2011-05-16T17:19:17-05:00 2010-06-30 ERNST & YOUNG US LLP 201 S Biscayne Blvd Ste3000 Miami FL 331314330 990 2009-07-01 591006663 Boca Raton Regional Hospital Inc BOCA 5619554200 800 Meadows Road Boca Raton FL 33486 Dawn Javersack 5619554200 2011-05-16 3053584111 2009 2016-02-24 21:20:13Z Jerry Fedele 800 Meadows Rd Boca Raton FL 33486 455739178 false X WWW.BRRH.COM X 1967 FL TO PROVIDE OUR COMMUNITY HIGH QUALITY AND COST EFFECTIVE HEALTH CARE. 15 15 2504 502 4406737 -161717 11457354 68876121 346724580 335919540 439237 290858 171620 106902 358792791 405193421 20200 5000 0 0 139742388 137047647 0 0 0 220622063 196836980 360384651 333889627 -1591860 71303794 453777663 309573244 209328567 151743152 244449096 157830092 TO PROVIDE OUR COMMUNITY HIGH QUALITY AND COST EFFECTIVE HEALTH CARE. false false 250413532 5000 331741657 VISION: A NOT-FOR-PROFIT COMMUNITY HOSPITAL WITH STRATEGIC LINKAGES WITH OTHER HEALTHCARE ORGANIZATIONS AND PROFESSIONALS TO PROVIDE AN APPROPRIATE ARRAY OF HIGH QUALITY, EFFICIENT AND EFFECTIVE SERVICES TO THE COMMUNITY. 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 NEED 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 700 PRIMARY AND SPECIALTY PHYSICIANS IN STAFF. THE HOSPITAL IS A RECOGNIZED LEADER IN ONCOLOGY, CARDIOVASCULAR DISEASE AND SURGERY, MINIMALLY INVASIVE SURGERY, ORTHOPEDICS, WOMEN'S HEALTH AND EMERGENCY MEDICINE, ALL OF WHICH OFFER STATE-OF THE-ART DIAGNOSTICS AND IMAGING CAPABILITIES. THE FOLLOWING STATISTICS REPRESENT THE YEAR ENDED JUNE 30, 2010: TOTAL DISCHARGES (INPATIENT AND OBSERVATION) 21,040 PATIENT DAYS (INPATIENT) 78,072 EMERGENCY ROOM VISITS 41,163 OUTPATIENT PROCEDURES 279,210 SURGERIES 8,951 BOCA RATON REGIONAL HOSPITAL IS THE RECIPIENT OF A 2011 DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE BY HEALTHGRADES, THE LEADING INDEPENDENT HEALTHCARE RATINGS ORGANIZATION. IN ADDITION TO THE DISTINGUISHED HOSPITAL AWARD, HEALTHGRADES RANKED THE INSTITUTION #1 IN FLORIDA FOR CARDIAC SURGERY IN 2010 & 2011, #1 IN FLORIDA FOR THE TREATMENT OF STROKE IN 2011, #1 IN FLORIDA FOR OVERALL CARDIAC SERVICES AND #2 IN FLORIDA FOR GASTROINTESTINAL MEDICAL TREATMENT. THE HOSPITAL WAS ALSO THE RECIPIENT OF 2010 EMERGENCY MEDICINE EXCELLENT AWARD AND 2010 WOMEN'S HEALTH EXCELLENCE AWARD BY HEALTHGRADES. THE CHRISTINE E. LYNN HEART INSTITUTE IS RANKED IN THE TOP 9 PERCENT OF OPEN HEART PROGRAMS NATIONALLY BY THE NATIONAL CARDIAC DATABASE. THE NEW HOME OF THE EUGENE M. AND CHRISTINE E. CANCER INSTITUTE, THE HARVEY AND 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 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 THE LAST FORTY YEARS, BOCA RATON REGIONAL HOSPITAL HAS EVOLVED FROM A CAPABLE COMMUNITY HOSPITAL INTO ONE OF THE PREEMINENT MEDICAL CENTERS IN FLORIDA. IT IS TRULY REDEFINING COMMUNITY MEDICINE. 250413532 true true false false false false false false false true false true false false false false false false false false true false false true false false false false false false false false false false false false true true true false false true 514 0 true 2504 true true true false false false false false false false false 15 15 true true true false true true true true true false false false true true true true true true true false FL X Dawn Javersack 5619554200 800 Meadows Rd Boca Raton FL 33486 Richard L Schmidt 2.0 X 0 0 0 Christine E Lynn 2.0 X 0 0 0 Jerry Fedele 40.0 X X 0 0 0 Marc E Taub MD 2.0 X 0 0 0 William D Hager 2.0 X 0 0 0 Harvey Sandler 2.0 X 0 0 0 Christopher Wheeler 2.0 X 0 0 0 Ronald G Assaf 2.0 X 0 0 0 Donald Kohnken 2.0 X 0 0 0 Warren Orlando 2.0 X 0 0 0 AE Bud Osborne 2.0 X 0 0 0 Andrew Ross MD 2.0 X 0 0 0 Matthew Klein MD 2.0 X 0 0 Vincent Loscalzo 2.0 X 0 0 0 Theodore Raptis MD 2.0 X 0 0 0 Dawn Javersack 40.0 X 0 0 0 Mindy Shikiar 40.0 X 224861 0 45355 Melinda A Raymond 40.0 X 209621 0 77967 Janna King 40.0 X 191762 0 22957 James Morris 40.0 X 655972 0 21077 Zoubir Ouhib 40.0 X 210768 0 34860 Charles Shang 40.0 X 205105 0 27927 Robin Hildwein 40.0 X 183671 0 22253 Helen Berggren 40.0 X 180733 0 33584 Melissa Durbin 40.0 X 156509 0 15555 Kathy Tabor McEwan 40.0 X 167913 0 11850 Arthur Katz 40.0 X 441661 0 22123 Charles Serra 40.0 X 173219 0 28470 Agnes Hay 40.0 X 150414 0 25248 Andrij Susla 40.0 X 149825 0 11171 Brian Altschuler 40.0 X 148325 0 11449 Richard Van Lith 0.0 X 736400 0 22247 Gary Strack 0.0 X 440849 0 0 Joseph Ouslander 0.0 X 335909 0 157 Steve Sloate 0.0 X 300019 0 0 Julie Hilsenbeck 0.0 X 294319 0 0 Richard Greenwald 0.0 X 193207 0 0 Yoshihiro Barreirinhas 0.0 X 176686 0 0 5927748 0 434250 174 true true false THE CENTER FOR HEMATOLOGY - ONCOLOG 701 NW 13th St BOCA RATON FL 33486 Med/Phys Fees 10857941 FTI CAMBIO HEALTH SOLUTIONS PO BOX 630391 LOS ANGELES CA 212630391 Management Fees 6700698 COMPREHENSIVE CANCER CENTERS INC 8201 BEVERLY BLVD NEWARD CA 90048 Management Fees 5528589 HURON CONSULTING SERVICES INC STOC 8044 SOLUTIONS CENTER DALLAS TX 606778000 Consulting/ Manageme 4087266 MEDISERVE INSURANCE SERVICES 9655 S 20TH STREET CHICAGO IL 53154 MED EQUIP SVC 3093649 64 68656784 219337 68876121 Medicare/Medicaid pmts 622110 188461261 188461261 Reference Lab 621511 4284785 4284785 Patient Revenue 622110 141999625 141999625 Clinical Research 541710 617657 617657 All other program service revenue 532000 556212 434260 121952 335919540 97237 97237 0 0 50647273 92105 50492443 53314 154830 38791 193621 193621 0 0 0 Miscellaneous Revenue 900099 106902 106902 106902 405193421 331619705 4406737 290858 5000 5000 0 0 0 3677880 919470 2758410 0 1123212 1123212 106569031 74401394 32167637 7521877 5641408 1880469 10098788 7574091 2524697 8056859 6042644 2014215 15020861 15020861 850602 850602 794966 794966 0 0 152077 152077 25540672 19150681 6389991 1119691 951737 167954 93166030 83599130 9566900 5240291 3930218 1310073 0 7380045 5902757 1477288 115017 92014 23003 0 43524 9463 34061 1941027 194103 1746924 0 20970615 18873553 2097062 3520012 2534409 985603 Provision for Bad Debt 15854887 15854887 Indigent Care Assessment 3456875 3456875 Minor Equipment 181886 163697 18189 All other expenses 1487902 1116001 371901 333889627 250413532 83476095 0 -1701016 -568025 34402579 36756146 4651244 4701995 4337583 5206953 417988535 271320935 154225567 146667600 10373871 10084907 1858063 247487835 104865605 453777663 309573244 42916712 31762246 25779148 24974836 140632707 95006070 209328567 151743152 X 205272704 124303889 39176392 33526203 244449096 157830092 453777663 309573244 X false true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15176314 15176314 129705766 58967869 70737897 253124833 201926288 51198545 19981622 10426778 9554844 146667600 INTEREST IN BRRH FOUNDATION 101650877 Other receivables 914377 Other assets 2300351 104865605 0 Reserve for Prof Liabilities 14108748 Capital Lease Payable 8913531 Other Current Liabilities 2043282 Medicare Settlements 6618003 Due to other Affiliates 19749386 other notes payable 1793044 Pension Liability 41780076 95006070 UNCERTAIN TAX POSITIONS UNDER ASC 740 Schedule D, Part X, Other Liabilities, Line 2 AS A RESULT OF NET OPERATING LOSS CARRY-FORWARDS OF $2,247,054 (WHICH EXPIRE BETWEEN 2022 AND 2030), 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, 2006, 2007, 2008, AND 2009 ARE STILL SUBJECT TO EXAMINATION BY THE TAXING AUTHORITIES. true true X true X true X true true true false true false 687228 0 687228 0.00220 7845966 3179233 4666733 0.01460 806443 300235 506208 0.00160 9339637 3479468 5860169 0.01840 680439 495872 184567 0.00060 8908 8908 689347 495872 193475 0.00060 10028984 3975340 6053644 0.01900 true 3322607 664525 158695443 170397844 -11702401 X false Boca Raton Regional Hospital Inc

800 Meadows Rd Boca Raton FL 33467

X X X Lynn Cancer Institute

6282 Linton Blvd Delray Beach FL 33484

CANCER TREATMENT CENTER Part I, Line 3c - Not applicable Boca Raton Regional Hospital, Inc (BRRH) does not prepare a community benefit report unto itself. However, BRRH's community benefit is contained within a report prepared for a related organization, the Boca Raton Regional Hospital Foundation (Foundation). The Foundation was formed to support the operations of BRRH. Both BRRH and the Foundation are 100% owned by the same parent, the BRRH Corporation. All activities sponsored by the Foundation are solely for the purpose of furthering the charitable mission of BRRH. 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. Not applicable; BRRH does not include costs attributable to a physician clinic as subsidized health services. Total expenses reported on Form 990, Part IX, Line 25, Column A include bad debt expense of $15,854,887. In order to calculate the "percent of total expense" reported in column f, this bad debt expense has been excluded from the calculation. 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 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 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. BRRH's audited financial statements do not include a footnote that describes bad debt expense. Costs were determined based on the Medicare Cost Report BRRH does not have a formal written debt collection policy; however it is BRRH 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. Five Imaging Centers Four Cancer Treatment Centers One Physical Therapy and Wound Care Center One Clinical Lab 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. During the fiscal year a linear accelerator was added to our Delray Cancer Center. This piece of equipment uses high energy radiation to treat cancer. The Novalis TX is the most advanced piece of equipment utilized today and costs nearly four million dollars. It treats patients using Intensity Modulated Radiation Therapy, Image Guided Radiation Therapy, Rapid Arc Technology, Steriotactic Body Radiotherapy, and Steriotactic Radiosurgery. With the Novalis TX Radiosurgery platform we can offer the community state-of-the-art, non- invasive treatment for a wide range of malignancies and other potentially debilitating conditions, without harming nearby health tissue and without involving traditional surgery. 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. 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 treats 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. BRRH promotes the health of the community by hosting several events which encourage prevention and early detection of heart problems. As part of this education process, BRRH offers free blood pressure and cholesterol screenings, health education and brochures. The events are staffed by hospital employees and volunteers. 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 screenings. Another of the ways in which BRRH promotes the health of the community is to utilitize a Mobile Mammography Van. The completely digital, handicapped accessible mobile mammography vehicle travels throughout Palm Beach County and beyond, providing affordable and convenient access to mammography as well as clinical breast exam and breast health education. The Lynn Cancer Wellness Program, named after the hospital's Lynn Cancer Institute, is a year-long monthly cancer awareness, prevention, early detection, screening and cancer diagnosis program. The program consists of a mini health fair with both hospital and community representatives, a presentation provided by one or more physicians and screenings following the presentations when appropriate. Some of the topics featured were Men's Health, Women's Health, Lung Cancer, Cervical Cancer, and other cancer related topics. Free presentations by physicians are offered frequently on topics ranging from smoking cessation to healthy eating. BRRH evaluates hospital needs in relation to patient care each year when preparing the capital budget. Our funds are reinvested in the organization. BRRH has continued to make investments in clinical programs focusing resources and growth initiatives in providing cardiac services, oncology, women's services, primary care and an expansion in imaging services. Alexander Kulik, M.D., a highly trained heart and endovascular surgeon, was recruited from the Arizona Heart Institute to replace a departing cardiac surgeon. Additionally, at the end of fiscal 2010, Anthony Lee, M.D., an internationally renowned endovascular surgeon also joined the Heart & Vascular Institute. The Hospital is investing in a state-of-the-art hybrid operating room to provide the community with the best possible care within the Heart and Vascular Institute during the upcoming year. During fiscal 2010, the Hospital's largest medical oncology group, Center for Hematology Oncology (CHO), relocated to the Harvey & Phyllis Sandler Pavilion. The relocation of CHO to the Sandler Pavilion completed the Hospital's clinical services in the Pavilion, including medical oncology, radiation oncology, multi-modality clinics and imaging. Our patients have access to all of these services in one location. The Lynn Cancer Institute is the fifth largest cancer program in the state of Florida, providing care to more than 2,700 new cancer patients annually. During fiscal 2010, the Hospital realized a 12% increase in radiation therapy services and a 9% increase in medical oncology/chemotherapy compared to the prior year. The Hospital implemented several cutting edge clinical therapies during fiscal 2010, including accu-boost for breast cancer patients, stereotactic body radio therapy and respiratory gaiting, as well as upgrading the radiation oncology equipment at the Lynn Cancer Institute Delray facility to state-of-the-art technology. The Institute for Women's Health & Wellness (Women's Center) continues to grow at unprecedented levels. The Women's Center now performs in excess of 90,000 procedures per year to patients at its main facility on the Hospital campus and two satellite facilities. A new mobile mammovan was added with the support of the community and has been busily deployed, generating new patient referrals to the Women's Center from Broward and North Palm Beach Counties. The Women's Center actively participates in several clinical trials that included 1,400 patients during fiscal 2010, provides more position emission mammography exams than any other center in the United States and participates in a tomosynthesis trial which is only offered at 20 centers throughout the country. BRRH has five outpatient imaging locations in the market in addition to the main Hospital campus which serves the community. Imaging services provided increased by 15% during fiscal 2010. The Deerfield Beach imaging center opened in late fiscal 2009 and continued to show modest growth in 2010. Midway through fiscal 2010, BRRH acquired the Boca Clinic Imaging Center which has added substantially to the Hospital's clinical offerings and volume of imaging procedures. The Boca Clinic Imaging Center provides over 20,000 tests per year to our community and is located in a medical office building with 60 multi-specialty physicians. The majority of BRRH's governing body is comprised of persons who reside in the organization's primary service area who are not employees or contractors. They are comprised of physicians, business owners, attorneys, bankers, politicians and other concerned citizens of the community. BRRH extends medical staff privileges to all qualified physicians in it community for all of its departments. 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: BRRH, a 394 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 BRRH 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. X true true X X X true true false false false false false false false Mindy Shikiar 213706 0 0 0 11156 0 34346 0 11009 0 270216 0 0 0 Melinda A Raymond 192301 0 0 0 17320 0 63536 0 14431 0 287588 0 0 0 Janna King 162816 0 0 0 28946 0 18750 0 4207 0 214719 0 0 0 James Morris 608530 0 38458 0 8984 0 11346 0 9731 0 677049 0 0 0 Zoubir Ouhib 205114 0 0 0 5654 0 24469 0 10391 0 245628 0 0 0 Charles Shang 204111 0 0 0 994 0 16684 0 11243 0 233032 0 0 0 Robin Hildwein 182779 0 0 0 892 0 13798 0 8456 0 205925 0 0 0 Helen Berggren 178285 0 0 0 2448 0 26609 0 6974 0 214316 0 0 Melissa Durbin 152811 0 0 0 3698 0 7628 0 7927 0 172064 0 0 0 Kathy Tabor McEwan 167372 0 0 0 541 0 7308 0 4542 0 179763 0 0 0 Arthur Katz 396265 0 38458 0 6939 0 14885 0 7238 0 463784 0 0 0 Charles Serra 172800 0 0 0 419 0 16618 0 11852 0 201689 0 0 0 Agnes Hay 149691 0 0 0 722 0 11853 0 13395 0 175662 0 0 0 Andrij Susla 149559 0 0 0 266 0 4850 0 6321 0 160996 0 0 0 Brian Altschuler 148059 0 0 0 266 0 5054 0 6394 0 159773 0 0 0 Richard Van Lith 0 0 0 0 736400 0 11022 0 11225 0 758647 0 0 0 Gary Strack 0 0 0 0 440849 0 0 0 0 0 440849 0 0 0 Joseph Ouslander 0 0 0 0 335909 0 157 0 0 0 336066 0 0 0 Steve Sloate 0 0 0 0 300019 0 0 0 0 0 300019 0 0 0 Julie Hilsenbeck 0 0 0 0 294319 0 0 0 0 0 294319 0 0 0 Richard Greenwald 0 0 0 0 193207 0 0 0 0 0 193207 0 0 0 Yoshihiro Barreirinhas 0 0 0 0 176686 0 0 0 0 0 176686 0 0 0 SUPPLEMENTAL COMPENSATION INFORMATION 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. SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 4A THE FOLLOWING SEVERANCE PAYMENTS WERE MADE: RICHARD VAN LITH - $733,008 GARY STRACK - $437,864 JOSEPH OUSLANDER - $334,306 STEVE SLOATE - $300,019 JULIE HILSENBECK - $290,002 RICHARD GREENWALD - $190,740 YOSHIHIRO BARREIRINHAS - $176,686 SCHEDULE J, PART I, LINE 4B 457-F PLAN CONTRIBUTIONS WERE MADE DURING CALENDAR YEAR 2009 ON BEHALF OF THE FOLLOWING: MELINDA RAYMOND - $7,200 MINDY SHIKIAR - $21,500 JANNA KING - $18,750 DESCRIPTION OF RELATIONSHIPS FORM 990, PART VI, QUESTION 2 JERRY FEDELE AND DAWN JAVERSACK HAVE A BUSINESS RELATIONSHIP, IN THAT, IN THEIR MANAGEMENT CAPACITY FOR BRRH CORPORATION AND AFFILIATES, THEY ALSO SERVE ON THE BOARDS 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. JOSEPH VECCIO AND WARREN ORLANDO HAVE A BUSINESS RELATIONSHIP, IN THAT JOSEPH VECCIO SERVES ON THE BOARD OF A CORPORATION IN WHICH WARREN ORLANDO SERVES AS AN OFFICER. DESCRIPTION OF MANAGEMENT ARRANGEMENT FORM 990, PART VI, QUESTION 3 THE HOSPITAL HAS EMPLOYED A HEALTHCARE MANAGEMENT COMPANY, FTI HEALTHCARE, TO PROVIDE KEY EMPLOYEES AND OFFICERS TO OPERATE THE HOSPITAL. THESE INCLUDE CEO, CFO, CONTROLLER AND OTHERS. DESCRIPTION OF SIGNIFICANT CHANGES TO ORGANIZING OR ENABLING DOCUMENT FORM 990, PART VI, QUESTION 4 THE ORGANIZATION CHANGED THE NAME FROM BOCA RATON COMMUNITY HOSPITAL INC. TO BOCA RATON REGIONAL HOSPITAL INC (BRRH). SEE AMENDED ARTICLES OF INCORPORATION AT THE END OF THE FORM 990. 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 THE PROCESS USED NY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11A THE FORM 990 IS REVIEWED IN DETAIL BY MANAGEMENT. THE FORM 990 IS ALSO REVIEWED AND DISCUSSED WITH THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES AND WITH BRRH CORPORATION'S BOARD OF TRUSTEES AT THEIR RESPECTIVE MEETINGS HELD IN APRIL. ANY QUESTIONS AND CONCERNS OF THE MEMBERS OF THE FINANCE COMMITTEE OR THE BOARD OF TRUSTEES 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. HOWEVER, ALL MEMBERS ARE NOTIFIED THAT THE FORM 990 IS AVAILABLE FOR THEIR REVIEW PRIOR TO THE FILING OF THE RETURN WITH THE INTERNAL REVENUE SERVICE. 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. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTION 15A & 15B THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOCA RATON REGIONAL HOSPITAL (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 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. IN FY2010, THE EXECUTIVE POSITIONS REVIEWED AND RECOMMENDED FOR AN INCREASE INCLUDED: VICE PRESIDENT AND GENERAL COUNSEL VICE PRESIDENT OF OPERATIONS VICE PRESIDENT OF HUMAN RESOURCES PRESIDENT OF BRRH FOUNDATION THE PRESIDENT AND CEO AS WELL AS EXECUTIVES/VPS OTHER THAN THOSE LISTED ABOVE WERE NOT ELIGIBLE FOR AN INCREASE IN FY2010 DUE TO THEIR DATE OF HIRE. DURING FY2010, THE DUTIES OF THE CEO WERE HANDLED BY FTI HEALTHCARE. 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 WORKED BY EMPLOYEES AT RELATED ENTITIES FORM 990, PART VII, SECTION A, COLUMN B ESTIMATED HOURS WORKED BY OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATION EMPLOYEES AT RELATED ENTITIES: BRRH HOME HEALTH: RICHARD L SCHMIDT - 2 JANNA KING - 2 CHRISTINE E LYNN - 2 JERRY FEDELE - 2 DAWN JAVERSACK - 2 MARC E TAUB, MD - 2 WILLIAM D HAGER - 2 HARVEY SANDLER - 2 CHRISTOPHER WHEELER - 2 RONALD G ASSAF - 2 DONALD KOHNKEN - 2 WARREN ORLANDO - 2 A.E. BUD OSBORNE - 2 ANDREW ROSS, MD - 2 MATTHEW KLEIN, MD - 2 VINCENT LOSCALZO - 2 THEODORE RAPTIS, MD - 2 BRRH FOUNDATION: JANNA KING - 5 JERRY FEDELE - 2 DAWN JAVERSACK - 2 WARREN ORLANDO - 1 RICHARD SCHMIDT - 1 CHRISTOPHER WHEELER - 1 VINCE LOSCALZO - 1 BRRH CORPORATION, INC. JANNA KING - 2 JERRY FEDELE - 2 DAWN JAVERSACK - 2 CHRISTINE E LYNN - 2 RICHARD L SCHMIDT - 2 MARC E TAUB, MD - 2 WILLIAM D HAGER - 2 HARVEY SANDLER - 2 CHRISTOPHER WHEELER - 2 RONALD G ASSAF - 2 DONALD KOHNKEN - 2 WARREN ORLANDO - 2 A.E. BUD OSBORNE - 2 ANDREW ROSS, MD - 2 MATTHEW KLEIN, MD - 2 VINCENT LOSCALZO - 2 THEODORE RAPTIS, MD - 2 Part VIII, Line 1d During fiscal 2010 and years prior, the BRRH Foundation had advanced funds in the amount of $58,336,860 to Boca Raton Regional Hospital, and $80,850,213 to BRRH Corporation, to fund operating and capital needs. In April 2010, the BRRH Foundation Board approved the forgiveness of the non-interest bearing advances which totaled $139,187,083. The loan forgiveness has been recorded as part of contributions and grants revenue on the respective Form 990 for Boca Raton Regional Hospital and BRRH Corporation. The loan forgiveness has been recorded as part of grants and similar amounts paid, as expenses, on the Form 990 for BRRH Foundation. BRRH Oncology LLC 800 Meadows Rd Boca Raton FL 33486 203825398 CANCER TRMT FL 0 100458 NA Boca Thoracic & Cardiovascular Surgery 205347210 Heart Surgery FL 57723 N/A BRCH Self Insurance Trust 800 Meadows Rd BOCA RATON FL 33486 591862898 SELF INS TRST FL 389909 9195365 NA BRRH Foundation Inc 592406425 Fundraising FL 501(C)(3) 7 BRRH CORPORATION 745 Meadows Rd Boca Raton FL 33486 592406033 support BRRH FL 501(C)(3) 11, II BRRH Home Health Service Inc 800 Meadows Rd Boca Raton FL 33486 650044715 HLTHCARE SRVC FL 501(C)(3) II, III FI Debbie Rand Memorial Service League 800 Meadows Rd Boca Raton FL 33486 591055553 VOLUNTEER HSP FL 501(C)(3) 3 BocaCare Inc 800 Meadows Rd Boca Raton FL 33486 264160328 Primary care phys FL N/A C Corp BocaCare East Inc 800 Meadows Rd Boca Raton FL 33486 270660287 Primary care phys FL N/A C Corp BocaCare 9th Ave Inc 800 Meadows Rd Boca Raton FL 33486 270660393 Primary care phys FL N/A C Corp BRRH WOMEN'S INST FOR HEALTH & WELLNESS 800 Meadows Rd Boca Raton FL 33486 263151406 WOMEN'S HLTH CARE FL N/A C corp true false true false false false false false false false false false false false true true true true BRRH FOUNDATION INC c 68210827 BRRH HOME HEALTH INC r 895000 WOMEN'S INSTITUTE FOR HEALTH AND WELLNESS INC o 1057040 BOCACARE INC a 121952 BOCACARE INC q 1144070 DEBBIE RAND SERVICE LEAGUE r 562597 BRRH FOUNDATION INC p 3570837