2011-05-13T10:33:01-07:00 2010-06-30 990 2009-07-01 510064318 Bayhealth Medical Center Inc BAYH 3027447162 640 South State Street Dover DE 19901 Earl P Tanis 2011-05-13 2009 2016-02-24 21:20:13Z 1796424931 false false X N/A X 1943 DE To improve the health status of all members of the surrounding communities. To provide hospital patient care, including necessary services to medically indigent patients 9 3 3214 350 42670 992932 1228033 374975040 409919538 -10969211 6066899 1430292 1308930 366429053 418523400 0 0 189345996 200011266 0 0 164512218 178024335 353858214 378035601 12570839 40487799 470153476 669142593 193825084 359971231 276328392 309171362 To improve the health status of all members of the surrounding communities. To provide hospital patient care, including necessary services to medically indigent patients false false 271890922 409919538 Bayhealth Medical Center, Inc provides a full range of patient care, emergency services, and wellness services. Bayhealth Medical Center is comprised of a total of 389 beds in two acute-care hospitals, Kent General Hospital in Dover and Milford Memorial Hospital. It also has outpatient sites throughout the service area. Both hospitals have Level III trauma centers. They provide a full range of surgical and medical care, radiation and medical oncology and chemotherapy, infusion therapy, cardiovascular services, endovascular surgery, electrophysiology, ambulatory surgery, wound care, perinatology services, and a Level II NICU and PICU. During fiscal year 2010, Bayhealth recorded over 78,000 Emergency Room visits, 2,360 births, 17,918 patients admitted, and 367,955 outpatient visits. Bayhealth has affiliations with the University of Pennsylvania's Penn Health in cardiology, oncology, and orthopedics. It provides Physician/Medical clinical rotations, housing, and meals for interns and residents from surrounding states. In FY 2010, it also hosted 1600 local students from vocational schools, community colleges and universities for Nursing/Other Health Professions clinical rotations.Because the area is deemed to be medically underserved, with a shortage of health professionals, Bayhealth actively recruits physicians to the area. In addition, it runs 10 physicians' practices in Central and Southern Delaware.Bayhealth has an active education program, including health-related classes, support groups, free public screenings, free speakers for community groups, and representation at community events.Bayhealth Medical Center, Inc. provides care to all patients regardless of the ability to pay. 271890922 true true false false false false false false false true true true false false false false false false false false false true false false true true false false false false false false false false false false true false false false false false false false false true 291 0 false 3214 true true true false false false false false false false false false 0 false false false false false false false false 9 3 false false false false false false false true true false false false false true true true true true true true true true X X Earl P Tanis 3027447162 640 S State Street Dover DE 19901 Wendy Brown 40.00 X X 52272 0 42291 Terry V Feinour 40.00 X X 289881 0 191776 Terry Murphy 40.00 X X 522766 0 31949 Rishi Sawhney MD 40.00 X 414273 0 31507 Ralph Caccese MD 1.00 X 0 0 0 Mary Jane McClements MD 1.00 X 0 0 0 Jon C McDowell 40.00 X 220683 0 53872 John D Mannion MD 40.00 X 857111 0 31949 Iftekhar A Khan MD 40.00 X 448164 0 31949 Harjinder S Grewal MD 1.00 X 0 0 0 Gerald L White 0. X 214243 0 175188 Gary Siegelman MD 40.00 X X 453156 0 37578 Gary Shaw 40.00 X 238439 0 14486 Garrett Colmorgen MD 40.00 X 512154 0 27127 Earl P Tanis 40.00 X X 427250 0 100669 Dennis J Klima 0. X 1189767 0 149905 Deborah Watson 40.00 X 262406 0 29192 Daniel Marelli MD 0. X 463028 0 29542 Bonnie Perratto 40.00 X X 299807 0 27127 6865400 1006107 166 true true false Rehabcare Group Inc 7733 Forsyth Blvd Suite 2300 St Louis MO 63105 Therapy -- PT & OT 2795138 Bayhealth Hospitalist 131 Continental Drive Suite 200 Newark DE 19713 Hospitalists 1144325 Bay Anesthesia Group LLC 640 South State Street Dover DE 19901 Anesthesiologists 2826433 Aramark Services Inc PO Box 8018 Philadelphia PA 191018018 Food Svc & Environ 3391603 Aramark Cts Inc 10510 Twin Lakes Parkway Charlotte NC 282697658 Clinical Engineering 1886595 184 463387 731215 33431 463387 1228033 Premier Ptnr K-1 541900 973281 973281 Patient Charges, Net 900099 404652346 404652346 Outpatient Pharmacy Gross 900099 2551054 2551054 Misc. Program Income 900099 829477 829477 Gift/Sandwich Shop Gross 900099 943724 943724 -30344 -73014 42670 409919538 6782613 6782613 0 0 754842 754842 754842 754842 1377185817 1377899186 2345 -713369 -2345 -715714 -715714 0 0 0 Childcare Revenue 624410 554088 554088 554088 418523400 406382090 42670 10870607 0 0 0 0 2476522 2476522 1729103 1729103 148963287 103967040 44996247 9049909 6316269 2733640 27571308 19243045 8328263 10221137 7133713 3087424 0 863788 863788 263670 263670 0 0 0 0 685653 685653 839189 585701 253488 0 0 8719369 6085573 2633796 623292 435019 188273 0 0 5090496 5090496 0 18774526 13103443 5671083 4131344 2883419 1247925 Repairs & Maintenance, Equipme 9971546 6959514 3012032 Rental of Equipment 1836133 1281506 554627 Provision for Bad Debt 33322302 33322302 Other Purchased Services 17371911 12124505 5247406 Departmental Supplies 66667637 46529833 20137804 8863479 6143891 2719588 378035601 271890922 106144679 0 0 20484564 6270081 0 38494350 44087071 0 0 0 4927439 5117026 9011678 9349025 364707756 152003448 177340782 212704308 207625121 379097763 0 0 0 12269542 12517319 470153476 669142593 53818657 74753891 2937805 1762681 92987870 210610312 238584 43842168 72844347 193825084 359971231 X 267179225 299310457 4118074 4462103 5031093 5398802 276328392 309171362 470153476 669142593 X false true true X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5031093 367709 5398802 6051419 -1020326 5031093 1.00000 false false false 10735909 10735909 128487648 37752688 90734960 3101929 2285652 816277 24442601 20268242 4174359 197939669 91696866 106242803 212704308 Rounding 1 Fair Value of Interest Rate Swap 3382994 Estimated Workers' Comp Cost, Long-Term 4186000 Estimated Professional Liability, Long-T 13210767 Asset Retirement Obligation 2538633 Accrued Post-Retirement benefit 49525952 72844347 418523400 378035601 40487799 14298552 -21943381 -7644829 32842970 430819571 14298552 -1055079 13243473 417576098 947302 947302 418523400 377088299 377088299 947302 947302 378035601 Part X Part X : FIN48 Footnote The [Bayhealth] Medical Center is a Delaware nonprofit corporation and is exempt from federal income taxes pursuant to Section 501(c)(3) of the Internal Revenue Code.The Medical Center follows the accounting guidance for uncertainties in income tax positions which requires that a tax position be recognized or derecognized based on a "more likely than not" threshold. This applies to positions taken or expected to be taken in a tax return. The Medical Center does not believe its financial statements include any material uncertain tax positions. Part XIII, Line 4b Part XIII, Line 4b: Other revenue amounts included on 990 but not included in F/S Reclass Premier Purchasing K-1 income $973281 Reclass K-1 Loss $-73014 Reclass K-1 UBIT $42670 Reclass Interest & Dividends from K-1 $4393 Reclass Capital gains per K-1 $-28 Part XII, Line 4b Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Reclass Ord Income, K-1 Premier $973281 Reclass K-1 Loss Dover Surgicenter $-73014 Reclass K-1 UBTI Income $42670 Reclass K-1 Interest & Dividends $4393 Reclass K-1 Capital Gain $-28 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Increase in beneficial interest of BH Foundation $86426 Other $257603 Change in Permanently Restricted Net Assets $367709 Change-Fair Value of Interest Rate swap $ -834544 Change in beneficial interest in BHF $ -203246 Transfers to Affiliate $ -372080 Change in benefit obligations $ -21245245 Rounding $ -4 Part V, Line 4 Part V, Line 4: Intended uses of the endowment fund. The Endowment Funds are to be held in perpetuity. The investment income from the funds is not restricted. true true X true X true X true true true false true false 2058727 2058727 0.00540 55663307 59926399 -4263092 57722034 59926399 -2204365 197957 197957 0.00050 880283 880283 0.00230 8218406 8218406 0.02170 384 384 1570707 1570707 0.00420 10867737 10867737 0.02870 68589771 59926399 8663372 0.02290 16071 16071 5575 5575 17253 17253 16706 16706 1407915 1407915 0.00370 1463520 1463520 0.00390 false 13627314 129835695 148194843 -18359148 X true true Dover Surgicenter LLC Outpatient Surgery Center 0.39000 0.61000 Dover Surgicenter LLC

100 Scull Terrace Dover DE 19901

Ambulatory Surgery Center (LLC Partner) Bayhealth ENT Dover

826 S Governors Ave Dover DE 19901

Outpatient Physician Clinic Bayhealth Endocrinology Milfor

113 Neurology Way Milford DE 19963

Outpatient Physician Clinic Bayhealth Family Practice Dove

200 Banning St Suite 150 Dover DE 19904

Outpatient Physician Clinic Bayhealth ENT of Georgetown

20930 Dupont Blvd Suite 202 Georgetown DE 19947

Outpatient Physician Clinic BH Medical Assoc of Harrington

205 Shaw Ave Harrington DE 19952

Outpatient Physician Clinic BH Plastic & Aesthetic Surgery

34446-2 King Street Row Lewes DE 19958

Outpatient Physician Clinic Bayhealth Medical Assoc Milton

630 Mulberry Street Milton DE 19968

Outpatient Physician Clinic BH Maternal Fetal Medicine

640 South State Street Dover DE 19901

Outpatient Physician Clinic Bayhealth Medical Ass Milford

305 Jefferson Ave Milford DE 19963

Outpatient Physician Clinic Bayhealth Womens Care Assoc

517 South Dupont Hwy Milford DE 19963

Outpatient Physician Clinic Bayhealth Outpatient Rehab Ctr

560 S Governors Ave Dover DE 19901

Outpatient Services Center Wellness Center at Woodbridge

307 Laws St Bridgeville DE 19933

School-Based Wellness Center Wellness Ctr at Smyrna High Sc

500 Duck Creek Parkway Smyrna DE 19977

School-Based Wellness Center Wellness Ctr at Milford High S

1019 N Walnut St Milford DE 19963

School-Based Wellness Center Wellness Ctr at Caesar Rodney

239 Old North Road Camden DE 19934

School-Based Wellness Center Smyrna-Clayton Professional Ct

401 N Carter Road Smyrna DE 19977

Outpatient Services Center Womens Center at Milford

200 Kings Hwy Suite 3 Milford DE 19963

Outpatient Services Center Cancer Center at Dover

793 South Queen St Dover DE 19904

Radiation Oncology Outpatient Center Womens CtrHematologyImaging

540 S Governors Ave Dover DE 19901

Outpatient Services Center Milton Outpatient Center

632 Mulberry St Milton DE 19968

Outpatient Services Center Middletown Medical Center

209 E Main St Middletown DE 19709

Outpatient Services Center Harrington Outpatient Center

201 Shaw Ave Harrington DE 19952

Outpatient Services Center Milford Outpatient Imaging

1020 Mattlind Way Milford DE 19963

Outpatient Diagnostic Center Eden Hill Outpatient Imaging C

200 Banning St Suite 140 Dover DE 19808

Outpatient Diagnostic Center Milford Memorial Hospital

21 West Clarke Ave Milford DE 19963

X X X Kent General Hospital

640 South State Street Dover DE 19901

X X X The Medical Center provides its community benefit information to the Delaware Healthcare Association, Inc. for use in a state-wide Community Benefit report. A variety of methods were used in order to obtain the most accurate results. Medicare costs were calculated using the data from the Medicare Cost Report, and its Ratio of Cost to Charges. The RCC was also applied to Bad Debt after allowable Medicare Bad Debt was excluded. Other data was determined to be most accurate when pulled from a cost accounting system. Bayhealth has established a number of physicians' offices in order to provide necessary medical care in underserved areas. The physicians and the staffs are all Bayhealth employees. The practices frequently operate at a loss, especially in the early years. Adjustments have been made for Medicaid revenue and for Bad Debt, reported elsewhere on this form. Bad debt reported elsewhere on Form 990, but subtracted for purposes of calculating the Medicare ratio of costs to charges (RCC) is $33,320,749. The Provision for Bad Debt is the result of an estimate by management. It is reviewed frequently in the light of historical and expected collections, and is based on the historical percentage collected in each category. The Medical Center provides an allowance for doubtful accounts for estimated losses resulting from the unwillingness or inability of patients to make payments for services. The allowance is determined by analyzing specific accounts and historical data and trends. Patient accounts receivable are charged off against the allowance for doubtful accounts when management determines that recovery is unlikely and the Medical Center ceases collection efforts. Costs were derived from the Medicare Cost Report. Bayhealth provides services to a rapidly increasing number of low-income Medicare recipients as part of its mission to care for the entire community. The Medicare losses sustained at these hospitals are a result of Medicare reimbursing at less than operating costs. The IRS community benefit standard for hospitals indicates that if a hospital serves patients covered by governmental health benefits (including Medicare), it is promoting the health of the community. Therefore, the Schedule H should permit Medicare losses to be counted as a community benefit. Net revenue from the Medicare program accounted for approximately 29% of Bayhealth's net patient revenue for the year ended June 30, 2010. Bayhealth Medical Center does not pursue collection of amounts determined to qualify for charity care. Dover Surgicenter, LLC is licensed by the State, and would qualify as a "general medical and surgical" facility except that it provides services only on an outpatient, rather than an inpatient, basis. Bayhealth Medical Center is a limited partner. Bayhealth Medical Center does service-specific needs assessments periodically by using patient surveys. Bayhealth also surveys other not-for-profits, health organizations, attendees at classes, support groups and screenings to assess the strengths and weaknesses of the programs that Bayhealth offers. Bayhealth has on-going communications with the State of Delaware and with national not-for-profit health organizations. Plans for a new full-scale needs assessment are underway. All patients or family members who inquire about financial assistance are directed to the Financial Counselor Team of the Patient Access Department (Admissions). Self-pay patients are directed to PATHS, a service contracted by Bayhealth, that screens them for Medicaid and helps them with financial application papers. Bayhealth's invoices state, "If you are not able to pay please contact our Billing Support Department to make suitable arrangements." The Patient Billing Guide is distributed by the Patient Finance and Admissions Departments. The booklet describes types of bills, understanding your bill, privacy policy, collection policy, dispute resolution, payment methods, and has a glossary of financial and insurance terms. The Billing Support / Self Pay / Financial Counselor Department's local telephone number and a direct toll-free telephone number is available by calling the main hospital telephone number and is also listed on brochures and on other informational material. EMTALA and Patient Rights information is conspicuously placed for all patients and visitors to see. Bayhealth Medical Center serves Kent and Sussex Counties and lower New Castle County. The Bayhealth system is comprised to two acute care hospitals, Kent General in Dover and Milford Memorial in Milford with a total of 389 licensed beds. The Medical Center also has outpatient sites throughout our service area. In fiscal year 2010, Bayhealth recorded 78,600 visits to our Level III Emergency/Trauma Departments. 18,000 patients were admitted to beds for an average 5-day stay. The entire area is designated as "Medically Underserved Areas" and "Health Professional Shortage Areas" by the federal and state governments. The population of Bayhealth's service area is growing rapidly because of an influx of retirees arriving from the higher cost-of-living areas in neighboring states, and because of retired military families attracted by the proximity of Dover Air Force Base. Kent and Sussex counties also have a growing Spanish-speaking population. Median household income in Delaware is $53,774. It is estimated that 12.3% of the total population of Delaware are living below the poverty line. Teen pregnancy, school drop-out rates, infant mortality, and cancer rates are relatively high compared with national statistics. Because all of Kent and Sussex counties are designated as medically underserved, Bayhealth has invested heavily in recruiting primary care and certain specialty physicians. To encourage physicians to relocate to its service area, Bayhealth has formed 10 wholly-owned group practices, employing more than a dozen physicians. Due to the shortage of physicians and as a recruitment tool, a Hospitalist program was also established. Bayhealth staff members serve on various professional, educational and community boards throughout Delaware. Bayhealth is investing heavily in expanding and upgrading its facilities and equipment. Kent General Hospital is currently in Phase II of a major building project, which will add a new and expanded Emergency Department and an integrated Cancer Center. Plans are being developed for a new building for Milford Memorial Hospital. Bayhealth's medical staff of over 400 physicians is open to any qualified physician in its service area. Bayhealth hosts students doing residencies, internships and clinical studies and provides board and room for those who come from other states to participate in clinical rotations. Bayhealth's education department offers free blood pressure, diabetes, and osteoporosis screenings. They periodically offer free or low-cost mammograms, prostate, skin, and colorectal screenings to uninsured/underinsured individuals. They also host a wide variety of monthly support groups at the two hospitals. They offer health education classes in the community and at local schools. Bayhealth provides staffing and partial subsidy for 4 high school wellness centers in Kent and Sussex counties, under an agreement with the State of Delaware. To encourage interest in health-related careers, Bayhealth contributes to nearby colleges and universities by sponsoring events and donating equipment. Bayhealth staff members give lectures and presentations, mentor healthcare students, and work as members of committees which develop healthcare curriculum. Bayhealth also hosts and sponsors an Explorer Troop which focuses on medical careers. Bayhealth Kent General Hospital supplies the operating rooms, medical supplies and health-related professional staff for a program called Voluntary Ambulatory Surgical Access Program (VASAP), which provides ambulatory surgical procedures for indigent patients. The program is coordinated by a local Rotary International Club, and is supported by a group of local surgeons. Bayhealth tries to impact the social and economic growth of our service areas by being an active member of the Kent Economic Partnership, the Downtown Dover Partnership, six Chambers of Commerce. As representatives of Bayhealth, staff members are active in community Rotary Clubs and other service organizations. Bayhealth Medical Center is a member of the University of Pennsylvania Cancer Network, University of Pennsylvania Health System's Penn Cardiac Care, and Penn Orthopaedics of Penn Medicine. These memberships provide direct access to the latest medical research, clinical trials, and specialty care. false X X X X X X false true false false false false false true false false Terry V Feinour 221864 56183 11834 184805 6971 481657 Terry Murphy 382315 137899 2552 14700 17249 554715 Rishi Sawhney MD 321730 18010 74533 14700 16807 445780 Jon C McDowell 186845 25900 7938 48031 5841 274555 John D Mannion MD 671051 50000 136060 14700 17249 889060 Iftekhar A Khan MD 388809 19766 39589 14700 17249 480113 Gerald L White 183506 36894 -6157 152310 22878 389431 Gary Siegelman MD 393765 59065 326 14700 22878 490734 Gary Shaw 204230 28224 5985 14174 312 252925 Garrett Colmorgen MD 400005 62701 49448 14700 12427 539281 Earl P Tanis 300926 104071 22253 93698 6971 527919 Dennis J Klima 483477 685041 21249 133875 16030 1339672 Deborah Watson 227938 33750 718 14350 14842 291598 Daniel Marelli MD 441358 21670 14700 14842 492570 Bonnie Perratto 256909 35501 7397 14700 12427 326934 Sch J, Part I, Line 7 Part I, Line 7: Non-Fixed payments not listed above In addition to base salary, certain employees were entitled to receive a performance bonus. The exact amount of the bonus was determined by management based on whether and to what extent certain performance objectives were met. Delaware Health Facilities Authority 246388QA3 2009-10-31 37865000 Extinguish Ser 2003 & 2002 Bonds Delaware Health Faciliities Authority 246388PZ9 2009-10-31 37865000 Extinguish Ser 2003 & 2002 Bonds Delaware Health Facilities Authority 246388xxx 2009-10-31 138490000 Construction Project 37789270 37475081 314189 true false true true 37745725 37431536 314189 true false true true 136526503 18320647 70265524 611817 47328515 2012 false false true true false false false false false true false false false false false true false false false false false true false true false false false false false true false false false false false false false false false false X 1 463387 Book value false false false Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Form 990 is available on www.Guidestar.org. Form 990-T, governing documents, policies, and financial statements are available upon request. Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees A compensation committee of the Board determines the compensation of the CEO, CFO, COO, Chief Medical Officer and other top management officials annually. An independent consultant provides information and recommendations, using a variety of compensation surveys and studies. Written employment contracts are utilized. The full Board of Directors approves the compensation. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts A questionnaire is distributed annually. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process The entire Form 990 is reviewed by the CFO and the CEO. Schedule J is reviewed by the entire Board of Directors. Upon confirmation of a successful e-filing from the IRS, a copy of the final e-filed return is made available to any interested members of the governing body. After filing, a copy is also sent to Bayhealth's outside audit firm for review.