2011-08-13T11:07:31-04:00 2010-09-30 ERNST & YOUNG US LLP 201 S BISCAYNE BLVD SUITE 3000 MIAMI FL 33131 990 2009-10-01 592447554 Bethesda Memorial Hospital BETH 5617377733 2815 S SEACREST BLVD BOYNTON BEACH FL 33435 Joanne Aquilina 5617377737 2011-08-12 3053584111 2009 2016-02-24 21:20:13Z Robert B Hill 2815 S Seacrest Blvd Boynton Beach FL 33435 326066417 false X www.bethesdaweb.com X 1959 FL Bethesda Memorial Hospital's mission is to provide quality healthcare in a caring manner. 11 11 2398 1464 6626 0 10414945 4529487 279144793 285499246 -6317057 3254215 2115518 2295054 285358199 295578002 38083 130728 0 0 111332225 115617854 0 0 0 162027209 164980877 273397517 280729459 11960682 14848543 291716289 290260368 80079994 66844582 211636295 223415786 Bethesda Memorial Hospital's mission is to provide quality healthcare 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 Institute. false false 244961324 33834 285495599 Bethesda Memorial Hospital is a 401 acute-bed care hospital with 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 Institute. 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 the Hospice of Palm Beach County. 244961324 true true false false false false false false false true true true false false false false false false false false true true true true false false false false false false false false false false false false false true true false false true 283 0 true 2398 true true true false false false false false false false false 11 11 true false false false true true true true true false false true true true true true true true true true false X DONNA SEYMOUR 5617377733 2815 S SEACREST BLVD Boynton Beach FL 33435 X I Jeffrey Pheterson Esq 2.0 X 0 0 0 William F Cassady 2.0 X 0 0 0 Fred F Love MD 2.0 X 0 0 0 NMWeems MD 2.0 X 0 0 0 Fred B Devitt Jr Esq 2.0 X 0 0 0 James Byrnes MD 2.0 X 0 0 0 Ralph B Breslaw MD 2.0 X 0 0 0 George T Elmore 2.0 X 0 0 0 Thomas Smith 2.0 X 0 0 0 Stormet C Norem 2.0 X 0 0 0 William F Koch Jr 2.0 X 0 0 0 ROBERT B HILL 2.0 X 0 2003930 287023 ROGER L KIRK 2.0 X 0 592956 163550 Joanne Aquilina 2.0 X 0 201551 41666 Albert G Biehl 40.0 X 348079 0 43066 Geralyn A Lunsford 40.0 X 258089 0 35145 Matthew G Skinner 40.0 X 210558 0 11746 Svetlana Denissova 40.0 X 192594 0 14003 Gary S Nordmark 40.0 X 187061 0 42937 1196381 2798437 639136 61 false true false Shiftwise PO Box 70870 St Paul MN 331709705 Contract Staffing 1966892 Executive Health Resources 15 Campus Blvd Ste 200 NewTown PA 19073 Consulting Services 1778580 Sonneborn Rutter Cooney ET 1545 Centrepark Dr North West Palm Beach FL 33401 Legal Services 1285992 NWCHS Inc PO Box 933430 Atlanta GA 311933430 Medical Services 1129454 Palm Beach Credit Adjustors PO Box 2196 Delray Beach FL 33447 Collection Services 1009386 28 4366875 162612 4529487 Medical Services 621500 285103926 285100279 3647 Other Program Service Revenue 621990 395320 395320 285499246 1886933 1886933 0 0 734443 265919 468524 468524 2979 465545 31575091 14687 30213299 9197 1361792 5490 1367282 1367282 0 0 0 Food Sale 900099 784991 784991 Childcare 900099 707820 707820 All other Revenue 900099 333719 333719 1826530 295578002 285495599 6626 5546290 96894 96894 33834 33834 0 0 0 0 89481330 81329647 8151683 9322798 8483746 839052 10321835 9381424 940411 6491891 5907622 584269 11205286 934673 10270613 1523674 1523674 162006 162006 0 0 0 12126395 10655977 1470418 38213 38213 55997710 55137138 860572 2855852 2286201 569651 0 6040073 3628208 2411865 242573 192487 50086 0 145214 43564 101650 0 0 19851239 13796270 6054969 3582821 1812837 1769984 Provision for Bad Debt 48386269 48386269 Assessment FL Pub Med Assistan 2999074 2999074 Less rental expenses -265919 -265919 All other expenses 90397 83165 7232 280729459 244961324 35768135 0 X 5800 6300 3207692 2266071 37067395 36250650 3217135 3332693 5532118 3458119 339603226 185763016 164212860 153840210 62515859 76337772 15957430 14768553 291716289 290260368 16452561 10651048 63627433 56193534 80079994 66844582 X 200731917 210232931 10038283 11583007 866095 1599848 211636295 223415786 291716289 290260368 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2170248 2170248 206194595 91682019 114512576 1039587 461270 578317 125825962 93619727 32206235 4372834 0 4372834 153840210 Interest in Assets/ Affiliates 13241641 Other Assets 1526912 14768553 0 Reserves for Self Insurance 8542841 Due to State Med Assist Funds 913483 Accrued Retirement Benefit liability 46735527 SECURITY DEPOSIT 1683 56193534 295578002 280729459 14848543 2022586 -5091638 -3069052 11779491 295399338 -2278477 -189440 -2467917 297867255 -2289253 -2289253 295578002 280961544 232085 232085 280729459 280729459 SCHEDULE D, SUPPLEMENTAL INFORMATION Uncertainty in Income Taxes The System 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 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 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. Part XI, Line 8 Increase in Net Assets of Affiliate 2,289,253 Transfer to Affiliates = (7,789,189) Minimum Pension Liability = 829,823 Released from Restriction = (421,525) Total Other Adjustments = (5,091,638) Part XII, Line 2d Scholarships = (33,834) Rental Expenses = 265,919 Released from Restriction = (421,525) Total Other Revenue = (189,440) Part XII, Line 4b Change in Nets Assets of Afilliates - (2,289,253) Part XIII, Line 2d Scholarships = (33,834) Rental Expenses = 265,919 Total Other Expenses = 232,085 true true X true X false true true false false 13137030 2330175 10806855 0.04650 57965741 39689177 18276564 0.07870 71102771 42019352 29083419 0.12520 711846 711846 0.00310 137084 24051 113033 0.00050 5000 5000 853930 24051 829879 0.00360 71956701 42043403 29913298 0.12880 true 48386269 669840 88767287 88163263 604024 X true true CARE SVC OF BETHESDA HOME HEALTHCARE 0.51000 0.00000 0.00000 Bethesda Memorial Hospital Inc

2815 South Seacrest Blvd Boynton Beach FL 33435

X X X OUR ORGANIZATION DOES NOT USE AN ASSET TEST BUT REVIEWS A PATIENT'S ABILITY TO PAY BASED ON THEIR AVAILABLE INCOME. ALL SELF PAY UNINSURED PATIENTS ARE OFFERED A 30% DISCOUNT OFF OF BILLED CHARGES ON THE FIRST STATEMENT FROM OUR EXTENDED BUSINESS OFFICE SERVICE. N/A 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 2010 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. 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. PART III LINE 3: OUR ORGANIZATION APPLIED A PERCENTAGE OF 6.5%, 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 (QUANTRAX PROPRIETARY CREDIT SCORING ALGORITHM) ANALYSIS OF A STATISTICALLY SIGNIFICANT POPULATION (17,102) OF DEBTORS PLACED IN COLLECTION FROM 10/1/2009 - 9/30/2010. 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 POLICY IF THE NECESSARY DOCUMENTS AND ATTESTATIONS WERE SUBMITTED. FOR FISCAL YEAR 2010, OUR AUDITED FINANCIAL STATEMENTS DID NOT INCLUDE A FOOTNOTE FOR BAD DEBT. OUR STATEMENTS ACCOUNT FOR BAD DEBT AS FOLLOWS: " ALL ACTUAL BAD DEBT WRITE OFFS ARE POSTED TO AN ALLOWANCE ACCOUNT FOR BAD DEBT ON THE BALANCE SHEET. EACH MONTH AN ANALYSIS IS DONE TO BE SURE THE ENDING UNCOLLECTIBLE ALLOWANCE AMOUNT IS SUFFICIENT BASED ON THE CURRENT ACCOUNTS RECEIVABLE BALANCES BY PAYOR. THE PERCENTAGES FOR EACH PAYOR ARE BASED ON HISTORICAL COLLECTION DATA FROM OUR COST ACCOUNTING SOFTWARE AND HISTORICAL COLLECTION REPORTS FROM OUR COLLECTION AGENCY. AN ENTRY TO INCREASE THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS EACH MONTH IS RECORDED TO BAD DEBT EXPENSE ON THE INCOME STATEMENT. N/A THE TOTAL DOLLAR AMOUNT REPORTED ON FORM 990, PART IX, LINE 25 COLUMN (A) IS $232,343,185. THE AMOUNT OF TOTAL EXPENSES USED TO CALCULATE THE PERCENT OF TOTAL EXPENSE IS $280,729,454, THE DIFFERENCE BEING OUR BAD DEBT EXPENSE FOR THE YEAR IN THE AMOUNT OF $48,386,269. N/A PART III LINE 6: THE COST IS BASED ON THE HOSPITAL'S FY 2010 AS FILED MEDICARE COST REPORT. N/A Our collection protocol provides our collection agency the discretionary authority to send a charity application to a debtor or refer the debtor to our Financial Assistance Unit based on their assets, income and ability to pay. Five Rehabilitation Centers and Two Radiation Oncology Centers 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 IS 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 FOR 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. UNDER INSURED AND UN-INSURED PATIENTS ARE KEPT INFORMED ABOUT OUR HOSPITAL'S FINANCIAL ASSISTANCE UNIT THROUGH SEVERAL KEY AREAS OF THE HOSPITAL, THE EMERGENCY DEPARTMENT WAITING ROOM, AMBULATORY SURGERY WAITING ROOM, OUTPATIENT REGISTRATION DEPARTMENT AND THE ADMITTING DEPARTMENT WHERE PROMINENT SIGNAGE IS PLACED. OUR HOSPITAL HAS A DEDICATED TEAM OF INDIVIDUALS WHO HELP PATIENTS AND FAMILIES QUALIFY FOR VARIOUS FINANCIAL ASSISTANCE AND THESE STAFF MEMBERS ARE FLUENT IN ENGLISH, SPANISH AND CREOLE. 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. N/A 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. 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. true American Heart Association Greater SE Affliate PO Box 4002900 Des Moines IA 503402900 135613797 501(C)(3) 13500 Sponsorships DeVos-Blum Family YMCA of Boynton Beach 9600 South Military Trail Boynton Beach FL 33436 591416281 501(C)(3) 7750 Sponsorships Greater Boynton Beach Chamber of Commerce 1880 North Congress Avenue Boynton Beach FL 33426 591304441 501(C)(6) 15700 Sponsorships Palm Healthcare Foundation 1016 North Dixie Highway West Palm Beach FL 33401 592391119 501(C)(3) 5500 Sponsorships 3 1 Blum Scholarship 25 33834 Schedule I, Supplemental Information Description of Organization's Procedures for Monitoring the Use of Grants GRANTS TO ORGANIZATIONS ARE MADE ONLY TO ORGANIZATIONS EXEMPT UNDER IRC SECTION 501(C) TO SUPPORT THOSE ORGANIZATIONS' EFFORTS TO PROMOTE HEALTH IN THE COMMUNITY. BETHESDA MEMORIAL HOSPITAL (BLUM SCHOLARSHIPS) AWARDS CHILDREN OF BETHESDA EMPLOYEES WHO WISH TO PURSUE A FOUR-YEAR COLLEGE DEGREE WITH A $5,000 SCHOLARSHIP IF THEY MEET A SET OF CRITERIA. THE PROGRAM AWARD IS FOR GRADUATING HIGH SCHOOL SENIORS OR CURRENT COLLEGE STUDENTS. A SCHOLARSHIP COMMITTEE EVALUATES ALL GRANT APPLICANTS BASED ON THIS SET OF CRITERIA. THE APPLICANTS WHO MEET THE CRITERIA WILL BE PLACED IN A LOTTERY DRAWING. THE EDUCATION RESOURCE CENTER AT BETHESDA MEMORIAL HOSPITAL MONITORS THE DISTRIBUTION OF FOUR EQUAL INSTALLMENT PAYMENTS AND THAT THE STUDENT CONTINUES TO MEET THE MINIMUM 3.0 GRADE POINT AVERAGE, DEMONSTRATE GOOD CITIZENSHIP, AND THE PARENT/LEGAL GUARDIAN CONTINUES TO BE EMPLOYED BY BETHESDA AND MAINTAIN THE REQUIRED EVALUATIONS SCORE. X X X X X false true false false false false false false false ROBERT B HILL 0 418638 0 104380 0 1480912 0 281823 0 5200 0 2290953 0 1443650 ROGER L KIRK 0 240271 0 65022 0 287663 0 148653 0 14897 0 756506 0 252654 Joanne Aquilina 0 155316 0 39951 0 6284 0 24420 0 17246 0 243217 0 5984 Albert G Biehl 285738 0 60361 0 1980 0 32433 0 10633 0 391145 0 0 0 Geralyn A Lunsford 211809 0 45590 0 690 0 24966 0 10179 0 293234 0 0 0 Matthew G Skinner 210538 0 20 0 0 0 1607 0 10139 0 222304 0 0 0 Svetlana Denissova 188574 0 4020 0 0 0 443 0 13560 0 206597 0 0 0 Gary S Nordmark 147179 0 35753 0 4129 0 35197 0 7740 0 229998 0 0 0 Schedule J, Supplemental Information SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS RECEIVED FROM THE PLAN FOR THE FOLLOWING: ROBERT HILL $ 1,443,650 ROGER KIRK $ 252,654 JOANNE AQUILINA $ 5,984 CONTRIBUTIONS INTO THE PLAN FOR THE FOLLOWING: ROBERT HILL $ 255,358 ROGER KIRK $ 96,452 SCHEDULE O - SUPPLEMENTAL INFORMATION COMMUNITY SERVICES 2010 CHARITY CARE AS ONE OF ONLY THREE NOT-FOR-PROFIT HOSPITALS IN PALM BEACH COUNTY, BETHESDA MEMORIAL HOSPITAL IS A COMMUNITY-OWNED HOSPITAL DEDICATED TO PROVIDING QUALITY HEALTH SERVICES IN A CARING MANNER, REGARDLESS OF ABILITY TO PAY. SINCE 1990, BETHESDA MEMORIAL HOSPITAL 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 DEPARTMENT 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, 2010, BETHESDA PROVIDED $46.77 MILLION IN INDIGENT AND CHARITY CARE WRITE-OFFS, REPRESENTING 3.64% OF THE HOSPITAL'S TOTAL CHARGES. FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2010, BETHESDA PROVIDED AN ADDITIONAL $4.82 MILLION IN DISCOUNTS FOR UNINSURED PATIENTS. THESE DISCOUNTS WERE PRIMARILY FOR SERVICES PROVIDED IN THE EMERGENCY DEPARTMENT. 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 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. 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, IN BOYNTON BEACH, ON AN ONGOING BASIS 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. 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 MEMORIAL HOSPITAL, 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 MEMORIAL HOSPITAL, WITH AARP, HELD 24 SAFE DRIVING SESSIONS WITH 600 PEOPLE WHO TOOK ADVANTAGE OF THIS LEARNING OPPORTUNITY, FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2010. BABY LINE MORE THAN 78% 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 54 CLASSES WITH A TOTAL OF 1,059 ATTENDEES, FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2010. 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 MEMORIAL HOSPITAL, 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 252 REGISTERED MALL WALKERS AS OF 9/30/10. 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 NEWSLETTER AND QUARTERLY MAGAZINE FOR MEMBERS, AS WELL AS A MEDICAL NETWORK RESOURCE FOR MEMBERS. BETHESDA SERVED 16,502 PRIMETIME CLUB MEMBERS DURING FISCAL YEAR 2010. A TOTAL OF 252 NEW MEMBERS WERE ADDED, AND 56 EDUCATIONAL PROGRAMS WERE PROVIDED, WITH APPROXIMATELY 2,100 PRIMETIME MEMBERS ATTENDING. BETHESDA PROVIDED 565 REFERRALS (NON-PHYSICIAN RELATED) FOR SOCIAL/AGENCY SERVICES TO ENRICH THE LIVES OF THIS GROUP. FOR THE TWELVE MONTHS ENDED SEPTEMBER 30, 2010, 40 CAR SEAT LOANS WERE PROVIDED TO PRIMETIME CLUB MEMBERS, PROVIDING AUTOMOBILE SAFETY FOR INFANTS AND CHILDREN. IN ADDITION, 300 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. SCHEDULE O - SUPPLEMENTAL INFORMATION 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 SIX BLOOD DRIVES AT THE HOSPITAL AND COLLECTED 151 UNITS OF BLOOD FROM DONORS FOR THE 2010 FISCAL YEAR. COMMUNITY EDUCATION: BETHESDA HEALTH NEWS MAGAZINE THROUGH OUR COMMUNITY ASSESSMENT SURVEYS, BETHESDA HAS FOUND THAT EDUCATION IS VITAL TO SUCCESSFULLY PROMOTING THE HEALTH AND WELLNESS OF OUR COMMUNITY. BETHESDA PROVIDES A QUARTERLY HEALTH PUBLICATION, BETHESDA HEALTH NEWS, 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, ARTHRITIS, DIABETES, HEART DISEASE AND HIGH BLOOD PRESSURE. MAILED TO 106,000 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 HEALTH NEWS MAGAZINE, AND LOCAL NEWSPAPERS INCLUDING: THE PALM BEACH POST, SUN-SENTINEL, THE BOYNTON FORUM, THE DELRAY FORUM AND THE JEWISH JOURNAL. BETHESDA PRESENTED 48 FREE LECTURE PROGRAMS, WITH 2,108 ATTENDEES, DURING FISCAL YEAR 2010, TO HELP PEOPLE BECOME MORE EDUCATED ABOUT THEIR HEALTH TO IMPROVE THEIR QUALITY OF LIFE THROUGH LECTURES ON CANCER, STROKE, HEART DISEASE, SURGICAL WEIGHT REDUCTION, CARDIAC REHABILITATION AND BREAST HEALTH. COMMUNITY WEBSITE: BETHESDAWEB.COM IN RESPONSE TO OUR COMMUNITY'S NEED FOR OBTAINING HEALTH INFORMATION ON THE WEB, BETHESDA'S OFFICIAL WEBSITE, BETHESDAWEB.COM, PROVIDES 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. COMMUNITY MEETING ROOMS RECOGNIZING THE SHORTAGE OF PUBLIC MEETING ROOM LOCATIONS IN OUR COMMUNITY, BETHESDA PROVIDES USE OF ITS MEETING ROOMS FOR OUTSIDE ORGANIZATIONS FOR EDUCATIONAL PURPOSES. DURING FISCAL YEAR 2010, BETHESDA PROVIDED MEETING ROOM OPPORTUNITIES TO SERVE THE NEEDS OF THE COMMUNITY TO SERVE GROUPS INCLUDING: AL-ANON, AMERICAN ACADEMY OF PROFESSIONAL CODERS, AMERICAN HEART ASSOCIATION, BOYNTON BEACH FIRE DEPARTMENT, COALITION OF BOYNTON WEST RESIDENTIAL ASSOCIATIONS (COBWRA), HOSPICE OF PALM BEACH COUNTY, MACULAR DEGENERATION OF SOUTH PALM BEACH COUNTY, NICOTINE ANONYMOUS AND PARENT AND CHILDREN OF DIVORCE. IN ADDITION, BETHESDA PROVIDED A ROOM EQUIPPED WITH COMPUTER AND INTERNET ACCESS FOR MEDICARE COUNSELING SESSIONS HELD WEEKLY (SHINE PROGRAM) WITH 259 ATTENDEES WHO RECEIVED COUNSELING. COMPLIMENTARY TRANSPORTATION SERVICE ACCESS TO HEALTH SERVICES REMAINS A COMMON NEED THAT HAS BEEN IDENTIFIED AMONG OUR CONSTITUENT GROUPS. TO THIS END, BETHESDA PROVIDES COMPLIMENTARY, DOOR-TO-DOOR TRANSPORTATION SERVICE TO ASSIST OUR COMMUNITY'S RESIDENTS FOR BOTH INPATIENTS AND OUTPATIENTS WHO HAVE NO OTHER MEANS FOR ACCESSING HEALTHCARE SERVICES. BETHESDA HAS ONE COURTESY VAN AND THREE COURTESY CARS THAT PROVIDED TRANSPORTATION TO 4,864 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 20% 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 FISCAL YEAR 2010, BETHESDA CARED FOR 59,000 PATIENTS IN THE EMERGENCY DEPARTMENT. OF THOSE, NEARLY 21%, OR 12,300 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 MEMORIAL HOSPITAL PROVIDES UNUSED FOOD ON A WEEKLY BASIS TO CARING KITCHEN IN DELRAY BEACH. THIS PROGRAM IS COORDINATED THROUGH BETHESDA'S FOOD & NUTRITION SERVICES DEPARTMENT. APPROXIMATELY 100-150 PEOPLE ARE FED ON A WEEKLY BASIS, WITH FOOD DONATIONS PROVIDED THREE TIMES PER WEEK. 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 2,900 DELIVERIES A YEAR, BETHESDA CONTINUES TO SEE A GROWING NUMBER OF NON-ENGLISH SPEAKING FAMILIES ARRIVING IN OUR MATERNITY AND PEDIATRIC UNITS. AS A RESULT, BETHESDA'S CENTER FOR WOMEN AND CHILDREN EXPANDED ITS FAMILY RESOURCE CENTER TO PROVIDE MULTI-LINGUAL COMPUTERS AND INCORPORATE MULTI-LINGUAL RESOURCES TO PROVIDE PRENATAL, NEWBORN, PEDIATRIC AND FAMILY-CENTERED INFORMATION. TO ASSIST OUR FAMILIES, ALL 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. HAITI RELIEF PROGRAM IN RESPONSE TO HAITI'S DEVASTATING EARTHQUAKE IN JANUARY 2010, BETHESDA LAUNCHED A MASSIVE MEDICAL AND SUPPORT EFFORT FOR THE 180+ HAITIAN EMPLOYEES AMONG BETHESDA'S STAFF WITH FAMILY MEMBERS IN HAITI. IN ADDITION, BETHESDA PROVIDED MEDICAL CARE FOR PATIENTS WHO WERE FLOWN IN FROM HAITI. BETHESDA PROVIDED MEDICATIONS AND SUPPLIES TO BETHESDA PHYSICIANS WHO WENT TO HAITI TO ADMINISTER CARE TO VICTIMS. THE HOSPITAL HELD TWO PRAYER VIGILS FOR EMPLOYEES AND ALLOWED STAFF TO WORK FLEXIBLE SHIFTS SO THAT THEY COULD TEND TO THEIR LOVED ONES IN HAITI. EMPLOYEES COLLECTED FOOD, CLOTHING AND HOUSEHOLD ITEMS THAT WERE SENT TO HAITI, AS WELL. BETHESDA PROVIDED GRIEF COUNSELORS WHO WERE ON-SITE TO ASSIST EMPLOYEES WHO NEEDED ADDITIONAL SUPPORT. 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 STRESS LEVELS. BETHESDA PROVIDED 55 COMMUNITY HEALTH FAIRS, REACHING OVER 4,100 PEOPLE IN VARIOUS LOCATIONS THROUGHOUT SOUTH PALM BEACH COUNTY, INCLUDING RESIDENTIAL AND CIVIC CENTERS, FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2010. 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, BETHESDA MEMORIAL HOSPITAL AND ITS EMPLOYEES 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. SCHEDULE O - SUPPLEMENTAL INFORMATION 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, DIABETES INFORMATION, AND ACUTE CARE MEDICAL SERVICES WHEN CARIDAD CENTER SEEKS ADDITIONAL CARE FOR THESE PATIENTS. TOGETHER WITH BETHESDA'S WOUND CARE AND HYPERBARIC MEDICINE PROGRAM, BETHESDA MEMORIAL HOSPITAL PROVIDES DIABETES EDUCATION AND STAFF TRAINING TO THE STAFF OF CARIDAD CENTER, A HEALTH, EDUCATION AND RESOURCE CENTER FOR HISPANIC MIGRANT WORKERS AND THEIR FAMILIES. DURING FISCAL YEAR 200, BETHESDA SUPPLIED NURSES AND A DIABETES EDUCATOR FOR CARIDAD CENTER'S ANNUAL HEALTH FAIR, SERVING APPROXIMATELY 350 FAMILIES. BETHESDA PROVIDED TRAINING TO CARIDAD CENTER'S STAFF NURSES TO OBTAIN THEIR AMERICAN DIABETES ASSOCIATION CERTIFICATION. HOSPICE CARE CARING FOR PATIENTS AND FAMILIES THROUGH EVERY STAGE OF THEIR LIVES IS WHY BETHESDA IS PROUD TO WORK IN PARTNERSHIP WITH HOSPICE OF PALM BEACH COUNTY TO PROVIDE AN INPATIENT HOSPICE UNIT IN THE HOSPITAL. 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, PERSONAL HEALTH, AND GUN 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. 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 FISCAL YEAR 2010, BETHESDA PROVIDED 583 LOW-COST MAMMOGRAMS; 467 BREAST ULTRASOUNDS; 103 BREAST BIOPSIES AND 30 MRI TESTS TO MEDICALLY NEEDY WOMEN IN OUR COMMUNITY. LACTATION SERVICE RECOGNIZING THE NEEDS OF OUR MOTHERS WITH NEWBORNS, BETHESDA PROVIDED FREE COUNSELING FROM CERTIFIED LACTATION SPECIALISTS TO NEW MOTHERS TO HELP THEM GIVE THEIR BABIES A HEALTHY START IN LIFE BY ANSWERING THEIR BREASTFEEDING QUESTIONS, PROVIDING VISITS TO 2,505 NEW MOTHERS IN THE HOSPITAL AS OF 9/30/10. OF THOSE, 598 NEW MOTHERS RECEIVED INPATIENT LACTATION CONSULTATIONS, WHILE 40 NEW MOTHERS RETURNED TO THE HOSPITAL, AFTER DELIVERY, TO ATTEND THE BREASTFEEDING CLINIC AS OF 9/30/10. 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 MEMORIAL HOSPITAL 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 200 LIVING WILLS WERE DISTRIBUTED TO RESIDENTS DURING FISCAL YEAR 2010. 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. FOR FISCAL YEAR 2010, 143 COUNSELING SESSIONS WERE PROVIDED. NEONATAL INTENSIVE CARE UNIT - LEVEL III UNIT WITH 2,900 DELIVERIES PER YEAR, MORE THAN 340 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. FOR FISCAL YEAR 2010, BETHESDA CARED FOR 346 NEONATAL PATIENTS. NURSING EDUCATION PROGRAM IN RECOGNITION OF THE NEED FOR NURSES IN OUR COMMUNITY BOTH NOW AND IN THE FUTURE, BETHESDA MEMORIAL HOSPITAL HAS TAKEN A PROACTIVE APPROACH TO WORK WITH AREA NURSING SCHOOLS AND COLLEGES, INCLUDING FLORIDA ATLANTIC UNIVERSITY AND PALM BEACH COMMUNITY COLLEGE TO PROVIDE CLINICAL ROTATION PROGRAMS FOR MORE THAN 550 STUDENT NURSES ANNUALLY. LEVEL I AND LEVEL II STUDENT NURSES WORK 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. FOR FISCAL YEAR 2010, THE PHYSICIAN REFERRAL LINE PROVIDED INFORMATION TO APPROXIMATELY 3,278 CALLERS. QUALITY REPORTING INITIATIVES BETHESDA MEMORIAL HOSPITAL 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. DURING FISCAL YEAR 2010, BETHESDA MEMORIAL HOSPITAL 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 SCHEDULE O - SUPPLEMENTAL INFORMATION SCHOLARSHIP PROGRAM BETHESDA'S SCHOLARSHIP PROGRAMS ARE HELPING STUDENTS IN OUR COMMUNITY TO FURTHER THEIR COLLEGE EDUCATION. THE BETHESDA AUXILIARY PROVIDED NINE NURSING/HEALTH CAREER SCHOLARSHIPS DURING FISCAL YEAR 200. IN ADDITION, THE PETER BLUM SCHOLARSHIP PROGRAM PROVIDED 4-YEAR COLLEGE SCHOLARSHIPS TO 12 STUDENTS AS OF 9/30/10. THESE SCHOLARSHIPS WERE AWARDED BASED ON ACADEMIC ACHIEVEMENT AND COMMUNITY SERVICE. 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 MORE THAN 40 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 44 SPEAKERS TO THE COMMUNITY DURING FISCAL YEAR 2010. 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 $96,894.00 IN SPONSORSHIP GRANTS TO LOCAL ORGANIZATIONS FOR THE TWELVE MONTHS ENDING SEPTEMBER 30, 2010. 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 27 FREE COMMUNITY SUPPORT GROUPS TO OFFER COUNSELING SUPPORT TO PATIENTS AND FAMILIES IN COPING WITH SITUATIONS INVOLVING HEALTH RELATED PROBLEMS, WITH APPROXIMATELY 850 ATTENDEES ANNUALLY: AL-ANON BETTER BREATHERS CLUB BREAST CANCER SUPPORT GROUP CAREGIVERS AND CARE PARTNERS COPING WITH CANCER DIABETES SUPPORT GROUP HEAD AND NECK CANCER SUPPORT GROUP INSULIN PUMP SUPPORT "I CAN COPE" WITH AMERICAN CANCER SOCIETY KIDNEY NUTRITION SUPPORT GROUP LEUKEMIA/LYMPHOMA/MYELOMA SUPPORT GROUP LIVING WITH CANCER - (EN ESPAOL) LOOK GOODFEEL BETTER PROGRAM LUNG CANCER SUPPORT LUPUS & CHRONIC ILLNESS 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 1,464 VOLUNTEERS PROVIDED 142,525 HOURS OF IN-SERVICE FOR THE FISCAL YEAR ENDING 9/30/10. CONCLUSION BETHESDA MEMORIAL 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, BETHESDA IS THERE FOR OUR COMMUNITY THROUGH EVERY STAGE OF THEIR LIVES. SCHEDULE O - SUPPLEMENTAL INFORMATION FAMILY AND BUSINESS RELATIONSHIPS FORM 990, PART VI, QUESTION 2 ROBERT B. HILL, ROGER L. KIRK AND JOANNE AQUILINA HAVE A BUSINESS RELATIONSHIP. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 THE ORGANIZATION HAS ONE SOLE MEMBER, BETHESDA HEALTHCARE SYSTEM, INC. A FLORIDA NOT-FOR-PROFIT ORGANIZATION. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTION 7A BETHESDA HEALTHCARE SYSTEM, INC. APPROVES THE MEMBERS OF THE GOVERNING BODY. CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTION 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. APPOINTING OR REMOVING THE TRUSTEES; 6. ADOPTING OR AMENDING THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION; 7. ADOPTING OR PERMITTING ANY CHANGE TO ANY STRATEGIC MASTER PLANS OR POLICES 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. DESCRIBE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 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 PRIOR TO FILING WITH THE IRS. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12C AS PART OF THE WRITTEN AGENDA OF THE REGULAR MONTHLY MEETINGS OF THE BOARD OF TRUSTEES IS AN ITEM LABELED CONFLICT OF INTEREST DISCLOSURE. THE CHAIRMAN OF THE BOARD UPON CALLING THE MEETING TO ORDER REQUESTS THAT ANY BOARD MEMBER WHO HAS A CONFLICT OF INTEREST DISCLOSURE ON ANY ITEM ON THE AGENDA TO DECLARE THE CONFLICT AND LEAVE THE ROOM DURING THE DISCUSSION RELATED TO THAT TOPIC OR ITEM ON THE AGENDA. ADDITIONALLY, DURING THE MEETING, IF ANY ITEM NOT ON THE AGENDA WERE DISCUSSED, ANY BOARD MEMBER WITH AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST WOULD BE REQUIRED TO DECLARE SUCH CONFLICT AT THAT TIME AND LEAVE THE ROOM DURING THE DISCUSSION. ANNUALLY, EACH MEMBER OF THE BOARD OF TRUSTEES IS REQUIRED TO FILE A WRITTEN, SIGNED AND DATED CONFLICT OF INTEREST STATEMENT LISTING ANY AND ALL CONFLICTS OF INTEREST. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTION 15A ALL OF THE MENTIONED POSITIONS ARE SUBJECT TO BETHESDA HEALTHCARE SYSTEM'S ANNUAL EMPLOYEE REVIEW PROCESS. THE PRESIDENT/CEO OF BETHESDA HEALTHCARE SYSTEM PROVIDES A REVIEW OF PERFORMANCE FOR ALL NOTED POSITIONS EXCEPT HIMSELF. THE PRESIDENT OF THE BETHESDA HEALTHCARE SYSTEM RECOMMENDS TO THE BOARD OF THE BETHESDA HEALTHCARE SYSTEM, INC. COMPENSATION AND BENEFIT LEVELS TO BE PROVIDED FOR THE NOTED POSITIONS. 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, EXECUTIVE VICE-PRESIDENT/COO 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. 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 FOR THE CURRENT YEAR. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTION 15B ALL OF THE MENTIONED POSITIONS ARE SUBJECT TO BETHESDA HEALTHCARE SYSTEMS ANNUAL EMPLOYEE REVIEW PROCESS. THE VICE PRESIDENT OF HUMAN RESOURCES RECOMMENDS TO THE PRESIDENT/CEO AND EXECUTIVE VICE PRESIDENT/COO OF THE BETHESDA HEALTHCARE SYSTEM, INC. COMPENSATION AND BENEFIT LEVELS TO BE PROVIDED FOR THE NOTED POSITIONS. THE VICE PRESIDENT OF HUMAN RESOURCES PERIODICALLY ENGAGES AN INDEPENDENT OUTSIDE PROFESSIONAL COMPENSATION FIRM TO REVIEW COMPENSATION AND BENEFIT LEVELS OF THESE 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 AND EXECUTIVE VICE PRESIDENT/COO OF BETHESDA HEALTHCARE SYSTEM SETS THE COMPENSATION AND BENEFITS OF THE POSITIONS NOTED ABOVE. THE PROCESS WAS UNDERTAKEN FOR THE CURRENT YEAR. JOINT VENTURE POLICY FORM 990, PART VI, QUESTION 16 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. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 THE GOVERNING DOCUMENTS OF THE ORGANIZATION, ITS CONFLICT OF INTEREST POLICY, ITS FINANCIAL STATEMENTS ARE AVAILABLE ON REQUEST. DEPENDING ON THE QUANTITY OF THE REQUEST A MINIMAL FEE MAY APPLY. HOURS WORKED FOR RELATED ORGANIZATION FORM 990, PART VII, SECTION A, COLUMN B ESTIMATED HOURS WORKED BY OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES AT RELATED ENTITIES: BETHESDA HEALTHCARE SYSTEM ROBERT B. HILL - 2 HOURS ROGER KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS BETHESDA HEALTH CITY ROBERT B. HILL - 2 HOURS ROGER KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS BETHESDA HOSPITAL FOUNDATION ROBERT B. HILL - 2 HOURS ROGER KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS BETHESDA MEMORIAL SELF INSURANCE MALPRACTICE ROBERT B. HILL - 2 HOURS BETHESDA MEMORIAL SELF INSURANCE WORKMAN'S COMP ROBERT B. HILL - 2 HOURS BETHESDA PAYROLL SERVICES ROBERT B. HILL - 2 HOURS ROGER KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS WOMEN'S DIAGNOTIC CENTER OF BETHESDA ROBERT B. HILL - 2 HOURS ROGER KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS BETHESDA MEDICAL ASSOCIATES ROBERT B. 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