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BETHESDA HOSPITAL INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
BETHESDA HOSPITAL INC (EIN 59-2447554)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-08-07
IRS object ID
201622209349300502
Schema version
2014v6.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-08-07T11:00:36-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1401 East Las Olas BlvdAddressLine1Txt
Address Line2Suite 1100AddressLine2Txt
CityFort LauderdaleCityNm
State AbbreviationFLStateAbbreviationCd
ZIP370677260ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN592447554EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Bethesda Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBETHBusinessNameControlTxt
Phone5617377733PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12815 S SEACREST BLVDAddressLine1Txt
CityBOYNTON BEACHCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33435ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJoanne AquilinaPersonNm
Person TitleVP of Finance/CFOPersonTitleTxt
Signature2016-08-02SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRITTNEY KOCAJPreparerPersonNm
PTINP01320603PTIN
Phone9542028600PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Joanne AquilinaBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12815 S SEACREST BLVDAddressLine1Txt
CityBOYNTON BEACHCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33435ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$363,864,153GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.bethesdaweb.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1959FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionBethesda Hospital's Mission is to provide quality health services in a caring manner.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee2173TotalEmployeeCnt
Total Volunteers1201TotalVolunteersCnt
Total Gross UBI$549,035TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,037,888PYContributionsGrantsAmt
CY Contributions Grants$4,404,152CYContributionsGrantsAmt
PY Program Service Revenue$295,363,379PYProgramServiceRevenueAmt
CY Program Service Revenue$291,638,651CYProgramServiceRevenueAmt
PY Investment Income$7,566,914PYInvestmentIncomeAmt
CY Investment Income$5,159,829CYInvestmentIncomeAmt
PY Other Revenue$2,818,194PYOtherRevenueAmt
CY Other Revenue$3,294,251CYOtherRevenueAmt
PY Total Revenue$308,786,375PYTotalRevenueAmt
CY Total Revenue$304,496,883CYTotalRevenueAmt
PY Grants And Similar Paid$226,881PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$159,408CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$125,033,353PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$130,447,611CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$183,807,788PYOtherExpensesAmt
CY Other Expenses$189,006,146CYOtherExpensesAmt
PY Total Expenses$309,068,022PYTotalExpensesAmt
CY Total Expenses$319,613,165CYTotalExpensesAmt
PY Revenues Less Expenses-$281,647PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$15,116,282CYRevenuesLessExpensesAmt
Total Assets BOY$421,895,713TotalAssetsBOYAmt
Total Assets EOY$401,999,372TotalAssetsEOYAmt
Total Liabilities BOY$87,476,435TotalLiabilitiesBOYAmt
Total Liabilities EOY$94,611,917TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$334,419,278NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$307,387,455NetAssetsOrFundBalancesEOYAmt
MissionSee Schedule OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$277,706,727ExpenseAmt
Grant$159,408GrantAmt
Revenue$291,682,565RevenueAmt
DescFOUNDED IN 1959, BETHESDA HOSPITAL, INC. IS A NOT-FOR-PROFIT HOSPITAL ORGANIZATION SERVING THE MEDICAL NEEDS OF SOUTH AND CENTRAL PALM BEACH COUNTY AND CONSISTS OF BETHESDA HOSPITAL EAST AND BETHESDA HOSPITAL WEST WITH 670 PHYSICIANS IN MORE THAN 40 AREAS OF SPECIALTY AND MORE THAN 2,300 EMPLOYEES. (CONTINUED IN SCHEDULE O)Desc
Total Program Service Expenses$277,706,727TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document434IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2173EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Joanne AquilinaBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5617377733PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12815 S SEACREST BLVDAddressLine1Txt
CityBOYNTON BEACHCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33435ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
THOMAS A SMITH
chair2.002.00Yes (X)Yes (X)$0$0$0
I JEFFREY PHETERSON ESQ
VICE CHAIR2.002.00Yes (X)Yes (X)$0$0$0
Marie Bedner
SECRETARY2.004.00Yes (X)Yes (X)$0$0$0
RALPH B BRESLAW MD
MEMBER2.000Yes (X)$16,000$0$0
FRED B DEVITT JR ESQ
Member2.002.00Yes (X)$0$0$0
GEORGE T ELMORE
Member2.002.00Yes (X)$0$0$0
STORMET C NOREM
MEMBER2.004.00Yes (X)$0$0$0
david Lashway
MEMBER2.000Yes (X)$0$0$0
FRED W LOVE MD
MEMBER2.004.00Yes (X)$0$0$0
WILLIAM F CASSADY
MEMBER2.002.00Yes (X)$0$0$0
JOANNE AQUILINA
VP OF FINANCE/CFO2.0048.00Yes (X)$0$250,449$47,249
ROGER L KIRK
PRESIDENT2.0054.00Yes (X)$0$755,243$117,890
ALBERT G BIEHL
VP MEDICAL AFFAIRS40.000$308,785$0$63,656Yes (X)
GERALYN A LUNSFORD
VP OF PATIENT SERVICES40.000$226,108$0$47,406Yes (X)
GARY S NORDMARK
VP OF OPERATIONS40.000$198,243$0$49,955Yes (X)
JOSHUA BAILIN
MEDICAL DIRECTOR QUALITY40.000$184,788$0$19,970Yes (X)
KENNETH KILBY
PHARMACIST40.000$137,134$0$6,122Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,071,058TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,005,692TotReportableCompRltdOrgAmt
Total Other Compensation$352,248TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K79IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ARAMARK MANAGEMENT SERVICES
2300 WARRENVILLE ROADDOWNERS GROVEIL60515MANAGEMENT FEE$3,647,756
SHIFTWISE
2501 SW 1ST AVENUE STE 200PORTLANDOR97201CONTRACT STAFFING$3,463,470
SONNERBORN RUTTER & COONEY PA
1400 CENTREPARK BLVD SUITE 400WEST PALM BEACHFL33401PROFESSIONAL FEES LEGAL$2,490,479
CARE LOGISTICS LLC
2655 NORTHWINDS PARKWAYALPHARETTAGA30009CONSULTING, PATIENT LOGISTICS$1,368,346
Critical Care Associates of South FL LLC
PO Box 810097Boca RatonFL33487Intensivist Care$1,100,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K44CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Related Organizations$4,211,854RelatedOrganizationsAmt
Government Grants$9,126GovernmentGrantsAmt
All Other Contributions$183,172AllOtherContributionsAmt
Noncash Contributions$900NoncashContributionsAmt
Total Contributions$4,404,152TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Service Revenue622110$290,384,318$290,384,318
Affiliate Program Revenue518210$613,132$613,132
Clinical Research621500$45,531$45,531
Medicare/Medicaid Incentive Payments900099$46,635$46,635
lab revenue621500$549,035$549,035

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$291,638,651TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,394,599TotalRevenueColumnAmt
Exclusion$2,394,599ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$659,248RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$265,121RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$394,127RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$394,127TotalRevenueColumnAmt
Exclusion$394,127ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$61,843,260SecuritiesAmt
Other$24,119OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$58,921,553SecuritiesAmt
Other$180,596OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,921,707SecuritiesAmt
Other-$156,477OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,765,230TotalRevenueColumnAmt
Exclusion$2,765,230ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Food Sales722210$1,344,303$1,344,303
Childcare624410$713,474$713,474
Reimbursement of expenses900099$592,949$592,949

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$249,398TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$249,398ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,900,124OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$304,496,883TotalRevenueColumnAmt
Related Or Exempt Func Income$291,682,565RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$549,035UnrelatedBusinessRevenueAmt
Exclusion$7,861,131ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$159,408TotalAmt
Program Services$159,408ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$106,796,890TotalAmt
Program Services$97,737,489ProgramServicesAmt
Management And General$9,059,401ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$6,450,643TotalAmt
Program Services$5,934,592ProgramServicesAmt
Management And General$516,051ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,476,935TotalAmt
Program Services$8,706,386ProgramServicesAmt
Management And General$770,549ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,723,143TotalAmt
Program Services$7,105,292ProgramServicesAmt
Management And General$617,851ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,392,157TotalAmt
Management And General$3,392,157ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$15,830TotalAmt
Management And General$15,830ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$564,437TotalAmt
Management And General$564,437ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$29,232,515TotalAmt
Program Services$15,479,049ProgramServicesAmt
Management And General$13,753,466ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$58,197TotalAmt
Program Services$52,958ProgramServicesAmt
Management And General$5,239ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$15,253,953TotalAmt
Program Services$13,973,110ProgramServicesAmt
Management And General$1,280,843ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,603,388TotalAmt
Program Services$4,724,095ProgramServicesAmt
Management And General$879,293ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,577,244TotalAmt
Program Services$5,243,268ProgramServicesAmt
Management And General$1,333,976ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$530,573TotalAmt
Program Services$495,858ProgramServicesAmt
Management And General$34,715ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$63,258TotalAmt
Program Services$45,678ProgramServicesAmt
Management And General$17,580ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$24,815,678TotalAmt
Program Services$19,852,543ProgramServicesAmt
Management And General$4,963,135ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$22,061,713TotalAmt
Program Services$17,485,285ProgramServicesAmt
Management And General$4,576,428ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Bad Debt$18,541,601$18,541,601
Assessment FL Pub Med Assistance$3,554,319$3,554,319
Medical Supplies$58,312,936$58,312,936
Membership and Licenses$428,347$302,860$125,487

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$319,613,165TotalAmt
Program Services$277,706,727ProgramServicesAmt
Management And General$41,906,438ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,387BOYAmt
EOY$17,287EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,034,100BOYAmt
EOY$3,771,240EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$53,915,252BOYAmt
EOY$48,351,019EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,509,411BOYAmt
EOY$6,411,704EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,738,239BOYAmt
EOY$4,815,227EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$505,374,101LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$286,303,041LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$227,358,415BOYAmt
EOY$219,071,060EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$99,094,472BOYAmt
EOY$94,638,382EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$10,792,793BOYAmt
EOY$9,192,770EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$16,445,644BOYAmt
EOY$15,730,683EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$421,895,713BOYAmt
EOY$401,999,372EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$14,254,542BOYAmt
EOY$17,197,586EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$73,221,893BOYAmt
EOY$77,414,331EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$87,476,435BOYAmt
EOY$94,611,917EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$319,386,347BOYAmt
EOY$293,311,080EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,786,190BOYAmt
EOY$12,829,634EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,246,741BOYAmt
EOY$1,246,741EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$334,419,278BOYAmt
EOY$307,387,455EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$421,895,713BOYAmt
EOY$401,999,372EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$15,116,282ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$5,844,944NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$6,070,597OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$21,966,433BeginningYearBalanceAmt
Investment Earnings Or Losses-$1,302,981InvestmentEarningsOrLossesAmt
Other Expenditures$366,193OtherExpendituresAmt
End Year Balance$20,297,259EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,756,493BeginningYearBalanceAmt
Contributions$63,700ContributionsAmt
Investment Earnings Or Losses$1,504,343InvestmentEarningsOrLossesAmt
Other Expenditures$358,103OtherExpendituresAmt
End Year Balance$21,966,433EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$19,276,731BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$1,839,883InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$329,789OtherExpendituresAmt
Administrative Expenses$30,332AdministrativeExpensesAmt
End Year Balance$20,756,493EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$16,942,951BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$2,663,231InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$299,987OtherExpendituresAmt
Administrative Expenses$29,464AdministrativeExpensesAmt
End Year Balance$19,276,731EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,333,861BeginningYearBalanceAmt
Contributions$6,000ContributionsAmt
Investment Earnings Or Losses-$205,068InvestmentEarningsOrLossesAmt
Other Expenditures$151,760OtherExpendituresAmt
Administrative Expenses$40,082AdministrativeExpensesAmt
End Year Balance$16,942,951EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.6784BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.0614PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.2602TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,170,248OtherCostOrOtherBasisAmt
Book Value$2,170,248BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$325,091,505OtherCostOrOtherBasisAmt
Depreciation$149,783,720DepreciationAmt
Book Value$175,307,785BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$982,101OtherCostOrOtherBasisAmt
Depreciation$805,264DepreciationAmt
Book Value$176,837BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$175,542,199OtherCostOrOtherBasisAmt
Depreciation$135,714,057DepreciationAmt
Book Value$39,828,142BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,588,048OtherCostOrOtherBasisAmt
Book Value$1,588,048BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$219,071,060TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Reserves for self insurance$33,310,265
Accrued retirement benefit liability$43,838,628
Security Deposit$5,263
Due to state med assist funds$260,175
FieldValueIRS element (for citing)
Total Liability$77,414,331TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsThe endowment funds are held by Bethesda Hospital Foundation, Inc. The endowment funds are used to support Bethesda Hospital, Inc. in the provision of quality health care services to the surrounding community.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteThe organization is included in the consolidated financial statements of Bethesda Health, Inc. Below is the FIN 48 (ASC 740) footnote from those financial statements. The Internal Revenue Service (IRS) has determined that BHS, BPS, BHC, WDC, the Foundation, and the Hospital are exempt from federal income taxes under Section 501(a) as organizations described in Section 501(c)(3) of the Internal Revenue Code (IRC). All other affiliates of BHS are for-profit entities that file a consolidated tax return. As of September 30, 2015 and 2014, the consolidated for-profit entities have recorded a provision for income tax in accordance with ASC Topic 740, Income Taxes. The System applies the provisions of ASC Topic 740 to evaluate uncertain tax positions. This guidance creates a single model to address uncertain income tax positions and clarifies the accounting for income taxes by prescribing a more-likely-than-not minimum recognition threshold that a tax position is required to meet before recognized in the financial statements. Under the requirement of ASC Topic 740, tax exempt organizations may be required to record an obligation as the result of a tax position they have historically taken on various tax exposure items. There were no uncertain tax provisions recorded in the consolidated financial statements at September 30, 2015 or 2014.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegionTxt
Type Of Activities ConductedInvestmentsTypeOfActivitiesConductedTxt
Region Total Expenditures$9,192,770RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$9,192,770SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$9,192,770TotalSpentAmt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipfalseForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule F, Part IV FOREIGN INVESTMENTSFormAndLineReferenceDesc
ExplanationBETHESDA HOSPITAL, INC. HAS A RIGHT TO THE FOREIGN INVESTMENTS HELD BY BETHESDA HEALTH, INC. HOWEVER, BECAUSE THE LEGAL OWNER OF THE INVESTMENTS IS BETHESDA HEALTH, INC., ANY FILING REQUIREMENTS DUE TO OWNERSHIP OF THE FOREIGN INVESTMENTS ARE COMPLETED BY BETHESDA HEALTH, INC.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,046,355TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,046,355NetCommunityBenefitExpnsAmt
Total Expense0.0101TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$50,929,380TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,437,244DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,492,136NetCommunityBenefitExpnsAmt
Total Expense0.0747TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,289,660TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$603,866DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,685,794NetCommunityBenefitExpnsAmt
Total Expense0.0156TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$59,265,395TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$29,041,110DirectOffsettingRevenueAmt
Net Community Benefit Expns$30,224,285NetCommunityBenefitExpnsAmt
Total Expense0.1004TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$951,163TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$951,163NetCommunityBenefitExpnsAmt
Total Expense0.0032TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,511,788TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,849,853DirectOffsettingRevenueAmt
Net Community Benefit Expns$661,935NetCommunityBenefitExpnsAmt
Total Expense0.0022TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$3,462,951TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,849,853DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,613,098NetCommunityBenefitExpnsAmt
Total Expense0.0054TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$62,728,346TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,890,963DirectOffsettingRevenueAmt
Net Community Benefit Expns$31,837,383NetCommunityBenefitExpnsAmt
Total Expense0.1057TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$18,541,601BadDebtExpenseAmt
Bad Debt Expense Attributable$1,633,515BadDebtExpenseAttributableAmt
Reimbursed By Medicare$96,210,734ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$106,726,885CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$10,516,151MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Bethesda HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12815 South Seacrest BlvdAddressLine1Txt
CityBoynton BeachCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33435ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.bethesdaweb.comWebsiteAddressTxt
State License4452StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherInpatient RehabilitationOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Bethesda HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.bethesdaweb.com/providing-community-benefitOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt12ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLwww.bethesdaweb.com/providing-community-benefitStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care2.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care5.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee statementFAPAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledYes (true)AmountsGenerallyBilledInd
Gross ChargesYes (true)GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - Bethesda Hospital. We had representatives from Hospital Executives as well as Andrea Stepehson and Julie Graham, Health Council of Southeast Florida (public health), Dr Alina Alonso, Director of the Palm Beach County Health Department (public health), Alan Egenthal, Jewish Community Center, Glenn Jergensen, Greater Boynton Beach Chamber of Commerce, Cathy Burns, Palm Beach county School district, Patti Kodish, march of Dimes, Joan DeVaugh, ARC, Michael De Lucca and Regine Kanzki, BR Health Planning Council (public health). We also conducted numerous Focus groups with a cross section of the community (minority, homeless, families, low income, senors, parents, uninsured and under insured, gender, Age, Race/Ethnicity, Education, Employment status and Income). Many factors were taken into consideration for input into the Bethesda Hospital CHNA.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - Bethesda Hospital. The methodology for the completion of Bethesda Hospital's CHNA was to define the community, gather primary and secondary data, review the data and identify unmet needs and service gaps and prioritize needs. Both Qualitative data (US Census Bureau data, Florida and PB County charts, American Community Survey etc) and Qualitative Data ( Focus groups, community and provider input, Key Informant interviews) were reviewed and analyzed. A CHNA Advisory council was appointed from Hospital representatives and a cross section of community leaders. There were many needs identified by various constituency groups. Many focused on their own organizations priorities (eg, March of Dimes-kids, Agency on Aging- seniors, Heart, Cancer, Lung associations etc.). Based on our methodology we prioritized the greatest needs in our community as identified by our Advisory Council and community focus groups. The hospital could not address each and every need identified such as smoking, hunger, homelessness, mental health, obesity. Bethesda works with other community organizations to help address these causes. However, Bethesda offers 1) smoking cessation programs, 2)supports local food banks and soup kitchens, 3) participates with homeless shelters, 4) cooperates with local mental health organizations and provides acute inpatient and outpatient care, 5) conducts bariatric programs and dietetic classes for the community as well as surgery for morbidly obese patients. Many of the hospitals routine in and out patient services are specifically focused on medical and health needs of our community (women, children, wellness, seniors etc.) Based on the community prioritization, and the continued commitment of Bethesda, we do work together with the community to address the Community Health Needs and seek to improve upon our community's health status.
Schedule H, Part V, Section B, Line 13 Facility , 1Facility , 1 - Bethesda Hospital. The Hospital offers self pay rates that are based on the average total reimbursement for traditional Medicare and Commercial Managed Care patients including patient responsibility, based on the previous fiscal year's activity. Averages do not include Government payers (eg Medicaid) which reimburse below the cost of care. Self pay rates are provided in a Medicare payer format utilizing DRG (Diagnosis Related Group) and APC (Ambulatory Payment Classification) based rates for Inpatient and Outpatient services. Some rates are provided as a "flat rate" which covers all hospital based services.
Schedule H, Part V, Section B, Line 16 Facility , 1Facility , 1 - Bethesda Hospital. All Self Pay patients receive with their statements a Plain Language Summary of the Financial Assistance Policy.
Schedule H, Part V, Section B, Line 22 Facility , 1Facility , 1 - Bethesda Hospital. The Hospital offers self pay rates that are based on the average total reimbursement for traditional Medicare and Commercial Managed Care patients including patient responsibility, based on the previous fiscal year's activity. Averages do not include Government payers (eg Medicaid) which reimburse below the cost of care. Self pay rates are provided in a Medicare payer format utilizing DRG (Diagnosis Related Group) and APC (Ambulatory Payment Classification) based rates for Inpatient and Outpatient services. Some rates are provided as a "flat rate" which covers all hospital based services.
Schedule H, Part V, Section B, Line 23 Facility , 1Facility , 1 - Bethesda Hospital. The organization implemented the FAP and Self Pay Rates in 2014. The Hospital offers self pay rates that are based on the average total reimbursement for traditional Medicare and Commercial Managed Care patients including patient responsibility, based on the previous fiscal year's activity. Averages do not include Government payers (eg Medicaid) which reimburse below the cost of care. Self pay rates are provided in a Medicare payer format utilizing DRG (Diagnosis Related Group) and APC (Ambulatory Payment Classification) based rates for Inpatient and Outpatient services. Some rates are provided as a "flat rate" which covers all hospital based services. Flat Rates may be set in a manner to remain market competitive with Acute and non Acute care settings and may or may not reflect average reimbursement. The Self Pay rates are processed through the system based on the account/patient being identified as Self pay. As with any system generated adjustments there could be times when an FAP eligible individual may have been charged more than the amounts generally billed to individuals with insurance as the self pay rates are based on an average reimbursement for the service for which a self pay rate is provided.
Schedule H, Part V, Section B, Line 24 Facility , 1Facility , 1 - Bethesda Hospital. The organization implemented the FAP and Self Pay Rates in 2014. The Hospital offers self pay rates that are based on the average total reimbursement for traditional Medicare and Commercial Managed Care patients including patient responsibility, based on the previous fiscal year's activity. Averages do not include Government payers (eg Medicaid) which reimburse below the cost of care. Self pay rates are provided in a Medicare payer format utilizing DRG (Diagnosis Related Group) and APC (Ambulatory Payment Classification) based rates for Inpatient and Outpatient services. Some rates are provided as a "flat rate" which covers all hospital based services. Flat Rates may be set in a manner to remain market competitive with Acute and non Acute care settings and may or may not reflect average reimbursement. The Self Pay rates are processed through the system based on the account/patient being identified as Self pay. As with any system generated adjustments there could be times when an FAP eligible individual may have been charged more than the amounts generally billed to individuals with insurance as the self pay rates are based on an average reimbursement for the service for which a self pay rate is provided. We have contracts with managed care that allow for DRG reimbursement or total charges which ever is less. In these cases we are paid the total charges on the account. The same is true for the self pay rate for certain DRGs and in these cases the FAP eligible individual would have received a bill equal to the charge.
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Bethesda Professional Plaza
2623 South Seacrest BlvdBoynton BeachFL33435Outpatient Rehabilitation
Blum Family YMCA of Boca Raton
6631 Palmetto Circle SouthBoca RatonFL33433Outpatient Rehabilitation
Bethesda Health City
10301 Hagen Ranch RoadBoynton BeachFL33437Outpatient Rehabilitation, Wound Care
Devos-Blum Family YMCA of Boynton Beach
9600 South Military TrailBoynton BeachFL33436Outpatient Rehabilitation

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 16a FAP available websitehttp://cdn.trustedpartner.com/docs/library/BethesdaMemorialHospital2011/Content/PDFs/BethesdaHealthIncCharityCarePolicy.pdf
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation18541601
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceTHE RATIO OF PATIENT CARE COSTS TO CHARGES FROM WORKSHEET 2 WAS USED TO CALCULATE THE COSTS ASSOCIATED WITH PROVIDING financial assistance AND MEANS-TESTED GOVERNMENT PROGRAMS TO OUR PATIENTS. financial assistance COSTS: THE TOTAL CHARGES FOR ALL PATIENT ACCOUNTS WITH A financial assistance WRITE OFF DURING FISCAL YEAR 2015 WERE DOWNLOADED. THE COST TO CHARGE RATIO FROM WORKSHEET 2 WAS APPLIED TO THE TOTAL AMOUNT OF GROSS PATIENT CHARGES WRITTEN OFF PURSUANT TO OUR financial assistance POLICY TO OBTAIN OUR ESTIMATED TOTAL financial assistance COST. UNREIMBURSED MEDICAID PROGRAM COSTS: TOTAL GROSS CHARGES FOR ALL MEDICAID PATIENTS WERE DOWNLOADED. THE COST TO CHARGE RATIO FROM WORKSHEET 2 WAS APPLIED TO THE TOTAL AMOUNT OF GROSS MEDICAID PATIENT CHARGES TO OBTAIN THE ESTIMATED TOTAL MEDICAID COSTS. OTHER BENEFIT COSTS WERE DETERMINED BY ESTIMATING THE TOTAL HOURS ASSOCIATED WITH EACH COMMUNITY SERVICE AND APPLYING AN AVERAGE HOUR RATE TO THE STAFF WORKING THE EVENT. THE TOTAL DIRECT EXPENSES WERE TRACKED FOR EACH SERVICE AND ADDED TO THE LABOR COST.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountBAD DEBT EXPENSE IS BASED ON ACTUAL WRITE-OFFS OF ZERO BALANCED ACCOUNTS IN ADDITION TO AN ESTIMATE OF UNSETTLED ACCOUNTS BASED ON HISTORICAL PERCENTAGES.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyOUR ORGANIZATION APPLIED A PERCENTAGE OF 8.81% TO THE TOTAL DOLLAR AMOUNT OF BAD DEBT TO ESTIMATE THE AMOUNT OF OUR ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S financial assistance POLICY. THIS PERCENTAGE IS BASED ON EQUIFAX SCORING (PROPRIETARY CREDIT SCORING ALGORITHM) ANALYSIS OF A STATISTICALLY SIGNIFICANT POPULATION (23,100) OF DEBTORS PLACED IN COLLECTION FROM 10/1/2014-9/30/2015. CONSUMERS WITH AN EQUIFAX SCORE OF 301-600 (ON A SCALE OF 301-900) WOULD QUALIFY FOR CHARITY ASSISTANCE IN ACCORDANCE WITH BETHESDA HOSPITAL'S POLICY IF THE NECESSARY DOCUMENTS AND ATTESTATIONS WERE SUBMITTED.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteThe allowance for doubtful accounts is based on historical collection and write-off experience. Accounts receivable are turned over to collection agencies at certain aging intervals depending on the insurance payor. The Hospital does not require collateral, and losses are anticipated to be within management's expectations.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsThe cost is based on the hospital's FY 2015 as filed medicare cost report costing methodology. The shortfall is a community benefit as these services were not fully reimbursed.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceOUR COLLECTION PROTOCOL PROVIDES OUR COLLECTION AGENCY THE DISCRETIONARY AUTHORITY TO SEND A CHARITY APPLICATION TO A DEBTOR UPON REQUEST OR REFER THE DEBTOR TO OUR FINANCIAL ASSISTANCE UNIT BASED ON AN INITIAL SCREENING OF THEIR ASSETS, INCOME AND ABILITY TO PAY. AT ANY POINT IN THE COLLECTION CYCLE IF A PATIENT DECLARES THAT THEY MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE, FURTHER COLLECTION EFFORTS ARE SUSPENDED PENDING THE DETERMINATION OF THE PATIENT'S DOCUMENTED ELIGIBILITY FOR FINANCIAL ASSISTANCE
Schedule H, Part V, Section B, Line 16a FAP website- Bethesda Hospital: Line 16a URL: See statement;
Schedule H, Part VI, Line 2 Needs assessmentOur mission to provide quality health services in a caring manner as a community-based hospital system extends to the entire span of communities we serve in South and Central Palm Beach County, including seniors, families, infants and children, as well as growing Hispanic and Haitian populations. In 2015, Bethesda Hospital completed its 3-year Community Health Needs Assessment in collaboration with many of our local constituency groups. As a result of their feedback, we were able to address issues related to access to health services; improving access to the Florida Kid Care program for families and preventing pre-maturity by promoting the 39-week program for expectant mothers. In partnership with local agencies, our Community Health Needs Assessment provides a guide to improve the health status of Palm Beach County residents; address socioeconomic factors causing a negative impact on our community's health and increase access to preventive healthcare services, especially within at-risk sub-populations. We work with many local groups, representing diverse segments of healthcare consumers and service providers in Palm Beach County. Some of the reported challenges that have been identified include: financial concerns, lack of knowledge about availability of services, accessibility issues, language barriers and perceptions of cultural insensitivity. To address these community needs, Bethesda provides a number of services to help each of its sub- populations. Bethesda offers patients free transportation to its facilities for outpatient procedures, as well as cardiopulmonary rehabilitation and physical therapy services. In addition, the Hospital's Financial Assistance Unit works with patients to secure federal and state financial assistance, as well as offering convenient payment plans. In addition, health fairs are provided in areas of at-risk populations with healthcare professionals who speak English, Spanish and Creole. Maternity tours and baby classes are also offered in Spanish and Creole. The Hospital's family resource center also allows families to access multi-lingual computers and multi-lingual resources for prenatal, newborn, pediatric and family-centered information. All patient information is provided in English, Spanish and Creole. In working with local organizations such as the March of Dimes, Caridad Center and the Coalition of Boynton West Residential Associations (COBWRA), there is a tremendous need to address the numbers of low birth weight deliveries and premature births in Palm Beach County, especially among African American mothers. Based on this data, Bethesda is now looking at ways to focus greater efforts on reducing the number of pre-term/premature births through pre-natal education classes and community health fairs. Immunizations for children under two continues to be an area of need in Palm Beach County. As a result, Bethesda is now taking steps to increase the number of enrolled in the Florida Kid Care Program. In addition, Bethesda is proud to partner with the Florida Department of Health Immunization Coalition to promote education programs for healthcare providers and school nurses in The School District of Palm Beach County.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceUNINSURED PATIENTS ARE INFORMED ABOUT BETHESDA HOSPITAL'S FINANCIAL ASSISTANCE UNIT AT SEVERAL KEY ACCESS POINTS OF THE HOSPITAL: THE EMERGENCY DEPARTMENT, AMBULATORY SURGERY, OUTPATIENT REGISTRATION, CENTRAL SCHEDULING AND THE ADMITTING DEPARTMENT. OUR HOSPITAL HAS A FINANCIAL ASSISTANCE UNIT WITH A DEDICATED TEAM OF EMPLOYEES WHO HELP PATIENTS AND FAMILIES QUALIFY FOR VARIOUS GOVERNMENTAL ASSISTANCE PROGRAMS AND financial assistance. THE FINANCIAL ASSISTANCE UNIT INCLUDES STAFF MEMBERS WHO ARE FLUENT IN ENGLISH, SPANISH AND CREOLE, SO THAT WE MAY SERVE ALL MEMBERS OF OUR COMMUNITY.
Schedule H, Part VI, Line 4 Community informationLOCATED IN PALM BEACH COUNTY, THE THIRD MOST POPULATED COUNTY IN FLORIDA, BETHESDA HOSPITAL SERVES SOUTH AND CENTRAL PALM BEACH COUNTY, A POPULATION OF APPROXIMATELY 190,000 RESIDENTS. WE DEFINE OUR COMMUNITY BASED ON 31 ZIP CODES, WHICH INCLUDES THE CITIES OF BOYNTON BEACH, PALM BEACH, DELRAY BEACH, LAKE WORTH AND WELLINGTON. OUR HOSPITAL SERVES A DIVERSE POPULATION THAT INCLUDES A LARGE SEGMENT OF ACTIVE SENIOR ADULTS (65+), MANY OF WHOM ARE SEASONAL RESIDENTS AND REPRESENT MORE THAN 20% OF THE POPULATION, AS WELL AS MANY FAMILIES, CHILDREN AND INFANTS, MAKING BETHESDA THE 2ND BUSIEST MATERNITY CENTER IN PALM BEACH COUNTY WITH APPROXIMATELY 3,000 DELIVERIES ANNUALLY. SENIORS IN OUR WEST BOYNTON COMMUNITY CONTINUE TO REPRESENT ONE OF THE FASTEST GROWING SEGMENTS IN THE STATE OF FLORIDA. OUR COMMUNITY HEALTH NEEDS ASSESSMENT REPORTED FOR THE THREE YEARS ENDING 2015 SHOWED THAT PALM BEACH COUNTY HAS A HIGHER PERCENTAGE OF MINORITIES THAN ANY OTHER COUNTY IN FLORIDA, INCLUDING HAITIAN AND GUATEMALAN RESIDENTS, WITH 20% OF THE POPULATION BEING HISPANIC. JUST OVER 14.5% OF PALM BEACH COUNTY RESIDENTS LIVE AT OR BELOW THE FEDERAL POVERTY LEVEL, WITH MORE THAN 22.4% OF PEOPLE UNDER THE AGE OF 18 LIVING BELOW THE FEDERAL POVERTY LEVEL. OF THOSE FAMILIES WITH CHILDREN UNDER THE AGE OF 18, 22.2% WERE REPORTED AT OR BELOW THE FEDERAL POVERTY LEVEL. IN 2010, THE U.S. CENSUS BUREAU ESTIMATED THAT 21% OF PALM BEACH COUNTY RESIDENTS WERE UNINSURED. WHEN COMPARED TO FLORIDA AND THE UNITED STATES, PALM BEACH COUNTY HAS A HIGHER RATE OF UNINSURED AMONG CHILDREN UNDER 18 AND ADULTS AGE 18-64.
Schedule H, Part VI, Line 5 Promotion of community healthBETHESDA HOSPITAL HAS AN ACTIVE BOARD OF TRUSTEES WHO LIVE AND WORK IN OUR COMMUNITY, PROVIDING INDEPENDENT LEADERSHIP AND GOVERNANCE. WE HAVE AN OPEN MEDICAL STAFF THAT ACCEPTS APPLICATIONS FROM ALL PHYSICIANS WHO MEET OUR MEDICAL STAFF BYLAWS GUIDELINES. ALL EXCESS FUNDS FROM OPERATIONS STAY AT THE HOSPITAL TO ENSURE THAT BETHESDA CAN PROVIDE THE MOST ADVANCED EQUIPMENT TO BENEFIT OUR PATIENTS; PROVIDE THE LATEST TRAINING FOR OUR MEDICAL STAFF AND EMPLOYEES; AND ENSURE THAT THE HOSPITAL CAN PROVIDE NEW HEALTHCARE SERVICES TO CONTINUALLY IMPROVE THE HEALTH OF OUR COMMUNITY
Schedule H, Part VI, Line 6 Affiliated health care systemBETHESDA HOSPITAL IS A COMPREHENSIVE COMMUNITY-BASED HOSPITAL SYSTEM WITH BETHESDA HOSPITAL EAST AND BETHESDA HOSPITAL WEST. WE SERVE A COMMUNITY WITH HEALTH NEEDS THAT SPAN ALL THE STAGES OF LIFE FROM PRENATAL CARE THROUGH PRIMARY CARE AND CONTINUING WITH CRITICAL CARE AND END OF LIFE NEEDS. WE ALSO HAVE A DIVERSE COMMUNITY THAT INCLUDES AN AGING POPULATION WITH CONCERNS ABOUT ACCESS TO HEALTHCARE SERVICES AND TRANSPORTATION TO THOSE SERVICES. WE ASSESS OUR COMMUNITY NEEDS THROUGH A VARIETY OF METHODS, INCLUDING ONE-ON-ONE INTERACTIONS WITH COMMUNITY INDIVIDUALS AND CIVIC LEADERS AND PATIENT INTERVIEWS FOLLOWING THEIR EXPERIENCES WITH HOSPITAL CARE AND SERVICES. WE CONTINUE TO DELIVER QUALITY HEALTH SERVICES IN A CARING MANNER, PROVIDING COMMUNITY BENEFITS THAT ARE TAILORED TO THEIR NEEDS. WE PROVIDE PRIMARY, ACUTE, EMERGENCY, SPECIALTY AND CRITICAL CARE TO OUR PATIENTS, AS WELL AS ASSISTANCE FOR OUR UNDER-INSURED COMMUNITY WITH A DEDICATED, HOSPITAL-BASED STAFF THAT HELPS PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE. RECOGNIZING THE NEED FOR ACCESS TO CARE, BETHESDA PROVIDES TRANSPORTATION SERVICES TO HELP PATIENTS ATTEND DOCTORS' APPOINTMENTS OR HAVE A TEST OR PROCEDURE PERFORMED AT THE HOSPITAL. TO ENSURE ACCESS TO CARE FOR OUR DEAF AND HEARING IMPAIRED PATIENTS, WE ALSO PROVIDE A VIDEO INTERPRETER SERVICE. AS WE STRIVE TO MEET THE NEEDS OF THE COMMUNITY, BETHESDA CONTINUES TO ADD PROGRAMS AND SERVICES THAT WILL PROVIDE COMMUNITY BENEFIT FOR ALL SEGMENTS OF OUR POPULATION WITH THE HIGHEST COMMITMENT TO QUALITY AND SAFETY THROUGH EVERY STAGE OF THEIR LIVES. AS PART OF OUR ORGANIZATION'S AFFILIATED HEALTHCARE SYSTEM, OUR WOMEN'S CENTER PROVIDES COMPREHENSIVE SERVICES TO WOMEN IN OUR COMMUNITY, INCLUDING MEDICALLY NEEDY AND UNDER-INSURED PATIENTS. WE OFFER A WIDE RANGE OF SERVICES FROM DIAGNOSTIC TO THERAPEUTIC SERVICES FOR BREAST CARE AND BREAST CANCER TREATMENT, INCLUDING A BREAST NAVIGATOR WHO HELPS PATIENTS GAIN ACCESS TO FINANCIAL ASSISTANCE AND SOCIAL SERVICES. OUR PHYSICIAN PRACTICES DEPARTMENT EMPLOYS PHYSICIANS AND LEASES SPACES TO A BROAD RANGE OF PHYSICIANS WHO SERVE IN SPECIFIC GEOGRAPHIC AREAS OF OUR COMMUNITY, INCLUDING PRIMARY CARE, CARDIOLOGY AND OBSTETRICS AND GYNECOLOGY. IN ADDITION, BETHESDA HOSPITAL PROVIDES ON-THE-JOB TRAINING FOR STUDENTS FROM THE GOODWILL INDUSTRIES SCHOOL FOR MENTALLY CHALLENGED INDIVIDUALS. MANY OF THESE STUDENTS GO ON TO BECOME EMPLOYEES OF BETHESDA IN DEPARTMENTS SUCH AS FOOD AND NUTRITION AND CENTRAL SUPPLY. THIS PROGRAM ENABLES THESE YOUNG PEOPLE TO BECOME PRODUCTIVE MEMBERS OF SOCIETY, THUS PROVIDING ENHANCED COMMUNITY BENEFIT.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeMAMMOGRAPHY AND BREAST CANCER TREATMENT ASSISTANCEGrantTypeTxt
Recipient475RecipientCnt
Cash Grant$159,408CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Valuation Method Usedn/aValuationMethodUsedDesc
Non Cash Assistancen/aNonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule I, Part I, Line 2 Description Of Procedure For Monitoring Use Of Grant FundsThe organization provides grants as a credit to their total payment due for healthcare services. Therefore the organization is able to monitor that the funds are used for their intended purpose.
Schedule I, Part III, Column (b) Estimated Number Of RecipientsMAMMOGRAPHY AND BREAST CANCER TREATMENT ASSISTANCE : AN ESTIMATED 475 PATIENTS RECEIVED KOMEN GRANTS FOR MAMMOGRAPHIES AND/OR BREAST CANCER TREATMENTS DURING FISCAL YEAR 2015. THE ESTIMATE IS BASED ON GRANT REPORTS FROM APRIL 1, 2014 TO MARCH 31, 2015 FOR THE WOMENS DIAGNOSTIC CENTER OF BETHESDA (AN AFFILIATED COMPANY) AND BETHESDA HOSPITAL, INC.
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.The organization provides grants as a credit to their total payment due for healthcare services. Therefore the organization is able to monitor that the funds are used for their intended purpose.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOANNE AQUILINA
VP OF FINANCE/CFO$0$249,187$0$20$0$1,242$0$20,324$0$26,925$0$297,698$0$0
ROGER L KIRK
PRESIDENT$0$471,128$0$20$0$284,095$0$86,756$0$31,134$0$873,133$0$0
ALBERT G BIEHL
VP MEDICAL AFFAIRS$287,800$0$20$0$20,965$0$43,660$0$19,996$0$372,441$0$0$0
GERALYN A LUNSFORD
VP OF PATIENT SERVICES$224,408$0$20$0$1,680$0$38,156$0$9,250$0$273,514$0$0$0
GARY S NORDMARK
VP OF OPERATIONS$187,060$0$20$0$11,163$0$30,475$0$19,480$0$248,198$0$0$0
JOSHUA BAILIN
MEDICAL DIRECTOR QUALITY$182,903$0$20$0$1,865$0$3,539$0$16,431$0$204,758$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationThe organization's President is paid by Bethesda Health, Inc. (a related organization). Bethesda Health, Inc. uses the following to determine his compensation: independent compensation consultant, form 990 of other organizations, compensation survey or study, and approval by the board.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planThe organization maintains a 457(f) supplemental nonqualified retirement plan. During 2014, the following payments were received from the plan: Joanne Aquilina - $402 Robert Broadway - $681 Gary Nordmark - $5,030 During 2014, the following contributions were made to the plan: Roger L. Kirk - $42,234 Joanne Aquilina - $4,328 Robert Broadway - $12,889 Geralyn Lunsford - $11,250

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
CHRISTOPHER D HOHNER
FAMILY MEMBER OF STORMET C. NOREM, BOARD MEMBER$34,179SALARY AND BENEFITSfalse
ROBERT I TSOPELAS
FAMILY MEMBER OF STORMET C. NOREM, BOARD MEMBER$31,420SALARY AND BENEFITSfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 1 ORGANIZATION'S MISSIONBETHESDA HOSPITAL'S MISSION IS TO PROVIDE QUALITY HEALTH SERVICES IN A CARING MANNER, REGARDLESS OF ABILITY TO PAY. OUR MISSION IS FOUNDED IN A STRONG SYSTEM OF VALUES THAT REFLECTS A COMMITMENT TO SAFETY AND QUALITY THAT ALWAYS EXCEEDS STANDARDS OF EXCELLENCE; A COMMITMENT TO CARING THAT ENSURES A PERSONALIZED HEALING EXPERIENCE AND A COMMITMENT TO SERVICE THAT ALWAYS EXCEEDS EXPECTATIONS. IN STRIVING TO BECOME A VALUE-BASED HEALTHCARE ORGANIZATION, WE WILL ALWAYS STRIVE FOR OUTCOMES THAT MEET THE NEEDS OF OUR DIVERSE PATIENT POPULATION, REGARDLESS OF RACE, CREED, ORIENTATION OR FINANCIAL STATUS, THROUGH EVERY STAGE OF THEIR LIVES FROM PRENATAL CARE NEEDS, TO PEDIATRIC CARE AND FAMILY NEEDS, AND CONTINUING THROUGH END-OF-LIFE CARE, ENSURING THAT THEY HAVE ACCESS TO VITAL HEALTH SERVICES IN THE MOST APPRORIATE SETTING.
Form 990, Part III, Line 4a PROGRAM DESCRIPTIONBETHESDA HOSPITAL, AND ITS AFFILIATES, PROVIDES THE MOST COMPREHENSIVE ARRAY OF HEALTHCARE SERVICES IN PALM BEACH COUNTY SERVING THE HEALTH NEEDS OF OUR COMMUNITY THROUGH EVERY STAGE OF THEIR LIVES INCLUDING NEONATES, CHILDREN, FAMILIES, WOMEN AND SENIORS. BETHESDA'S SPECIALIZED SERVICES INCLUDE: A 31-BED, HEART HOSPITAL FOR COMPREHENSIVE CARDIOVASCULAR SERVICES AND A 24-BED ORTHOPAEDIC INSTITUTE THAT IS A JOINT COMMISSION-CERTIFIED FACILITY FOR HIP AND KNEE REPLACEMENTS. BETHESDA'S 36-BED, CORNELL INSTITUTE FOR REHABILITATION MEDICINE OFFERS INPATIENT REHABILITATION FOR PATIENTS WITH NEUROLOGIC AND ORTHOPEDIC REHABILITATION NEEDS. AS SOUTH PALM BEACH COUNTY'S FIRST MATERNITY CENTER, WE PROVIDE A FULL RANGE OF SERVICES FOR MOTHER AND CHILD INCLUDING PRENATAL CARE, OBSTETRICAL TRIAGING, A LEVEL III NEONATAL CARE UNIT, A PEDIATRIC AND PEDIATRIC INTENSIVE CARE UNIT, ALL IN AN ENVIRONMENT OF FAMILY-CENTERED CARE. BETHESDA OFFERS A FULL RANGE OF GENERAL AND SPECIALIZED SURGERY, WITH STATE-OF-THE-ART ENDOVASCULAR SUITES AT BOTH HOSPITALS DEDICATED TO TREATING VASCULAR DISEASE. RECOGNIZING THAT 60% OF BETHESDA'S PATIENTS ARRIVE THROUGH THE EMERGENCY DEPARTMENT, BETHESDA HAS 24-HOUR EMERGENCY DEPARTMENTS WITH EMERGENCY DEPARTMENTS FOR ADULTS AND CHILDREN AT BOTH HOSPITALS COMPLETE WITH PEDIATRIC PHYSICIANS. COMPLEMENTING THE EMERGENCY DEPARTMENTS ARE BETHESDA'S ADVANCED PRIMARY STROKE CENTERS TO PROVIDE SPECIALIZED CARE FOR PATIENTS WITH STROKE. ADDITIONAL SERVICES INCLUDE BETHESDA'S WOUND CARE AND HYPERBARIC MEDICINE PROGRAM, CENTER FOR SURGICAL WEIGHT REDUCTION AND ACCREDITED CENTERS FOR CHEST PAIN AND HEART FAILURE. AS PART OF BETHESDA'S GOAL TO ENSURE THAT WE WILL HAVE ENOUGH PHYSICIANS AND HEALTHCARE PROFESSIONALS TO CARE FOR OUR COMMUNITY, BETHESDA'S COLLEGE OF HEALTH SCIENCES OFFERS ASSOCIATE OF SCIENCE DEGREE PROGRAMS IN THE FIELDS OF RADIOGRAPHY AND NURSING. IN ADDITION, BETHESDA IS PROUD TO BE AN OFFICIAL TEACHING HOSPITAL, PROVIDING RESIDENCY PROGRAMS FOR PHYSICIANS FROM THE FLORIDA ATLANTIC UNIVERSITY CHARLES E. SCHMIDT COLLEGE OF MEDICINE. THE FOLLOWING STATISTICS, FOR THE FISCAL YEAR ENDING SEPTEMBER 20, 2015, REPRESENT THE SCOPE OF SERVICES PROVIDED BY BETHESDA HOSPITAL: 20,597 INPATIENT ADMISSIONS; 103,721 INPATIENT DAYS OF CARE; 78,935 EMERGENCY DEPARTMENT VISITS; 11,225 SURGICAL CASES; 344 HEART CASES; OVER 2,900 DELIVERIES; AND 164,178 OUTPATIENT VISITS. ADDITIONALLY, BETHESDA HOSPITAL PROVIDED APPROXIMATELY $45 MILLION OF financial assistance TO THE UNINSURED AND UNDER INSURED. BETHESDA HOSPITAL AND AFFILIATES EMPLOY MORE THAN 2,700 EMPLOYEES, MAKING BETHESDA HOSPITAL THE LARGEST EMPLOYER IN BOYNTON BEACH, FLORIDA.
Form 990, Part VI, Line 15a PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIALTHE BOARD OF TRUSTEES OF BETHESDA HEALTH, INC. ANNUALLY APPOINTS THE PRESIDENT/CEO TO A ONE-YEAR TERM AND ESTABLISHES AND APPROVES THE COMPENSATION OF THE PRESIDENT/CEO. THE BOARD OF TRUSTEES OF BETHESDA HEALTH PERIODICALLY ENGAGES AN INDEPENDENT OUTSIDE PROFESSIONAL COMPENSATION FIRM TO REVIEW COMPENSATION AND BENEFIT LEVELS OF THE PRESIDENT AND CHIEF FINANCIAL OFFICER OF BETHESDA HEALTH. THE CONSULTING FIRM WORKS INDEPENDENTLY OF MANAGEMENT AND REPORTS THE INFORMATION DIRECTLY TO THE TRUSTEES OF BETHESDA HEALTH FOR THE OFFICER'S POSITIONS. THE CONSULTING FIRM PROVIDES DETAILED COMPENSATION AND BENEFIT DATA FOR COMPARABLY SIZED HEALTHCARE ORGANIZATIONS ON A REGIONAL AND NATIONAL BASIS. BASED ON THE COMPENSATION PHILOSOPHY OF THE BOARD OF TRUSTEES OF BETHESDA HEALTH AS IT RELATES TO THE MARKET IN GENERAL AND ON SPECIFIC COMPENSATION LEVELS NOTED AS THE RESULT OF THE CONSULTING ENGAGEMENT, THE BOARD OF TRUSTEES OF BETHESDA HEALTH SETS THE COMPENSATION AND BENEFITS OF THE POSITIONS NOTED ABOVE. THE PROCESS WAS UNDERTAKEN IN THE YEAR ENDED SEPTEMBER 30, 2015. THE PROCESS AND DECISIONS ARE DOCUMENTED IN THE BOARD MINUTES.
Form 990, Part VI, Line 15b PROCESS OF DETERMINING COMPENSATION OF OTHER OFFICERSTHE OTHER OFFICERS OF THE ORGANIZATION ARE SUBJECT TO BETHESDA HEALTH'S ANNUAL EMPLOYEE REVIEW PROCESS. THE VICE PRESIDENT OF HUMAN RESOURCES RECOMMENDS TO THE PRESIDENT/CEO OF BETHESDA HEALTH, INC. COMPENSATION AND BENEFIT LEVELS. THE VICE PRESIDENT OF HUMAN RESOURCES PERIODICALLY ENGAGES AN INDEPENDENT OUTSIDE PROFESSIONAL COMPENSATION FIRM TO REVIEW COMPENSATION AND BENEFIT LEVELS OF THIS AND OTHER MANAGEMENT LEVEL POSITIONS. THE CONSULTING FIRM WORKS INDEPENDENTLY OF MANAGEMENT AND PROVIDES DETAILED COMPENSATION AND BENEFIT DATA FOR COMPARABLY SIZED HEALTHCARE ORGANIZATIONS ON A REGIONAL AND NATIONAL BASIS. BASED ON THE COMPENSATION PHILOSOPHY OF THE BOARD OF TRUSTEES OF THE BETHESDA HEALTH AS IT RELATES TO THE MARKET IN GENERAL AND ON SPECIFIC COMPENSATION LEVELS NOTED AS THE RESULT OF THE CONSULTING ENGAGEMENT, THE PRESIDENT/CEO OF BETHESDA HEALTH SETS THE COMPENSATION AND BENEFITS FOR THE OTHER OFFICERS. THE PROCESS WAS UNDERTAKEN FOR THE YEAR ENDED SEPTEMBER 30, 2015. THE PROCESS AND DECISIONS ARE DOCUMENTED IN THE EMPLOYEE FILES. THE COMPENSATION OF THE CHIEF FINANCIAL OFFICER IS DETERMINED BY THE BOARD OF TRUSTEES OF BETHESDA HEALTH AS DESCRIBED IN THE NARRATIVE FOR FORM 990, PART VI, LINE 15A.
Form 990, Part VI, Line 16b JOINT VENTURE POLICYTHE HOSPITAL DOES NOT HAVE A WRITTEN POLICY FOR JOINT VENTURE RELATIONSHIPS DUE TO THE LIMITED NUMBER OF SUCH RELATIONSHIPS AND THE PRACTICE AND PROCEDURES IN PLACE TO ENSURE THE JOINT VENTURES ARE ESTABLISHED TO IMPROVE THE QUALITY OF HEALTHCARE SERVICES AND SUPPORT THE MISSION OF THE HOSPITAL. THE EXISTING JOINT VENTURES HAVE BEEN ESTABLISHED WITH THE HOSPITAL CONTROLLING AND HAVING THE MAJORITY OF VOTING INTEREST IN THE DECISIONS IMPACTING THE OPERATIONS OF THE ENTITY.
Form 990, Part VI, Line 6 Classes of members or stockholdersThe Organization has one sole member, Bethesda Health, Inc., a Florida not-for-profit organization.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyBethesda Health, Inc. approves the members of the governing body.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersAny of the following significant organizational or operational changes would be subject to approval by the sole member of the Corporation which is Bethesda Health, Inc. 1. adopting a plan of dissolution of the Corporation. 2. authorizing the Corporation to engage in, or enter into, any transaction providing for the sale, mortgage or other disposition of all or substantially all of the assets of the Corporation. 3. adopting a plan of reorganization or the merger or consolidation of the Corporation with another entity 4. appointing or removing the attorneys or independent auditors of the Corporation. 5. appointment or removing the Trustees 6. adopting or amending the Articles of Incorporation of the Bylaws of the Corporation 7. adopting or permitting any change to any strategic master plans or policies of the Corporation. 8. authorizing the acquisition, sale, transfer, or other disposition of any assets except in the ordinary course of business 9. authorizing the filing of any petition in bankruptcy 10. adopting marketing and business strategies for the Corporation
Form 990, Part VI, Line 11b Review of form 990 by governing bodyThe Chief Financial Officer of the organization reviews the Form 990 and all required supporting schedules. The Form 990 is then provided to the Board of Trustees of the Organization for review prior to filing with the IRS.
Form 990, Part VI, Line 12c Conflict of interest policyThe organization's conflict of interest policy covers any trustee, director, officer or member of any committee of the board with board-delegated powers. The individuals covered under the policy are required to disclose annually any conflicts of interest. The chairman of the board and the internal audit division of Bethesda Health continuously review and monitor all conflicts of interest noted by the individuals covered under the policy. Any individual who has a conflict of interest is prohibited from participating in the governing body's deliberations and decision in the transaction.
Form 990, Part VI, Line 19 Required documents available to the publicThe governing documents of the organization, its conflict of interest policy, and its financial statements are available on request. Depending on the quantity of the request a minimal fee may apply.
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueMedical Staff Dues - Total Revenue: 243833, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 243833; Misc Hospital sales - Total Revenue: 5565, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 5565;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesPension Adjustment - 9279745; Transfer to Affiliates - -14384547; Change in Temp Restricted Assets - -965795;
ADDITIONAL SUPPLEMENTAL INFORMATION Community benefit informationfinancial assistance As one of only three not-for-profit hospital organizations in Palm Beach County, Bethesda Hospital, Inc., is comprised of two community-owned hospitals - Bethesda Hospital East and Bethesda Hospital West -- dedicated to providing quality health services in a caring manner, regardless of ability to pay. Since 1990, Bethesda Hospital, Inc., has met the requirements under the Social Security Act (Section 1886(d)(5)(F)) to receive additional payments to hospitals that serve a significantly disproportionate number of low-income patients. Low-income patients include patients who were entitled to benefits under Medicare Part A and were entitled to Supplementary Security Income (SSI) benefits and patients who were eligible for medical assistance under a State plan approved under Title XIX. The Social Security Act defines the formula for determining the percentage to be used for this disproportionate share adjustment payment. The Hospital provides care to patients who meet certain criteria under its financial assistance policy without charge or at amounts less than its established rates. Bethesda informs its patients about its financial assistance policy by posting this information in our Emergency Departments and Admitting areas. In addition, the Hospital has a Financial Assistance Unit (FAU) to help educate our patients on available programs. Among the services offered, Bethesda's FAU helps patients qualify for Medicaid programs and make arrangements for extended payments for services. Because the Hospital does not pursue collection of amounts determined to qualify as financial assistance, this amount is recorded as a deduction from gross revenue reported. For the fiscal year ending September 30, 2015, Bethesda provided $45 million in Indigent and financial assistance write-offs, representing 3% of the hospital's total charges. For the fiscal year ending September 30, 2015, Bethesda provided an additional $40.5 million in discounts for uninsured patients. These discounts were primarily for services provided in the Emergency Department at Bethesda Hospital East. Community Needs Assessment In keeping with our mission to provide quality health services in a caring manner, Bethesda has tailored its community benefit programs to meet the needs of our key constituent groups identified through our community health needs assessment: seniors, women, children and families. The Hospital utilizes state and regional data, patient surveys, focus group meetings, support group meetings and one-on-one patient interviews. In addition, Bethesda uses evaluation surveys to solicit feedback from attendees of our hospital's various community events, including community health fairs and community lectures provided at the Hospital. In addition, we provide education classes for all segments of our patient population, ranging from prenatal care classes for expectant parents to orthopaedic surgery classes for patients prior to surgery, thereby, helping our patients have a better understanding of their health needs and how we can help them meet their needs. In addition, we offer free weekly community lectures at both hospitals with our physicians who address numerous health topics ranging from diabetes to stroke prevention. Bethesda also provides physicians who speak to groups at residential communities, as part of our "Be Healthy, Be Well" lecture program. We collaborate with community organizations in our service area, such as the Boynton Beach Senior Center and the Mandel Jewish Community Center, to promote additional knowledge of health services available to seniors. Similarly, we participate in local civic events, such as Delray Beach and Boynton Beach Fire Rescue, to teach families how to keep their children safe at home, on the road and in the water, because drowning remains the number one cause of death for children under the age of 4 in Palm Beach County. Through our community needs assessment, we have also identified emerging populations within our community who need improved access to healthcare services, including the growing Hispanic migrant farming population in western Boynton/Lake Worth and the Guatemalan population in Lake Worth. Bethesda works with the Caridad Center, in Boynton Beach, on an ongoing basis to address the health needs of these groups through the provision of health screenings and acute care medical services when Caridad Center seeks additional care for these patients. PROGRAMS AND SERVICES In addition to providing financial assistance, Bethesda provides an array of programs and services to help improve the quality of life in our community, as described below: AARP Safe Driving Program With seniors representing the largest segment of Bethesda's patient population, Bethesda has recognized that having safer drivers on the road means having healthier drivers in our community. Bethesda Hospital West, in collaboration with AARP, hosts a monthly safe driving program for all persons age 50 and older to keep members of our community safe on the roads. Bethesda Hospital, Inc. with AARP held 19 safe driving sessions for 450 people who took advantage of this learning opportunity for the twelve months ended September 30, 2015. Baby Line More than 35% of Bethesda's 2,930 deliveries are born to families with incomes that fall below the Federal Income Poverty Guideline. To ensure that these families get the best start in life, Bethesda helps expectant mothers get the answers they need about pregnancy, birth and beyond. Bethesda's direct phone service provides callers with information and assistance regarding our comprehensive maternity program, as well as physician referral and parent/child education classes, Monday through Friday from 8:30 a.m. to 5:00 p.m. Through the Baby Line, expecting parents can access Bethesda's classes in the following areas: Infant Safety, Breastfeeding, Prepared Childbirth, and Baby Care for "Transitioning to Home." As a result, Bethesda held 479 classes with a total of 2,640 attendees for the twelve months ended September 30, 2015. Bethesda PrimeTime Club With more than 70% of Bethesda's patients being over the age of 60, Bethesda's PrimeTime Club was created to help improve their health and knowledge. The Bethesda PrimeTime Club is a free program for people age 50 and over. It provides access to educational resources, health screenings, lifestyle amenities (including a car seat loan program) and other health resources provided by our staff through a dedicated quarterly newsletter, a weekly email blast and community magazine for members, as well as a medical network resource for members. Bethesda served 18,240 PrimeTime Club members for the twelve months ended September 30, 2015. Bethesda provided 40 educational programs, with approximately 2,400 PrimeTime members attending. Bethesda provided 1,100 referrals (non-physician related) for social/agency services to enrich the lives of this group. For the twelve months ended September 30, 2015, 240 car seat loans were provided to PrimeTime Club members, enabling them to provide a safe car for their grandchildren or other visiting infants. In addition, 450 PrimeTime members received discount prescription cards through Bethesda's partnership with Catalyst Scripts, helping them to get their medications when they need them, at more affordable prices. Community Blood Drive Just as our community has grown, Bethesda recognizes that the need for blood has grown as well. To meet this community need, Bethesda conducts two blood drives per year, which are open to all employees and the general public. Bethesda held a total of 16 blood drives at Bethesda Hospital East and Bethesda Hospital West for the twelve months ended September 30, 2015.
ADDITIONAL SUPPLEMENTAL INFORMATION Community Benefit InformationCommunity Education: Bethesda Life magazine Through our community assessment survey, Bethesda has found that education is vital to successfully promoting the health and wellness of our community. Three times a year, Bethesda provides a health publication, Bethesda Life magazine, which provides information about new treatments for a variety of health conditions prevalent in our community, as well as information about programs and services, support groups and classes. The publication features articles from Bethesda's Medical Staff who offer advice on topics including: heart health, robotic-assisted procedures, cancer, back and joint pain, and women's health. The magazine is mailed to 180,000 homes in Bethesda's primary and secondary service areas, during October; January and April. Community Education: Community Lecture Series Keeping our patients informed of new advancements in healthcare, treatments for a wide range of conditions, and providing direct access with a Bethesda physician to answer their questions are the goals behind Bethesda's Community Lecture Series. As part of Bethesda's mission to provide quality health services, Bethesda partners with its physicians to provide lectures on health topics of interest to educate the community. Lectures are advertised through Bethesda Life magazine, and local newspapers including: The Palm Beach Post, Sun-Sentinel, The Boynton Forum, The Delray Forum and The Jewish Journal. Bethesda presented 82 free lecture programs, with 6,560 attendees for the twelve months ended September 30, 2015. These programs helped people become more educated about their health to improve their quality of life through lectures on cancer, stroke, heart disease, surgical weight reduction, orthopaedics and breast health. Community Websites: BethesdaWeb.com, BethesdaCancerCenter.org; BethesdaHeart.org and BethesdaOrthopaedics.org In response to our community's need for obtaining health information on the web, Bethesda has its main site: BethesdaWeb.com, and four micro sites: BethesdaWest.org; BethesdaHeart.org; BethesdaOrthopaedics.org; and Bethesda CancerCenter.org. In addition, Bethesda has a mobile site: bethesdaweb.com. These websites provide information about Bethesda's programs, services, community events and support groups, as well as medical information and profiles of physicians who are members of Bethesda's Medical Staff. In addition, Bethesda provides individual websites for each of its employed physicians through the Bethesda Health Physician Group website (BethesdaHealthPhysicianGroup.org). Community Meeting Rooms Recognizing the shortage of public space for civic groups to meet in our community, Bethesda provides use of its meeting rooms for outside organizations for educational purposes. For the twelve months ended September 30, 2015, Bethesda provided meeting room opportunities to serve the needs of the community to serve groups including: Al-Anon, American Heart Association, Boynton Beach Fire Department, Coalition of Boynton West Residential Associations (COBWRA), ECHO Society, Florida Department of Health Immunization Coalition, Greater Boynton Beach Chamber of Commerce and Delray Beach Chamber of Commerce, Hospice of Palm Beach County, La Leche League of Boynton Beach, March of Dimes, Macular Degeneration of South Palm Beach County, Nicotine Anonymous and University of Miami/FAU Medical School. In addition, Bethesda provided a room equipped with computer and Internet access for Medicare counseling sessions held weekly (SHINE program) with 280 attendees who received counseling. Complimentary Transportation Service Access to health services remains a common need that has been identified among our constituent groups. To this end, Bethesda provides complimentary, door-to-door transportation service to assist our community's residents for both inpatients and outpatients who have no other means for accessing healthcare services. Bethesda has three courtesy cars that provided transportation during this past fiscal year to 3,060 patients, with 50% of those patients needing transportation to the hospital for outpatient services; 10% of the patients needing transportation to the Bethesda's rehab services at the DeVos-Blum Family YMCA; 10% for rehab services at the Bethesda Professional Building; and 30% of those patients needing transportation to Bethesda Health City, an outpatient medical mall located in western Boynton Beach. Emergency Services In keeping with its mission to provide quality health services in a caring manner to all patients, regardless of ability to pay, Bethesda has a 24-hour medical and emergency department staffed by full time physicians. For the twelve months ended September 30, 2015, Bethesda cared for 78,935 patients in the Emergency Departments. Of those, nearly 3.5% or 2,739 patients were financial assistance patients, who did not have the ability to pay for healthcare services. Food for the Needy Program Poverty remains a growing problem in certain segments of our community. In an effort to help the hungry in our community, Bethesda Hospital East provides unused food on a weekly basis to Caring Kitchen in Delray Beach. This program is coordinated through Bethesda's Food & Nutrition Services Department and helps approximately 100 people every week. Foreign Language Translation Recognizing the diversity of our community, Bethesda provides an interpreter service through the use of a videoconferencing system that is accessible in more than 20 languages, including sign language for the deaf. Services provided routinely to patients who cannot communicate in English. With 2,930 deliveries in fiscal year 2015, Bethesda continues to see a growing number of non-English speaking families arriving in our maternity and pediatric units. In order to accommodate these families, Bethesda's Center for Women and Children' Family Resource Center provides multi-lingual computers and incorporates multi-lingual resources to provide prenatal, newborn, pediatric and family-centered information. To assist our families, patient information is provided in English, Spanish and Creole. Graduate Medical Education Program In planning for our community's future growth and medical needs, Bethesda is actively engaged in training physicians for the future. Bethesda provides clinical training to graduate medical students from area colleges and universities, including the University of Miami Miller School of Medicine, Florida Atlantic University and Nova Southeastern University, in the areas of obstetrics, pediatrics, family medicine and general surgery. Bethesda saw its second class of 36 Internal Medicine resident physicians begin their rotations in July 2015. Health Fairs Keeping our community informed about their health helps them lead healthier lives. Bethesda offers health information and screenings including: blood pressure screenings, cholesterol screenings, blood sugar screenings, oxygen saturation screenings, bone density screenings, grip strength screenings, and self screenings for hearing and cardiac risk assessment. Bethesda provided 47 community health fairs, reaching over 3,700 people in various locations throughout South Palm Beach County, including residential and civic centers for the twelve months ended September 30, 2015.
ADDITIONAL SUPPLEMENTAL INFORMATION Community benefit informationHelping Hands Program Just as Bethesda's mission is to serve the community, Bethesda recognizes that it cannot care for the community without a strong employee workforce. To this end, employees at Bethesda Hospital East and Bethesda Hospital West have established a fund to help fellow employees facing financial hardships. This on-going program provides toys for children during the holidays; financial assistance for utility bills and assistance during times of personal loss. Hispanic Outreach Program Through our community needs assessment, Bethesda has identified emerging populations within our community who need improved access to healthcare services, including the growing Hispanic migrant farming population in western Boynton/Lake Worth and the Guatemalan population in Lake Worth. Bethesda works with the Caridad Center on an ongoing basis, in Boynton Beach, to address the health needs of these groups through the provision of health screenings and acute care medical services when Caridad Center seeks additional care for these patients. In addition, Bethesda assists patients of Hispanic descent by directing them to Spanish-speaking physicians through our free physician referral program and providing Spanish-speaking staff to aid them throughout all areas of our hospitals. Hospice Care Caring for patients and families through every stage of their lives is why Bethesda is proud to work with Hospice of Palm Beach County to provide a hospice unit on the fourth floor of Bethesda Hospital East. Bethesda's hospice unit offers support for patients and their families, with inpatient care and counseling services. Komen Foundation Mammogram Screening Program As part of its commitment to serve medically needy women, Bethesda participates with the Komen Foundation to provide low-cost screening mammograms to needy women in our community. Bethesda Women's Health Center is the largest Komen-grant site in Palm Beach County. For the twelve months ended September 30, 2015, Bethesda provided 19,755 procedures; saw 474 Komen patients; and provided 324 employee hours for those 474 procedures at an average hourly rate of $28 or $13,272. Leadership Boynton Educating our community leaders about the health needs and health services available to their constituents and their families, Bethesda provides a daylong healthcare leadership-training seminar for the Greater Boynton Beach Chamber of Commerce. This program provides education to the City of Boynton Beach's leaders regarding the important issues affecting hospitals today and healthcare policy in our community. Bethesda serves approximately 20-25 participants per year. Leadership Delray Working with the Greater Delray Beach Chamber of Commerce, Bethesda Hospital East provides a healthcare leadership-training program to educate the City's leaders on the important issues affecting healthcare policy and hospitals today. Participants come from the banking, commercial insurance and real estate sectors. Bethesda serves approximately 25 people per year. Living Will Program Hospital offers free copies of living wills to anyone in the community. An individual's living will is kept on file at the hospital in the person's medical record. Bethesda distributed approximately 1,500 Living Wills to residents in our community for the twelve months ended September 30, 2015. Medicare and Medicaid Counseling Program - SHINE Program Bethesda's largest group of patients is seniors and Bethesda recognizes that helping seniors understand their insurance plans and what benefits are provided is vital to their ability to access health services. Bethesda Hospital, in cooperation with Serving Health Insurance Needs of Elders (SHINE), a department of the Florida Department of Elders, provides free weekly counseling to all persons in the community regarding assistance with Medicare, Medicare Part D, prescription assistance, long-term care needs, insurance, and Medicaid. For the twelve months ended September 30, 2015, 440 counseling sessions were provided. Neonatal Intensive Care Unit - Level III Unit With 2,930 deliveries in during the twelve months ended September 30, 2015, Bethesda had 398 newborns who spent their first days of life in Bethesda's Level III Neonatal Unit, which provides the highest level of care for critically ill and at-risk newborns in our community. This unit has enabled families to stay close to their newborns, while keeping their own families intact. Bethesda's Level III Neonatal Unit is staffed by a neonatologist 24 hours a day. Nursing Education Program To address the critical shortage of nurses in our community both now and in the future, Bethesda opened the Bethesda College of Health Sciences for nursing and radiography students, seeking a 2-year Associates' Degree. The second class of 23 Registered Nurses and 4 Radiography Technicians in May 2015. In addition, Bethesda provides education to students at Bethesda Hospital, Inc. with Level I and Level II student nurses working in both group and one-on-one settings with Bethesda nurses in maternity, pediatrics, medical-surgical, critical care, telemetry, endoscopy, oncology, rehabilitation, wound care and imaging. Physician Referral Service For many in our community, access to health services begins with finding the right physician. As a result, Bethesda's Physician Referral Service is a telephone and walk-in service that provides referrals and offers information about approximately 300 physicians who are on the Medical Staff of Bethesda Hospital. For the twelve months ended September 30, 2015, the Physician Referral line provided information to approximately 2,400 callers. Quality Reporting Initiatives Bethesda Hospital, Inc. participates in National Quality Reporting Initiatives through CMS-Medicare and the National Hospital Quality Alliance and Core Measures project of The Joint Commission, as part of our ongoing efforts to improve patient safety and quality of care within our facility. These organizations have defined changes and measures that have been demonstrated to reduce harm and save lives. For the twelve months ended September 30, 2015, Bethesda Hospital, Inc. participated in the publicly reported measurements in the Hospital Quality Alliance for: - Heart Attack - Pneumonia - Congestive Heart Failure - Surgical Infection Prevention - Patient Perception of Care - ACC/STS
ADDITIONAL SUPPLEMENTAL INFORMATION Community benefit informationeducation: The Bethesda Auxiliary provided (5) $500 nursing/health career scholarships and (2) $750 scholarships, totaling $4,000 for the twelve months ended September 30, 2015. Speakers Bureau - "Be Healthy, Be Well" series Recognizing that many residents need healthcare education within their own communities, Bethesda reaches out to these communities by providing a Speakers Bureau with medical topics and relevant speakers. This free service is available to any requesting organization. Bethesda provided speakers for various speaking engagements in area civic centers, schools, and residential settings. Bethesda provided 30 speakers to the community for the twelve months ended September 30, 2015. Sponsorships Bethesda provides sponsorships in the forms of financial assistance, staff support and material resources to a variety of local organizations in our community to promote outreach and awareness through various organizations, as follows: local schools in Boynton Beach, Delray Beach and Lake Worth; civic organizations; the Susan G. Komen Foundation; the American Heart Association; Caridad Center; March of Dimes; the Cities of Boynton Beach, Delray Beach, Lake Worth, and Palm Beach County law enforcement and emergency life-safety agencies; the Boca Raton YMCA and the DeVos-Blum Family YMCA of Boynton Beach. Bethesda Health and affiliates provided $63,382 in sponsorship grants to local organizations for the twelve months ended September 30, 2015. Support Groups Providing our patients and residents with access to support services is an important extension of Bethesda's mission to provide quality health services in a caring manner. Bethesda provides 25 free community support groups to offer counseling support to patients and families in coping with situations involving health related problems, with approximately 18,000 attendees annually: * Al-Anon * American Cancer Society - "Look Good, Feel Better" program * American Heart Association - "Mended Hearts" Support Group * Better Breathers Club * Breast Cancer Support Group * Caregivers and Care Partners * Coping with Cancer * Insulin Pump Support * "I Can Cope" with American Cancer Society * La Leche League - Breastfeeding Support Group * Leukemia/Lymphoma/Myeloma Support Group * Living with Cancer - (en Espanol) * Lung Cancer Support * Lupus Support Group * Macular Degeneration Support Group * "Man to Man" - Prostate Cancer Support Group * Meditation Support Group * "Moving On After a Diagnosis of Cancer" Support Group * Multiple Myeloma Support Group * Myasthenia Gravis Support Group * Nicotine Anonymous * Post-surgical Breast Cancer Education and Exercise Session * Post-surgical Weight Reduction Support Group * Sharing the Loss (Bereavement for a Loved One) * Stroke Club * Writing our Memories Group Volunteer Program/Auxiliary In serving our community, Bethesda is grateful to many individuals who volunteer their time to further Bethesda's mission to provide quality health services in a caring manner for our patients. A total of 986 adult volunteers and 215 teen volunteers provided over 142,375 hours of in-service for the fiscal year ending September 30, 2015. CONCLUSION Bethesda Hospital, Inc., with Bethesda Hospital East and Bethesda Hospital West, is a comprehensive community-based hospital organization. In keeping with our mission "to provide quality health services in a caring manner," Bethesda Hospital serves a community that is comprised of a diverse population with many needs, from primary to critical care. One particular segment is an aging population that has concerns related to access and transportation to healthcare services. We assess our community needs in numerous ways through a variety of methods, with one-on-one visitor and patient interviews providing some of the most meaningful insight. We continue to deliver quality health services in a caring manner, providing excellent community benefits. We provide primary, acute, emergency, specialty and critical care to our patients, as well as assistance for our under insured community with a dedicated team of individuals that helps patients qualify for various financial assistance. Recognizing that patients need access to health services, we provide transportation services, as well as certified interpreters to facilitate understanding regarding the services we provide. From the prenatal care that helps new families get a healthy start, to the compassionate delivery of hospice care, Bethesda is there for our community through every stage of their lives.

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