2015-05-13T09:40:49-07:00 2014-06-30 990 2013-07-01 510064318 Bayhealth Medical Center Inc BAYH 3027447162 640 South State Street Dover DE 19901 Michael Tretina Treasurer/CFO 2015-05-13 2013 2016-02-25 16:41:14Z Terry M Murphy 640 South State Street Dover DE 19901 766761646 false false X www.bayhealth.org X 1943 DE To improve the health status of all members of the community within Bayhealth's service area. 11 3 3762 475 1707 -14777 1200796 2215550 514835988 541659423 18635747 24879826 2713642 8793984 537386173 577548783 208729 576195 0 256772257 282080177 0 0 226947971 236357166 483928957 519013538 53457216 58535245 866443235 975165827 340672060 362515024 525771175 612650803 To improve the health status of all members of the community within Bayhealth's service area. false false 406574643 536248355 Bayhealth Medical Center, Inc. provides a full range of patient care, emergency services, and wellness services. Bayhealth Medical Center is comprised of a total of 402 beds in two acute-care hospitals, Kent General Hospital in Dover (234 beds) and Milford Memorial Hospital (168 beds). Bayhealth also has outpatient sites throughout the service area. Both hospitals have Level III trauma centers. They provide a full range of surgical and medical care; radiation and medical oncology and chemotherapy; infusion therapy; cardiovascular services; endovascular surgery; electrophysiology; ambulatory surgery; wound care, perinatology services, and a Level II NICU and PICU. During the twelve months ending June 30, 2014, Bayhealth recorded 92,041 Emergency Room visits, 18,581 patients admitted to beds, 2,272 births, 568,266 outpatient visits, and provided $49.5 million in unreimbursed care to patients. Bayhealth has affiliations with the University of Pennsylvania's Penn Health in cardiology, oncology, and orthopaedics. It provides physician and medical clinical rotations, housing, and meals for interns and residents from surrounding states. In FY 2014, Bayhealth hosted students from vocational schools, community colleges, and universities for clinical rotations in nursing and other health professions.Because the service area is deemed to be medically underserved, with a shortage of health professionals, Bayhealth actively recruits physicians to the area. In addition, it owns and operates 21 physician practices in Central and Southern Delaware.Bayhealth has an active education program, including health-related classes, support groups, free public screenings, free speakers for community groups, and representation at community events.Bayhealth Medical Center, Inc. provides care to all patients regardless of their ability to pay for the services rendered. 406574643 true true false false false false false false false true true false false false true true true false false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true false false false false true 447 0 true 3762 true true false false false false false false 0 false false false false false false false false false false X 11 3 false false false false false false false true true false false true true true true true true true true true true X X Michael Tretina 3027447162 640 S State Street Dover DE 19901 Terry M Murphy Chair & CEO 38.00 2.00 X X 937636 0 34129 Michael J Tretina Treasurer & CFO 38.00 2.00 X X 43350 0 0 Earl P Tanis Treasurer & CFO 38.00 2.00 X X 520884 0 -11775 Deborah Watson Vice Chair &COO 40.00 0.00 X X 411806 0 28851 Jose A Guzman MD Ex Officio Dctr 1.00 0.00 X 0 0 0 Michael S Ashton Administrator 40.00 0.00 X 211996 0 31995 Michel R Samaha MD Board Member 1.00 0.00 X 0 0 0 Wendy S Newell MD Board Member 1.00 0.00 X 0 0 0 Bonnie Perratto SVP,Patient Car 40.00 0.00 X 465753 0 27111 Gary Siegelman MD SVP & CMO 40.00 0.00 X 745271 0 25920 Robert Scacheri MD Board Member 1.00 0.00 X 0 0 0 John Van Gorp SVP, Planning & Business Developmnt 40.00 0.00 X 323927 0 33743 Bradley Kirkes VP, Ancillary & Clinical Services 40.00 0.00 X 202440 0 20239 Shana Ross VP, Human Resources 40.00 0.00 X 201505 0 23501 Eric Gloss VP, Medical Affairs 40.00 0.00 X 289120 0 34130 John D Mannion MD Physician 40.00 0.00 X 705469 0 34130 Pedro Perez MD Physician 40.00 0.00 X 787586 0 34130 Laeeq Ahmer MD Physician 40.00 0.00 X 731457 0 34129 James Mills MD Physician 40.00 0.00 X 855932 0 32521 Harjinder Grewal MD Physician 40.00 0.00 X 720313 0 34130 8154445 416884 319 false true false McKesson Technologies Inc 5995 Windward Parkway Alpharetta GA 30005 IS Consulting/Sftwr 4986564 TotalMed IT 10 E College Ave Ste 300 Appleton WI 54911 Staffing/Consulting 4181670 Bay Anesthesia Group LLC 640 S State Str Dover DE 19901 Anesthesia/Med Svcs 3716081 Aramark Services Inc PO Box 8018 Philadelphia PA 19101 Food Mgmt Svcs 2915711 Rehabcare Group Inc PO Box 502096 St Louis MO 63150 Therapy-PT & OT 2664861 260 1215550 1000000 2215550 Health & Wellness Program 900099 2488304 2488304 Patient Charges, Net 900099 533760051 533760051 Pharmacy 900099 5411068 5411068 541659423 9500017 1707 9498310 0 0 612948 464160 148788 148788 148788 202592433 1536079 187163861 1584842 15428572 -48763 15379809 15379809 0 0 0 Childcare Revenue 900099 625611 625611 Defined Income-Meaningful 900099 5135570 5135570 Gift Shop/Food Sales 900099 2395811 2395811 488204 488204 8645196 577548783 536248355 1707 39083171 576195 576195 0 0 0 4601534 4601534 0 196159639 153022325 43137314 13827038 4140360 9686678 54034511 50254314 3780197 13457455 4029692 9427763 0 739012 739012 290275 290275 0 0 2238160 2238160 3973791 3973791 693527 693527 3191534 2021529 1170005 0 0 10089015 10089015 1099482 1099482 0 0 7813038 7813038 0 28662048 28287972 374076 5124389 5124389 Medical Supplies 81242050 48343271 32898779 Provision for Bad Debt 40869423 40869423 Other Purchased Services 30083779 30083779 Eqpmt Rep & Maintenance Contra 10755892 10755892 9491751 9491751 519013538 406574643 112438895 0 0 29761191 33404714 0 59448127 62960576 0 0 0 9062729 10885178 8241066 8525513 541593768 244741379 305205720 296852389 429079575 537969411 4459819 0 0 0 21185008 24568046 866443235 975165827 68768401 84371409 206317819 202972747 473572 268730 65112268 74902138 340672060 362515024 X 515580915 602059466 4296958 4166812 5893302 6424525 525771175 612650803 866443235 975165827 X 58535245 31606421 -3262038 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5893302 531223 6424525 5766785 126517 5893302 6072820 -306035 5766785 5398802 674018 6072820 367709 367709 1.00000 false false false 12864962 12864962 261060848 69811408 191249440 3438928 2761793 677135 58163888 27804179 30359709 206065142 144363999 61701143 296852389 Accrued Post-Retirement benefit 56108744 Estimated Professional Liability, L/T 12329154 Estimated Workers' Comp Cost, L/T 4216354 Fair Value of Interest Rate Swap 2247886 74902138 X 562295344 31606421 -44131461 -12525040 574820384 2238160 490239 2728399 577548783 475415716 464160 464160 474951556 2238160 41823822 44061982 519013538 Part V, Line 4: Intended uses of the endowment fund. The Endowment Funds are to be held in perpetuity. The investment income from the funds is not restricted. Part X : FIN48 Footnote The Medical Center follows the accounting guidance for uncertainties in income tax positions which requires that a tax position be recognized or derecognized based on a "more likely that not" threshold. This applies to positions taken or expected to be taken in a tax return. The Medical Center does not believe its financial statements include any material uncertain tax positions. At June 30, 2014, the Medical Center's tax years ended June 30, 2012 through 2014 for the federal tax jurisdiction remain open. Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S Expenses from Lmtd Partnerships (Reclass $954399 Rental Expense (Reclass) $-464160 Part XII, Line 2d: Other expenses and losses per audited F/S Rental Expenses (Reclass) $464160 Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Provision for Bad Debt (Reclass) $40869423 Expenses from Lmtd Partnerships (Reclass $954399 true true X true X false true true false false true true 7690072 7690072 0.01480 7690072 7690072 0.01480 2185314 2185314 0.00420 3442410 3442410 0.00660 46310915 24388018 21922897 0.04220 2964624 2964624 0.00570 3903445 3903445 0.00750 58806708 24388018 34418690 0.06620 66496780 24388018 42108762 0.08100 789733 789733 0.00150 54416 54416 0.00010 788 788 715972 715972 0.00140 1027261 1027261 0.00200 2588170 2588170 0.00500 false 39121808 150104637 192433202 -42328565 X true true Dover Surgicenter LLC Outpatient Surgery Center 0.27079 Premier Purchasing PtnrsLP Group Purchasing 0.00240 Eden Hill Express Care LLC Walk-in Urgent Care 0.15625 Eden Hill Medical Center Real Estate 0.00422 2 1 Kent General Hospital 640 SOUTH STATE STREET DOVER DE 19901 X X X 2 Milford Memorial Hospital 21 WEST CLARKE AVE MILFORD DE 19963 X X X Kent General Hospital 1 true X X X X X X X X 12 true true true X WWW.BAYHEALTH.ORG X X X X X X X X X true false false true true 200.0000 false false true true X X X true false X X true false false Milford Memorial Hospital 2 true X X X X X X X X 12 true true true X WWW.BAYHEALTH.ORG X X X X X X X X X true false false true true 200.0000 false false true true X X X true false X X true false false Part V, Line 3 - Account Input from Person Who Represent the Community The 2013 Needs Assessment results revealed opportunities for improvement in health promotion, disease prevention and improving access to health care in Kent County, DE. The needs assessment team collated interview and survey responses in order to prioritize identified health needs and develop implementation strategies to fulfill Bayhealth's mission. Description of Community Served:Kent county is located in the Central part of the State of Delaware. Dover is the county seat and the State's capital. Historically, a rural farmland community, Kent County is attempting to preserve its farmland and natural resources while effectively managing the population growth that is occurring in the county. Kent County has a population of nearly 170,000, making it the smallest county in the state in terms of the size of its population. However, the county population has grown 32% since 2000, which is much higher than the state average rate of approximately 17% for the same time frame. The most prevalent race in Kent County is white, which represent over 60% of the total population. The average Kent County education level is lower that the state average. Kent General Hospital, one of the two hospital facilities owned and operated by Bayhealth, opened its doors in 1927. Kent General has grown in size and services to meet the health needs of the communities served. In 2012, Bayhealth invested 130 million dollars to complete phase II construction of Kent General Hospital, part of Bayhealth's 10 year strategic plan designed to address present and future health care needs. Phase II added 415,000 square feet to the Kent campus constructing a new welcome center, central services building, expanded emergency department, integrated cancer center and parking garage.Bayhealth's CHNA focuses on the residents of Kent County. Approximately 87% of Kent General's patients originate from Kent County. Moreover, Kent County residents rely heavily on Kent General for inpatient services, as evidenced by the approximate 75% of Kent County residents who utilized Bayhealth's Kent General for inpatient services in CY 2009(the most recent data available).Who Was Involved in the Assessment:The assessment process was initiated jointly by the Education and Strategic planning departments of Bayhealth. The Assessment was primarily conducted by the Education Department. To gain feedback from persons with broad knowledge of the community served, Bayhealth sought input from community stakeholders, to include the following:--Hope Medical Clinic--Delaware Division of Public Health Department of Health and Social Services 1. James W. Williams State Service Center 2. Thurman Adams State Service Center 3. Delaware Division of Public Health Office of Minority Health 4. Delaware Division of Public Health Office of Women's Health 5. Delaware Division of Public Health Nursing 6. Delaware Division of Public Health Social Services--Lared Medical Center--Westside Family Health Center--Bayhealth High School Wellness Centers, Advanced Practice Nurses 1. Caesar Rodney 2. Lake Forest 3. Dover 4. Milford 5. Smyrna 6. Woodbridge 7. Polytech--Community PhysiciansPersonal invitations were extended to community partner organizations who interact with low-income groups to participate in one-on-one interviews regarding the health needs of Kent County residents. Focus groups were conducted in multiple locations throughout the county. Wellness Center staff, guidance counselors, Church staff (including those of minority populations), and public health nurses were interviewed to ensure information obtained represents the diversity of our community in terms of demographic, socioeconomic, and geographic factor. One-on-one meetings with community physicians were conducted over a two-month period. Community physicians offer a unique perspective and knowledge of the health needs of our population. Physicians who could not attend one-on-one sessions completed a written response assessment. How the Assessment was Conducted:Quantitative and Qualitative analyses methods were utilized to generate a comprehensive assessment to fully understand the health needs of the community served. Quantitative analyses were conducted using the most recent data available from five primary sources:--Delaware Health Tracker (a product of the healthy community network);--County Health Rankings & Roadmaps (a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin population health institute);--Demographic data from the Delaware population consortium;--Delaware Health statistics center; and,--Demographic and socioeconomic data from the US Census bureau.To gain insight, Bayhealth reviewed available data to compare health statistics at the state and county levels to identify areas of health disparity. Based on this analysis, the education department of Bayhealth developed discussion topics for a variety of community engagements, including interviews with key stakeholders, focus groups, and online surveys. A variety of community settings were selected with a special emphasis on those persons and areas most impacted by health disparities. Thematic analysis identified health needs based on available quantitative data and responses from interviews and online surveys. Priority Criteria and Outcomes:The criteria used to evaluate and prioritize the health needs identified through the fact-finding process included:--the seriousness of the issue;--the relative size of the populations affected;--the degree to which the need particularly affected persons living in poverty or reflected health disparities;--alignment with Bayhealth's mission and vision; and ,--availability of community resources to address the need. After close review of the community data and discussions with medical staff members of Bayhealth, health needs were prioritized jointly by the Education and strategic planning departments. Bayhealth's administration was given the opportunity to discuss and reprioritize as needed. The four health concerns identified as priority issues are: 1. Obesity Rates 2. Cancer Rates (Lung, Breast, Prostate) 3. Healthcare Access 4. Mental Health and Substance abuse Part V, Line 3 - Account Input from Person Who Represent the Community To better understand the health needs in Bayhealth's service area, Bayhealth conducted a community health needs assessment (CHNA). Bayhealth analyzed a variety of publicly reported data and gathered input from key stakeholders in Sussex County. Diligent attempts were made to collect, interview, and survey responses from individuals and community-based organizations to gain insight on the needs of vulnerable families in Sussex County. Prior to 2012-2013, the most recent needs assessment was reported to the Bayhealth board of directors in 2006.The CHNA is made available on the hospital's website as follows: www.bayhealth.org/bayhealthcontentpage.aspx?nd=907The 2013 Needs assessment results revealed opportunities for improvement in health promotion, disease prevention and improving access to health care in Sussex, DE. The needs assessment team collated interview and survey responses in order to prioritize identified health needs and develop implementation strategies to fulfill Bayhealth's mission. Description of Communities Served:Milford Memorial Hospital, one of the two hospital facilities owned and operated by Bayhealth, opened its doors in 1938. Since that time, Milford Memorial has grown in size and services to meet the health needs of the communities served, offering a comprehensive array of services to the residents of Central and Southern Delaware. Sussex County is located n the southern part of the state of Delaware. The county seat is Georgetown. Historically, a rural farmland community, Sussex county is attempting to preserve its farmland and natural resources while effectively managing the population growth that is occurring in the County. Sussex County has a population of 203,390, making it the second largest county in the state in terms of the size of its population. The population has grown 30.2% since 2000, which is much higher that the state average rate of approximately 17% for the same time frame. The median age for the county in 2011 was 45.9 years of age, higher than the state as a whole or the US median age the same time frame. The most prevalent race in Sussex County is white (non-Hispanic), which currently represents over 75% of the total population. The average education level in Sussex County is lower than the state average. Sussex County is home to three acute care hospital facilities: Bayhealth's Milford Memorial, Beebe Medical Center in Lewes, and Nanticoke Health Services in Seaford. These three hospitals are joining with local community and health resources to focus on one mission - to make Sussex County one of the healthiest in the nation. As part of the healthier Sussex County initiative, Bayhealth will focus on addressing important health issues impacting residents of Sussex County. Milford Memorial's Community Health Needs Assessment focuses on the residents of Sussex county, the home county of the hospital. Approximately 65% of Milford Memorial's patients originate from Sussex County. An additional 30% of patients that utilize Milford Memorial come from Kent County, a contiguous county. The 2015 population is forecasted to exceed 220,000 in Sussex County. Who Was Involved in the Assessment:The assessment process was initiated jointly by the Education and Strategic planning departments of Bayhealth. The Assessment was primarily conducted by the Education Department. To gain feedback from persons with broad knowledge of the community served, Bayhealth sought input from community stakeholders, to include the following:--Hope Medical Clinic--Delaware Division of Public Health Department of Health and Social Services 1. James W. Williams State Service Center 2. Thurman Adams State Service Center 3. Delaware Division of Public Health Office of Minority Health 4. Delaware Division of Public Health Office of Women's Health 5. Delaware Division of Public Health Nursing 6. Delaware Division of Public Health Social Services--Lared Medical Center--Westside Family Health Center--Bayhealth High School Wellness Centers, Advanced Practice Nurses 1. Caesar Rodney 2. Lake Forest 3. Dover 4. Milford 5. Smyrna 6. Woodbridge 7. Polytech--Community PhysiciansPersonal invitations were extended to community partner organizations who interact with low-income groups to participate in one-on-one interviews regarding the health needs of Kent County residents. Focus groups were conducted in multiple locations throughout the county. Wellness Center staff, guidance counselors, Church staff (including those of minority populations), and public health nurses were interviewed to ensure information obtained represents the diversity of our community in terms of demographic, socioeconomic, and geographic factor. One-on-one meetings with community physicians were conducted over a two-month period. Community physicians offer a unique perspective and knowledge of the health needs of our population. Physicians who could not attend one-on-one sessions completed a written response assessment. How the Assessment was Conducted:Quantitative and Qualitative analyses methods were utilized to generate a comprehensive assessment to fully understand the health needs of the community served. Quantitative analyses were conducted using the most recent data available from five primary sources:--Delaware Health Tracker (a product of the healthy community network);--County Health Rankings & Roadmaps (a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin population health institute);--Demographic data from the Delaware population consortium;--Delaware Health statistics center; and,--Demographic and socioeconomic data from the US Census bureau.To gain insight, Bayhealth reviewed available data to compare health statistics at the state and county levels to identify areas of health disparity. Based on this analysis, the education department of Bayhealth developed discussion topics for a variety of community engagements, including interviews with key stakeholders, focus groups, and online surveys. A variety of community settings were selected with a special emphasis on those persons and areas most impacted by health disparities. Thematic analysis identified health needs based on available quantitative data and responses from interviews and online surveys. Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment MILFORD MEMORIAL HOSPITAL Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment Kent General Hospital Part V, Line 11 - Criteria Used For Discounted Care If Not FPG Bayhealth does not have a tiered financial assistance program, all uninsured patients receive a 10% discount on service provided. Part V, Line 11 - Criteria Used For Discounted Care If Not FPG Bayhealth does not have a tiered financial assistance program, all uninsured patients receive a 10% discount on service provided. Part V, Line 14g - Other Means Hospital Facility Publicized the Policy All patient statements advise patients to call our billing support department if they need financial assistance. Part V, Line 14g - Other Means Hospital Facility Publicized the Policy All patient statements advise patients to call our billing support department if they need financial assistance. 39 Eden Hill Outpatient Imaging Center 200 Banning St Suite 140 Dover DE 19904 Outpatient Diagnostic Center Milford Outpatient Imaging 1020 Mattlind Way Milford DE 19963 Outpatient Diagnostic Center Harrington Outpatient Center 201 Shaw Ave Harrington DE 19952 Outpatient Service Center Middletown Medical Center 209 E Main St Middletown DE 19709 Outpatient Services Center Milton Outpatient Center 632 Mulberry St Milton DE 19968 Outpatient Services Center Womens Center - Dover 540 S Governors Ave Dover DE 19901 Outpatient Services Center Womens Center at Milford 200 Kings Hwy Suite 3 Milford DE 19963 Outpatient Services Center Smyrna-Clayton Professional Center 401 N Carter Road Smyrna DE 19977 Outpatient Services Center Bayhealth Womens Care Assoc Milford 517 South Dupont Hwy Milford DE 19963 Outpatient Physician Clinic Bayhealth Medical Assoc Milford 305 Jefferson Ave Milford DE 19963 Outpatient Physician Clinic Bayhealth Maternal Fetal Medicine 1060 S Governors Ave Dover DE 19901 Outpatient Physician Clinic Bayhealth Medical Assoc Milton 630 Mulberry Street Milton DE 19968 Outpatient Physician Clinic Bayhealth Plastic & Aesthetic Surgery 34446-2 King Street Row Lewes DE 19958 Outpatient Physician Clinic Bayhealth Medical Assoc of Harrington 205 Shaw Ave Harrington DE 19952 Outpatient Physician Clinic Bayhealth ENT of Georgetown 20930 Dupont Blvd Suite 202 Georgetown DE 19947 Outpatient Physician Clinic Bayhealth Family Practice Dover 200 Banning St Suite 150 Dover DE 19904 Outpatient Physician Clinic Bayhealth Endocrinology Milford 113 Neurology Way Milford DE 19963 Outpatient Physician Clinic Bayhealth ENT Dover 826 S Governors Ave Dover DE 19901 Outpatient Physician Clinic Wellness Center at Caesar Rodney High School 239 Old North Road Camden DE 19934 School-Based Wellness Center Wellness Center at Milford High School 1019 N Walut St Milford DE 19963 School-Based Wellness Center Wellness Center at Smyrna High School 500 Duck Creek Parkway Smyrna DE 19977 School-Based Wellness Center Wellness Center at Woodbridge High School 307 Laws Street Bridgeville DE 19933 School-Based Wellness Center Bayhealth Medical Grp Urology-Milford 200 Kings Hwy Suite 7 Milford DE 19963 Outpatient Physician Clinic Bayhealth General Surgery Milford 113 Neurology Way Milford DE 19963 Outpatient Physician Clinic Bayhealth Family Practice Georgetown 25 Bridgeville Rd Georgetown DE 19947 Outpatient Physician Clinic Bayhealth Medical Grp Orthopaedic Dover 540 South Governors Ave Suite 201 Dover DE 19901 Outpatient Physician Clinic Bayhealth Medical Grp Cardiology 1100 Forrest Ave Dover DE 19904 Outpatient Physician Clinic Dover Occupational Health 1275 South State Street Dover DE 19901 Occupational Health Services Milford Occupational Health & UrgentCare 301 Jefferson St Milford DE 19963 Occupational Health Services and Walk-In Urgent Care Services Kent Outpatient Imaging-Dover 540 S Governors Ave Dover DE 19901 Outpatient Diagnostic Center Wellness Center at Lake Forest High School 5407 Killens Pond Road Felton DE 19943 School-based Wellness Center Wellness Center at Polytech High School 823 Walnut Shade Road Dover DE 19901 School-based Wellness Center Wellness Center at Dover High School 1 Pat Lynn Drive Dover DE 19904 School-based Wellness Center Bayhealth Neurology Dover 540 S Governors Ave Dover DE 19901 Outpatient Physician Clinic Bayhealth Urology Dover 200 Banning St Suite 350 Dover DE 19904 Outpatient Physician Clinic Bayhealth General Surgery Dover 819 S Governors Ave Dover DE 19901 Outpatient Physician Clinic Bayhealth Pain Treatment Center 826 S Governors Ave Dover DE 19901 Outpatient Services Center Cardiac Diagnostic Ctr Dover 1100 Forest Ave Dover DE 19904 Outpatient Diagnostic Center Cardiac Diagnostic Ctr-Milford 802 N Dupont Hwy Milford DE 19963 Outpatient Diagnostic Center Part I, Line 6a - Related Organization Community Benefit Report The Medical Center provides its community benefit information to the Delaware Healthcare Association, Inc. for use in a state-wide Community Benefit report. Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense Bad debt is reported elsewhere on Form 990, but is subtracted for purposes of calculating the Medicare ratio of costs to charges (RCC). The Provision for Bad Debt is the result of an estimate by management. It is reviewed frequently in the light of historical and expected collections, and is based on the historical percentage collected in each category. Part III, Line 4 - Bad Debt Expense The Medical Center provides an allowance for doubtful accounts for estimated losses resulting from the unwillingness or inability of patients to make payments for services. The allowance is determined by analyzing specific accounts and historical data and trends. Patients accounts receivable are charged off against the allowance for doubtful accounts when management determines that recovery is unlikely and the Medical Center ceases collection efforts. In evaluating the collectability of accounts receivable, the Medical Center analyzes its past history and identifies trends for each of its major payor sources to estimate the appropriate allowance for doubtful accounts and provisions for bad debt. Management reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Medical Center analyzes contractually due amounts and provides and allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid). For receivables associated with self-pay patients, the Medical Center records a significant provision for bad debts on the basis of its past experience, which indicates that any patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the billed rates and the amounts actually collected after all reasonable internal collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The Medical Center in 2014 experienced an approximately 9% increase in the allowance for doubtful accounts, due to changes in payor mix and collection experience. Part III, Line 8 - Explanation Of Shortfall As Community Benefit Bayhealth's service area is experiencing an influx of people from areas with a higher cost of living. many of these people are senior citizens and are Medicare recipients. Bayhealth provides services to them as part of its mission to care for th entire community. The Medicare losses sustained by Bayhealth are a result of Medicare reimbursing at less than operating costs. The IRS community benefit standard for hospitals that serve patients covered by governmental health benefits(including Medicare)is that it must do so while promoting the health of the community. Therefore, Medicare losses should be counted as a community benefit.Net revenue from the Medicare program accounted for approximately 36%of Bayhealth's net patient revenue for the year ended 6/30/14. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients Bayhealth policy is to comply with all State and Federal law and third-party regulations and to perform all credit and collection functions in a dignified and respectful manner. Emergency services will be provided to all patients regardless of ability to pay. Financial assistance is available for patients based on financial need as defined in the financial assistance policy. Bayhealth does not discriminate on the basis of age, gender, race, social or immigration status, sexual orientation, or religious affiliation. Patients who are unable to pay may request a financial assistance application at any time prior to service and up to 120 days from the bill date. Bayhealth may request the patient to apply for medical assistance prior to applying for financial assistance. Our organization does not pursue collection activity on patients determined to be eligible for our financial assistance program. Part VI - Needs Assessment Bayhealth does service-specific needs assessments periodically by using patient surveys. Bayhealth also surveys other not-for-profits, health organizations, attendees at classes, support groups and screenings to assess the strengths and weaknesses of the programs that Bayhealth offers. Bayhealth has on-going communications with the State of Delaware and with national not-for-profit health organizations. Plans for a full-scale state-wide needs assessment are progressing on schedule. Part VI - Patient Education of Eligibility for Assistance All patients or family members who inquire about financial assistance are directed to the Financial Counselor Team of the Patient Access Department (Admissions). Self-pay patients are directed to PATHS, a service contracted by Bayhealth, that screens them for Medicaid and helps them with financial application papers. Bayhealth's invoices state, "If you are not able to pay please contact our Billing Support Department to make suitable arrangements." The Patient Billing Guide is distributed by the Patient Finance and Admissions Departments. The booklet describes types of bills, understanding your bill, privacy policy, collection policy, dispute resolution, payment methods, and has a glossary of financial and insurance terms. The Billing Support/Self Pay/Financial Counselor Department's local telephone number and a direct toll-free telephone number is available by calling the main hospital telephone number, on our website, and is also listed on brochures and on other informational material. EMTALA and Patient Rights information is conspicuously placed for all patients and visitors to see.Bayhealth's Financial Assistance Policy was established to provide financial relief to those who are unable to meet their obligation for services rendered, a patient's inability to obtain financial assistance does not, in any way, preclude the patient's right to receive and have access to medical treatment. Our financial assistance policy informs patients and persons who would otherwise be billed for services about their eligibility for assistance under Federal, State or local government programs. Our Financial Assistance policy and contact information is posted in all admission areas, the emergency room, all other outpatient areas throughout the facility, and on our website. A copy of the policy is included upon patient admission and discharge, as well as provided in patient bills an our website. Bayhealth discusses with patients the availability of various government benefits, such as Medicaid or State programs, and employs dedicated staff on-site to assist patients with qualifications for such programs. Part VI - Community Information Bayhealth's service area is designated as a "Medically Underserved Area" and a "Health Professional Shortage Area" by the federal and state governments. The population of Bayhealth's service area is growing rapidly because of an influx of retirees arriving from higher-cost-of-living areas in neighboring states, and because of retired military families attracted by the proximity of Dover Air Force Base. Kent and Sussex Counties also have a growing population of residents who do not speak English fluently. Teen pregnancy, school drop-out, infant mortality, and cancer rates are relatively high compared to national averages.In recent years, Delaware housing values have increased faster than those in most of the U.S. Housing values have increased faster than the rate of inflation. Housing prices are well over 3 times the median household income. Employment growth is fastest in low-paying sectors, with most of the growth in job sectors paying less than $26,000 annually. The fastest growing job sector in Sussex County averages $16,000 annual salary. Part VI - Community Building Activities Bayhealth has invested heavily in recruiting primary care and certain specialty physicians to this medically underserved area. To encourage physicians to relocate to its service area, Bayhealth has formed a number of wholly-owned physician practices, currently employing more than 55 physicians. Additionally, a hospitalist program was established in 2009. Bayhealth staff members serve on various professional, educational, and community boards throughout Delaware. Examples include the Delaware Chapter of March of Dimes; Delaware Health Mother and Infant Consortium; Brain Injury Association of Delaware; Delaware Cancer Consortium Advisory Board; Delaware Breast Cancer Coalition; and the Hope Medical Clinic, Delaware's only 100% free medical facility. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose Promotion of Community HealthBayhealth is investing heavily in expanding and upgrading its facilities and equipment. Bayhealth Kent General recently completed a major building project, which added a new and expanded Emergency Department and integrated Cancer Center. Plans are under development for a new hospital at Bayhealth Milford Memorial. Bayhealth's medical staff of 400+ physicians is open to any qualified physician in its service area. Bayhealth hosts students for residencies, internships and clinical studies and assists some students with room and board during the host period. Bayhealth's Education Department offers free blood pressure, diabetes, and osteoporosis screenings; and free or discounted mammograms, prostate, skin, and colorectal screenings to under-insured or uninsured individuals. They also host a wide variety of free monthly support groups, classes, and information sessions at both hospitals. Bayhealth operates and subsidizes 7 high school wellness centers in Kent and Sussex counties, under an agreement with the State of Delaware. To encourage interest in health-related careers, Bayhealth contributes monies and equipment to nearby colleges and universities. Bayhealth staff members deliver lectures and presentations, mentor healthcare students, and work as members of committees to develop healthcare curricula. Bayhealth hosts an Explorer Troop which focuses on medical careers. Bayhealth Kent General supplies operating rooms, medical supplies and health-related staff for the Voluntary Ambulatory Surgical Access Program (VASAP), which provides ambulatory surgical procedures for indigent patients. Bayhealth is an active member of the Kent Economic Partnership, the Downtown Dover Partnership, and six Chambers of Commerce. As Bayhealth representatives, staff members are active in community Rotary Clubs and other service organizations. Part VI - Affilated Health Care System Roles and Promotion Bayhealth is a member of the University of Pennsylvania Cancer Network, University of Pennsylvania Health System's Penn Cardiac Care, and Penn Orthopaedics of Penn Medicine. These alliances provide direct access to the latest medical research, clinical trials, and specialty care. Part VI - States Where Community Benefit Report Filed DE Part V - Explanation of Number of Facility Type Dover Surgicenter, LLC is licensed by the State, and would qualify as a "general medical and surgical" facility except that it provides services only on an outpatient, rather than an inpatient, basis. Bayhealth Medical Center is a limited partner. true American Heart Association 7272 Greenville Ave Dallas TX 75231 135613797 30500 0 Program Support Delaware Breast Cancer Coalit 111W 11th St Ste 3 Wilmington DE 19801 522045298 6500 0 Program Support Delaware Technical Community 100 Campus Dr Dover DE 19904 510246178 21500 0 Program Support Downtown Milford 207 S Walnut Str Milford DE 19963 510364402 8000 0 Program Support State of Delaware PO Box 637 Dover DE 19903 516000279 400000 0 State Healthcare Innovation Plan Wesley College 120 N State Str Dover DE 19901 510064335 250500 0 Program Support 0 6 X true true X X X X false true false false false false false true false false Bonnie Perratto SVP,Patient Car 287073 91934 86746 13560 13551 492864 Bradley Kirkes VP, Ancillary & Clinical Services 184511 15734 2195 11364 8875 222679 Deborah Watson Vice Chair &COO 301150 96098 14558 15300 13551 440657 Earl P Tanis Treasurer & CFO 360913 135288 24683 -19411 7636 509109 Eric Gloss VP, Medical Affairs 260509 25942 2669 15300 18830 323250 Gary Siegelman MD SVP & CMO 490854 143989 110428 15300 10620 771191 Harjinder Grewal MD Physician 286110 396215 37988 15300 18830 754443 James Mills MD Physician 695546 136383 24003 13691 18830 888453 John D Mannion MD Physician 550644 17500 137325 15300 18830 739599 John Van Gorp SVP, Planning & Business Developmnt 202518 66043 55366 14914 18829 357670 Laeeq Ahmer MD Physician 294013 368142 69302 15300 18829 765586 Michael S Ashton Administrator 194136 17126 734 13166 18829 243991 Pedro Perez MD Physician 294013 380045 113528 15300 18830 821716 Shana Ross VP, Human Resources 185091 15570 844 12288 11213 225006 Terry M Murphy Chair & CEO 601099 305760 30777 15300 18829 971765 Part I, Line 1a: Relevant information in regards to selections on 1a. Discretionary Spending Account--Under terms of their Employment Agreements, certain senior executives participate in a Flexible Benefit Plan. They receive a predetermined amount of additional compensation per quarter, which is intended to be used for automobile expenses, estate planning, legal assistance, tuition, supplemental life & disability insurance, or other expenses. Part I, Line 7: Non-Fixed payments not listed above Non-Fixed Payments--Bonuses paid are based on a number of variables including but not limited to individual goal achievements as well as organization operational achievements. The final determination of the bonus amount is determined and approved by the board as part of the overall compensation review of the officers and key employees. A Delaware Health Facilities Authority 246388xxx 2009-10-31 138490000 Construction Project false false false B Delaware Health Faciliities Authority 246388PZ9 2009-10-31 35600000 Replace 2009 B&C Bonds.PNCBank false false false C Delaware Health Facilities Authority 246388QA3 2009-10-31 35600000 Replace 2009 B&C Bonds.PNCBank false false false A 136526503 18320647 611817 117594038 18320647 false false true true B 37745725 37431536 424189 true false true true C 37789270 37475081 424189 true false true true A false false false false true B false false false false true C false false false false true A false false false false false B false false false false false C false false false false false Part VI Schedule K, Part I, Lines AIssue Price - Delaware Health Facilities Authority Bond issue was issued under 24 CUSIP numbers, which are not listed separated on Schedule K, their total was $138,490,000.Schedule K, Part I, Lines B & CIn June 2012, the Medical Center replaced the 2009B and 2009C bonds with 2012 $72,250,000 variable rate refunding bonds (Series 2012), that are direct bank purchase bonds with a national bank. The services 2012 bonds were used to extinguish the Series 2009B and 2009C bonds CUSIP numbers did not change in this transaction. Form 990, Part VI, Line 11b: Form 990 Review Process The entire Form 990 is reviewed by the CFO and the CEO. Schedule J is reviewed by the entire Board of Directors. Upon confirmation of a successful e-filing from the IRS, a copy of the final e-filed return is made available to any interested members of the governing body. After filing, a copy is also sent to Bayhealth's outside audit firm for review. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Bayhealth regularly and consistently monitors and enforces compliance with its conflict of interest policy for all officers and directors. A conflict of interest questionnaire is distributed to and collected from officers and directors annually. Any potential conflicts of interest are investigated further by Bayhealth's executive team. In the event of an actual or perceived conflict of interest, subsequent recusal and abstention by the officer or director may be necessary. These and other requirements are monitored, reviewed and resolved on an on-going basis pursuant to the conflict of interest policy. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management A compensation committee of the Board determines the compensation of the CEO, CFO, COO, and Chief Medical Officer. An independent consultant provides information and recommendations, using a variety of compensation surveys and studies. Written employment contracts are implemented. The full Board of Directors approves the compensation. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees For officers and key employees other than the CEO, CFO, COO, and Chief Medical Officer referred to in the previous question, a variety of techniques are used to determine compensation. The Human Resources Department and an independent consultant provide information and recommendations, using a variety of compensation surveys and studies. Written employment contracts are utilized for some positions. The Board of Directors and its compensation committee is kept informed of events. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Form 990 is available on www.Guidestar.org. Form 990-T, governing documents, policies, and financial statements are available upon request. Other Changes In Net Assets Or Fund Balances - Other Increases Change in Beneficial Interest in Net Assets of BH Foundation = $3180202 Other Changes In Net Assets Or Fund Balances - Other Increases Change in Beneficial Interest in Perpetual Trusts = $531223 Other Changes In Net Assets Or Fund Balances - Other Increases Change in Fair Value of Interest Rate Swap = $457087 Other Changes In Net Assets Or Fund Balances - Other Decreases Change in Pension Benefit Obligations = -$7430550 Bayhealth Foundation Inc 640 South State Street Dover DE 19901 222559843 Fundraising for Bayhealth Medical Center DE 501(c)(3) 7 N/A false Bayhealth Development Corp 640 South State Street Dover DE 19901 510281107 Real Estate DE N/A C Corp false false false true false false false false false false false true false false false false false true false false Bayhealth Foundation Inc q 508171 FMV Bayhealth Development Corp c 1000000 FMV Bayhealth Development Corp k 1045807 FMV Bayhealth Development Corp q 434022 FMV