2016-05-16T15:44:50-05:00 2015-06-30 PricewaterhouseCoopers LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2014-07-01 510067938 Beebe Medical Center Inc % MARCIA RIGSBY-DYKES BEEB 3026453300 424 Savannah Road Lewes DE 19958 PAUL PERNICE VP FINANCE & CFO 2016-05-16 ERIC M MCNEIL P00460263 2673303000 2014 2016-08-17 19:52:53Z BEEBE HEALTHCARE INC JEFFREY M FRIED 424 SAVANNAH ROAD LEWES DE 19958 375438675 false X http://www.beebehealthcare.org X 1916 DE SEE ATTACHMENT 1 IN SCHEDULE O 22 18 2203 690 0 2534231 7204276 293227943 320252980 2867485 3038432 9068620 4179102 307698279 334674790 572895 785361 0 0 139808007 150413695 0 0 0 138984651 148360936 279365553 299559992 28332726 35114798 310938592 329129588 173575550 192305665 137363042 136823923 X BEEBE MEDICAL CENTER'S CHARITABLE MISSION IS TO ENCOURAGE HEALTHY LIVING, PREVENT ILLNESS AND RESTORE OPTIMAL HEALTH WITH THE PEOPLE RESIDING, WORKING AND VISITING IN THE COMMUNITIES WE SERVE. BEEBE MEDICAL CENTER PROVIDES HEALTHCARE SERVICES REGARDLESS OF RACE, CREED, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. false false 251191473 785361 314559344 GENERAL MEDICAL SURGICAL PATIENT CARE. BEEBE MEDICAL CENTER EXPERIENCED 10,003 DISCHARGES IN 2015 RESULTING IN 44,542 PATIENT DAYS OF WHICH 6,288 DISCHARGES AND 31,328 PATIENT DAYS WERE COVERED UNDER THE MEDICARE PROGRAM. THE MEDICAID PROGRAM COVERED 1,393 DISCHARGES AND 5,555 PATIENT DAYS. ADDITIONAL VOLUMES ACHIEVED IN 2015 INCLUDE 47,225 EMEMERGENCY VISITS; 13,675 OPERATING ROOM CASES OF WHICH 107 WERE OPEN HEART SURGERIES; 2,205 CARDIAC CATHETERIZATION PROCEDURES; AND 120,583 OUTPATIENT IMAGING PROCEDURES. TOTAL SELF-PAY INPATIENT DAYS WERE 605 AND SELF-PAY DISCHARGES WERE 163 IN 2015. 4429405 5798816 BEEBE HOME HEALTH (BHHA) PROGRAM COVERS EASTERN SUSSEX COUNTY. IN 2015, BHHA ADMITTED 2,760 NEW PATIENTS AND HAD AN ACTIVE CASELOAD OF 5,030 PATIENTS. THERE WERE A TOTAL OF 38,695 VISITS DURING THE YEAR. 1758781 0 264724 THE MARGARET D ROLLINS SCHOOL OF NURSING CONTINUES TO BE FULLY CERTIFIED. THE SCHOOL HAD A TOTAL OF 44 STUDENT ENROLLED IN FY15, 17 SENIORS AND 27 FIRST YEAR STUDENTS. 796356 0 DELMARVA HEALTH NETWORK, LLC 653877 0 COMMUNITY OUTREACH 502767 99567 ADULT DAY CARE - GULL HOUSE 1953000 99567 259332659 true true false true false false false false false true true false false true true false false true false false false false false false false false true true true false true true true false false false false false false false true true false false false false true true true true false false true 171 0 true 2203 true false false false false false false false false false false X 22 18 true false false false false false false true true false false true true true true true true true true true false X MARCIA RIGSBY-DYKES 3026453460 431C SAVANNAH ROAD LEWES DE 19958 JEFFREY FRIED PRESIDENT & CEO 40.0 2.0 X X 763788 0 35857 ROBERT J WHITE DIRECTOR 2.0 0.0 X 0 0 0 JAMES P MARVEL JR MD DIRECTOR 2.0 0.0 X 0 0 0 JANET B MCCARTY DIRECTOR 2.0 0.0 X 0 0 0 PAUL H MYLANDER DIRECTOR 2.0 0.0 X 0 0 0 JAMES D BARR DIRECTOR 2.0 0.0 X 0 0 0 WILLIAM SWAIN LEE CHAIRPERSON 2.0 0.0 X X 0 0 0 THOMAS L KING DIRECTOR 2.0 0.0 X 0 0 0 STEPHEN M FANTO MD DIRECTOR 2.0 0.0 X 0 0 0 ROBERT H MOORE DIRECTOR 2.0 0.0 X 0 0 0 ESTHELDA R PARKER-SELBY DIRECTOR 2.0 0.0 X 0 0 0 MICHAEL L WILGUS DIRECTOR 2.0 0.0 X 0 0 0 PAUL T COWAN JR DO TREASURER 2.0 0.0 X X 0 0 0 JACQUELYN O WILSON EDD VICE CHAIR 2.0 0.0 X X 0 0 0 PAUL PEET MD DIRECTOR 2.0 0.0 X 101060 0 0 J KIRKLAND BEEBE MD TRUSTEE 2.0 0.0 X 0 0 0 DAVID A HERBERT TRUSTEE 2.0 0.0 X 0 0 0 ANIS K SALIBA MD DIRECTOR 2.0 0.0 X 0 0 0 GREGORY A BAHTIARIAN DO DIRECTOR 2.0 0.0 X 0 0 0 JAMES W BARTLE DIRECTOR 2.0 0.0 X 0 0 0 R MICHAEL CLEMMER DIRECTOR 2.0 0.0 X 0 0 0 THOMAS J COOPER DIRECTOR 2.0 0.0 X 0 0 0 FRANK CZERWINSKI DIRECTOR 2.0 0.0 X 0 0 0 TERRY A MEGEE DIRECTOR 2.0 0.0 X 0 0 0 WILLIAM BERRY DIRECTOR 2.0 0.0 X 0 0 0 WILSON CHOY DIRECTOR 2.0 0.0 X 0 0 0 WESLEY E PERKINS DIRECTOR 2.0 0.0 X 0 0 0 Paul J Pernice Vice President CFO 40.0 4.0 X 422941 0 7338 PAUL MINNICK VP OPERATIONS 40.0 0.0 X 434305 0 11964 ALEX SYDNOR VP CORPORATE AFFAIRS 40.0 0.0 X 235740 0 33200 CATHERINE HALEN VP HUMAN RESOURCES 40.0 0.0 X 269400 0 16540 Jeffrey Hawtof MD VP of Medical Staff 40.0 0.0 X 487857 0 25992 BRUCE LESHINE VP CORPORATE COUNSEL 40.0 0.0 X 354706 0 29585 MICHAEL MAKSYMOW VP INFORMATION SYSTEMS 40.0 0.0 X 265599 0 34511 STEVEN D RHONE VP PATIENT CARE 40.0 0.0 X 212816 0 23347 MARCY JACK VP RISK MANAGEMENT 40.0 0.0 X 199988 0 33095 AASIM SEHBAI MD PHYSICIAN 40.0 0.0 X 641616 0 33011 SRIHARI PERI MD PHYSICIAN 40.0 0.0 X 617158 0 8524 NOUMAN ASIF MD PHYSICIAN 40.0 0.0 X 446339 0 30553 MUHAMMAD ARIF MD PHYSICIAN 40.0 0.0 X 310246 0 14342 MUHAMMAD SIDDIQUE MD PHYSICIAN 40.0 0.0 X 497497 0 24191 DONNA STRELETZKY VP OPERATIONS to 10/13 0.0 0.0 X 189334 0 11331 6450390 0 373381 172 true true false NASON CONSTRUCTION 3411 SILVERSIDE ROAD TATNALL BUILDI WILMINGTON DE 19810 CONSTRUCTION MGMT 6111821 AMN HEALTHCARE INC 12400 HIGH BLUFF DRIVE SAN DIEGO CA 92130 CONTRACT LABOR 2491776 DELAWARE ANESTHESIA ASSOCIATES 424 SAVANNAH ROAD LEWES DE 19958 ANESTHESIA SERVICES 2462184 TOTALMED STAFFING INC 10 EAST COLLEGE AVENUE SUITE 300 APPLETON WI 549115759 CONTRACT LABOR 1795248 MAYO MEDICAL LABORATORY PO BOX 9146 MINNEAPOLIS MN 554809146 LAB SERVICES 1794233 74 6838302 365974 7204276 GENERAL MEDICAL SURGICAL 900099 314454164 314454164 HOME HEALTH 621610 5798816 5798816 320252980 2059683 2059683 -30 0 398998 398998 0 398998 398998 41734883 7781 40642479 121406 1092404 -113625 978779 978779 0 0 0 CAFETERIA 900099 1090458 1090458 PREMIER DISTRIBUTION 900099 547734 547734 NMH MED ONCOL REIMBURSEMENT 900099 1481434 1481434 660478 469471 191007 3780104 334674790 320722451 6748093 785361 785361 0 0 0 7985427 2428553 5556874 432662 106154 326508 102951931 95863026 7088905 4901631 4455847 445784 26303086 23919872 2383214 7838958 7017472 821486 0 134806 30055 104751 0 347083 347083 0 0 0 356486 356486 23142836 18048276 5094560 1317630 42949 1274681 74984714 73443257 1541457 9579542 1755967 7823575 0 6881629 6600291 281338 272433 258786 13647 0 772981 541904 231077 1488947 1440128 48819 0 18208248 13557761 4650487 2281860 2281860 MAINTENANCE 6559669 6006463 553206 OTHER EXPENSES 621814 525230 96584 DUES 745995 221646 524349 EMPLOYEE RECRUITMENT 637593 1221 636372 26670 580 26090 299559992 259332659 40227333 0 0 0 26271300 38345218 0 0 36362351 37513698 0 0 0 0 0 0 6135432 6682393 2737644 4479019 335005926 190846135 138004172 144159791 70663040 71640872 0 0 0 0 3104085 3104085 27660568 23204512 310938592 329129588 57188801 62150776 0 0 0 0 47327347 48650119 0 0 0 0 0 0 0 0 69059402 81504770 173575550 192305665 X 122961168 125697575 12745776 8825947 1656098 2300401 137363042 136823923 310938592 329129588 X 35114798 -1799957 -33853960 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 300 false false 300 false false SCHEDULE C, PART II-B, LINE 1G SUPPLEMENTAL INFORMATION THE PRESIDENT AND THE VP OF CORPORATE AFFAIRS OF BEEBE MEDICAL CENTER HAVE QUARTERLY BREAKFAST MEETINGS WITH STATE AND LOCAL POLITICIANS. 62926250 1495519 3323 321032 64097414 56777269 6465434 6001 310452 62926250 39514450 17443416 88520 5108 264009 56777269 39348689 416423 547 249915 39514650 36498710 1401000 1917505 264704 203822 39348689 0.98400 0.01000 0.00600 false true true 10670646 10670646 152233343 79432028 72801315 3533157 3311177 221980 157526215 108102930 49423285 11042565 11042565 144159791 DEFERRED FINANCING COSTS 455353 EQUITY IN BEEBE PHYS. NETWORK 434753 INT IN FDN. UNRESTR NET ASSETS 6090893 INT IN FDN.RESTRICT NET ASSETS 9246454 TEMPORARILY RESTRICTED FUNDS 639417 PERMANENTLY RESTRICTED FUNDS 349945 WORK COMP & MALP INSURANCE 3008549 LAND HELD FOR FUTURE SALE 1838339 INVEST IN BHB 700367 PREMIER 405999 DUE FROM FOUNDATION 34443 23204512 0 ACC. POST RETIREMENT BENEFIT 35699872 DEFERRED COMPENSATION OBLIG. 170559 CAPITAL LEASE OBLIGATION NET 5286282 ACCRUED PENSION LIABILITY 26225967 ACCRUED MEDICAL MALPRACTICE LIABILITY 3096018 ACC. WORKERS COMP. LIABILITY 5081325 ASBESTOS REMOVAL OBLIGATION 3461914 SETTLEMENT LIABILITY 1197763 UNAMORTIZED BOND PREMIUM 270421 ST. JUDE OBLIGATION 54468 OTHER 960181 81504770 SCHEDULE D, PART V, LINE 4 BEEBE MEDICAL CENTER USES ITS ENDOWMENT FUNDS FOR CAPITAL ASSET ACQUISITIONS AND TO SUPPORT THE OPERATIONS OF THE MEDICAL CENTER. true true X true X true X true true false true true 14451177 9602688 4848489 0.01620 35781649 36624745 -843096 0.00000 50232826 46227433 4005393 0.01620 2689181 697739 1991442 0.00660 18745264 18745264 0.06260 249133 26023 223110 0.00070 174125 174125 0.00060 21857703 723762 21133941 0.07050 72090529 46951195 25139334 0.08670 102492 102492 0.00030 3648378 3648378 0.01220 3750870 3750870 0.01250 true 5465442 134769976 177903867 -43133891 X true true Beebe Healthy Back Chronic Back/Neck Pain Ther. 0.50000 1 1 BEEBE MEDICAL CENTER INC 424 SAVANNAH ROAD LEWES DE 19958 www.beebeheatlhcare.org HSPTL-007 X X X BEEBE MEDICAL CENTER 1 false false true X X X X X X X X 12 true true true true X WWW.BEEBEHEALTHCARE.ORG X SEE SECTION C X true 12 true WWW.BEEBEHEALTHCARE.ORG false false true X 200. 400. X X X X X true true X X X X true X www.beebehealthcare.org X www.beebehealthcare.org X www.beebehealthcare.org X X X X X X true false X X true X false false PART V.B., LINE 5: bmc began the comprehensive Community Health Needs Assessment process in the summer of 2012, capturing data from a variety of primary and secondary sources. Utilizing guidelines set forth by the Catholic Health Association of the United States (CHA) in collaboration with VHA Inc. and Healthy Communities Institute, the Beebe CHNA process followed the following steps: Step 1: Plan and Prepare for the Assessment, Step 2: Determine the Purpose and Scope of the CHNA, Step 3: Identify Data that Describes the Health and Needs of the Community, Step 4: Understand and Interpret the Data, Step 5: Define and Validate Priorities, Step 6: Document and Communicate Results The organization felt it was imperative to collect primary data due to the limitation of servicing a relatively rural population not well characterized by solely secondary data sources. According to the Delaware Health Tracker, inaccurate data on the population at risk in small geographic areas continues to complicate epidemiologic studies in community settings. Census data are less accurate for cities or counties than for states. Therefore, an ideal approach incorporates both primary and secondary data. In order to fully incorporate the primary data elements, the CHNA team conducted focus groups, town hall meetings, stakeholder interviews, and online surveys. By gathering information from local residents and area organizations, the organization hoped to gain a better insight to the priority needs of those living in the service area. Additional data was also collected through completion of a community health survey by area residents, community based organizations and health care providers. Lastly, key informant interviews were completed with community stake holders. The following Organizations and groups participated: Alzheimer's Association; American Cancer Society; American Diabetes Association; Bayhealth, Beebe, & Nanticoke Employees (Social workers, discharge planners, patient access and financial services representatives, medical staff; Beebe Community Outreach & Home Health; Camp Rehoboth; Delaware Association of Hispanic Nurses; Delaware Breast Cancer Coalition; Delaware Healthcare Commission; Delaware Hospital Association; Delaware Hospice (Milford, Georgetown); Division of Public Health-Georgetown; Easter Seals; Ellendale Recovery Response Center; High School Wellness Centers (Lewes, Georgetown, & Indian River); Hope Medical Center; La Esperanza; La Red Federally Qualified Health Center; Law Enforcement Agencies (Milford, Georgetown, Lewes, & State); Mountairre & Perdue Chicken Plants; Nanticoke Indian Center; Peninsula Home Care; People's Place; Mid-Atlantic AIDS Training Center; Public Health Nurses (Milford, Georgetown, Milton); Southern Delaware Tourism; Strong Communities; Sussex County Association of Towns; Sussex Child Health Promotion Coalition; Sussex County Churches; Sussex County Chambers of Commerce; Sussex County EMS; Sussex County Libraries; Sussex County Fire Stations; Sussex Restaurant Association; Sussex County Senior Centers (CHEER); Sussex County Veterans Groups; VFW/American Legion; and YMCA-Rehoboth PART V.b, Line 6a and 6b: The Beebe CHNA was conducted in conjunction with the Healthier Sussex County Task Force which is led by the three healthcare systems in Sussex county Delaware- Bayhealth, Beebe and Nanticoke. Understanding that each health care system would ultimately be responsible for drafting and implementing the needs assessment and strategies, it was agreed that sharing the same methodological approach for completion of the assessment and developing strategy interventions collectively would ideally suit the needs of the residents of Sussex County. In the fall of 2012, Task Force members researched validated needs assessment tools and designed a survey and interview questionnaire in English and Spanish collaboratively. In January of 2013, outreach teams from all of the organizations involved in the Task Force began to distribute the surveys and perform interviews with stakeholders across the county. In addition, the Healthier Sussex County website was utilized to communicate regarding the Community Health Needs Assessment and served as the platform for the on-line survey tool disseminated in Sussex. PART V.b, Line 7b: Beebe Medical Center's Community Health Needs Assessment is also available on the following websites: www.delawarehealthtracker.com www.healthiersussexcounty.com PART V.b, Line 11: Five major themes were identified in the most current CHNA. They are as follows: 1) Obesity, 2) Cancer, 3) Cost/Access, 4) Mental Health, and 5) Transportation. To address the significant needs identified in the most recently conducted CHNA, Beebe has teamed up with Healthier Sussex County Task Force. The Healthier Sussex County Task Force is a collaborative effort of community members, community resources and area hospitals with a mission to make Sussex County one of the healthiest in the nation by addressing health issues and working toward optimal health. Obesity - Healthier Sussex is promoting the +3 Network which an online social site that helps join people together to encourage them to exercise. Due to the early success of the Healthier Sussex (Beebe) Plus +3 initiative, this program has grown from one based solely in Sussex county, to an entire statewide initiative title, "Motivate the First State". In 2015, more than 2,600 Delawareans participated, logged nearly 100,000 activities and 3.8 million minutes to raise $39,948, which was in turn donated to support several area programs, such as the YMCA of Delaware, Boys & Girls Club of Delaware and Special Olympics Delaware. In addition to providing ongoing support and participation, Beebe has been an active partner in the Walkable Bikeable Delaware campaign- working to gain funding and build out healthy infrastructure and environment for residents across the county. Cancer Healthier Sussex completed a mammography initiative focused on education and awareness efforts for minority women age 40 and older, especially those with Medicare insurance. Screening mammography is important because Sussex County has an incidence of breast cancer higher than the national average with 128.3 cases per 100,000 women. Breast health education seminars at local community organizations as well as strategic alignment with other organizations such as the Komen Foundation, Delaware Breast Cancer Coalition, Delaware Public Health and the American Cancer Society, who have all been ongoing partners in this part of our implementation plan. A second and incredibly component of our plan address cancer needs in Sussex, has been the roll out of our low dose computed tomography services for patients at risk of lung cancer. In fact, as of December 2015, Beebe Healthcare has been designated a Lung Cancer Screening Center by the American College of Radiology (ACR). The designation recognizes Beebes lung cancer screening initiative as one that is committed to practicing safe and effective testing with low dose computed tomography (CT) imaging technology. To help diagnose lung cancer in its early stages when it is most treatable, Beebe offers the low dose CT screening for people that are at a high risk of developing lung cancer. These scans are offered at very low cost to make them affordable to as many people as possible with a charge of $99, which includes the interpretation of the images. Patients who are uninsured or underinsured with an income between 138 % and 250 % of the Federal Poverty Level will qualify for screenings through Delawares Screening for Life program at no charge to them. Mental Health Beebe has implemented Insights Tele-Psychiatry service which provides access to psychiatric specialist at any time, emergent evaluations and commitments, STAT and floor psych consults, 24/7 call center, electronic consultation form, a collaborative team approach, scheduling of all clinicians, and continuous IT support. The tele-psychiatry service is currently providing care to an average of 15 inpatients per month and 20 emergency patients per month. Also, Beebe Healthcare is supporting the establishment of a free standing mental health facility here in Sussex County, provided by SUN Behavioral Health, who plans to offer an array of services to people from ages 5 years old and up on its campus, including outpatient care for people with mental health problems as well as those struggling with substance abuse. Cost and Access Under a State Partnership Exchange model, Delaware has been managing in-person consumer assistance, outreach and communications, and plan management functionality for enrollment in the Insurance Exchange/Marketplace. Guides have been placed in hospital emergency departments across the state. Beebe Patient Financial Services also works with patients who require financial assistance. In 2013, Beebe became an active team member in the Statewide Health Innovation Model design/planning and implementation. This pl 14 TUNNELL CANCER CENTER 18947 JOHN J WILLIAMS HIGHWAY REHOBOTH BEACH DE 19971 CANCER CENTER BOOKHAMMER OUTPATIENT SERVICE CENTER 18941 JOHN J WILLIAMS HIGHWAY REHOBOTH BEACH DE 19971 OUTPATIENT SURGERY, IMAGING, LAB, REHABILITATION GEORGETOWN HEALTH CAMPUS 21635 BIDEN AVENUE GEORGETOWN DE 19947 IMAGING CENTER, LAB DRAWS, REHABILITATION THERAPY MILLVILLE HEALTH CENTER 32550 DOCS PLACE UNIT 1 MILLVILLE DE 19967 IMAGING CENTER, LAB DRAWS, REHABILITATION THERAPY MILLSBORO HEALTH CENTER 28538 DUPONT BLVD MILLSBORO DE 19966 IMAGING CENTER, LAB DRAWS BEEBE HOME HEALTH 20232 ENNIS ROAD GEORGETOWN DE 19947 HOME HEALTH AGENCY BEEBE ENDOSCOPY CENTER 33633 SAVANNAH ROAD LEWES DE 19958 ENDOSCOPY CENTER BEEBE SCHOOL OF NURSING 420 MARKET STREET LEWES DE 19958 CERTIFIED NURSING SCHOOL MILTON IMAGINGLAB 614 MULBERRY STREET MILTON DE 19968 IMAGING CENTER, LAB DRAWS MILLSBORO PHYSICAL REHABILITATION 232 MITCHELL STREET MILLSBORO DE 19966 REHABILITATION THERAPY BEEBE LAB EXPRESS 32060 LONG NECK ROAD MILLSBORO DE 19966 LAB DRAWS, WOUND CARE GULL HOUSE 38149 TERRACE ROAD REHOBOTH BEACH DE 19971 ADULT DAY CARE DELAWARE SLEEP DISORDER CENTER 200 HYGEIA DRIVE 2300 NEWARK DE 19713 SLEEP LAB THRU 10/14 BEEBE HEALTHY BACK 21635 BIDEN AVE GEORGETOWN DE 19947 BACK CENTER PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDES $18,495,694 RELATED TO THE LOSS IN BEEBE PHYSICIAN NETWORK (BPN). BPN IS A NOT-FOR-PROFIT TAX-EXEMPT CORPORATION THAT OPERATES A PHYSICIAN NETWORK PROVIDING INTEGRATED PHYSICIAN SERVICES IN COORDINATION WITH THE MEDICAL CENTER. BPN OPERATES A HOSPITALIST PROGRAM AND FIFTEEN SPECIALTY PRACTICES, EMPLOYING 71 PHYSICIANS AS OF JUNE 30, 2015. PART III, LINE 4: BEEBE MEDICAL CENTER HAS ADOPTED HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15, VALUATION AND FINANCIAL STATEMENT PRESENTATION OF CHARITY AND BAD DEBTS BY INSTITUTIONAL HEALTHCARE PROVIDERS. THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS INCLUDE A FOOTNOTE DISCUSSING PROVISION FOR BAD DEBT EXPENSE ON PAGE 14 OF THE ATTACHED FINANCIAL STATEMENTS. BAD DEBT EXPENSE REPRESENTS UNCOLLECTIBLE BALANCES ON PATIENT ACCOUNTS AFTER DEDUCTING DISCOUNTS AND PAYMENTS. PART III, LINE 8: BEEBE MEDICAL CENTER SERVES THE COMMUNITY AS A WHOLE. IT IS THE ONLY HOSPITAL WITHIN 23 MILES AND IS THE ONLY TERTIARY HOSPITAL WITHIN 40 MILES. BEEBE MEDICAL CENTER ACCEPTS ALL PATIENTS REGARDLESS OF ABILITY TO PAY. BEEBE MEDICAL CENTER'S PRIMARY SERVICE AREA IS RURAL WITH A VERY HIGH MEDICARE POPULATION. MEDICARE REPRESENTS 61% OF HOSPITAL BUSINESS. MEDICARE RATES DO NOT KEEP UP WITH HEALTHCARE COSTS AND WITH THE HIGH PERCENTAGE OF MEDICARE VOLUMES THE MEDICARE SHORTFALL OF $43,133,891 IS CONSIDERED A COMMUNITY BENEFIT. PART III, LINE 8: RATIO OF COST TO CHARGES WAS USED TO DETERMINE THE AMOUNT ON LINE 6. PART III, LINE 9A: Beebe Medical Center (BMC) is a not-for-profit, community-based healthcare facility. It is hospital policy that no one will be denied medically necessary hospital services based upon the patient's ability to pay for those services. A public notice of the availability of financial aid is visible within the hospital. Beebe Medical Center complies with all federal, state and contractual laws, regulations and Requirements. Objective: The patient or guarantor has the ultimate financial responsibility for care received from Beebe Medical Center. BMC cooperates with and assists all patients in the fulfillment of their financial responsibility. This cooperation includes assistance with enrollment in public or private insurance programs, charity-based programs, financial assistance programs, or other third-party payment programs. Patients have the responsibility to provide timely and accurate information when seeking consideration under the BMC Charity and Financial Aid Policy. Procedures: 1. Self Pay Patient receives services from Beebe Medical Center (BMC) and is registered as a self pay with no insurance coverage. a. A statement of charges is sent to the patient 5 days from date of service, listing the summary of charges and insurance on file if applicable. b. A Financial Assistance Program letter is sent 10 days from date of service explaining the hospital financial assistance options, listing the federal poverty levels. The letter encourages the patient to contact Patient Financial Service to see eligibility in the programs offered at BMC. 2. Patient applies and submits all relative documentation for the BMC financial assistance program application process. Self Pay patient receives services from BMC and is registered as a self pay with no insurance coverage. a. Approval for eligibility for the BMC financial assistance program is communicated in a letter indicating the coverage period. The patient may receive 50% to 100% of financial assistance based on financial information presented. All accounts on the books are written off to charity or financial assistance based on the approval level. b. Financial assistance expires annually at which time the patient is asked to update the information on file. c. The patient receives a laminated card indicating the application time period and the financial assistance number. d. The patient is instructed to present the card at each episode of care at registration. BMC financial assistance is entered in the registration in the same manner as insurer coverage. 3. Patient returns for services at BMC presenting with the financial assistance card at registration. a. Self pay is registered as the primary plan and financial assistance is registered as secondary coverage. b. A weekly report is generated listing all patients that visited the hospital with a financial assistance listed in the secondary insurance. c. The report is reviewed by the hospital financial counselor and the account is written off according to the assistance program of which the patient is eligible. i. If patient qualifies for the BMC Charity program, BMC Charity write off is 100% of charges. Patient receives no further statements from BMC. ii. If patient qualifies for the BMC Financial assistance discounted program - account is written off for the percentage of discount that the patient qualified for. Financial assistance can be granted for up to 50% of charges. 1. Patient will then receive a bill for the balance on the account. 2. Patient statement advises them to contact the financial counselor for payment arrangements. 3. The new accounts are combined with existing payment arrangements and a monthly payment is re-calculated based on feedback from the patient on ability to pay. PART VI, ITEM 2 - NEEDS ASSESSMENT: BEEBE MEDICAL CENTER HAS VARIOUS METHODS FOR ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES: - COMMUNITY-BASED BOARD OF DIRECTORS - COMMUNITY HEALTH COMMITTEE OF THE BOARD OF DIRECTORS - NON-DIRECTOR MEMBERS OF THE COMMUNITY HEALTH COMMITTEE, BUILDING AND EQUIPMENT COMMITTEE AND SAFETY AND QUALITY COMMITTEE - CONSUMER PERCEPTION SURVEY - NEIGHBORS' COMMITTEE - PATIENT FAMILY ADVISORY COUNCIL - PRESS-GANEY PATIENT SATISFACTION SURVEY - PUBLIC DATA - COMMUNITY FOCUS GROUPS PART VI, ITEM 3: ALL INPATIENT SELF PAY PATIENTS ARE PRESENTED WITH A FINANCIAL ASSISTANCE INFORMATION PACKAGE DURING THE HOSPITAL STAY. A LETTER IS SENT ON THE 3RD DAY AFTER BILLING, OUTLINING CHARITY ELIGIBILITY GUIDELINES. SELF PAY ACCOUNTS IN WHICH PATIENT IS NOT ELIGIBLE TO PARTICIPATE IN A PAYMENT CONTRACT ARE COUNSELED BY FINANCIAL ASSISTANCE REPRESENTATIVES. CHARITY AND FINANCIAL ASSISTANCE POLICY IS PUBLISHED ON THE HOSPITAL WEBSITE. STATEMENTS ON ACCOUNTS HAVE MESSAGES INFORMING PATIENTS TO CONTACT THE HOSPITAL IF IN NEED OF FINANCIAL ASSISTANCE. PART VI, LINE 4: THE MEDICAL CENTER IS LOCATED IN SUSSEX COUNTY, THE SOUTHERN-MOST OF THREE DELAWARE COUNTIES, WHICH CONSISTS OF 938 SQUARE MILES, OR 48% OF DELAWARE'S ENTIRE LAND AREA. BECAUSE OF ITS CLIMATE AND LOW PROPERTY TAXES, SUSSEX COUNTY HAS BECOME AN ATTRACTIVE RETIREMENT COMMUNITY. ALL OF THE COUNTY'S GROWTH OVER THE NEXT DECADE IS PROJECTED TO COME FROM PERSONS MOVING INTO THE COUNTY. TRADITIONALLY, SUSSEX COUNTY HAS BEEN REGARDED AS A RURAL AGRICULTURAL AREA. IN MANY RESPECTS, IT REMAINS AN AGRICULTURAL AREA WITH 167 PERSONS PER SQUARE MILE COMPARED WITH THE STATEWIDE AVERAGE OF 401 PERSONS. HOWEVER, THE EASTERN EDGE OF SUSSEX COUNTY THAT FRONTS ON THE DELAWARE BAY AND ATLANTIC OCEAN HAS BECOME A MAJOR TOURIST RESORT AND, MOST RECENTLY, A FAVORED RETIREMENT AREA, RETAIL, AND HOSPITALITY CENTER. EASTERN AND SOUTHEASTERN SUSSEX COUNTY, WHICH IS BEEBE MEDICAL CENTER'S PRIMARY SERVICE AREA, IS PARTICULARLY ATTRACTIVE DUE TO ITS PROXIMITY TO THE ATLANTIC OCEAN AND DELAWARE BAY. AS A RESULT, THE MEDICAL CENTER GENERALLY EXPERIENCES A SIGNIFICANT INCREASE IN PATIENT VISITS DURING THE SUMMER PERIODS. THE RETIREMENT AGE GROUP IS THE FASTEST GROWING SEGMENT OF THE POPULATION IN THE MEDICAL CENTER'S SERVICE AREA DUE TO THE MANY RETIREMENT COMMUNITIES THAT HAVE DEVELOPED IN THE SUSSEX COUNTY AREA. WITH THE 2000 CENSUS, THE MEDICARE AGE GROUP COMPRISED 22% OF THE POPULATION IN THE MEDICAL CENTER'S PRIMARY SERVICE AREA, COMPARED WITH 18.5% FOR ALL OF SUSSEX COUNTY. THE 10-YEAR (1990-2000) NATIONAL GROWTH RATE OF PERSONS AGE 65 AND OLDER WAS AT 12%, WHILE IN DELAWARE, THE RATE WAS 26%. HOWEVER, IN SUSSEX COUNTY, THE 10-YEAR GROWTH RATE OF PERSONS AGE 65 AND OLDER IS 53%, OR FOUR TIMES THE NATIONAL AVERAGE AND TWICE THE STATEWIDE AVERAGE. THE POPULATION OF SUSSEX COUNTY INCREASED 37.8% BETWEEN 2000 AND 2010, GROWING TO 215,000 PEOPLE IN 2010 RESIDING YEAR-ROUND IN THE HOSPITAL'S SERVICE AREA. THE MOST RECENT POPULATION GROWTH PROJECTION FOR PERSONS OLDER THAN 65 YEARS FOR THE MEDICAL CENTER'S PRIMARY SERVICE AREA IS EXPECTED TO BE 24.3%. PART VI, LINE 5: COMMUNITY BUILDING ACTIVITIES INCLUDE INTERPRETATION SERVICES TO SUPPORT INCREASING HISPANIC POPULATION. PROVIDING MENTORS IN CONJUNCTION WITH COLLEGES AND HIGH SCHOOLS IN THE AREA FOR STUDENTS PURSUING NURSING/HEALTHCARE CAREERS. RECRUITMENT AND RETENTION OF PHYSICIANS IN UNDERSERVED AREAS RELATIVE TO COMMUNITY NEEDS ASSESSMENT. PART VI, ITEM 6 - AFFILIATED HEALTHCARE SYSTEM: BEEBE MEDICAL CENTER IS A MEMBER OF AN AFFILIATED HEALTH CARE SYSTEM THAT INCLUDES BEEBE PHYSICIAN NETWORK (BPN), A NOT-FOR-PROFIT TAX-EXEMPT CORPORATION THAT OPERATES A PHYS true BEEBE MEDICAL FOUNDATION 902 SAVANNAH ROAD LEWES DE 19958 510319455 501(C)(3) 785361 FMV 1 SCHEDULE I, PART I, LINE 2 THE MEDICAL CENTER ONLY MAKES GRANTS TO ITS RELATED, TAX-EXEMPT FOUNDATION BEEBE MEDICAL FOUNDATION. X X X X true true false false false false false true false JEFFREY FRIED PRESIDENT & CEO 570810 0 87490 0 105488 0 5200 0 30657 0 799645 0 0 0 DONNA STRELETZKY VP OPERATIONS to 10/13 189334 0 0 0 0 0 0 0 11331 0 200665 0 0 0 PAUL MINNICK VP OPERATIONS 113894 0 81300 0 239111 0 0 0 11964 0 446269 0 0 0 ALEX SYDNOR VP CORPORATE AFFAIRS 199884 0 30540 0 5316 0 3002 0 30198 0 268940 0 0 0 AASIM SEHBAI MD PHYSICIAN 296458 0 175597 0 169561 0 3279 0 29732 0 674627 0 0 0 SRIHARI PERI MD PHYSICIAN 504244 0 109350 0 3564 0 5200 0 3324 0 625682 0 0 0 NOUMAN ASIF MD PHYSICIAN 411301 0 34500 0 538 0 0 0 30553 0 476892 0 0 0 CATHERINE HALEN VP HUMAN RESOURCES 208740 0 34770 0 25890 0 3831 0 12709 0 285940 0 0 0 MUHAMMAD ARIF MD PHYSICIAN 221266 0 88575 0 405 0 0 0 14342 0 324588 0 0 0 Paul J Pernice Vice President CFO 309669 0 50492 0 62780 0 5200 0 2138 0 430279 0 0 0 Jeffrey Hawtof MD VP of Medical Staff 376669 0 59252 0 51936 0 5200 0 20792 0 513849 0 0 0 BRUCE LESHINE VP CORPORATE COUNSEL 245097 0 80640 0 28969 0 181 0 29404 0 384291 0 0 0 MUHAMMAD SIDDIQUE MD PHYSICIAN 414307 0 82650 0 540 0 0 0 24191 0 521688 0 0 0 MICHAEL MAKSYMOW VP INFORMATION SYSTEMS 219952 0 31730 0 13917 0 4474 0 30037 0 300110 0 0 0 STEVEN D RHONE VP PATIENT CARE 193901 0 10332 0 8583 0 3572 0 19775 0 236163 0 0 0 MARCY JACK VP RISK MANAGEMENT 168941 0 30889 0 158 0 3444 0 29651 0 233083 0 0 0 SCHEDULE J, PART I, LINE 4: DONNA STRELETZY RECEIVED $191,077 IN SEVERENCE PAY. PAUL E. MINNICK RECEIVED $238,602 IN SEVERENCE PAY. SCHEDULE J, PART I, LINE 4B: VOLUNTARY PARTICIPATION IS OPEN TO ALL EXECUTIVE STAFF MEMBERS OR EMPLOYED PHYSICIANS WHO ARE DESIGNATED BY THE COMMITTEE OF THE BOARD OF DIRECTORS. PARTICIPANTS ELECT TO REDUCE THE AMOUNT OF COMPENSATION WHICH WOULD OTHERWISE BE EARNED AND PAYABLE IN THE FOLLOWING PLAN YEAR IN WHOLE DOLLAR AMOUNTS OR IN 1% INCREMENTS UP TO 100% TO BE DEPOSITED INTO A TRUST ACCOUNT. PARTICIPANTS BECOME VESTED AT THE TIME SPECIFIED IN THEIR DEFERRAL ELECTION. TITLE TO THE TRUST REMAINS WITH BEEBE MEDICAL CENTER UNTIL REQUIREMENTS ARE FULFILLED. SCHEDULE J, PART I, LINE 7: EXECUTIVES AND MANAGEMENT TEAM MEMBERS ARE ELIGIBLE FOR BONUSES IF THEY MEET SPECIFIC ORGANIZATIONAL OBJECTIVES INCLUDING QUALITY AND SAFETY ISSUES, PATIENT SATISFACTION SCORES, AND CERTAIN FINANCIAL GOALS. FOR VICE PRESIDENTS, 60% OF THEIR ELIGIBLE INCENTIVE IS BASED UPON ORGANIZATION - WIDE GOALS AND 40% IS BASED UPON INDIVIDUAL GOALS. FOR THE CEO, 100% OF THE ELIGIBLE INCENTIVE IS BASED UPON ORGANIZATION - WIDE OR TEAM GOALS. CERTAIN PHYSICIANS ARE ELGIBLE FOR AN INCENTIVE BASED ON THE PHYSICIAN'S INDIVIDUAL PRACTICE NUMBER OF WORKED RVU'S. A DELAWARE HEALTH FACILITIES AUTH SERIES 2005 510272458 246388NU2 2005-09-01 24127494 FINANCE PORTION OF COST OF EXPANSI false false false B DELAWARE HEALTH FACILITIES AUTH SERIES 2014A 510272458 2014-06-01 31020000 REFUND DHFA SERIES 2002A BONDS false false false C DELAWARE HEALTH FACILITIES AUTH SERIES 2014B 510272458 2014-06-01 9670000 REFUND DHFA SERIES 2004A BONDS false false false A 5577494 0 25711756 1708004 0 0 160663 0 0 24002576 0 0 2010 false false true true B 0 0 31020000 0 0 0 251018 0 0 7009101 15755000 8004881 2015 true false false true C 0 0 9670000 0 0 0 0 0 0 0 9670000 0 2014 true false true true A false true true true true true 0.00960 0.00960 false false false true B false false true true true true 0 false false false true C 0 A false true false false 0 false 0 true true B false true true false 0 false 0 false true C false true false false 0 false 0 false true A true B true C true Schedule K, Part I, Line A, Column (F) DESCRIPTION OF PURPOSE: BEEBE MEDICAL CENTER - *MAIN CAMPUS EXPANSION, RENOVATION AND EQUIPMENT. *EXPAND EMERGENCY DEPARTMENT FROM 18 TO 36 BEDS AND RENOVATE EXISTING EMEGENCY DEPARTMENT AREA, PLUS EQUIPMENT. *RELOCATE AND EXPAND (FROM 12 TO 20 BEDS) THE CRITICAL CARE UNIT, PLUS EQUIPMENT. * ADD A 42-BED MEDICAL SURGICAL UNIT, PLUS EQUIPMENT. *RENOVATIONS TO ADD DUAL-CAPABLE ANGIOGRAPHY SUITE AND RENOVATIONS TO THE CARDIAC REHAB SUITE, PLUS EQUIPMENT. BEEBE HEALTH CAMPUS - EXPANSION AND EQUIPMENT: *CONSTRUCTION AND EQUIPPING OF A RADIATION ONCOLOGY CENTER. *CONSTRUCTION AND EQUIPPING A MEDICAL ONCOLOGY FACILITY. Schedule K, Part I, Line B, Column (F) DESCRIPTION OF PURPOSE: Refunding Bond issue to finance current refunding of the Delaware Health Facilities Authoritys $15,755,000 revenue bonds and also issued to finance $15,013,982 in capital equipment expenditures. Beebe Medical center Project series 2014A bonds outstanding as of 6/1/2015 was $22,907,268. Schedule K, Part I, Line C, Column (F) DESCRIPTION OF PURPOSE: Refunding Bond issue to finance current refunding of the Delaware Health Facilities Authoritys $29,455,000 revenue bonds. Beebe Medical center Project series 2014B bonds outstanding as of 6/1/2015 was $8,680,000. Schedule K, Part II, Line 3, Column (A) The difference between total proceeds and the issue price reported in Part I is investment proceeds. SCHEDULE K, PART IV, LINE 2, COLUMN (A) For the 2005 series bonds, the rebate calculation was performed on June 1, 2015. Schedule K, Part IV, Line 2, Column (B) For the 2014a bonds, the rebate calculation was performed on June 1, 2015. SCHEDULE K, PART IV, LINE 2, COLUMN (C) For the 2014B bonds, the rebate calculation was performed on June 1, 2015. SALIBA FAMILY LLC SEE PART V 242874 SEE PART V false JAYME WEBB DAUGHTER OF BOARD OF DIRE 34898 WAGES false SCHEDULE L, PART IV FOR THE TRANSACTIONS WITH SALIBA FAMILY LLC, ANIS SALIBA, MD, A DIRECTOR OF BEEBE MEDICAL CENTER, IS A MEMBER OF THE LLC. BEEBE MEDICAL CENTER RENTS OFFICE SPACE FROM THE LLC. SUPPLEMENTAL INFORMATION FORM 990, PART VI, SECTION A, LINE 2 TWO DIRECTORS OF BEEBE MEDICAL CENTER AND ONE BEEBE MEDICAL FOUNDATION BOARD MEMBER ALSO SERVE AS SHAREHOLDERS AND DIRECTORS OF A LOCAL BANK. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED INTERNALLY BY MANAGEMENT OF BEEBE MEDICAL CENTER, INC. THE RETURN IS REVIEWED BY A THIRD PARTY ACCOUNTING FIRM, PRICEWATERHOUSECOOPERS LLP. A COPY OF THE FORM 990 WAS PROVIDED TO THE GOVERNING BODY BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C bEEBE MEDICAL CENTER REQUIRES ANNUAL COMPLETION OF A CONFLICT OF INTEREST STATEMENT FOR ALL BOARD MEMBERS, EXECUTIVES, AND MANAGEMENT TEAM MEMBERS. NON-MANAGEMENT TEAM MEMBERS ARE REQUIRED TO SUBMIT A CONFLICT OF INTEREST STATEMENT UPON HIRE. CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY THE BOARD FOR THE EXISTENCE OF ANY ADVERSE INTEREST. FORM 990, PART VI, SECTION B, LINES 15A AND 15B THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES GOVERNS AND CONTROLS EXECUTIVE COMPENSATION. PAY IS DETERMINED BY COMPARING like positions TO OTHER TAX-EXEMPT HEALTH SYSTEMS SIMILAR TO BEEBE MEDICAL CENTER IN SIZE AND COMPLEXITY LOCATED REGIONALLY AND THROUGHOUT THE UNITED STATES. PAY IS POSITIONED AT a range around THE 50TH PERCENTILE OF BEEBE MEDICAL CENTER'S PEER GROUP, on a national basis. THE EXECUTIVE COMMITTEE UTILIZES A CONSULTANT FOR EXECUTIVE COMPENSATION ADVICE. MINUTES OF MEETINGS ARE MAINTAINED TO DOCUMENT DELIBERATION AND DECISIONS. form 990, part vi, section c, line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 5 EQUITY LOSSES IN SUBSIDIARIES (18,164,178) EQUITY IN UNCONSOLIDATED AFFILIATE (321,598) EQUITY IN UN-AFFILIATED PARTNERSHIP (86,527) CHANGE IN BENEFIT PLANS LIABILITY (10,921,247) DECREASED IN FOUNDATION NET ASSETS (4,272,999) NET ASSETS RELEASED FROM RESTRICTION FOR OTHER PURPOSES (47,060) NET ASSETS RELEASED FROM RESTRICTION FOR FIXED ASSETS (40,351) ------------- (33,853,960) ============= SOUTHERN DELAWARE SURGERY CENTER 18941 JOHN J WILLIAMS HIGHWAY REHOBETH DE 19971 571188197 O/P SURGERY DE 0 0 BEEBE MED CT delmarva health network llc 424 savannah road lewes DE 19958 462829886 aco DE 0 858608 beebe med ct BEEBE PHYSICIAN NETWORK INC PO BOX 760 LEWES DE 19958 212011066 PHYS SUPPORT DE 501(c)(3) 9 BEEBEMEDICAL true BEEBE MEDICAL FOUNDATION 902 SAVANNAH ROAD LEWES DE 19958 510319455 FUNDRAISING DE 501(C)(3) 11-TYPE I BEEBEMEDICAL true false true true false false false false false false true false true true false false false false true false BEEBE MEDICAL FOUNDATION B 785361 FMV BEEBE MEDICAL FOUNDATION C 6838302 FMV BEEBE PHYSICIAN NETWORK INC J 200566 FMV BEEBE PHYSICIAN NETWORK INC L 33115269 FMV BEEBE PHYSICIAN NETWORK INC R 14750000 FMV SCHEDULE R, PART I IDENTIFICATION OF DISREGARDED ENTIITIES: SOUTHER DELAWARE SURGERY CENTER WAS INACTIVE DURING THE YEARS ENDED JUNE 30, 2012, JUNE 30, 2013, JUNE 30 2014 AND JUNE 30, 2015.