHEALTH PSYCHIATRISTS, THE PATIENT, FAMILY, AND ANY OUTPATIENT PROVIDERS TO DEVELOP AND IMPLEMENT A PLAN OF CARE. THROUGH ON-SITE NURSE NAVIGATION SERVICES AND A PARTNERSHIP WITH INSIGHT TELEPSYCHIATRY, BEEBE OFFERS: PSYCHIATRIC CONSULTATIONS FOR ANY PATIENT 24/7 IN THE EMERGENCY DEPARTMENT AND INPATIENT MEDICAL FLOORS; 24HR DETENTION ON ADULTS WHO MEET CRITERIA FOR FURTHER ASSESSMENT AT AN INPATIENT PSYCHIATRIC FACILITY; REFERRALS AND TRANSFERS TO DETOX, REHAB, CRISIS, INPATIENT PSYCHIATRIC FACILITIES, AND OTHER BEHAVIORAL UNITS; OUTPATIENT RESOURCES FOR MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES FUNDED BY THE STATE AND THOSE THAT ARE PRIVATE ENTITIES; COORDINATION WITH OUTPATIENT PROVIDERS WHEN APPROPRIATE; VERIFICATION OF METHADONE DOSING SO PATIENTS CAN CONTINUE THEIR TREATMENT IN THE HOSPITAL; DE-ESCALATION, BEHAVIORAL MANAGEMENT, THERAPEUTIC SUPPORT, AND CRISIS INTERVENTION, WHEN APPLICABLE. 2) REFERRALS TO RECOVERY INNOVATIONS INCLUDE OPPORTUNITY FOR TEAM MEMBERS TO COME TO THE HOSPITAL TO PROVIDE SERVICES FOR PATIENTS WITH AN IDENTIFIED NEED AND CONTINUE TO SUPPORT THOSE INDIVIDUALS AS THEY TRANSITION BACK TO THEIR RESIDENCE IN THE COMMUNITY. 3) RECENT INITIATION OF THE BEHAVIORAL HEALTH INPATIENT BEHAVIORAL EMERGENCY RESPONSE TEAM (BERT) FOR PATIENTS IN OR EXHIBITING POTENTIAL FOR CRISIS. AN ALERT TO THIS TEAM CAN BE ACTIVATED BY ANY STAFF MEMBER WHEN NEED IS IDENTIFIED AND WILL ALSO BE ACTIVATED THROUGH THE BROSET VIOLENCE CHECKLIST SCORE VIA THE NURSING EMR WORKFLOW. 4) EXPANSION OF MENTAL AND BEHAVIORAL HEALTH SERVICES AT BEEBE HEALTHCARES ADVANCED CARE CLINIC. 5) PALLIATIVE CARE SERVICES OFFERED INPATIENT AND OUTPATIENT. 6) EDUCATION PROVIDED TO BEEBE HEALTHCARES MEDICAL STAFF AND EMERGENCY DEPARTMENT STAFF THROUGH THE DIVISION OF PROFESSIONAL REGULATION BASED ON CDC AND STATE OF DELAWARE RESTRICTIONS REGARDING OPIOID PRESCRIBING PRACTICES FOR BOTH ACUTE AND CHRONIC PAIN MANAGEMENT. 7) COMMUNITY-BASED TRAININGS OFFERED IN PARTNERSHIP WITH THE MENTAL HEALTH FIRST AID USA PROGRAM TO CREATE AWARENESS AND PROVIDE LAY PERSON EDUCATION AROUND IDENTIFYING AND RESOURCING INDIVIDUALS WHO MAY BE DEMONSTRATING SIGNS AND SYMPTOMS OF A MENTAL HEALTH CONCERN. 8) ORGANIZATION OF COMMUNITY-BASED EVENTS TO CREATE AWARENESS, OFFER PARTNER RESOURCES AND PROGRAMS IN ADDITION TO REDUCING THE STIGMA AROUND SUBSTANCE USE DISORDER. 9) BEEBE HEALTHCARES POPULATION HEALTH DEPARTMENT PARTNERED WITH DELAWARE TECHNICAL COMMUNITY COLLEGE ON EVENTS THAT PROVIDE RESOURCES AND OFFER WELLNESS-BASED SERVICES TO VETERANS, ACTIVE MILITARY AND THEIR FAMILY MEMBERS, TO RAISE AWARENESS AROUND POST-TRAUMATIC STRESS DISORDER AND ITS ASSOCIATED SYMPTOMS AS WELL AS PROVIDE OPPORTUNITIES TO CONNECT TO ELIGIBLE PROGRAMS AND SERVICES. 10) BEEBE HEALTHCARE IS A PARTNER IN THE VETERANS CONTINUED CARE IN THE COMMUNITY PROGRAM THAT ENABLES VETERANS IN SUSSEX COUNTY TO SEEK SPECIALTY CARE AND DIAGNOSTICS SERVICES IN OUR HEALTHCARE SYSTEM UTILIZING THEIR VA BENEFITS. 11) COLLABORATION WITH HEALTH MANAGEMENT ASSOCIATES, PARTNER IN DELAWARES LIEUTENANT GOVERNORS THREE YEAR BEHAVIORAL HEALTH CONSORTIUM ACTION PLAN, TO PARTICIPATE AS MEMBERS OF THE COMMUNITY RESPONSE TEAM (CRT) IN SUSSEX COUNTY, STRATEGY AIMED AT INCREASING AND ORGANIZING COMMUNICATIONS THROUGHOUT THE COMMUNITY AND MULTIPLE SECTORS IN A SYSTEMATIC WAY TO DISSEMINATE REAL TIME UPDATES ON CONTAMINATED SUPPLIES OF ILLICIT DRUGS AND IMPROVING EMERGENCY RESPONSE TIME TO SUPPORT LOCAL AUTHORITIES IN MANAGING OVERDOSE SPIKES. 12) NEONATAL ABSTINENCE SYNDROME PROGRAMMING NOW INCLUDES UNIVERSAL DRUG SCREENING ON ALL MOTHERS. 13) WOMEN'S HEALTH NURSE NAVIGATION SERVICES NOW INCLUDES POST-PARTUM DEPRESSION SCREENING, INPATIENT ROUNDING ON NEW MOTHERS TO EDUCATE ON POST-PARTUM DEPRESSION SIGNS AND SYMPTOMS, ON-SITE EDUCATION TO PREGNANT WOMEN AND MOTHERS AT AREA MAT CENTERS. AREA PEDIATRICIANS CONDUCT POST-PARTUM DEPRESSION SCREENINGS AS WELL AS ACE SCREENING DURING MOM/BABY VISITS, REFERRING MOTHERS BACK TO HER WOMENS HEALTH PROVIDER FOR FOLLOW-UP. 14) HIGH SCHOOL WELLNESS CENTERS PROVIDE FREE HEALTH EDUCATION, NUTRITIONAL HELP, MENTAL HEALTH COUNSELING, EDUCATIONAL PROGRAMS ON STRESS REDUCTION, EMOTIONAL SUPPORT, AND, WHEN APPROPRIATE, REFERRALS TO STUDENTS' PERSONAL PHYSICIANS FOR FOLLOW-UP CARE. IN ADDITION, THE CENTERS OFFER ALATEEN GROUP MEETINGS. 15) BEEBE HEALTHCARE IMPLEMENTED AN OPIOID STEWARDSHIP PROGRAM TO RAISE AWARENESS, EDUCATE PROVIDERS AND TEAM MEMBERS ON PRESCRIPTION DOSE GUIDELINES, SHARE CURRENT LOCAL AND NATIONAL STATISTICS AND OFFER RESOURCES. PRIORITY AREA: OBESITY, NUTRITION, AND CHRONIC DISEASE - 1) COMMUNITY OUTREACH PROGRAMS WHICH PROVIDE FREE HEALTH SCREENINGS AND EDUCATION TO THE SUSSEX COUNTY COMMUNITY BY MEANS OF HEALTH FAIRS AND THROUGH CONNECTIONS WITH CIVIC ORGANIZATIONS AND LOCAL BUSINESSES. 2)FOOD PRESCRIPTION PROGRAM - THIS IS A PARTNERSHIP BETWEEN THE FOOD BANK OF DELAWARE AND BEEBE HEALTHCARE TO PROVIDE FOOD PRESCRIPTION VOUCHERS TO INPATIENT AND OUTPATIENT CLIENTS IDENTIFIED AS HAVING FOOD CONCERNS. 3) ESTABLISHED PARTNERSHIP WITH UNIVERSITY OF DELAWARE COOPERATIVE EXTENSION TO OFFER FARM MARKET VOUCHERS TO QUALIFYING SENIORS TO ASSIST IN PURCHASING AND CONSUMPTION OF FRUITS AND VEGETABLES. 4) BEEBE INTEGRATIVE HEALTH PROVIDES A COLLECTION OF BEWELL PROGRAMMING THAT INCLUDES EXPERIENTIAL WORKSHOPS, LECTURE SERIES AND MIND/BODY RELAXATION TECHNIQUES, AS WELL AS ONE-ON-ONE COACHING. 5) BEWELL LIFESTYLE PROGRAM, A 12-WEEK PROGRAM PROVIDES KNOWLEDGE AND SKILL-BUILDING THAT PROMOTES HEALTHFUL BEHAVIORS AND LIFESTYLE MODIFICATIONS. 6) HEALTH COACHING PROGRAM - THE BEEBE HEALTH COACH WORKS 1:1 OR IN SMALL GROUPS, PARTNERING WITH INDIVIDUALS TO HELP THEM MAKE LIFESTYLE CHANGES. WORKING TOGETHER, THE HEALTH COACH AND INDIVIDUAL(S) WORK TOGETHER TO CREATE A PERSONALIZED HEALTH PLAN TO HELP TAKE A PERSON FROM WHERE HE/SHE CURRENTLY IS TO WHERE HE/SHE WANTS TO BE WITH OVERALL HEALTH AND WELLNESS GOALS. THIS MAY INCLUDE HEALTHY EATING, WEIGHT MANAGEMENT/WEIGHT LOSS, MOVEMENT AND EXERCISE OR STRESS MANAGEMENT. 7) DIABETES MANAGEMENT & MEDICAL NUTRITION THERAPY PROGRAM - SINCE 1998, BEEBE HEALTHCARES DIABETES MANAGEMENT TEAM HAS PROVIDED OUTPATIENT DIABETES EDUCATION FOR THE COMMUNITY. THIS COMPREHENSIVE PROGRAM RECEIVED NATIONAL RECOGNITION BY THE AMERICAN DIABETES ASSOCIATION (ADA) FOR PROVIDING EDUCATION THAT MEETS THE NATIONAL STANDARD FOR DIABETES SELF-MANAGEMENT EDUCATION PROGRAMS. IN 2018, PROGRAM OFFERINGS WERE EXPANDED TO EVENINGS AND WEEKENDS AT FIVE LOCATIONS IN THE COUNTY. 8) ORNISH REVERSAL PROGRAM - THE PROGRAM TEACHES PARTICIPANTS TO ADOPT A HEALTHY LIFESTYLE BASED ON THE FOUR KEY ELEMENTS: A LOW-FAT, WHOLE FOODS, PLANT-BASED DIET; AT LEAST 30 MINUTES OF EXERCISE EACH DAY; A PRACTICE OF STRESS MANAGEMENT TECHNIQUES; AND ACTIVE ENGAGEMENT IN SUPPORTIVE RELATIONSHIPS. THIS PROGRAM HAS BEEN PROVEN TO UNDO HEART DISEASE BY DEALING WITH THE ROOT CAUSES AND NOT JUST ITS EFFECTS. 9) ROBUST PARTNERSHIP WITH DIVISION OF PUBLIC HEALTH THAT INCREASES CHRONIC DISEASE, DIABETES, CHRONIC PAIN AND CANCER SELF-MANAGEMENT WORKSHOP OFFERINGS IN EASTERN AND SOUTHERN SUSSEX COUNTY. 10) POPULATION HEALTH AND IN PART V.B, LINE 16I: MEASURE TO PUBLICIZE: BEEBE CURRENTLY PUBLISHES POLICIES AND PROCEDURES VIA ITS WEBSITE WITH THE ABILITY TO APPLY ONLINE, AT COMMUNITY OUTREACH EVENTS COORDINATED BY POPULATION HEALTH TO INCLUDE ANNUAL HEALTH FAIR AND ONSITE VIA PATIENT FINANCIAL SERVICES. BEEBE ALSO SENDS THE FAP NOTIFICATION TO ALL PATIENTS WITHIN OUR CHARITY RESIDENTIAL AREA TO MAKE THEM AWARE OF THE PROGRAM AS WELL AS EDUCATE THEM VIA PHONE CALLS WHEN MAKING ARRANGEMENTS. 12 Tunnel Cancer Center 18947 John J Williams Hwy Rehoboth Beach DE 19971 Cancer Center Book hammer Outpatient Center 18941 John J Williams Hwy Rehoboth Beach DE 19971 DI, Lab,REHAB, Surg, WC Georgetown Health Campus 21635 Biden Avenue Georgetown DE 19947 Imaging Center, Lab Draws, Reh REHABILITATION THERAPY Millville Health Center 32550 Docs Place Unit 1 Millville DE 19967 Imaging Center, Lab Draws Millsboro Health Center 28538 DuPont Blvd Millsboro DE 19966 Imaging Center, Lab Draws Beebe Home Health 232 Mitchell St Suite 200 Millsboro DE 19966 Home Health Agency Beebe Endoscopy Center 33633 Bayview Medical Drive Lewes DE 19958 Endoscopy Center Beebe School Of Nursing 420 Market Street Lewes DE 19958 Certified Nursing School Milton ImagingLab 614 Mulberry Street Milton DE 19968 Imaging Center, Lab Draws Long Neck Lab Express 32060 Long Neck Road Millsboro DE 19966 Lab Draws Gull House 34382 Carpenter Way Lewes DE 19958 Adult Day Care Beebe Physical Rehab Center 19324 Lighthouse Plaza Blvd Rehoboth Beach DE 19971 Rehab Part I, Line 7(g) Subsidized Health Services SUBSIDIZED HEALTH SERVICES INCLUDES $24,154,501 RELATED TO THE LOSS IN BEEBE PHYSICIAN NETWORK (BPN). BPN IS A NOT-FOR-PROFIT TAX-EXEMPT CORPORATION THAT OPERATES A PHYSICIAN NETWORK PROVIDING INTEGRATED PHYSICIAN SERVICES IN COORDINATION WITH THE MEDICAL CENTER. PART I, LINE 7, COSTING METHODOLOGY RATIO OF COST TO CHARGES WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. Part III, Line 4 BEEBE MEDICAL CENTER HAS ADOPTED HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15, VALUATION AND FINANCIAL STATEMENT PRESENTATION OF CHARITY AND BAD DEBTS BY INSTITUTIONAL HEALTHCARE PROVIDERS. THE ORGANIZAITON'S AUDITED FINANCIAL STATEMENTS INCLUDE A FOOTNOTE DISCUSSING PROVISION FOR BAD DEBT EXPENSE ON PAGE 12 OF THE ATTACHED FINANCIAL STATEMENTS. BAD DEBT EXPENSE REPRESENTS UNCOLLECTIBLE BALANCES ON PATIENT ACCOUNTS AFTER DEDUCTING DISCOUNTS AND PAYMENTS. Schedule H, Part III, Line 8 BEEBE MEDICAL CENTER (BMC) SERVES THE COMMUNITY AS A WHOLE. IT IS THE ONLY HOSPITAL WITHIN 23 MILES AND IS THE ONLY TERTIARY HOSPITAL WITHIN 40 MILES. BMC ACCEPTS ALL PATIENTS REGARDLESS OF ABILITY TO PAY. BEEBE MEDICAL CENTER'S PRIMARY SERVICE AREA IS RURAL WITH A VERY HIGH MEDICARE POPULATION. MEDICARE REPRESENTS 63% OF HOSPITAL BUSINESS. MEDICARE RATES DO NOT KEEP UP WITH HEALTHCARE COSTS AND WITH THE HIGH PERCENTAGE OF MEDICARE VOLUMES. THE MEDICARE SHORTFALL OF $51,872,545 IS CONSIDERED A COMMUNITY BENEFIT. PART III, LINE 8: RATIO OF COST TO CHARGES WAS USED TO DETERMINE THE AMOUNT ON LINE 6. Part III, Line 9b BEEBE MEDICAL CENTER (BMC) IS A NOT-FOR-PROFIT, COMMUNITY-BASED HEALTHCARE FACILITY. IT IS HOSPITAL POLICY THAT NO ONE WILL BE DENIED MEDICALLY NECESSARY HOSPITAL SERVICES BASED UPON THE PATIENT'S ABILITY TO PAY FOR THOSE SERVICES. A PUBLIC NOTICE OF THE AVAILABILITY OF FINANCIAL AID IS VISIBLE WITHIN THE HOSPITAL. BEEBE MEDICAL CENTER COMPLIES WITH ALL FEDERAL, STATE AND CONTRACTUAL LAWS, REGULATIONS AND REQUIREMENTS. OBJECTIVE: THE PATIENT OR GUARANTOR HAS THE ULTIMATE FINANCIAL RESPONSIBILITY FOR CARE RECEIVED FROM BEEBE MEDICAL CENTER. BMC COOPERATES WITH AND ASSISTS ALL PATIENTS IN THE FULFILLMENT OF THEIR FINANCIAL RESPONSIBILITY. THIS COOPERATION INCLUDES ASSISTANCE WITH ENROLLMENT IN PUBLIC OR PRIVATE INSURANCE PROGRAMS, CHARITY-BASED PROGRAMS, FINANCIAL ASSISTANCE PROGRAMS, OR OTHER THIRD PARTY PAYMENT PROGRAMS. PATIENTS HAVE THE RESPONSIBILITY TO PROVIDE TIMELY AND ACCURATE INFORMATION WHEN SEEKING CONSIDERATION UNDER THE BMC CHARITY AND FINANCIAL AID POLICY. PROCEDURES: 1. PATIENTS RESIDING IN OUR DESIGNATED RESIDENTIAL AREA WHO MAY QUALIFY FOR OUR CHARITY OR FINANCIAL ASSISTANCE PROGRAM RECEIVE A NOTIFICATION OF OUR PROGRAM (INSURED AND UNINSURED). 2. PATIENT APPLIES AND SUBMITS ALL RELATIVE DOCUMENTATION FOR THE BMC FINANCIAL ASSISTANCE PROGRAM APPLICATION PROCESS. SELF PAY PATIENT RECEIVES SERVICES FROM BMC AND IS REGISTERED AS A SELF PAY WITH NO INSURANCE COVERAGE. A. APPROVAL FOR THE ELIGIBILITY FOR THE BMC FINANCIAL ASSISTANCE PROGRAM IS COMMUNICATED IN A LETTER INDICATING THE COVERAGE PERIOD. THE PATIENT MAY RECEIVE 40% TO 100% OF FINANCIAL ASSISTANCE BASED ON FINANCIAL INFORMATION PRESENTED. ALL OUTSTANDING ELIGIBLE ACCOUNTS ARE WRITTEN OFF TO CHARITY OR FINANCIAL ASSISTANCE BASED ON THE APPROVAL LEVEL. B. FINANCIAL ASSISTANCE APPROVALS ARE GOOD FOR UP TO A YEAR AS LONG AS ELIGIBILITY DOES NOT CHANGE. PATIENTS ARE REQUIRED TO REAPPLY ANNUALLY. C. THE PATIENT RECEIVES A FINANCIAL ASSISTANCE CARD INDICATING THE APPLICATION TIME PERIOD AND THE FINANCIAL ASSISTANCE NUMBER. D. THE PATIENT IS INSTRUCTED TO PRESENT THE CARD AT EACH EPISODE OF CARE AT REGISTRATION. FINANCIAL ASSISTANCE IS ENTERED IN THE REGISTRATON IN THE SAME MANNER AS INSURER COVERAGE. 3. PATIENT RETURNS FOR SERVICES PRESENTING WITH THE FINANCIAL ASSISTANCE/CHARITY CARD AT REGISTRATION. A. PATIENT IS REGISTERED AS THE PRIMARY PLAN AND FINANCIAL ASSISTANCE IS REGISTERED AS SECONDARY COVERAGE. B. A WEEKLY REPORT IS GENERATED LISTING ALL PATIENTS THAT VISITED THE HOSPITAL WITH A FINANCIAL ASSISTANCE LISTED IN THE SECONDARY INSURANCE. C. THE REPORT IS REVIEWED BY THE HOSPITAL FINANCIAL COUNSELOR AND THE ACCOUNT IS WRITTEN OFF ACCORDING TO THE ASSISTANCE PROGRAM OF WHICH THE PATIENT IS ELIGIBLE. I. IF PATIENT QUALIFIES FOR THE CHARITY PROGRAM, CHARITY WRITE OFF IS 100% OF CHARGES (UNLESS APPROVED UNDER HEALTH CARE CONNECTION (HCC) FEE FOR SERVICE). PATIENT RECEIVES NO FURTHER STATEMENTS UNLESS OUTSTANDING FEE FOR SERVICE APPROVED UNDER HEALTH CARE CONNECTION (HCC). II. IF PATIENT QUALIFIES FOR THE BMC FINANCIAL ASSISTANCE DISCOUNTED PROGRAM - ACCOUNT IS WRITTEN OFF FOR THE PERCENTAGE OF APPROVED DISCOUNT AMOUNT THAT THE PATIENT QUALIFIED FOR. FINANCIAL ASSISTANCE CAN BE GRANTED FOR UP TO 100% OF CHARGES. 1. PATIENT WILL THEN RECEIVE STATEMENTS FOR THE REMAINING BALANCE ON NON BAD DEBT ACCOUNTS. SYSTEM DOES NOT GENERATE PATIENT STATEMENTS AFTER ACCOUNT IS DEEMED BAD DEBT. 2. THE NEW ACCOUNTS ARE COMBINED WITH EXISTING PAYMENT ARRANGMENTS AND A MONTHLY PAYMENT IS RE-CALCULATED BASED ON QUALIFICATION AND PATIENT ABILITY TO PAY. PART VI, ITEM 2 - NEEDS ASSESSMENT: BEEBE MEDICAL CENTER HAS VARIOUS METHODS FOR ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES: - COMMUNITY-BASED BOARD OF DIRECTORS - NON-DIRECTOR MEMBERS OF THE BUILDING AND EQUIPMENT COMMITTEE, SAFETY AND QUALITY COMMITTEE AND COMMUNITY HEALTH WORKGROUP - CONSUMER PERCEPTION SURVEY - NEIGHBORS' COMMITTEE - PATIENT FAMILY ADVISORY COUNCIL - WELLNESS NEEDS ASSESSMENTS WITHIN PARTNERED COMMUNITIES - PRESS-GANEY PATIENT SATISFACTION SURVEY - POST-PARTICIPATION PROGRAM SURVEYS - PUBLIC DATA - COMMUNITY FOCUS GROUPS PART VI, ITEM 3: ALL INPATIENT SELF PAY PATIENTS ARE PRESENTED WITH A FINANCIAL ASSISTANCE INFORMATION PACKAGE DURING THE HOSPITAL STAY. A LETTER IS SENT ON THE 3RD DAY AFTER BILLING, OUTLINING CHARITY ELIGIBILITY GUIDELINES. SELF PAY ACCOUNTS IN WHICH PATIENT IS NOT ELIGIBLE TO PARTICIPATE IN A PAYMENT CONTRACT ACOMMURE COUNSELED BY FINANCIAL ASSISTANCE REPRESENTATIVES. CHARITY AND FINANCIAL ASSISTANCE POLICY IS PUBLISHED ON THE HOSPITAL WEBSITE. STATEMENTS ON ACCOUNTS HAVE MESSAGES INFORMING PATIENTS TO CONTACT THE HOSPITAL IF IN NEED OF FINANCIAL ASSISTANCE. PART VI, LINE 4: THE MEDICAL CENTER IS LOCATED IN SUSSEX COUNTY, THE SOUTHERN-MOST OF THREE DELAWARE COUNTIES, WHICH CONSISTS OF 938 SQUARE MILES, OR 48% OF DELAWARE'S ENTIRE LAND AREA. BECAUSE OF ITS CLIMATE AND LOW POPERTY TAXES, SUSSEX COUNTY HAS BECOME AN ATTRACTIVE RETIREMENT COMMUNITY. ALL OF THE COUNTY'S GROWTH OVER THE NEXT DECADE IS POJECTED TO COME FROM PERSONS MOVING INTO THE COUNTY. TRADITIONALLY, SUSSEX COUNTY HAS BEEN REGARDED AS A RURAL AGRICULTURAL AREA. HOWEVER, THE EASTERN EDGE OF SUSSEX COUNTY THAT FRONTS ON THE DELAWARE BAY AND ATLANTIC OCEAN HAS BECOME A MAJOR TOURIST RESORT AND, MOST RECENTLY, A FAVORED RETIREMENT AREA, RETAIL, AND HOSPITALITY CENTER. EASTERN AND SOUTHEASTERN SUSSEX COUNTY, WHICH IS BEEBE MEDICAL CENTER'S PRIMARY SERVICE AREA, IS PARTICULARLY ATTRACTIVE DUE TO ITS PROXIMITY TO THE ATLANTIC OCEAN AND DELAWARE BAY. AS A RESULT, THE MEDICAL CENTER GENERALLY EXPERIENCES A SIGINIFICANT INCREASE IN PATIENT VISITS DURING THE SUMMER PERIODS. ACCORDING TO THE 2010 CENSUS, DELAWARES POPULATION WAS 897,934, WITH 61% LIVING IN NEW CASTLE COUNTY, 21% IN SUSSEX, AND 18% IN KENT COUNTY (DELAWARE HEALTH TRACKER). THERE HAS BEEN NO CENSUS SINCE 2010, BUT THE ESTIMATED POPULATION OF DELAWARE IN 2014 WAS 935,614 (DELAWARE HEALTH TRACKER). THE ESTIMATED POPULATION FOR SUSSEX COUNTY IN 2010 WAS 197,145 WITH A POPULATION OF 41,073 (20.8%) OVER THE AGE OF 65. SUSSEX ALSO HAS A VERY HIGH PERCENTAGE OF MEDICARE RECIPIENTS AT 23.3%. THE PERCENTAGE IN POVERTY IS LISTED AT 13.9%. THE SERVICE AREA POPULATION IS ESTIMATED AT 199,118 WITH A 3-YEAR GROWTH RATE OF 4.6%, APPROXIMATELY 9,197 RESIDENTS. IT IS NOTED THAT OUR SERVICE AREA HAS A 21% POPULATION AGE 65 OR OLDER WHERE THE U.S AVERAGE IS 13%. (BEEBE MEDICAL STAFF DEVELOPMENT PLAN, NOVEMBER 18, 2012). Part VI, Line 5 COMMUNITY BUILDING ACTIVITIES INCLUDE INTERPRETATION SERVICES TO SUPPORT INCREASING HISPANIC POPULATION. PROVIDING MENTORS IN CONJUNCTION WITH COLLEGES AND HIGH SCHOOLS IN THE AREA FOR STUDENTS PURSUING NURSING/HEALTHCARE CAREERS. RECURITMENT AND RETENTION OF PHYSICIANS IN UDERSERVED AREAS RELATIVE TO COMMUNITY NEEDS ASSESSMENT. Part VI, Line 6 BEEBE MEDICAL CENTER (BMC) IS A MEMBER OF AN AFFILIATED HEALTH CARE SYSTEM THAT INCLUDES BEEBE PHYSICIAN NETWORK (BPN), A NOT-FOR-PROFIT TAX-EXEMPT CORPORATION THAT OPERATES A PHYSICIAN NETWORK PROVIDING INTEGRATED PHYSICIAN SERVICES IN COORDINATION WITH THE MEDICAL CENTER. BMC IS LOCATED IN A COMMUNITY THAT HAS BEEN DESIGNATED AS A PHYSICIAN UNDER-SERVED AREA SINCE 1976 AND BPN WAS ORGANIZED TO ENCOURAGE PHYSICIANS TO PRACTICE IN THE AREA TO ENSURE ACCESS TO CARE FOR THE SURROUNDING COMMUNITIES. IN OCTOBER 2013 BMC'S HEALTH CARE SYSTEM ADDED BEEBE HEALTHYBACK (BHB), A FOR-PROFIT LIMITED LIABILITY COMPANY, THAT OPERATED A SPECIALIZED CHRONIC BACK AND NECK TREATMENT PROGRAM LOCATED IN CENTRAL SUSSEX COUNTY. AS OF DECEMBER 31, 2015, THIS PARTNERSHIP WAS DISSOLVED AND BMC ABSORBED THE OPERATIONS. IN MAY 2013 BMC'S HEALTH CARE SYSTEM ADDED DELMARVA HEALTHCARE NETWORK, LLC (DHN). DHN IS AN ACCOUNTABLE CARE ORGANIZATION (ACO) WITH BEEBE AS THE SOLE MEMBER. PART VI, ITEM 7 - STATE FILING OF COMMUNITY BENEFIT REPORT - Delaware true BEEBE MEDICAL FOUNDATION 902 SAVANNAH ROAD LEWES DE 19958 510319455 501(c)(3) 1137259 0 FMV GENERAL SUPPORT 1 Schedule I, Part I, Line 2 The Medical Center only makes grants to its related, tax-exempt foundation Beebe Medical Foundation. X false true X X X X false false false false false false false true false Jeffrey M Fried President/CEO (term 3/26/19) 675624 0 0 0 155027 0 5500 0 13444 0 849595 0 0 Richard Schaffner Interim CEO, Bod Sec & COO 379131 0 0 0 60927 0 5345 0 25020 0 470423 0 0 Paul J Pernice VP Finance CFO 431106 0 0 0 89974 0 5500 0 1522 0 528102 0 0 Catherine Halen VP Human Resources 260761 0 0 0 45114 0 3408 0 12526 0 321809 0 0 Jeffrey Hawtof MD VP Medical OPS & Informatics 408652 0 5952 0 74717 0 5500 0 20472 0 515293 0 0 Marcy Jack VP Quality, Safety, Risk Mgmt 203901 0 0 0 18489 0 3715 0 25132 0 251237 0 0 Bruce Leshine VP Corporate Counsel 305887 0 0 0 49466 0 4838 0 24691 0 384882 0 0 Michael Maksymow VP Information Systems 260904 0 0 0 30665 0 3705 0 30714 0 325988 0 0 Steven D Rhone VP Patient Care 248144 0 0 0 39718 0 3725 0 18934 0 310521 0 0 Alex Sydnor VP Eexternal Affairs 227213 0 0 0 14139 0 3135 0 30638 0 275125 0 0 Joan Thomas VP Clinical & Ambulatory Svcs 108631 0 0 0 0 0 0 0 0 0 108631 0 0 Robert Portz MD Physician (term 12/31/18) 233459 0 48000 0 4724 0 3435 0 24343 0 313961 0 0 Srujitha Murukutla MD Physician 288810 0 180745 0 6170 0 5356 0 15542 0 496623 0 0 Porselvi Lingam MD Physician 390240 0 11201 0 540 0 5500 0 12514 0 419995 0 0 Nisarg Desai MD Physician 398231 0 110294 0 8124 0 4635 0 23860 0 545144 0 0 Michael Salvatore MD Physician 263738 0 0 0 21003 0 4158 0 24426 0 313325 0 0 Schedule J, Part I, Line 1 Housing Allowance was provided to Mark Loukides, the amount was treated as taxable compensation. The organization is working on establishing a written policy for any future benefits noted on Schedule J, Part I, Line 1. Schedule J, Part I, Line 7 Executives and management team members are eligible for bonuses if they meet specific organizational objectives including quality and safety issues, patient satisfaction scores, and certain financial goals. For vice presidents, 80% of their eligible incentive is based upon organization - wide goals and 20% is based upon individual goals. For the CEO, 100% of the eligible incentive is based upon organization - wide or team goals. Certain physicians are eligible for an incentive based on the physician's individual practice number of worked RVU'S. A DELAWARE HEALTH FACILITIES AUTH SERIES 2014A 510272458 2014-06-01 31020000 REFUND DHFA SERIES 2002A BONDS false false false B DELAWARE HEALTH FACILITIES AUTH SERIES 2014B 510272458 2014-06-01 9670000 REFUND DHFA SERIES 2004A BONDS false false false C DELAWARE HEALTH FACILITIES AUTH SERIES 2015A 510272458 246388NU2 2015-09-04 15820000 RFUND DHFA SERIES 2005A BONDS false false false D DELAWARE HEALTH FACILITIES AUTH SERIES 2018 510272458 2018-12-19 169000000 Planned Expansion false false false A 4265000 0 31020000 0 0 0 -110673 0 0 15375673 15755000 0 2015 true false true true B 5565000 0 9670000 0 0 0 0 0 0 0 9670000 0 2014 true false true true C 3395000 0 15820000 0 0 0 0 0 0 0 15820000 0 2015 true false true true D 0 0 179937451 169870000 19435922 0 -1461051 0 0 0 20402757 0 2022 false false false true A false false true true true true 0 false false false true B false false true true true true 0 false false false true C false true true true true true 0.96000 0.96000 false false false true D false true true true true true 0 false false false true A false true true false 0 false 0 false true B false true false false 0 false 0 false true C false true false false 0 false 0 false true D false true false false 0 false 0 false true A true B true C true D true SCHEDULE K, PART I, LINE C, COLUMN (F) Description of Purpose: Refunding bond issue to finance current funding of the Delaware Health Facilities Authority's $23,450,000 revenue bonds. Beebe Medical Center project Series 15A Bonds outstanding as of 6/30/2019 was $12,225,000. SCHEDULE K, PART I, LINE A, COLUMN (F) Description of Purpose: Refunding bond issue to finance current refinancing of the Delaware Health Facilities $15,755,000 revenue bonds. And also issued to finance $15,013,982 in capital equipment expenditures. Beebe Medical Center Project Series 2014A bonds outstanding as of 6/30/2019 was $26,755,000. SCHEDULE K, PART I, LINE b, COLUMN (F) Description of Purpose: Bond issue to finance planned expansion and capital equipment expenditures in Sussex County, DE. Beebe Medical Center Project Series 2018 bonds outstanding as of 6/30/2019 was $169,870,000. Par amount of series 2018 $169,870,000 Net Premium $10,067,451 Total Sources $179,937,450 Project funds - bond proceeds $159,040,477 Capitalized interest fund $19,435,922 Costs of issuance & under disc $1,461,052 Total Uses of funds $179,937,451 (Not all funds have been used yet) Schedule K, Part I, Line D, Column (F) Description of Purpose: Refunding bond issue to finance current refinancing of the Delaware Halth Facilities Authority's $29,455,000 revenue bonds. Beebe Medical Center Project Series 2014B bonds outstanding as of 6/30/2019 was $4,105,000. SCHEDULE K, PART II, LINE 3 AND 4, COLUMN (D) The difference between the total proceeds of issuance and gross proceeds in reserve funds equals the net premium. SCHEDULE K, PART IV, LINE 1, COLUMN (A),(B) AND (C) The rebate calculation for the Series 2014A & B and Series 2015 was performed on 9/30/2019. Schedule K, Part IV, Line 1, Columns D: the rebate calculation for Series 2018 was performed on 12/20/2019. SALIBA FAMILY LLC SEE PART V 336592 SEE PART V false CARRIE SNYDER CHILD OF BOARD MEMBER 128330 WAGES false BEACON PEDIATRICS LLC WIFE OF A BOARD MEMBER 104025 SEE PART V false SCHEDULE L, PART IV FOR THE TRANSACTIONS WITH SALIBA FAMILY LLC, ANIS SALIBA, MD, A DIRECTOR OF BEEBE MEDICAL CENTER, IS A MEMBER OF THE LLC. BEEBE MEDICAL CENTER RENTS OFFICE SPACE FROM THE LLC. FOR THE TRANSACTION WITH BEACON PEDIATRICS, LLC. THE WIFE OF A BOARD MEMBER IS 100% OWNER. THE AMOUNT LISTED ON PART IV WAS PAID TO BEACON PEDIATRICS, LLC FOR PHYSICIAN CALL PAY. Form 990, Part VI, SECTION B, Line 11b The Form 990 is reviewed internally by management of BEEBE Medical Center, Inc. The return is reviewed by a third party accounting firm, Grant Thornton LLP. A copy of the Form 990 was provided to the governing body before it was filed. Form 990, Part VI, Line 12c BEEBE Medical Center requires annual completion of a conflict of interest statement for all board members, executives, and management team members. Non-management team members are required to submit a conflict of interest statement upon hire. Conflict of interest statements are reviewed by the board and audit committee for the existence of any adverse interest. Form 990, Part VI, SECTION B, LINES 15A AND 15B THE EXECUTIVE COMMITTEE OF THE BOARD OF Directors GOVERNS AND CONTROLS EXECUTIVE COMPENSATION. PAY IS DETERMINED BY COMPARING LIKE POSITIONS TO OTHER TAX-EXEMPT HEALTH SYSTEMS SIMILAR TO BEEBE MEDICAL CENTER IN SIZE AND COMPLEXITY LOCATED REGIONALLY AND THROUGHOUT THE UNITED STATES. PAY IS POSITIONED AT A RANGE AROUND THE 50TH PERCENTILE OF BEEBE MEDICAL CENTER'S PEER GROUP, ON A NATIONAL BASIS. THE EXECUTIVE COMMITTEE UTILIZES A CONSULTANT FOR EXECUTIVE COMPENSATION ADVICE. MINUTES OF MEETINGS ARE MAINTAINED TO DOCUMENT DELIBERATION AND DECISIONS. FORM 990, PART VI, SECTION C, LINE 19 The organization makes its governing documents, conflict of interest policy, and financial statements available upon request. FORM 990, PART XI, LINE 9 EQUITY LOSSES IN SUBSIDIARIES (27,251,436) INCREASE IN FOUNDATION NET ASSETS 6,196,931 CHANGE IN BENEFIT PLANS LIABILITY 170,659 OTHER CHANGES IN UNRESTRiCTED NET ASSETS (6,080) NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS (19,903) INCREASE IN VALUE OF PERPETUAL TRUST (1,276) OTHER ACCRUED RETIREMENT COSTS (7,756,054) ------------- TOTAL $(28,667,159) ============= Delmarva Health Network LLC 424 Savannah Road Lewes DE 19958 462829886 ACO DE 353775 804126 Beebe Med CT Beebe Physician Network Inc PO Box 760 Lewes DE 19958 212011066 Phys Support DE 501(C)(3) 9 Beebemedical true Beebe Medical Foundation 902 Savannah Road Lewes DE 19958 510319455 Fundraiasing DE 501(C)(3) 12-I Beebemedical true false true true false false false false false false true false true true false false false false true false BEEBE MEDICAL FOUNDATION B 1137259 FMV BEEBE MEDICAL FOUNDATION C 181645 FMV BEEBE PHYSICIAN NETWORK INC J 311321 FMV BEEBE PHYSICIAN NETWORK INC L 76811985 FMV BEEBE PHYSICIAN NETWORK INC R 30075000 FMV