2014-08-05T13:51:28-05:00 2013-09-30 CROWE HORWATH LLP 401 EAST LAS OLAS BLVD SUITE 1100 FORT LAUDERDALE FL 33301 990 2012-10-01 592447554 BETHESDA HOSPITAL INC BETH 5617377733 2815 S SEACREST BLVD BOYNTON BEACH FL 33435 JOANNE AQUILINA 2014-07-25 true Cindy Kushner P00739493 9542028600 2012 2015-11-30 17:44:51Z ROGER L KIRK 2815 S Seacrest Blvd Boynton Beach FL 33435 385495425 false X WWW.BETHESDAWEB.COM X 1959 FL BETHESDA HOSPITAL'S MISSION IS TO PROVIDE QUALITY HEALTH SERVICES IN A CARING MANNER. SERVICES INCLUDE ACUTE CARE HOSPITAL SERVICES: MEDICAL-SURGICAL, EMERGENCY SERVICES, PEDIATRICS, OBSTETRICS, NEWBORN, COMPREHENSIVE STROKE, CARDIOVASCULAR, AND CANCER AND REHABILITATION SERVICES. 11 10 2038 543 289461 -1137 2244583 5992493 295372551 312557421 3787668 7626197 10554227 2361800 311959029 328537911 0 362500 0 0 123013553 132014771 0 0 0 173082368 192591633 296095921 324968904 15863108 3569007 314582606 425244340 98875332 52594318 215707274 372650022 X SEE SCHEDULE O false false 280921397 362500 312569947 FOUNDED IN 1959, BETHESDA HOSPITAL, INC. IS A NOT-FOR-PROFIT HOSPITAL ORGANIZATION SERVING THE MEDICAL NEEDS OF SOUTH PALM BEACH COUNTY WITH A MISSION TO PROVIDE QUALITY HEALTH SERVICES IN A CARING MANNER. WITH TWO LOCATIONS, 401-BED BETHESDA HOSPITAL EAST AND 80-BED BETHESDA HOSPITAL WEST, BETHESDA HOSPITAL IS COMPRISED OF MORE THAN 670 PHYSICIANS IN MORE THAN 40 AREAS OF SPECIALTY ON ITS MEDICAL STAFF. (CONTINUED IN SCHEDULE O) 280921397 true true false false false false false false true true false false false true true false true false false true false false false false false true true false true true false false false false false false false false true false false false true true false false false false true 348 0 true 2038 true true true false false false false false false false false false X 11 10 false false false false true true true true true false false true true true true true true false false true true X Joanne Aquilina 5617377733 2815 S SEACREST BLVD BOYNTON BEACH FL 33435 X GEORGE T ELMORE 2.00 2.00 X X 0 0 0 I JEFFREY PHETERSON ESQ 2.00 2.00 X X 0 0 0 THOMAS A SMITH 2.00 2.00 X X 0 0 0 FRED B DEVITT JR ESQ 2.00 2.00 X 0 0 0 FRED W LOVE MD 2.00 4.00 X 0 0 0 JAMES BYRNES MD 2.00 0 X 16000 0 0 MARIE BEDNER 2.00 4.00 X 0 0 0 RALPH B BRESLAW MD 2.00 0 X 3000 0 0 STORMET C NOREM 2.00 4.00 X 0 0 0 WILLIAM F CASSADY 2.00 2.00 X 0 0 0 JOANNE AQUILINA 2.00 48.00 X 0 277948 53202 ROBERT BROADWAY 2.00 48.00 X 0 238253 54858 ROGER L KIRK 2.00 54.00 X 0 760139 104910 ALBERT G BIEHL 40.00 0 X 349137 0 53395 GARY S NORDMARK 40.00 0 X 232257 0 56938 GERALYN A LUNSFORD 40.00 0 X 275637 0 45668 MATTHEW G SKINNER 40.00 0 X 233402 0 25018 SHARLENE LAU 40.00 0 X 152800 0 6475 ROBERT B HILL 0.00 0.00 X 0 398130 9117 1262233 1674470 409581 78 true true false SHIFTWISE 2501 SW 1ST AVENUE STE 200 PORTLAND OR 97201 CONTRACT STAFFING 2205332 SONNERBORN RUTTER & COONEY PA 1400 CENTREPARK BLVD SUITE 400 WEST PALM BEACH FL 33401 PROFESSIONAL FEES LEGAL 1729786 PALM BEACH CREDIT ADJUSTORS 3800 S CONGRESS AVE STE 3 BOYNTON BEACH FL 33426 COLLECTION SERVICES 1435160 OPTUMINSIGHT INC 2771 MOMENTUM PLACE CHICAGO IL 606895327 CONSULTING FEE 1262679 ASCENT MEDICAL GROUP LLC 406 SW 12 STREET DEERFIELD BEACH FL 33442 ANESTHESIA SERVICES 1177874 25 5585835 38608 368050 102864 5992493 PATIENT SERVICE REVENUE 622110 309479613 309190152 289461 AFFILIATE PROGRAM REVENUE 518210 315296 315296 CLINICAL RESEARCH 621500 74625 74625 MEDICARE/MEDICAID INCENTIVE PAYMENTS 900099 2687887 2687887 0 0 0 0 0 312557421 4019887 4019887 0 0 571765 179242 392523 0 392523 392523 60370082 14500 56774627 3645 3595455 10855 3606310 3606310 0 0 0 FOOD SALES 722210 1023468 1023468 CHILDCARE 624410 643822 643822 REIMBURSEMENT OF EXPENSES 900099 286572 286572 15415 15415 0 0 1969277 328537911 312569947 289461 9686010 0 362500 362500 0 0 0 0 103667051 94738126 8928925 10193773 9276333 917440 10673718 9696260 977458 7480229 6807008 673221 0 2201934 2201934 79644 79644 0 0 494833 494833 31689287 15014933 16674354 0 60524 47123 13401 6441949 5733534 708415 4380126 3494275 885851 0 6321707 4400672 1921035 416745 324218 92527 0 91048 28957 62091 0 0 25188015 16999055 8188960 5036564 3903078 1133486 BAD DEBT 53531270 53531270 ASSESSMENT FL PUB MED ASSISTANCE 3637917 3637917 MEDICAL SUPPLIES 49878478 49878478 FOOD 2664428 2640977 23451 477164 406683 70481 0 324968904 280921397 44047507 0 0 8200 9200 5941208 4798263 43954259 47342395 0 0 3955369 5062280 6621733 4652857 482405995 237836999 138812254 244568996 92038211 92573745 4323812 9934791 0 0 18927560 16301813 314582606 425244340 19772551 10858407 0 79102781 41735911 98875332 52594318 X 198203812 357790560 15744904 12948554 1758558 1910908 215707274 372650022 314582606 425244340 X 3569007 1094931 152278810 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 19276731 1839883 329789 30332 20756493 16942951 2663231 299987 29464 19276731 17333861 6000 -205068 0 151760 40082 16942951 15480219 666556 1518235 0 250000 81149 17333861 15459550 60000 292425 0 250000 81756 15480219 0.66410 0.09210 0.24380 false true true 2170248 2170248 319858320 121971601 197886719 982101 643435 338666 157870429 115221963 42648466 1524897 1524897 244568996 0 RESERVES FOR SELF INSURANCE 10731195 DUE TO STATE MED ASSIST FUNDS 267735 ACCRUED RETIREMENT BENEFIT LIABILITY 30736748 SECURITY DEPOSIT 233 41735911 X Intended uses of endowment funds Schedule D, Part V, Line 4 THE ENDOWMENT FUNDS ARE HELD BY BETHESDA HOSPITAL FOUNDATION, INC. THE ENDOWMENT FUNDS ARE USED TO SUPPORT BETHESDA HOSPITAL IN THE PROVISION OF QUALITY HEALTH CARE SERVICES TO THE SURROUNDING COMMUNITY. FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 THE 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, BHPG, 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, 2013 AND 2012, 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, 2013 OR 2012. CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS 8029544 8029544 false false false false false false FOREIGN INVESTMENTS SCHEDULE F, PART IV BETHESDA 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. THE QUESTIONS IN SCHEDULE F, PART IV ARE MARKED "NO". true true X true X false true true true false true true 6174655 0 6174655 0.02270 52494947 38355368 14139579 0.05210 5379994 1754353 3625641 0.01340 0 0 64049596 40109721 23939875 0.08820 872429 143900 728529 0.00270 1104249 838123 266126 0.00100 0 0 0 0.00000 0 0 0 0.00000 0 0 0 0.00000 0 0 1976678 982023 994655 0.00370 0 0 66026274 41091744 24934530 0.09190 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0 0 0 0 0.00000 true 53531270 3934548 90423852 93501911 -3078059 X true true 1 1 BETHESDA HOSPITAL

2815 SOUTH SEACREST BLVD BOYNTON BEACH FL 33435

WWW.BETHESDAWEB.COM X X X INPATIENT REHABILITATION BETHESDA HOSPITAL 1 true X X X X X X X X X 11 true false true X X X X X X X X X X false false true true 200 false true X X X true true X false false X true X true false 4 BETHESDA HEALTH CITY

10301 HAGEN RANCH ROAD BOYNTON BEACH FL 33437

OUTPATIENT REHABILITATION, RADIATION ONCOLOGY, WOUND CARE BETHESDA PROFESSIONAL PLAZA

2623 SOUTH SEACREST BLVD BOYNTON BEACH FL 33435

OUTPATIENT REHABILITATION DEVOS-BLUM FAMILY YMCA OF BOYNTON BEACH

9600 SOUTH MILITARY TRAIL BOYNTON BEACH FL 33436

OUTPATIENT REHABILITATION BLUM FAMILY YMCA OF BOCA RATON

6631 PALMETTO CIRCLE SOUTH BOCA RATON FL 33433

OUTPATIENT REHABILITATION Eligibility criteria for free or discounted care Schedule H, Part I, Line 3c THE DETERMINATION IS MADE ON A CASE-BY-CASE BASIS. SOME OF THE TYPES OF DISCOUNTS THAT HAVE BEEN OFFERED TO THOSE INDIVIDUALS WHO DO NOT HAVE INSURANCE ARE AS FOLLOWS: ALL SELF PAY AND CASH PAYING PATIENTS ARE OFFERED DISCOUNTED PRICING BASED ON A MULTIPLE OF MEDICARE REIMBURSEMENT, ESTABLISHED EMERGENCY ROOM FLAT RATES, FLAT DISCOUNTS BASED ON GROSS CHARGES AND OR COVERAGE OF COSTS PER INDIVIDUAL ACCOUNT. ALL SELF PAY AND UNINSURED PATIENTS THAT DO NOT REQUEST DISCOUNT PRICING PRIOR TO OR AT THE TIME OF SERVICE ARE OFFERED A 30% DISCOUNT OFF BILLED CHARGES ON THE FIRST STATEMENT FROM OUR EXTENDED BUSINESS OFFICE. Costing Methodology used to calculate financial assistance Schedule H, Part I, Line 7 THE RATIO OF PATIENT CARE COSTS TO CHARGES FROM WORKSHEET 2 WAS USED TO CALCULATE THE COSTS ASSOCIATED WITH PROVIDING CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS TO OUR PATIENTS. CHARITY CARE COSTS: THE TOTAL CHARGES FOR ALL PATIENT ACCOUNTS WITH A CHARITY CARE WRITE OFF DURING FISCAL YEAR 2013 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 CHARITY CARE POLICY TO OBTAIN OUR ESTIMATED TOTAL CHARITY CARE 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. Bad Debt Expense excluded from financial assistance calculation Schedule H, Part I, Line 7, column(f) 53,531,270 Bad debt expense - methodology used to estimate amount Schedule H, Part III, Line 2 BAD DEBT EXPENSE IS BASED ON ACTUAL WRITE-OFFS OF ZERO BALANCE ACCOUNTS IN ADDITION TO AN ESTIMATE OF UNSETTLED ACCOUNTS BASED ON HISTORICAL PERCENTAGES. Bad debt expense - methodology used to estimate amount as community benefit Schedule H, Part III, Line 3 OUR ORGANIZATION APPLIED A PERCENTAGE OF 7.35%, TO THE TOTAL DOLLAR AMOUNT OF BAD DEBT TO ESTIMATE THE AMOUNT OF OUR ORGANIZATION'S BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY UP TO 100% FPIL. THIS PERCENTAGE IS BASED ON EQUIFAX SCORING (PROPRIETARY CREDIT SCORING ALGORITHM) ANALYSIS OF A STATISTICALLY SIGNIFICANT POPULATION (21,351) OF DEBTORS PLACED IN COLLECTION FROM 10/1/2012-9/30/2013. CONSUMERS WITH AN EQUIFAX SCORE OF 301-500 (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. Bad debt expense - financial statement footnote Schedule H, Part III, Line 4 THE 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 SYSTEM DOES NOT REQUIRE COLLATERAL, AND LOSSES, ARE ANTICIPATED TO BE WITHIN MANAGEMENT'S EXPECTATIONS. Community benefit & methodology for determining medicare costs Schedule H, Part III, Line 8 THE COST IS BASED ON THE HOSPITAL'S FY 2013 AS FILED MEDICARE COST REPORT COSTING METHODOLOGY. THE SHORTFALL IS A COMMUNITY BENEFIT AS THESE SERVICES WERE NOT FULLY REIMBURSED. Collection practices for patients eligible for financial assistance Schedule H, Part III, Line 9b OUR 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. Community Served by Needs Assessment Schedule H, Part V Section B, Line 3 (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 AND 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. ; Needs not addressed in Needs Assessment Schedule H, Part V Section B, Line 7 (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 FORM 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. ; Used FPG to determine eligibility for providing discounted care criteria Schedule H, Part V Section B, Line 11 (1) BETHESDA HOSPITAL - OUR ORGANIZATION DOES NOT USE AN ASSET TEST BUT REVIEWS A PATIENT'S ABILITY TO PAY BASED UPON THEIR AVAILABLE INCOME AND ASSETS. ALL SELF PAY AND CASH PAYING PATIENTS ARE OFFERED DISCOUNTED PRICING BASED ON A MULTIPLE OF PREVAILING MEDICARE REIMBURSEMENT. ALL SELF PAY AND UNINSURED PATIENTS WHO DO NOT REQUEST DISCOUNTED PRICING PRIOR TO OR AT THE TIME OF SERVICE ARE OFFERED A 30% DISCOUNT OFF OF BILLED CHARGES ON THE FIRST STATEMENT FROM OUR EXTENDED BUSINESS OFFICE SERVICE.; Means used to determine amounts billed Schedule H, Part V Section B, Line 20d (1) BETHESDA HOSPITAL - FOR EMERGENCY ROOM CARE FLAT RATES ARE ESTABLISHED THAT ARE OFFERED TO ALL UNINSURED PATIENTS. FOR OTHER MEDICALLY NECESSARY SERVICES WE OFFER DISCOUNTED PRICING BASED ON A MULTIPLE OF MEDICARE REIMBURSEMENT, FLAT DISCOUNTS BASED ON GROSS CHARGES AND OR COVERAGE OF COSTS PER INDIVIDUAL ACCOUNT. ALL SELF PAY AND UNINSURED PATIENTS THAT DO NOT REQUEST DISCOUNT PRICING PRIOR TO OR AT THE TIME OF SERVICE ARE OFFERED A 30% DISCOUNT OFF BILLED CHARGES ON THE FIRST STATEMENT FROM OUR EXTENDED BUSINESS OFFICE. ; Charges for Medical Care Schedule H, Part V Section B, Line 21 (1) BETHESDA HOSPITAL - THE ORGANIZATION IS WORKING TO REVISE ITS FINANCIAL ASSISTANCE POLICY IN ORDER TO ENSURE INDIVIDUALS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT CHARGED MORE THAN AMOUNTS GENERALLY BILLED TO THOSE WHO HAVE INSURANCE. PRIOR TO THE REVISION OF THE POLICY, THE ORGANIZATION'S METHODOLOGY FOR CALCULATING DISCOUNTED CARE MAY HAVE CAUSED AN FAP-ELIGIBLE INDIVIDUAL TO HAVE BEEN CHARGED MORE THAN AMOUNTS GENERALLY BILLED. ; Needs assessment. Schedule H, Part VI, Line 2 IN KEEPING WITH OUR MISSION TO PROVIDE QUALITY HEALTH SERVICES IN A CARING MANNER AS A COMMUNITY-BASED HOSPITAL SYSTEM, WE SERVE A DIVERSE COMMUNITY WITH DIVERSE NEEDS THAT INCLUDES SENIORS, FAMILIES, INFANTS AND CHILDREN, AS WELL AS A GROWING HISPANIC AND HAITIAN POPULATION. TO ADDRESS THE LOCAL HEALTH NEEDS OF OUR COMMUNITY, BETHESDA HOSPITAL HAS BEGUN WORK ON DEVELOPING A FORMALIZED COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2013. AS A RESULT OF THE FEEDBACK WE HAVE RECEIVED FROM MANY OF OUR LOCAL CONSTITUENCY GROUPS, OUR GOALS WILL BE 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 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 AMERCIAN 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 KIDCARE PROGRAM. AMONG THE SENIOR POPULATION IN PALM BEACH COUNTY, DIABETES CONTINUES TO BE ON THE RISE. TO CURB THIS TREND, BETHESDA IS NOW WORKING TO REDUCE THE INCIDENCE OF NEWLY DIAGNOSED CASES OF DIABETES IN THE SENIOR POPULATION THROUGH THE CREATION OF DIABETES MANAGEMENT PATIENT EDUCATION CLASSES RELATED TO NUTRITION AND EXERCISE. WE ALSO PROVIDE 340 (B) SERVICES TO OUR PATIENTS WHO QUALIFY FOR THIS FEDERAL ASSISTANCE TO RECEIVE REDUCED-PRICE PRESCRIPTION DRUGS. OUR QUALITY RESOURCE MANAGERS AND PHARMACISTS WORK WITH EACH PATIENT TO ENSURE THEY HAVE THE PRESCRIPTION DRUGS THAT ARE NEEDED UPON THE PATIENT'S DISCHARGE FROM THE HOSPITAL FOR BOTH ACUTE CARE AND LONG-TERM NEEDS. Patient education of eligibility for assistance. Schedule H, Part VI, Line 3 UNINSURED PATIENTS ARE INFORMED ABOUT OUR 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 COMPRISED OF INDIVIDUALS DEDICATED TO HELPING PATIENTS AND FAMILIES QUALIFY FOR VARIOUS GOVERNMENTAL ASSISTANCE PROGRAMS AND CHARITY CARE. THE FINANCIAL ASSISTANCE UNIT INCLUDES STAFF MEMBERS WHO ARE FLUENT IN ENGLISH, SPANISH AND CREOLE. Community information. Schedule H, Part VI, Line 4 OUR HOSPITAL'S PRIMARY SERVICE AREA EXTENDS FROM LINTON AVENUE TO THE SOUTH, AND LANTANA ROAD TO THE NORTH, ALL THE WAY EAST TO THE ATLANTIC OCEAN, AND ALL THE WAY WEST TO THE EVERGLADES. OUR HOSPITAL SERVES A DIVERSE POPULATION THAT INCLUDES AN AGING POPULATION THAT CONTINUES TO EXPAND IN WEST BOYNTON, AS SENIORS IN THIS AREA REPRESENT ONE OF THE FASTEST GROWING SEGMENTS IN THE STATE OF FLORIDA. IN ADDITION, AS THE FIRST MATERNITY HOSPITAL TO SERVE SOUTH PALM BEACH COUNTY, OUR HOSPITAL SERVES A LARGE NUMBER OF FAMILIES, WITH OUR HOSPITAL BEING THE 2ND BUSIEST MATERNITY HOSPITAL IN PALM BEACH COUNTY. Promotion of community health Schedule H, Part VI, Line 5 WE HAVE AN ACTIVE BOARD OF TRUSTEES WHO ARE FROM OUR COMMUNITY AND PROVIDE INDEPENDENT LEADERSHIP AND GOVERNANCE. WE HAVE AN OPEN MEDICAL STAFF ACCEPTING APPLICATIONS FROM ALL PHYSICIANS WHO MEET OUR MEDICAL STAFF BYLAWS GUIDELINES. ALL EXCESS FUNDS FROM OPERATIONS STAY IN THE COMMUNITY AND AT THE HOSPITAL TO IMPROVE EQUIPMENT, TRAINING FOR PERSONNEL AND OUR MEDICAL STAFF AND TO PROVIDE GREATER SERVICES AND ACCESS TO CARE. Affiliated health care system Schedule H, Part VI, Line 6 OUR HOSPITAL IS A COMPREHENSIVE COMMUNITY BASED HOSPITAL. THERE ARE MANY NEEDS IN OUR COMMUNITY, FROM PRIMARY TO CRITICAL CARE. WE ALSO HAVE A DIVERSE COMMUNITY THAT INCLUDES 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 A VIDEO INTERPRETER SERVICE 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, OUR HOSPITAL IS THERE FOR OUR COMMUNITY THROUGH EVERY STAGE OF THEIR LIVES. AS PART OF OUR ORGANIZATIONS AFFILIATED HEALTHCARE SYSTEM, OUR WOMEN'S CENTER PROVIDES COMPREHENSIVE SERVICES TO WOMEN IN OUR COMMUNITY. WE OFFER A WIDE RANGE OF SERVICES AT OUR MEDICAL MALL RANGING FROM DIAGNOSTIC TO THERAPEUTIC SERVICES. OUR MEDICAL OFFICE AND FACILITIES GROUP LEASE SPACES TO A BROAD RANGE OF PHYSICIANS AS WELL AS LEASING TO THE GOODWILL SCHOOL FOR MENTALLY CHALLENGED INDIVIDUALS. WE ALSO EMPLOY A NUMBER OF THESE STUDENTS PROVIDING FURTHER COMMUNITY BENEFIT. true MAMMOGRAPHY AND BREAST CANCER TREATMENT ASSISTANCE 1100 362500 0 N/A N/A Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 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. Estimated Number of Recipients Schedule I, Part III, column(b) NAME=MAMMOGRAPHY AND BREAST CANCER TREATMENT ASSISTANCE,DESCRIPTION=AN ESTIMATED 1,100 PATIENTS RECEIVED KOMEN GRANTS FOR MAMMOGRAPHIES AND/OR BREAST CANCER TREATMENTS DURING FISCAL YEAR 2013. THE ESTIMATE IS BASED ON GRANT REPORTS FROM APRIL 1, 2012 TO MARCH 31, 2013 FOR THE WOMENS DIAGNOSTIC CENTER (AN AFFILIATED COMPANY) AND BETHESDA HOSPITAL, INC.; false true false false false false false false false ALBERT G BIEHL 264858 0 80079 0 4200 0 41565 0 11830 0 402532 0 0 0 GARY S NORDMARK 179735 0 46498 0 6024 0 38361 0 18577 0 289195 0 0 0 GERALYN A LUNSFORD 216439 0 53450 0 5748 0 36773 0 8895 0 321305 0 0 0 JOANNE AQUILINA 0 212519 0 60020 0 5409 0 19889 0 33313 0 331150 0 0 MATTHEW G SKINNER 233112 0 20 0 270 0 4256 0 20762 0 258420 0 0 0 ROBERT B HILL 0 79344 0 160802 0 157984 0 7844 0 1273 0 407247 0 0 ROBERT BROADWAY 0 182554 0 51420 0 4279 0 32284 0 22574 0 293111 0 0 ROGER L KIRK 0 413660 0 90006 0 256473 0 85732 0 19178 0 865049 0 0 SHARLENE LAU 129903 0 22644 0 253 0 4619 0 1856 0 159275 0 0 0 Arrangement used to establish the top management official's compensation Schedule J, Part I, Line 3 THE 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. Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b THE ORGANIZATION MAINTAINS A 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. DURING 2012, THE FOLLOWING PAYMENTS WERE RECEIVED FROM THE PLAN: JOANNE AQUILINA - $358 ROBERT BROADWAY - $576 ROBERT HILL - $5,515 DURING 2012, THE FOLLOWING CONTRIBUTIONS WERE MADE TO THE PLAN: ROGER L. KIRK - $48,572 JOANNE AQUILINA - $4,597 ROBERT HILL - $7,844 GERALYN LUNSFORD - $11,000 X TREES FOR WEST HOSPITAL 1 102864 MARKET VALUE 0 false true false Number of contributions or items contributed. Schedule M, part I, column (b), Line other=TREES FOR WEST HOSPITAL ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 BETHESDA HOSPITAL'S MISSION IS TO PROVIDE QUALITY HEALTH SERVICES IN A CARING MANNER. WITH 670 PHYSICIANS IN MORE THAN 40 AREAS OF SPECIALTY, AND A HOSPITAL STAFF OF MORE THAN 2,000 EMPLOYEES, BETHESDA HOSPITAL, AND ITS AFFILIATES, OFFER A FULL ARRAY OF HEALTHCARE SERVICES, INCLUDING A NATIONALLY ACCREDITED VASCULAR INSTITUTE; GENERAL AND SPECIALIZED SURGERY; MATERNITY SERVICES; A LEVEL III NEONATAL INTENSIVE CARE UNIT; PEDIATRIC AND PEDIATRIC INTENSIVE CARE SERVICES; PROGRAMS FOR WOUND CARE AND HYPERBARIC MEDICINE; THE BETHESDA COMPREHENSIVE CANCER CENTER, AN AFFILIATE OF THE H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE; THE WALTER S. AND LUCIENNE DRISKILL ENDOVASCULAR CENTER; A PRIMARY STROKE CENTER CERTIFIED BY THE JOINT COMMISSION; THE CORNELL INSTITUTE FOR REHABILITATION MEDICINE, A 36-BED, INPATIENT, REHABILITATION FACILITY; AND THE BETHESDA HEART HOSPITAL. PROGRAM DESCRIPTION FORM 990, PART III, LINE 4A BETHESDA HOSPITAL OFFERS A FULL ARRAY OF HEALTHCARE SERVICES INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: BETHESDA HEART HOSPITAL, A 39-BED, ALL PRIVATE ROOM "HEART HOSPITAL WITHIN A HOSPITAL" DEDICATED TO PROVIDING COMPREHENSIVE CARDIOVASCULAR SERVICES; BETHESDA CENTER FOR WOMEN AND CHILDREN, AN INCLUSIVE PROGRAM PROVIDING AN EXPERIENCED MATERNITY CENTER, PRENATAL CARE, OBSTETRICAL TRIAGING, A LEVEL III NEONATAL INTENSIVE CARE UNIT, A PEDIATRIC AND PEDIATRIC INTENSIVE CARE UNIT; BETHESDA ORTHOPAEDIC INSTITUTE, A JOINT COMMISSION-CERTIFIED FACILITY FOR HIP AND KNEE REPLACEMENTS, FEATURING 24-BEDS AND ALL PRIVATE ROOMS, INCLUDING A STATE-OF-THE ART REHABILITATION UNIT, PRIVATE DINING FACILITY AND COMPREHENSIVE SPORTS MEDICINE PROGRAMS; 24-HOUR EMERGENCY DEPARTMENTS AND 24-HOUR PEDIATRIC EMERGENCY DEPARTMENTS AT BOTH HOSPITALS; BATTJES VASCULAR INSTITUTE DEDICATED TO PROVIDING A MULTIDISCIPLINARY APPROACH FOR TREATING VASCULAR DISEASE; BETHESDA COLLEGE OF HEALTH SCIENCES OFFERING ASSOCIATE OF SCIENCE DEGREE PROGRAMS IN THE FIELDS OF RADIOGRAPHY AND NURSING; THE BETHESDA STROKE CENTER, COMPRISED OF TWO ADVANCED PRIMARY STROKE CENTERS; CORNELL INSTITUTE FOR REHABILITATION MEDICINE, A 36-BED INPATIENT REHABILITATION UNIT DEDICATED TO PROVIDING COMPREHENSIVE PROGRAMS FOR ORTHOPEDIC AND NEUROLOGIC REHABILITATION; AND, FINALLY, BETHESDA WOUND CARE AND HYPERBARIC MEDICINE PROGRAM, CENTER FOR SURGICAL WEIGHT REDUCTION, THE DRISKILL ENDOVASCULAR CENTER, AN ACCREDITED CHEST PAIN CENTER AND AN ACCREDITED HEART FAILURE PROGRAM. THE FOLLOWING STATISTICS FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2013 REPRESENT THE SCOPE OF SERVICES PROVIDED BY BETHESDA HOSPITAL: 20,307 INPATIENT ADMISSIONS; 106,924 INPATIENT DAYS OF CARE; 71,460 EMERGENCY DEPARTMENT VISITS; 8,636 SURGICAL CASES; 374 HEART PROCEDURES; AND, 160,039 OUTPATIENT VISITS. ADDITIONALLY, BETHESDA HOSPITAL PROVIDED APPROXIMATELY $67 MILLION OF CHARITY CARE TO THE UNINSURED AND UNDERINSURED. BETHESDA HOSPITAL AND AFFILIATES EMPLOY OVER 2,500 EMPLOYEES AND IS THE LARGEST EMPLOYER IN BOYNTON BEACH, FLORIDA. Classes of members or stockholders Form 990, Part VI, Section A, Line 6 THE ORGANIZATION HAS ONE SOLE MEMBER, BETHESDA HEALTH, INC., A FLORIDA NOT-FOR-PROFIT ORGANIZATION. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a BETHESDA HEALTH, INC. APPROVES THE MEMBERS OF THE GOVERNING BODY. Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b ANY 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 Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b THE 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. Conflict of interest policy Form 990, Part VI, Section B, Line 12c THE 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. PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL FORM 990, PART VI, LINE 15A THE 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, 2013. THE PROCESS AND DECISIONS ARE DOCUMENTED IN THE BOARD MINUTES. PROCESS OF DETERMINING COMPENSATION OF OTHER OFFICERS FORM 990, PART VI, LINE 15B THE 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, 2013. 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. JOINT VENTURE POLICY FORM 990, PART VI, LINE 16B THE 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. Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 THE 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. Average number of hours devoted per week to related organization Core Form Part VII GEORGE T. ELMORE:BETHESDA HEALTH, INC.- 2.000;THOMAS A. SMITH:BETHESDA HEALTH, INC.- 2.000;I. JEFFREY PHETERSON, ESQ:BETHESDA HEALTH, INC.- 2.000;FRED B. DEVITT, JR, ESQ:BETHESDA HEALTH, INC.- 2.000;STORMET C. NOREM:BETHESDA HEALTH, INC.- 2.0002.000, BETHESDA HOSPITAL FOUNDATION, INC.- 2.000;WILLIAM F. CASSADY:BETHESDA HEALTH, INC.- 2.000;FRED W. LOVE, M.D.:BETHESDA HEALTH, INC.- 2.0002.000, BETHESDA HOSPITAL FOUNDATION, INC.- 2.000;MARIE BEDNER:BETHESDA HOSPITAL FOUNDATION, INC.- 2.0002.000, BETHESDA HEALTH, INC.- 2.000;ROGER L KIRK:BETHESDA HEALTH, INC.- 40.00040.000, BETHESDA HEALTH PHYSICIAN GROUP, INC.- 2.0002.000, BETHESDA HEALTH CITY, INC.- 2.0002.000, WOMEN'S DIAGNOSTIC CENTER OF BETHESDA, INC.- 2.0002.000, BETHESDA MEMORIAL SIT - WORKMAN'S COMP- 2.0002.000, BETHESDA MEMORIAL SIT - MALPRACTICE- 2.0002.000, BETHESDA PAYROLL SERVICES, INC.- 2.0002.000, BETHESDA HOSPITAL FOUNDATION, INC.- 2.000;JOANNE AQUILINA:BETHESDA HEALTH, INC.- 40.00040.000, BETHESDA HEALTH PHYSICIAN GROUP, INC.- 2.0002.000, BETHESDA HEALTH CITY, INC.- 2.0002.000, WOMEN'S DIAGNOSTIC CENTER OF BETHESDA, INC.- 2.0002.000, BETHESDA PAYROLL SERVICES, INC.- 2.000;ROBERT BROADWAY:BETHESDA HEALTH, INC.- 40.00040.000, BETHESDA HEALTH PHYSICIAN GROUP, INC.- 2.0002.000, BETHESDA HEALTH CITY, INC.- 2.0002.000, WOMEN'S DIAGNOSTIC CENTER OF BETHESDA, INC.- 2.0002.000, BETHESDA PAYROLL SERVICES, INC.- 2.000; COMPENSATION OF FORMER PRESIDENT FORM 990, PART VII, SECTION A THE ORGANIZATION'S PRESIDENT ROBERT HILL RETIRED IN FEBRUARY 2012. HE IS REPORTED AS A FORMER OFFICER BECAUSE HE WAS NOT AN OFFICER DURING THE TAX YEAR ENDED SEPTEMBER 30, 2013. HOWEVER, THE COMPENSATION REPORTED IS FOR CALENDAR YEAR 2012. Other changes in net assets or fund balances Form 990 , Part XI, Line 9 TRANSFER TO AFFILIATE - XXX-XX-XXXX; PENSION ADJUSTMENT - 42788523; INCREASE IN TEMP RESTRICTED NET ASSETS - -2644000; COMMUNITY BENEFIT INFORMATION ADDITIONAL SUPPLEMENTAL INFORMATION CHARITY CARE 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 CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BETHESDA INFORMS ITS PATIENTS ABOUT ITS CHARITY CARE 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 CHARITY CARE, THIS AMOUNT IS RECORDED AS A DEDUCTION FROM GROSS REVENUE REPORTED. FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2013, BETHESDA PROVIDED $67 MILLION IN INDIGENT AND CHARITY CARE WRITE-OFFS, REPRESENTING 4% OF THE HOSPITAL'S TOTAL CHARGES. FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2013, BETHESDA PROVIDED AN ADDITIONAL $9.7 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 "NEIGHBORHOOD HEALTH-TO-YOU 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 CHARITY CARE, 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 400 PEOPLE WHO TOOK ADVANTAGE OF THIS LEARNING OPPORTUNITY FOR THE TWELVE MONTHS ENDED SEPTEMBER 30, 2013. BABY LINE MORE THAN 35% OF BETHESDA'S 2,900 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, PRENATAL BABY CARE AND POSTNATAL BABY CARE. AS A RESULT, BETHESDA HELD 40 CLASSES WITH A TOTAL OF 760 ATTENDEES DURING THE TWELVE MONTHS ENDED SEPTEMBER 30, 2013. COMMUNITY BENEFIT INFORMATION ADDITIONAL SUPPLEMENTAL INFORMATION BETHESDA MALL WALKERS PROGRAM ONE OF THE BEST WAYS TO FIGHT HEART DISEASE AND PREVENT BONE LOSS IS THROUGH WALKING. IN SERVING ITS SENIOR POPULATION, BETHESDA OFFERS A FREE MALL WALKERS PROGRAM TO THE PUBLIC TO PROMOTE HEALTHY WALKING IN THE BOYNTON BEACH MALL, NEAR BETHESDA HOSPITAL EAST, AND AT BETHESDA HEALTH CITY, WHICH SERVES OUR WESTERN COMMUNITY. WITH TWO CONVENIENT LOCATIONS, THE PROGRAM OFFERS EASY ACCESS AND PROMOTES HEART HEALTHY LIVING. BETHESDA HAD 100 REGISTERED MALL WALKERS AS OF 9/30/13. AVERAGE DAILY PARTICIPATION: 75-100 WALKERS. 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 17,255 PRIMETIME CLUB MEMBERS DURING OUR FISCAL YEAR 2013. BETHESDA PROVIDED 40 EDUCATIONAL PROGRAMS, WITH APPROXIMATELY 2,900 PRIMETIME MEMBERS ATTENDING. BETHESDA PROVIDED 865 REFERRALS (NON-PHYSICIAN RELATED) FOR SOCIAL/AGENCY SERVICES TO ENRICH THE LIVES OF THIS GROUP. FOR THE TWELVE MONTHS ENDED SEPTEMBER 30, 2013, 62 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, 437 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 26 BLOOD DRIVES AT THREE LOCATIONS: BETHESDA HOSPITAL, INC., BETHESDA SERVICE CENTER AND BETHESDA HEALTH CITY DURING THE 2013 FISCAL YEAR. COMMUNITY 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 QUARTERLY 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, CANCER, BACK AND JOINT PAIN, AND WOMEN'S HEALTH. MAILED TO 180,000 HOMES IN BETHESDA'S PRIMARY AND SECONDARY SERVICE AREAS. 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 30 FREE LECTURE PROGRAMS, WITH 1,869 ATTENDEES DURING THE TWELVE MONTHS ENDING SEPTEMBER 30, 2013. 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, ORTHOPEDIC 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 MICROSITES: BETHESDAWEST.ORG; BETHESDAHEART.ORG; BETHESDAORTHOPAEDICS.ORG; AND BETHESDA CANCERCENTER.ORG. 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, 2013, 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, 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 400 ATTENDEES WHO RECEIVED COUNSELING. COMMUNITY BENEFIT INFORMATION ADDITIONAL SUPPLEMENTAL INFORMATION 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 3,982 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, 2013, BETHESDA CARED FOR 71,460 PATIENTS IN THE EMERGENCY DEPARTMENTS. OF THOSE, NEARLY 6.3% OR 4,536 PATIENTS WERE CHARITY CARE 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 100-150 PEOPLE EVERY WEEK ON A DAILY BASIS. FOREIGN LANGUAGE TRANSLATION RECOGNIZING THE DIVERSITY OF OUR COMMUNITY, BETHESDA PROVIDES AN INTERPRETER SERVICE IN 14 LANGUAGES, INCLUDING SIGN LANGUAGE FOR THE DEAF. SERVICES PROVIDED ROUTINELY TO PATIENTS WHO CANNOT COMMUNICATE IN ENGLISH. WITH 2,978 DELIVERIES IN FISCAL YEAR 2013, 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. 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 38 COMMUNITY HEALTH FAIRS, REACHING OVER 5,100 PEOPLE IN VARIOUS LOCATIONS THROUGHOUT SOUTH PALM BEACH COUNTY, INCLUDING RESIDENTIAL AND CIVIC CENTERS DURING THE TWELVE MONTHS ENDED SEPTEMBER 30, 2013. HELPING 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. 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. HEALTHY KIDS' DAY WHILE DROWNING IS THE LEADING CAUSE OF DEATH FOR CHILDREN UNDER THE AGE OF FOUR IN PALM BEACH COUNTY, BETHESDA CONTINUES TO SEE AN ALARMING NUMBER OF CHILDREN EVERY YEAR IN ITS EMERGENCY DEPARTMENT WHO ARE THE VICTIMS OF DROWNING AND NEAR DROWNING EVENTS. IN CARING FOR OUR COMMUNITY'S CHILDREN, BETHESDA HAS MADE A COMMITMENT TO HELPING KEEP KIDS SAFE BY PROVIDING A FREE, EDUCATIONAL HEALTH FAIR. HELD IN PARTNERSHIP WITH THE DEVOS-BLUM FAMILY YMCA OF BOYNTON BEACH AND IN COOPERATION WITH SAFE KIDS COALITION OF PALM BEACH COUNTY, "HEALTHY KIDS DAY" IS A FREE, ANNUAL EDUCATIONAL EVENT IS GEARED FOR CHILDREN AGES 2-14. THE EVENT TEACHES SAFETY TIPS FOR WATER SAFETY, BICYCLE SAFETY, HOME AND FIRE SAFETY, AND PERSONAL SAFETY. THE PROGRAM ALSO OFFERS FREE CAR SEAT SAFETY CHECKS FOR PARENTS AND GRANDPARENTS. PROMOTED TO 40,000 STUDENTS IN PUBLIC AND PRIVATE PRE-SCHOOL, ELEMENTARY AND MIDDLE SCHOOLS IN SOUTH AND CENTRAL PALM BEACH COUNTY, AND THROUGH DIRECTED PRINT, WEBSITE AND RADIO ADVERTISING. COMMUNITY BENEFIT INFORMATION ADDITIONAL SUPPLEMENTAL INFORMATION 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, 2013, BETHESDA PROVIDED 648 LOW-COST MAMMOGRAMS; 392 BREAST ULTRASOUNDS; 145 BREAST BIOPSIES AND 38 MRI TESTS TO MEDICALLY NEEDY WOMEN IN OUR COMMUNITY. 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. APPROXIMATELY 400 LIVING WILLS WERE DISTRIBUTED TO RESIDENTS DURING FISCAL YEAR 2013. 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 MEMORIAL 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. DURING FISCAL YEAR 2013, 312 COUNSELING SESSIONS WERE PROVIDED. NEONATAL INTENSIVE CARE UNIT - LEVEL III UNIT WITH 2,900 DELIVERIES PER YEAR, MORE THAN 275 NEWBORNS 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. DURING THE FISCAL YEAR 2013, BETHESDA CARED FOR 380 NEONATAL PATIENTS. NURSING EDUCATION PROGRAM IN RECOGNITION OF THE NEED FOR 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, ENROLLING ITS FIRST CLASS IN AUGUST 2012. 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 MEMORIAL HOSPITAL. DURING THE FISCAL YEAR 2013, THE PHYSICIAN REFERRAL LINE PROVIDED INFORMATION TO APPROXIMATELY 2,250 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 FISCAL YEAR 2013, 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 SCHOLARSHIP PROGRAM BETHESDA'S SCHOLARSHIP PROGRAMS ARE HELPING STUDENTS IN OUR COMMUNITY TO FURTHER THEIR COLLEGE EDUCATION. THE BETHESDA AUXILIARY PROVIDED 10 NURSING/HEALTH CAREER SCHOLARSHIPS AT $750 EACH, TOTALING $7,500 DURING THE TWELVE MONTHS ENDED SEPTEMBER 30, 2013. COMMUNITY BENEFIT INFORMATION ADDITIONAL SUPPLEMENTAL INFORMATION SPEAKERS BUREAU 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 24 SPEAKERS TO THE COMMUNITY DURING THE FISCAL YEAR 2013. 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 PROVIDED $109,141 IN SPONSORSHIP GRANTS TO LOCAL ORGANIZATIONS DURING THE TWELVE MONTHS ENDED SEPTEMBER 30, 2013. 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 930 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 932 ADULT VOLUNTEERS AND 207 TEEN VOLUNTEERS PROVIDED 120,551 HOURS OF IN-SERVICE DURING THE TWELVE MONTHS ENDED SEPTEMBER 30, 2013. 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 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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