BAYHEALTH MEDICAL CENTER INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: BAYHEALTH MEDICAL CENTER INC (EIN 51-0064318)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-24
IRS object ID: 201721449349300347
Schema version: 2015v3.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-24T15:46:17-07:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	510064318	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Bayhealth Medical Center Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BAYH	BusinessNameControlTxt
Phone	3027447162	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	640 South State Street	AddressLine1Txt
City	Dover	CityNm
State Abbreviation	DE	StateAbbreviationCd
ZIP	19901	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Michael Tretina	PersonNm
Person Title	Treasurer/CFO	PersonTitleTxt
Signature	2017-05-24	SignatureDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	$849,513,903	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
All Affiliates Included	false	AllAffiliatesIncludedInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.bayhealth.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1943	FormationYr
Legal Domicile State	DE	LegalDomicileStateCd
Activity Or Mission	To improve the health status of all members of the community within Bayhealth's service area.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	4193	TotalEmployeeCnt
Total Volunteers	363	TotalVolunteersCnt
Total Gross UBI	$17,634	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,857	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,215,551	PYContributionsGrantsAmt
CY Contributions Grants	$2,124,268	CYContributionsGrantsAmt
PY Program Service Revenue	$541,674,594	PYProgramServiceRevenueAmt
CY Program Service Revenue	$561,935,933	CYProgramServiceRevenueAmt
PY Investment Income	$24,621,455	PYInvestmentIncomeAmt
CY Investment Income	$21,266,766	CYInvestmentIncomeAmt
PY Other Revenue	$7,769,783	PYOtherRevenueAmt
CY Other Revenue	$6,554,497	CYOtherRevenueAmt
PY Total Revenue	$575,281,383	PYTotalRevenueAmt
CY Total Revenue	$591,881,464	CYTotalRevenueAmt
PY Grants And Similar Paid	$213,249	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$190,750	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$300,698,887	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$316,942,847	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$220,386,860	PYOtherExpensesAmt
CY Other Expenses	$218,880,058	CYOtherExpensesAmt
PY Total Expenses	$521,298,996	PYTotalExpensesAmt
CY Total Expenses	$536,013,655	CYTotalExpensesAmt
PY Revenues Less Expenses	$53,982,387	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$55,867,809	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,028,144,227	TotalAssetsBOYAmt
Total Assets EOY	$1,072,208,667	TotalAssetsEOYAmt
Total Liabilities BOY	$376,438,210	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$401,193,515	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$651,706,017	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$671,015,152	NetAssetsOrFundBalancesEOYAmt
Mission	To improve the health status of all members of the community within Bayhealth's service area.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$383,096,664	ExpenseAmt
Desc	Bayhealth Medical Center, Inc. provides a full range of patient care, emergency services, and wellness services. Bayhealth Medical Center is comprised of a total of 434 beds in two acute-care hospitals, Kent General Hospital in Dover (266 beds) and Milford Memorial Hospital (168 beds). Bayhealth also has outpatient sites throughout the service area. Both hospitals have Level III trauma centers. They provide a full range of surgical and medical care; radiation and medical oncology and chemotherapy; infusion therapy; cardiovascular services; endovascular surgery; electrophysiology; ambulatory surgery; wound care, perinatology services, and a Level II NICU and PICU. During the twelve months ending June 30, 2016, Bayhealth recorded 91,890 Emergency Room visits, 17,399 patients admitted to beds, 2,342 births, 626,205 outpatient visits, and provided $43.8 million in unreimbursed care to patients. Bayhealth has affiliations with the University of Pennsylvania's Penn Health in cardiology, oncology, and orthopaedics. It provides physician and medical clinical rotations, housing, and meals for interns and residents from surrounding states. In FY 2016, Bayhealth hosted students from vocational schools, community colleges, and universities for clinical rotations in nursing and other health professions.Because the service area is deemed to be medically underserved, with a shortage of health professionals, Bayhealth actively recruits physicians to the area. In addition, it owns and operates 27 physician practices in Central and Southern Delaware.Bayhealth has an active education program, including health-related classes, support groups, free public screenings, free speakers for community groups, and representation at community events.Bayhealth Medical Center, Inc. provides care to all patients regardless of their ability to pay for the services rendered.	Desc
Total Program Service Expenses	$383,096,664	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	403	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4193	EmployeeCnt
Employment Tax Returns Filed	false	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Org Filed In Lieu Of Form1041	false	OrgFiledInLieuOfForm1041Ind
Licensed More Than One State	false	LicensedMoreThanOneStateInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	4	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Michael Tretina	PersonNm
Phone	3027447162	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	640 S State Street	AddressLine1Txt
City	Dover	CityNm
State Abbreviation	DE	StateAbbreviationCd
ZIP	19901	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Terry M Murphy
Chair & CEO	38.00	2.00	Yes (X)	Yes (X)	$1,061,775	$0	$37,883
Michael J Tretina
Treasurer & CFO	38.00	2.00	Yes (X)	Yes (X)	$433,064	$0	$37,883
Michael J Antunes MD
Board Member	1.00	0.00	Yes (X)		$0	$0	$0
Deborah Watson
Vice Chair &COO	40.00	0.00	Yes (X)	Yes (X)	$501,477	$0	$37,883
Jose A Guzman MD
Ex Officio Dctr	1.00	0.00	Yes (X)		$0	$0	$0
Michael S Ashton
Administrator	40.00	0.00	Yes (X)		$255,458	$0	$36,819
Michel R Samaha MD
Board Member	1.00	0.00	Yes (X)		$0	$0	$0
Bonnie Perratto
SVP,Patient Car	40.00	0.00	Yes (X)		$436,668	$0	$30,450
Gary Siegelman MD
SVP & CMO	40.00	0.00	Yes (X)		$767,091	$0	$28,281
Robert Scacheri MD
Board Member	1.00	0.00	Yes (X)		$0	$0	$0
John Van Gorp
SVP, Planning & Business Developmnt	40.00	0.00			$323,887	$0	$37,433	Yes (X)
Bradley Kirkes
VP, Ancillary & Clinical Services	40.00	0.00			$239,430	$0	$36,315	Yes (X)
Shana Ross
VP, Human Resources	40.00	0.00			$253,051	$0	$37,607	Yes (X)
Eric Gloss
VP, Medical Affairs	40.00	0.00			$310,191	$0	$15,900	Yes (X)
Richard Mohnk
VP & CIO	40.00	0.00			$118,590	$0	$21,983	Yes (X)
Jonathan Kaufmann DO
CMIO	40.00	0.00			$95,558	$0	$5,073	Yes (X)
Trinity Pilkington MD
Physician	40.00	0.00			$791,249	$0	$37,883		Yes (X)
John Lahaniatis MD
Physician	40.00	0.00			$767,857	$0	$24,647		Yes (X)
Gabriel Lewullis MD
Physician	40.00	0.00			$1,007,481	$0	$37,883		Yes (X)
James Mills MD
Physician	40.00	0.00			$1,053,576	$0	$37,883		Yes (X)
Harjinder Grewal MD
Physician	40.00	0.00			$690,263	$0	$37,883		Yes (X)
Earl Tanis
Former CFO	40.00	0.00			$0	$0	$21,983			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,106,666	TotalReportableCompFromOrgAmt
Total Other Compensation	$561,672	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	403	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
McKesson Technologies Inc
5995 Windward Parkway	Alpharetta	GA	30005	IS Consulting/Sftwr	$4,137,956
Cannon Design
				Construction	$4,625,146
Bay Anesthesia Group LLC
640 S State Str	Dover	DE	19901	Anesthesia/Med Svcs	$4,054,440
Whiting-Turner Construction
300 East Joppa Rd 8th Flr	Baltimore	MD	21286	Construction	$5,144,758
Apogee Medical Management
15059 N Scottsdale Rd Ste 600	Scottsdale	AZ	85254	Medical Consultants	$4,676,164

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Government Grants	$1,124,268	GovernmentGrantsAmt
All Other Contributions	$1,000,000	AllOtherContributionsAmt
Total Contributions	$2,124,268	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Health & Wellness Program	900099	$2,330,336	$2,330,336
Patient Charges, Net	900099	$553,687,056	$553,687,056
Pharmacy	900099	$5,918,541	$5,918,541

Field	Value	IRS element (for citing)
Total Program Service Revenue	$561,935,933	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,362,167	TotalRevenueColumnAmt
Unrelated Business Revenue	$17,634	UnrelatedBusinessRevenueAmt
Exclusion	$13,344,533	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$681,647	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$524,868	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$156,779	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$156,779	TotalRevenueColumnAmt
Exclusion	$156,779	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$264,305,880	SecuritiesAmt
Other	$706,290	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$256,410,069	SecuritiesAmt
Other	$697,502	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$7,895,811	SecuritiesAmt
Other	$8,788	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,904,599	TotalRevenueColumnAmt
Exclusion	$7,904,599	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CHILDCARE REVENUE	900099	$657,526	$657,526
DEFINED INCOME-MEANINGFUL	900099	$2,259,771	$2,259,771
Gift Shop/Food Sales	900099	$2,963,865	$2,963,865

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$516,556	TotalRevenueColumnAmt
Exclusion	$516,556	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,397,718	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$591,881,464	TotalRevenueColumnAmt
Related Or Exempt Func Income	$561,935,933	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$17,634	UnrelatedBusinessRevenueAmt
Exclusion	$27,803,629	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$190,750	TotalAmt
Program Services	$190,750	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,159,753	TotalAmt
Management And General	$5,159,753	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$21,983	TotalAmt
Management And General	$21,983	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$216,444,830	TotalAmt
Program Services	$169,676,172	ProgramServicesAmt
Management And General	$46,768,658	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$15,106,246	TotalAmt
Program Services	$4,728,724	ProgramServicesAmt
Management And General	$10,377,522	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$64,680,105	TotalAmt
Program Services	$20,358,787	ProgramServicesAmt
Management And General	$44,321,318	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$15,529,930	TotalAmt
Program Services	$4,888,219	ProgramServicesAmt
Management And General	$10,641,711	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,362,308	TotalAmt
Program Services	$1,362,308	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$302,100	TotalAmt
Program Services	$302,100	ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,450,190	TotalAmt
Management And General	$1,450,190	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,772,023	TotalAmt
Program Services	$2,772,023	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$799,486	TotalAmt
Program Services	$799,486	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,945,889	TotalAmt
Program Services	$2,762,122	ProgramServicesAmt
Management And General	$1,183,767	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,471,224	TotalAmt
Program Services	$9,471,224	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,806,513	TotalAmt
Program Services	$1,806,513	ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,545,547	TotalAmt
Program Services	$7,545,547	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$29,212,452	TotalAmt
Program Services	$29,212,452	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,977,438	TotalAmt
Program Services	$238,195	ProgramServicesAmt
Management And General	$2,739,243	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$101,366,898	$71,114,052	$30,252,846
Other Purchased Services	$30,152,839	$30,152,839
Eqpmt Rep & Maintenance Contra	$12,425,503	$12,425,503
Other Expense	$4,920,261	$4,920,261

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,369,387	TotalAmt
Program Services	$8,369,387	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$536,013,655	TotalAmt
Program Services	$383,096,664	ProgramServicesAmt
Management And General	$152,916,991	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$28,687,869	BOYAmt
EOY	$43,904,846	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$71,179,561	BOYAmt
EOY	$59,875,580	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$10,886,051	BOYAmt
EOY	$11,431,988	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$13,532,011	BOYAmt
EOY	$15,560,451	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$642,378,153	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$300,496,531	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$305,831,083	BOYAmt
EOY	$341,881,622	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$573,603,939	BOYAmt
EOY	$576,736,263	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$24,423,713	BOYAmt
EOY	$22,817,917	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,028,144,227	BOYAmt
EOY	$1,072,208,667	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$95,172,558	BOYAmt
EOY	$110,529,913	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$199,545,401	BOYAmt
EOY	$195,721,045	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$22,622	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$81,697,629	BOYAmt
EOY	$94,942,557	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$376,438,210	BOYAmt
EOY	$401,193,515	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$640,741,531	BOYAmt
EOY	$657,674,292	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,579,848	BOYAmt
EOY	$7,333,794	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,384,638	BOYAmt
EOY	$6,007,066	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$651,706,017	BOYAmt
EOY	$671,015,152	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,028,144,227	BOYAmt
EOY	$1,072,208,667	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$55,867,809	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$21,517,123	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$15,041,551	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,629,495	BeginningYearBalanceAmt
Investment Earnings Or Losses	$377,571	InvestmentEarningsOrLossesAmt
End Year Balance	$6,007,066	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,424,525	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$39,888	InvestmentEarningsOrLossesAmt
End Year Balance	$6,384,637	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,893,302	BeginningYearBalanceAmt
Investment Earnings Or Losses	$531,223	InvestmentEarningsOrLossesAmt
End Year Balance	$6,424,525	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,766,785	BeginningYearBalanceAmt
Investment Earnings Or Losses	$126,517	InvestmentEarningsOrLossesAmt
End Year Balance	$5,893,302	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,072,820	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$306,035	InvestmentEarningsOrLossesAmt
End Year Balance	$5,766,785	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	1.00000	BoardDesignatedBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	false	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,864,962	OtherCostOrOtherBasisAmt
Book Value	$12,864,962	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$274,843,736	OtherCostOrOtherBasisAmt
Depreciation	$90,062,658	DepreciationAmt
Book Value	$184,781,078	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,451,928	OtherCostOrOtherBasisAmt
Depreciation	$2,955,693	DepreciationAmt
Book Value	$496,235	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$63,196,746	OtherCostOrOtherBasisAmt
Depreciation	$34,029,686	DepreciationAmt
Book Value	$29,167,060	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$288,020,781	OtherCostOrOtherBasisAmt
Depreciation	$173,448,494	DepreciationAmt
Book Value	$114,572,287	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$341,881,622	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
Accrued Post-Retirement benefit	$77,331,815
Estimated Professional Liability, L/T	$10,976,750
Estimated Workers' Comp Cost, L/T	$4,676,567
Fair Value of Interest Rate Swap	$1,957,420
Rounding	$5

Field	Value	IRS element (for citing)
Total Liability	$94,942,557	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$555,322,790	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$21,517,123	NetUnrealizedGainsInvstAmt
Other Revenue	-$15,041,551	OtherRevenueAmt
Revenue Not Reported	-$36,558,674	RevenueNotReportedAmt
Revenue Subtotal	$591,881,464	RevenueSubtotalAmt
Total Revenue Per Form990	$591,881,464	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$536,538,523	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$524,868	OtherExpensesIncludedAmt
Expenses Not Reported	$524,868	ExpensesNotReportedAmt
Expenses Subtotal	$536,013,655	ExpensesSubtotalAmt
Total Expenses Per Form990	$536,013,655	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 4: Intended uses of the endowment fund.	The Endowment Funds are to be held in perpetuity. The investment income from the funds is not restricted.
Part X : FIN48 Footnote	The Medical Center follows the accounting guidance for uncertainties in income tax positions which requires that a tax position be recognized or derecognized based on a "more likely that not" threshold. This applies to positions taken or expected to be taken in a tax return. The Medical Center does not believe its financial statements include any material uncertain tax positions. At June 30, 2015, the Medical Center's tax years ended June 30, 2013 through 2015 for the federal tax jurisdiction remain open.
Part XII, Line 2d: Other expenses and losses per audited F/S	Rental Expenses (Reclass) $524868

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,684,680	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,684,680	NetCommunityBenefitExpnsAmt
Total Expense	0.01620	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$91,739,325	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$96,394,315	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$4,654,900	NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$100,424,005	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$96,394,315	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,029,780	NetCommunityBenefitExpnsAmt
Total Expense	0.01620	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,738,861	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,738,861	NetCommunityBenefitExpnsAmt
Total Expense	0.00510	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,936,948	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,936,948	NetCommunityBenefitExpnsAmt
Total Expense	0.00730	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$57,611,697	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,107,710	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,503,987	NetCommunityBenefitExpnsAmt
Total Expense	0.04570	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,831,151	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,831,151	NetCommunityBenefitExpnsAmt
Total Expense	0.00530	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,811,506	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$880,685	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,930,821	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$69,930,163	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,988,395	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,941,768	NetCommunityBenefitExpnsAmt
Total Expense	0.06700	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$170,354,168	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$130,382,710	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$39,971,548	NetCommunityBenefitExpnsAmt
Total Expense	0.08320	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,769,282	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,769,282	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,705	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,705	NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,489	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,489	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,111	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,111	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$814,276	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$814,276	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,244,672	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,244,672	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,882,535	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,882,535	NetCommunityBenefitExpnsAmt
Total Expense	0.00710	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$28,845,491	BadDebtExpenseAmt
Reimbursed By Medicare	$169,251,439	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$233,653,808	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$64,402,369	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct
Dover Surgicenter LLC
Outpatient Surgery Center	0.27079
Premier Purchasing PtnrsLP
Group Purchasing	0.00240
Eden Hill Medical Center
Real Estate	0.00422
HealthPartners Delmarva LLC
Healthcare Collaboration	0.50000

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
Kent General Hospital
1	640 SOUTH STATE STREET	DOVER	DE	19901	www.bayhealth.org	Yes (X)	Yes (X)	Yes (X)	A
Milford Memorial Hospital
2	21 WEST CLARKE AVE	MILFORD	DE	19963	www.bayhealth.org	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	12	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.bayhealth.org/about-us	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	14	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.bayhealth.org/about-us	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0000	FPGFamilyIncmLmtFreeCarePct
Explained Basis	false	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.BAYHEALTH.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.BAYHEALTH.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.BAYHEALTH.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit Report To Credit Agency	Yes (X)	PermitReportToCreditAgencyInd
Permit Selling Debt	Yes (X)	PermitSellingDebtInd
Permit Legal Judicial Process	Yes (X)	PermitLegalJudicialProcessInd
Collection Activities	Yes (true)	CollectionActivitiesInd
Reporting To Credit Agency	Yes (X)	ReportingToCreditAgencyInd
Engaged Selling Debt	Yes (X)	EngagedSellingDebtInd
Engaged Legal Judicial Process	Yes (X)	EngagedLegalJudicialProcessInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 5 - Account Input from Persons Who Represent the Community	To better understand the health needs in Bayhealth's service area, Bayhealth conducted a Community Health Needs Assessment (CHNA). Bayhealth analyzed a variety of publicly reported data and gathered input from key stakeholders in Kent and Sussex County. Diligent attempts were made to collect, interview, and survey responses from individuals and community-based organizations to gain insight on the needs of vulnerable families in Kent and Sussex County. The 2013 Needs Assessment results revealed opportunities for improvement in health promotion, disease prevention and improving access to health care in Kent and Sussex County, DE. The needs assessment team collated interview and survey responses in order to prioritize identified health needs and develop implementation strategies to fulfill Bayhealth's mission. Description of Community Served:Kent county is located in the Central part of the State of Delaware. Dover is the county seat and the State's capital. Historically, a rural farmland community, Kent County is attempting to preserve its farmland and natural resources while effectively managing the population growth that is occurring in the county. Kent County has a population of nearly 170,000, making it the smallest county in the state in terms of the size of its population. However, the county population has grown 32% since 2000, which is much higher than the state average rate of approximately 17% for the same time frame. The most prevalent race in Kent County is white, which represent over 60% of the total population. The average Kent County education level is lower that the state average. Kent General Hospital, one of the two hospital facilities owned and operated by Bayhealth, opened its doors in 1927. Kent General has grown in size and services to meet the health needs of the communities served. In 2012, Bayhealth invested 130 million dollars to complete phase II construction of Kent General Hospital, part of Bayhealth's 10 year strategic plan designed to address present and future health care needs. Phase II added 415,000 square feet to the Kent campus constructing a new welcome center, central services building, expanded emergency department, integrated cancer center and parking garage.Bayhealth's CHNA focuses on the residents of Kent County. Approximately 87% of Kent General's patients originate from Kent County. Moreover, Kent County residents rely heavily on Kent General for inpatient services, as evidenced by the approximate 75% of Kent County residents who utilized Bayhealth's Kent General for inpatient services. Milford Memorial Hospital, the second hospital facility owned and operated by Bayhealth, opened its doors in 1938. Since that time, Milford Memorial has grown in size and services to meet the health needs of the communities served, offering a comprehensive array of services to the residents of Central and Southern Delaware. Sussex County is located in the southern part of the state of Delaware. The county seat is Georgetown. Historically, a rural farmland community, Sussex county is attempting to preserve its farmland and natural resources while effectively managing the population growth that is occurring in the County. Sussex County has a population of 203,390, making it the second largest county in the state in terms of the size of its population. The population has grown 30.2% since 2000, which is much higher that the state average rate of approximately 17% for the same time frame. The median age for the county in 2011 was 45.9 years of age, higher than the state as a whole or the US median age the same time frame. The most prevalent race in Sussex County is white (non-Hispanic), which currently represents over 75% of the total population. The average education level in Sussex County is lower than the state average.Sussex County is home to three acute care hospital facilities: Bayhealth's Milford Memorial, Beebe Medical Center in Lewes, and Nanticoke Health Services in Seaford. These three hospitals are joining with local community and health resources to focus on one mission - to make Sussex County one of the healthiest in the nation. As part of the healthier Sussex County initiative, Bayhealth will focus on addressing important health issues impacting residents of Sussex County. Milford Memorial's Community Health Needs Assessment focuses on the residents of Sussex county, the home county of the hospital. Approximately 65% of Milford Memorial's patients originate from Sussex County. An additional 30% of patients that utilize Milford Memorial come from Kent County, a contiguous county. The 2015 population is forecasted to exceed 220,953 in Sussex County. Who Was Involved in the Assessment:The assessment process was initiated jointly by the Education and Strategic planning departments of Bayhealth. The Assessment was primarily conducted by the Education Department. To gain feedback from persons with broad knowledge of the community served, Bayhealth sought input from community stakeholders, to include the following:--Hope Medical Clinic--Delaware Division of Public Health Department of Health and Social Services 1. James W. Williams State Service Center 2. Thurman Adams State Service Center 3. Delaware Division of Public Health Office of Minority Health 4. Delaware Division of Public Health Office of Women's Health 5. Delaware Division of Public Health Nursing 6. Delaware Division of Public Health Social Services--Lared Medical Center--Westside Family Health Center--Bayhealth High School Wellness Centers, Advanced Practice Nurses 1. Caesar Rodney 2. Lake Forest 3. Dover 4. Milford 5. Smyrna 6. Woodbridge 7. Polytech--Community PhysiciansPersonal invitations were extended to community partner organizations who interact with low-income groups to participate in one-on-one interviews regarding the health needs of Kent County residents. Focus groups were conducted in multiple locations throughout the county. Wellness Center staff, guidance counselors, Church staff (including those of minority populations), and public health nurses were interviewed to ensure information obtained represents the diversity of our community in terms of demographic, socioeconomic, and geographic factor. One-on-one meetings with community physicians were conducted over a two-month period. Community physicians offer a unique perspective and knowledge of the health needs of our population. Physicians who could not attend one-on-one sessions completed a written response assessment. How the Assessment was Conducted:Quantitative and Qualitative analyses methods were utilized to generate a comprehensive assessment to fully understand the health needs of the community served. Quantitative analyses were conducted using the most recent data available from five primary sources:--Delaware Health Tracker (a product of the healthy community network);--County Health Rankings & Roadmaps (a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin population health institute);--Demographic data from the Delaware population consortium;--Delaware Health statistics center; and,--Demographic and socioeconomic data from the US Census bureau.To gain insight, Bayhealth reviewed available data to compare health statistics at the state and county levels to identify areas of health disparity. Based on this analysis, the education department of Bayhealth developed discussion topics for a variety of community engagements, including interviews with key stakeholders, focus groups, and online surveys. A variety of community settings were selected with a special emphasis on those persons and areas most impacted by health disparities. Thematic analysis identified health needs based on available quantitative data and responses from interviews and online surveys. Priority Criteria and Outcomes:The criteria used to evaluate and prioritize the health needs identified through the fact-finding process included:--the seriousness of the issue;--the relative size of the populations affected;--the degree to which the need particularly affected persons living in poverty or reflected health disparities;--alignment with Bayhealth's mission and vision; and ,--availability of community resources to address the need. After close review of the community data and discussions with medical staff members of Bayhealth, health needs were prioritized jointly by the Education and strategic planning departments. Bayhealth's administration was given the opportunity to discuss and reprioritize as needed. The four health concerns identified as priority issues are: 1. Obesity Rates 2. Cancer Rates (Lung, Breast, Prostate) 3. Healthcare Access 4. Mental Health and Substance abuse
Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment	FACILITY: AKENT GENERAL HOSPITALMILFORD MEMORIAL HOSPITAL
Part V, Line 13b - Criteria For Providing Discounted Care If Not FPG	Bayhealth does not have a tiered financial assistance program, all uninsured patients receive a 10% discount on service provided.
Part V, Line 16i - Other Means Hospital Facility Publicized the Policy	All patient statements advise patients to call our billing support department if they need financial assistance.
Part V, Line 22d - Other Billing Determination of Individuals Without Insurance	All patients are charged the same based on fees established in the charge master (catalog of procedures and associated fees). Discounts are applied to the set charges to determine final patient responsibility. The Amounts Generally Billed (AGB) are calculated using the look-back methodology and ranges between 46%-50%. Patients determined eligible for Financial Assistance will have balances written off at 100% of charges. As a result, no FAP eligible patient will be charged more than amounts generally billed.

Field	Value	IRS element (for citing)
Facility	54	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (54 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Eden Hill Outpatient Imaging Center
200 Banning St Suite 140	Dover	DE	19904	Outpatient Diagnostic Center
Milford Outpatient Imaging
1020 Mattlind Way	Milford	DE	19963	Outpatient Diagnostic Center
Harrington Outpatient Center
201 Shaw Ave	Harrington	DE	19952	Outpatient Service Center
Middletown Medical Center
209 E Main St	Middletown	DE	19709	Outpatient Services Center
Milton Outpatient Center
632 Mulberry St	Milton	DE	19968	Outpatient Services Center
Womens Center - Dover
540 S Governors Ave	Dover	DE	19901	Outpatient Services Center
Womens Center at Milford
200 Kings Hwy Suite 3	Milford	DE	19963	Outpatient Services Center
Smyrna-Clayton Professional Center
401 N Carter Road	Smyrna	DE	19977	Outpatient Services Center
Bayhealth Womens Care Assoc Milford
800 N DUPONT BLVD	Milford	DE	19963	Outpatient Physician Clinic
Bayhealth Maternal Fetal Medicine
1060 S Governors Ave	Dover	DE	19901	Outpatient Physician Clinic
Bayhealth Family Practice Dover
200 Banning St Suite 150	Dover	DE	19904	Outpatient Physician Clinic
Bayhealth Endocrinology Milford
800 N DUPONT BLVD	Milford	DE	19963	Outpatient Physician Clinic
Bayhealth ENT Dover
826 S Governors Ave	Dover	DE	19901	Outpatient Physician Clinic
Wellness Center at Caesar Rodney High School
239 Old North Road	Camden	DE	19934	School-Based Wellness Center
Wellness Center at Milford High School
1019 N Walut St	Milford	DE	19963	School-Based Wellness Center
Wellness Center at Smyrna High School
500 Duck Creek Parkway	Smyrna	DE	19977	School-Based Wellness Center
Wellness Center at Woodbridge High School
307 Laws Street	Bridgeville	DE	19933	School-Based Wellness Center
Bayhealth ENT Milford
200 Kings Hwy Suite 7	Milford	DE	19963	Outpatient Physician Clinic
Bayhealth General Surgery Milford
806 Seabury Ave	Milford	DE	19963	Outpatient Physician Clinic
Bayhealth Family Practice Georgetown
25 Bridgeville Rd	Georgetown	DE	19947	Outpatient Physician Clinic
Bayhealth Medical Grp Orthopaedic Dover
655 Bay Rd Ste F1	Dover	DE	19901	Outpatient Physician Clinic
Bayhealth Medical Grp Cardiology
1100 Forrest Ave	Dover	DE	19904	Outpatient Physician Clinic
Dover Occupational Health
1275 South State Street	Dover	DE	19901	Occupational Health Services
Milford Occupational Health & UrgentCare
301 Jefferson St	Milford	DE	19963	Occupational Health Services and Walk-In Urgent Care Services
Kent Outpatient Imaging-Dover
540 S Governors Ave	Dover	DE	19901	Outpatient Diagnostic Center
Wellness Center at Lake Forest High School
5407 Killens Pond Road	Felton	DE	19943	School-based Wellness Center
Wellness Center at Polytech High School
823 Walnut Shade Road	Dover	DE	19901	School-based Wellness Center
Wellness Center at Dover High School
1 Dover High Drive	Dover	DE	19904	School-based Wellness Center
Bayhealth Urology
800 N DuPont Blvd	Milford	DE	19963	Outpatient Physician Clinic
Bayhealth General Surgery Dover
724 S New Str	Dover	DE	19901	Outpatient Physician Clinic
Cardiac Diagnostic Ctr Dover
1100 Forest Ave	Dover	DE	19904	Outpatient Diagnostic Center
Cardiac Diagnostic Ctr-Milford
802 N Dupont Hwy	Milford	DE	19963	Outpatient Diagnostic Center
Bayhealth Sleep Care Center
103 Wolf Creek Blvd Suite 2	Dover	DE	19901	Outpatient Services Center
Bayhealth Sleep Care Center
1407 Foulk Rd	Wilmington	DE	19899	Outpatient Services Center
Bayhealth Sleep Care Center
Abby Med Ctr 1 Centurian Drive	Newark	DE	19711	Outpatient Services Center
Bayhealth Sleep Care Center
291 Carter Drive	Middletown	DE	19709	Outpatient Services Center
Bayhealth Sleep Care Center
2 Lee Ave	Georgetown	DE	19947	Outpatient Services Center
Family Medicine-Milton
630 Mulberry Str	Milton	DE	19968	Outpatient Physician Clinic
Bayhealth Medical Grp Cardiology
315 N Carter Rd	Smyrna	DE	19977	Outpatient Physician Clinic
Bayhealth Medical Grp Colon-Rectal
800 N DuPont Blvd	Milford	DE	19963	Outpatient Physician Clinic
Bayhealth Medical Grp Endocrinology
1058 S Governors Ave Ste 101	Dover	DE	19904	Outpatient Physician Clinic
Bayhealth Medical Grp Family Practice
517 S DuPont Blvd	Milford	DE	19963	Outpatient Physician Clinic
Bayhealth Medical Grp Family Medicine
793 Queen Str	Dover	DE	19904	Outpatient Physician Clinic
Bayhealth Medical Grp Family Medicine
205 Shaw Ave	Harrington	DE	19952	Outpatient Physician Clinic
Bayhealth Medical Grp Family Medicine
401 N Carter Rd Ste 201	Smyrna	DE	19977	Outpatient Physician Clinic
Bayhealth Medical Grp Gastroenterology
517 S DuPont Blvd	Milford	DE	19963	Outpatient Physician Clinic
Bayhealth Medical Grp Gastroenterology
1058 S Governors Ave Ste 101	Dover	DE	19904	Outpatient Physician Clinic
Bayhealth Medical Grp Orthopaedic
315 N Carter Rd	Smyrna	DE	19977	Outpatient Physician Clinic
Bayhealth Medical Grp Orthopaedic
1018 Mattlind Way	Milford	DE	19963	Outpatient Physician Clinic
Bayhealth Sleep Care Center
100 S Main Street Suite 201	Smyrna	DE	19977	Outpatient Services Center
Bayhealth Sleep Care Center
611 N DuPont Hwy	Milford	DE	19963	Outpatient Services Center
Bayhealth Orthopaedic Surgery
1532 Savannah Road	Lewes	DE	19958	Outpatient Physician Clinic
Bayhealth Urology
1532 Savannah Road	Lewes	DE	19958	Outpatient Physician Clinic
Bayhealth Colon-Rectal
1532 Savannah Road	Lewes	DE	19958	Outpatient Physician Clinic

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7 - Explanation of Costing Methodology	A variety of methods were used in order to obtain the most accurate results. Medicare costs were calculated using the data from the Medicare Cost Report, and its Ratio of Cost to Charges. The RCC was also applied to Bad Debt after allowable Medicare Bad Debt was excluded. Other data was determined to be most accurate when pulled from a cost accounting system.
Part I, Line 7, Column F - Explanation of Bad Debt Expense	Bad debt is reported elsewhere on Form 990, but is subtracted for purposes of calculating the Medicare ratio of costs to charges (RCC). The Provision for Bad Debt is the result of an estimate by management. It is reviewed frequently in the light of historical and expected collections, and is based on the historical percentage collected in each category.
Part I, Line 7g - Costs Associated With Physicans Clinics	Bayhealth has established a number of physicians' practices in order to provide necessary medical care in underserved areas. The physicians and the staffs are all Bayhealth employees. The practices frequently operate at a loss, especially in the early years. Adjustments have been made for Medicaid revenue and for Bad Debt, reported elsewhere on this form.
Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense	Bad debt is shown at cost, as determined by applying an RCC. Many patients do not complete the application for Charity Care, even if they are encouraged to do so. There are many reasons for their refusal. Bayhealth includes patients with certain verifiable reasons for non-payment and estimates an amount for Bad Debt. The amount is reduced to cost by applying the RCC.
Part III, Line 4 - Bad Debt Expense	The Medical Center provides an allowance for doubtful accounts for estimated losses resulting from the unwillingness or inability of patients to make payments for services. The allowance is determined by analyzing specific accounts and historical data and trends. Patient accounts receivable are charged off against the allowance for doubtful accounts when management determines that recovery is unlikely and the Medical Center ceases collection efforts. In evaluating the collectability of accounts receivable, the Medical Center analyzes its past history and identifies trends for each of its major payor sources to estimate the appropriate allowance for doubtful accounts and provisions for bad debt. Management reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Medical Center analyzes contractually due amounts and provides and allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid). For receivables associated with self-pay patients, the Medical Center records a significant provision for bad debts on the basis of its past experience, which indicates that any patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the billed rates and the amounts actually collected after all reasonable internal collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The Medical Center in 2016 experienced an approximately 16% decrease in the allowance for doubtful accounts, due to collection experience.
Part III, Line 8 - Explanation Of Shortfall As Community Benefit	Bayhealth's service area is experiencing an influx of people from areas with a higher cost of living. Many of these people are senior citizens and are Medicare recipients. Bayhealth provides services to them as part of its mission to care for the entire community. The Medicare losses sustained by Bayhealth are a result of Medicare reimbursing at less than operating costs. The IRS community benefit standard for hospitals that serve patients covered by governmental health benefits(including Medicare) is that it must do so while promoting the health of the community. Therefore, Medicare losses should be counted as a community benefit. Net revenue from the Medicare program accounted for approximately 20% of Bayhealth's net patient revenue for the year ended 6/30/16.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients	Bayhealth policy is to comply with all State and Federal law and third-party regulations and to perform all credit and collection functions in a dignified and respectful manner. Emergency services will be provided to all patients regardless of ability to pay. Financial assistance is available for patients based on financial need as defined in the financial assistance policy. Bayhealth does not discriminate on the basis of age, gender, race, social or immigration status, sexual orientation, or religious affiliation. Patients who are unable to pay may request a financial assistance application at any time prior to service and up to 120 days from the bill date. Bayhealth may request the patient to apply for medical assistance prior to applying for financial assistance. Our organization does not pursue collection activity on patients determined to be eligible for our financial assistance program.
Part VI - Needs Assessment	Bayhealth does service-specific needs assessments periodically by using patient surveys. Bayhealth also surveys other not-for-profits, health organizations, attendees at classes, support groups and screenings to assess the strengths and weaknesses of the programs that Bayhealth offers. Bayhealth has on-going communications with the State of Delaware and with national not-for-profit health organizations. Regular prescribed Community Health Needs Assessments are also in place.
Part VI - Patient Education of Eligibility for Assistance	All patients or family members who inquire about financial assistance are directed to the Financial Counselor Team of the Patient Access Department (Admissions). Self-pay patients are directed to PATHS, a service contracted by Bayhealth, that screens them for Medicaid and helps them with financial application papers. Bayhealth's invoices state, "If you are not able to pay please contact our Billing Support Department to make suitable arrangements." The Patient Billing Guide is distributed by the Patient Finance and Admissions Departments. The booklet describes types of bills, understanding your bill, privacy policy, collection policy, dispute resolution, payment methods, and has a glossary of financial and insurance terms. The Billing Support/Self Pay/Financial Counselor Department's local telephone number and a direct toll-free telephone number is available by calling the main hospital telephone number, on our website, and is also listed on brochures and on other informational material. EMTALA and Patient Rights information is conspicuously placed for all patients and visitors to see.Bayhealth's Financial Assistance Policy was established to provide financial relief to those who are unable to meet their obligation for services rendered, a patient's inability to obtain financial assistance does not, in any way, preclude the patient's right to receive and have access to medical treatment. Our financial assistance policy informs patients and persons who would otherwise be billed for services about their eligibility for assistance under Federal, State or local government programs. Our Financial Assistance policy and contact information is posted in all admission areas, the emergency room, all other outpatient areas throughout the facility, and on our website. A copy of the policy is included upon patient admission and discharge, as well as provided in patient bills an our website. Bayhealth discusses with patients the availability of various government benefits, such as Medicaid or State programs, and employs dedicated staff on-site to assist patients with qualifications for such programs.
Part VI - Community Information	Bayhealth's service area is designated as a "Medically Underserved Area" and a "Health Professional Shortage Area" by the federal and state governments. The population of Bayhealth's service area is growing rapidly because of an influx of retirees arriving from higher-cost-of-living areas in neighboring states, and because of retired military families attracted by the proximity of Dover Air Force Base. Kent and Sussex Counties also have a growing population of residents who do not speak English fluently. Teen pregnancy, school drop-out, infant mortality, and cancer rates are relatively high compared to national averages.In recent years, Delaware housing values have increased faster than those in most of the U.S. Housing values have increased faster than the rate of inflation. Housing prices are well over 3 times the median household income. Employment growth is fastest in low-paying sectors, with most of the growth in job sectors paying less than $26,000 annually. The fastest growing job sector in Sussex County averages $16,000 annual salary.
Part VI - Community Building Activities	Bayhealth has invested heavily in recruiting primary care and certain specialty physicians to this medically underserved area. To encourage physicians to relocate to its service area, Bayhealth has formed a number of wholly-owned physician practices, currently employing more than 57 physicians. Additionally, a hospitalist program has been established. Bayhealth staff members serve on various professional, educational, and community boards throughout Delaware. Examples include the Delaware Chapter of March of Dimes; Delaware Health Mother and Infant Consortium; Brain Injury Association of Delaware; Delaware Cancer Consortium Advisory Board; Delaware Breast Cancer Coalition; and the Hope Medical Clinic, Delaware's only 100% free medical facility.
Part VI - Explanation Of How Organization Furthers Its Exempt Purpose	Promotion of Community HealthBayhealth is investing heavily in expanding and upgrading its facilities and equipment. Bayhealth Kent General recently completed a major building project, which added a new and expanded Emergency Department and integrated Cancer Center. Plans are under development for a new hospital at Bayhealth Milford Memorial. Bayhealth's medical staff of 400+ physicians is open to any qualified physician in its service area. Bayhealth hosts students for residencies, internships and clinical studies and assists some students with room and board during the host period. Bayhealth's Education Department offers free blood pressure, diabetes, and osteoporosis screenings; and free or discounted mammograms, prostate, skin, and colorectal screenings to under-insured or uninsured individuals. They also host a wide variety of free monthly support groups, classes, and information sessions at both hospitals. Bayhealth operates and subsidizes 7 high school wellness centers in Kent and Sussex counties, under an agreement with the State of Delaware. To encourage interest in health-related careers, Bayhealth contributes monies and equipment to nearby colleges and universities. Bayhealth staff members deliver lectures and presentations, mentor healthcare students, and work as members of committees to develop healthcare curricula. Bayhealth hosts an Explorer Troop which focuses on medical careers. Bayhealth is an active member of the Kent Economic Partnership, the Downtown Dover Partnership, and six Chambers of Commerce. As Bayhealth representatives, staff members are active in community Rotary Clubs and other service organizations.
Part VI - Affilated Health Care System Roles and Promotion	Bayhealth is a member of the University of Pennsylvania Cancer Network, University of Pennsylvania Health System's Penn Cardiac Care, and Penn Orthopaedics of Penn Medicine. These alliances provide direct access to the latest medical research, clinical trials, and specialty care.
Part VI - States Where Community Benefit Report Filed	DE
Part V - Explanation of Number of Facility Type	Dover Surgicenter, LLC is licensed by the State, and would qualify as a "general medical and surgical" facility except that it provides services only on an outpatient, rather than an inpatient, basis. Bayhealth Medical Center is a limited partner.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
American Heart Association
7272 Greenville Ave	Dallas	TX	75231	135613797	501 (C) 3	$26,750	$0	Program Support
Delaware State Chamber
1201 N Orange Street Ste 200	Wilmington	DE	19899	510007780	501 (C) 3	$7,500	$0	Program Support
Delaware Technical Community
100 Campus Dr	Dover	DE	19904	510246178	501 (C) 6	$50,500	$0	Program Support
Easter Seals
287 Pond Road	Millsboro	DE	19966	510066728	501 (C) 3	$6,000	$0	Program Support
Wesley College
120 N State Str	Dover	DE	19901	510064335	501 (C) 3	$100,000	$0	Program Support

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Grantmaker's Description of How Grants are Used	FormAndLineReferenceDesc
Explanation	The organization requires administrative approval for all requested grants and assistance toward organizations, governmental agencies or individuals. A monthly analysis is maintained to monitor funding and assistance provided. This analysis is regularly reviewed by an executive.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (true)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd
Rebuttable Presumption Proc	false	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
Bonnie Perratto
SVP,Patient Car	$313,875	$102,875	$19,918	$14,630	$15,820	$467,118
Bradley Kirkes
VP, Ancillary & Clinical Services	$217,984	$19,165	$2,281	$14,332	$21,983	$275,745
Deborah Watson
Vice Chair &COO	$373,775	$94,516	$33,186	$15,900	$21,983	$539,360
Earl Tanis
Former CFO							$21,983	$21,983
Eric Gloss
VP, Medical Affairs	$287,034	$20,222	$2,935	$15,900		$326,091
Gabriel Lewullis MD
Physician	$606,116	$338,773	$62,592	$15,900	$21,983	$1,045,364
Gary Siegelman MD
SVP & CMO	$546,708	$178,060	$42,323	$15,900	$12,381	$795,372
Harjinder Grewal MD
Physician	$454,919	$18,221	$217,123	$15,900	$21,983	$728,146
James Mills MD
Physician	$923,539	$50,000	$80,037	$15,900	$21,983	$1,091,459
John Lahaniatis MD
Physician	$616,827	$96,953	$54,077	$15,900	$8,747	$792,504
John Van Gorp
SVP, Planning & Business Developmnt	$244,870	$60,070	$18,947	$15,450	$21,983	$361,320
Michael J Tretina
Treasurer & CFO	$327,910	$92,075	$13,079	$15,900	$21,983	$470,947
Michael S Ashton
Administrator	$233,722	$20,700	$1,036	$14,836	$21,983	$292,277
Shana Ross
VP, Human Resources	$231,492	$20,531	$1,028	$15,624	$21,983	$290,658
Terry M Murphy
Chair & CEO	$680,536	$324,417	$56,822	$15,900	$21,983	$1,099,658
Trinity Pilkington MD
Physician	$634,044		$157,205	$15,900	$21,983	$829,132

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a: Relevant information in regards to selections on 1a.	Discretionary Spending Account--Under terms of their Employment Agreements, certain senior executives participate in a Flexible Benefit Plan. They receive a predetermined amount of additional compensation per quarter, which is intended to be used for automobile expenses, estate planning, legal assistance, tuition, supplemental life & disability insurance, or other expenses.
Part I, Line 7: Non-Fixed payments not listed above	Non-Fixed Payments--Bonuses paid are based on a number of variables including but not limited to individual goal achievements as well as organization operational achievements. The final determination of the bonus amount is determined and approved by the board as part of the overall compensation review of the officers and key employees.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Delaware Health Facilities Authority
A	246388xxx	2009-10-31	$138,490,000	Construction Project	false	false	false
Delaware Health Faciliities Authority
B	246388PZ9	2009-10-31	$35,600,000	Replace 2009 B&C Bonds.PNCBank	false	false	false
Delaware Health Facilities Authority
C	246388QA3	2009-10-31	$35,600,000	Replace 2009 B&C Bonds.PNCBank	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$136,526,503	$18,320,647	$611,817	$117,594,038	$18,320,647	false	false	Yes (true)	Yes (true)
B	$37,745,725	$37,431,536	$424,189			Yes (true)	false	Yes (true)	Yes (true)
C	$37,789,270	$37,475,081	$424,189			Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	Yes (true)
B	false	false	false	false	Yes (true)
C	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	false	false	false
B	false	false	false	false	false
C	false	false	false	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part VI	FormAndLineReferenceDesc
Explanation	Schedule K, Part I, Lines AIssue Price - Delaware Health Facilities Authority Bond issue was issued under 24 CUSIP numbers, which are not listed separated on Schedule K, their total was $138,490,000.Schedule K, Part I, Lines B & CIn June 2012, the Medical Center replaced the 2009B and 2009C bonds with 2012 $72,250,000 variable rate refunding bonds (Series 2012), that are direct bank purchase bonds with a national bank. The services 2012 bonds were used to extinguish the Series 2009B and 2009C bonds CUSIP numbers did not change in this transaction.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review Process	The entire Form 990 is reviewed by the CFO and the CEO. Schedule J is reviewed by the entire Board of Directors. Upon confirmation of a successful e-filing from the IRS, a copy of the final e-filed return is made available to any interested members of the governing body. After filing, a copy is also sent to Bayhealth's outside audit firm for review.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	Bayhealth regularly and consistently monitors and enforces compliance with its conflict of interest policy for all officers and directors. A conflict of interest questionnaire is distributed to and collected from officers and directors annually. Any potential conflicts of interest are investigated further by Bayhealth's executive team. In the event of an actual or perceived conflict of interest, subsequent recusal and abstention by the officer or director may be necessary. These and other requirements are monitored, reviewed and resolved on an on-going basis pursuant to the conflict of interest policy.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	A compensation committee of the Board determines the compensation of the CEO, CFO, COO, and Chief Medical Officer. An independent consultant provides information and recommendations, using a variety of compensation surveys and studies. Written employment contracts are implemented. The full Board of Directors approves the compensation.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	For officers and key employees other than the CEO, CFO, COO, and Chief Medical Officer referred to in the previous question, a variety of techniques are used to determine compensation. The Human Resources Department and an independent consultant provide information and recommendations, using a variety of compensation surveys and studies. Written employment contracts are utilized for some positions. The Board of Directors and its compensation committee is kept informed of events.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	Form 990 is available on www.Guidestar.org. Form 990-T, governing documents, policies, and financial statements are available upon request.
Other Changes In Net Assets Or Fund Balances - Other Increases	Change in Beneficial Interest in Net Assets of BH Foundation = $1440503
Other Changes In Net Assets Or Fund Balances - Other Increases	Change in Beneficial Interest in Perpetual Trusts = $0
Other Changes In Net Assets Or Fund Balances - Other Decreases	Change in Beneficial Interest in Perpetual Trusts = -$377571
Other Changes In Net Assets Or Fund Balances - Other Increases	Change in Fair Value of Interest Rate Swap = $47779
Other Changes In Net Assets Or Fund Balances - Other Decreases	Change in Pension Benefit Obligations = -$16152262

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Bayhealth Foundation Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	640 South State Street	AddressLine1Txt
City	Dover	CityNm
State Abbreviation	DE	StateAbbreviationCd
ZIP	19901	ZIPCd

Field	Value	IRS element (for citing)
EIN	222559843	EIN
Primary Activities	Fundraising for Bayhealth Medical Center	PrimaryActivitiesTxt
Legal Domicile State	DE	LegalDomicileStateCd
Exempt Code Section	501(c)(3)	ExemptCodeSectionTxt
Public Charity Status	7	PublicCharityStatusTxt
Direct Controlling NA	N/A	DirectControllingNACd
Controlled Organization	false	ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Bayhealth Development Corp	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	640 South State Street	AddressLine1Txt
City	Dover	CityNm
State Abbreviation	DE	StateAbbreviationCd
ZIP	19901	ZIPCd

Field	Value	IRS element (for citing)
EIN	510281107	EIN
Primary Activities	Real Estate	PrimaryActivitiesTxt
Legal Domicile State	DE	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C Corp	EntityTypeTxt
Controlled Organization	false	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd