TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) FRED B DEVITT JR ESQ MEMBER	2	X			0	0	0
(2) MATTHEW G SKINNER CHIEF MEDICAL PHYSICIST	40			X	218,793	0	15,852
(3) GERALYN A LUNSFORD VP OF PATIENT SERVICES	40			X	226,067	0	35,445
(4) ALBERT G BIEHL VP OF MEDICAL AFFAIRS	40			X	299,811	0	53,480
(5) JOANNE AQUILINA CHIEF FINANCIAL OFFICER	2		X		0	246,874	44,902
(6) ROGER L KIRK EXECUTIVE VICE PRESIDENT	2		X		0	375,742	71,464
(7) ROBERT B HILL PRESIDENT	2		X		0	876,411	85,600
(8) WILLIAM F KOCH JR MEMBER	2	X			0	0	0
(9) STORMET C NOREM MEMBER	2	X			0	0	0
(10) THOMAS SMITH SECRETARY	2	X	X		0	0	0
(11) GEORGE T ELMORE MEMBER-AT-LARGE	2	X			0	0	0
(12) RALPH B BRESLAW MD MEMBER	2	X			0	0	0
(13) JAMES BYRNES MD MEMBER	2	X			0	0	0
(14) N M WEEMS MD MEMBER	2	X			0	0	0
(15) FRED F LOVE CHAIR	2	X	X		0	0	0
(16) WILLIAM CASSADY VICE CHAIR	2	X	X		0	0	0
(17) JEFFREY PHETERSON ESQ MEMBER	2	X			0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
INGENIX INC 2771 MOMENTUM PLACE CHICAGO,IL606895327	CONSULTING FEE	3,766,367
SHIFTWISE 2501 SW 1ST AVENUE STE 200 PORTLAND,OR97201	CONTRACT STAFFING	2,948,419
SONNERBORN RUTTER COONEY 1545 CENTER PARK DRIVE NORTH WEST PALM BEACH,FL334017414	LEGAL FEES	1,500,927
EXECUTIVE HEALTH RESOURCES 15 CAMPERS BLVD STE 200 NEWTON SQUARE,PA19073	CONSULTING FEES	1,102,169
NWC&HS INC PO BOX 933430 ATLANTA,GA311933430	PROFESSIONAL FEES- MEDICAL SERVICES	988,623
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 13

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21	0
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	91,781,329	83,756,707	8,024,622
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	9,614,552	8,653,097	961,455
9	Other employee benefits .......	8,361,739	7,511,279	850,460
10	Payroll taxes ...........	6,597,345	5,937,611	659,734
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	2,434,083		2,434,083
c	Accounting ...........	182,170		182,170
d	Lobbying ...........	0
e	Professional fundraising. See Part IV, line 17..	0
f	Investment management fees ......	460,738		460,738
g	Other ..........	24,229,620	11,776,124	12,453,496
12	Advertising and promotion ....	23,485	23,485
13	Office expenses .......	61,314,193	60,457,780	856,413
14	Information technology ......	3,291,301	2,629,909	661,392
15	Royalties ..	0
16	Occupancy ...........	5,648,359	3,279,839	2,368,520
17	Travel ............	286,815	221,839	64,976
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	117,503	35,251	82,252
20	Interest ...........	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	19,575,025	13,386,782	6,188,243
23	Insurance ..............	2,608,550	1,819,303	789,247
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	BAD DEBT	47,430,348	47,430,348
b	ASSESSMENT FL PUB MED ASSISTANCE	3,178,058	3,178,058
c	MISCELLANEOUS EXPENSES	373,833	355,409	18,424
d
e
f	All other expenses	0	0	0	0
25	Total functional expenses. Add lines 1 through 24f	287,509,046	250,452,821	37,056,225	0
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation	0

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	6,300	1	7,000
2	Savings and temporary cash investments .......	2,266,071	2	5,002,871
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	36,250,650	4	41,215,832
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	3,332,693	8	3,667,090
9	Prepaid expenses and deferred charges ............	3,458,119	9	4,268,521
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	348,956,568
b	Less: accumulated depreciation. .....	10b	204,618,668	153,840,210	10c	144,337,900
11	Investments—publicly traded securities ..........	76,337,772	11	79,202,589
12	Investments—other securities. See Part IV, line 11 ......	0	12	0
13	Investments—program-related. See Part IV, line 11 ..	0	13	0
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	14,768,553	15	16,414,049
16	Total assets. Add lines 1 through 15 (must equal line 34)...	290,260,368	16	294,115,852
	17	Accounts payable and accrued expenses .	10,651,048	17	13,233,493
18	Grants payable ..........		18
19	Deferred revenue ..........		19
20	Tax-exempt bond liabilities ..........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities. Complete Part X of Schedule D.....	56,193,534	25	71,002,401
26	Total liabilities. Add lines 17 through 25.....	66,844,582	26	84,235,894
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	210,232,931	27	195,075,774
28	Temporarily restricted net assets .....	11,583,007	28	13,272,560
29	Permanently restricted net assets .....	1,599,848	29	1,531,624
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	223,415,786	33	209,879,958
34	Total liabilities and net assets/fund balances .....	290,260,368	34	294,115,852

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SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

BETHESDA MEMORIAL HOSPITAL INC

Employer identification number

59-2447554

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

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Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

BETHESDA MEMORIAL HOSPITAL INC

Employer identification number

59-2447554

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization BETHESDA MEMORIAL HOSPITAL INC
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization BETHESDA MEMORIAL HOSPITAL INC
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
BETHESDA MEMORIAL HOSPITAL INC

Employer identification number

59-2447554

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

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SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

BETHESDA MEMORIAL HOSPITAL INC

Employer identification number

59-2447554

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back
1a	Beginning of year balance ....	17,333,861	15,480,219	15,459,550
b	Contributions ........	6,000	666,556	60,000
c	Investment earnings or losses ...	-205,068	1,518,235	292,425
d	Grants or scholarships .....	0	0	0
e	Other expenditures for facilities and programs ........	151,760	250,000	250,000
f	Administrative expenses ....	40,082	81,149	81,756
g	End of year balance ......	16,942,951	17,333,861	15,480,219

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

64.030 %

Permanent endowment: SchDMd Bullet

35.970 %

Term endowment: SchDMd Bullet

0 %

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

Yes

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	2,170,248		2,170,248
b	Buildings ................	207,857,700	100,408,729	107,448,971
c	Leasehold improvements ............	1,083,286	562,971	520,315
d	Equipment ................	135,405,793	103,646,968	31,758,825
e	Other .................	2,439,541		2,439,541
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				144,337,900

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) INTEREST IN ASSETS/AFFILIATES				14,861,042
(2) OTHER ASSETS				1,553,007







Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........				16,414,049

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes		0
RESERVES FOR SELF INSURANCE		8,392,350
DUE TO STATE MED ASSIST FUNDS		258,615
ACCRUED RETIREMENT BENEFIT LIABILITY		62,349,853
SECURITY DEPOSIT		1,583





Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		71,002,401
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1	311,048,890
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2	287,509,046
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3	23,539,844
4	Net unrealized gains (losses) on investments ..........................	4	-4,727,469
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8	-32,348,203
9	Total adjustments (net). Add lines 4 - 8 .............................	9	-37,075,672
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10	-13,535,828

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......			1	304,319,683
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a	-4,727,469
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d	264,299
e	Add lines 2a through 2d .....................			2e	-4,463,170
3	Subtract line 2e from line 1.....................			3	308,782,853
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a	460,738
b	Other (Describe in Part XIV): ...........	4b	1,805,299
c	Add lines 4a and 4b.......................			4c	2,266,037
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......			5	311,048,890

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............			1	287,312,607
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d	264,299
e	Add lines 2a through 2d......................			2e	264,299
3	Subtract line 2e from line 1.....................			3	287,048,308
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a	460,738
b	Other (Describe in Part XIV): ............	4b	0
c	Add lines 4a and 4b.......................			4c	460,738
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......			5	287,509,046

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
Intended uses of endowment funds	Schedule D, Part V, Line 4	THE ENDOWMENT FUNDS ARE HELD BY BETHESDA HOSPITAL FOUNDATION, INC. THE ENDOWMENT FUNDS ARE USED TO SUPPORT BETHESDA HEALTH SYSTEM IN THE PROVISION OF QUALITY HEALTH CARE SERVICES TO THE SURROUNDING COMMUNITY.
FIN 48 (ASC 740) footnote	Schedule D, Part X, Line 2	THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE IRC). THE HOSPITAL APPLIES THE PROVISIONS OF ASC TOPIC 740, INCOME TAXES (FORMERLY FASB INTERPRETATION NO. (FIN) 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AN INTERPRETATION OF FASB STATEMENT NO. 109, ACCOUNTING FOR INCOME TAXES). THIS GUIDANCE CREATES A SINGLE MODEL TO ADDRESS UNCERTAIN INCOME TAX PROVISIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MORE-LIKELY-THAN-NOT MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS OF ASC TOPIC 740, TAX-EXEMPT ORGANIZATIONS MAY BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. PRIOR TO ASC TOPIC 740, THE DETERMINATION OF WHEN TO RECORD A LIABILITY FOR A TAX EXPOSURE WAS BASED ON WHETHER A LIABILITY WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE IN ACCORDANCE WITH ASC TOPIC 450, CONTINGENCIES (FORMERLY SFAS NO. 5, ACCOUNTING FOR CONTINGENCIES).

Schedule D (Form 990) 2010

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

BETHESDA MEMORIAL HOSPITAL INC

Employer identification number

59-2447554

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

200% 250% 300% 350% 400% Other

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............

Does the organization prepare an annual community benefit report?.............

Yes

If "Yes," does the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..			8,243,869	0	8,243,869	3.430 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .			49,291,991	41,642,831	7,649,160	3.190 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....			0	0	0	0 %
dTotal Charity Care and Means-Tested Government Programs .....	0	0	57,535,860	41,642,831	15,893,029	6.620 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....			780,500	0	780,500	0.330 %
f Health professions education (from Worksheet 5) ..			259,886	212,677	47,209	0.020 %
g Subsidized health services (from Worksheet 6) ..			0	0	0	0 %
h Research (from Worksheet 7)			0	0	0	0 %
i Cash and in-kind contributions to community groups (from Worksheet 8) ..			5,000	0	5,000	0 %
jTotal Other Benefits ...	0	0	1,045,386	212,677	832,709	0.350 %
kTotal. Add lines 7d and 7j. ..	0	0	58,581,246	41,855,508	16,725,738	6.970 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	0	0	0	0

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense (at cost).....

7,957,305

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

541,097

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

93,194,644

Enter Medicare allowable costs of care relating to payments on line 5.....

93,527,488

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-332,844

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Yes

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?5 Name and address		Other (Describe)
1	BETHESDA MEMORIAL HOSPITAL 2815 SOUTH SEACREST BLVD BOYNTON BEACH,FL33435	X	X	X	INPATIENT REHABILITATION

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:BETHESDA MEMORIAL HOSPITAL

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 7

Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?4
Name and address		Type of Facility (Describe)
1	BETHESDA HEALTH CITY 10301 HAGEN RANCH ROAD BOYNTON BEACH,FL33437	OUTPATIENT REHABILITATION, RADIATION ONCOLOGY, WOUND CARE
2	BETHESDA HEALTH CITY 10301 HAGEN RANCH ROAD BOYNTON BEACH,FL33437	OUTPATIENT REHABILITATION, RADIATION ONCOLOGY, WOUND CARE
3	BETHESDA HEALTH CITY 10301 HAGEN RANCH ROAD BOYNTON BEACH,FL33437	OUTPATIENT REHABILITATION, RADIATION ONCOLOGY, WOUND CARE
4	BETHESDA HEALTH CITY 10301 HAGEN RANCH ROAD BOYNTON BEACH,FL33437	OUTPATIENT REHABILITATION, RADIATION ONCOLOGY, WOUND CARE
5
6
7
8
9
10

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
Eligibility criteria for free or discounted care	Schedule H, Part I, Line 3c	OUR ORGANIZATION DOES NOT USE AN ASSET TEST BUT REVIEWS A PATIENT'S ABILITY TO PAY BASED UPON THEIR AVAILABLE INCOME AND ASSETS. ALL SELF PAY AND CASH PAYING PATIENTS ARE OFFERED DISCOUNTED PRICING BASED ON A MULTIPLE OF PREVAILING MEDICARE REIMBURSEMENT. ALL SELF PAY AND UNINSURED PATIENTS WHO DO NOT REQUEST DISCOUNTED PRICING PRIOR TO OR AT THE TIME OF SERVICE ARE OFFERED A 30% DISCOUNT OFF OF BILLED CHARGES ON THE FIRST STATEMENT FROM OUR EXTENDED BUSINESS OFFICE SERVICE.
Community benefit report prepared by related organization	Schedule H, Part I, Line 6a	BETHESDA HEALTHCARE SYSTEM, INC.
Bad Debt Expense excluded from financial assistance calculation	Schedule H, Part I, Line 7, column(f)	47,430,348
Bad debt expense - financial statement footnote	Schedule H, Part III, Line 4	OUR ORGANIZATION APPLIED A PERCENTAGE OF 6.8%, TO THE TOTAL DOLLAR AMOUNT OF BAD DEBT TO ESTIMATE THE AMOUNT OF OUR ORGANIZATION'S BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. THIS PERCENTAGE IS BASED ON I-SCORE DATA (QUANTRAX PROPRIETARY CREDIT SCORING ALGORITHM) ANALYSIS OF A STATISTICALLY SIGNIFICANT POPULATION (17,642) OF DEBTORS PLACED IN COLLECTION FROM 10/1/2010-9/30/2011. DEBTORS WITH AN I-SCORE OF 100 OR LESS ON A SCALE OF 001-999 WOULD QUALIFY FOR CHARITY ASSISTANCE IN ACCORDANCE WITH BETHESDA MEMORIAL HOSPITAL'S POLICY IF THE NECESSARY DOCUMENTS AND ATTESTATIONS WERE SUBMITTED.
Community benefit & methodology for determining medicare costs	Schedule H, Part III, Line 8	THE COST IS BASED ON THE HOSPITAL'S FY 2011 AS FILED MEDICARE COST REPORT COSTING METHODOLOGY. THE SHORTFALL IS A COMMUNITY BENEFIT AS THESE SERVICES WERE NOT FULLY REIMBURSED.
Collection practices for patients eligible for financial assistance	Schedule H, Part III, Line 9b	OUR COLLECTION PROTOCOL PROVIDES OUR COLLECTION AGENCY THE DISCRETIONARY AUTHORITY TO SEND A CHARITY APPLICATION TO A DEBTOR UPON REQUEST OR REFER THE DEBTOR TO OUR FINANCIAL ASSISTANCE UNIT BASED ON AN INITIAL SCREENING OF THEIR ASSETS, INCOME AND ABILITY TO PAY. AT ANY POINT IN THE COLLECTION CYCLE IF A PATIENT DECLARES THAT THEY MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE, FURTHER COLLECTION EFFORTS ARE SUSPENDED PENDING THE DETERMINATION OF THE PATIENT'S DOCUMENTED ELIGIBILITY FOR FINANCIAL ASSISTANCE.
Needs assessment.	Schedule H, Part VI, Line 2	OUR HOSPITAL ASSESSES OUR COMMUNITY NEEDS IN NUMEROUS WAYS THROUGH A VARIETY OF METHODS, INCLUDING PARTICIPATING IN COMMUNITY ASSESSMENT SURVEYS, PATIENT SURVEYS, FOCUS GROUP MEETINGS, SUPPORT GROUP MEETINGS AND ONE-ON-ONE PATIENT INTERVIEWS. IN ADDITION, OUR HOSPITAL SOLICITS OPINIONS DIRECTLY FROM ATTENDEES OF OUR HOSPITAL'S VARIOUS COMMUNITY EVENTS, INCLUDING COMMUNITY HEALTH FAIRS AND COMMUNITY LECTURES PROVIDED AT THE HOSPITAL. ADDITIONALLY, THE HOSPITAL SOLICITS FEEDBACK FROM EVERY LECTURE ATTENDEE IN THE FORM OF AN EVALUATION SURVEY TO LEARN OF THEIR HEALTH NEEDS AND INTERESTS FOR FUTURE LECTURE PRESENTATIONS MADE BY OUR MEDICAL STAFF. IN KEEPING WITH OUR MISSION TO DELIVER QUALITY HEALTH SERVICES IN A CARING MANNER, WE STRIVE TO PROVIDE EXCELLENT COMMUNITY BENEFITS. THROUGH OUR VARIOUS NEEDS ASSESSMENTS, WE HAVE IDENTIFIED THAT OUR KEY CONSTITUENT GROUPS INCLUDE THE SENIOR POPULATION, WOMEN, CHILDREN AND FAMILIES. AS A RESULT, WE PROVIDE COMMUNITY BENEFIT PROGRAMS THAT ARE TAILORED TO MEET THEIR NEEDS. ACCESS TO HEALTH SERVICES REMAINS A COMMON NEED ACROSS OUR CONSTITUENT GROUPS. TO THIS END, WE PROVIDE TRANSPORTATION SERVICES TO THE HOSPITAL, AS WELL INTERPRETERS TO FACILITATE UNDERSTANDING REGARDING THE SERVICES WE PROVIDE. IN ADDITION, WE PROVIDE EDUCATION CLASSES FOR ALL SEGMENTS OF OUR PATIENT POPULATION, RANGING FROM PRENATAL CARE CLASSES FOR EXPECTANT PARENTS TO ORTHOPEDIC SURGERY CLASSES FOR PATIENTS PRIOR TO SURGERY, THEREBY, HELPING OUR PATIENTS HAVE A BETTER UNDERSTANDING OF THEIR HEALTH NEEDS AND HOW WE CAN HELP THEM MEET THEIR NEEDS. OF THE 2,900 DELIVERIES A YEAR, BETHESDA HAS SEEN A GROWING SEGMENT OF OUR MATERNITY AND PEDIATRIC PATIENTS WHO SPEAK LIMITED OR NO ENGLISH. IN AN EFFORT TO ENSURE THAT WE MEET THE EDUCATIONAL NEEDS FOR ALL OUR FAMILIES, BETHESDA'S CENTER FOR WOMEN AND CHILDREN EXPANDED ITS FAMILY RESOURCE CENTER TO INCLUDE MULTI-LINGUAL COMPUTERS AND MULTI-LINGUAL RESOURCES PROVIDE PRENATAL, NEWBORN, PEDIATRIC AND FAMILY-CENTERED INFORMATION. TO ASSIST OUR FAMILIES, ALL PATIENT INFORMATION IS PROVIDED IN ENGLISH, SPANISH AND CREOLE. WE ALSO HOLD SPECIAL EVENTS, SUCH AS OUR ANNUAL SENIOR FEST, TO PROMOTE ADDITIONAL KNOWLEDGE OF HEALTH SERVICES AVAILABLE TO SENIORS. THIS WIDELY ATTENDED EVENT FEATURES 40 HOSPITAL DEPARTMENTS AND 20 SOCIAL SERVICE AGENCIES TO EDUCATE SENIORS ABOUT HEALTH AND WELLNESS OPPORTUNITIES AVAILABLE TO THEM. SIMILARLY, WE HOLD OUR ANNUAL HEALTHY KIDS' DAY/SAFETY FEST EVENT TO TEACH FAMILIES HOW TO KEEP THEIR CHILDREN SAFE AT HOME, ON THE ROAD AND IN THE WATER, BECAUSE DROWNING REMAINS THE NUMBER ONE CAUSE OF DEATH FOR CHILDREN UNDER THE AGE OF 4 IN PALM BEACH COUNTY. THROUGH OUR COMMUNITY NEEDS ASSESSMENT, WE HAVE ALSO IDENTIFIED EMERGING POPULATIONS WITHIN OUR COMMUNITY WHO NEED IMPROVED ACCESS TO HEALTHCARE SERVICES, INCLUDING THE GROWING HISPANIC MIGRANT FARMING POPULATION IN WESTERN BOYNTON/LAKE WORTH AND THE GUATEMALAN POPULATION IN LAKE WORTH. BETHESDA WORKS WITH THE CARIDAD CENTER ON AN ONGOING BASIS, IN BOYNTON BEACH, TO ADDRESS THE HEALTH NEEDS OF THESE GROUPS THROUGH THE PROVISION OF HEALTH SCREENINGS, DIABETES INFORMATION, AND ACUTE CARE MEDICAL SERVICES WHEN CARIDAD CENTER SEEKS ADDITIONAL CARE FOR THESE PATIENTS. IN AN EFFORT TO BETTER EDUCATE OUR CIVIC LEADERS OF THE HEALTH NEEDS OF OUR COMMUNITY, WE PROVIDE LEADERSHIP DEVELOPMENT PROGRAMS IN COOPERATION WITH THE AREA CHAMBERS OF COMMERCE. THESE ONE-DAY PROGRAMS PROVIDE CIVIC LEADERS WITH AN UNDERSTANDING OF THE BROAD RANGE OF HEALTH ISSUES FACING OUR COMMUNITY RELATED TO ACCESS AND COVERAGE. WHILE BETHESDA SPONSORS THESE HEALTH LEADERSHIP PROGRAMS AT OUR HOSPITAL WITH FINANCIAL AND MATERIAL RESOURCES, THE GOAL IS TO PROVIDE COMMUNITY LEADERS WITH A BETTER UNDERSTANDING OF THE HEALTHCARE SERVICES WE PROVIDE AND HOW THEY CAN ACCESS THEM. ADDITIONAL ACTIVITIES IN THE COMMUNITY INCLUDED: PROVIDING 55 COMMUNITY HEALTH FAIRS AND 48 COMMUNITY LECTURES PROVIDED BY BETHESDA PHYSICIANS AND BETHESDA'S CLINICAL LEADERS - ALL FREE TO THE COMMUNITY. IN ADDITION, WE PROVIDED IMPORTANT HEALTH INFORMATION TO MORE THAN 106,000 RESIDENTS IN OUR AREA THROUGH OUR MAGAZINE, BETHESDA HEALTH NEWS, MAILED DIRECTLY TO HOMES THREE TIMES A YEAR.
Patient education of eligibility for assistance.	Schedule H, Part VI, Line 3	UNINSURED PATIENTS ARE INFORMED ABOUT OUR HOSPITAL'S FINANCIAL ASSISTANCE UNIT AT SEVERAL KEY ACCESS POINTS OF THE HOSPITAL: THE EMERGENCY DEPARTMENT, AMBULATORY SURGERY, OUTPATIENT REGISTRATION, CENTRAL SCHEDULING AND THE ADMITTING DEPARTMENT. OUR HOSPITAL HAS A FINANCIAL ASSISTANCE UNIT COMPRISED OF INDIVIDUALS DEDICATED TO HELPING PATIENTS AND FAMILIES QUALIFY FOR VARIOUS GOVERNMENTAL ASSISTANCE PROGRAMS AND CHARITY CARE. THE FINANCIAL ASSISTANCE UNIT INCLUDES STAFF MEMBERS WHO ARE FLUENT IN ENGLISH, SPANISH AND CREOLE.
Community information.	Schedule H, Part VI, Line 4	OUR HOSPITAL'S PRIMARY SERVICE AREA EXTENDS FROM LINTON AVENUE TO THE SOUTH, AND LANTANA ROAD TO THE NORTH, ALL THE WAY EAST TO THE ATLANTIC OCEAN, AND ALL THE WAY WEST TO THE EVERGLADES. OUR HOSPITAL SERVES A DIVERSE POPULATION THAT INCLUDES AN AGING POPULATION THAT CONTINUES TO EXPAND IN WEST BOYNTON, AS SENIORS IN THIS AREA REPRESENT ONE OF THE FASTEST GROWING SEGMENTS IN THE STATE OF FLORIDA. IN ADDITION, AS THE FIRST MATERNITY HOSPITAL TO SERVE SOUTH PALM BEACH COUNTY, OUR HOSPITAL SERVES A LARGE NUMBER OF FAMILIES, WITH OUR HOSPITAL BEING THE 2ND BUSIEST MATERNITY HOSPITAL IN PALM BEACH COUNTY.
Promotion of community health	Schedule H, Part VI, Line 5	WE HAVE AN ACTIVE BOARD OF TRUSTEES WHO ARE FROM OUR COMMUNITY AND PROVIDE INDEPENDENT LEADERSHIP AND GOVERNANCE. WE HAVE AN OPEN MEDICAL STAFF ACCEPTING APPLICATIONS FROM ALL PHYSICIANS WHO MEET OUR MEDICAL STAFF BYLAWS GUIDELINES. ALL EXCESS FUNDS FROM OPERATIONS STAY IN THE COMMUNITY AND AT THE HOSPITAL TO IMPROVE EQUIPMENT, TRAINING FOR PERSONNEL AND OUR MEDICAL STAFF AND TO PROVIDE GREATER SERVICES AND ACCESS TO CARE.
Affiliated health care system	Schedule H, Part VI, Line 6	OUR HOSPITAL IS A COMPREHENSIVE COMMUNITY BASED HOSPITAL. THERE ARE MANY NEEDS IN OUR COMMUNITY, FROM PRIMARY TO CRITICAL CARE. WE ALSO HAVE A DIVERSE COMMUNITY THAT INCLUDES AN AGING POPULATION THAT HAS CONCERNS RELATED TO ACCESS AND TRANSPORTATION TO HEALTHCARE SERVICES. WE ASSESS OUR COMMUNITY NEEDS IN NUMEROUS WAYS THROUGH A VARIETY OF METHODS, WITH ONE-ON-ONE VISITOR AND PATIENT INTERVIEWS PROVIDING SOME OF THE MOST MEANINGFUL INSIGHT. WE CONTINUE TO DELIVER QUALITY HEALTH SERVICES IN A CARING MANNER, PROVIDING EXCELLENT COMMUNITY BENEFITS. WE PROVIDE PRIMARY, ACUTE, EMERGENCY, SPECIALTY AND CRITICAL CARE TO OUR PATIENTS, AS WELL AS ASSISTANCE FOR OUR UNDER-INSURED COMMUNITY WITH A DEDICATED TEAM OF INDIVIDUALS THAT HELPS PATIENTS QUALIFY FOR VARIOUS FINANCIAL ASSISTANCE. RECOGNIZING THAT PATIENTS NEED ACCESS TO HEALTH SERVICES, WE PROVIDE TRANSPORTATION SERVICES, AS WELL INTERPRETERS TO FACILITATE UNDERSTANDING REGARDING THE SERVICES WE PROVIDE. FROM THE PRENATAL CARE THAT HELPS NEW FAMILIES GET A HEALTHY START, TO THE COMPASSIONATE DELIVERY OF HOSPICE CARE, OUR HOSPITAL IS THERE FOR OUR COMMUNITY THROUGH EVERY STAGE OF THEIR LIVES. AS PART OF OUR ORGANIZATIONS AFFILIATED HEALTHCARE SYSTEM, OUR WOMEN'S CENTER PROVIDES COMPREHENSIVE SERVICES TO WOMEN IN OUR COMMUNITY. WE OFFER A WIDE RANGE OF SERVICES AT OUR MEDICAL MALL RANGING FROM DIAGNOSTIC TO THERAPEUTIC SERVICES. OUR MEDICAL OFFICE AND FACILITIES GROUP LEASE SPACES TO A BROAD RANGE OF PHYSICIANS AS WELL AS LEASING TO THE GOODWILL SCHOOL FOR MENTALLY CHALLENGED INDIVIDUALS. WE ALSO EMPLOY A NUMBER OF THESE STUDENTS PROVIDING FURTHER COMMUNITY BENEFIT.
CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST	SCHEDULE H, PART I, LINE 7	THE RATIO OF PATIENT CARE COSTS TO CHARGES FROM WORKSHEET 2 WAS USED TO CALCULATE THE COSTS ASSOCIATED WITH PROVIDING CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS TO OUR PATIENTS. CHARITY CARE COSTS: THE TOTAL CHARGES FOR ALL PATIENT ACCOUNTS WITH A CHARITY CARE WRITE OFF DURING FISCAL YEAR 2011 WERE DOWNLOADED. THE COST TO CHARGE RATIO FROM WORKSHEET 2 WAS APPLIED TO THE TOTAL AMOUNT OF GROSS PATIENT CHARGES WRITTEN OFF PURSUANT TO OUR CHARITY CARE POLICY TO OBTAIN OUR ESTIMATED TOTAL CHARITY CARE COST. UNREIMBURSED MEDICAID PROGRAM COSTS: TOTAL GROSS CHARGES FOR ALL MEDICAID PATIENTS WERE DOWNLOADED. THE COST TO CHARGE RATIO FROM WORKSHEET 2 WAS APPLIED TO THE TOTAL AMOUNT OF GROSS MEDICAID PATIENT CHARGES TO OBTAIN THE ESTIMATED TOTAL MEDICAID COSTS. OTHER BENEFIT COSTS WERE DETERMINED BY ESTIMATING THE TOTAL HOURS ASSOCIATED WITH EACH COMMUNITY SERVICE AND APPLYING AN AVERAGE HOUR RATE TO THE STAFF WORKING THE EVENT. THE TOTAL DIRECT EXPENSES WERE TRACKED FOR EACH SERVICE AND ADDED TO THE LABOR COST.
BAD DEBT EXPENSE	SCHEDULE H, PART III, LINE 2	THE COSTING METHODOLOGY USED TO DETERMINE OUR ORGANIZATION'S COSTS RELATED TO BAD DEBT IS BASED ON THE RATIO OF COSTS TO CHARGES CALCULATED IN WORKSHEET 2. THE PERCENTAGE WAS APPLIED TO THE TOTAL GROSS CHARGES WRITTEN OFF TO BAD DEBT TO REPORT THE BAD DEBT EXPENSE AT COST.

Schedule H (Form 990) 2010

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

BETHESDA MEMORIAL HOSPITAL INC

Employer identification number

59-2447554

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) MATTHEW G SKINNER	(i) (ii)	218,750 0	20 0	23 0	1,621 0	14,231 0	234,645 0	0 0
(2) GERALYN A LUNSFORD	(i) (ii)	191,813 0	33,279 0	975 0	24,839 0	10,606 0	261,512 0	0 0
(3) ALBERT G BIEHL	(i) (ii)	231,132 0	56,833 0	11,846 0	43,776 0	9,704 0	353,291 0	0 0
(4) JOANNE AQUILINA	(i) (ii)	0 196,150	0 29,163	0 21,561	0 13,264	0 31,638	0 291,776	0 0
(5) ROGER L KIRK	(i) (ii)	0 306,176	0 46,222	0 23,344	0 55,794	0 15,670	0 447,206	0 0
(6) ROBERT B HILL	(i) (ii)	0 455,968	0 107,597	0 312,846	0 80,288	0 5,312	0 962,011	0 0
(7) JEREMY COLE	(i) (ii)	179,099 0	20 0	0 0	3,200 0	15,769 0	198,088 0	0 0
(8) DANETTE CHOBAN	(i) (ii)	151,189 0	20 0	1,518 0	35,548 0	5,553 0	193,828 0	0 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
Supplemental nonqualified retirement plan	Schedule J, Part I, Line 4b	PAYMENTS RECEIVED FROM THE PLAN FOR THE FOLLOWING: ROBERT B. HILL $272,845 JOANNE AQUILINA $20,826 ALBERT BIEHL $9,581 CONTRIBUTIONS INTO THE PLAN FOR THE FOLLOWING: ROGER L. KIRK $20,821 GERALYN LUNSFORD $9,750
COMPENSATION OF TOP MANAGEMENT OFFICIAL	SCHEDULE J, PART I, LINE 3	THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS PAID BY BETHESDA HEALTHCARE SYSTEM, INC. (BHS), A RELATED ORGANIZATION. BHS USED A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR A COMPENSATION COMMITTEE TO DETERMINE THE COMPENSATION.

Schedule J (Form 990) 2010

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

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SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

BETHESDA MEMORIAL HOSPITAL INC

Employer identification number

59-2447554

Identifier	Return Reference	Explanation
Classes of members or stockholders	Form 990, Part VI, Section A, Line 6	THE ORGANIZATION HAS ONE SOLE MEMBER, BETHESDA HEALTHCARE SYSTEM, INC., A FLORIDA NOT-FOR-PROFIT ORGANIZATION.
Members or stockholders electing members of governing body	Form 990, Part VI, Section A, Line 7a	BETHESDA HEALTHCARE SYSTEM, INC. APPROVES THE MEMBERS OF THE GOVERNING BODY.
Decisions requiring approval by members or stockholders	Form 990, Part VI, Section A, Line 7b	ANY OF THE FOLLOWING SIGNIFICANT ORGANIZATIONAL OR OPERATIONAL CHANGES WOULD BE SUBJECT TO APPROVAL BY THE SOLE MEMBER OF THE CORPORATION WHICH IS BETHESDA HEALTHCARE SYSTEM, INC. 1. ADOPTING A PLAN OF DISSOLUTION OF THE CORPORATION. 2. AUTHORIZING 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 CORPORATION. 3. ADOPTING A PLAN OF REORGANIZATION OR THE MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER ENTITY 4. APPOINTING OR REMOVING THE ATTORNEYS OR INDEPENDENT AUDITORS OF THE CORPORATION. 5. APPOINTMENT OR REMOVING THE TRUSTEES 6. ADOPTING OR AMENDING THE ARTICLES OF INCORPORATION OF THE BYLAWS OF THE CORPORATION 7. ADOPTING OR PERMITTING ANY CHANGE TO ANY STRATEGIC MASTER PLANS OR POLICIES OF THE CORPORATION. 8. AUTHORIZING THE ACQUISITION, SALE, TRANSFER, OR OTHER DISPOSITION OF ANY ASSETS EXCEPT IN THE ORDINARY COURSE OF BUSINESS 9. AUTHORIZING THE FILING OF ANY PETITION IN BANKRUPTCY 10. ADOPTING MARKETING AND BUSINESS STRATEGIES FOR THE CORPORATION.
Review of form 990 by governing body	Form 990, Part VI, Section B, Line 11a	THE CHIEF FINANCIAL OFFICER OF THE ORGANIZATION REVIEWS THE FORM 990 AND ALL REQUIRED SUPPORTING SCHEDULES. THE FORM 990 IS THEN PROVIDED TO THE BOARD OF TRUSTEES OF THE ORGANIZATION FOR REVIEW PRIOR TO FILING WITH THE IRS.
Conflict of interest policy	Form 990, Part VI, Section B, Line 12c	THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS ANY TRUSTEE, DIRECTOR, PRINCIPAL OFFICER OR MEMBER OF ANY COMMITTEE OF THE BOARD WITH BOARD-DELEGATED POWERS. THE INDIVIDUALS COVERED UNDER THE POLICY ARE REQUIRED TO DISCLOSE ANNUALLY ANY CONFLICTS OF INTEREST. THE CHAIRMAN OF THE BOARD AND THE INTERNAL AUDIT DIVISION OF BETHESDA HEALTHCARE SYSTEM CONTINUOUSLY REVIEW AND MONITOR ALL CONFLICTS OF INTEREST NOTED BY THE INDIVIDUALS COVERED UNDER THE POLICY. ANY INDIVIDUAL WHO HAS A CONFLICT OF INTEREST IS PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISION IN THE TRANSACTION.
Process used to establish compensation of top management official	Form 990, Part VI, Section B, Line 15a	THE BOARD OF TRUSTEES OF BETHESDA HEALTHCARE SYSTEM ANNUALLY APPOINTS THE PRESIDENT/CEO OF BETHESDA HEALTHCARE SYSTEM TO A ONE-YEAR TERM AND ESTABLISHES AND APPROVES THE COMPENSATION OF THE PRESIDENT/CEO. THE BOARD OF TRUSTEES OF BETHESDA HEALTHCARE SYSTEM PERIODICALLY ENGAGES AN INDEPENDENT OUTSIDE PROFESSIONAL COMPENSATION FIRM TO REVIEW COMPENSATION AND BENEFIT LEVELS OF THE PRESIDENT AND CHIEF FINANCIAL OFFICER OF THE BETHESDA HEALTHCARE SYSTEM. THE CONSULTING FIRM WORKS INDEPENDENTLY OF MANAGEMENT AND REPORTS THE INFORMATION DIRECTLY TO THE TRUSTEES OF BETHESDA HEALTHCARE SYSTEM FOR THE OFFICER'S POSITIONS. THE CONSULTING FIRM PROVIDES DETAILED COMPENSATION AND BENEFIT DATA FOR COMPARABLY SIZED HEALTHCARE ORGANIZATIONS ON A REGIONAL AND NATIONAL BASIS. BASED ON THE COMPENSATION PHILOSOPHY OF THE BOARD OF TRUSTEES OF THE BETHESDA HEALTHCARE SYSTEM AS IT RELATES TO THE MARKET IN GENERAL AND ON SPECIFIC COMPENSATION LEVELS NOTED AS THE RESULT OF THE CONSULTING ENGAGEMENT, THE BOARD OF TRUSTEES OF BETHESDA HEALTHCARE SYSTEM SETS THE COMPENSATION AND BENEFITS OF THE POSITIONS NOTED ABOVE. THE PROCESS WAS UNDERTAKEN IN THE YEAR ENDED SEPTEMBER 30, 2011. THE PROCESS AND DECISIONS ARE DOCUMENTED IN THE BOARD MINUTES.
Process used to establish compensation of other officers/key employees	Form 990, Part VI, Section B, Line 15b	THE OTHER OFFICERS OF THE ORGANIZATION ARE SUBJECT TO BETHESDA HEALTHCARE SYSTEMS' ANNUAL EMPLOYEE REVIEW PROCESS. THE VICE PRESIDENT OF HUMAN RESOURCES RECOMMENDS TO THE PRESIDENT/CEO OF THE BETHESDA HEALTHCARE SYSTEM, INC. COMPENSATION AND BENEFIT LEVELS. THE VICE PRESIDENT OF HUMAN RESOURCES PERIODICALLY ENGAGES AN INDEPENDENT OUTSIDE PROFESSIONAL COMPENSATION FIRM TO REVIEW COMPENSATION AND BENEFIT LEVELS OF THIS AND OTHER MANAGEMENT LEVEL POSITIONS. THE CONSULTING FIRM WORKS INDEPENDENTLY OF MANAGEMENT AND PROVIDES DETAILED COMPENSATION AND BENEFIT DATA FOR COMPARABLY SIZED HEALTHCARE ORGANIZATIONS ON A REGIONAL AND NATIONAL BASIS. BASED ON THE COMPENSATION PHILOSOPHY OF THE BOARD OF TRUSTEES OF THE BETHESDA HEALTHCARE SYSTEM AS IT RELATES TO THE MARKET IN GENERAL AND ON SPECIFIC COMPENSATION LEVELS NOTED AS THE RESULT OF THE CONSULTING ENGAGEMENT, THE PRESIDENT/CEO OF BETHESDA HEALTHCARE SYSTEM SETS THE COMPENSATION AND BENEFITS FOR THE OTHER OFFICERS. THE PROCESS WAS UNDERTAKEN FOR THE YEAR ENDED SEPTEMBER 30, 2011. THE PROCESS AND DECISIONS ARE DOCUMENTED IN THE EMPLOYEE FILES. THE COMPENSATION OF THE CHIEF FINANCIAL OFFICER IS DETERMINED BY THE BOARD OF TRUSTEES OF BETHESDA HEALTHCARE SYSTEM AS DESCRIBED IN THE NARRATIVE FOR FORM 990, PART VI, LINE 15A.
Public Disclosure	Form 990, Part VI, Section C, Line 19	THE GOVERNING DOCUMENTS OF THE ORGANIZATION, ITS CONFLICT OF INTEREST POLICY, AND ITS FINANCIAL STATEMENTS ARE AVAILABLE ON REQUEST. DEPENDING ON THE QUANTITY OF THE REQUEST A MINIMAL FEE MAY APPLY.
JOINT VENTURE PROCEDURE	LINE 16B	THE ORGANIZATION IS PROACTIVE IN EVALUATING THE HOSPITAL'S PARTICIPATION IN JOINT VENTURE ARRANGEMENTS AND TAKES ALL NECESSARY STEPS TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS WITH RESPECT TO SUCH ARRANGEMENT. AS PART OF ITS INTERNAL DUE DILIGENCE, THE ORGANIZATION'S PROCEDURES INCLUDE ENGAGING OUTSIDE LEGAL COUNSEL AND TAX ACCOUNTANTS TO FULLY REVIEW AND ANALYZE ANY TAX IMPLICATIONS OR ISSUES THAT MAY AFFECT THE HOSPITAL AS A RESULT OF ITS INVESTMENTS.
HOURS WORKED FOR RELATED ORGANIZATIONS	FORM 990, PART VII	ESTIMATED HOURS WORKED BY OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES AT RELATED ENTITIES: BETHESDA HEALTHCARE SYSTEM, INC. ROBERT B. HILL - 2 HOURS ROGER L. KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS BETHESDA HEALTH CITY, INC. ROBERT B. HILL - 2 HOURS ROGER L. KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS BETHESDA HOSPITAL FOUNDATION, INC. ROBERT B. HILL - 2 HOURS ROGER L. KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS BETHESDA MEMORIAL SIT - MALPRACTICE ROBERT B. HILL - 2 HOURS BETHESDA MEMORIAL SIT - WORKMAN'S COMP ROBERT B. HILL - 2 HOURS BETHESDA PAYROLL SERVICES, INC. ROBERT B. HILL - 2 HOURS ROGER L. KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS WOMEN'S DIAGNOSTIC CENTER OF BETHESDA, INC. ROBERT B. HILL - 2 HOURS ROGER L. KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS BETHESDA MEDICAL ASSOCIATES, INC. ROBERT B. HILL - 2 HOURS ROGER L. KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS
Other changes in net assets or fund balances	Form 990, Part XI, Line 5	NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -4727469; PENSION ADJUSTMENT - -17780924; TRANSFER TO AFFILIATES - -15938051; NET INCREASE IN RESTRICTED ASSETS - 1621329; KOMEN DONATION - -250557;

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

BETHESDA MEMORIAL HOSPITAL INC

Employer identification number

59-2447554

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) BETHESDA SELF INS TRUST GEN LIAB 2815 S SEACREST BLVD BOYNTON BEACH,FL33435 59-2447554	SELF INS TRUST	FL	8,091	393,800	NA

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) BETHESDA HEALTHCARE SYSTEM INC 2815 S SEACREST BLVD BOYNTON BEACH,FL33435 59-2447553	SUPPORT ORG	FL	501(C)(3)	11 - Type III - FI	BHS		No
(2) BETHESDA HEALTH CITY INC 2815 S SEACREST BLVD BOYNTON BEACH,FL33435 65-0561263	O/P MED SVCS	FL	501(C)(3)	9	BHS		No
(3) WOMEN''S DIAGNOSTIC CENTER OF BETHESDA INC 2815 S SEACREST BLVD BOYNTON BEACH,FL33435 59-2771779	O/P MED SVCS	FL	501(C)(3)	9	BHS		No
(4) BETHESDA HOSPITAL FOUNDATION INC 2815 S SEACREST BLVD BOYNTON BEACH,FL33435 59-6137805	FUNDRAISING	FL	501(C)(3)	7	BHS		No
(5) BETHESDA MEMORIAL SIT - WORKMAN'S COMP 2815 S SEACREST BLVD BOYNTON BEACH,FL33435 59-6775830	SELF INS TRUST	FL	501(C)(3)	11 - Type I	BHS		No
(6) BETHESDA MEMORIAL SIT - MALPRACTICE 2815 S SEACREST BLVD BOYNTON BEACH,FL33435 59-2230109	SELF INS TRUST	FL	501(C)(3)	11 - Type I	BHS		No
(7) BETHESDA PAYROLL SERVICES INC 2815 S SEACREST BLVD BOYNTON BEACH,FL33435 65-0523164	PAYROLL SUPPORT	FL	501(C)(3)	11 - Type III - FI	BHS		No
(8) BETHESDA MEDICAL ASSOCIATES INC 2815 S SEACREST BLVD BOYNTON BEACH,FL33435 65-0561267	O/P MED SVCS	FL	501(C)(3)	3	BHS		No

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) CARE SERVICES OF BETHESDA LLC 2500 QUANTUM LAKES DR BOYNTON BEACH,FL33426 20-1745631	HOME HEALTH	FL	NA	RELATED	314,608	2,236,104		No			No	0 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)
(1) BETHESDA HOLDING COMPANY INC AND SUBS 2815 SOUTH SEACREST BLVD BOYNTON BEACH,FL33435 59-2663767	HOLDING CO	FL	NA	C CORPORATION

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

Yes

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) CARE SERVICES OF BETHESDA	R	196,839	FMV - PARTNERSHIP DISTRIBUTION
(1)
(2)
(3)
(4)
(5)
(6)

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:	10000128
Software Version:	v2010.1.0

1	Briefly describe the organization’s mission or most significant activities: BETHESDA MEMORIAL HOSPITAL'S MISSION IS TO PROVIDE QUALITY HEALTH SERVICES IN A CARING MANNER. SERVICES INCLUDE ACUTE CARE HOSPITAL SERVICES: MEDICAL-SURGICAL, EMERGENCY SERVICES, PEDIATRICS, OBSTETRICS, NEWBORN; COMPREHENSIVE STROKE, CARDIOVASCULAR, CANCER AND REHABILITATION SERVICES; AND COMMUNITY OUTPATIENT SERVICES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	11
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	11
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	2,431
6	Total number of volunteers (estimate if necessary) ....	6	1,265
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	5,779
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	4,529,487	4,615,190
9	Program service revenue (Part VIII, line 2g) .........	285,499,246	298,107,200
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	3,254,215	5,980,412
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	2,295,054	2,346,088
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	295,578,002	311,048,890
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	130,728	0
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	115,617,854	116,354,965
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	164,980,877	171,154,081
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	280,729,459	287,509,046
19	Revenue less expenses. Subtract line 18 from line 12......	14,848,543	23,539,844
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	290,260,368	294,115,852
21	Total liabilities (Part X, line 26)............	66,844,582	84,235,894
22	Net assets or fund balances. Subtract line 21 from line 20 .....	223,415,786	209,879,958

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 250,452,821 including grants of $ ) (Revenue $ 298,298,260 )
	BETHESDA MEMORIAL HOSPITAL IS A 401-BED ACUTE CARE HOSPITAL WITH A 24-HOUR EMERGENCY DEPARTMENT, A CERTIFIED PRIMARY STROKE CENTER, GENERAL, VASCULAR AND ENDOVASCULAR SURGERY, MATERNITY AND LEVEL III NEONATAL INTENSIVE CARE SERVICES, PEDIATRIC AND PEDIATRIC INTENSIVE CARE SERVICES AND A COMPREHENSIVE CANCER CARE CENTER. THE HOSPITAL ALSO PROVIDES COMPREHENSIVE CARDIOVASCULAR SERVICES TO THE COMMUNITY AS PART OF BETHESDA HEART HOSPITAL. IN ADDITION BETHESDA MEMORIAL HOSPITAL HAS A 28-BED INPATIENT REHABILITATION UNIT, THE CORNELL INSTITUTE FOR REHABILITATION MEDICINE, AND AN INPATIENT UNIT OF 18 HOSPICE BEDS THAT ARE LEASED TO HOSPICE OF PALM BEACH COUNTY.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services. (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 250,452,821

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)		(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) JEREMY COLE MEDICAL PHYSICIST	40	X	179,119	0	18,969
(19) DANETTE CHOBAN RN III CLINICIAN	40	X	152,727	0	41,101

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	1,076,517	1,499,027	366,813

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		4,362,427
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f		252,763
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			4,615,190
			Business Code
2a	PATIENT SERVICE REVENUE		622,110	297,800,254	297,794,475	5,779
b	AFFILIATE PROGRAM REVENUE		518,210	94,416	94,416
c	CLINICAL RESEARCH		621,500	72,511	72,511
d
e
f	All other program service revenue .			140,019	140,019	0	0
g	Total. Add lines 2a–2f........			298,107,200
3	Investment income (including dividends, interest
	and other similar amounts).....			2,312,986			2,312,986
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties............			0
		(i) Real	(ii) Personal
6a	Gross Rents	741,694
b	Less: rental expenses	264,299
c	Rental income or (loss)	477,395	0
d	Net rental income or (loss).......			477,395			477,395
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	42,713,237	5,012
b	Less: cost or other basis and sales expenses	39,041,840	8,983
c	Gain or (loss)	3,671,397	-3,971
d	Net gain or (loss)..........			3,667,426			3,667,426
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	FOOD SALES		722,210	837,255			837,255
b	CHILDCARE		624,410	661,594			661,594
c	CARE SERVICES DISTRIBUTION		900,001	196,839	196,839
d	All other revenue ....			173,005	0	0	173,005
e	Total. Add lines 11a–11d ......			1,868,693
12	Total revenue. See Instructions....			311,048,890	298,298,260	5,779	8,129,661


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			6,300	1	7,000
2	Savings and temporary cash investments .......			2,266,071	2	5,002,871
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			36,250,650	4	41,215,832
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			3,332,693	8	3,667,090
9	Prepaid expenses and deferred charges ............			3,458,119	9	4,268,521
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	348,956,568
b	Less: accumulated depreciation. .....	10b	204,618,668	153,840,210	10c	144,337,900
11	Investments—publicly traded securities ..........			76,337,772	11	79,202,589
12	Investments—other securities. See Part IV, line 11 ......			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			14,768,553	15	16,414,049
16	Total assets. Add lines 1 through 15 (must equal line 34)...			290,260,368	16	294,115,852
17	Accounts payable and accrued expenses .			10,651,048	17	13,233,493
18	Grants payable ..........				18
19	Deferred revenue ..........				19
20	Tax-exempt bond liabilities ..........				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....			56,193,534	25	71,002,401
26	Total liabilities. Add lines 17 through 25.....			66,844,582	26	84,235,894
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			210,232,931	27	195,075,774
28	Temporarily restricted net assets .....			11,583,007	28	13,272,560
29	Permanently restricted net assets .....			1,599,848	29	1,531,624
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			223,415,786	33	209,879,958
34	Total liabilities and net assets/fund balances .....			290,260,368	34	294,115,852