2013-05-14T14:45:53-05:00 2012-06-30 ERNST & YOUNG US LLP 75 BEATTIE PLACE SUITE 800 GREENVILLE SC 29601 990 2011-07-01 591006663 Boca Raton Regional Hospital Inc % Dawn Javersack BOCA 5619554200 800 Meadows Road Boca Raton FL 33486 DAWN JAVERSACK 2013-05-10 8642425740 2011 2016-02-24 21:20:13Z X Jerry Fedele 800 Meadows Rd Boca Raton FL 33486 379511633 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. 15 11 2717 569 4024951 0 7022230 10541535 348411684 333402200 91908 202067 448212 480870 355974034 344626672 185341 171906 0 0 149537605 150699636 0 0 0 195408948 188849448 345131894 339720990 10842140 4905682 334567719 340420974 136281834 155346425 198285885 185074549 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 260115141 171906 329858119 Mission: Boca Raton Regional Hospital 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. 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. News Media & World Report's 2011-2012 Best Hospitals listing as a top ranked hospital in the South Florida metropolitan area. The following statistics represent the year ended June 30, 2012: Total discharges (inpatient and observation) 20,123 Patient days (Inpatient) 70,862 Emergency Room visits 41,917 Outpatient procedures 331,842 Surgeries 9,065 Boca Raton Regional Hospital is the recipient of the 2012 Distinguished Hospital for Clinical Excellence Award TM for the eighth year in a row by Healthgrades, the leading independent healthcare ratings organization. Only 40 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 2011 and 2012, the recipient of the 2012 Best 100 Hospitals in the Nation for: Cardiac Care, Stroke Care, Gastrointestinal Care, General Surgery and Prostatectomy and is ranked #1 in state rankings for Gastrointestinal Medical Treatment and Overall Gastrointestinal Treatment by Healthgrades. The Hospital is also the recipient of the 2012 Healthgrades Emergency Medicine Excellence Award TM, and the 2012 Healthgrades Women's Health Excellence Award TM both for the third 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 support services 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. 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. 260115141 true true false false false false false false false false true false false true true true false true false false false false false false false false true true true false true false false false false false false false true false false false false true true true true false false true 531 0 true 2717 true true true false false false false false false false false false X 15 11 true false false false true true true true true false false false true true true false false true true false FL X Dawn Javersack 5619554200 800 Meadows Rd Boca Raton FL 33486 X Richard L Schmidt 2.0 X X 0 0 0 Christine E Lynn 2.0 X X 0 0 0 Jerry Fedele 40.0 X X 854038 0 147998 Debbie Leising 2.0 X 0 0 0 Ralph Palumbo MD 2.0 X 40800 0 0 Ronald Assaf 2.0 X 0 0 0 Warren Orlando 2.0 X 0 0 0 Donald Kohnken 2.0 X 0 0 0 AE Bud Osborne 2.0 X 0 0 0 Andrew Ross MD 2.0 X 38500 0 0 Marc Taub MD 2.0 X 0 0 0 Rep William Hager 2.0 X 0 0 0 Harvey Sandler 2.0 X 0 0 0 Christopher Wheeler 2.0 X 0 0 0 Matthew Klein MD 2.0 X 0 0 0 Dawn Javersack 40.0 X 449883 0 59159 Alex Eremia 40.0 X 0 0 0 Mindy Raymond 40.0 X 260635 0 97630 Judy Hlafcsak 40.0 X 172004 0 0 Charles Posternack 40.0 X 586366 0 57701 Karen Poole 40.0 X 460357 0 55798 Hugh Middlebrooks 40.0 X 0 0 0 Mindy Shikiar 40.0 X 276515 0 54894 Robin Hildwein 40.0 X 188030 0 34450 Maria Dulaney 40.0 X 172473 0 22049 Kathy Tabor McEwan 40.0 X 185865 0 15175 Louise Morrell MD 40.0 X 583527 0 23896 Eddy Hannah 40.0 X 305896 0 43375 James Morris MD 40.0 X 684082 0 27856 Zoubir Ouhib 40.0 X 219455 0 52197 Gilbert Chidiac 40.0 X 475789 0 26417 Burak Ilsin 40.0 X 416105 0 26362 Alexander Kulik 40.0 X 398900 0 28888 6769220 0 773845 182 false true false The Center for Hematology-Oncology 701 NW 13th St BOCA RATON FL 33486 MED/PHYS FEES 9578928 SODEXHO AMERICA LLC PO BOX 536922 ATLANTA GA 303536922 FOOD SERVICE/MGMT 2196601 ANF GROUP INC 2700 DAVIE ROAD DAVIE FL 33314 CONTRACTOR 2188545 LASH GOLDBERG LLP 100 SE 2ND STREET MIAMI FL 33131 Attorneys 1786909 INNOVATIVE CONSULTING GROUP LLC 9210 PETERSBURG ROAD EVANSVILLE IN 47725 Consultants 1115706 110 10440184 101351 10541535 Medicare/Medicaid Pmts 622110 166359037 166359037 Reference Lab 621500 3502578 3502578 Patient Revenue 622110 154737672 154737672 CLINICAL RESEARCH 541700 553416 553416 APTIUM LAWSUIT 900099 7849972 7327599 522373 399525 399525 333402200 149510 149510 0 0 34937518 34884961 52557 52557 52557 0 0 0 COMMERCE REVENUE 900099 233299 233299 DIETARY 900099 65612 65612 UNASSIGNED MISC. REVENUE 900099 139033 139033 42926 42926 480870 344626672 329858119 4024951 202067 X 171906 171906 0 0 0 6553028 3555754 2997274 0 112206688 78544682 33662006 8097577 6073183 2024394 14448055 10836041 3612014 9394288 7045716 2348572 9903642 9903642 2054613 2054613 483730 483730 0 0 138182 138182 21636069 16227052 5409017 1276158 1084734 191424 91347991 82213192 9134799 7500099 5625074 1875025 0 9624910 7729024 1895886 226593 181274 45319 0 149391 37348 112043 1675703 1508133 167570 0 21466117 19319505 2146612 1477861 1064060 413801 provision for bad debt 10334533 10334533 indigent care assessment 4071902 4071902 repairs and maintenance 2994396 2395517 598879 LINEN & UNIFORMS 1154212 1096501 57711 1333346 1000010 333336 339720990 260115141 79605849 0 -285482 -271132 0 0 0 0 46492811 39546542 0 0 0 0 0 0 4700745 5056337 4542904 2880184 458624520 311582371 144913382 147042149 10209337 8430525 0 0 0 0 1858063 1858063 122135959 135878306 334567719 340420974 39269915 46267026 0 0 0 0 23753856 21874521 0 0 0 0 0 0 0 0 73258063 87204878 136281834 155346425 X 148541447 126800404 49744438 58274145 0 0 198285885 185074549 334567719 340420974 X 4905682 -18117018 X X false true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 17907591 17907591 132365934 65827785 66538149 0 281018834 228781953 52236881 27332161 16972633 10359528 147042149 Interest in BRRH Foundation 126398894 OTHER RECEIVABLES 1149396 OTHER ASSETS 2231754 DUE FROM AFFILIATES 6098262 135878306 0 RESERVE FOR PROFESSIONAL LIAB. 15070141 PENSION LIABILITY 57056527 ESTIMATED THIRD PARTY SETTLEMENTS 1271710 CAPITAL LEASE PAYABLE 4085963 OTHER LIABILITIES 9720537 87204878 UNCERTAIN TAX POSITIONS UNDER ASC 740 SCHEDULE D, PART X, OTHER LIABILITIES, LINE 2 AS A RESULT OF NET OPERATING LOSS CARRY-FORWARDS OF $2,611,000 (WHICH EXPIRE BETWEEN 2021 AND 2032), 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. THE TAX YEARS ENDED JUNE 30, 2009, 2010, 2011 AND 2012, ARE STILL SUBJECT TO EXAMINATION BY THE TAXING AUTHORITIES. true true X true X true X true true false true false 5823730 0 5823730 0.01770 11185015 3761829 7423186 0.02250 1299733 613275 686458 0.00210 18308478 4375104 13933374 0.04230 413962 28733 385229 0.00120 11244709 15000099 0 662487 291569 370917 0.00110 4774 0 4774 12325932 15320401 760920 0.00230 30634410 19695505 14694294 0.04460 true 10334533 2179239 156077334 168055658 -11978324 X true true 1 1 BOCA RATON REGIONAL HOSPITAL

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X X X X BOCA RATON REGIONAL HOSPITAL 1 false true true 200. true 300. true X X X X X X X true true X X X X true false true X false false 10 BRRH IMAGING HILLSBORO

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IMAGING CENTER DAVIS THERAPY CENTERS

650 GLADES RD BOCA RATON FL 33486

REHABILITATION LYNN CANCER INSTITUTE - SANDLER PAVILION

701 NW 13TH ST BOCA RATON FL 33486

CANCER TREATMENT CENTER CENTER FOR BREAST CARE - DEERFIELD BEACH

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BREAST CANCER TREATMENT CENTER IMAGING CENTERCENTER FOR BREAST CARE

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BREAST CANCER TREAMENT CENTER IMAGING CENTER DIAGNOSTIC IMAGING CENTER

1905 CLINT MOORE RD STE 114 BOCA RATON FL 33496

IMAGING CENTER LYNN CANCER INSTITUTE - DELRAY

16313 S MILITARY TRAIL DELRAY BEACH FL 33484

CANCER TREATMENT CENTER BRRH IMAGING AT BOCA CLINIC

1601 CLINT MOORE RD STE 140 BOCA RATON FL 33487

IMAGING CENTER THE CENTER FOR HEMATOLOGY & ONCOLOGY

6282 LINTON BLVD DELRAY BEACH FL 33484

CANCER TREATMENT CENTER THE CENTER FOR BREAST CAREIMAGING

790 E BROWARD BLVD STE 302 FT LAUDERDALE FL 33301

IMAGING CENTER Part VI Supplemental Information Form 990, Schedule H, Part I, Line 3c - Not applicable FORM 990, SCHEDULE H, Part 1, line 6a - Not applicable FORM 990, SCHEDULE H, Part I, Line 7g Not applicable; BRRH does not include costs attributable to a physician clinic as subsidized health services. FORM 990, SCHEDULE H, Part I, Line 7f Not applicable; BRRH does not provide health professions education FORM 990, SCHEDULE H, Part I, Line 7, Column f Total expenses reported on Form 990, Part IX, Line 25, Column A include bad debt expense of $10,334,533. In order to calculate the "percent of total expense" reported in column f, this bad debt expense has been excluded from the calculation. FORM 990, 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. FORM 990, SCHEDULE H, Part II - Not applicable FORM 990, SCHEDULE H, Part III, Line 4 In order to calculate costs reported in Part III, Lines 2 and 3, BRRH developed a Cost to Charge Ratio using Worksheet 2, included in the instructions to Schedule H. This cost to charge ratio was applied to bad debt gross charges to arrive at an approximation of cost. BRRH has used professional judgment to determine that approximately 25% 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 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. 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, 2012: 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 Company 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. FORM 990, SCHEDULE H, Part III, Line 8 Medicare allowable costs were determined based upon the Medicare cost report. Form 990, 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. FORM 990, SCHEDULE H, Part V, Section B, Line 9 - Not applicable FORM 990, SCHEDULE H, Part V, Section B, Line 10 - Not applicable FORM 990, SCHEDULE H, Part V, Section B, Line 11H 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. FORM 990, SCHEDULE H, Part V, Section B, Line 19D 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. FORM 990, 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. One study showing the top five diagnoses in the Emergency Room at BRRH being heart-related and that one of five admissions were for cardiac related diagnoses led to the opening of the open-heart surgery and angioplasty program at BRRH. 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. FORM 990, 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. FORM 990, 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. BRRH receives a disproportionately higher share of Medicare patients within the service area and a disproportionately lower share of Medicaid and self pay patients compared to other hospitals in the service area. There are approximately 9 hospitals within BRRH's service area. FORM 990, SCHEDULE H, PART VI, LINE 5 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. This program offers blood pressure and cholesterol screenings at different fairs and events which are staffed by BRRH employees and volunteers. The purpose of the program is to improve the cardiovascular health of our community. The program includes a van to visit Palm Beach and Broward counties providing the health sc true Florence Fuller Center 200 NE 14th Street Boca Raton FL 33432 591312245 501(C)(3) 15000 Health Education and screening for children Migrant Association Caridad Center 645 W Byntn Bch Blvd Boynton Bch FL 33437 650149423 501(C)(3) 45074 PROVIDE MEDICAL AND DENTAL CARE Hospice By the Sea 1531 W Palmetto PK RD Boca Raton FL 33486 563955031 501(C)(3) 6142 Hospice class for survivor FAU Memory and Wellness 777 Glades Rd Boca Raton FL 33431 650385507 501(C)(3) 9860 Provides comprehensive memory evaluations American Heart Association 333 E 7th Street North Boca Raton FL 33432 135613797 501(C)(3) 65000 Research and health education American Cancer Society 3350 NW Boca Raton bvd Boca Raton FL 33432 590657320 501(C)(3) 6500 RESEARCH AND HEALTH EDUCATION 6 Description of Organization's Procedures for Monitoring the Use of Grants FORM 990, 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 true false Jerry Fedele 690292 0 126750 0 36996 0 119312 0 28686 0 1002036 0 0 0 Dawn Javersack 366718 0 74000 0 9165 0 39342 0 19817 0 509042 0 0 0 Mindy Raymond 202565 0 40750 0 17320 0 63449 0 34181 0 358265 0 0 0 Judy Hlafcsak 172004 0 0 0 0 0 0 0 0 0 172004 0 0 0 Charles Posternack 465520 0 97500 0 23346 0 36525 0 21176 0 644067 0 0 0 Karen Poole 359437 0 73000 0 27920 0 39000 0 16798 0 516155 0 0 0 Mindy Shikiar 217100 0 45750 0 13665 0 36598 0 18296 0 331409 0 0 0 James Morris MD 634862 0 39396 0 9824 0 20278 0 7578 0 711938 0 0 0 Robin Hildwein 177126 0 10000 0 904 0 21840 0 12610 0 222480 0 0 0 Maria Dulaney 165810 0 5049 0 1614 0 8600 0 13449 0 194522 0 0 0 Kathy Tabor McEwan 177255 0 7800 0 810 0 10375 0 4800 0 201040 0 0 0 Louise Morrell MD 498785 0 83500 0 1242 0 7775 0 16121 0 607423 0 0 0 Zoubir Ouhib 216258 0 136 0 3061 0 36686 0 15511 0 271652 0 0 0 Eddy Hannah 239497 0 48000 0 18399 0 22125 0 21250 0 349271 0 0 0 Gilbert Chidiac 473779 0 0 0 2010 0 10250 0 16167 0 502206 0 0 0 Burak Ilsin 415565 0 0 0 540 0 10250 0 16112 0 442467 0 0 0 Alexander Kulik 370328 0 28140 0 432 0 10250 0 18638 0 427788 0 0 0 Supplemental Compensation Information SCHEDULE J, PART I, LINE 1A CEO RECEIVES A HOUSING ALLOWANCE PER EMPLOYMENT CONTRACT WHICH IS GROSSED UP FOR TAX PURPOSES. SCHEDULE J, PART I, LINE 3 THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES APPROVES THE SALARY OF THE CEO. IN ADDITION, THE COMMITTEE REVIEWS AND APPROVES THE MERIT INCREASES FOR ALL VICE PRESIDENTS AS PROPOSED BY THE CEO. THE COMMITTEE REVIEWS CURRENT COMPENSATION DATA THAT BENCHMARKS BRRH EXECUTIVE SALARIES WITH OTHER HEALTHCARE ORGANIZATIONS OF A SIMILAR SIZE AND NET REVENUE IN REVIEWING AND APPROVING THE COMPENSATION OF THE CEO AND VICE PRESIDENTS. THIS REVIEW AND APPROVAL IS DOCUMENTED IN THE EXECUTIVE COMPENSATION COMMITTEE MINUTES AT THE TIME OF THE REVIEW. SCHEDULE J, PART I, LINE 4B DURING CALENDAR YEAR 2011: 457F PLAN CONTRIBUTIONS WERE MADE FOR DAWN JAVERSACK $27,717; MINDY RAYMOND $6,278; MINDY SHIKIAR $17,107; KAREN POOLE $27,375; EDDY HANNAH $10,500; AND CHARLES POSTERNACK $36,525. A SERP PLAN CONTRIBUTION WAS MADE FOR JERRY FEDELE FOR $107,687. SCHEDULE J, PART I, LINE 7 THESE INDIVIDUALS RECEIVED THE FOLLOWING DISCRETIONARY, NON-FORMULA BASED BONUSES DURING CALENDAR YEAR 2011: JERRY FEDELE - $126,750 DAWN JAVERSACK - $74,000 CHARLES POSTERNACK - $97,500 MINDY RAYMOND - $40,750 MINDY SHIKIAR - $45,750 ROBIN HILDWEIN - $10,000 MARIA DULANEY - $5,049 KATHY TABOR MCEWAN - $7,800 LOUISE MORRELL MD - $83,500 ZOUBIR OUHIB - $136 EDDY HANNAH - $48,000 BURAK ILSIN - $4,500 KAREN POOLE - $73,000 CRITICAL CARE ASSOC OF SOUTH FL L SEE PART V 807549 INTENSIVIST SERVICES false WILLIAMS PARKER HARRISON DEITZ GE SEE PART V 112096 LEGAL SERVICES false SURGICAL ASSOCIATES PALM BEACH COUN SEE PART V 611890 HEALTHCARE SERVICES false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV, LINE 1, COLUMN B RALPH PALUMBO MD, AN EX-OFFICIO VOTING MEMBER OF THE HOSPITAL BOARD, IS ALSO A 25% OWNER IN CRITICAL CARE ASSOCIATES OF SOUTH FLORIDA, LLC. SCHEDULE L, PART IV, LINE 2, COLUMN B RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: HUGH MIDDLEBROOKS, ONE OF THE SECRETARIES OF THE HOSPITAL, IS A PARTNER AT WILLIAMS, PARKER, HARRISON, DEITZ, & GETZEN. THE HOSPITAL PAID WILLIAMS, PARKER, HARRISON, DEITZ, & GETZEN FOR THE LEGAL SERVICES PROVIDED BY HUGH MIDDLEBROOKS AS INTERIM LEGAL COUNSEL FOR THE HOSPITAL. SCHEDULE L, PART IV, LINE 3, COLUMN B RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: THE HOSPITAL PAID SURGICAL ASSOCIATES PALM BEACH COUNTY (SAPBC) FOR HEALTH CARE SERVICES. ANDREW ROSS, MD AND MATTHEW KLEIN, MD, TRUSTEES OF THE HOSPITAL, ARE OWNERS OF SAPBC. REASON FOR AMENDED RETURN FORM 990, BOX B THE BOCA RATON REGIONAL HOSPITAL, INC. FORM 990 FOR THE YEAR ENDED JUNE 30, 2012, IS BEING AMENDED TO ATTACH THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR BRRH CORPORATION, INC. AND RELATED ENTITIES. THE BRRH FOUNDATION AUDITED FINANCIAL STATEMENTS WERE INADVERTENTLY ATTACHED TO THE ORIGINALLY FILED RETURN. DESCRIPTION OF RELATIONSHIPS FORM 990, PART VI, QUESTION 2 JERRY FEDELE, DAWN JAVERSACK AND ALEX EREMIA HAVE A BUSINESS RELATIONSHIP, IN THAT, IN THEIR MANAGEMENT CAPACITY FOR BRRH CORPORATION AND AFFILIATES, THEY ALSO SERVE ON THE BOARDS AND/OR ARE OFFICER(S) OF THE FOLLOWING FOR-PROFIT CORPORATIONS WHICH ARE WHOLLY OWNED BY BOCA RATON REGIONAL HOSPITAL, INC.: BOCACARE, INC. BOCACARE EAST, INC. BOCACARE 9TH AVE., INC. BRRH WOMEN'S INSTITUTE FOR HEALTH & WELLNESS, INC. MATTHEW KLEIN AND ANDREW ROSS HAVE A BUSINESS RELATIONSHIP, IN THAT THEY ARE CO-OWNERS IN A FOR-PROFIT PHYSICIAN PRACTICE. DOES ORGANIZATION HAVE MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 THE SOLE MEMBER OF BOCA RATON REGIONAL HOSPITAL, INC., IS BRRH CORPORATION, INC. ELECTION OF MEMBERS OF THE GOVERNING BODY FORM 990, PART VI, QUESTION 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. CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTION 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. DESCRIBE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 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, PRIOR TO FILING. THE 990 IS PRESENTED TO BRRH CORPORATION'S BOARD OF TRUSTEES AFTER FILING. ANY QUESTIONS AND CONCERNS OF THE MEMBERS OF THE FINANCE COMMITTEE 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. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12C THE CHAIR OF THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD AND THE CHIEF COMPLIANCE OFFICER REVIEW THE CONFLICT OF INTEREST STATEMENTS. 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. WRITTEN POLICIES FORM 990, PART VI, LINES 13 & 14 THE HOSPITAL DOES HAVE WRITTEN WHISTLEBLOWER AND DOCUMENT RETENTION AND DESTRUCTION POLICIES. HOWEVER, AS OF FYE 6/30/12 THEY HAD NOT BEEN FORMALLY ADOPTED BY THE HOSPITAL'S BOARD OF TRUSTEES. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED FORM 990, PART VI, QUESTION 15A & 15B 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. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 THE FINANCIAL STATEMENTS ARE AVAILABLE FOR REVIEW ON WWW.DACBOND.COM. THE CONFLICT OF INTEREST POLICIES ARE NOT AVAILABLE TO THE GENERAL PUBLIC. THE GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. HOURS DEVOTED TO RELATED ENTITIES FORM 990, PART VII, SECTION A, COLUMN B ESTIMATED HOURS PER WEEK DEVOTED BY OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES TO RELATED ENTITIES: BRRH HOME HEALTH SERVICES, INC.: JERRY FEDELE - 2 DAWN JAVERSACK - 2 JUDY HLAFCSAK - 2 ALEX EREMIA - 2 HUGH MIDDLEBROOKS - 2 KAREN POOLE - 2 MINDY RAYMOND - 2 BRRH FOUNDATION, INC.: JERRY FEDELE - 2 DAWN JAVERSACK - 2 WARREN ORLANDO - 1 RICHARD SCHMIDT - 1 CHRISTOPHER WHEELER - 1 JUDY HLAFCSAK - 1 HUGH MIDDLEBROOKS - 1 ALEX EREMIA - 1 CHRISTINE E. LYNN - 1 MINDY RAYMOND - 1 DEBBIE LEISING - 1 BRRH CORPORATION, INC. RICHARD L SCHMIDT - 2 CHRISTINE E LYNN - 2 JERRY FEDELE - 2 DAWN JAVERSACK - 2 MARC TAUB, MD - 2 HARVEY SANDLER - 2 CHRISTOPHER WHEELER - 2 RONALD G ASSAF - 2 DONALD KOHNKEN - 2 A.E. "BUD" OSBORNE - 2 ANDREW ROSS, M.D. - 2 MATTHEW KLEIN, MD - 2 DEBBIE LEISING - 2 JUDY HLAFCSAK - 2 WILLIAM HAGER - 2 WARREN ORLANDO - 2 RALPH PALUMBO, MD - 2 HUGH MIDDLEBROOKS - 2 ALEX EREMIA - 2 FUNDRAISING EXPENSES FORM 990, PART IX, COLUMN D The majority of the Hospital's contributions are from related organizations and its affiliate, BRRH Foundation, Inc., provides fundraising for the Hospital and the other members of the BRRH Corporation affiliated group. So there aren't any fundraising expenses to report in Part IX, Column D. OTHER CHANGE IN NET ASSETS FORM 990, PART XI, LINE 5 CHANGE IN PENSION LIABILITY: ($26,646,724) CHANGE IN BENEFICIAL INTEREST IN TEMPORARILY RESTRICTED NET ASSETS OF THE FOUNDATION: $8,529,730 TEMPORARILY RESTRICTED CONTRIBUTIONS, NET OF RELATED EXPENSES: ($24) NET CHANGE IN FUND BALANCE: ($18,117,018) OVERSIGHT OF THE AUDIT, REVIEW OR COMPILATION OF FINANCIAL STATEMENTS FORM 990, PART XII, LINE 2C THE AUDIT COMMITTEE AT THE BRRH CORPORATION, INC. LEVEL IS THE COMMITTEE WITH OVERSIGHT OVER THE CONSOLIDATED AUDIT, WHICH INCLUDES BOCA RATON REGIONAL HOSPITAL, INC. BRRH Oncology LLC 800 Meadows Rd Boca Raton FL 33486 203825398 CANCER TRMT FL 169939 NA Boca Thoracic & Cardiovascular Surgery 800 Meadows Rd Boca Raton FL 33486 205347210 Heart Surgery FL 113187 NA BRRH Self Insurance Trust 800 Meadows Rd BOCA RATON FL 33486 591862898 Self Ins Trus FL 207083 7033562 na BRRH Foundation Inc 745 Meadows Rd Boca Raton FL 33486 592406425 Fundraising FL 501(C)(3) 7 BRRH CORP true BRRH CORPORATION Inc 800 Meadows Rd Boca Raton FL 33486 592406033 PARENT FL 501(C)(3) 11, II NA false BRRH Home Health Services Inc 800 Meadows Rd Boca Raton FL 33486 650044715 HLTHCARE SVCS FL 501(C)(3) 11, III FI BRRH CORP true Debbie Rand Memorial Service League 800 Meadows Rd Boca Raton FL 33486 591055553 VOLUNTEER HSP FL 501(C)(3) 3 BRRH CORP true BocaCare Inc 800 Meadows Rd Boca Raton FL 33486 264160328 Primary care phys FL BRRH C Corp 1041157 2027554 1.00000 BocaCare East Inc 800 Meadows Rd Boca Raton FL 33486 270660287 Primary care phys FL BRRH C Corp 2866748 0 1.00000 BocaCare 9th Ave Inc 800 Meadows Rd Boca Raton FL 33486 270660393 Primary care phys FL BRRH C corp 979954 0 1.00000 BRRH WOMEN'S INST FOR HEALTH & WELLNESS 800 Meadows Rd Boca Raton FL 33486 263151406 WOMEN'S HLTH CARE FL BRRH C corp 190918 177187 1.00000 true false true false true false false false false false false false false false true true false true BRRH Foundation Inc C 9128269 CAPITAL COSTS BRRH Foundation Inc C 761915 OPERATING COSTS BRRH Home Health Services Inc o 1558359 FMV Women's Institute for Health & Wellness Inc O 2295277 FMV Debbie Rand Memorial Service League c 550000 FMV BocaCare INC a 14400 FMV BocaCare East INC a 131079 FMV BRRH Foundation Inc P 1772113 FMV Oaks Plaza LLC o 143323 FMV BRRH Home Health Services Inc P 7207977 FMV BRRH FOUNDATION INC E 8000000 FMV TRANSACTIONS WITH RELATED ORGANIZATIONS SCHEDULE R, PART V, LINE 2 FOR THE TYPES O AND P TRANSACTIONS, THIS BALANCE REPRESENTS THE CUMULATIVE HISTORICAL RELATED PARTY TRANSACTIONS WHICH ARE CARRIED AS INTER-COMPANY BALANCES ON THE ORGANIZATIONS' FINANCIAL STATEMENTS AND NET TO ZERO ON THE CONSOLIDATED FINANCIAL STATEMENTS.