2017-05-24T15:46:17-07:00 2016-06-30 990 2015-07-01 510064318 Bayhealth Medical Center Inc BAYH 3027447162 640 South State Street Dover DE 19901 Michael Tretina Treasurer/CFO 2017-05-24 2015 2021-01-29 14:40:06Z 849513903 false false X www.bayhealth.org X 1943 DE To improve the health status of all members of the community within Bayhealth's service area. 10 4 4193 363 17634 1857 1215551 2124268 541674594 561935933 24621455 21266766 7769783 6554497 575281383 591881464 213249 190750 0 300698887 316942847 0 0 220386860 218880058 521298996 536013655 53982387 55867809 1028144227 1072208667 376438210 401193515 651706017 671015152 To improve the health status of all members of the community within Bayhealth's service area. false false 383096664 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. 383096664 true false false false false false false false false true true false false false true true false false false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true false false false false true 403 0 true 4193 false true true false false false false false false false false false false X 10 4 false false false false false false false true true false false true true true true true true true true true true X X Michael Tretina 3027447162 640 S State Street Dover DE 19901 Terry M Murphy Chair & CEO 38.00 2.00 X X 1061775 0 37883 Michael J Tretina Treasurer & CFO 38.00 2.00 X X 433064 0 37883 Michael J Antunes MD Board Member 1.00 0.00 X 0 0 0 Deborah Watson Vice Chair &COO 40.00 0.00 X X 501477 0 37883 Jose A Guzman MD Ex Officio Dctr 1.00 0.00 X 0 0 0 Michael S Ashton Administrator 40.00 0.00 X 255458 0 36819 Michel R Samaha MD Board Member 1.00 0.00 X 0 0 0 Bonnie Perratto SVP,Patient Car 40.00 0.00 X 436668 0 30450 Gary Siegelman MD SVP & CMO 40.00 0.00 X 767091 0 28281 Robert Scacheri MD Board Member 1.00 0.00 X 0 0 0 John Van Gorp SVP, Planning & Business Developmnt 40.00 0.00 X 323887 0 37433 Bradley Kirkes VP, Ancillary & Clinical Services 40.00 0.00 X 239430 0 36315 Shana Ross VP, Human Resources 40.00 0.00 X 253051 0 37607 Eric Gloss VP, Medical Affairs 40.00 0.00 X 310191 0 15900 Richard Mohnk VP & CIO 40.00 0.00 X 118590 0 21983 Jonathan Kaufmann DO CMIO 40.00 0.00 X 95558 0 5073 Trinity Pilkington MD Physician 40.00 0.00 X 791249 0 37883 John Lahaniatis MD Physician 40.00 0.00 X 767857 0 24647 Gabriel Lewullis MD Physician 40.00 0.00 X 1007481 0 37883 James Mills MD Physician 40.00 0.00 X 1053576 0 37883 Harjinder Grewal MD Physician 40.00 0.00 X 690263 0 37883 Earl Tanis Former CFO 40.00 0.00 X 0 0 21983 9106666 561672 403 true true false McKesson Technologies Inc 5995 Windward Parkway Alpharetta GA 30005 IS Consulting/Sftwr 4137956 Cannon Design Construction 4625146 Bay Anesthesia Group LLC 640 S State Str Dover DE 19901 Anesthesia/Med Svcs 4054440 Whiting-Turner Construction 300 East Joppa Rd 8th Flr Baltimore MD 21286 Construction 5144758 Apogee Medical Management 15059 N Scottsdale Rd Ste 600 Scottsdale AZ 85254 Medical Consultants 4676164 5 1124268 1000000 2124268 Health & Wellness Program 900099 2330336 2330336 Patient Charges, Net 900099 553687056 553687056 Pharmacy 900099 5918541 5918541 561935933 13362167 17634 13344533 0 0 681647 524868 156779 156779 156779 264305880 706290 256410069 697502 7895811 8788 7904599 7904599 0 0 0 CHILDCARE REVENUE 900099 657526 657526 DEFINED INCOME-MEANINGFUL 900099 2259771 2259771 Gift Shop/Food Sales 900099 2963865 2963865 516556 516556 6397718 591881464 561935933 17634 27803629 190750 190750 0 0 0 5159753 5159753 21983 21983 216444830 169676172 46768658 15106246 4728724 10377522 64680105 20358787 44321318 15529930 4888219 10641711 0 1362308 1362308 302100 302100 0 0 1450190 1450190 2772023 2772023 799486 799486 3945889 2762122 1183767 0 0 9471224 9471224 1806513 1806513 0 0 7545547 7545547 0 29212452 29212452 2977438 238195 2739243 Medical Supplies 101366898 71114052 30252846 Other Purchased Services 30152839 30152839 Eqpmt Rep & Maintenance Contra 12425503 12425503 Other Expense 4920261 4920261 8369387 8369387 536013655 383096664 152916991 0 0 28687869 43904846 0 71179561 59875580 0 0 0 10886051 11431988 13532011 15560451 642378153 300496531 305831083 341881622 573603939 576736263 0 0 0 24423713 22817917 1028144227 1072208667 95172558 110529913 199545401 195721045 22622 81697629 94942557 376438210 401193515 X 640741531 657674292 4579848 7333794 6384638 6007066 651706017 671015152 1028144227 1072208667 X 55867809 -21517123 -15041551 X false true X true false X 5629495 377571 6007066 6424525 -39888 6384637 5893302 531223 6424525 5766785 126517 5893302 6072820 -306035 5766785 1.00000 false false false 12864962 12864962 274843736 90062658 184781078 3451928 2955693 496235 63196746 34029686 29167060 288020781 173448494 114572287 341881622 Accrued Post-Retirement benefit 77331815 Estimated Professional Liability, L/T 10976750 Estimated Workers' Comp Cost, L/T 4676567 Fair Value of Interest Rate Swap 1957420 Rounding 5 94942557 X 555322790 -21517123 -15041551 -36558674 591881464 591881464 536538523 524868 524868 536013655 536013655 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 true true X true X false true true false false true true 8684680 8684680 0.01620 91739325 96394315 -4654900 100424005 96394315 4029780 0.01620 2738861 2738861 0.00510 3936948 3936948 0.00730 57611697 33107710 24503987 0.04570 2831151 2831151 0.00530 2811506 880685 1930821 0.00360 69930163 33988395 35941768 0.06700 170354168 130382710 39971548 0.08320 1769282 1769282 0.00330 15705 15705 20489 20489 18111 18111 814276 814276 0.00150 1244672 1244672 0.00230 3882535 3882535 0.00710 false 28845491 169251439 233653808 -64402369 X true true 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 2 1 Kent General Hospital 640 SOUTH STATE STREET DOVER DE 19901 www.bayhealth.org X X X A 2 Milford Memorial Hospital 21 WEST CLARKE AVE MILFORD DE 19963 www.bayhealth.org X X X A A 12 false false true X X X X X X X X 13 true true false true X www.bayhealth.org/about-us X true 14 true www.bayhealth.org/about-us false false true X 200.0000 false true X X X true X WWW.BAYHEALTH.ORG X WWW.BAYHEALTH.ORG X WWW.BAYHEALTH.ORG X X X X X X true X X X true X X X X X X X true X false false 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. 54 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 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. true American Heart Association 7272 Greenville Ave Dallas TX 75231 135613797 501 (C) 3 26750 0 Program Support Delaware State Chamber 1201 N Orange Street Ste 200 Wilmington DE 19899 510007780 501 (C) 3 7500 0 Program Support Delaware Technical Community 100 Campus Dr Dover DE 19904 510246178 501 (C) 6 50500 0 Program Support Easter Seals 287 Pond Road Millsboro DE 19966 510066728 501 (C) 3 6000 0 Program Support Wesley College 120 N State Str Dover DE 19901 510064335 501 (C) 3 100000 0 Program Support 4 1 Grantmaker's Description of How Grants are Used The organization requires administrative approval for all requested grants and assistance toward organizations, governmental agencies or individuals. A monthly analysis is maintained to monitor funding and assistance provided. This analysis is regularly reviewed by an executive. X true true X X X X X false true false true false false false true false false Bonnie Perratto SVP,Patient Car 313875 102875 19918 14630 15820 467118 Bradley Kirkes VP, Ancillary & Clinical Services 217984 19165 2281 14332 21983 275745 Deborah Watson Vice Chair &COO 373775 94516 33186 15900 21983 539360 Earl Tanis Former CFO 21983 21983 Eric Gloss VP, Medical Affairs 287034 20222 2935 15900 326091 Gabriel Lewullis MD Physician 606116 338773 62592 15900 21983 1045364 Gary Siegelman MD SVP & CMO 546708 178060 42323 15900 12381 795372 Harjinder Grewal MD Physician 454919 18221 217123 15900 21983 728146 James Mills MD Physician 923539 50000 80037 15900 21983 1091459 John Lahaniatis MD Physician 616827 96953 54077 15900 8747 792504 John Van Gorp SVP, Planning & Business Developmnt 244870 60070 18947 15450 21983 361320 Michael J Tretina Treasurer & CFO 327910 92075 13079 15900 21983 470947 Michael S Ashton Administrator 233722 20700 1036 14836 21983 292277 Shana Ross VP, Human Resources 231492 20531 1028 15624 21983 290658 Terry M Murphy Chair & CEO 680536 324417 56822 15900 21983 1099658 Trinity Pilkington MD Physician 634044 157205 15900 21983 829132 Part I, Line 1a: Relevant information in regards to selections on 1a. Discretionary Spending Account--Under terms of their Employment Agreements, certain senior executives participate in a Flexible Benefit Plan. They receive a predetermined amount of additional compensation per quarter, which is intended to be used for automobile expenses, estate planning, legal assistance, tuition, supplemental life & disability insurance, or other expenses. Part I, Line 7: Non-Fixed payments not listed above Non-Fixed Payments--Bonuses paid are based on a number of variables including but not limited to individual goal achievements as well as organization operational achievements. The final determination of the bonus amount is determined and approved by the board as part of the overall compensation review of the officers and key employees. A Delaware Health Facilities Authority 246388xxx 2009-10-31 138490000 Construction Project false false false B Delaware Health Faciliities Authority 246388PZ9 2009-10-31 35600000 Replace 2009 B&C Bonds.PNCBank false false false C Delaware Health Facilities Authority 246388QA3 2009-10-31 35600000 Replace 2009 B&C Bonds.PNCBank false false false A 136526503 18320647 611817 117594038 18320647 false false true true B 37745725 37431536 424189 true false true true C 37789270 37475081 424189 true false true true A false false false false true B false false false false true C false false false false true A false false false false false B false false false false false C false false false false false A true B true C true Part VI 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. 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 Bayhealth Foundation Inc 640 South State Street Dover DE 19901 222559843 Fundraising for Bayhealth Medical Center DE 501(c)(3) 7 N/A false Bayhealth Development Corp 640 South State Street Dover DE 19901 510281107 Real Estate DE N/A C Corp false false false false false false false false false false true true false true false false false true false true