2014-05-14T13:39:15-05:00 2013-06-30 CROWE HORWATH LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 33301 990 2012-07-01 591006663 BOCA RATON REGIONAL HOSPITAL INC BOCA 5619554200 800 MEADOWS ROAD BOCA RATON FL 33486 DAWN JAVERSACK 2014-05-12 true CINDY KUSHNER P00739493 9542028600 2012 2015-11-30 17:44:51Z JERRY FEDELE 800 MEADOWS RD BOCA RATON FL 33486 393240908 false X WWW.BRRH.COM X 1967 FL BRRH DELIVERS THE HIGHEST QUALITY PATIENT CARE WITH UNRELENTING ATTENTION TO CLINICAL EXCELLENCE, PATIENT SATISFACTION & SAFETY. OUR PROFESSIONALS DEMONSTRATE UNPARALLELED COMMITMENT TO THOSE WE SERVE. 24 20 2612 538 4176452 -908936 10541535 17879747 333402200 341541819 202067 115586 480870 2715232 344626672 362252384 171906 163108 0 0 150699636 149784466 0 0 0 188849448 190550007 339720990 340497581 4905682 21754803 340420974 359864568 155346425 123545747 185074549 236318821 X BRRH DELIVERS THE HIGHEST QUALITY PATIENT CARE WITH UNRELENTING ATTENTION TO CLINICAL EXCELLENCE, PATIENT SATISFACTION AND PATIENT SAFETY. OUR TEAM OF PROFESSIONALS DEMONSTRATES UNPARALLELED COMPASSION AND COMMITMENT TO THOSE WE SERVE. false false 268249236 163108 340080599 MISSION: BRRH DELIVERS THE HIGHEST QUALITY PATIENT CARE WITH UNRELENTING ATTENTION TO CLINICAL EXCELLENCE, PATIENT SATISFACTION AND PATIENT SAFETY. OUR TEAM OF PROFESSIONALS DEMONSTRATES UNPARALLELED COMPASSION AND COMMITMENT TO THOSE WE SERVE. VISION: TO BE THE PREEMINENT REGIONAL LEADER IN HEALTHCARE DELIVERY AND THE HOSPITAL OF CHOICE FOR PATIENTS, PHYSICIANS, EMPLOYEES AND VOLUNTEERS. HISTORY: IN 1962, GLORIA AND ROBERT DRUMMOND'S TWO YOUNG CHILDREN, DEBRA AND JAMES RANDALL WERE TRAGICALLY AND FATALLY POISONED. HAD MEDICAL TREATMENT BEEN CLOSER THAN 30 MINUTES FROM BOCA RATON, THE CHILDREN'S LIVES MAY HAVE BEEN SAVED. 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THEY ARE A PAINTING AND STATUE. THE WORKS OF ART DISPLAY EMBODIES THE SPIRIT OF THE ORGANIZATION. FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 THE ORGANIZATION IS INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS. BELOW IS THE ASC 740 FOOTNOTE FROM THOSE FINANCIAL STATEMENTS: AS A RESULT OF NET OPERATING LOSS CARRY-FORWARDS OF $3,264,000 (WHICH EXPIRE BETWEEN 2022 AND 2033), THE CORPORATION HAS RECORDED A DEFERRED TAX ASSET; HOWEVER, THAT DEFERRED TAX ASSET IS SUBJECT TO FULL VALUATION ALLOWANCE PURSUANT TO THE PROVISIONS OF ASC 740, ACCOUNTING FOR INCOME TAXES. AS DEFINED BY ASC 740, THE AMOUNT OF UNRECOGNIZED TAX BENEFITS THAT WOULD IMPACT THE CORPORATION IF THEY WERE RECOGNIZED IS NOT MATERIAL. IT IS EXPECTED THAT THE AMOUNT OF UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT 12 MONTHS; HOWEVER, THE CORPORATION DOES NOT EXPECT THE CHANGE TO HAVE A SIGNIFICANT IMPACT ON THE ORGANIZATION'S EFFECTIVE TAX RATE. 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IMAGING CENTER Costing Methodology used to calculate financial assistance Schedule H, Part I, Line 7 IN ORDER TO CALCULATE COSTS REPORTED IN PART I, LINE 7, BRRH DEVELOPED A COST TO CHARGE RATIO USING WORKSHEET 2, INCLUDED IN THE INSTRUCTIONS TO SCHEDULE H. TOTAL OPERATING EXPENSES FOR BRRH WERE ADJUSTED FOR NON-PATIENT CARE ACTIVITIES AND MEDICAID PROVIDER TAXES, COMMUNITY BENEFIT EXPENSES, AND COMMUNITY BUILDING EXPENSES. THESE EXPENSES WERE DIVIDED BY GROSS PATIENT CHARGES, TO ARRIVE AT THE COST-TO-CHARGE RATIO. Bad Debt Expense excluded from financial assistance calculation Schedule H, Part I, Line 7, column(f) 9,328,497 Subsidized Health Services Schedule H, Part I, Line 7g NOT APPLICABLE; BRRH DOES NOT INCLUDE COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC AS SUBSIDIZED HEALTH SERVICES. RESEARCH SCHEDULE H, PART I, LINE 7H THE ORGANIZATION DID NOT REPORT COMMUNITY BENEFIT EXPENSE FOR RESEARCH PROGRAMS BECAUSE MOST PROGRAMS WERE FUNDED BY OUTSIDE ORGRANIZATIONS WHICH WERE NOT EXEMPT OR GOVERNMENTAL. HOWEVER, THE ORGANIZATION DID RECORD $659,000 FOR RESEARCH REVENUE, AND $808,000 FOR THE RELATED COSTS TO FACILITATE THE VARIOUS RESERCH PROGRAMS. THE NET SHORTFALL FOR THE RESEARCH PROGRAM IS FUNDED FROM OPERATIONS OF THE ORGANIZATION. Bad debt expense - methodology used to estimate amount Schedule H, Part III, Line 2 BRRH ACCOUNTS FOR BAD DEBT EXPENSE USING A RESERVE METHODOLOGY WHICH ESTIMATES HISTORICAL WRITE-OFFS AS A PERCENTAGE OF PATIENT ACCOUNTS RECEIVABLE. THE ESTIMATED BAD DEBT ON CURRENT ACCOUNTS WHICH WILL BE WRITTEN OFF IN FUTURE PERIODS IS ACCRUED AS EXPENSE IN THE INCOME STATEMENT AND IS EVALUATED MONTHLY. BAD DEBT EXPENSE IS REPORTED AT GROSS IN ACCORDANCE WITH FINANCIAL STATEMENT PRESENTATION IN THE JUNE 30, 2013 AUDITED FINANCIAL STATEMENTS. BY VIRTUE OF ITS EXEMPTION FROM FEDERAL AND STATE TAXES, AND AS PART OF BOCA RATON REGIONAL HOSPITAL'S MISSION TO SERVE THE HEALTH CARE NEEDS OF ITS PATIENTS, IT IS THE POLICY OF BRRH TO PROVIDE A 75% DISCOUNT OFF ALL GROSS HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES RENDERED TO ALL UNINSURED PATIENTS. PATIENTS WITHOUT INSURANCE AT BRRH ARE TREATED FAIRLY AND WITH RESPECT DURING AND AFTER THEIR TREATMENT AND REGARDLESS OF THEIR ABILITY TO PAY FOR THE SERVICES THEY RECEIVE. THIS POLICY APPLIES TO ALL UNINSURED PATIENTS OF BOCA RATON REGIONAL HOSPITAL (BRRH) AND COVERS ALL BILLS FOR MEDICALLY NECESSARY HOSPITAL INSTITUTIONAL SERVICES RENDERED BY BRRH. THE 75% UNINSURED DISCOUNT IS PROACTIVELY POSTED TO ALL UNINSURED ACCOUNTS FOR MEDICALLY NECESSARY SERVICES PRIOR TO BILLING THE PATIENT OR RESPONSIBLE PARTY FOR PAYMENT. THE DISCOUNT IS REFLECTED AS ALLOWANCES AGAINST GROSS CHARGES, AND IS NOT CONSIDERED TO BE PART OF THE PROVISION FOR BAD DEBTS. Bad debt expense - methodology used to estimate amount as community benefit Schedule H, Part III, Line 3 BRRH HAS USED PROFESSIONAL JUDGMENT TO DETERMINE THAT APPROXIMATELY 20% OF BAD DEBT EXPENSE REASONABLY COULD HAVE BEEN ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER BRRH'S CHARITY CARE POLICY. PATIENTS WITH LITTLE CONCERN FOR THEIR CREDIT RATING, ARE TOO ILL TO COMPLETE PAPERWORK, ET CETERA, ARE EXAMPLES OF SUCH PATIENTS. BRRH MAKES EVERY EFFORT TO QUALIFY PATIENTS FOR CHARITY CARE. BRRH ESTIMATES THAT HAD THESE PATIENTS COMPLETED THE APPROPRIATE PAPERWORK, THEY WOULD HAVE QUALIFIED FOR CHARITY. BRRH CONISDERS THIS PORTION OF BAD DEBT TO BE A COMMUNITY BENEFIT. Bad debt expense - financial statement footnote Schedule H, Part III, Line 4 THE FOLLOWING DISCLOSURE REGARDING THE PROVISION FOR BAD DEBTS WAS INCLUDED IN FOOTNOTE 4 TO THE CONSOLIDATED FINANCIAL STATEMENT OF BRRH CORPORATION AND AFFILIATES, AS OF AND FOR THE YEAR ENDED JUNE 30, 2013: PATIENT SERVICE REVENUE IS REDUCED BY THE PROVISION FOR BAD DEBTS AND ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THESE AMOUNTS ARE BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS FOR EACH MAJOR PAYOR SOURCE, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, HISTORICAL WRITE-OFF AND COLLECTION EXPERIENCE USING A HINDSIGHT OR LOOK-BACK APPROACH, CASH COLLECTIONS AS A PERCENTAGE OF NET PATIENT SERVICE REVENUE, AND OTHER COLLECTION INDICATORS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE CORPORATION REGULARLY PERFORMS HINDSIGHT PROCEDURES TO EVALUATE HISTORICAL WRITE-OFF AND COLLECTION EXPERIENCE THROUGHOUT THE YEAR TO ASSIST IN DETERMINING THE REASONABLENESS OF ITS PROCESS FOR ESTIMATING THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES. Community benefit & methodology for determining medicare costs Schedule H, Part III, Line 8 BOCA RATON REGIONAL HOSPITAL'S MISSION IS TO SERVE THE HEALTH CARE NEEDS OF ITS PATIENTS WITHIN THE COMMUNITY. BRRH CONSIDERS THE PROVISION OF CARE TO PATIENTS, DESPITE REPORTING A MEDICARE OPERATING SHORTFALL, TO BE A COMMUNITY BENEFIT. MEDICARE REVENUE AND ALLOWABLE COSTS WERE DETERMINED BASED UPON THE MEDICARE COST REPORT. ON AN ONGOING BASIS, RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE PROVIDED AND ADJUSTED IN FUTURE PERIODS UPON FINAL SETTLEMENTS OF COST REPORTS. DURING THE YEAR ENDED JUNE 30, 2013, THE HOSPITAL RECEIVED ABOUT $0.7 MILLION FROM MEDICARE FOR PARTIAL SETTLEMENT OF PRIOR YEAR COST REPORTS. ALL AMOUNTS RECEIVED WERE ACCRUED IN PRIOR YEARS. PART III, LINE 8 SCHEDULE H, PART III, LINE 8 MEDICARE ALLOWABLE COSTS WERE DETERMINED BASED UPON THE MEDICARE COST REPORT. Collection practices for patients eligible for financial assistance Schedule H, Part III, Line 9b BRRH HAS A FORMAL WRITTEN DEBT COLLECTION POLICY; IT IS BRRH POLICY AND PRACTICE TO SCREEN ALL UNINSURED PATIENTS FOR ALTERNATIVE FUNDING SOURCES, INCLUDING MEDICAID, PALM BEACH COUNTY HEALTH DISTRICT (A LOCAL TAX FUNDED PROGRAM), MEDICARE DISABILITY, AND CHARITY CARE. CHARITY CARE IS ADVERTISED TO PATIENTS BOTH ON THE ORGANIZATION'S WEBSITE, AND ON STATEMENT MAILERS TO PATIENTS. UNINSURED PATIENTS WHO ARE DEEMED LIKELY TO QUALIFY FOR ALTERNATIVE FUNDING ARE ASSISTED WITH THE APPLICATION PROCESS UNTIL FINAL DISPOSITION OF THE APPLICATION. DURING THE QUALIFICATION PROCESS, PATIENTS CONTINUE TO BE BILLED, UNTIL ALTERNATIVE FUNDING IS OBTAINED. IF APPROPRIATE PAPERWORK IS NOT COMPLETED, PATIENTS MAY BE REFERRED TO COLLECTIONS; HOWEVER, IF A PATIENT ACCOUNT HAS BEEN REFERRED TO COLLECTIONS AND SUBSEQUENTLY QUALIFIES FOR ALTERNATIVE FUNDING, SUCH AS CHARITY CARE, THE ACCOUNT IS RECALLED FROM THE COLLECTION AGENCY AND THE PATIENT'S ACCOUNT IS SETTLED BASED ON THE ALTERNATIVE FUNDING SOURCE. Community Served by Needs Assessment Schedule H, Part V Section B, Line 3 (1) BOCA RATON REGIONAL HOSPITAL - THE MAIN PURPOSE OF THE ASSESSMENT IS TO IMPROVE THE HEALTH STATUS OF PALM BEACH COUNTY AND BROWARD COUNTY RESIDENTS AND INCREASE ACCESS AND AVAILABILITY OF HEALTHCARE SERVICES. THE MAIN GOALS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT ARE TO IMPROVE HEALTH STATUS OF PALM BEACH COUNTY AND BROWARD COUNTY RESIDENTS, ADDRESS SOCIOECONOMIC FACTORS THAT HAVE A NEGATIVE IMPACT ON COMMUNITY HEALTH, AND INCREASE ACCESS TO PREVENTIVE HEALTHCARE SERVICES, ESPECIALLY WITHIN AT-RISK SUB-POPULATIONS. A COMMUNITY HEALTH NEEDS ASSESSMENT ADVISORY COUNCIL WAS CONVENED WITH THE MISSION TO GUIDE THE ASSESSMENT PROCESS, ACT AS A SOUNDING BOARD AND ASSIST IN OBTAINING COMMUNITY INPUT, PARTICIPATE WITH THE PLANNING TEAM IN EVALUATING HEALTH ISSUES AND PRIORITIES ONCE THE ASSESSMENT IS COMPLETED, AND ENGAGE IN COLLABORATIVE ACTION PLANNING ON AN ONGOING BASIS. THE MEMBERS OF COMMUNITY HEALTH NEEDS ASSESSMENT ADVISORY COUNCIL PARTICIPATED IN MEETINGS THAT TOOK PLACE FROM SEPTEMBER 2012 TO JANUARY 2013. A SERIES OF FOCUS GROUPS WERE CONDUCTED WITH THE GOAL TO COLLECT QUALITATIVE DATA FROM DIVERSE GROUPS OF HEALTHCARE CONSUMERS AND SERVICE PROVIDERS. SOME OF THE REPORTED CHALLENGES AND BARRIERS TO HEALTHCARE INCLUDE: HEALTHCARE COVERAGE (ACCESS TO CARE); LACK OF KNOWLEDGE ABOUT AVAILABILITY OF RESOURCES; SCHEDULING; TRANSPORTATION ISSUES (ACCESSIBILITY); LANGUAGE BARRIERS/CULTURAL SENSITIVITY; AND EDUCATION/AWARENESS - CHALLENGES NAVIGATING THE SYSTEM (CLIENT/PATIENTS, CAREGIVERS, AND PROVIDERS). IN DECEMBER 2012, AN ONLINE SURVEY WAS SENT TO KEY STAKEHOLDERS IN THE COMMUNITY THAT SURROUNDS BOCA RATON REGIONAL HOSPITAL. A SURVEY WAS DONE IN LIEU OF KEY INFORMANT INTERVIEW AND ALLOWED FOR ADDITIONAL QUESTIONS TO BE ASKED OF RESPONDENTS. THE SURVEY WAS SENT VIA EMAIL USING SURVEY MONKEY SOFTWARE. NINE KEY INFORMANTS PARTICIPATED AND PROVIDED INSIGHT ON ISSUES IMPACTING THE HEALTHCARE SYSTEM. AN EFFORT WAS MADE TO INCLUDE A BROAD SPECTRUM OF STAKEHOLDERS IN THE COMMUNITY INCLUDING INDIVIDUALS FROM: EDUCATIONAL ENTITIES, FAITH-BASED ORGANIZATION, GOVERNMENT, PUBLIC SAFETY, COMMUNITY-BASED ORGANIZATIONS, ETC. WHEN ASKED ABOUT KEY ISSUES AND BARRIERS FOR THEIR CLIENTS/ CONSTITUENTS TO ACCESS HEALTHCARE, THE TOP THREE REPORTED BARRIERS WERE: COSTLY HEALTH CARE SERVICES, LACK OF HEALTH INSURANCE, AND LACK OF KNOWLEDGE ABOUT AVAILABLE SERVICES. WHEN ASKED ABOUT GAPS IN THE COMMUNITY'S HEALTHCARE DELIVERY SYSTEM, THE FOLLOWING THEMES EMERGED: MENTAL HEALTH AND ORAL HEALTH, MEDICAID PROVIDERS NEEDED FOR PATIENTS AND ALSO FOR THOSE WITH NO PAYMENT SOURCES IN CRISIS, ACCESSIBILITY, ACCESS TO AFFORDABLE URGENT CARE, AND LACK OF PHYSICIANS WHO ACCEPT MEDICAID. THE KEY INFORMANTS ALSO EXPRESSED THE NEED FOR INCREASED COLLABORATION AMONG PROVIDERS OF PREVENTIVE CARE SERVICES. ; Needs not addressed in Needs Assessment Schedule H, Part V Section B, Line 7 (1) BOCA RATON REGIONAL HOSPITAL - BOCA REGIONAL DID NOT ADDRESS SOME HEALTH NEEDS IDENTIFIED IN WHICH THE ORGANIZATION DETERMINED IT COULD NOT HAVE AN EFFECTIVE IMPACT FOR THE FOLLOWING REASONS: * COMMUNITY NEED IDENTIFIED IS NOT AN AVAILABLE SERVICE LINE AT BRRH (ANY ISSUES RELATED PEDIATRICS OR MENTAL HEALTH) * OTHER NON-PROFITS IN THE COMMUNITY ARE ALREADY ADDRESSING (REDUNDANCY OF DIABETES PREVENTION PROGRAMS LOCALLY) * AREA OF CONCERN IS OUTSIDE OF OUR SERVICE AREA (LOW BIRTH WEIGHT IN BELLE GLADE, OVER 2 HOURS NORTH OF CAMPUS) ULTIMATELY THE ADVISORY COUNCIL DETERMINED THE MAXIMUM IMPACT CAN BE MADE IN THE SELECTED AREAS OF FALL PREVENTION, MEDICATION MANAGEMENT & ED UTILIZATION - SPECIFIC HOSPITAL AREAS OF EXPERTISE. ; Other factors included in calculating amounts charges to patients Schedule H, Part V Section B, Line 12h (1) BOCA RATON REGIONAL HOSPITAL - THE BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDES: INCOME LEVEL, ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, MEDICAID/MEDICARE ELIGIBILITY, AND OTHER. THE CATEGORY OF OTHER REQUIRES THAT PATIENTS MUST BE RESIDENTS OF PALM BEACH COUNTY, EXCEPT FOR PATIENTS WHO PRESENT THROUGH THE EMERGENCY DEPARTMENT.; Means used to determine amounts billed Schedule H, Part V Section B, Line 20d (1) BOCA RATON REGIONAL HOSPITAL - AS PART OF ITS MISSION TO SERVE THE HEALTHCARE NEEDS OF THE COMMUNITY, IT IS THE POLICY OF BRRH TO PROVIDE A 75% DISCOUNT OFF ALL GROSS HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES RENDERED TO ALL UNINSURED PATIENTS, THEREBY CHARGING A MAXIMUM OF 25% OF CHARGES TO ALL UNINSURED PATIENTS, INCLUDING FAP-ELIGIBLE PATIENTS. FAP-ELIGIBLE PATIENTS' BILLS ARE REVIEWED INDIVIDUALLY FOR ADDITIONAL DISCOUNTS OR FREE CARE, IN ACCORDANCE WITH BRRH POLICIES.; Needs assessment. Schedule H, Part VI, Line 2 BRRH ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES BY ANALYSIS OF THE EXTERNAL AND INTERNAL ENVIRONMENTS. EACH YEAR DURING CREATION OF THE CAPITAL BUDGET CAPITAL PROJECTS ARE EVALUATED WITH RESPECT TO THEIR IMPACT ON PATIENT CARE. CAPITAL ASSETS WHICH WILL IMPROVE PATIENT CARE ARE PRIORITIZED OVER CAPITAL ASSETS WHICH ARE MORE ADMINISTRATIVE IN NATURE. BRRH ESTABLISHED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ADVISORY COMMITTEE MADE UP OF OUR COMMUNITY'S NON-PROFIT LEADERS AND EXECUTIVE DIRECTORS, AS WELL AS A WIDE VARIETY OF INTERNAL BRRH STAFF. THE ADVISORY COMMITTEE MET MONTHLY FOR 6 MONTHS ONSITE AT BRRH, WITH EACH SESSION LASTING APPROXIMATELY 2 HOURS. SESSIONS WERE FACILITATED AND ALL DATA WAS GATHERED AND REPORTED BY BROWARD REGIONAL HEALTH PLANNING COUNCIL & THE HEALTH COUNCIL OF SE FLORIDA. Patient education of eligibility for assistance. Schedule H, Part VI, Line 3 BRRH SCREENS ALL UNINSURED PATIENTS FOR ALTERNATIVE FUNDING SOURCES, INCLUDING MEDICAID, PALM BEACH COUNTY HEALTH DISTRICT (A LOCAL TAX FUNDED PROGRAM), MEDICARE DISABILITY, AND CHARITY CARE. CHARITY CARE IS ADVERTISED TO PATIENTS BOTH ON THE ORGANIZATION'S WEBSITE, AND ON STATEMENT MAILERS TO PATIENTS. UNINSURED PATIENTS WHO ARE DEEMED LIKELY TO QUALIFY FOR ALTERNATIVE FUNDING ARE ASSISTED WITH THE APPLICATION PROCESS UNTIL FINAL DISPOSITION OF THE APPLICATION. DURING THE QUALIFICATION PROCESS, PATIENTS CONTINUE TO BE BILLED, UNTIL ALTERNATIVE FUNDING IS OBTAINED. IF APPROPRIATE PAPERWORK IS NOT COMPLETED, PATIENTS MAY BE REFERRED TO COLLECTIONS; HOWEVER, IF A PATIENT ACCOUNT HAS BEEN REFERRED TO COLLECTIONS AND SUBSEQUENTLY QUALIFIES FOR ALTERNATIVE FUNDING, SUCH AS CHARITY CARE, THE ACCOUNT IS RECALLED FROM THE COLLECTION AGENCY AND THE PATIENT'S ACCOUNT IS SETTLED BASED ON THE ALTERNATIVE FUNDING SOURCE. Community information. Schedule H, Part VI, Line 4 BRRH IS LOCATED IN BOCA RATON, PALM BEACH COUNTY, FLORIDA. BOCA RATON IS BOUNDED ON THE EAST BY THE ATLANTIC OCEAN, ON THE WEST BY THE FLORIDA EVERGLADES. THE POPULATION IS DENSE (ABOUT 75,000 RESIDENTS), AND MANY RESIDENTS ARE SEASONAL, LIVING IN THE AREA FROM APPROXIMATELY OCTOBER THROUGH APRIL OF EACH YEAR. BRRH'S SERVICE AREA IS EXPECTED TO GROW 5% BY 2015. 55% OF RESIDENTS OF THE SERVICE AREA HAVE INCOMES GREATER THAN $50,000; ABOUT 4% OF RESIDENTS ARE BELOW THE FEDERAL POVERTY LEVEL. THERE ARE APPROXIMATELY 9 HOSPITALS WITHIN BRRH'S SERVICE AREA. Promotion of community health Schedule H, Part VI, Line 5 A MAJORITY OF BRRH'S GOVERNING BODY IS COMPRISED OF INDEPENDENT MEMBERS WHO RESIDE IN BRRH'S PRIMARY SERVICE AREA, AND WHO ARE NEITHER EMPLOYEES, FAMILY MEMBERS OF EMPLOYEES, NOR INDEPENDENT CONTRACTORS, OF BRRH. THE ORGANIZATION HAS AN OPEN MEDICAL STAFF. MEMBERSHIP ON THE OPEN MEDICAL STAFF SHALL BE EXTENDED TO PROFESSIONALLY COMPETENT PRACTITIONERS WHO CONTINUOUSLY MEET THE QUALIFICATIONS, STANDARDS AND REQUIREMENTS SET FORTH IN THE MEDICAL STAFF BYLAWS. 99% OF THE MEDICAL STAFF IS BOARD CERTIFIED. EACH YEAR, BRRH DETERMINES WHAT LEVEL OF SURPLUS FUNDING FROM OPERATIONS IS AVAILABLE TO FUND IMPROVEMENTS IN PATIENT CARE AND RESEARCH. FUNDS ARE ALLOCATED TO THESE PURSUITS THROUGH THE OPERATING AND CAPITAL BUDGETS OF THE ORGANIZATION. DURING THE YEAR ENDED JUNE 30, 2013, BRRH SPENT OVER $27 MILLION ON CAPITAL ASSET PURCHASES, PRIMARILY FOR NEW EQUIPMENT AND IMPROVEMENTS TO THE HOSPITAL FACILITIES, FOR THE PROVISION OF PATIENT CARE. EACH YEAR BRRH HAS CONTINUED TO MAKE INVESTMENTS IN CLINICAL PROGRAMS FOCUSING RESOURCES AND GROWTH INITIATIVES IN CARDIAC SERVICES, ONCOLOGY, NEUROSCIENCES, WOMEN'S SERVICES AND PRIMARY CARE. BRRH FURTHERS ITS EXEMPT PURPOSE OF PROMOTING THE HEALTH OF THE COMMUNITY IN MANY WAYS. RECOGNIZING THE IMPORTANCE OF REACHING OUT TO THE COMMUNITY, THE BRRH BOARD OF TRUSTEES LAUNCHED THE COMMUNITY OUTREACH PROGRAM IN JULY 1998. THE PURPOSE OF THE PROGRAM IS TO IMPROVE THE OVERALL HEALTH AND WELLNESS OF THE LOCAL BRRH COMMUNITY. A MOBILE HEALTH VAN VISITS AREAS FROM NORTHERN BROWARD COUNTY TO NORTHERN PALM BEACH COUNTY. THE COMMUNITY OUTREACH VAN PROGRAM PROVIDES BLOOD PRESSURE, CHOLESTEROL, GLUCOSE, PSA & BMI SCREENINGS. ON OCCASION THE VAN IS ALSO USED TO PROVIDE SKIN CANCER AND DRE SCREENINGS. THE SMART HEART PARTNERSHIP PROVIDES SEVERAL SMART HEART EVENTS THROUGHOUT THE COMMUNITY WHICH ENCOURAGE PREVENTION AND EDUCATION OF CARDIOVASCULAR DISEASE. BLOOD PRESSURE; BMI AND CHOLESTEROL SCREENINGS, HEALTH, CARDIOVASCULAR DISEASE AND NUTRITION EDUCATION ARE OFFERED. IN ADDITION TO THE EDUCATIONAL PROCESS THE SMART HEART PROGRAM PROVIDES CPR CERTIFICATION CLASSES TO HOSPITAL STAFF, CITY OF BOCA RATON EMPLOYEES, AND THE COMMUNITY AT LARGE. BOCA RATON REGIONAL HOSPITAL IS AN OFFICIAL AMERICAN HEART ASSOCIATION (AHA) TRAINING CENTER FOR BLS CPR. THE SMART HEART PARTNERSHIP TEAMS UP WITH BOCA RATON FIRE RESCUE SERVICES TO PROVIDE QUALITY COMMUNITY AND PROFESSIONAL CPR EDUCATION. IN THE 2013 FISCAL YEAR THE PARTNERSHIP TAUGHT OVER 2400 PEOPLE. A COMMUNITY BASED PROGRAM, MORE THAN 56% OF THE PARTICIPANTS COME FROM THE LOCAL COMMUNITY. BASED ON CLASS EVALUATIONS STUDENTS IN THE CPR CLASSES GAVE AN OVERALL SATISFACTION RATING OF 4.85 OUT OF 5. BRRH COMMUNITY OUTREACH TEACHES CPR AND FIRST AID TO OVER 2,000 PARTICIPANTS FROM COMMUNITY GROUPS SUCH AS: BOCA RATON FIRE RESCUE EXPLORERS, LOCAL BOY SCOUT GROUPS BOCA RATON CAMP COUNSELORS, FLORIDA ATLANTIC UNIVERSITY STUDENT GROUPS, SEVERAL CONDOMINIUM ASSOCIATIONS IN BOCA RATON AND THE COMMUNITY EMERGENCY RESPONSE TEAM MEMBERS OF THE CITY OF BOCA RATON, BOCA RATON POLICE DEPT., AND BOCA RATON FIRE RESCUE SERVICES FIREFIGHTERS. Affiliated health care system Schedule H, Part VI, Line 6 BRRH IS PART OF AN AFFILIATED HEALTH CARE SYSTEM (SYSTEM). BRRH CORPORATION IS THE NOT-FOR-PROFIT PARENT HOLDING COMPANY OF THE SYSTEM, AND WAS FORMED EXCLUSIVELY FOR CHARITABLE, BENEVOLENT, EDUCATIONAL AND SCIENTIFIC PURPOSES, TO SUPPORT AND ENCOURAGE HEALTH CARE SERVICES THROUGH THE PROMOTION OF THE SERVICES, ACTIVITIES, AND OBJECTIVES OF THE AFFILIATE MEMBERS OF THE SYSTEM. THE AFFILIATES OF THE SYSTEM INCLUDE: BOCA RATON REGIONAL HOSPITAL, A 400 BED NOT-FOR-PROFIT HOSPITAL FORMED TO PROVIDE HEALTH CARE SERVICES; BOCA RATON REGIONAL HOSPITAL FOUNDATION, INC., A NOT-FOR-PROFIT CORPORATION FORMED TO RAISE FUNDS TO SUPPORT THE ORGANIZATION AND OTHER RELATED ORGANIZATIONS; AND BRRH HOME HEALTH SERVICES, INC., A NOT-FOR-PROFIT CORPORATION FORMED TO ASSIST BRRH IN THE FURTHERANCE OF SPECIALIZED CARE IN THE AREA OF HOME HEALTH MEDICINE. BOCACARE, INC., A TAXABLE NOT-FOR-PROFIT CORPORATION FORMED TO PROVIDE PRIMARY CARE SERVICES TO THE RESIDENTS OF THE COMMUNITY. true FLORENCE FULLER CENTER 200 NE 14TH STREET BOCA RATON FL 33432 591312245 501(C)(3) 10000 0 N/A N/A HEALTH EDUCATION AND SCREEN CHILDREN MIGRANT ASSOCIATION CARIDAD CENTER 645 W BOYNTON BEACH BLVD BOYNTON BEACH FL 33432 650149423 501(C)(3) 38595 0 N/A N/A PROVIDE MEDICAL AND DENTAL CARE FAU MEMORY AND WELLNESS 777 GLADES ROAD BOCA RATON FL 33431 650385507 501(C)(3) 9860 0 N/A N/A PROVIDES MEMORY EVALUATIONS FAMILY PROMISE 840 GEORGE BUSH BLVD BLD D DELRAY BEACH FL 33483 562656166 501(C)(3) 5500 0 N/A N/A SUPPORT 4 0 Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 BOCA RATON REGIONAL HOSPITAL MAKES GRANTS ONLY TO ORGANIZATIONS EXEMPT UNDER 501(C)(3). FUNDING IS ALSO PROVIDED TO OTHER EXEMPT ORGANIZATIONS THAT SUPPORT THE HEALTHCARE NEEDS OF THE BOCA RATON COMMUNITY. X X true true X X X false true false false false false false false false ALEX EREMIA 237816 0 0 0 11331 0 26500 0 15321 0 290968 0 0 0 ALEXANDER KULIK 387722 0 63032 0 430 0 11125 0 14243 0 476551 0 0 0 BURAK ILSIN 402041 0 10000 0 491 0 11125 0 24893 0 448550 0 0 0 CHARLES POSTERNACK 511556 0 0 0 1806 0 62336 0 19125 0 594823 0 0 0 DAN SACCO 253267 0 0 0 1806 0 36333 0 17941 0 309347 0 0 0 DAWN JAVERSACK 378214 0 0 0 966 0 58428 0 10130 0 447738 0 0 0 EDDY HANNAH 218634 0 0 0 2239 0 11125 0 10167 0 242165 0 0 0 GILBERT CHIDIAC 450478 0 10000 0 778 0 11125 0 26273 0 498654 0 0 0 JAMES MORRIS MD 654865 0 21011 0 9824 0 18746 0 3655 0 708100 0 0 0 JERRY FEDELE 655775 0 0 0 65021 0 149771 0 14474 0 885041 0 0 0 KAREN POOLE 372780 0 0 0 2772 0 58119 0 10225 0 443896 0 0 0 KATHY TABOR MCEWAN 181803 0 0 0 583 0 10127 0 7177 0 199690 0 0 0 LOUISE MORRELL MD 509835 0 0 0 2503 0 11125 0 14104 0 537567 0 0 0 MARIA DULANEY 169797 0 0 0 1132 0 9363 0 16802 0 197094 0 0 0 MINDY RAYMOND 207086 0 0 0 42848 0 56558 0 32649 0 339141 0 33024 0 MINDY SHIKIAR 221508 0 0 0 92764 0 45662 0 11995 0 371930 0 83780 0 ROBIN HILDWEIN 186847 0 0 0 1277 0 15927 0 12465 0 216516 0 0 0 Tax indemnification and gross-up payments Schedule J, Part I, Line 1a THE CEO RECEIVES A HOUSING ALLOWANCE PER EMPLOYMENT CONTRACT WHICH IS GROSSED UP FOR TAX PURPOSES. Housing allowance or residence for personal use Schedule J, Part I, Line 1a THE CEO RECEIVES A HOUSING ALLOWANCE. THE HOUSING ALLOWANCE IS TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUAL. Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b DURING CALENDAR YEAR 2012: 457F PLAN CONTRIBUTIONS WERE MADE FOR DAWN JAVERSACK $47,303; MINDY RAYMOND $11,074; MINDY SHIKIAR $29,196; KAREN POOLE $46,994; AND CHARLES POSTERNACK $62,336; ALEXANDER EREMIA $26,500; CARL SACCO $31,333. A SERP PLAN CONTRIBUTION WAS MADE FOR JERRY FEDELE FOR $138,646. DISTRIBUTIONS TAKEN DURING CALENDAR YEAR 2012 ARE AS FOLLOWS: MINDY RAYMOND $33,024; MINDY SHIKIAR $83,780. CRITICAL CARE ASSOC OF SOUTH FL LLC SEE PART V 750000 INTENSIVIST SERVICES false SURGICAL ASSOCIATES PALM BEACH COUNTY SEE PART V 300000 HEALTHCARE SERVICES false RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION SCHEDULE L, PART IV, COLUMN (B) RALPH PALUMBO MD, EX OFFICIO VOTING MEMBER OF THE HOSPITAL BOARD, IS ALSO A 25% OWNER IN CRITICAL CARE ASSOCIATES OF SOUTH FLORIDA, LLC. RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION SCHEDULE L, PART IV, COLUMN (B) THE HOSPITAL PAID SURGICAL ASSOCIATES PALM BEACH COUNTY (SAPBC) FOR HEALTH CARE SERVICES. MATTHEW KLEIN, MD IS A TRUSTEE OF THE HOSPITAL AND AN OWNER OF SAPBC. PROGRAM DESCRIPTION FORM 990, PART III, LINE 4A (CONTINUED FROM PART III) THE DEBBIE-RAND MEMORIAL SERVICE LEAGUE WAS FORMED THAT YEAR WITH THE MISSION OF RAISING FUNDS NEEDED TO BUILD A MEDICAL FACILITY IN BOCA RATON. OUTSIDE CONSULTANTS WHO WERE CALLED IN INFORMED THE LEAGUE BOCA RATON WOULD NEVER WARRANT A HOSPITAL. UNDAUNTED, THE 18 FOUNDING LEAGUE MEMBERS PERSEVERED AND USED "FUNDS INSTEAD OF FLOWERS" AS THEIR RALLYING CRY. BY 1967, THE LEAGUE HAD RAISED $3.5 MILLION AND THE "MIRACLE ON MEADOWS ROAD" OPENED ON JULY 17 OF THAT YEAR. HOSPITAL SERVICES: BOCA RATON REGIONAL HOSPITAL IS AN ADVANCED, TERTIARY MEDICAL CENTER WITH 400 BEDS AND MORE THAN 800 PRIMARY AND SPECIALTY PHYSICIANS ON STAFF. THE HOSPITAL IS A RECOGNIZED LEADER IN ONCOLOGY, CARDIOVASCULAR CARE, ORTHOPEDICS, WOMEN'S HEALTH, EMERGENCY MEDICINE AND THE NEUROSCIENCES, ALL OF WHICH OFFER STATE-OF THE-ART DIAGNOSTICS AND IMAGING CAPABILITIES. THE HOSPITAL IS ACCREDITED BY THE JOINT COMMISSION AND IS ONE OF ONLY FOUR HOSPITALS IN PALM BEACH COUNTY TO BE DESIGNATED AS A COMPREHENSIVE STROKE CENTER BY THE FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION (AHCA). BOCA RATON REGIONAL HOSPITAL WAS ALSO RECOGNIZED IN U.S. NEWSMEDIA & WORLD REPORT'S 2012-2013 BEST HOSPITALS LISTING AS A TOP RANKED HOSPITAL IN THE SOUTH FLORIDA METROPOLITAN AREA. THE FOLLOWING STATISTICS REPRESENT THE YEAR ENDED JUNE 30, 2013: TOTAL DISCHARGES (INPATIENT AND OBSERVATION) 20,743 PATIENT DAYS (INPATIENT) 72,113 EMERGENCY ROOM VISITS 44,121 OUTPATIENT PROCEDURES 334,413 SURGERIES 9,024 BOCA RATON REGIONAL HOSPITAL IS THE RECIPIENT OF THE 2013 DISTINGUISHED HOSPITAL FOR CLINICAL EXCELLENCE AWARD FOR THE NINTH YEAR IN A ROW BY HEALTHGRADES, THE LEADING INDEPENDENT HEALTHCARE RATINGS ORGANIZATION. ONLY 34 OF THE NATION'S 5,000 HOSPITALS HAVE EARNED SUCH A CONSECUTIVE DISTINCTION. THE HOSPITAL HAS ALSO BEEN RECOGNIZED BY HEALTHGRADES AS ONE OF AMERICA'S 50 BEST HOSPITALS IN 2012 AND 2013, THE RECIPIENT OF THE 2013 BEST 100 HOSPITALS IN THE NATION FOR: CARDIAC CARE, GASTROINTESTINAL CARE AND IS RANKED NUMBER 1 IN STATE RANKINGS FOR GASTROINTESTINAL MEDICAL TREATMENT AND OVERALL GASTROINTESTINAL TREATMENT BY HEALTHGRADES. THE HOSPITAL IS ALSO THE RECIPIENT OF THE 2013 HEALTHGRADES WOMEN'S HEALTH EXCELLENCE AWARD FOR THE FOURTH YEAR IN A ROW. HOME TO THE EUGENE M. AND CHRISTINE E. LYNN CANCER INSTITUTE, THE HARVEY & PHYLLIS SANDLER PAVILION OPENED IN NOVEMBER 2008. THE AWARD-WINNING $73 MILLION, 98,000 SQUARE-FOOT FACILITY HOUSES THE HOSPITAL'S IMAGING, RADIATION, CHEMOTHERAPY AND CANCER SUPPORTSERVICES AS WELL AS ITS CLINICAL RESEARCH CAPABILITIES. THE CHRISTINE E. LYNN WOMEN'S HEALTH INSTITUTE AND CENTER FOR BREAST CARE IS INTERNALLY RENOWNED AND PERFORMS OVER 90,000 PROCEDURES A YEAR. IT WAS NAMED AS ONE OF THE TOP IMAGING CENTERS TO WATCH IN 2009 BY A LEADING TRADE JOURNAL. IN 2012, BOCA REGIONAL RECEIVED A $25 MILLION GRANT, THE LARGEST, SINGLE PHILANTHROPIC GIFT IN THE INSTITUTION'S HISTORY, FROM THE MARCUS FOUNDATION TO CREATE THE MARCUS NEUROSCIENCE INSTITUTE ON THE HOSPITAL'S MAIN CAMPUS. THE FACILITY WILL SERVE AS A NEW, STATE-OF-THE-ART NEXUS OF CARE FOR NEUROLOGIC AND NEUROSURGICAL PATIENTS AND TRANSFORM THE LANDSCAPE OF CLINICAL CAPABILITIES AVAILABLE IN THE REGION. GROUNDBREAKING FOR THE INSTITUTION TOOK PLACE IN MARCH 2013 AND THE INSTITUTION IS ANTICIPATED TO OPEN IN APRIL 2014. IN THE LAST FIFTY YEARS, BOCA RATON REGIONAL HOSPITAL HAS EVOLVED FROM A CAPABLE COMMUNITY HOSPITAL INTO ONE OF THE PREEMINENT MEDICAL CENTERS IN FLORIDA. BOCA RATON REGIONAL HOSPITAL. ADVANCING THE BOUNDARIES OF MEDICINE. Family/business relationships amongst interested persons Form 990, Part VI, Section A, Line 2 JERRY FEDELE, DAWN JAVERSACK, AND ALEX EREMIA - BUSINESS RELATIONSHIP Classes of members or stockholders Form 990, Part VI, Section A, Line 6 THE SOLE MEMBER OF BOCA RATON REGIONAL HOSPITAL, INC., IS BRRH CORPORATION, INC. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a THE SOLE CORPORATE MEMBER, BRRH CORPORATION, MAY ELECT, REMOVE WITH OR WITHOUT CAUSE, REPLACE AND FILL ANY VACANCY ON THE BOARD OF TRUSTEES OF THE HOSPITAL. Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY THE SOLE CORPORATE MEMBER, BRRH CORPORATION INCLUDE: - APPROVE IN ADVANCE: CANDIDATES ARE PROPOSED BY THE CORPORATION TO BE ELECTED BY THE CORPORATION'S BOARD AS OFFICERS OF THE CORPORATION AND APPROVE IN ADVANCE THE REMOVAL, TERMINATION AND REPLACEMENT OF SUCH OFFICERS BY THE CORPORATION'S BOARD; - APPROVE IN ADVANCE: CANDIDATES PROPOSED BY THE CORPORATION TO BE ELECTED BY THE CORPORATION TO SERVE AS TRUSTEES OR DIRECTORS ON THE BOARDS OF THOSE AFFILIATED ORGANIZATIONS OF WHICH THE CORPORATION IS THE SOLE MEMBER OR SHAREHOLDER, INCLUDING BRRH HOME HEALTH SERVICE, INC., BOCA RATON REGIONAL HOSPITAL SELF INSURANCE TRUST AND BRRH HEALTH PLANS, INC.; - AMEND THE ARTICLES OF INCORPORATION OF THE CORPORATION; - AMEND, ALTER, RESTATE, RESCIND OR REPEAL THESE BYLAWS; PROVIDED, HOWEVER, THAT THESE BYLAWS AND ANY AMENDMENTS HERETO SHALL NOT BE INCONSISTENT WITH PROVISION OF THE ARTICLES OF INCORPORATION; - APPROVE IN ADVANCE OF ADOPTION BY THE CORPORATION ANY ANNUAL OR LONG-TERM CAPITAL OR OPERATIONAL BUDGET OF THE CORPORATION OR ANY CHANGE THEREIN EXCEEDING ONE PERCENT (1%) IN THE AGGREGATE OF THE TOTAL ORIGINAL APPROVED BUDGET; - APPROVE IN ADVANCE OF THE CORPORATION'S AUTHORIZATION ANY CONTRACTS OR ANY TRANSACTIONS OF THE CORPORATION WHICH ARE NOT PROVIDED FOR IN THE ANNUAL OR LONG TERM CAPITAL OR OPERATIONAL BUDGET APPROVED BY THE MEMBER WHERE THE AMOUNT INVOLVED EXCEEDS ONE HUNDRED THOUSAND DOLLARS ($100,000) IN THE AGGREGATE; - CAUSE THE CORPORATION TO ENTER INTO SUCH CONTRACTS FROM TIME TO TIME AS THE MEMBER MAY DETERMINE AND DIRECT, AND TO PLEDGE, HYPOTHECATE, MORTGAGE, TRANSFER OR OTHERWISE ENCUMBER ALL OR ANY PORTION OF THE ASSETS OF THE CORPORATION FROM TIME TO TIME, IN EACH CASE AS DETERMINED BY THE MEMBER IN ITS DISCRETION AND WITHOUT THE NECESSITY OF ANY FORMAL CORPORATE ACTION BY THE CORPORATION; - ADOPT ANY NEW, OR ANY CHANGES TO EXISTING, LONG-TERM OR MASTER INSTITUTIONAL PLANS OF THE HOSPITAL AFTER CONSIDERING ANY RECOMMENDATIONS OF THE CORPORATION; -ADOPT A PLAN OF DISSOLUTION OF THE CORPORATION; - AUTHORIZE 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 HOSPITAL; - ADOPT A PLAN OF MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER CORPORATION; - APPROVE ANY CONTRIBUTION, GRANTS, OR LOANS PROPOSED TO BE MADE BY THE CORPORATION TO ANY OTHER ORGANIZATION OR CORPORATION OTHER THAN THE MEMBER; OR - CAUSE OR PERMIT THE CORPORATION'S ORGANIZATION OR ACQUISITION OF OR INVESTMENT IN, ANY ENTITY, INCLUDING ANY CORPORATION, LIMITED LIABILITY COMPANY, ASSOCIATION, PARTNERSHIP, TRUST, JOINT VENTURE OR OTHER ENTITY. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b THE FORM 990 IS REVIEWED IN DETAIL BY MANAGEMENT. THE FORM 990 IS ALSO REVIEWED AND DISCUSSED WITH THE FINANCE COMMITTEE, A SUBCOMMITTEE COMPRISED OF MEMBERS OF THE BRRH CORPORATION'S BOARD OF TRUSTEES, AS WELL AS THE BOARD OF TRUSTEES PRIOR TO FILING. ANY QUESTIONS AND CONCERNS ARE ADDRESSED PRIOR TO THE SUBMISSION OF THE FORM 990 TO THE INTERNAL REVENUE SERVICE. NOT ALL MEMBERS OF THE FINANCE COMMITTEE OR BOARD OF TRUSTEES ARE PRESENT AT THE RESPECTIVE MEETINGS. Conflict of interest policy Form 990, Part VI, Section B, Line 12c ANNUALLY THE CHAIR OF THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD AND THE CHIEF COMPLIANCE OFFICER REVIEW THE CONFLICT OF INTEREST STATEMENTS COMPLETED BY THE BOARD OF DIRECTORS, MANAGEMENT, AND OTHER KEY PERSONNEL WHO INTERACT WITH OUTSIDE ORGANIZATIONS OR BUSINESSES ON BEHALF OF THE CORPORATION. IT IS DOCUMENTED IN THE BOARD MEETING MINUTES THAT MEMBERS WITH POTENTIAL CONFLICTS RECUSE THEMSELVES FROM INVOLVEMENT IN DISCUSSIONS/BOARD ACTIONS RELATING TO THE POTENTIAL CONFLICTS. MANAGEMENT POTENTIAL CONFLICTS WOULD BE DISCLOSED TO AUDIT & COMPLIANCE COMMITTEE. Process used to establish compensation of top management official Form 990, Part VI, Section B, Line 15a THE EXECUTIVE COMPENSATION COMMITTEE OF THE BRRH BOARD OF TRUSTEES ANNUALLY REVIEWS COMPENSATION FOR THE PRESIDENT AND CEO AS WELL AS OTHER EXECUTIVES/VPS. THE COMMITTEE DETERMINES THE COMPENSATION FOR THE PRESIDENT AND CEO. THE COMMITTEE ALSO REVIEWS AND APPROVES THE MERIT INCREASES FOR THE EXECUTIVES/VPS AS RECOMMENDED BY THE PRESIDENT AND CEO. THE PROCESS INCLUDES REVIEW OF CURRENT COMPENSATION DATA THAT BENCHMARKS BRRH EXECUTIVE SALARIES WITH OTHER HEALTHCARE ORGANIZATIONS OF A SIMILAR SIZE AND NET REVENUE. THIS REVIEW AND APPROVAL IS DOCUMENTED IN THE EXECUTIVE COMPENSATION COMMITTEE MINUTES AT THE TIME OF THE REVIEW. Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b THE EXECUTIVE COMPENSATION COMMITTEE OF THE BRRH BOARD OF TRUSTEES ANNUALLY REVIEWS COMPENSATION FOR THE OTHER OFFICERS AND KEY EMPLOYEES. THE COMMITTEE ALSO REVIEWS AND APPROVES THE MERIT INCREASES AS RECOMMENDED BY THE PRESIDENT AND CEO. THE PROCESS INCLUDES REVIEW OF CURRENT COMPENSATION DATA THAT BENCHMARKS BRRH EXECUTIVE SALARIES WITH OTHER HEALTHCARE ORGANIZATIONS OF A SIMILAR SIZE AND NET REVENUE. THIS REVIEW AND APPROVAL IS DOCUMENTED IN THE EXECUTIVE COMPENSATION COMMITTEE MINUTES AT THE TIME OF THE REVIEW. Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 THE FINANCIAL STATEMENTS ARE AVAILABLE FOR REVIEW ON WWW.DACBOND.COM. THE CONFLICT OF INTEREST POLICY IS NOT PUBLICLY POSTED BUT IS AVAILABLE UPON REQUEST. THE GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. Other changes in net assets or fund balances Form 990 , Part XI, Line 9 CHANGE IN PENSION - 31667415; CHANGE IN BENEFICIAL INTEREST IN FOUNDATION - -2178212; CHANGE IN TEMPORARLILY RESTRICTED NET ASSETS - 266; BRRH ONCOLOGY LLC 800 MEADOWS RD BOCA RATON FL 33486 203825398 CANCER TREATMENT FL 0 171505 BRRH INC BOCA THORACIC & CARDIOVASCULAR SURGERY 800 MEADOWS RD BOCA RATON FL 33486 205347210 HEART SURGERY FL 0 63488 BRRH INC BRRH SELF INSURANCE TRUST 800 MEADOWS ROAD BOCA RATON FL 33486 591862898 SELF INS TRUST FL 124540 7093117 BRRH INC PALM ACCOUNTABLE CARE ORGANIZATION LLC 800 MEADOWS ROAD BOCA RATON FL 33486 342453857 SUPPORT CHARITABLE MISSIONS OF BRRH AND AFFILIATES FL 0 0 BRRH INC BRRH FOUNDATION INC 745 MEADOWS RD BOCA RATON FL 33486 FUNDRAISING FL 501(C)(3) 7 BRRH CORP false BRRH CORPORATION INC 800 MEADOWS RD BOCA RATON FL 33486 PARENT FL 501(C)(3) 11 - Type II NA false BRRH HOME HEALTH SERVICES INC 800 MEADOWS RD BOCA RATON FL 34486 HEALTHCARE SERVICES FL 501(C)(3) 11 - Type III - FI BRRH CORP false DEBBIE RAND MEMORIAL SERVICE LEAGUE 800 MEADOWS RD BOCA RATON FL 33486 VOLUNTEER ORGANIZATION FL 501(C)(3) 11 - Type III - NFI BRRH CORP false BOCACARE INC 800 MEADOWS RD BOCA RATON FL 33486 264190328 PRIMARY CARE PHYSICIANS FL BRRH C CORPORATION 6928877 2204692 1 true BRRH WOMEN'S INSTITUTE FOR HEALTH & WELLNESS 800 MEADOWS ROAD BOCA RATON FL 33486 263151406 WOMEN'S HEALTH CARE FL BRRH C CORPORATION 26805 246888 1 true false false true false true false false false false false false false false true true true true false true