2012-08-14T10:00:18-05:00 2011-09-30 CROWE HORWATH LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 33301 990 2010-10-01 592447554 BETHESDA MEMORIAL HOSPITAL INC BETH 5617377733 2815 S SEACREST BLVD BOYNTON BEACH FL 33435 JOANNE AQUILINA 2012-08-10 true 9542028600 2010 2016-02-24 21:20:13Z ROGER L KIRK 2815 S Seacrest Blvd Boynton Beach FL 33435 350364012 false X WWW.BETHESDAWEB.COM X 1959 FL BETHESDA MEMORIAL 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, CANCER AND REHABILITATION SERVICES; AND COMMUNITY OUTPATIENT SERVICES. 11 11 2431 1265 5779 0 4529487 4615190 285499246 298107200 3254215 5980412 2295054 2346088 295578002 311048890 130728 0 0 0 115617854 116354965 0 0 0 164980877 171154081 280729459 287509046 14848543 23539844 290260368 294115852 66844582 84235894 223415786 209879958 BETHESDA MEMORIAL HOSPITAL'S MISSION IS TO PROVIDE QUALITY HEALTH SERVICES IN A CARING MANNER. WITH 525 PHYSICIANS IN MORE THAN 40 AREAS OF SPECIALTY, AND A HOSPITAL STAFF OF MORE THAN 2,300 EMPLOYEES, BETHESDA MEMORIAL 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 28-BED, INPATIENT, REHABILITATION FACILITY; AND THE BETHESDA HEART HOSPITAL. false false 250452821 298298260 BETHESDA MEMORIAL HOSPITAL IS A 401-BED ACUTE CARE HOSPITAL WITH A 24-HOUR EMERGENCY DEPARTMENT, A CERTIFIED PRIMARY STROKE CENTER, GENERAL, VASCULAR AND ENDOVASCULAR SURGERY, MATERNITY AND LEVEL III NEONATAL INTENSIVE CARE SERVICES, PEDIATRIC AND PEDIATRIC INTENSIVE CARE SERVICES AND A COMPREHENSIVE CANCER CARE CENTER. THE HOSPITAL ALSO PROVIDES COMPREHENSIVE CARDIOVASCULAR SERVICES TO THE COMMUNITY AS PART OF BETHESDA HEART HOSPITAL. IN ADDITION BETHESDA MEMORIAL HOSPITAL HAS A 28-BED INPATIENT REHABILITATION UNIT, THE CORNELL INSTITUTE FOR REHABILITATION MEDICINE, AND AN INPATIENT UNIT OF 18 HOSPICE BEDS THAT ARE LEASED TO HOSPICE OF PALM BEACH COUNTY. 250452821 true true false false false false false false true true false false true true true true true false false false false false false false false true true false false true false false false false false false false false false false false false true true true true false false true 295 0 true 2431 true true true false false false false false false false false false X 11 11 false false false false true true true true true false false true true true true true true true true true true X DONNA SEYMOUR 5617377733 2815 S SEACREST BLVD BOYNTON BEACH FL 33435 X FRED B DEVITT JR ESQ 2 X 0 0 0 MATTHEW G SKINNER 40 X 218793 0 15852 GERALYN A LUNSFORD 40 X 226067 0 35445 ALBERT G BIEHL 40 X 299811 0 53480 JOANNE AQUILINA 2 X 0 246874 44902 ROGER L KIRK 2 X 0 375742 71464 ROBERT B HILL 2 X 0 876411 85600 WILLIAM F KOCH JR 2 X 0 0 0 STORMET C NOREM 2 X 0 0 0 THOMAS SMITH 2 X X 0 0 0 GEORGE T ELMORE 2 X 0 0 0 RALPH B BRESLAW MD 2 X 0 0 0 JAMES BYRNES MD 2 X 0 0 0 N M WEEMS MD 2 X 0 0 0 FRED F LOVE 2 X X 0 0 0 WILLIAM CASSADY 2 X X 0 0 0 JEFFREY PHETERSON ESQ 2 X 0 0 0 JEREMY COLE 40 X 179119 0 18969 DANETTE CHOBAN 40 X 152727 0 41101 1076517 1499027 366813 45 false true false INGENIX INC 2771 MOMENTUM PLACE CHICAGO IL 606895327 CONSULTING FEE 3766367 SHIFTWISE 2501 SW 1ST AVENUE STE 200 PORTLAND OR 97201 CONTRACT STAFFING 2948419 SONNERBORN RUTTER COONEY 1545 CENTER PARK DRIVE NORTH WEST PALM BEACH FL 334017414 LEGAL FEES 1500927 EXECUTIVE HEALTH RESOURCES 15 CAMPERS BLVD STE 200 NEWTON SQUARE PA 19073 CONSULTING FEES 1102169 NWC&HS INC PO BOX 933430 ATLANTA GA 311933430 PROFESSIONAL FEES- MEDICAL SERVICES 988623 13 4362427 252763 4615190 PATIENT SERVICE REVENUE 622110 297800254 297794475 5779 AFFILIATE PROGRAM REVENUE 518210 94416 94416 CLINICAL RESEARCH 621500 72511 72511 140019 140019 0 0 298107200 2312986 2312986 0 0 741694 264299 477395 0 477395 477395 42713237 5012 39041840 8983 3671397 -3971 3667426 3667426 0 0 0 FOOD SALES 722210 837255 837255 CHILDCARE 624410 661594 661594 CARE SERVICES DISTRIBUTION 900001 196839 196839 173005 0 0 173005 1868693 311048890 298298260 5779 8129661 0 0 0 0 0 0 91781329 83756707 8024622 9614552 8653097 961455 8361739 7511279 850460 6597345 5937611 659734 0 2434083 2434083 182170 182170 0 0 460738 460738 24229620 11776124 12453496 23485 23485 61314193 60457780 856413 3291301 2629909 661392 0 5648359 3279839 2368520 286815 221839 64976 0 117503 35251 82252 0 0 19575025 13386782 6188243 2608550 1819303 789247 BAD DEBT 47430348 47430348 ASSESSMENT FL PUB MED ASSISTANCE 3178058 3178058 MISCELLANEOUS EXPENSES 373833 355409 18424 0 0 0 0 287509046 250452821 37056225 0 0 6300 7000 2266071 5002871 36250650 41215832 3332693 3667090 3458119 4268521 348956568 204618668 153840210 144337900 76337772 79202589 0 0 0 0 14768553 16414049 290260368 294115852 10651048 13233493 56193534 71002401 66844582 84235894 X 210232931 195075774 11583007 13272560 1599848 1531624 223415786 209879958 290260368 294115852 X 23539844 -37075672 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 17333861 6000 -205068 0 151760 40082 16942951 15480219 666556 1518235 0 250000 81149 17333861 15459550 60000 292425 0 250000 81756 15480219 0.64030 0.35970 0.00000 false true true 2170248 2170248 207857700 100408729 107448971 1083286 562971 520315 135405793 103646968 31758825 2439541 2439541 144337900 INTEREST IN ASSETS/AFFILIATES 14861042 OTHER ASSETS 1553007 16414049 0 RESERVES FOR SELF INSURANCE 8392350 DUE TO STATE MED ASSIST FUNDS 258615 ACCRUED RETIREMENT BENEFIT LIABILITY 62349853 SECURITY DEPOSIT 1583 71002401 311048890 287509046 23539844 -4727469 -32348203 -37075672 -13535828 304319683 -4727469 264299 -4463170 308782853 460738 1805299 2266037 311048890 287312607 264299 264299 287048308 460738 0 460738 287509046 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 HEALTH SYSTEM IN THE PROVISION OF QUALITY HEALTH CARE SERVICES TO THE SURROUNDING COMMUNITY. FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE IRC). THE HOSPITAL APPLIES THE PROVISIONS OF ASC TOPIC 740, INCOME TAXES (FORMERLY FASB INTERPRETATION NO. (FIN) 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AN INTERPRETATION OF FASB STATEMENT NO. 109, ACCOUNTING FOR INCOME TAXES). THIS GUIDANCE CREATES A SINGLE MODEL TO ADDRESS UNCERTAIN INCOME TAX PROVISIONS 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 BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS 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. PRIOR TO ASC TOPIC 740, THE DETERMINATION OF WHEN TO RECORD A LIABILITY FOR A TAX EXPOSURE WAS BASED ON WHETHER A LIABILITY WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE IN ACCORDANCE WITH ASC TOPIC 450, CONTINGENCIES (FORMERLY SFAS NO. 5, ACCOUNTING FOR CONTINGENCIES). true true X true X false true true false true true 8243869 0 8243869 0.03430 49291991 41642831 7649160 0.03190 0 0 0 0.00000 0 0 57535860 41642831 15893029 0.06620 780500 0 780500 0.00330 259886 212677 47209 0.00020 0 0 0 0.00000 0 0 0 0.00000 5000 0 5000 0.00000 0 0 1045386 212677 832709 0.00350 0 0 58581246 41855508 16725738 0.06970 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 7957305 541097 93194644 93527488 -332844 X true true 5 1 BETHESDA MEMORIAL HOSPITAL

2815 SOUTH SEACREST BLVD BOYNTON BEACH FL 33435

X X X INPATIENT REHABILITATION BETHESDA MEMORIAL HOSPITAL 1 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 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. Community benefit report prepared by related organization Schedule H, Part I, Line 6a BETHESDA HEALTHCARE SYSTEM, INC. Bad Debt Expense excluded from financial assistance calculation Schedule H, Part I, Line 7, column(f) 47,430,348 Bad debt expense - financial statement footnote Schedule H, Part III, Line 4 OUR ORGANIZATION APPLIED A PERCENTAGE OF 6.8%, 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. THIS PERCENTAGE IS BASED ON I-SCORE DATA (QUANTRAX PROPRIETARY CREDIT SCORING ALGORITHM) ANALYSIS OF A STATISTICALLY SIGNIFICANT POPULATION (17,642) OF DEBTORS PLACED IN COLLECTION FROM 10/1/2010-9/30/2011. DEBTORS WITH AN I-SCORE OF 100 OR LESS ON A SCALE OF 001-999 WOULD QUALIFY FOR CHARITY ASSISTANCE IN ACCORDANCE WITH BETHESDA MEMORIAL HOSPITAL'S POLICY IF THE NECESSARY DOCUMENTS AND ATTESTATIONS WERE SUBMITTED. Community benefit & methodology for determining medicare costs Schedule H, Part III, Line 8 THE COST IS BASED ON THE HOSPITAL'S FY 2011 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. Needs assessment. Schedule H, Part VI, Line 2 OUR HOSPITAL ASSESSES OUR COMMUNITY NEEDS IN NUMEROUS WAYS THROUGH A VARIETY OF METHODS, INCLUDING PARTICIPATING IN COMMUNITY ASSESSMENT SURVEYS, PATIENT SURVEYS, FOCUS GROUP MEETINGS, SUPPORT GROUP MEETINGS AND ONE-ON-ONE PATIENT INTERVIEWS. IN ADDITION, OUR HOSPITAL SOLICITS OPINIONS DIRECTLY FROM ATTENDEES OF OUR HOSPITAL'S VARIOUS COMMUNITY EVENTS, INCLUDING COMMUNITY HEALTH FAIRS AND COMMUNITY LECTURES PROVIDED AT THE HOSPITAL. ADDITIONALLY, THE HOSPITAL SOLICITS FEEDBACK FROM EVERY LECTURE ATTENDEE IN THE FORM OF AN EVALUATION SURVEY TO LEARN OF THEIR HEALTH NEEDS AND INTERESTS FOR FUTURE LECTURE PRESENTATIONS MADE BY OUR MEDICAL STAFF. IN KEEPING WITH OUR MISSION TO DELIVER QUALITY HEALTH SERVICES IN A CARING MANNER, WE STRIVE TO PROVIDE EXCELLENT COMMUNITY BENEFITS. THROUGH OUR VARIOUS NEEDS ASSESSMENTS, WE HAVE IDENTIFIED THAT OUR KEY CONSTITUENT GROUPS INCLUDE THE SENIOR POPULATION, WOMEN, CHILDREN AND FAMILIES. AS A RESULT, WE PROVIDE COMMUNITY BENEFIT PROGRAMS THAT ARE TAILORED TO MEET THEIR NEEDS. ACCESS TO HEALTH SERVICES REMAINS A COMMON NEED ACROSS OUR CONSTITUENT GROUPS. TO THIS END, WE PROVIDE TRANSPORTATION SERVICES TO THE HOSPITAL, AS WELL INTERPRETERS TO FACILITATE UNDERSTANDING REGARDING THE SERVICES WE PROVIDE. IN ADDITION, WE PROVIDE EDUCATION CLASSES FOR ALL SEGMENTS OF OUR PATIENT POPULATION, RANGING FROM PRENATAL CARE CLASSES FOR EXPECTANT PARENTS TO ORTHOPEDIC 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. OF THE 2,900 DELIVERIES A YEAR, BETHESDA HAS SEEN A GROWING SEGMENT OF OUR MATERNITY AND PEDIATRIC PATIENTS WHO SPEAK LIMITED OR NO ENGLISH. IN AN EFFORT TO ENSURE THAT WE MEET THE EDUCATIONAL NEEDS FOR ALL OUR FAMILIES, BETHESDA'S CENTER FOR WOMEN AND CHILDREN EXPANDED ITS FAMILY RESOURCE CENTER TO INCLUDE MULTI-LINGUAL COMPUTERS AND MULTI-LINGUAL RESOURCES PROVIDE PRENATAL, NEWBORN, PEDIATRIC AND FAMILY-CENTERED INFORMATION. TO ASSIST OUR FAMILIES, ALL PATIENT INFORMATION IS PROVIDED IN ENGLISH, SPANISH AND CREOLE. WE ALSO HOLD SPECIAL EVENTS, SUCH AS OUR ANNUAL SENIOR FEST, TO PROMOTE ADDITIONAL KNOWLEDGE OF HEALTH SERVICES AVAILABLE TO SENIORS. THIS WIDELY ATTENDED EVENT FEATURES 40 HOSPITAL DEPARTMENTS AND 20 SOCIAL SERVICE AGENCIES TO EDUCATE SENIORS ABOUT HEALTH AND WELLNESS OPPORTUNITIES AVAILABLE TO THEM. SIMILARLY, WE HOLD OUR ANNUAL HEALTHY KIDS' DAY/SAFETY FEST EVENT 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 ON AN ONGOING BASIS, IN BOYNTON BEACH, TO ADDRESS THE HEALTH NEEDS OF THESE GROUPS THROUGH THE PROVISION OF HEALTH SCREENINGS, DIABETES INFORMATION, AND ACUTE CARE MEDICAL SERVICES WHEN CARIDAD CENTER SEEKS ADDITIONAL CARE FOR THESE PATIENTS. IN AN EFFORT TO BETTER EDUCATE OUR CIVIC LEADERS OF THE HEALTH NEEDS OF OUR COMMUNITY, WE PROVIDE LEADERSHIP DEVELOPMENT PROGRAMS IN COOPERATION WITH THE AREA CHAMBERS OF COMMERCE. THESE ONE-DAY PROGRAMS PROVIDE CIVIC LEADERS WITH AN UNDERSTANDING OF THE BROAD RANGE OF HEALTH ISSUES FACING OUR COMMUNITY RELATED TO ACCESS AND COVERAGE. WHILE BETHESDA SPONSORS THESE HEALTH LEADERSHIP PROGRAMS AT OUR HOSPITAL WITH FINANCIAL AND MATERIAL RESOURCES, THE GOAL IS TO PROVIDE COMMUNITY LEADERS WITH A BETTER UNDERSTANDING OF THE HEALTHCARE SERVICES WE PROVIDE AND HOW THEY CAN ACCESS THEM. ADDITIONAL ACTIVITIES IN THE COMMUNITY INCLUDED: PROVIDING 55 COMMUNITY HEALTH FAIRS AND 48 COMMUNITY LECTURES PROVIDED BY BETHESDA PHYSICIANS AND BETHESDA'S CLINICAL LEADERS - ALL FREE TO THE COMMUNITY. IN ADDITION, WE PROVIDED IMPORTANT HEALTH INFORMATION TO MORE THAN 106,000 RESIDENTS IN OUR AREA THROUGH OUR MAGAZINE, BETHESDA HEALTH NEWS, MAILED DIRECTLY TO HOMES THREE TIMES A YEAR. 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 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, 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. CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST 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 2011 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 SCHEDULE H, PART III, LINE 2 THE COSTING METHODOLOGY USED TO DETERMINE OUR ORGANIZATION'S COSTS RELATED TO BAD DEBT IS BASED ON THE RATIO OF COSTS TO CHARGES CALCULATED IN WORKSHEET 2. THE PERCENTAGE WAS APPLIED TO THE TOTAL GROSS CHARGES WRITTEN OFF TO BAD DEBT TO REPORT THE BAD DEBT EXPENSE AT COST. X X X X X false true false false false false false false false MATTHEW G SKINNER 218750 0 20 0 23 0 1621 0 14231 0 234645 0 0 0 GERALYN A LUNSFORD 191813 0 33279 0 975 0 24839 0 10606 0 261512 0 0 0 ALBERT G BIEHL 231132 0 56833 0 11846 0 43776 0 9704 0 353291 0 0 0 JOANNE AQUILINA 0 196150 0 29163 0 21561 0 13264 0 31638 0 291776 0 0 ROGER L KIRK 0 306176 0 46222 0 23344 0 55794 0 15670 0 447206 0 0 ROBERT B HILL 0 455968 0 107597 0 312846 0 80288 0 5312 0 962011 0 0 JEREMY COLE 179099 0 20 0 0 0 3200 0 15769 0 198088 0 0 0 DANETTE CHOBAN 151189 0 20 0 1518 0 35548 0 5553 0 193828 0 0 0 Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b PAYMENTS RECEIVED FROM THE PLAN FOR THE FOLLOWING: ROBERT B. HILL $272,845 JOANNE AQUILINA $20,826 ALBERT BIEHL $9,581 CONTRIBUTIONS INTO THE PLAN FOR THE FOLLOWING: ROGER L. KIRK $20,821 GERALYN LUNSFORD $9,750 COMPENSATION OF TOP MANAGEMENT OFFICIAL SCHEDULE J, PART I, LINE 3 THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS PAID BY BETHESDA HEALTHCARE SYSTEM, INC. (BHS), A RELATED ORGANIZATION. BHS USED A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR A COMPENSATION COMMITTEE TO DETERMINE THE COMPENSATION. Classes of members or stockholders Form 990, Part VI, Section A, Line 6 THE ORGANIZATION HAS ONE SOLE MEMBER, BETHESDA HEALTHCARE SYSTEM, INC., A FLORIDA NOT-FOR-PROFIT ORGANIZATION. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a BETHESDA HEALTHCARE SYSTEM, 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 HEALTHCARE SYSTEM, 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 11a 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, PRINCIPAL 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 HEALTHCARE SYSTEM 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, Section B, Line 15a THE BOARD OF TRUSTEES OF BETHESDA HEALTHCARE SYSTEM ANNUALLY APPOINTS THE PRESIDENT/CEO OF BETHESDA HEALTHCARE SYSTEM TO A ONE-YEAR TERM AND ESTABLISHES AND APPROVES THE COMPENSATION OF THE PRESIDENT/CEO. THE BOARD OF TRUSTEES OF BETHESDA HEALTHCARE SYSTEM PERIODICALLY ENGAGES AN INDEPENDENT OUTSIDE PROFESSIONAL COMPENSATION FIRM TO REVIEW COMPENSATION AND BENEFIT LEVELS OF THE PRESIDENT AND CHIEF FINANCIAL OFFICER OF THE BETHESDA HEALTHCARE SYSTEM. THE CONSULTING FIRM WORKS INDEPENDENTLY OF MANAGEMENT AND REPORTS THE INFORMATION DIRECTLY TO THE TRUSTEES OF BETHESDA HEALTHCARE SYSTEM 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 THE BETHESDA HEALTHCARE SYSTEM 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 HEALTHCARE SYSTEM SETS THE COMPENSATION AND BENEFITS OF THE POSITIONS NOTED ABOVE. THE PROCESS WAS UNDERTAKEN IN THE YEAR ENDED SEPTEMBER 30, 2011. THE PROCESS AND DECISIONS ARE DOCUMENTED IN THE BOARD MINUTES. Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b THE OTHER OFFICERS OF THE ORGANIZATION ARE SUBJECT TO BETHESDA HEALTHCARE SYSTEMS' ANNUAL EMPLOYEE REVIEW PROCESS. THE VICE PRESIDENT OF HUMAN RESOURCES RECOMMENDS TO THE PRESIDENT/CEO OF THE BETHESDA HEALTHCARE SYSTEM, 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 HEALTHCARE SYSTEM 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 HEALTHCARE SYSTEM SETS THE COMPENSATION AND BENEFITS FOR THE OTHER OFFICERS. THE PROCESS WAS UNDERTAKEN FOR THE YEAR ENDED SEPTEMBER 30, 2011. 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 HEALTHCARE SYSTEM AS DESCRIBED IN THE NARRATIVE FOR FORM 990, PART VI, LINE 15A. Public Disclosure 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. JOINT VENTURE PROCEDURE LINE 16B THE ORGANIZATION IS PROACTIVE IN EVALUATING THE HOSPITAL'S PARTICIPATION IN JOINT VENTURE ARRANGEMENTS AND TAKES ALL NECESSARY STEPS TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS WITH RESPECT TO SUCH ARRANGEMENT. AS PART OF ITS INTERNAL DUE DILIGENCE, THE ORGANIZATION'S PROCEDURES INCLUDE ENGAGING OUTSIDE LEGAL COUNSEL AND TAX ACCOUNTANTS TO FULLY REVIEW AND ANALYZE ANY TAX IMPLICATIONS OR ISSUES THAT MAY AFFECT THE HOSPITAL AS A RESULT OF ITS INVESTMENTS. HOURS WORKED FOR RELATED ORGANIZATIONS FORM 990, PART VII ESTIMATED HOURS WORKED BY OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES AT RELATED ENTITIES: BETHESDA HEALTHCARE SYSTEM, INC. ROBERT B. HILL - 2 HOURS ROGER L. KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS BETHESDA HEALTH CITY, INC. ROBERT B. HILL - 2 HOURS ROGER L. KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS BETHESDA HOSPITAL FOUNDATION, INC. ROBERT B. HILL - 2 HOURS ROGER L. KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS BETHESDA MEMORIAL SIT - MALPRACTICE ROBERT B. HILL - 2 HOURS BETHESDA MEMORIAL SIT - WORKMAN'S COMP ROBERT B. HILL - 2 HOURS BETHESDA PAYROLL SERVICES, INC. ROBERT B. HILL - 2 HOURS ROGER L. KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS WOMEN'S DIAGNOSTIC CENTER OF BETHESDA, INC. ROBERT B. HILL - 2 HOURS ROGER L. KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS BETHESDA MEDICAL ASSOCIATES, INC. ROBERT B. HILL - 2 HOURS ROGER L. KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS Other changes in net assets or fund balances Form 990, Part XI, Line 5 NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -4727469; PENSION ADJUSTMENT - -17780924; TRANSFER TO AFFILIATES - -15938051; NET INCREASE IN RESTRICTED ASSETS - 1621329; KOMEN DONATION - -250557; BETHESDA SELF INS TRUST GEN LIAB 2815 S SEACREST BLVD BOYNTON BEACH FL 33435 592447554 SELF INS TRUST FL 8091 393800 NA BETHESDA HEALTHCARE SYSTEM INC 2815 S SEACREST BLVD BOYNTON BEACH FL 33435 592447553 SUPPORT ORG FL 501(C)(3) 11 - Type III - FI BHS false BETHESDA HEALTH CITY INC 2815 S SEACREST BLVD BOYNTON BEACH FL 33435 650561263 O/P MED SVCS FL 501(C)(3) 9 BHS false WOMEN''S DIAGNOSTIC CENTER OF BETHESDA INC 2815 S SEACREST BLVD BOYNTON BEACH FL 33435 592771779 O/P MED SVCS FL 501(C)(3) 9 BHS false BETHESDA HOSPITAL FOUNDATION INC 2815 S SEACREST BLVD BOYNTON BEACH FL 33435 596137805 FUNDRAISING FL 501(C)(3) 7 BHS false BETHESDA MEMORIAL SIT - WORKMAN'S COMP 2815 S SEACREST BLVD BOYNTON BEACH FL 33435 596775830 SELF INS TRUST FL 501(C)(3) 11 - Type I BHS false BETHESDA MEMORIAL SIT - MALPRACTICE 2815 S SEACREST BLVD BOYNTON BEACH FL 33435 592230109 SELF INS TRUST FL 501(C)(3) 11 - Type I BHS false BETHESDA PAYROLL SERVICES INC 2815 S SEACREST BLVD BOYNTON BEACH FL 33435 650523164 PAYROLL SUPPORT FL 501(C)(3) 11 - Type III - FI BHS false BETHESDA MEDICAL ASSOCIATES INC 2815 S SEACREST BLVD BOYNTON BEACH FL 33435 650561267 O/P MED SVCS FL 501(C)(3) 3 BHS false CARE SERVICES OF BETHESDA LLC 2500 QUANTUM LAKES DR BOYNTON BEACH FL 33426 201745631 HOME HEALTH FL NA RELATED 314608 2236104 false false 0 BETHESDA HOLDING COMPANY INC AND SUBS 2815 SOUTH SEACREST BLVD BOYNTON BEACH FL 33435 592663767 HOLDING CO FL NA C CORPORATION false false true false false false false false true true true true true true true true true true CARE SERVICES OF BETHESDA R 196839 FMV - PARTNERSHIP DISTRIBUTION