2026-05-14T19:04:34-05:00 2025-06-30 991856619 GRANT THORNTON ADVISORS LLC 2001 MARKET ST STE 700 PHILADELPHIA PA 19103 990 2024-07-01 510067938 BEEBE MEDICAL CENTER INC BEEB 3026453300 424 SAVANNAH ROAD LEWES DE 19958 RYAN KENNEDY CFO 3026453300 2026-05-14 1 0 ALYCIA SOLECKI P01272637 2155614200 2024 2025-03-06 01:10:19Z DAVID A TAM MD 424 SAVANNAH ROAD LEWES DE 19958 687634062 0 X WWW.BEEBEHEALTHCARE.ORG X 1916 DE THE MEDICAL CENTER IN LEWES IS A 210-LICENSED-BED, NOT-FOR-PROFIT SEASIDE COMMUNITY HOSPITAL. 16 12 3088 454 2897912 0 36898848 6387273 586334310 649591374 5056730 7461027 6618625 8775227 634908513 672214901 1544193 1642922 0 0 244415111 229273101 0 0 0 337710422 405496036 583669726 636412059 51238787 35802842 723804718 725838255 329754133 326898975 394050585 398939280 X BEEBE MEDICAL CENTER'S CHARITABLE MISSION IS TO ENCOURAGE HEALTHY LIVING, PREVENT ILLNESS AND RESTORE OPTIMAL HEALTH WITH THE PEOPLE RESIDING, WORKING AND VISITING IN THE COMMUNITIES WE SERVE. 0 0 516877015 1642922 637195006 GENERAL MEDICAL SURGICAL PATIENT CARE. BEEBE MEDICAL CENTER EXPERIENCED 12,469 DISCHARGES IN 2025 RESULTING IN 48,185 PATIENT DAYS OF WHICH 8,585 DISCHARGES AND 35,232 PATIENT DAYS WERE COVERED UNDER THE MEDICARE PROGRAM. THE MEDICAID PROGRAM COVERED 1,350 DISCHARGES AND 4,691 PATIENT DAYS. ADDITIONAL VOLUMES ACHIEVED IN 2024 INCLUDE 58,746 EMERGENCY VISITS; 17,640 OPERATING ROOM CASES OF WHICH 69 WERE OPEN HEART SURGERIES; 5,761 CARDIAC CATHETERIZATION PROCEDURES; AND 226,724 OUTPATIENT IMAGING PROCEDURES. TOTAL SELF-PAY INPATIENT DAYS WERE 759 AND SELF-PAY DISCHARGES WERE 234 IN 2025. 7156578 9461179 BEEBE HOME HEALTH (BHHA) PROGRAM COVERS EASTERN SUSSEX COUNTY. IN 2025, BHHA ADMITTED 3278 PATIENTS. THERE WERE A TOTAL OF 52,422 VISITS DURING THE YEAR. 2893237 367661 THE MARGARET D ROLLINS SCHOOL OF NURSING CONTINUES TO BE FULLY CERTIFIED. THE SCHOOL HAD A TOTAL OF 51 STUDENTS ENROLLED IN FY25: 18 SENIORS AND 33 FIRST YEAR STUDENTS. 725988 2940 COMMUNITY OUTREACH PROGRAM 725988 2940 527652818 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 1 0 0 1 254 0 1 3088 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 16 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X MARCIA RIGSBY-DYKES 3026453300 431C SAVANNAH ROAD LEWES DE 19958 DAVID A TAM MD SECRETARY/CEO 41.00 3.00 X X 1493089 0 48021 WILLIAM CHASANOV DIRECTOR/VP AND CHIEF POPULATION HLTH OFF. 40.00 1.00 X 673780 0 23728 STEVE QUIRICONI VP FINANCE CFO (SEE SCH J) 42.00 2.00 X X 0 0 0 MICHAEL A MEOLI CHAIRPERSON 2.00 1.00 X X 0 0 0 SARA LARCH VICE CHAIRPERSON 2.00 0.00 X X 0 0 0 CHRISTOPHER J WEEKS TREASURER 2.00 1.00 X X 0 0 0 PAMELA BAKER DIRECTOR 2.00 0.00 X 0 0 0 JACK BERBERIAN DIRECTOR 2.00 0.00 X 0 0 0 SUSAN S BUNTING EDD DIRECTOR 2.00 0.00 X 0 0 0 MOUHANAD FREIH MD DIRECTOR (THRU OCT 2024) 2.00 0.00 X 104131 0 0 PAUL T COWAN JRDO DIRECTOR 2.00 0.00 X 0 0 0 ANDREW W DAHLKE MD DIRECTOR 2.00 0.00 X 0 0 0 BONNIE G HALL EDD DIRECTOR 2.00 0.00 X 0 0 0 MATTHEW LUKASIAK DIRECTOR 2.00 1.00 X 0 0 0 MARY M MCLOUGHLIN DIRECTOR 2.00 0.00 X 0 0 0 PAUL C PEET MD DIRECTOR 2.00 0.00 X 80000 0 0 KHALIL G SALIBA DIRECTOR 2.00 0.00 X 0 0 0 JAMES E SPELLMAN JR MD DIRECTOR 2.00 0.00 X 0 0 0 R CHRISTIAN HUDSON DIRECTOR (THRU OCT 2024) 2.00 0.00 X 0 0 0 ERIC C SUGRUE DIRECTOR (THRU OCT 2024) 2.00 0.00 X 0 0 0 PAUL SIERZENSKI SR. VP SYSTEM CHF. PHYSICIAN EXEC. 40.00 0.00 X 772447 0 47994 ASHLEY FOSTER SR VP AND CHIEF PEOPLE OFFICER 40.00 0.00 X 516486 0 27544 BRUCE LESHINE VP AND CHIEF LEGAL OFFICER 40.00 0.00 X 505636 0 40154 MICHAEL MAKSYMOW VP AND CHIEF INFORMATION OFFICER 40.00 0.00 X 429123 0 38223 DIANE TAYLOR VP CHIEF STRATEGIC PLANNING-BUS DEV OFFICER 40.00 0.00 X 373137 0 33501 RYAN KENNEDY SR VP AND CFO 41.00 3.00 X 230105 0 15064 NISARG DESAI PHYSICIAN 40.00 0.00 X 675246 0 37982 SRUJITHA MURUKUTLA PHYSICIAN 40.00 0.00 X 617371 0 30168 LORETTA OSTROSKI VP IP NURSING AND EMERGENCY SERVICES 40.00 0.00 X 308135 0 23355 THOMAS STANLEY CHIEF ONCOLOGY PHYSICIST 40.00 0.00 X 264163 0 36795 CHRISTINA DEIDESHEIMER VP COMM & OUTREACH, CHF COMMS OFFR 40.00 0.00 X 261593 0 35227 RICHARD SCHAFFNER FORMER EXEC VP/COO 0.00 0.00 X 579536 0 0 KATHRINE BECHTOLD FORMER CHIEF NURSING OFFICER 0.00 0.00 X 359448 0 2646 8243426 0 440402 461 1 1 0 DELAWARE ANESTHESIA ASSOCIATES PO BOX 719 LEWES DE 19958 ANESTHESIA SERVICES 8206421 MEDICAL SOLUTIONS 1010 N 102 STREET SUITE 300 OMAHA NE 68114 NURSING CONTRACT LABOR 7017971 EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 CONSULTING 7006030 PREMIER HEALTHCARE SOLUTIONS 5882 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 CONSULTING 4054891 WEATHERBY HEALTHCARE PO BOX 972633 DALLAS TX 75397 CONTRACT LABOR 3733062 126 6355608 31665 6387273 PATIENT SVCS REVENUE 621610 636510135 636510135 HOME HEALTH 621610 9461179 9461179 CAPE RX - PHARMACY 621610 3620060 687811 2932249 649591374 4223165 -34337 4257502 416362 0 416362 416362 416362 18431217 225806 14631607 787554 3799610 -561748 3237862 3237862 CAFETERIA 900099 1693049 1693049 PURCHASE DISCOUNTS/REBATES 900099 1589860 1589860 SCHOOL OF NURSING TUITION 900099 367661 367661 4708295 4708295 8358865 672214901 647026786 2897912 15902930 X 1642922 1642922 7579479 1225960 6353519 1001856 1001856 167001375 154875750 12125625 2622128 2431741 190387 38339844 35556067 2783777 12728419 11316765 1411654 841436 52793 788643 407281 407281 199116 199116 110342663 62584235 47758428 1516261 11131 1505130 10594121 9509842 1084279 17902295 2318894 15583401 12130854 9883689 2247165 405890 302133 103757 378424 232135 146289 9319189 8952470 366719 31375324 26352623 5022701 4892603 4892603 PATIENT SUPPLIES 153111931 153111931 BAD DEBT EXPENSE 32329493 32329493 MAINTENANCE 15755534 12270073 3485461 DUES 779209 223080 556129 3214412 2469091 745321 636412059 527652818 108759241 0 45693844 20001339 72320157 83364081 12615265 13298102 11928933 14222927 715480612 379573512 336513131 335907100 138441797 143412717 20222414 22975687 3104085 4591985 82965092 88064317 723804718 725838255 67836851 71914258 202371373 197768230 59545909 57216487 329754133 326898975 X 362080354 363867520 31970231 35071760 394050585 398939280 723804718 725838255 X 35802842 10906525 -41820672 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 0 0 0 1 33295 33295 0 PART II-B, LINE 1I OTHER ACTIVITIES INCLUDE THE PERCENTAGE OF DELAWARE HEALTHCARE ASSOCIATION MEMBERSHIP DUES ALLOCATED TO LOBBYING. 450930 24602 475532 362108 88822 450930 323475 38633 362108 389586 -66111 323475 320047 69538 389585 0.66800 0.33200 0 1 1 18346174 18346174 360556441 154159764 206396677 18531602 10959156 7572446 268767446 214454592 54312854 49278949 49278949 335907100 INT IN FDN. RESTRICT NET ASSET 35228998 OTHER ASSETS 21381832 RIGHT-OF-USE ASSETS 14123513 INT IN FDN. UNRESTR NET ASSETS 10879478 WORK COMP & MALP INSURANCE 4937960 ASSETS HELD IN CHARITABLE REMAINDER TRUST 819975 BENEFICIAL INTEREST IN PERPETUAL TRUST 385239 EBRIGHT 260709 ASSETS LIMITED AS TO USE 46613 88064317 LEASE LIABILITY 22126392 ACCRUED MEDICAL MALPRACTICE LIABILITIES 10623062 ACC. POST RETIREMENT BENEFIT 10129691 ASBESTOS REMOVAL OBLIGATION 5519684 OTHER LIABILITIES 4148178 ACC. WORKERS COMP. LIABILITY 3179350 DUE TO AFFILIATES 1490130 57216487 X PART V, LINE 4: BEEBE MEDICAL CENTER USES ITS ENDOWMENT FUNDS FOR CAPITAL ASSET ACQUISITIONS AND TO SUPPORT THE OPERATIONS OF THE MEDICAL CENTER. PART X, LINE 2: THE SYSTEM HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS 7201085 0 0 0 0 0 0 7201085 0 7201085 1 0 1 0 1 0 PART I, LINE 3: INVESTMENTS ARE RECORDED AT NET ASSET VALUE. 1 1 X 1 X 1 X 1 1 0 1 1 5216182 3748685 1467497 0.00240 47373056 46477755 895301 0.00150 52589238 50226440 2362798 0.00390 1239057 1239057 0.00210 50889808 50889808 0.08420 242924 242924 0.00040 331702 331702 0.00050 52703491 52703491 0.08720 105292729 50226440 55066289 0.09110 704140 704140 0.00120 17444548 17444548 0.02880 18148688 18148688 0.03000 1 32329493 258604581 382612238 -124007657 X 1 1 2 1 BEEBE MEDICAL CENTER INC 424 SAVANNAH ROAD LEWES DE 19958 WWW.BEEBEHEALTHCARE.ORG HSPTL-007 X X X A 2 BEEBE HEALTHCARE SPECIALTY SURGICAL HOSPITAL 19161 HEALTHY WAY REHOBOTH DE 19971 WWW.BEEBEHEALTHCARE.ORG HSPTL-018 X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 25 1 0 0 1 X HTTPS://WWW.BEEBEHEALTHCARE.ORG/ABOUT/REPORTS X HTTPS://WWW.BEEBEHEALTHCARE.ORG/ABOUT/REPORTS X X 1 25 1 HTTPS://WWW.BEEBEHEALTHCARE.ORG/ABOUT/REPORTS 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X HTTPS://WWW.BEEBEHEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X HTTPS://WWW.BEEBEHEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X HTTPS://WWW.BEEBEHEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: BEEBE MEDICAL CENTER, INC., - FACILITY 2: BEEBE HEALTHCARE SPECIALTY SURGICAL HOSPITAL FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5: BEEBE HEALTHCARE RE-INITIATED ITS COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS IN JULY 2024 WITH THE COLLECTION OF QUANTITATIVE AND QUALITATIVE DATA FOR ITS 2025 CHNA. A SIGNIFICANT NUMBER OF COMMUNITY LEADERS REPRESENTING GOVERNMENT, EDUCATORS, HEALTH CARE PROFESSIONALS, NON-PROFIT ENTITIES, AND HEALTH AND HUMAN SERVICES LEADERS IN BEEBE HEALTHCARE'S SERVICE AREA PARTICIPATED IN THE STUDY. DATA COLLECTED FROM A VARIETY OF SOURCES WERE INCLUDED AS PART OF THE ASSESSMENT. COUNTY DEMOGRAPHICS, HEALTH OUTCOMES, AND CHRONIC DISEASE PREVALENCE WERE GATHERED FROM LOCAL, STATE, AND FEDERAL DATABASES AND WERE PART OF A ROBUST SECONDARY DATA COMPILATION.DURING THE 2025 CHNA PROCESS, THERE WERE 15 KEY INFORMANT 1:1 INTERVIEWS CONDUCTED BETWEEN DECEMBER 2024 AND JANUARY 2025 PLUS 2 FOCUS GROUPS. THE FIRST FOCUS GROUP IN MARCH 2025 INCLUDED THIRTEEN AFRICAN AMERICAN SUSSEX COUNTY RESIDENTS. THE FOCUS GROUP SHARED PERSONAL AND COLLECTIVE INSIGHTS ON CRITICAL ISSUES, INCLUDING ACCESS TO QUALITY HEALTHCARE, AFFORDABILITY OF SERVICES, MENTAL HEALTH SUPPORT, YOUTH AND SENIOR CARE, FOOD INSECURITY, HOUSING, AND ENVIRONMENTAL HEALTH. IN ADDITION, REPRESENTATIVES FROM FOUR LOW-INCOME FAMILIES PARTICIPATED IN A SECOND FOCUS GROUP IN MARCH 2025 (OF THE 4 PARTICIPANTS; 25% WERE UNEMPLOYED; 50 % REPORTED AN ANNUAL HOUSEHOLD INCOME OF $25K - $50K). MOUNT ZION AME CHURCH AND BOYS & GIRLS CLUB ASSISTED BEEBE HEALTHCARE WITH THE RECRUITMENT OF ATTENDEES.THROUGH OUR DELAWARE HEALTHCARE ASSOCIATION CHNA WORKGROUP, WE ARE ENGAGED WITH DELAWARE DIVISION OF PUBLIC HEALTH AND THE STATE'S HEALTH IMPROVEMENT PLAN (SHIP/SHA) TEAM.INFORMATION RELATED TO AVAILABILITY AND AFFORDABILITY OF SERVICES, HIGH-RISK BEHAVIORS, ISSUES RELATED TO AGING, SOCIETAL ISSUES, AND CHRONIC DISEASE WERE KEY THEMES THAT RESONATED WITHIN THE COLLECTION PROCESS. INFORMATION FROM FOCUS GROUPS WITH VULNERABLE POPULATIONS WAS ALSO INCLUDED IN THE COLLECTION PHASE.TRIPP UMBACH DIRECTED AND MANAGED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT FOR BEEBE HEALTHCARE, RESULTING IN THE IDENTIFICATION AND PRIORITIZATION OF COMMUNITY HEALTH NEEDS AT THE REGIONAL LEVEL. SECONDARY AND QUANTITATIVE DATA SOURCES WERE GATHERED TO CREATE A SNAPSHOT OF THE CURRENT HEALTH STATUS OF THE REGION.PRIMARY DATA IN THE FORM OF COMMUNITY STAKEHOLDER INTERVIEWS WERE IMPLORED TO COLLECT INFORMATION FROM LEADERS WHO HAVE A DEEP UNDERSTANDING OF THE REGION'S HEALTH AND SOCIAL FACTORS IMPACTING RESIDENTS' HEALTH AND WELL-BEING. PRIMARY DATA INSTRUMENTS ALSO INCLUDED FOCUS GROUPS INCLUDING RESIDENTS FROM TWO DIFFERENT ZIP CODES. THE DATA ALSO PROVIDED A DEEPER UNDERSTANDING OF COMMUNITY MATTERS AND COMMUNITY NEEDS. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 7D: CHNA IS ALSO PROVIDED TO THE DELAWARE HEALTHCARE ASSOCIATION AND DELAWARE STATE HEALTH IMPROVEMENT PLAN DIVISION FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11: BEEBE HEALTHCARE ENGAGED TRIPP UMBACH TO DIRECT AND MANAGE A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT FOR BEEBE HEALTHCARE, RESULTING IN THE IDENTIFICATION AND PRIORITIZATION OF COMMUNITY HEALTH NEEDS AT THE REGIONAL LEVEL. THROUGHOUT THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, TRIPP UMBACH REVIEWED PRIMARY AND SECONDARY DATA FROM LOCAL, STATE, AND NATIONAL RESOURCES, COMMUNITY STAKEHOLDER INTERVIEWS, FOCUS GROUPS, A PRIORITIZATION SESSION, AND A RESOURCE PROVIDER INVENTORY (HIGHLIGHTING ORGANIZATIONS AND AGENCIES THAT SERVE THE COMMUNITY) TO IDENTIFY THE REGIONAL HEALTH NEEDS OF RESIDENTS IN SUSSEX COUNTY. THE DATA PROVIDED A CROSS-SECTION OF INFORMATION ESSENTIAL TO THE IDENTIFICATION OF THE KEY COMMUNITY HEALTH NEEDS IN BEEBE HEALTHCARE'S COMMUNITY. THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED NEEDS WERE PRIORITIZED BASED ON MULTIPLE DYNAMICS INCLUDING PRIMARY AND SECONDARY DATA, ALONG WITH CURRENT RESOURCES, COLLABORATIONS, PARTNERSHIPS, AND FEASIBILITY OF EFFECTIVE PROGRAMMING. THE PRIORITIZATION WAS AGREED UPON BY BEEBE HEALTHCARE'S CHNA STEERING COMMITTEE AND POPULATION HEALTH ADVISORY COUNCIL. THE THREE HIGHEST RANKING NEEDS, IN ORDER: (1) CHRONIC DISEASE, INCLUSIVE OF DIABETES, HEART DISEASE, HYPERTENSION, AND OBESITY; (2) BEHAVIORAL HEALTH, INCLUSIVE OF MENTAL HEALTH AND SUBSTANCE USE DISORDER; (3) CANCER, INCLUDING EDUCATION, SCREENING, AND NAVIGATION.ALL THE PRIORITIZED NEEDS ARE BEING EXAMINED THROUGH THE LENS OF SOCIAL DETERMINANTS OF HEALTH AND ACCESSIBILITY AS MANY DATA POINTS HIGHLIGHTED THE ACCESS CHALLENGES EXPERIENCED BY MANY COMMUNITY MEMBERS. BEEBE HEALTHCARE'S IMPLEMENTATION PLAN INTEGRATES AND ADDRESSES THESE NEEDS, AS RELEVANT, THROUGHOUT THE THREE PRIORITY AREAS. BEEBE HEALTHCARE IS IMPLEMENTING STRATEGIES, PROGRAMS, AND SERVICES TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN THE CHNA. THE 2025 COMMUNITY HEALTH NEEDS ASSESSMENT, ALONG WITH THE 2025 EXECUTIVE SUMMARY AND 2025 CHNA IMPLEMENTATION STRATEGY PLAN CAN BE FOUND AT THE FOLLOWING WEBSITE: REPORTS | BEEBE HEALTHCARE: HTTPS://WWW.BEEBEHEALTHCARE.ORG/ABOUT/REPORTSBEEBE HEALTHCARE PRIORITIZES ITS LIMITED RESOURCES SO THAT IT CAN HAVE THE MOST IMPACT ON THE NEEDS IDENTIFIED IN THE CHNA BUT IS UNABLE TO ADDRESS ALL IDENTIFIED NEEDS. SEVERAL STRATEGIES LISTED IN THE 2022 CHNA IMPLEMENTATION STRATEGY PLAN WERE NOT INCLUDED IN THE 2025 CHNA IMPLEMENTATION STRATEGY PLAN AS LISTED ON PAGES 25, 29, AND 33. HOWEVER, THE OBJECTIVES IN WHICH THEY FALL UNDER WILL CONTINUE FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 16J: BEEBE CURRENTLY PUBLISHES POLICIES AND PROCEDURES VIA ITS WEBSITE WITH THE ABILITY TO APPLY ONLINE, AT COMMUNITY OUTREACH EVENTS COORINATED BY POPULATION HEALTH TO INCLUDE ANNUAL HEALTH FAIR AND ONSITE VIA PATIENT FINANCIAL SERVICES. BEEBE ALSO SENDS THE FAP NOTIFICATION TO ALL PATIENTS WITHIN OUR CHARITY RESIDENTIAL AREA TO MAKE THEM AWARE OF THE PROGRAM AS WELL AS EDUCATE THEM VIA PHONE CALLS WHEN MAKING ARRANGEMENTS. BEEBE HAS REGISTRATION PERSONNEL WHO REFER UNINSURED AND/OR LOW-INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE POLICY. 12 1 - SOUTH COASTAL HEALTH CAMPUS 32750 ROXANA RD FRANKFORD DE 19945 ED, DI, LAB, CANCER CENTER 2 - BEEBE HOME HEALTH 232 MITCHELL ST SUITE 200 MILLSBORO DE 19966 HOME HEALTH AGENCY 3 - MILLVILLE HEALTH CENTER 32550 DOCS PLACE UNIT 1 MILLVILLE DE 19967 DI, LAB DRAWS, REHAB 4 - BEEBE SCHOOL OF NURSING 420 MARKET STREET LEWES DE 19958 CERTIFIED NURSING SCHOOL 5 - GEORGETOWN HEALTH CAMPUS 21635 BIDEN AVENUE GEORGETOWN DE 19947 DI, LAB DRAWS, REHAB 6 - BEEBE PHYSICAL REHAB CENTER 19324 LIGHTHOUSE PLAZA BLVD REHOBOTH BEACH DE 19971 REHAB 7 - MILTON HEALTH CENTER 23900 MILTON ELLENDALE HWY MILTON DE 19968 DI, LAB DRAWS, REHAB 8 - MILLSBORO HEALTH CENTER 28538 DUPONT BLVD MILLSBORO DE 19966 DI, LAB DRAWS, REHAB 9 - CAPE PHARMACY 17252 N VILLAGE MAIN BLVD LEWES DE 19958 RETAIL PHARMACY 10 - BEEBE OPEN MRI 26744 JOHN J WILLIAMS HWY MILLSBORO DE 19966 IMAGING 11 - LONG NECK LAB EXPRESS 32060 LONG NECK ROAD MILLSBORO DE 19966 LAB DRAWS, IMAGING 12 - MILFORD HEALTH CENTER 100 SILICATO PARKWAY MILFORD DE 19963 LAB DRAWS, IMAGING PART I, LINE 7: WORKSHEET 2 WAS USED TO CALCULATE THE ORGANIZATION'S RATIO OF PATIENT CARE COST TO CHARGES RATIO TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDES $50,536,085 RELATED TO THE LOSS IN BEEBE PHYSICIAN NETWORK (BPN). BPN IS A NOT-FOR-PROFIT TAX-EXEMPT CORPORATION THAT OPERATES A PHYSICIAN NETWORK PROVIDING INTEGRATED PHYSICIAN SERVICES IN COORDINATION WITH THE MEDICAL CENTER.THESE PRACTICES DO NOT GENERATE SUFFICIENT REVENUE TO COVER THEIR OPERATING COSTS. THESE PRACTICES ARE MAINTAINED BECAUSE THEY ADDRESS DOCUMENTED COMMUNITY HEALTH NEEDS AND ENSURE ACCESS TO ESSENTIAL MEDICAL SERVICES THAT WOULD OTHERWISE BE UNAVAILABLE OR SEVERELY LIMITED IN OUR REGION. BY SUPPORTING THESE PRACTICES, THE HOSPITAL PRESERVES LOCAL ACCESS TO PREVENTIVE CARE, CHRONIC DISEASE MANAGEMENT, BEHAVIORAL HEALTH SERVICES, WOMEN'S HEALTH, AND SPECIALTY CARE SUCH AS GASTROENTEROLOGY, UROLOGY, INFECTIOUS DISEASE, ENDOCRINOLOGY, NEUROLOGY, PULMONARY MEDICINE, GENERAL AND BARIATRIC SURGERY, DERMATOLOGY, ALLERGY, WOUND CARE, AND OTHERS. MANY OF THESE SPECIALTIES ARE NOT FINANCIALLY VIABLE FOR INDEPENDENT PROVIDERS, YET THEY ARE CRITICAL FOR TIMELY DIAGNOSIS, TREATMENT, AND ONGOING MANAGEMENT OF COMPLEX CONDITIONS. WALK IN CLINICS AND SCHOOL BASED WELLNESS CENTERS FURTHER REDUCE BARRIERS TO CARE BY OFFERING CONVENIENT, IMMEDIATE ACCESS FOR WORKING FAMILIES AND ADOLESCENTS WHO MAY OTHERWISE FORGO NEEDED SERVICES. MAINTAINING THIS COMPREHENSIVE NETWORK STRENGTHENS THE LOCAL HEALTHCARE INFRASTRUCTURE, REDUCES RELIANCE ON EMERGENCY DEPARTMENTS, AND PROMOTES EQUITABLE ACCESS FOR UNDERSERVED POPULATIONS.PART I, LINE 7, COLUMN (F) BEEBE HAS REMOVED A BAD DEBT EXPENSE FIGURE OF $32,329,493 FROM THE PERCENT OF TOTAL EXPENSE CALCULATION. BAD DEBT IS REPORTED IN PART III AND EXCLUDED FROM COMMUNITY BENEFIT; THEREFORE IT IS REMOVED FROM THE DENOMINATOR TO PRESENT COMMUNITY BENEFIT PERCENTAGE ON A COMPARABLE BASIS. PART II, COMMUNITY BUILDING ACTIVITIES: DURING FISCAL YEAR 2025 COMMUNITY BUILDING ACTIVITIES INCLUDED:LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS, COMMUNITY HEALTH IMPROVEMENT, INTERPRETER SKILLS, ADVOCACY EMPOWERMENT AND EDUCATION ARE INTEGRAL COMPONENTS IN THE PROMOTION OF SELF-ADVOCACY AND SELF-CARE. THESE OFFERINGS CREATE OPPORTUNITIES FOR OUR RESIDENTS TO ENGAGE IN KNOWLEDGE-BUILDING AND SKILL-BUILDING EXPERIENCES THAT TEACH WAYS TO BETTER SELF-MANAGE THEIR CONDITIONS AND IMPROVE THEIR HEALTH OUTCOMES. PART III, LINE 2: THE ORGANIZATION'S METHODOLOGY FOR REPORTING BAD DEBT ON SCHEDULE, H, LINE 2 IS GROSS CHARGES. BEEBE UTILIZES PATIENT ACCOUNTING AND FOLLOWS ITS COLLECTION CYCLE TO WRITE OFF BAD DEBT. SEE PART III, LINE 4 FOR FURTHER DETAIL. PART III, LINE 3: SEE EXPLANATION UNDER PART III, LINES 2 AND 4. PART III, LINE 4: UNDER THE PROVISIONS OF ASU-2014-09, WHEN THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO PASSAGE OF TIME, THE RIGHT IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS, WHICH HAVE THE UNCONDITIONAL RIGHT TO PAYMENT AND ESTIMATED AMOUNTS DUE FROM THIRD PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECORDED AS RECEIVABLES SINCE THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. THE ESTIMATED UNCOLLECTIBLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE RECORDED AS A DIRECT REDUCTION TO PATIENT ACCOUNTS RECEIVABLE RATHER THAN AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 8: BEEBE MEDICAL CENTER'S PRIMARY SERVICE AREA IS RURAL WITH A VERY HIGH MEDICARE POPULATION. MEDICARE REPRESENTS 62% OF HOSPITAL BUSINESS. MEDICARE RATES DO NOT KEEP UP WITH HEALTHCARE COSTS AND WITH THE HIGH PERCENTAGE OF MEDICARE VOLUMES. THE SHORTFALL REPRESENTS AN ESSENTIAL COMPONENT OF SERVING THE HEALTH NEEDS OF THE COMMUNITY. MEDICARE PATIENTS MAKE UP A SIGNIFICANT PORTION OF THE POPULATION BEEBE SERVES, INCLUDING OLDER ADULTS AND INDIVIDUALS WITH DISABILITIES WHO OFTEN HAVE COMPLEX MEDICAL RECORDS. THE HOSPITAL PROVIDES THESE SERVICES REGARDLESS OF THE FACT THAT MEDICARE REIMBURSEMENT RATES FREQUENTLY DO NOT COVER THE FULL COST OF PROVIDING CARE.BY ABSORBING THESE LOSSES, THE HOSPITAL ENSURES THAT MEDICARE BENEFICIARIES CONTINUE TO HAVE ACCESS TO HIGH-QUALITY INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES WITHIN THEIR OWN COMMUNITY. WITHOUT THIS COMMITMENT, MANY PATIENTS WOULD FACE REDUCED ACCESS TO CARE, LONGER TRAVEL DISTANCES, OR DELAYS IN RECEIVING MEDICALLY NECESSARY TREATMENT. MAINTAINING ACCESS FOR MEDICARE PATIENTS SUPPORTS THE OVERALL HEALTH OF THE COMMUNITY BY:- PRESERVING ESSENTIAL HEALTHCARE SERVICES FOR A VULNERABLE AND GROWING POPULATION- PREVENTING AVOIDABLE COMPLICATIONS AND HOSPITALIZATIONS BY ENSURING TIMELY ACCESS TO CARE- SUPPORTING CONTINUITY OF CARE FOR CHRONIC CONDITIONS THAT DISPROPORTIONATELY AFFECT MEDICARE BENEFICIARIES- REDUCING STRAIN ON EMERGENCY SERVICES BY PROVIDING APPROPRIATE OUTPATIENT AND SPECIALTY CARE.AS SUCH, THE HOSPITAL VIEWS THE MEDICARE SHORTFALL OF $124,007,657 AS A COMMUNITY BENEFIT AND ITS MISSION DRIVEN COMMITMENT TO MEET COMMUNITY HEALTH NEEDS TO ENSURE ALL RESIDENTS - REGARDLESS OF REIMBURSEMENT ADEQUACY - HAVE ACCESS TO NECESSARY MEDICAL CARE. RATIO OF COST TO CHARGES WAS USED TO DETERMINE THE AMOUNT ON LINE 6. PART III, LINE 9B: BEEBE MEDICAL CENTER COLLECTION POLICY INCLUDES INFORMATION ABOUT OUR FINANCIAL ASSISTANCE POLICY (FAP) AND HOW TO FIND THE FAP. THE DEBT COLLECTION POLICY APPLIES TO ALL PATIENTS. ADDITIONALLY, OUR COLLECTION POLICY INSTRUCTS THAT EXTRAORDINARY COLLECTION ACTIONS (ECA) WILL BE SUSPENDED WHEN A PATIENT REQUESTS INFORMATION ON OUR FAP OR SUBMITS A FINANCIAL ASSISTANCE APPLICATION WITHIN 240 DAYS OF THE FIRST POST-DISCHARGE BILLING STATEMENT. OUR POLICY DESCRIBES WHAT TO DO IF THE FINANCIAL ASSISTANCE APPLICATION IS INCOMPLETE AND WHAT IS REQUIRED TO BE REFUNDED IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE AFTER MAKING A PAYMENT. WE INCLUDE DATES IN WHICH SERVICES ARE INCLUDED IN THE FINANCIAL ASSISTANCE SO THAT WE UNDERSTAND WHEN NORMAL COLLECTIONS EFFORTS ARE APPROPRIATE.WITHIN OUR COLLECTION POLICY WE DESCRIBE THAT A PATIENT DENIED FINANCIAL ASSISTANCE MAY REQUEST A RECONSIDERATION. FOR DATES OF SERVICES APPROVED FOR FINANCIAL ASSISTANCE COLLECTIONS PROCESSES ARE HALTED AS THE ACCOUNT IS ADJUSTED TO ZERO DUE FROM PATIENT. THE POLICY STATES HOW TO PROCESS THE PATIENT BALANCE WHEN ONLY A PORTION OF THE CHARGE QUALIFIED FOR FINANCIAL ASSISTANCE. COLLECTIONS WILL ONLY BE PURSUED ON THE AMOUNT THAT DID NOT QUALIFY. PART VI, LINE 2: BEEBE MEDICAL CENTER HAS VARIOUS METHODS FOR ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES: - COMMUNITY-BASED BOARD OF DIRECTORS - SAFETY AND QUALITY COMMITTEE - CONSUMER PERCEPTION SURVEY - PATIENT AND FAMILY ADVISORY COUNCIL - POPULATION HEALTH ADVISORY COUNCIL- PRESS-GANEY PATIENT SATISFACTION SURVEY - POST-PARTICIPATION PROGRAM SURVEYS - PUBLIC DATA - HEALTH FAIRS AND MOBILE HEALTH CLINICS PART VI, LINE 3: BEEBE MEDICAL CENTER (BMC) IS A NOT-FOR-PROFIT, COMMUNITY-BASED HEALTHCARE FACILITY. IT IS HOSPITAL POLICY THAT NO ONE WILL BE DENIED MEDICALLY NECESSARY HOSPITAL SERVICES BASED UPON THE PATIENT'S ABILITY TO PAY FOR THOSE SERVICES. BEEBE HEALTHCARE POSTS ITS FINANCIAL ASSISTANCE POLICY, OR A SUMMARY THEREOF, APPLICATIONS FOR FINANCIAL ASSISTANCE, AND FINANCIAL ASSISTANCE CONTACT INFORMATION IN ADMISSIONS AREAS, EMERGENCY ROOMS, POINT OF DISCHARGE AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES WHERE ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. SIGNS ARE LOCATED IN THE EDS (LEWES AND SOUTH COASTAL), SPECIALTY SURGICAL HOSPITAL, AND SDS. FLYERS AND BROCHURES ARE AVAILABLE AT ALL POINTS OF REGISTRATION. ADMISSION PACKETS INCLUDE FLYERS AND BROCHURES AND SELF-PAY IN PATIENTS ARE SCREENED FOR MEDICAID, HCC AND FINANCIAL ASSISTANCE BY THE MEDICAID ELIGIBILITY VENDOR, HRSI. BEEBE MEDICAL CENTER COMPLIES WITH ALL FEDERAL, STATE AND CONTRACTUAL LAWS, REGULATIONS AND REQUIREMENTS. BEEBE HEALTHCARE INFORMS AND EDUCATES PATIENTS AND PERSONS WHO ARE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS. UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY MATERIALS ARE PROVIDED IN THE FOLLOWING MANNER:BROCHURES AND FLYERS LOCATED IN ADMISSIONS AREAS, EMERGENCY ROOMS, POINT OF DISCHARGE AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES WHERE ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT.CHARITY ASSISTANCE LETTER IS SENT TO ALL PATIENTS WITH A PATIENT BALANCE AND INCLUDE FEDERAL POVERTY LEVEL WITH MEDICAID ELIGIBILITY LEVEL BY FAMILY SIZE, CONTACT # AND WEBSITE WITH POLICY AND DOWNLOADABLE APPLICATIONPATIENT STATEMENTS INCLUDES PATIENT FINANCIAL SERVICES PHONE NUMBER FOR SCREENING AS WELL AS WEBSITE WITH APPLICATION GUIDELINES AND APPLICATION PROCESS TO DETERMINE IF PATIENTS ARE ELIGIBLE WEBSITEHTTPS://WWW.BEEBEHEALTHCARE.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE, PHONE NUMBERS, DOWNLOADABLE APPLICATION AND OTHER AGENCY INFORMATION FOR HEALTH CARE CONNECTIONS AND SCREENING FOR LIFE (HCC/SFL), MEDICAID, DELAWARE CANCER TREATMENT PROGRAM AND GOOD DAYS LINKACD CALLS - PATIENTS ARE SCREENED FOR MEDICAID, HCC AND BEEBE HEALTHCARE'S FINANCIAL ASSISTANCE PROGRAMS DMAB - (DELAWARE MEDICARE ASSISTANCE BUREAU) RACK AND BUSINESS CARDS AVAILABLE AT POINTS OF REGISTRATIONMEDICAID ELIGIBILITY VENDOR, HRSI IS AVAILABLE UPON REQUEST FOR INSURANCE MARKET PLACE ASSISTANCE, MEDICAID, LONG TERM CARE, BEEBE FINANCIAL ASSISTANCE, HCC AND DELAWARE CANCER TREATMENT PROGRAMFINANCIAL COUNSELORS ARE AVAILABLE IN PATIENT FINANCIAL SERVICES DEPARTMENT OR PATIENTS CAN ASK TO SPEAK WITH A HEALTHCARE CONNECTION HEALTH PROMOTION ADVOCATE. BMC COOPERATES WITH AND ASSISTS ALL PATIENTS IN THE FULFILLMENT OF THEIR FINANCIAL RESPONSIBILITY. THIS COOPERATION INCLUDES ASSISTANCE WITH ENROLLMENT IN PUBLIC OR PRIVATE INSURANCE PROGRAMS, CHARITY-BASED PROGRAMS, FINANCIAL ASSISTANCE PROGRAMS, OR OTHER THIRD PARTY PAYMENT PROGRAMS. PATIENTS HAVE THE RESPONSIBILITY TO PROVIDE TIMELY AND ACCURATE INFORMATION WHEN SEEKING CONSIDERATION UNDER THE BMC CHARITY AND FINANCIAL AID POLICY AND THE PATIENT OR GUARANTOR HAS THE ULTIMATE FINANCIAL RESPONSIBILITY FOR CARE RECEIVED FROM BEEBE MEDICAL CENTER. PART VI, LINE 4: THE MEDICAL CENTER IS LOCATED IN SUSSEX COUNTY, THE SOUTHERN-MOST OF THREE DELAWARE COUNTIES, WHICH CONSISTS OF 938 SQUARE MILES, OR 48% OF DELAWARE'S ENTIRE LAND AREA. BECAUSE OF ITS CLIMATE AND LOW PROPERTY TAXES, SUSSEX COUNTY HAS BECOME AN ATTRACTIVE RETIREMENT COMMUNITY. ALL OF THE COUNTY'S GROWTH OVER THE NEXT DECADE IS PROJECTED TO COME FROM PERSONS MOVING INTO THE COUNTY.TRADITIONALLY, SUSSEX COUNTY HAS BEEN REGARDED AS A RURAL AGRICULTURAL AREA. HOWEVER, THE EASTERN EDGE OF SUSSEX COUNTY THAT FRONTS ON THE DELAWARE BAY AND ATLANTIC OCEAN HAS BECOME A MAJOR TOURIST RESORT AND, MOST RECENTLY, A FAVORED RETIREMENT AREA, RETAIL, AND HOSPITALITY CENTER. EASTERN AND SOUTHEASTERN SUSSEX COUNTY, WHICH IS BEEBE MEDICAL CENTER'S PRIMARY SERVICE AREA, IS PARTICULARLY ATTRACTIVE DUE TO ITS PROXIMITY TO THE ATLANTIC OCEAN AND DELAWARE BAY. AS A RESULT, THE MEDICAL CENTER GENERALLY EXPERIENCES A SIGNIFICANT INCREASE IN PATIENT VISITS DURING THE SUMMER PERIODS.ACCORDING TO THE U.S. CENSUS BUREAU, THE ESTIMATED POPULATION OF DELAWARE IN 2022 WAS 993,635 RESIDENTS. THE ESTIMATED POPULATION FOR SUSSEX COUNTY IN 2022 WAS 240,668 WITH A POPULATION OF 70,203 (29.17%) OVER THE AGE OF 65. THE PERCENTAGE IN POVERTY IS LISTED AT 11.6%. (BEEBE HEALTHCARE COMMUNITY HEALTH NEEDS ASSESSMENT JUNE 2025).DURING FISCAL YEAR 2025, 20% OF THE LOCAL COMMUNITY WERE MEDICAID RECIPIENTS, 11% OF THE HOSPITAL'S PATIENTS WERE MEDICAID RECIPIENTS. BEEBE IS THE ONLY HOSPITAL SYSTEM IN WITHIN 16 MILES. ACCORDING TO DE DIVISION OF PUBLIC HEALTH WORKS, SUSSEX COUNTY, WHERE BEEBE IS LOCATED, IS DESIGNATED AS MEDICALLY UNDERSERVED.HTTPS://WWW.DHSS.DELAWARE.GOV/DPH/HSM/PCOSDI.HTML PART VI, LINE 5: BEEBE MEDICAL CENTER'S MISSION IS ROOTED IN THREE ACTIONS, ENCOURAGING HEALTHY LIVING, PREVENTING ILLNESS, AND RESTORING OPTIMAL HEALTH WITH THE PEOPLE RESIDING, WORKING, OR VISITING THE COMMUNITIES WE SERVE. BEEBE MEDICAL CENTER'S BOARD IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATIONS PRIMARY SERVICE AREA AND THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL PHYSICIANS IN ITS COMMUNITY. ANY SURPLUS FUNDS ON HAND BEEBE APPLIES TO IMPROVEMENTS IN FACILITIES AND EQUIPMENT, PATIENT CARE, MEDICAL TRAINING, EDUCATION AND RESEARCH.ADDITIONALLY, AS A COMMUNITY ORGANIZATION, BEEBE HEALTHCARE IS CONTINUOUSLY PARTICIPATING IN COMMUNITY EVENTS AND PARTICIPATING WITH COMMUNITY ORGANIZATIONS TO OFFER NO-COST SEMINARS, WORKSHOPS, AND ACTIVITIES DEDICATED TO EDUCATING AND SUPPORT THE COMMUNITY ALONG WITH THE CONTINUUM OF CARE. EMPOWERMENT AND EDUCATION ARE INTEGRAL COMPONENTS IN THE PROMOTION OF SELF-ADVOCACY AND SELF-CARE. THESE OFFERINGS CREATE OPPORTUNITIES FOR OUR RESIDENTS TO ENGAGE IN KNOWLEDGE-BUILDING AND SKILL-BUILDING EXPERIENCES THAT TEACH WAYS TO BETTER SELF-MANAGE THEIR CONDITIONS AND IMPROVE THEIR HEALTH OUTCOMES.MOBILE OUTREACH:LAUNCHED IN 2023, BEEBE'S MOBILE OUTREACH PROGRAM DELIVERS INTEGRATED MEDICAL, BEHAVIORAL HEALTH, AND SOCIAL SUPPORT SERVICES DIRECTLY TO COMMUNITIES ACROSS SUSSEX COUNTY. BY REDUCING BARRIERS TO CARE AND CONNECTING INDIVIDUALS TO ONGOING RESOURCES, THE PROGRAM PROMOTES EARLY DETECTION, PREVENTION, AND EQUITABLE ACCESS FOR THOUSANDS OF RESIDENTS EACH YEAR.FOOD PROGRAMS:BEEBE'S FOOD PROGRAMS, LAUNCHED IN 2016 WITH THE FOOD BANK OF DELAWARE, SUPPORT FOOD INSECURE PATIENTS THROUGH MONTHLY FOOD BOXES, HEALTHY FOOD PRESCRIPTIONS, AND COMMUNITY HEALTH WORKER SUPPORT. THESE PROGRAMS IMPROVE CHRONIC DISEASE MANAGEMENT AND ACCESS TO ESSENTIAL RESOURCES THROUGH FLEXIBLE, COMMUNITY BASED, AND VIRTUAL DELIVERY MODELS.COMMUNITY HEALTH SCREENINGS:BEEBE'S COMMUNITY SCREENING EVENTS HELP INDIVIDUALS UNDERSTAND THEIR HEALTH, ACCESS RESOURCES, AND CONNECT TO CARE. REGISTERED NURSES PROVIDE POINT OF CARE TESTING WITH IMMEDIATE RESULTS, EDUCATION, AND REFERRALS, ALONG WITH CANCER RISK ASSESSMENTS TO SUPPORT PREVENTION AND EARLY DETECTION. RESULTS ARE SHARED WITH PARTICIPANTS AND THEIR PRIMARY CARE CLINICIANS.EDUCATION PROGRAMS:BEEBE HEALTHCARE OFFERS COMPREHENSIVE EDUCATION PROGRAMS FOCUSED ON PREVENTION, CHRONIC DISEASE MANAGEMENT, AND COMMUNITY SAFETY. THESE INCLUDE ADA ACCREDITED DIABETES EDUCATION, CHRONIC DISEASE AND PAIN SELF MANAGEMENT WORKSHOPS, A COMMUNITY HEALTH EDUCATION SERIES, THE CDC APPROVED NATIONAL DIABETES PREVENTION PROGRAM, NARCAN OVERDOSE RESPONSE TRAINING, HYPERTENSION MANAGEMENT THROUGH THE HEALTHY HEART AMBASSADOR PROGRAM, AND FREE CPR/AED TRAINING. TOGETHER, THESE PROGRAMS EMPOWER INDIVIDUALS WITH KNOWLEDGE, SKILLS, AND SUPPORT TO IMPROVE HEALTH OUTCOMES ACROSS SUSSEX COUNTY.CARE COORDINATION PROGRAM:BEEBE HEALTHCARE'S CARE COORDINATION PROGRAM SUPPORTS PATIENTS WITH CHRONIC OR COMPLEX NEEDS BY ENSURING SEAMLESS CARE ACROSS PROVIDERS AND SETTINGS. THROUGH LONGITUDINAL AND TRANSITIONAL CARE, MULTIDISCIPLINARY TEAMS HELP IMPROVE OUTCOMES, STRENGTHEN SELF MANAGEMENT, AND SUPPORT SAFE TRANSITIONS OF CARE.COMMUNITY HEALTH WORKERS:LAUNCHED IN MARCH 2023 WITH ARPA FUNDING, BEEBE HEALTHCARE'S COMMUNITY HEALTH WORKER (CHW) PROGRAM SUPPORTS WHOLE PERSON CARE ACROSS SUSSEX COUNTY, PARTICULARLY IN UNDERSERVED AND RURAL COMMUNITIES. EMBEDDED WITHIN THE COMMUNITIES THEY SERVE, CHWS BUILD TRUST, ADDRESS SOCIAL DRIVERS OF HEALTH, PROMOTE PREVENTION AND CHRONIC DISEASE AWARENESS, AND HELP INDIVIDUALS NAVIGATE HEALTHCARE AND SOCIAL SERVICE SYSTEMS. INTEGRATED INTO MOBILE HEALTH CLINICS, OUTREACH, AND CARE NAVIGATION, CHWS IMPROVE ACCESS, CONTINUITY OF CARE, AND HEALTH OUTCOMES WHILE ADVANCING EQUITY ACROSS THE COUNTY.RESULTS NURSE NAVIGATOR:ESTABLISHED IN 2022, BEEBE HEALTHCARE'S RESULTS NURSE NAVIGATOR ENSURES INCIDENTAL FINDINGS FROM DIAGNOSTIC IMAGING ARE IDENTIFIED, TRACKED, AND ACTED UPON. BY COORDINATING COMMUNICATION BETWEEN ORDERING PROVIDERS, PRIMARY CARE CLINICIANS, AND PATIENTS, THE NAVIGATOR PREVENTS MISSED OR DELAYED DIAGNOSES AND PROMOTES TIMELY FOLLOW UP CARE. THIS ROLE STRENGTHENS CLINICAL ACCOUNTABILITY, SUPPORTS EARLY INTERVENTION, AND REINFORCES PROACTIVE, COORDINATED CARE TO IMPROVE PATIENT OUTCOMES.COORDINATED CARE CENTER:OPENED IN AUGUST 2024, BEEBE'S COORDINATED CARE CENTER (CCC) CONNECTS PATIENTS WITHOUT A PRIMARY CARE PROVIDER TO TIMELY FOLLOW-UP CARE AFTER HOSPITALIZATION. BY SCHEDULING VISITS BEFORE DISCHARGE, THE CCC HELPS PREVENT REHOSPITALIZATION AND SUPPORTS PATIENTS WITH CHRONIC CONDITIONS THROUGH COORDINATED, VALUE-BASED CARE. DELIVERED OUTSIDE THE HOSPITAL, THIS APPROACH IMPROVES OUTCOMES, REDUCES EMERGENCY DEPARTMENT RETURNS, AND EXPANDS ACCESS TO CARE, INCLUDING FOR PATIENTS IN REMOTE AREAS. PART VI, LINE 6: BEEBE MEDICAL CENTER (BMC) IS A MEMBER OF AN AFFILIATED HEALTH CARE SYSTEM THAT INCLUDES BEEBE PHYSICIAN NETWORK (BPN), A NOT-FOR-PROFIT TAX-EXEMPT CORPORATION THAT OPERATES A PHYSICIAN NETWORK PROVIDING INTEGRATED PHYSICIAN SERVICES IN COORDINATION WITH THE MEDICAL CENTER. BMC IS LOCATED IN A COMMUNITY THAT HAS BEEN DESIGNATED AS A PHYSICIAN UNDERSERVED AREA SINCE 1976 AND BPN WAS ORGANIZED TO ENCOURAGE PHYSICIANS TO PRACTICE IN THE AREA TO ENSURE ACCESS TO CARE FOR THE SURROUNDING COMMUNITIES. PART VI, LINE 7 COMMUNITY BENEFIT REPORT IS FILED WITH THE STATE OF DELAWARE. 1 BEEBE MEDICAL FOUNDATION 902 SAVANNAH ROAD LEWES DE 19958 510319455 501(C)(3) 1642922 0 GENERAL SUPPORT 1 PART I, LINE 2: THE MEDICAL CENTER ONLY MAKES GRANTS TO ITS RELATED, TAX-EXEMPT FOUNDATION BEEBE MEDICAL FOUNDATION. X 1 1 X X X X 1 0 0 0 0 0 0 1 0 DAVID A TAM MD SECRETARY/CEO 882940 0 385000 0 225149 0 11500 0 36521 0 1541110 0 0 0 PAUL SIERZENSKI SR. VP SYSTEM CHF. PHYSICIAN EXEC. 554933 0 129950 0 87564 0 11500 0 36494 0 820441 0 0 0 NISARG DESAI PHYSICIAN 583208 0 91500 0 538 0 9985 0 27997 0 713228 0 0 0 WILLIAM CHASANOV DIRECTOR/VP AND CHIEF POPULATION HLT 488037 0 106106 0 79637 0 11500 0 12228 0 697508 0 0 0 SRUJITHA MURUKUTLA PHYSICIAN 586831 0 30000 0 540 0 11500 0 18668 0 647539 0 0 0 RICHARD SCHAFFNER FORMER EXEC VP/COO 0 0 0 0 579536 0 0 0 0 0 579536 0 0 0 BRUCE LESHINE VP AND CHIEF LEGAL OFFICER 375833 0 82320 0 47483 0 11137 0 29017 0 545790 0 0 0 ASHLEY FOSTER SR VP AND CHIEF PEOPLE OFFICER 367341 0 95000 0 54145 0 11500 0 16044 0 544030 0 0 0 MICHAEL MAKSYMOW VP AND CHIEF INFORMATION OFFICER 327751 0 68400 0 32972 0 11157 0 27066 0 467346 0 0 0 DIANE TAYLOR VP CHIEF STRATEGIC PLANNING-BUS DEV 271773 0 75000 0 26364 0 3394 0 30107 0 406638 0 0 0 KATHRINE BECHTOLD FORMER CHIEF NURSING OFFICER 11938 0 0 0 347510 0 0 0 2646 0 362094 0 0 0 LORETTA OSTROSKI VP IP NURSING AND EMERGENCY SERVICES 233769 0 48200 0 26166 0 11417 0 11938 0 331490 0 0 0 THOMAS STANLEY CHIEF ONCOLOGY PHYSICIST 263739 0 0 0 424 0 9007 0 27788 0 300958 0 0 0 CHRISTINA DEIDESHEIMER VP COMM & OUTREACH, CHF COMMS OFFR 222369 0 23350 0 15874 0 5838 0 29389 0 296820 0 0 0 RYAN KENNEDY SR VP AND CFO 199633 0 0 0 30472 0 720 0 14344 0 245169 0 0 0 PART I, LINE 1A AS A PART OF THEIR EMPLOYMENT CONTRACT AND FOR THE CONVENIENCE OF THE HOSPITAL, THE FOLLOWING INDIVIDUALS RECEIVED A HOUSING ALLOWANCE FROM THE FILING ORGANIZATION DURING THE 2024 CALENDAR YEAR. THE AMOUNT IS INCLUDED IN PART II, LINE B(III): RYAN KENNEDY $11,489 PART I, LINE 4A THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE COMPENSATION FROM THE FILING ORGANIZATION DURING THE 2024 CALENDAR YEAR: RICHARD SCHAFFNER: $491,000 KATHERINE BECHTOLD: $276,067 PART I, LINE 7 EXECUTIVES AND MANAGEMENT TEAM MEMBERS ARE ELIGIBLE FOR BONUSES IF THEY MEET SPECIFIC ORGANIZATIONAL OBJECTIVES INCLUDING QUALITY AND SAFETY ISSUES, PATIENT SATISFACTION SCORES, AND CERTAIN FINANCIAL GOALS. FOR VICE PRESIDENTS, 80% OF THEIR ELIGIBLE INCENTIVE IS BASED UPON ORGANIZATION - WIDE GOALS AND 20% IS BASED UPON INDIVIDUAL GOALS. FOR THE CEO, 100% OF THE ELIGIBLE INCENTIVE IS BASED UPON ORGANIZATION - WIDE OR TEAM GOALS. CERTAIN PHYSICIANS ARE ELIGIBLE FOR AN INCENTIVE BASED ON THE PHYSICIAN'S INDIVIDUAL PRACTICE NUMBER OF WORKED RVUS. FORM 990, PART VII - STEVE QUIRICONI EFFECTIVE APRIL 2023, STEVE QUIRICONI BECAME THE INTERIM CHIEF FINANCIAL OFFICER FOR BEEBE MEDICAL CENTER. QUIRICONI WAS PAID THROUGH WITT KIEFFER, AN INDEPENDENT CONSULTING FIRM. DURING CALENDAR YEAR 2024, $595,715 WAS PAID TO WITT KIEFFER FOR SERVICES PROVIDED TO THE ORIGANIZATION THAT INCLUDED QUIRICON'S COMPENSATION AS INTERIM CFO. QUIRICONI'S SERVICES TERMINATED AUGUST 2024. A DELAWARE HEALTH FACILITIES AUTH 510272458 NONEAVAIL 2020-07-15 25625000 CURRENT REFUNDING OF SERIES 2014A BONDS 0 0 0 B DELAWARE HEALTH FACILITIES AUTH 510272458 NONEAVAIL 2020-07-15 3370000 CURRENT REFUNDING OF SERIES 2014B BONDS 0 0 0 C DELAWARE HEALTH FACILITIES AUTH 510272458 246388RU8 2015-09-03 16207224 REFUND DHFA SERIES 2005A 0 0 0 D DELAWARE HEALTH FACILITIES AUTH 510272458 246388TP7 2018-12-20 179937451 PLANNED EXPANSION HEALTH CARE FACILITY 0 0 0 A 5100000 25825000 10070000 15755000 2020 1 0 1 1 B 3370000 3370000 3370000 2020 0 0 1 1 C 9673080 16207224 324144 15883080 2015 1 0 1 1 D 4470000 179937451 19435922 1481051 169870000 2020 0 0 1 1 A 0 0 1 1 1 1 1 0 1 B 0 0 1 1 1 1 1 0 1 C 0 1 1 1 1 1 1 0 1 D 0 0 0 0 1 0 0 A 0 0 1 0 1 0 0 1 B 0 0 1 0 1 0 0 1 C 0 0 1 0 0 0 0 1 D 0 0 0 1 0 0 0 1 A 0 B 0 C 0 D 0 SCHEDULE K, PART I, LINE A, COLUMN (F) DESCRIPTION OF PURPOSE: REFUNDING BOND ISSUE TO FINANCE; REFINANCING OF THE SHFA $25,825,000 REVENUE BONDS. BEEBE MEDICAL CENTER SERIES 2014A OUTSTANDING AS OF 6/30/2025 WAS $20,725,000, ISSUE DATE 7/15/2020. SHEDULE K, PART 1 LINE B COLUMN F: DESCRIPTION OF PURPOSE: REFUNDING BOND ISSUE TO FINANCE; REFINANCING OF THE SHFA $3,370,000 REVENUE BONDS, BEEBE MEDICAL CENTER SERIES 2014B OUTSTANDING AS OF 6/30/2025 WAS $0, ISSUE DATE 7/15/2020. SCHEDULE K, PART I, LINE C. COLUMN (F) DESCRIPTION OF PURPOSE: REFUNDING BOND ISSUE TO FINANCE; REFINANCING OF THE SHFA $23,450,000 REVENUE BONDS. BEEBE MEDICAL CENTER SERIES 2015 OUTSTANDING AS OF 6/30/2025 WAS $6,160,000, ISSUE DATE 9/2/2015 SCHEDULE K, PART I, LINE D. COLUMN (F) DESCRIPTION OF PURPOSE: REFUNDING BOND ISSUE TO FINANCE PLANNED EXPANSION AND CAPITAL EQUIPMENT EXPENDITURES IN SUSSEX COUNTY, DE BEEBE MEDICAL CENTER SERIES 2018 OUTSTANDING AS OF 6/30/2025 WAS $165,400,000, ISSUE DATE12/20/18 SCHEDULE K: PART IV LINE 1 COLUMNS A AND C: BEEBE DOES NOT MAINTAINS TRADITIONAL DEBT SERVICE FAR THIS ISSUE; THE DEBT. SERVICE IS PAID FRAM THE GENERAL FUND WHEN DUE SCHEDULE K: PART IV LINE 1 COLUMN C: THE REBATE CALCULATION FOR SERIES 2015 WAS PERFORMED 9/3/2025 SCHEDULE K: PART IV LINE 1 COLUMN D: THE REBATE CALCULATION FOR SERIES 2018 WAS PERFORMED11 12/20/2024 CARDIOVAS INTERV ASSOC OWNED BY BOARD MEM. 787004 CALL PAY 0 SECURENET MD LLC OWNED BY BOARD MEM. 256516 IT SERVICES 0 SALIBA FAMILY LLC SEE PART V 380880 SEE PART V 0 SCHEDULE L, PART IV FOR THE TRANSACTIONS WITH SALIBA FAMILY LLC, ANIS SALIBA, MD, AN EMERITUS MEMBER OF THE BOARD OF BEEBE MEDICAL CENTER, IS A MEMBER OF THE LLC. BEEBE MEDICAL CENTER RENTS OFFICE SPACE FROM THE LLC.ANIS SALIBA, MD, LAST SERVED AS A VOTING MEMBER OF THE BOARD DURING FISCAL YEAR JUNE, 30, 2019. SCHEDULE L, PART IV AS NOTED IN BEEBE'S CONFLICT OF INTEREST POLICY, ANY MEMBER WITH AN ACTUAL OR PERCEIVED CONFLICT RECUSES HIMSELF OR HERSELF FROM ANY DELIBERATIONS ON THE CONFLICTED MATTER. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED INTERNALLY BY MANAGEMENT OF BEEBE MEDICAL CENTER, INC. THE RETURN IS REVIEWED BY A THIRD PARTY ACCOUNTING FIRM, GRANT THORNTON ADVISORS LLC. A COPY OF THE FORM 990 WAS PROVIDED TO THE GOVERNING BODY BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C BEEBE MEDICAL CENTER REQUIRES ANNUAL COMPLETION OF A CONFLICT OF INTEREST STATEMENT FOR ALL BOARD MEMBERS, EXECUTIVES, AND MANAGEMENT TEAM MEMBERS. NON-MANAGEMENT TEAM MEMBERS ARE REQUIRED TO SUBMIT A CONFLICT OF INTEREST STATEMENT UPON HIRE. CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY THE BOARD AND AUDIT COMMITTEE FOR THE EXISTENCE OF ANY ADVERSE INTEREST. ANY MEMBER WITH AN ACTUAL OR PERCEIVED CONFLICT RECUSES HIMSELF OR HERSELF FROM ANY DELIBERATIONS ON THE CONFLICTED MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS GOVERNS AND CONTROLS EXECUTIVE COMPENSATION. PAY IS DETERMINED BY COMPARING LIKE POSITIONS TO OTHER TAX-EXEMPT HEALTH SYSTEMS SIMILAR TO BEEBE MEDICAL CENTER IN SIZE AND COMPLEXITY LOCATED REGIONALLY AND THROUGHOUT THE UNITED STATES. PAY IS POSITIONED AT A RANGE AROUND THE 50TH PERCENTILE OF BEEBE MEDICAL CENTER'S PEER GROUP, ON A NATIONAL BASIS. THE COMPENSATION COMMITTEE UTILIZES A CONSULTANT FOR EXECUTIVE COMPENSATION ADVICE. MINUTES OF MEETINGS ARE MAINTAINED TO DOCUMENT DELIBERATION AND DECISIONS. FORM 990, PART VI, SECTION B, LINE 16B: THE ORGANIZATION IS IN PROCESS OF REVIEWING AND IMPLEMENTING A POLICY RELATED TO PARTICIPATING IN A JOINT VENTURE OR SIMILAR ARRANGEMENTS WITH A TAXABLE ENTITY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 41,234,100. MANAGEMENT AND GENERAL EXPENSES 215,354. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,449,454. OUTSIDE PURCHASE SERVICE - REV CYCLE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 33,559,304. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,559,304. CONSULTING: PROGRAM SERVICE EXPENSES 2,247,763. MANAGEMENT AND GENERAL EXPENSES 11,210,278. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,458,041. OTHER: PROGRAM SERVICE EXPENSES 8,115,416. MANAGEMENT AND GENERAL EXPENSES 1,976,354. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,091,770. CONTRACT LABOR RN: PROGRAM SERVICE EXPENSES 7,570,790. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,570,790. CONTRACT LABOR OTHER PROFESSIONAL: PROGRAM SERVICE EXPENSES 3,366,030. MANAGEMENT AND GENERAL EXPENSES 9,833. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,375,863. OUTSIDE PURCHASE SERVICE - BUSINESS OFFICE: PROGRAM SERVICE EXPENSES 50,136. MANAGEMENT AND GENERAL EXPENSES 787,305. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 837,441. FORM 990, PART XI, LINE 9: EQUITY LOSS IN SUBSIDIARIES -48,965,512. CHANGE IN INTEREST IN FOUNDATION NET ASSETS WITH DONOR RESTRICTIONS 2,873,865. CHANGE IN BENEFIT PLAN LIABILITIES 1,416,921. OTHER CHANGES IN UNRESTRICTED NET ASSETS 1,797,598. NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS 1,278,471. INCREASE IN VALUE OF CHARITABLE REMAINDER AND PERPETUAL TRUST 88,098. OTHER ACCRUED RETIREMENT COSTS -520,007. GRANT RECOVERIES FROM FOUNDATION 209,894. 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