2014-05-15T15:59:12-05:00 2013-06-30 GRANT THORNTON LLP 2001 MARKET STREET SUITE 700 PHILADELPHIA PA 19103 990 2012-07-01 510064318 Bayhealth Medical Center Inc % MICHAEL TRETINA BAYH 3027447162 640 South State Street Suite Dover DE 19901 Michael Tretina 3027447162 2014-05-12 true Russlee Armstrong 2155614200 2012 2015-11-30 17:44:51Z MICHAEL TRETINA 640 South State Street Dover DE 19901 685766861 false X www.bayhealth.org X 1943 DE To improve the health status of all members of the community within Bayhealth's service area. 10 3 3646 475 37807 1197537 1200796 488929454 514835988 32180456 18635747 1265153 2713642 523572600 537386173 0 208729 0 0 238283551 256772257 0 0 0 214752127 226947971 453035678 483928957 70536922 53457216 810989924 866443235 370894574 340672060 440095350 525771175 X To improve the health status of all members of the community within Bayhealth's Service area. false false 349458166 510096987 Bayhealth Medical Center, Inc. provides a full range of patient care, emergency services, and wellness services. Bayhealth Medical Center is comprised of a total of 402 beds in two acute-care hospitals, Kent General Hospital in Dover (234 beds) and Milford Memorial Hospital (168 beds). Bayhealth also has outpatient sites throughout the service area. Both hospitals have Level III trauma centers. They provide a full range of surgical and medical care, radiation and medical oncology and chemotherapy, infusion therapy, cardiovascular services, endovascular surgery, electrophysiology, ambulatory surgery, wounded care, perinatology services, and a Level II NICU and PICU. During the twelve months ending June 30, 2013, Bayhealth recorded 90,142 Emergency Room visits,470,307 non-emergency outpatient visits, 2,226 births, and 18,078 patients admitted. Bayhealth has affiliations with the University of Pennsylvania's Penn Health in cardiology, oncology, and orthopedics, it provides physician and medical clinical rotations, housing, and meals for interns and residents from surrounding states. In FY 2013, Bayhealth hosted over 1,762 students from vocational schools, community colleges, and universities for clinical rotations in nursing and other health professions. Because the service area is deemed to be medically underserved, with a shortage of health professionals, Bayhealth actively recruits physicians to the area. In addition, it owns and operates 18 physician practices in Central and Southern Delaware. Bayhealth has an active education program, including health-related classes, supporting groups, free public screenings, free speakers for community groups, and representation at community events Bayhealth Medical Center, Inc. provides care to all patients regardless of their ability to pay for the services rendered. 349458166 true false false false false false false false false true true false false false true true true false false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true false false false true 384 0 true 3646 true true true false false false false false false false false false X 10 3 false false false false false false false true true false false true true true true true true true true true true X MICHAEL TRETINA 3027447162 640 SOUTH STATE STREET Dover DE 19901 Wendy S Newell MD 1.0 X 0 0 0 Michel R Samaha MD 1.0 X 0 0 0 Robert Scacheri MD 1.0 X 0 0 0 Mary Jane McClements MD 40.0 X 331198 0 30095 Gary Siegelman 40.0 X 519643 0 33600 Bonnie Perratto 40.0 X 343835 0 26716 Michael E Ashton 40.0 X 198672 0 32426 Terry M Murphy 38.0 2.0 X X 1206572 0 35365 Deborah Watson 40.0 X X 379027 0 35365 Earl Tanis 38.0 2.0 X X 534136 0 172384 John Van Gorp 40.0 X 239324 0 34156 Brad D Kirkes 40.0 X 186866 0 18663 John D Mannon MD 40.0 X 924246 0 35365 Pedro Perez MD 40.0 X 811081 0 35365 Laeeq Ahmer MD 40.0 X 787644 0 35365 David Ramos MD 40.0 X 759425 0 35365 Clifford Turen MD 40.0 X 744068 0 34582 Dennis E Klima 40.0 X 740257 0 57006 Jon McDowell 40.0 X 122774 0 74265 Gerald L White 40.0 X 259942 0 325935 9088710 0 1052018 292 true true false WHITING-TURNER CONTRACTORS 131 Continental Drvie Suite 404 NEWARK DE 19713 Construction 18862663 MCKESSON TECHNOLOGY 5995 Windward Pkwy ALPHARETTA GA 30005 IS Consulting/Sftwr 4768309 BAY ANESTHESIA GROUP 640 S State St DOVER DE 19901 Anesthesia/Med Svcs 4014183 Armark Services Inc 10 Woods Road VALHALLA NY 10595 Food Mgmt Services 3993519 Gilbane Building Company 99 Pine STreet NEW YORK NY 10005 Architects/Constr 3105594 260 1200796 1200796 NET PATIENT SERVICE REVENUE 900099 507635497 507635497 PHARMACY 900099 4739001 4739001 HEALTH & WELLNESS PROGRAMS 900099 2461490 2461490 514835988 11993320 37807 11955513 0 0 768599 366276 402323 0 402323 402323 153454449 1202390 146854475 1159937 6599974 42453 6642427 6642427 0 0 0 GIFT SHOP/FOOD SALES 900099 1061020 1061020 CHILD CARE 900099 607691 607691 FITNESS CENTER 900099 295135 295135 347473 347473 2311319 537386173 510096987 37807 26050583 208729 208729 0 0 0 5938222 5938222 0 175200792 138868605 36332187 13350958 4111006 9239952 49622394 15279647 34342747 12659891 3898213 8761678 0 816293 816293 290971 290971 0 0 1908467 1908467 3727699 3727699 719139 719139 3009780 2017478 992302 0 0 9916630 9916630 1000547 1000547 0 0 7963148 7963148 0 28425613 28155766 269847 3815001 783380 3031621 MEDICAL SUPPLIES 75570773 43024269 32546504 PROVISION FOR BAD DEBT 36685770 36685770 OTHER PURCHASED SERVICES 29764393 29764393 EQUIP REPAIR & MAINT CONTRACTS 10006236 10006236 13327511 13327511 483928957 349458166 134470791 0 0 0 27653766 29761191 0 0 51487127 59448127 0 0 0 0 0 0 7366736 9062729 9057739 8241066 523860541 218654821 308314968 305205720 382740239 429079575 4797959 4459819 0 0 0 0 19571390 21185008 810989924 866443235 82689056 68768401 0 0 0 0 208019094 206317819 0 0 0 0 0 0 644037 473572 79542387 65112268 370894574 340672060 X 429743994 515580915 4584571 4296958 5766785 5893302 440095350 525771175 810989924 866443235 X 53457216 17127636 15090973 X false true X true X 5766785 126517 5893302 6072820 -306035 5766785 5398802 674018 6072820 5031093 367709 5398802 1.00000 false false 12489962 12489962 259768636 60963230 198805406 0 0 0 244809833 155050566 89759267 6792110 2641025 4151085 305205720 0 INTEREST RATE SWAP 2704973 ACCRUED POSTRETIREMENT BENEFIT COSTS 46737670 ESTIMATED PROFESSIONAL LIABILITY COSTS 11543882 ESTIMATED WORKERS COMPENSATION COSTS 4125743 65112268 X 529843620 17127636 -21594797 -4467161 534310781 1908467 1166925 3075392 537386173 444167795 366276 366276 443801519 1908467 38218971 40127438 483928957 Endowment Funds Part V The endowment funds are to be held in perpetuity. The investment income from the funds in not restricted. Fin 48 (ASC 740) Footnote Part X, Line 2 The Medical Center follows the accounting guidance for uncertainties in income tax positions which requires that a tax position be recognized or derecognized based on a "more likely than not" threshold. This applies to positions taken or expected to be taken in a tax return. The Medical Center does not believe its financial statements include any material uncertain tax positions. At June 30, 2013, the Medical Center's tax years ended June 30, 2011 through 2013 for the federal tax jurisdiction remain open. Reconciliation of Revenue Part XI, Line 2d Provision for Bad Debt (Reclass) $(36,685,770) Change in fair value of interest rate swap 1,255,357 Change in beneficial interest in net assets of Bayhealth Foundation 1,728,322 Change in benefit obligations 11,980,777 Change in beneficial interest in perpetual trusts 126,517 ---------- Total $(21,594,797) Part XI, Line 4b Expenses From Limited Partnerships (Reclass) $1,533,201 Rental Expenses (Reclass) (366,276) ----------- Total $1,166,925 Reconciliation of Expenses Part XII, Line 2d Rental Expenses (Reclass) $366,276 Part XII, Line 4b Provision for Bad Debt (Reclass) $36,685,770 Expenses From Limited Partnerships (Reclass) 1,533,201 ----------- Total $38,218,971 true true X true X false true true false true true 9062200 9062200 0.01880 9062200 9062200 0.01880 1757110 1757110 0.00360 3610873 3610873 0.00750 73390845 49137380 24253465 0.05030 1402069 1402069 0.00290 4150031 690213 3459818 0.00720 84310928 49827593 34483335 0.07150 93373128 49827593 43545535 0.09030 1 755875 755875 0.00160 1 834 834 1 655 1028865 1028865 0.00210 3 655 1785574 1785574 0.00370 false 35294955 141713788 180933579 -39219791 X true true Eden Hill Express Walk-in Urgent Care 0.16667 Premier Purchasing Group Purchasing 0.00360 Dover Surgicenter Outpatient Surgery Center 0.27079 Eden Hill Medical Ct Real Estate 0.00422 2 1 Kent General Hospital

640 South State Street Dover DE 19901

X X X 2 Milford Memorial Hospital

21 West Clarke Ave Milford DE 19963

X X X Kent General Hospital true X X X X X X X X 12 true true true X X X X X X X X X X true false true true 200. false false true true X X X true false X X true X false false Milford Memorial Hospital true X X X X X X X X 12 true true true X X X X X X X X X X true false true true 200. false false true true X X X true false X X true X false false 39 Eden Hill Outpatient Imaging Center

200 Banning St Ste 140 Dover DE 19904

Outpatient Diagnostic Center Bayhealth Medical Group Cardiology

1100 Forrest Ave Dover DE 19904

Outpatient Diagnostic Clinic Cardiac Diagnostic Ctr Dover

1100 Forrest Ave Dover DE 19901

Outpatient Diagnostic Center Kent Outpatient Imaging-Dover

540 S Governors Ave Dover DE 19901

Outpatient Diagnostic Center Cardiac Diagnostic Ctr Milford

802 N Dupont Hwy Milford DE 19963

Outpatient Diagnostic Center Milford Outpatient Imaging

1020 Mattlind Way Milford DE 19963

Outpatient Diagnostic Center Smyrna-Clayton Professional Center

401 N Carter Rd Smyrna DE 19977

Outpatient Services Center Bayhealth Maternal Fetal Medicine

1060 S Governors Ave Dover DE 19904

Outpatient Physician Clinic Bayhealth Medical Grp Orthopedic

540 S Governors Ave Ste 201 Dover DE 19901

Outpatient Physician Clinic Bayhealth ENT Dover

826 S Governors Ave Dover DE 19901

Outpatient Physician Clinic Bayhealth Women's Care Assoc

517 S Dupont Hwy Dover DE 19963

Outpatient Physician Clinic Women's Center at Milford

200 Kings Hwy Ste 3 Milford DE 19963

Outpatient Services Center Women's Center - Dover

540 s governors ave Dover DE 19901

Outpatient Services Center Bayhealh Neurology Dover

540 s governors ave Dover DE 19901

Outpatient Physician Clinic Bayhealth Medical Assoc of Harrington

205 Shaw ave harrington DE 19952

Outpatient Physician Clinic Bayhealth ENT of Georgetown

20930 Dupont blvd suite 202 georgetown DE 19947

Outpatient Physician Clinic Bayhealth Urology Dover

200 Banning St suite 350 Dover DE 19904

Outpatient Physician Clinic Bayhealth Medical Grp Urology-Milford

200 Kings Hwy Ste 7 Milford DE 19963

Outpatient Physician Clinic Middletown Medical Center

209 E Main St Middletown DE 19709

Outpatient Services Center Bayhealth Plastic & Aesthetic Surgery

34446-2 King st Row Lewes DE 19958

Outpatient Physician Clinic Milford Occupational Health & Urgentcare

301 Jefferson St Milford DE 19963

Occupational Health Services and walk-in urgent care services Dover Occupational Health

1275 S State st Dover DE 19901

Occupational Health Services Bayhealth Pain Treatment Center

826 S Governors Ave Dover DE 19901

Outpatient Services Center Bayhealth Medical Assoc Milford

305 Jefferson Ave Milford DE 19968

Outpatient Physician Clinic Bayhealth Medical Assoc Milton

630 Mulberry st Milton DE 19968

Outpatient Physician Clinic Bayhealth General Surgery Dover

819 s governors ave Dover DE 19904

Outpatient Physician Clinic Bayhealth Family Practice Georgetown

25 Bridgeville rd georgetown DE 19947

Outpatient Physician Clinic Bayhealth Endocrinology Milford

113 Neurology Way Milford DE 19963

Outpatient Physician Clinic Bayhealth Family Practice Dover

200 Banning St Suite 150 Dover DE 19904

Outpatient Physician Clinic Bayhealth General Surgery Milford

113 Neurology Way Milford DE 19963

Outpatient Physician Clinic Harrington Outpatient Center

201 Shaw Ave harrington DE 19953

Outpatient Service Center Wellness Center at Smyrna High School

500 Duck Creek Parkway Smyrna DE 19977

School Based Wellness Center Milton Outpatient Center

632 Mulberry St Milton DE 19968

Outpatient Service Center Wellness Ctr at Woodbridge High School

307 Laws st Bridgeville DE 19933

School Based Wellness Center Wellness Ctr at Milford High School

1019 N Walnut St Milford DE 19963

School Based Wellness Center Wellness Ctr at Caesar Rodney High Schoo

239 Old North Road Camden DE 19934

School Based Wellness Center Wellness Ctr at Dover High School

1 Pat Lynn Drive Dover DE 19904

School Based Wellness Center Wellness Ctr at Polytech High School

823 Walnut Shade Rd Dover DE 19901

School Based Wellness Center Wellness Ctr at Lake Forest High School

5407 Killens Pond Rd Felton DE 19943

School Based Wellness Center Part I Part I, Line 6a - Related Organization Community Benefit Report The Medical Center provides its community benefit information to the Delaware Healthcare Association, Inc. for use in a state-wide community benefit report. Part II Community Building Activities Bayhealth has invested heavily in recruiting primary care and certain specialty physicians to this medical underserved area. To encourage physicians to relocate to its service area, Bayhealth has formed a number of wholly owned physician practices, currently employing more than 55 physicians. Additionally, a hospitalist program was established in 2009 Bayhealth staff members serve on various professional, educational, and community boards throughout Delaware. Examples include the Delaware Chapter of March of Dimes, Delaware Health Mother and Infant Consortium, Brian Injury Association of Delaware, Delaware Cancer Consortium Advisory Board, Delaware Breast Cancer Coalition, and the Hope Medical Clinic, Delaware's only 100% free medical facility. Part III Line 4 - Bad Debt Expense The Medical Center provides an allowance for doubtful accounts for estimated losses resulting from the unwillingness or inability of patients to make payments for services. The allowance is determined by analyzing specific accounts and historical data and trends. Patient accounts receivable are charged off against the allowance for doubtful accounts when management determines that recovery is unlikely and the Medical Center ceases collection efforts. In evaluating the collectability of accounts receivable, the Medical Center analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Medical Center analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid). For receivables associated with self-pay patients, the Medical Center records a significant provision for bad debts on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the billed rates and the amounts actually collected after all reasonable internal collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The Medical Center in 2013 experienced an approximately 6 percent decrease in the allowance for doubtful accounts due to changes in charity care and improved collection efforts. Line 8 Explanation of Shortfall as Community Benefit Bayhealth's service area is experiencing an influx of people from areas with a higher cost of living. Many of these people are senior citizens and are Medicare recipients. Bayhealth provides services to them as part of its mission to care for the entire community. The Medicare losses sustained by Bayhealth are a result of Medicare reimbursing at less than operating costs. The IRS community benefit standard for hospitals serves patients covered by governmental health benefits (including Medicare), it is promoting the health of the community. Therefore, Medicare losses should be counted as a community benefit Net revenue form the Medicare program accounted for approximately 33% of Bayhealth's net patient revenue for the year ended 6/30/13. Line 9b - Provisions on Collection Practices for Qualified Patients BAYHEALTH'S POLICY IS TO COMPLY WITH ALL STATE AND FEDERAL LAW AND THIRD PARTY REGULATIONS AND TO PERFORM ALL CREDIT AND COLLECTION FUNCTIONS IN A DIGNIFIED AND RESPECTFUL MANNER. EMERGENCY SERVICES WILL BE PROVIDED TO ALL PATIENTS REGARDLESS OF ABILITY TO PAY. FINANCIAL ASSISTANCE IS AVAILABLE FOR PATIENTS BASED ON FINANCIAL NEED AS DEFINED IN THE FINANCIAL ASSISTANCE POLICY. BAYHEALTH DOES NOT DISCRIMINATE ON THE BASIS OF AGE, GENDER, RACE, SOCIAL OR IMMIGRATION STATUS, SEXUAL ORIENTATION, OR RELIGIOUS AFFILIATION. PATIENTS WHO ARE UNABLE TO PAY MAY REQUEST A FINANCIAL ASSISTANCE APPLICATION AT ANY TIME PRIOR TO SERVICE AND UP TO 120 DAYS FROM THE BILL DATE. BAYHEALTH MAY REQUEST THE PATIENT TO APPLY FOR MEDICAL ASSISTANCE PRIOR TO APPLYING FOR FINANCIAL ASSISTANCE. OUR ORGANIZATION DOES NOT PURSUE COLLECTION ACTIVITY ON PATIENTS DETERMINED TO BE ELIGIBLE FOR OUR FINANCIAL ASSISTANCE PROGRAM. Part V - Milford Memorial Hospital To better understand the health needs in Bayhealth's service area, Bayhealth conducted a Community Health Needs Assessments (CHNA). Bayhealth analyzed a variety of publicly reported data and gathered input from key stakeholders in Sussex County. Diligent attempts were made to collect interview and survey responses from individuals and community-based organizations to gain insight on the needs of vulnerable families in Sussex County. Prior to 2012-2013, the most recent needs assessment was reported to the Bayhealth Board of Directors in 2006. The CHNA is made available on the Hospital's website as follows: www.bayhealth.org/bayhealthcontentpage.aspx?nd=907 The 2013 needs assessment results revealed opportunities for improvement in health promotion, disease prevention and improving access to health care in Sussex, DE. The needs assessment team collated interview and survey responses in order to prioritize identified health needs and develop implementation strategies to fulfill Bayhealth's mission. Description of communities served: Milford Memorial Hospital, one of two hospital facilities owned and operated by Bayhealth, opened its doors in 1938. Since that time, Milford Memorial has grown in size and services to meet the health needs of the communities served, offering a comprehensive array of services to the residents of central and southern Delaware. Sussex County is located in the southern part of the state of Delaware. The county seat is Georgetown. Historically a rural farmland community, Sussex County is attempting to preserve its farmland and natural resources while effectively managing the population growth that is occurring in the county. Sussex County has a population of 203,390, making it the second largest county in the state in terms of the size of its population. The population has grown 30.2% since 2000, which is much higher than the state average rate of approximately 17% for the same time frame. The median age for the county in 2011 was 45.9 years of age, higher than the state as a whole or the U.S. median age for the same time frame. The most prevalent race in Sussex County is white (non-Hispanic), which currently represents over 75% of the total population. The average education level in Sussex County is lower than the state average. Sussex County is home to three acute care hospital facilities: Bayhealth's Milford Memorial, Beebe Medical Center in Lewes, and Nanticoke Health Services in Seaford. These three hospitals are joining with local community and health resources to focus on one mission - to make Sussex County one of the healthiest in the nation. As part of the healthier Sussex county initiative, Bayhealth will focus on addressing important health issues impacting residents of Sussex County. Milford memorial's community health needs assessment focuses on the residents of Sussex County, the home county of the hospital. Approximately 65% of Milford Memorial's patients originate from Sussex County. An additional 30% of patients that utilize Milford memorial come from Kent County, a contiguous county. The 2015 population is forecasted to exceed 220,000 in Sussex County. The median age for the county in 2011 was 45.9 years of age, higher than the state as a whole or the U.S. median age for the same time frame. Who was involved in the assessment: The assessment process was initiated jointly by the education and strategic planning departments of Bayhealth. The assessment was primarily conducted by the education department. To gain feedback from persons with broad knowledge of the community served, Bayhealth sought input from community stakeholders, to include the following: -Hope Medical Center -Delaware Division of public health department of health and social services -Thurman Adams State Service Center -Delaware division of public health office of minority health -Delaware division of public health office of women's health -Delaware division of public health nursing -Delaware division of public health social services -LabRed medical center -Westside family health center -PA mid-Atlantic AIDS training center -Bayhealth High School wellness centers, advance practice nurses -Milford -Woodbridge -Poly Tech -Community Physicians Personal imitations were extended to community partner organizations who interact with low-income groups to participate in one-on-one interviews regarding the health needs of Kent county residents. Focus groups were conducted in multiple locations throughout the county. Wellness center staff, guidance counselors, church staff (including those of minority populations), and public health nurses, were interviewed to ensure information obtained represents the diversity of our community in terms of demographic, socioeconomic, and geographic factors. One-on-one meetings with community physicians were conducted over a two-month period. Community physicians offer a unique perspective and knowledge of the health needs of our population. Physicians who could not attend one-on-one sessions completed a written response assessment. How the assessment was conducted: Quantitative and qualitative analyses methods were utilized to generate a comprehensive assessment to fully understand the health needs of the community served. Quantitative analyses were conducted using the most recent data available from five primary sources: -Delaware Health Tracker (s product of the healthy community network); -County health rankings & roadmaps (a collaboration between the Robert wood Johnson foundation and the university of Wisconsin population health institute); -demographic data from the Delaware population consortium; -Delaware health statistics center; and, -demographic and socioeconomic data from the U.S. Census bureau. To gain insight, Bayhealth reviewed available data to compare health statistics at the state and county levels to identify areas of health disparity. Based on this analysis, the education department of Bayhealth developed discussion topics for a variety of community engagements, including interviews with key stakeholders, focus groups, and online surveys. A variety of community settings were selected with a special emphasis on those persons and areas most impacted by health disparities. Thematic analysis identified health needs based on available quantitative data and responses from interviews and online surveys. Part V - Kent General Hospital The 2013 needs assessment results revealed opportunities for improvement in health promotion, disease prevention and improving access to health care in Kent County, DE. The Needs Assessment Team collated interview and survey responses in order to prioritize identified health needs and develop implementation strategies to fulfill Bayhealth's mission. Description of Community Served: Kent County is located in the central part of the state of Delaware. Dover is the county seat and the state's capital. Historically, a rural farmland community, Kent County is attempting to preserves its farmland and natural resources while effectively managing the population growth that is occurring in the county. Kent County has a population of nearly 170,000, making it the smallest county in the state in terms of the size of its population. However, the county population has grown 32% since 2000, which is much higher than the state average rate of approximately 17% for the same time frame. The most prevalent race in Kent County is white, which represent over 60% of the total population. The average Kent County education level is lower than the state average. Kent General Hospital, one of two hospital facilities owned and operated by Bayhealth, opened its doors in 1927. Kent General has grown in size and services to meet the health needs of the communities served. In 2012, Bayhealth invested 130 million dollars to complete Phase II construction of Kent General Hospital, part of Bayhealth's 10 year strategic plan designed to address present and future health care needs. Phase II added 415,000 square feet to the Kent campus constructing a new welcome center, central services building, expanded emergency department, integrated cancer center and parking garage. Bayhealth's CHNA focuses on the residents of Kent County. Approximately 87% of Kent General's patients originate from Kent County. Moreover, Kent County residents rely heavily on Kent General for inpatient services, as evidenced by the approximate 75% of Kent County resident who utilized Bayhealth's Kent General for inpatient in CY 2009 (the most recent data available). Who was Involved in the Assessment: The assessment process was initiated jointly by the Education and Strategic Planning Departments of Bayhealth. The assessment was primarily conducted by the Education Department. To gain feedback from persons with broad knowledge of the community served, Bayhealth sought input from community stakeholders, to include the following: - Hope Medical Clinic - Delaware Division of Public Health Department of Health and Social Services 1. James W. Williams State Service Center 2. Thurman Adams State Service Center 3. Delaware Division of Public Health Office of Minority Health 4. Delaware Division of Public Health Office of Women's Health 5. Delaware Division of Public Health Nursing 6. Delaware Division of Public of Public Health Social Services - LaRed Medical Center - Westside Family Health Center - Bayhealth High School Wellness Centers, Advanced Practice Nurses 1. Caesar Rodney 2. Lake Forrest 3. Dover 4. Milford 5. Smyrna 6. Woodbridge 7. Polytech - Community Physicians Personal invitations were extended to community partner organizations who interact with low-income groups to participate in one-on-one interviews regarding the health needs of Kent County residents. Focus groups were conducted in multiple locations throughout the county. Wellness center staff, guidance counselors, church staff (including those of minority populations), and public health nurses were interviewed to ensure information obtained represents the diversity of our community in terms of demographic, socioeconomic, and geographic factor. One-on-one meetings with community physicians were conducted over a two-month period. Community physicians offer a unique perspective and knowledge of the health needs of our population. Physicians who could not attend one-on-one sessions completed a written response assessment. How the Assessment was conducted: Quantitative and qualitative analyses methods were utilized to generate a comprehensive assessment to fully understand the health needs of the community served. Quantitative analyses were conducted using the most recent data available from five primary sources: - Delaware Health Tracker (a product of the Healthy Community Network); - County Health Rankings & Roadmaps (a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population health Institute); - Demographic data from the Delaware Population Consortium; - Delaware Health Statistics Center; and, - Demographic and socioeconomic data from the U.S. Census Bureau. To gain insight, Bayhealth reviewed available data to compare health statistics at the state and county levels to identify areas of health disparity. Based on this analysis, the Education Department of Bayhealth developed discussions topics for a variety of community engagements, including interviews with key stakeholders, focus groups, and online surveys. A variety of community settings were selected with a special emphasis on those persons and areas most impacted by health disparities. Thematic analysis identified health needs based on available quantitative data and responses from interviews and online surveys. Priority Criteria and Outcomes: The criteria used to evaluate and prioritize the health needs identified through the fact-finding process included: - The seriousness of the issue; - The relative size of the populations affected; - The degree to which the need particularly affected persons living in poverty or reflected health disparities; - Alignment with Bayhealth's mission and vision; and, - Availability of community resources to address the need. After close review of the community data and discussions with medical staff members of Bayhealth, health needs were prioritized jointly the by Education and Strategic Planning Departments. Bayhealth's administration was given the opportunity to discuss and reprioritize as needed. The four health concerns identified as priority issues are: 1. Obesity rates 2. Cancer rates (lung, breast, prostate) 3. Healthcare access 4. Mental health and substance abuse Part V - Other Information Part V - Explanation of Number of Facility Type Dover Surgicenter, LLC is licensed by the state, and would qualify as a general medical and surgical facility except that it provides services only on an outpatient, rather than an inpatient, basis, Bayhealth Medical Center is a limited partner. Part V, Line 11 Bayhealth does not have a tiered financial assistance program, all uninsured patients receive a 10% discount on service provided. Part V, Line 14g All patient statements advise patients to call out billing support department if they need financial assistance. Part V, Line 20d Uninsured FAP and Non FAP individuals receive a discount similar to that of our largest commercial payer. Part VI Part VI, Line 2 - Community Health Needs Assessment Bayhealth does service-specific needs assessments periodically by using patient surveys. Bayhealth also surveys other not for profits, health organizations, attendees at classes, support groups and screenings to assess the strengths and weaknesses of the programs that Bayhealth offers. Bayhealth has on-going communications with that State of Delaware and with national not-for-profit health organizations. Plans for full-scale state-wide needs assessment are progressing on schedule. Part VI, Line 3 - Patient education of eligibility for assistance All patient or family members who inquire about financial assistance are directed to the Financial Counselor Team of the Patient Access Department (admissions) Self-pay patients are directed to PATHS, a service contracted by Bayhealth that screens them for Medicaid and helps them with financial application papers. Bayhealth invoices state - If you are not able to pay please contact our Billings Support Department to make suitable arrangements. The Patient Billing Guide is distributed by the Patient Finance and Admissions Departments. The booklet describes types of bills, understanding your bill, privacy policy, collection policy, dispute resolution, payment methods, and has a glossary of financial and insurance terms. The billing support/self-pay/financial counselor department's local telephone number and a direct toll-free telephone number is available by calling the main hospital telephone number and is also listed on brochures and on other information material. EMTALA and patient rights information is conspicuously placed for all patients and visitors to see. BAYHEALTH'S FINANCIAL ASSISTANCE POLICY WAS ESTABLISHED TO PROVIDE FINANCIAL RELIEF TO THOSE WHO ARE UNABLE TO MEET THEIR OBLIGATION FOR SERVICES RENDERED, A PATIENT'S INABILITY TO OBTAIN FINANCIAL ASSISTANCE DOES NOT, IN ANY WAY, PRECLUDE THE PATIENT'S RIGHT TO RECEIVE AND HAVE ACCESS TO MEDICAL TREATMENT. OUR FINANCIAL ASSISTANCE POLICY INFORMS PATIENTS AND PERSONS WHO WOULD OTHERWISE BE BILLED FOR SERVICES ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS. OUR FINANCIAL ASSISTANCE POLICY AND CONTACT INFORMATION IS POSTED IN ALL ADMISSION AREAS, THE EMERGENCY ROOM AND ALL OTHER OUTPATIENT AREAS THROUGHOUT THE FACILITY. A COPY OF THE POLICY IS INCLUDED UPON PATIENT ADMISSION AND DISCHARGE, AS WELL AS PROVIDED IN PATIENT BILLS AND OUR WEBSITE. BAYHEALTH DISCUSSES WITH PATIENTS THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND EMPLOYS DEDICATED STAFF ON-SITE TO ASSIST PATIENTS WITH QUALIFICATIONS FOR SUCH PROGRAMS. Part VI, Line 4 - Community Information Bayhealth's service area is designated as Medically Underserved Area and a Health Professional Shortage Area, by the federal and state governments. The population of Bayhealth's service area is growing rapidly because of an influx of retirees arriving from higher-cost-of-living areas in neighboring states, and because of retired military families attracted by the proximity of Dover Air Force Base. Kent and Sussex Counties also have a growing population of residents who do not speak English fluently. Teen pregnancy, school drop-out, infant mortality, and cancer rates are relatively high compared to national averages. In recent years, Delaware housing values have increased faster than the rate of inflation. Housing prices are well over 3 times the median household income. Employment growth is fastest in low paying sectors, with most of the growth in jobs sectors paying less than $26,000 annually. The fastest growing job sector in Sussex County averages $16,000 annual salary. In 2012, Kent County median household income was $55,786 and Sussex County was $52,692. Part VI, Line 5 - Promotion of community health Bayhealth is investing heavily in expanding and upgrading its facilities and equipment. Bayhealth Kent General recently completed a major building project, which added a new and expanded Emergency Department and integrated Cancer Center. Plans are under development for a new building at Bayhealth Milford Memorial. Bayhealth's medical staff of 400+ physicians is open to any qualified physician in its service area. Bayhealth hosts students for residencies, internships and clinical studies and assists some students with room and board during the host period. Bayhealth's Education Department offers free blood pressure, diabetes, and osteoporosis screenings; and free or discounted mammograms, prostate, skin, and colorectal screenings to under-insured or uninsured individuals. They also host a variety of free monthly support groups, classes, and information sessions at both hospitals. Bayhealth operates and subsidizes 7 high school wellness centers in Kent and Sussex counties, under an argument with the State of Delaware. To encourage interest in health-related careers, Bayhealth contributes monies and equipment to nearby colleges and universities. Bayhealth staff members deliver lectures and presentations, mentor healthcare students, and work as members of committees to develop healthcare curricula. Bayhealth hosts an Explorer Troop which focuses on medical careers. Bayhealth Kent General supplies operating rooms, medical supplies and health-related staff for the Voluntary Ambulatory Surgical Access Program (VASAP), which provides ambulatory surgical procedures for indigent patients. Bayhealth is an active member of the Kent Economic Partnership, the Downtown Dover Partnership, and six Chambers of Commerce. As Bayhealth representatives, staff members are active in community Rotary Clubs and other service organizations. Bayhealth has invested heavily in recruiting primary care and certain specialty physicians to this medically underserved area. To encourage physicians to relocate to its service area, Bayhealth has formed a number of wholly-owned physician's practices, currently employing more than 55 physicians. Additionally, a hospitalist program was established in 2009. Bayhealth staff members serve on various professional, educational and community boards throughout Delaware, examples include the Delaware Chapter of March of Dimes, Delaware Health Mother and Infant Consortium, Brain Injury Association of Delaware, Delaware Cancer Consortium Advisory Board, Delaware Breast Cancer Coalition, and the Hope Medical Clinic, Delaware's only 100% free medical facility. Part VI, Line 6 - Affiliated Health Care System Bayhealth is a member of the University of Pennsylvania Cancer Network, University of Pennsylvania Health System's Penn Cardiac Care, and Penn Orthopedics of Penn Medicine. These alliances provide direct access to the latest medical research, clinical trials, and specialty care. Part VI, Line 7 - State filing of Community benefit report Delaware Part VI, Line 8 - Facility reporting group As required; Part V, Section B, Line 11 The facilities do not have a tiered financial assistance program, all uninsured patients receive a 10% discount on service provided. As required; Part V, Section B, Line 14g All patient statements advise patients to call out billing support department if they need financial assistance. As required; Part V, Section B, Line 20d Uninsured FAP and Non FAP individuals receive a discount similar to that of our largest commercial payer. Delaware Technical Community College 100 Campus Drive Dover DE 19904 510246178 25000 Program Support American Heart Association 7272 Greenville Ave Dallas TX 75231 135613797 20500 Program Support Delaware State University 1200 N Dupont Hwy Dover DE 19901 25500 Program Support American Cancer Society 250 Williams Street NW Atlanta GA 30303 131788491 10000 Program Support Central DE Chamber 435 N Dupont Hwy Dover DE 19901 510082741 8740 Program Support Delaware Breast Cancer Coalition 111 W 11th St Suite 3 Wilmington DE 19801 522045298 8000 Program Support Wesley College 120 N State Street Dover DE 19901 510064335 5500 Program Support X true true X X X X X true true false false false false false true false Mary Jane McClements MD 301811 0 600 0 28787 0 12756 0 17339 0 361293 0 Gary Siegelman 392167 0 115268 0 12208 0 15000 0 18600 553243 0 Bonnie Perratto 248319 0 76874 0 18642 0 13243 0 13473 0 370551 0 Michael E Ashton 178793 0 15480 0 4399 0 12061 0 20365 0 231098 0 Terry M Murphy 565658 0 340963 0 299951 0 15000 0 20365 0 1241937 0 Deborah Watson 285062 0 79634 0 14331 0 15000 0 20365 0 414392 0 Earl Tanis 350726 0 131247 0 52163 0 164826 0 7558 0 706520 0 John Van Gorp 172380 0 55503 0 11441 0 13791 0 20365 0 273480 0 Brad D Kirkes 171054 0 14620 0 1192 0 11269 0 7394 0 205529 0 John D Mannon MD 769137 0 17000 0 138109 0 15000 0 20365 0 959611 0 Pedro Perez MD 294273 0 373371 0 143437 0 15000 0 20365 0 846446 0 Laeeq Ahmer MD 294273 0 372945 0 120426 0 15000 0 20365 0 823009 0 David Ramos MD 294273 0 391051 0 74101 0 15000 0 20365 0 794790 0 Clifford Turen MD 594555 0 30000 0 119513 0 15000 0 19582 0 778650 0 Dennis E Klima 0 0 148954 0 591303 0 57006 0 0 0 797263 0 Jon McDowell 59659 0 0 0 63115 0 72274 0 1991 0 197039 0 Gerald L White 196588 0 38289 0 25065 0 305570 0 20365 0 585877 0 Part I, Line 1 Discretionary Spending Account Under terms of their employment agreements, certain senior executives participate in a flexible benefit plan. they receive a predetermined amount of additional compensation per quarter, which is intended to be used for automobile expenses, estate planning, legal assistance, tuition, supplemental life & disability insurance, or other expenses. Part I, Line 4a Severence/Change of Control Payments Jon McDowell received a severence payment of $55,290 which is included in his compensation on Schedule J, part II, column (b)(iii). Part I, Line 4b Supplemental Nonqualified Retirement Plan During the Fiscal Year- ended June 30, 2013, certain officers and key employees participated in the Bayhealth Supplemental Nonqualified Retirement Plan. The individuals listed below have not vested in the plan therefore the accrued contribution to the plan for the fiscal year is reported on Schedule J, Part II, Column C, Retirement and Other Deferred Compensation: Gary Siegelman Bonnie Perratto John Van Gorp Part I, Line 7 Non-fixed Payments Bonuses paid are based on a number of variables including but not limited to individual goal achievements as well as organization operation achievements. The final determination of the bonus amount is determined and approved by the Board as part of the overall compensation review of the officers and key employees. A Delaware Health Facilities Authority 246388QA3 2009-10-31 35600000 Replace 2009 B&C Bonds PNC Bank false false false B Delaware Health Facilities Authority 246388PZ9 2009-10-31 35600000 Replace 2009 B&C Bonds PNC Bank false false false C Delaware Health Facilities Authority 246388xxx 2009-10-31 138490000 Construction Project false false false A 0 0 37789270 0 0 37475081 424189 0 0 0 0 0 true false true true B 0 0 37745725 0 0 37431536 424189 0 0 0 0 0 true false true true C 0 0 136526503 0 0 18320647 611817 0 0 117594038 18320647 0 2012 false false true true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true A false true false 0 false 0 false false B false true false 0 false 0 false false C false false false 0 false 0 false false A true B true C true Form 990, Schedule K, Part I, Lines A 0 Issue price - Delaware Health Facilities Authority Bond Issue A was issued under 24 CUSIP Numbers, which are not listed seperated on Schedule K their total was $138,490,000. Form 990, Schedule K, Part I, Line B & C 0 In June 2012, the Medical Center replaced the 2009B and 2009C bonds with Series 2012 $72,250,000 Variable rate refunding bonds (series 2012), that are direct bank purchase bonds with a national bank. The services 2012 bonds were used to extinguish the Series 2009B and 2009C bonds CUSIP numbers did not change in this transaction. Form 990 Review Process Part VI, Section B, Line 11 The Form 990 is prepared by an international accounting firm under the direction of Bayhealth's accounting and finance department. Once completed, a draft of the Form 990 is reviewed by Bayhealth accounting and finance personnel and also the chief financial officer. After the Form 990 is complete, each board of directors member will receive a copy of such completed Form 990 prior to its filing with the Internal Revenue Service. Explanation of Monitoring and Enforcement Conflicts Part VI, Section B, Line 12 Bayhealth regularly and consistently monitors and enforces compliance with its conflict of interest policy for all officers and directors. A conflict of interest questionnaire is distributed to and collected from officers and directors annually. Any potential conflicts of interest are investigated further by Bayhealth's executive team. In the event of an actual or perceived conflict of interst, subsequent recusal and abstention by the officer or director may be necessary. These and other requirements are monitored, reviewed and resolved on an on-going basis pursuant to the conflict of interest policy. Compensation Review Form 990, Part VI, Line 15 A & B For officers and key employees other than CEO, CFO, COO and Chief Medical Officer referred to in the previous question, a variety of techniques are used to determine compensation. The Human Resources Department and an independent consultant provide information and recommendations, using a variety of compensation surveys and studies. Written employment contracts are utilized for some positions. The board of directors and its compensation committee is kept informed of events. Governing Documents Form 990, Part VI, Line 19 The governing documents, conflict of interest policy, and financial statements are available upon request. Change in Net Assets Form 990, Part XI, Line 9 Change in fair value of interest rate swap $ 1,255,357 Change in beneficial interest in net assets of Bayhealth Foundation 1,728,322 Change in pension benefit obligations 11,980,777 Change in beneficial interest in perpetual trusts 126,517 ---------- Total $15,090,973 Bayhealth Foundation Inc 640 South State Street Dover DE 19901 222559843 Fundraising DE 501(c)(3) 7 NA false Bayhealth Development Corp 640 South State Street Dover DE 19901 510281107 Real Estate DE na c corp false false false false false false false false false false false false false false false false true false false