Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2011
Open to Public Inspection
A For the calendar year, or tax year beginning 10-01-2011 and ending 09-30-2012
BCheck if applicable:
CName of organization
BETHESDA HOSPITAL INC
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
2815 S SEACREST BLVD
 
Room/suite
City or town, state or country, and ZIP + 4
BOYNTON BEACH, FL33435
D Employer identification number

59-2447554
E Telephone number

G Gross receipts $ 355,943,986
F Name and address of principal officer:
ROGER L KIRK
2815 S Seacrest Blvd
Boynton Beach,FL33435
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.BETHESDAWEB.COM
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1959
M State of legal domicile: FL
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: BETHESDA 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 MediumBullet
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 2011 (Part V, line 2a) ... 5 1,987
6 Total number of volunteers (estimate if necessary) .... 6 1,628
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 13,370
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 11,192
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 4,615,190 2,244,583
9 Program service revenue (Part VIII, line 2g) ......... 298,107,200 295,372,551
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 5,980,412 3,787,668
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 2,346,088 10,554,227
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 311,048,890 311,959,029
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 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) 116,354,965 123,013,553
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 171,154,081 173,082,368
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 287,509,046 296,095,921
19 Revenue less expenses. Subtract line 18 from line 12....... 23,539,844 15,863,108
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 294,115,852 314,582,606
21 Total liabilities (Part X, line 26)............. 84,235,894 98,875,332
22 Net assets or fund balances. Subtract line 21 from line 20..... 209,879,958 215,707,274
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid preparer use only
Print/type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name Right pointing arrowhead image

Firm's EIN Right pointing arrowhead image
Firm's address Right pointing arrowhead image



Phone no.
May the IRS discuss this return with the preparer shown above? See instructions .........bullet
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2011)
Form 990 (2011)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III .........
1
Briefly describe the organization’s mission: BETHESDA HOSPITAL'S MISSION IS TO PROVIDE QUALITY HEALTH SERVICES IN A CARING MANNER. WITH 525 PHYSICIANS IN MORE THAN 40 AREAS OF SPECIALTY, AND A HOSPITAL STAFF OF MORE THAN 1,900 EMPLOYEES, BETHESDA HOSPITAL, AND ITS AFFILIATES, OFFER A FULL ARRAY OF HEALTHCARE SERVICES, INCLUDING A NATIONALLY ACCREDITED VASCULAR INSTITUTE; GENERAL AND SPECIALIZED SURGERY; MATERNITY SERVICES; A LEVEL III NEONATAL INTENSIVE CARE UNIT; PEDIATRIC AND PEDIATRIC INTENSIVE CARE SERVICES; PROGRAMS FOR WOUND CARE AND HYPERBARIC MEDICINE; THE BETHESDA COMPREHENSIVE CANCER CENTER, AN AFFILIATE OF THE H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE; THE WALTER S. AND LUCIENNE DRISKILL ENDOVASCULAR CENTER; A PRIMARY STROKE CENTER CERTIFIED BY THE JOINT COMMISSION; THE CORNELL INSTITUTE FOR REHABILITATION MEDICINE, A 28-BED, INPATIENT, REHABILITATION FACILITY; AND THE BETHESDA HEART HOSPITAL.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 257,668,486 including grants of $ 0 ) (Revenue $ 303,941,616 )
BETHESDA 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 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 expensesMediumBullet$ 257,668,486
Form 990 (2011)
Form 990 (2011)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II.........................
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part I....................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part II...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III ....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IV...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI, XII, and XIII
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Part I......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statement to this return? Note. All Form 990 filers that operated one or more hospitals must attach audited financial statements. Click to see attachment
20b
Yes
 
Form 990 (2011)
Form 990 (2011)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II..
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III.....
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I......
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II.........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV...................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV..
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2...........
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2011)
Form 990 (2011)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V .........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
267
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
1,987
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2011)
Form 990 (2011)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI .........
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
If the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
1a
11
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
11
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? .................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ............
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ..........
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? ....
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done ....................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes," to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
Joanne Aquilina
2815 S SEACREST BLVD
BOYNTON BEACH,FL33435
(561) 737-7733
Form 990 (2011)
Form 990 (2011)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII .........
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(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
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) FRED W LOVE MD
Chair
 2.00 X   X       0 0 0
(2) THOMAS A SMITH
Secretary
 2.00 X   X       0 0 0
(3) WILLIAM F CASSADY
Vice Chair
 2.00 X   X       0 0 0
(4) FRED B DEVITT JR ESQ
Member
 2.00 X           0 0 0
(5) GEORGE T ELMORE
Member
 2.00 X           0 0 0
(6) I JEFFREY PHETERSON ESQ
MEMBER
 2.00 X           0 0 0
(7) JAMES BYRNES MD
MEMBER
 2.00 X           0 0 0
(8) N M WEEMS MD
MEMBER
 2.00 X           0 0 0
(9) RALPH B BRESLAW MD
MEMBER
 2.00 X           0 0 0
(10) STORMET C NOREM
MEMBER
 2.00 X           0 0 0
(11) WILLIAM F KOCH JR
MEMBER
 2.00 X           0 0 0
(12) JOANNE AQUILINA
VP OF FINANCE/CFO
 2.00     X       0 246,094 55,686
(13) ROBERT B HILL
PRESIDENT - PARTIAL YEAR
 2.00     X       0 631,736 84,178
(14) ROBERT BROADWAY
VP OF CORPORATE STRATEGY
 2.00     X       0 213,368 56,728
(15) ROGER L KIRK
PRESIDENT - PARTIAL YEAR
 2.00     X       0 440,007 80,362
(16) ALBERT G BIEHL
VP MEDICAL AFFAIRS
 40.00         X   333,804 0 67,868
(17) GARY S NORDMARK
VP OF OPERATIONS
 40.00         X   216,013 0 44,850
Form 990 (2011)
Form 990 (2011)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(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
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) GERALYN A LUNSFORD
VP OF PATIENT SERVICES
 40.00         X   226,652 0 47,853
(19) MATTHEW G SKINNER
CHIEF MEDICAL PHYSICIST
 40.00         X   225,540 0 24,194
(20) SHARLENE LAU
PHARMACY DIRECTOR
 40.00         X   153,677 0 8,917




















1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 1,155,685 1,531,205 470,636
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet81
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
OPTUMINSIGHT INC
2771 MOMENTUM PLACE
CHICAGO,IL606895327 		SHARING FEE 2,541,610
ASCENT MEDICAL GROUP LLC
406 SW 12ST STREET
DEERFIELD BEACH,FL33442 		ANESTHESIA SERVICES 2,360,000
SHIFTWISE
2501 SW 1ST AVENUE STE 200
PORTLAND,OR97201 		CONTRACT STAFFING 2,191,803
EXECUTIVE HEALTH RESOURCES
15 CAMPERS BLVD STE 200
NEWTON SQUARE,PA19073 		CONSULTING FEES 1,488,137
PALM BEACH CREDIT ADJUSTORS
3800 S CONGRESS AVE STE 3
BOYNTON BEACH,FL33426 		COLLECTION SERVICES 1,415,103
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet22
Form 990 (2011)
Form 990 (2011)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 2,194,484
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		50,099
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 2,244,583
Program Service Revenue Business Code
2a PATIENT SERVICE REVENUE 622,110 295,100,934 295,087,564 13,370  
b AFFILIATE PROGRAM REVENUE 518,210 94,416 94,416    
c CLINICAL RESEARCH 621,500 102,617 102,617    
d
e
f All other program service revenue . 74,584 74,584 0 0
g Total. Add lines 2a–2f........MediumBullet 295,372,551
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 2,241,000     2,241,000
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties............MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 641,803  
b Less: rental expenses 212,105  
c Rental income or (loss) 429,698 0
d Net rental income or (loss).......MediumBullet 429,698     429,698
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 45,280,284 39,236
b Less: cost or other basis and sales expenses 43,741,489 31,363
c Gain or (loss) 1,538,795 7,873
d Net gain or (loss)..........MediumBullet 1,546,668     1,546,668
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..MediumBullet 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...MediumBullet 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..MediumBullet 0      
Miscellaneous Revenue Business Code
11a FOOD SALES 722,210 896,773     896,773
b CHILDCARE 624,410 647,499     647,499
c MEDICAID/MEDICARE INCENTIVE PAYMENTS 900,099 8,363,796 8,363,796    
d All other revenue .... 216,461 216,461 0 0
e Total. Add lines 11a–11d ......MediumBullet 10,124,529
12 Total revenue. See Instructions....MediumBullet 311,959,029 303,939,438 13,370 5,761,638
Form 990 (2011)
Form 990 (2011)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Check if Schedule O contains a response to any question in this Part IX. .........
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 United States. See Part IV, line 21 0  
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 0  
3 Grants and other assistance to governments, organizations, and individuals outside the United States. 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 94,518,747 86,280,568 8,238,179  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 11,342,288 10,208,059 1,134,229  
9 Other employee benefits ....... 10,360,665 9,310,301 1,050,364  
10 Payroll taxes ........... 6,791,853 6,112,669 679,184  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 1,989,764   1,989,764  
c Accounting ........... 191,280   191,280  
d Lobbying ........... 0      
e Professional fundraising. See Part IV, line 17.. 0  
f Investment management fees ...... 464,422   464,422  
g Other .......... 24,347,723 10,028,261 14,319,462  
12 Advertising and promotion .... 22,747 22,747    
13 Office expenses ....... 59,559,415 58,830,027 729,388  
14 Information technology ...... 3,555,812 2,843,716 712,096  
15 Royalties .. 0      
16 Occupancy ........... 5,791,074 3,672,414 2,118,660  
17 Travel ............ 330,307 275,891 54,416  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 59,420 17,826 41,594  
20 Interest ........... 0      
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 19,338,528 13,235,491 6,103,037  
23 Insurance .............. 3,186,152 2,650,442 535,710  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a BAD DEBT 50,470,571 50,470,571    
b ASSESSMENT FL PUB MED ASSISTANCE 3,329,671 3,329,671    
c MISCELLANEOUS EXPENSES 445,482 379,832 65,650  
d
e
f All other expenses 0 0 0 0
25 Total functional expenses. Add lines 1 through 24f 296,095,921 257,668,486 38,427,435 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720). 0      
Form 990 (2011)
Form 990 (2011)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 7,000 1 8,200
2 Savings and temporary cash investments ....... 5,002,871 2 5,941,208
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 41,215,832 4 43,954,259
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 .............. 3,667,090 8 3,955,369
9 Prepaid expenses and deferred charges ............ 4,268,521 9 6,621,733
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 361,469,993
b Less: accumulated depreciation. ..... 10b 222,657,739 144,337,900 10c 138,812,254
11 Investments—publicly traded securities .......... 79,202,589 11 92,038,211
12 Investments—other securities. See Part IV, line 11 ...... 0 12 4,323,812
13 Investments—program-related. See Part IV, line 11 .. 0 13 0
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 16,414,049 15 18,927,560
16 Total assets. Add lines 1 through 15 (must equal line 34)... 294,115,852 16 314,582,606
Liabilities 17 Accounts payable and accrued expenses . 13,233,493 17 19,772,551
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 (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D..... 71,002,401 25 79,102,781
26 Total liabilities. Add lines 17 through 25..... 84,235,894 26 98,875,332
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 195,075,774 27 198,203,812
28 Temporarily restricted net assets ..... 13,272,560 28 15,744,904
29 Permanently restricted net assets ..... 1,531,624 29 1,758,558
Organizations that do not follow SFAS 117, check here MediumBullet 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 ..... 209,879,958 33 215,707,274
34 Total liabilities and net assets/fund balances ..... 294,115,852 34 314,582,606
Form 990 (2011)
Form 990 (2011)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI .........
1
Total revenue (must equal Part VIII, column (A), line 12) ...
1
311,959,029
2
Total expenses (must equal Part IX, column (A), line 25) ....
2
296,095,921
3
Revenue less expenses. Subtract line 2 from line 1 ...
3
15,863,108
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
209,879,958
5
Other changes in net assets or fund balances (explain in Schedule O) ...
5
-10,035,792
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) ....
6
215,707,274
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII .........
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?....
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O. ...........................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
 
 
Form 990 (2011)
Additional Data


Software ID: 11000230
Software Version: v2011.1.0
Form 990, Special Condition Description:
Special Condition Description
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.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
BETHESDA 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.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
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.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
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)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(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?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (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) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (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).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (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) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (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.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
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) 2011

Additional Data


Software ID: 11000230
Software Version: v2011.1.0
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2011
Name of organization
BETHESDA HOSPITAL INC
 
Employer identification number

59-2447554
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




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
Special Rules
......................... 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 on line H of its
Form 990-EZ or on Part I, 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) (2011)

Page 2
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
BETHESDA HOSPITAL INC
  		Employer identification number

59-2447554
Part I
Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 3
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
BETHESDA HOSPITAL INC
  		Employer identification number

59-2447554
Part II
Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
     
(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) (2011)

Page 4
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
BETHESDA HOSPITAL INC
  		Employer identification number

59-2447554
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total 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 $  
Use duplicate copies of Part III if additional space is needed
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use 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		 (c)
Use 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		 (c)
Use 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		 (c)
Use 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) (2011)

Additional Data


Software ID: 11000230
Software Version: v2011.1.0
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
BETHESDA 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 .......    
5
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? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can 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? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the 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, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
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)? ....................................
9
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.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), 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.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), 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 $  
2
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 (ASC 958), relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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) 2011

Schedule D (Form 990) 2011
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
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?........
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
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 (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 16,942,951 17,333,861 15,480,219 15,459,550
b Contributions ........   6,000 666,556 60,000
c Net investment earnings, gains, and losses ... 2,663,231 -205,068 1,518,235 292,425
d Grants or scholarships .....   0 0 0
e Other expenditures for facilities
and programs ........ 		299,987 151,760 250,000 250,000
f Administrative expenses .... 29,464 40,082 81,149 81,756
g End of year balance ...... 19,276,731 16,942,951 17,333,861 15,480,219
2
Provide the estimated percentage of the year end balance (line 1g) held as:
a
Board designated or quasi-endowment SchDMd Bullet65.130 %
b
Permanent endowment SchDMd Bullet9.130 %
c
Temporarily restricted endowment SchDMd Bullet25.740 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
Yes
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   2,170,248 2,170,248
b Buildings ................   208,952,041 109,131,663 99,820,378
c Leasehold improvements ............   1,107,497 665,517 441,980
d Equipment ................   140,956,778 112,860,559 28,096,219
e Other .................   8,283,429   8,283,429
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 138,812,254
Schedule D (Form 990) 2011

Schedule D (Form 990) 2011
Page 3
Part VII
Investments—Other 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) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program 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) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) INTEREST IN ASSETS/AFFILIATES 18,927,560








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 18,927,560
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Book value
Federal Income Taxes 0
RESERVES FOR SELF INSURANCE 8,526,239
DUE TO STATE MED ASSIST FUNDS 264,315
ACCRUED RETIREMENT BENEFIT LIABILITY 70,311,994
SECURITY DEPOSIT 233





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 79,102,781
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) 2011

Schedule D (Form 990) 2011
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  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV.) ................................. 8  
9 Total adjustments (net). Add lines 4 through 8 ......................... 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
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  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
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  
b Other (Describe in Part XIV.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
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  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
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  
b Other (Describe in Part XIV.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
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 IN THE PROVISION OF QUALITY HEALTH CARE SERVICES TO THE SURROUNDING COMMUNITY.
FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF BETHESDA HEALTH, INC. BELOW IS THE FIN 48 FOOTNOTE FROM THOSE FINANCIAL STATEMENTS. THE INTERNAL REVENUE SERVICE (IRS) HAS DETERMINED THAT BHS, BPS, BHC, BMA, WDC, THE FOUNDATION, AND THE HOSPITAL ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). ALL OTHER AFFILIATES OF BHS ARE FOR-PROFIT ENTITIES THAT FILE A CONSOLIDATED TAX RETURN. AS OF SEPTEMBER 30, 2012 AND 2011, THE CONSOLIDATED FOR-PROFIT ENTITIES HAVE RECORDED A PROVISION FOR INCOME TAX IN ACCORDANCE WITH ASC TOPIC 740, INCOME TAXES. THE SYSTEM APPLIES THE PROVISIONS OF ASC TOPIC 740 TO EVALUATE UNCERTAIN TAX POSITIONS. THIS GUIDANCE CREATES A SINGLE MODEL TO ADDRESS UNCERTAIN INCOME TAX POSITIONS 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.
Schedule D (Form 990) 2011

Additional Data


Software ID: 11000230
Software Version: v2011.1.0




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
BETHESDA HOSPITAL INC
 
Employer identification number

59-2447554
Part I
General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants
and other assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? ..............................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other
assistance outside the United States.
3
Activites per Region. (Use Part V if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees or agents in region or independent contractors (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total
expenditures for region/investments
in region
CENTRAL AMERICA AND THE CARIBBEAN     INVESTMENTS   4,323,812
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .....      
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)     4,323,812
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2011
Schedule F (Form 990) 2011
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet
Use Part V if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount of
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .....MediumBullet
 
3
Enter total number of other organizations or entities ........................MediumBullet
 
Schedule F (Form 990) 2011
Schedule F (Form 990) 2011Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Use Part V if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2011
Schedule F (Form 990) 2011
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................
2 Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................
Schedule F (Form 990) 2011
Schedule F (Form 990) 2011
Page 5
Part V
Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
Identifier ReturnReference Explanation
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2011
Additional Data


Software ID: 11000230
Software Version: v2011.1.0



SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet 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
2011
Open to Public Inspection
Name of the organization
BETHESDA HOSPITAL INC
 
Employer identification number

59-2447554
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a....
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG to determine eligibility for providing discounted care? If "Yes," indicate which of the
following was the family income limit for eligibility for discounted care: ............
3b
 
No
c
If the organization did 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 used an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount?......
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care?...............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year?...........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ...............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance
and Means-Tested Government Programs		 (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 Financial Assistance at cost
(from Worksheet 1) .. 		    4,517,354 0 4,517,354 1.840 %
b Medicaid (from Worksheet 3, column a) .....     49,855,878 41,179,364 8,676,514 3.540 %
c Costs of other means-tested government programs (from Worksheet 3, column b) .     4,809,735 2,023,447 2,786,288 1.140 %
dTotal Financial Assistance and
Means-Tested Government Programs ..... 		0 0 59,182,967 43,202,811 15,980,156 6.520 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		    804,150 0 804,150 0.330 %
f Health professions education
(from Worksheet 5) .. 		    706,181 451,313 254,868 0.100 %
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 for community benefit (from Worksheet 8) ....     0 0 0 0 %
jTotal Other Benefits ... 0 0 1,510,331 451,313 1,059,018 0.430 %
kTotal. Add lines 7d and 7j. .. 0 0 60,693,298 43,654,124 17,039,174 6.950 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing         0 0 %
2 Economic development         0 0 %
3 Community support         0 0 %
4 Environmental improvements         0 0 %
5 Leadership development and training for community members         0 0 %
6 Coalition building         0 0 %
7 Community health improvement advocacy         0 0 %
8 Workforce development         0 0 %
9 Other         0 0 %
10 Total 0 0 0 0 0 0 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense........
2
50,470,571
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy .....
3
3,926,610
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
89,092,975
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
83,529,552
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
5,563,423
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures
(see instructions)
(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) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest)
How many hospital facilities did the organization operate during the tax year?1
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 BETHESDA HOSPITAL
2815 SOUTH SEACREST BLVD
BOYNTON BEACH,FL33435 		X X         X   INPATIENT REHABILITATION
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
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:  
Line Number of Hospital Facility (from Schedule H, Part V, Section A):  

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
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 the community health 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 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 Participation in the development of a community-wide community benefit plan
d Participation in the execution of a 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 Needs Assessment
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 and 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 Explained 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?....... 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care?................. 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
If "No," explain in Part VI the criteria the hospital facility used.
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 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 (FAP) that explained actions the hospital facility may take upon non-payment?....... 14    
15 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
16 DDid the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 16    
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
17 Indicate which efforts the hospital facility made before initiating any of the actions checked in line 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 patients were eligible for financial assistance under the hospital facility’s financial assistance policy
e Other (describe in Part VI)
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
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 why:
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility’s policy was not in writing
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)
Individuals Eligible for Financial Assistance
19 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
b The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
c The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
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 FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?............................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care 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 PROFESSIONAL PLAZA
2623 SOUTH SEACREST BLVD
BOYNTON BEACH,FL33435 		OUTPATIENT REHABILITATION
3 DEVOS-BLUM FAMILY YMCA OF BOYNTON BEACH
9600 SOUTH MILITARY TRAIL
BOYNTON BEACH,FL33436 		OUTPATIENT REHABILITATION
4 BLUM FAMILY YMCA OF BOCA RATON
6631 PALMETTO CIRCLE SOUTH
BOCA RATON,FL33433 		OUTPATIENT REHABILITATION
5
6
7
8
9
10
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the descriptions 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, 3, 4, 5c, 6i, 7, 9, 10, 11h, 13g, 15e, 16e, 17e, 18d, 19d, 20, and 21.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any 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
CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST 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 2012 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.
Eligibility criteria for free or discounted care Schedule H, Part I, Line 3c THE POLICY ITSELF DOES NOT DESCRIBE HOW DISCOUNTED CARE WILL BE DETERMINED. THEREFORE THE DETERMINATION WAS MADE ON A CASE-BY-CASE BASIS. SOME OF THE TYPES OF DISCOUNTS THAT HAVE BEEN OFFERED TO THOSE INDIVIDUALS WHO DO NOT HAVE INSURANCE ARE AS FOLLOWS: ALL SELF PAY AND CASH PAYING PATIENTS ARE OFFERED DISCOUNTED PRICING BASED ON A MULTIPLE OF MEDICARE REIMBURSEMENT, ESTABLISHED EMERGENCY ROOM FLAT RATES, FLAT DISCOUNTS BASED ON GROSS CHARGES AND OR COVERAGE OF COSTS PER INDIVIDUAL ACCOUNT. ALL SELF PAY AND UNINSURED PATIENTS THAT DO NOT REQUEST DISCOUNT PRICING PRIOR TO OR AT THE TIME OF SERVICE ARE OFFERED A 30% DISCOUNT OFF BILLED CHARGES ON THE FIRST STATEMENT FROM OUR EXTENDED BUSINESS OFFICE.
Bad Debt Expense excluded from financial assistance calculation Schedule H, Part I, Line 7, column(f) 50,470,571
Bad debt expense - financial statement footnote Schedule H, Part III, Line 4 OUR ORGANIZATION APPLIED A PERCENTAGE OF 7.78%, TO THE TOTAL DOLLAR AMOUNT OF BAD DEBT TO ESTIMATE THE AMOUNT OF OUR ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY UP TO 100% FPIL. THIS PERCENTAGE IS BASED ON EQUIFAX SCORING (PROPRIETARY CREDIT SCORING ALGORITHM) ANALYSIS OF A STATISTICALLY SIGNIFICANT POPULATION (24,886) OF DEBTORS PLACED IN COLLECTION FROM 10/1/2011-9/30/2012. CONSUMERS WITH AN EQUIFAX SCORE OF 301-500 (ON A SCALE OF 301-900) WOULD QUALIFY FOR CHARITY ASSISTANCE IN ACCORDANCE WITH BETHESDA 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 2012 AS FILED MEDICARE COST REPORT COSTING METHODOLOGY.
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.
Used FPG to determine eligibility for providing discounted care criteria Schedule H, Part V Section B, Line 10 (1) BETHESDA HOSPITAL - 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.;
Means used to determine amounts billed Schedule H, Part V Section B, Line 19d (1) BETHESDA HOSPITAL - FOR EMERGENCY ROOM CARE FLAT RATES ARE ESTABLISHED THAT ARE OFFERED TO ALL UNINSURED PATIENTS. FOR OTHER MEDICALLY NECESSARY SERVICES WE OFFER DISCOUNTED PRICING BASED ON A MULTIPLE OF MEDICARE REIMBURSEMENT, FLAT DISCOUNTS BASED ON GROSS CHARGES AND OR COVERAGE OF COSTS PER INDIVIDUAL ACCOUNT. ALL SELF PAY AND UNINSURED PATIENTS THAT DO NOT REQUEST DISCOUNT PRICING PRIOR TO OR AT THE TIME OF SERVICE ARE OFFERED A 30% DISCOUNT OFF BILLED CHARGES ON THE FIRST STATEMENT FROM OUR EXTENDED BUSINESS OFFICE. ;
Charges for Medical Care Schedule H, Part V Section B, Line 20 (1) BETHESDA HOSPITAL - THE ORGANIZATION IS WORKING TO REVISE ITS FINANCIAL ASSISTANCE POLICY IN ORDER TO ENSURE INDIVIDUALS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT CHARGED MORE THAN AMOUNTS GENERALLY BILLED TO THOSE WHO HAVE INSURANCE. PRIOR TO THE REVISION OF THE POLICY, THE ORGANIZATION'S METHODOLOGY FOR CALCULATING DISCOUNTED CARE MAY HAVE CAUSED AN FAP-ELIGIBLE INDIVIDUAL TO HAVE BEEN CHARGED MORE THAN AMOUNTS GENERALLY BILLED. ;
Needs assessment. Schedule H, Part VI, Line 2 IN KEEPING WITH OUR MISSION TO PROVIDE QUALITY HEALTH SERVICES IN A CARING MANNER AS A COMMUNITY-BASED HOSPITAL SYSTEM, WE SERVE A DIVERSE COMMUNITY WITH DIVERSE NEEDS THAT INCLUDES SENIORS, FAMILIES, INFANTS AND CHILDREN, AS WELL AS A GROWING HISPANIC AND HAITIAN POPULATION. TO ADDRESS THE LOCAL HEALTH NEEDS OF OUR COMMUNITY, BETHESDA HOSPITAL HAS BEGUN WORK ON DEVELOPING A FORMALIZED COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2013. AS A RESULT OF THE FEEDBACK WE HAVE RECEIVED FROM MANY OF OUR LOCAL CONSTITUENCY GROUPS, OUR GOALS WILL BE TO IMPROVE THE HEALTH STATUS OF PALM BEACH COUNTY RESIDENTS; ADDRESS SOCIOECONOMIC FACTORS CAUSING A NEGATIVE IMPACT ON OUR COMMUNITY'S HEALTH AND INCREASE ACCESS TO PREVENTIVE HEALTHCARE SERVICES, ESPECIALLY WITHIN AT-RISK SUB POPULATIONS. WE WORK WITH MANY LOCAL GROUPS, REPRESENTING DIVERSE SEGMENTS OF HEALTHCARE CONSUMERS AND SERVICE PROVIDERS IN PALM BEACH COUNTY. SOME OF THE REPORTED CHALLENGES THAT HAVE BEEN IDENTIFIED INCLUDE: FINANCIAL CONCERNS, LACK OF KNOWLEDGE ABOUT AVAILABILITY OF SERVICES, ACCESSIBILITY ISSUES, LANGUAGE BARRIERS AND PERCEPTIONS OF CULTURAL INSENSITIVITY. TO ADDRESS THESE NEEDS, BETHESDA PROVIDES A NUMBER OF SERVICES TO HELP EACH OF ITS SUB- POPULATIONS. BETHESDA OFFERS PATIENTS FREE TRANSPORTATION TO ITS FACILITIES FOR OUTPATIENT PROCEDURES, AS WELL AS CARDIOPULMONARY REHABILITATION AND PHYSICAL THERAPY SERVICES. IN ADDITION, THE HOSPITAL'S FINANCIAL ASSISTANCE UNIT WORKS WITH PATIENTS TO SECURE FEDERAL AND STATE FINANCIAL ASSISTANCE, AS WELL AS OFFERING CONVENIENT PAYMENT PLANS. IN ADDITION, HEALTH FAIRS ARE PROVIDED IN AREAS OF AT-RISK POPULATIONS WITH HEALTHCARE PROFESSIONALS WHO SPEAK ENGLISH, SPANISH AND CREOLE. MATERNITY TOURS AND BABY CLASSES ARE ALSO OFFERED IN SPANISH AND CREOLE. THE HOSPITAL'S FAMILY RESOURCE CENTER ALSO ALLOWS FAMILIES TO ACCESS MULTI-LINGUAL COMPUTERS AND MULTI-LINGUAL RESOURCES FOR PRENATAL, NEWBORN, PEDIATRIC AND FAMILY-CENTERED INFORMATION. ALL PATIENT INFORMATION IS PROVIDED IN ENGLISH, SPANISH AND CREOLE. IN WORKING WITH LOCAL ORGANIZATIONS SUCH AS THE MARCH OF DIMES, CARIDAD CENTER AND THE COALITION OF BOYNTON WEST RESIDENTIAL ASSOCIATIONS (COBWRA), THERE IS A TREMENDOUS NEED TO ADDRESS THE NUMBERS OF LOW BIRTH WEIGHT DELIVERIES AND PREMATURE BIRTHS IN PALM BEACH COUNTY, ESPECIALLY AMONG AFRICAN AMERCIAN MOTHERS. BASED ON THIS DATA, BETHESDA IS NOW LOOKING AT WAYS TO FOCUS GREATER EFFORTS ON REDUCING THE NUMBER OF PRE-TERM/PREMATURE BIRTHS THROUGH PRE-NATAL EDUCATION CLASSES AND COMMUNITY HEALTH FAIRS. IMMUNIZATIONS FOR CHILDREN UNDER TWO CONTINUES TO BE AN AREA OF NEED IN PALM BEACH COUNTY. AS A RESULT, BETHESDA IS NOW TAKING STEPS TO INCREASE THE NUMBER OF ENROLLED IN THE FLORIDA KIDCARE PROGRAM. AMONG THE SENIOR POPULATION IN PALM BEACH COUNTY, DIABETES CONTINUES TO BE ON THE RISE. TO CURB THIS TREND, BETHESDA IS NOW WORKING TO REDUCE THE INCIDENCE OF NEWLY DIAGNOSED CASES OF DIABETES IN THE SENIOR POPULATION THROUGH THE CREATION OF DIABETES MANAGEMENT PATIENT EDUCATION CLASSES RELATED TO NUTRITION AND EXERCISE. WE ALSO PROVIDE 340 (B) SERVICES TO OUR PATIENTS WHO QUALIFY FOR THIS FEDERAL ASSISTANCE TO RECEIVE REDUCED-PRICE PRESCRIPTION DRUGS. OUR QUALITY RESOURCE MANAGERS AND PHARMACISTS WORK WITH EACH PATIENT TO ENSURE THEY HAVE THE PRESCRIPTION DRUGS THAT ARE NEEDED UPON THE PATIENT'S DISCHARGE FROM THE HOSPITAL FOR BOTH ACUTE CARE AND LONG-TERM NEEDS.
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 AS A VIDEO INTERPRETER SERVICE 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.
Schedule H (Form 990) 2011
Additional Data


Software ID: 11000230
Software Version: v2011.1.0
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
2011
Open to Public Inspection
Name of the organization
BETHESDA HOSPITAL INC
 
Employer identification number

59-2447554
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
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? ....
2
 
 
3
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. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
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:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
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.
5
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:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
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:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
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 ............
7
 
No
8
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 Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2011

Schedule J (Form 990) 2011
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and column (E) for that individual.
(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 as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) ALBERT G BIEHL (i)
(ii)		 254,588
0 		75,016
0 		4,200
0 		56,130
0 		11,738
0 		401,672
0 		0
0
(2) GARY S NORDMARK (i)
(ii)		 154,724
0 		55,860
0 		5,429
0 		30,420
0 		14,430
0 		260,863
0 		0
0
(3) GERALYN A LUNSFORD (i)
(ii)		 189,657
0 		35,315
0 		1,680
0 		34,620
0 		13,233
0 		274,505
0 		0
0
(4) JOANNE AQUILINA (i)
(ii)		 0
211,551 		0
29,163 		0
5,380 		0
23,349 		0
32,337 		0
301,780 		0
0
(5) MATTHEW G SKINNER (i)
(ii)		 225,250
0 		20
0 		270
0 		3,634
0 		20,560
0 		249,734
0 		0
0
(6) ROBERT B HILL (i)
(ii)		 0
469,259 		0
133,651 		0
28,826 		0
77,850 		0
6,328 		0
715,914 		0
0
(7) ROBERT BROADWAY (i)
(ii)		 0
182,644 		0
27,183 		0
3,541 		0
33,691 		0
23,037 		0
270,096 		0
0
(8) ROGER L KIRK (i)
(ii)		 0
323,622 		0
46,222 		0
70,163 		0
63,860 		0
16,502 		0
520,369 		0
0
(9) SHARLENE LAU (i)
(ii)		 129,041
0 		24,383
0 		253
0 		7,169
0 		1,748
0 		162,594
0 		0
0







Schedule J (Form 990) 2011

Schedule J (Form 990) 2011
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
Arrangement used to establish the top management official's compensation Schedule J, Part I, Line 3 THE ORGANIZATION'S PRESIDENT/CEO IS PAID BY BETHESDA HEALTH, INC. (A RELATED ORGANIZATION). BETHESDA HEALTH, INC. USES THE FOLLOWING TO DETERMINE HIS COMPENSATION: INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD.
Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b DURING 2011, THE FOLLOWING PAYMENTS WERE RECEIVED FROM THE PLAN: JOANNE AQUILINA - $329 ROBERT BROADWAY - $539 DURING 2011, THE FOLLOWING CONTRIBUTIONS WERE MADE TO THE PLAN: ROGER L. KIRK - $25,873 JOANNE AQUILINA - $6,560 ROBERT BROADWAY - $2,447 ALBERT BIEHL - $9,750 GERALYN LUNSFORD - $9,750
Schedule J (Form 990) 2011

Additional Data


Software ID: 11000230
Software Version: v2011.1.0
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
2011
Open to Public
Inspection
Name of the organization
BETHESDA HOSPITAL INC
 
Employer identification number

59-2447554
Identifier Return Reference Explanation
COMMUNITY SERVICES FORM 990, PART III, LINE 4 CHARITY CARE AS ONE OF ONLY THREE NOT-FOR-PROFIT HOSPITALS IN PALM BEACH COUNTY, BETHESDA HOSPITAL, INC. IS A COMMUNITY-OWNED HOSPITAL DEDICATED TO PROVIDING QUALITY HEALTH SERVICES IN A CARING MANNER, REGARDLESS OF ABILITY TO PAY. SINCE 1990, BETHESDA HOSPITAL, INC., HAS MET THE REQUIREMENTS UNDER THE SOCIAL SECURITY ACT (SECTION 1886(D)(5)(F)) TO RECEIVE ADDITIONAL PAYMENTS TO HOSPITALS THAT SERVE A SIGNIFICANTLY DISPROPORTIONATE NUMBER OF LOW-INCOME PATIENTS. LOW-INCOME PATIENTS INCLUDE PATIENTS WHO WERE ENTITLED TO BENEFITS UNDER MEDICARE PART A AND WERE ENTITLED TO SUPPLEMENTARY SECURITY INCOME (SSI) BENEFITS AND PATIENTS WHO WERE ELIGIBLE FOR MEDICAL ASSISTANCE UNDER A STATE PLAN APPROVED UNDER TITLE XIX. THE SOCIAL SECURITY ACT DEFINES THE FORMULA FOR DETERMINING THE PERCENTAGE TO BE USED FOR THIS DISPROPORTIONATE SHARE ADJUSTMENT PAYMENT. THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BETHESDA INFORMS ITS PATIENTS ABOUT ITS CHARITY CARE POLICY BY POSTING THIS INFORMATION IN OUR EMERGENCY DEPARTMENT AND ADMITTING AREAS. IN ADDITION, THE HOSPITAL HAS A FINANCIAL ASSISTANCE UNIT (FAU) TO HELP EDUCATE OUR PATIENTS ON AVAILABLE PROGRAMS. AMONG THE SERVICES OFFERED, BETHESDA'S FAU HELPS PATIENTS QUALIFY FOR MEDICAID PROGRAMS AND MAKE ARRANGEMENTS FOR EXTENDED PAYMENTS FOR SERVICES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THIS AMOUNT IS RECORDED AS A DEDUCTION FROM GROSS REVENUE REPORTED. FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2012, BETHESDA PROVIDED $58 MILLION IN INDIGENT AND CHARITY CARE WRITE-OFFS, REPRESENTING 4% OF THE HOSPITAL'S TOTAL CHARGES. FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2012, BETHESDA PROVIDED AN ADDITIONAL $8.2 MILLION IN DISCOUNTS FOR UNINSURED PATIENTS. THESE DISCOUNTS WERE PRIMARILY FOR SERVICES PROVIDED IN THE EMERGENCY DEPARTMENT. COMMUNITY NEEDS ASSESSMENT IN KEEPING WITH OUR MISSION TO PROVIDE QUALITY HEALTH SERVICES IN A CARING MANNER, BETHESDA HAS TAILORED ITS COMMUNITY BENEFIT PROGRAMS TO MEET THE NEEDS OF OUR KEY CONSTITUENT GROUPS IDENTIFIED THROUGH OUR COMMUNITY NEEDS ASSESSMENT: SENIORS, WOMEN, CHILDREN AND FAMILIES. THE HOSPITAL UTILIZES STATE AND REGIONAL DATA, PATIENT SURVEYS, FOCUS GROUP MEETINGS, SUPPORT GROUP MEETINGS AND ONE-ON-ONE PATIENT INTERVIEWS. IN ADDITION, BETHESDA USES EVALUATION SURVEYS TO SOLICIT FEEDBACK FROM ATTENDEES OF OUR HOSPITAL'S VARIOUS COMMUNITY EVENTS, INCLUDING COMMUNITY HEALTH FAIRS AND COMMUNITY LECTURES PROVIDED AT THE HOSPITAL. IN ADDITION, WE PROVIDE EDUCATION CLASSES FOR ALL SEGMENTS OF OUR PATIENT POPULATION, RANGING FROM PRENATAL CARE CLASSES FOR EXPECTANT PARENTS TO ORTHOPAEDIC 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. WE ALSO HOLD SPECIAL EVENTS, SUCH AS 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 PARTICIPATE IN LOCAL CIVIC EVENTS, SUCH AS DELRAY BEACH AND BOYNTON BEACH FIRE RESCUE, 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, IN BOYNTON BEACH, ON AN ONGOING BASIS TO ADDRESS THE HEALTH NEEDS OF THESE GROUPS THROUGH THE PROVISION OF HEALTH SCREENINGS AND ACUTE CARE MEDICAL SERVICES WHEN CARIDAD CENTER SEEKS ADDITIONAL CARE FOR THESE PATIENTS. PROGRAMS AND SERVICES IN ADDITION TO PROVIDING CHARITY CARE, BETHESDA PROVIDES AN ARRAY OF PROGRAMS AND SERVICES TO HELP IMPROVE THE QUALITY OF LIFE IN OUR COMMUNITY, AS DESCRIBED BELOW: AARP SAFE DRIVING PROGRAM WITH SENIORS REPRESENTING THE LARGEST SEGMENT OF BETHESDA'S PATIENT POPULATION, BETHESDA HAS RECOGNIZED THAT HAVING SAFER DRIVERS ON THE ROAD MEANS HAVING HEALTHIER DRIVERS IN OUR COMMUNITY. BETHESDA HOSPITAL, IN COLLABORATION WITH AARP, HOSTS A MONTHLY SAFE DRIVING PROGRAM FOR ALL PERSONS AGE 50 AND OLDER TO KEEP MEMBERS OF OUR COMMUNITY SAFE ON THE ROADS. BETHESDA HOSPITAL, INC. WITH AARP, HELD 20 SAFE DRIVING SESSIONS WITH 400 PEOPLE WHO TOOK ADVANTAGE OF THIS LEARNING OPPORTUNITY FOR THE TWELVE MONTHS ENDED SEPTEMBER 30, 2012. BABY LINE MORE THAN 35% OF BETHESDA'S 2,900 DELIVERIES ARE BORN TO FAMILIES WITH INCOMES THAT FALL BELOW THE FEDERAL INCOME POVERTY GUIDELINE. TO ENSURE THAT THESE FAMILIES GET THE BEST START IN LIFE, BETHESDA HELPS EXPECTANT MOTHERS GET THE ANSWERS THEY NEED ABOUT PREGNANCY, BIRTH AND BEYOND. BETHESDA'S DIRECT PHONE SERVICE PROVIDES CALLERS WITH INFORMATION AND ASSISTANCE REGARDING OUR COMPREHENSIVE MATERNITY PROGRAM, AS WELL AS PHYSICIAN REFERRAL AND PARENT/CHILD EDUCATION CLASSES, MONDAY THROUGH FRIDAY FROM 8:30 A.M. TO 5:00 P.M. THROUGH THE BABY LINE, EXPECTING PARENTS CAN ACCESS BETHESDA'S CLASSES IN THE FOLLOWING AREAS: INFANT SAFETY, BREASTFEEDING, PREPARED CHILDBIRTH, PRENATAL BABY CARE AND POSTNATAL BABY CARE. AS A RESULT, BETHESDA HELD 40 CLASSES WITH A TOTAL OF 760 ATTENDEES DURING THE TWELVE MONTHS ENDED SEPTEMBER 30, 2012. BETHESDA MALL WALKERS PROGRAM ONE OF THE BEST WAYS TO FIGHT HEART DISEASE AND PREVENT BONE LOSS IS THROUGH WALKING. IN SERVING ITS SENIOR POPULATION, BETHESDA OFFERS A FREE MALL WALKERS PROGRAM TO THE PUBLIC TO PROMOTE HEALTHY WALKING IN THE BOYNTON BEACH MALL, NEAR BETHESDA HOSPITAL, INC., AND AT BETHESDA HEALTH CITY, WHICH SERVES OUR WESTERN COMMUNITY. WITH TWO CONVENIENT LOCATIONS, THE PROGRAM OFFERS EASY ACCESS AND PROMOTES HEART HEALTHY LIVING. BETHESDA HAD 180 REGISTERED MALL WALKERS AS OF 9/30/12. AVERAGE DAILY PARTICIPATION: 75-100 WALKERS. BETHESDA PRIMETIME CLUB WITH MORE THAN 70% OF BETHESDA'S PATIENTS BEING OVER THE AGE OF 60, BETHESDA'S PRIMETIME CLUB WAS CREATED TO HELP IMPROVE THEIR HEALTH AND KNOWLEDGE. THE BETHESDA PRIMETIME CLUB IS A FREE PROGRAM FOR PEOPLE AGE 50 AND OVER. IT PROVIDES ACCESS TO EDUCATIONAL RESOURCES, HEALTH SCREENINGS, LIFESTYLE AMENITIES (INCLUDING A CAR SEAT LOAN PROGRAM) AND OTHER HEALTH RESOURCES PROVIDED BY OUR STAFF THROUGH A DEDICATED QUARTERLY NEWSLETTER AND COMMUNITY MAGAZINE FOR MEMBERS, AS WELL AS A MEDICAL NETWORK RESOURCE FOR MEMBERS. BETHESDA SERVED 17,100 PRIMETIME CLUB MEMBERS DURING OUR FISCAL YEAR 2012. BETHESDA PROVIDED 35 EDUCATIONAL PROGRAMS, WITH APPROXIMATELY 2,800 PRIMETIME MEMBERS ATTENDING. BETHESDA PROVIDED 865 REFERRALS (NON-PHYSICIAN RELATED) FOR SOCIAL/AGENCY SERVICES TO ENRICH THE LIVES OF THIS GROUP. FOR THE TWELVE MONTHS ENDED SEPTEMBER 30, 2012, 62 CAR SEAT LOANS WERE PROVIDED TO PRIMETIME CLUB MEMBERS, ENABLING THEM TO PROVIDE A SAFE CAR FOR THEIR GRANDCHILDREN OR OTHER VISITING INFANTS. IN ADDITION, 437 PRIMETIME MEMBERS RECEIVED DISCOUNT PRESCRIPTION CARDS THROUGH BETHESDA'S PARTNERSHIP WITH CATALYST SCRIPTS, HELPING THEM TO GET THEIR MEDICATIONS WHEN THEY NEED THEM, AT MORE AFFORDABLE PRICES. COMMUNITY BLOOD DRIVE JUST AS OUR COMMUNITY HAS GROWN, BETHESDA RECOGNIZES THAT THE NEED FOR BLOOD HAS GROWN AS WELL. TO MEET THIS COMMUNITY NEED, BETHESDA CONDUCTS TWO BLOOD DRIVES PER YEAR, WHICH ARE OPEN TO ALL EMPLOYEES AND THE GENERAL PUBLIC. BETHESDA HELD A TOTAL OF 24 BLOOD DRIVES AT THREE LOCATIONS: BETHESDA HOSPITAL, INC., BETHESDA SERVICE CENTER AND BETHESDA HEALTH CITY DURING THE 2012 FISCAL YEAR. COMMUNITY EDUCATION: BETHESDA HEALTH NEWS MAGAZINE THROUGH OUR COMMUNITY ASSESSMENT SURVEY, BETHESDA HAS FOUND THAT EDUCATION IS VITAL TO SUCCESSFULLY PROMOTING THE HEALTH AND WELLNESS OF OUR COMMUNITY. THREE TIMES A YEAR, BETHESDA PROVIDES A QUARTERLY HEALTH PUBLICATION, BETHESDA HEALTH NEWS, WHICH PROVIDES INFORMATION ABOUT NEW TREATMENTS FOR A VARIETY OF HEALTH CONDITIONS PREVALENT IN OUR COMMUNITY, AS WELL AS INFORMATION ABOUT PROGRAMS AND SERVICES, SUPPORT GROUPS AND CLASSES. THE PUBLICATION FEATURES ARTICLES FROM BETHESDA'S MEDICAL STAFF WHO OFFER ADVICE ON TOPICS INCLUDING: HEART HEALTH, CANCER, BACK AND JOINT PAIN, AND WOMEN'S HEALTH. MAILED TO 108,000 HOMES IN BETHESDA'S PRIMARY AND SECONDARY SERVICE AREAS. COMMUNITY EDUCATION: COMMUNITY LECTURE SERIES KEEPING OUR PATIENTS INFORMED OF NEW ADVANCEMENTS IN HEALTHCARE, TREATMENTS FOR A WIDE RANGE OF CONDITIONS, AND PROVIDING DIRECT ACCESS WITH A BETHESDA PHYSICIAN TO ANSWER THEIR QUESTIONS ARE THE GOALS BEHIND BETHESDA'S COMMUNITY LECTURE SERIES. AS PART OF BETHESDA'S MISSION TO PROVIDE QUALITY HEALTH SERVICES,
Significant changes to organizational documents Form 990, Part VI, Section A, Line 4 THE ORGANIZATION CHANGED ITS NAME FROM BETHESDA MEMORIAL HOSPITAL, INC. TO BETHESDA HOSPITAL, INC. THE ORGANIZATION'S GOVERNING DOCUMENTS WERE AMENDED FOR THIS CHANGE.
Classes of members or stockholders Form 990, Part VI, Section A, Line 6 THE ORGANIZATION HAS ONE SOLE MEMBER, BETHESDA HEALTH, INC., A FLORIDA NOT-FOR-PROFIT ORGANIZATION.
Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a BETHESDA HEALTH, 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 HEALTH, 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 11b 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 HEALTH 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, LINE 15A THE BOARD OF TRUSTEES OF BETHESDA HEALTH, INC. ANNUALLY APPOINTS THE PRESIDENT/CEO TO A ONE-YEAR TERM AND ESTABLISHES AND APPROVES THE COMPENSATION OF THE PRESIDENT/CEO. THE BOARD OF TRUSTEES OF BETHESDA HEALTH PERIODICALLY ENGAGES AN INDEPENDENT OUTSIDE PROFESSIONAL COMPENSATION FIRM TO REVIEW COMPENSATION AND BENEFIT LEVELS OF THE PRESIDENT AND CHIEF FINANCIAL OFFICER OF BETHESDA HEALTH. THE CONSULTING FIRM WORKS INDEPENDENTLY OF MANAGEMENT AND REPORTS THE INFORMATION DIRECTLY TO THE TRUSTEES OF BETHESDA HEALTH 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 BETHESDA HEALTH 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 HEALTH SETS THE COMPENSATION AND BENEFITS OF THE POSITIONS NOTED ABOVE. THE PROCESS WAS UNDERTAKEN IN THE YEAR ENDED SEPTEMBER 30, 2012. THE PROCESS AND DECISIONS ARE DOCUMENTED IN THE BOARD MINUTES.
PROCESS OF DETERMINING COMPENSATION OF OTHER OFFICERS FORM 990, PART VI, LINE 15B THE OTHER OFFICERS OF THE ORGANIZATION ARE SUBJECT TO BETHESDA HEALTH'S ANNUAL EMPLOYEE REVIEW PROCESS. THE VICE PRESIDENT OF HUMAN RESOURCES RECOMMENDS TO THE PRESIDENT/CEO OF THE BETHESDA HEALTH, 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 HEALTH 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 HEALTH SETS THE COMPENSATION AND BENEFITS FOR THE OTHER OFFICERS. THE PROCESS WAS UNDERTAKEN FOR THE YEAR ENDED SEPTEMBER 30, 2012. 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 HEALTH AS DESCRIBED IN THE NARRATIVE FOR FORM 990, PART VI, LINE 15A.
JOINT VENTURE POLICY FORM 990, PART VI, LINE 16A THE HOSPITAL DOES NOT HAVE A WRITTEN POLICY FOR JOINT VENTURE RELATIONSHIPS DUE TO THE LIMITED NUMBER OF SUCH RELATIONSHIPS AND THE PRACTICE AND PROCEDURES IN PLACE TO ENSURE THE JOINT VENTURES ARE ESTABLISHED TO IMPROVE THE QUALITY OF HEALTHCARE SERVICES AND SUPPORT THE MISSION OF THE HOSPITAL. THE EXISTING JOINT VENTURES HAVE BEEN ESTABLISHED WITH THE HOSPITAL CONTROLLING AND HAVING THE MAJORITY OF VOTING INTEREST IN THE DECISIONS IMPACTING THE OPERATIONS OF THE ENTITY.
Governing documents, conflict of interest policy and financial statements available to the public 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.
Average number of hours devoted per week to related organization Form 990, Part VII, Section A, Column B THOMAS A. SMITH:BETHESDA HEALTH, INC.- 2.000;WILLIAM F. CASSADY:BETHESDA HEALTH, INC.- 2.000;FRED W. LOVE, M.D.:BETHESDA HEALTH, INC.- 2.0002.000, BETHESDA HOSPITAL FOUNDATION, INC.- 2.000;FRED B. DEVITT, JR, ESQ:BETHESDA HEALTH, INC.- 2.000;GEORGE T. ELMORE:BETHESDA HEALTH, INC.- 2.000;STORMET C. NOREM:BETHESDA HEALTH, INC.- 2.0002.000, BETHESDA HOSPITAL FOUNDATION, INC.- 2.000;WILLIAM F. KOCH, JR.:BETHESDA HEALTH, INC.- 2.000;N. M. WEEMS, M.D.:BETHESDA HEALTH, INC.- 2.000;ROBERT B HILL:BETHESDA HEALTH, INC.- 40.00040.000, BETHESDA MEDICAL ASSOCIATES, INC.- 2.0002.000, BETHESDA HEALTH CITY, INC.- 2.0002.000, WOMEN'S DIAGNOSTIC CENTER OF BETHESDA, INC.- 2.0002.000, BETHESDA MEMORIAL SIT - WORKMAN'S COMP- 2.0002.000, BETHESDA MEMORIAL SIT - MALPRACTICE- 2.0002.000, BETHESDA PAYROLL SERVICES, INC.- 2.0002.000, BETHESDA HOSPITAL FOUNDATION, INC.- 2.000;ROGER L KIRK:BETHESDA HEALTH, INC.- 40.00040.000, BETHESDA MEDICAL ASSOCIATES, INC.- 2.0002.000, BETHESDA HEALTH CITY, INC.- 2.0002.000, WOMEN'S DIAGNOSTIC CENTER OF BETHESDA, INC.- 2.0002.000, BETHESDA MEMORIAL SIT - WORKMAN'S COMP- 2.0002.000, BETHESDA MEMORIAL SIT - MALPRACTICE- 2.0002.000, BETHESDA PAYROLL SERVICES, INC.- 2.0002.000, BETHESDA HOSPITAL FOUNDATION, INC.- 2.000;JOANNE AQUILINA:BETHESDA HEALTH, INC.- 40.00040.000, BETHESDA MEDICAL ASSOCIATES, INC.- 2.0002.000, BETHESDA HEALTH CITY, INC.- 2.0002.000, WOMEN'S DIAGNOSTIC CENTER OF BETHESDA, INC.- 2.0002.000, BETHESDA PAYROLL SERVICES, INC.- 2.000;ROBERT BROADWAY:BETHESDA HEALTH, INC.- 40.00040.000, BETHESDA MEDICAL ASSOCIATES, INC.- 2.0002.000, BETHESDA HEALTH CITY, INC.- 2.0002.000, WOMEN'S DIAGNOSTIC CENTER OF BETHESDA, INC.- 2.0002.000, BETHESDA PAYROLL SERVICES, INC.- 2.000;
Other changes in net assets or fund balances Form 990, Part XI, Line 5 NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 5850753; PENSION ADJUSTMENT - -3346082; TRANSFER TO AFFILIATES - -15239741; INCREASE IN TEMPORARILY RESTRICTED NET ASSETS - 2699278;
COMMUNITY SERVICES (CONTINUED) PART III, LINE 4 FOR THE TWELVE MONTHS ENDED SEPTEMBER 30, 2011, BETHESDA CARED FOR 60,000 PATIENTS IN THE EMERGENCY DEPARTMENT. OF THOSE, NEARLY 9%, OR 5,400 PATIENTS WERE CHARITY CARE PATIENTS, WHO DID NOT HAVE THE ABILITY TO PAY FOR HEALTHCARE SERVICES. FOOD FOR THE NEEDY PROGRAM POVERTY REMAINS A GROWING PROBLEM IN CERTAIN SEGMENTS OF OUR COMMUNITY. IN AN EFFORT TO HELP THE HUNGRY IN OUR COMMUNITY, BETHESDA MEMORIAL HOSPITAL PROVIDES UNUSED FOOD ON A WEEKLY BASIS TO CARING KITCHEN IN DELRAY BEACH. THIS PROGRAM IS COORDINATED THROUGH BETHESDA'S FOOD & NUTRITION SERVICES DEPARTMENT AND HELPS APPROXIMATELY 100-150 PEOPLE EVERY WEEK. FOREIGN LANGUAGE TRANSLATION RECOGNIZING THE DIVERSITY OF OUR COMMUNITY, BETHESDA PROVIDES AN INTERPRETER SERVICE IN 14 LANGUAGES, INCLUDING SIGN LANGUAGE FOR THE DEAF. SERVICES PROVIDED ROUTINELY TO PATIENTS WHO CANNOT COMMUNICATE IN ENGLISH. WITH 2,800 DELIVERIES A YEAR, BETHESDA CONTINUES TO SEE A GROWING NUMBER OF NON-ENGLISH SPEAKING FAMILIES ARRIVING IN OUR MATERNITY AND PEDIATRIC UNITS. AS A RESULT, BETHESDA'S CENTER FOR WOMEN AND CHILDREN EXPANDED ITS FAMILY RESOURCE CENTER TO PROVIDE MULTI-LINGUAL COMPUTERS AND INCORPORATE MULTI-LINGUAL RESOURCES TO PROVIDE PRENATAL, NEWBORN, PEDIATRIC AND FAMILY-CENTERED INFORMATION. TO ASSIST OUR FAMILIES, PATIENT INFORMATION IS PROVIDED IN ENGLISH, SPANISH AND CREOLE. GRADUATE MEDICAL EDUCATION PROGRAM IN PLANNING FOR OUR COMMUNITY'S FUTURE GROWTH AND MEDICAL NEEDS, BETHESDA IS ACTIVELY ENGAGED IN TRAINING PHYSICIANS FOR THE FUTURE. BETHESDA PROVIDES CLINICAL TRAINING TO GRADUATE MEDICAL STUDENTS FROM AREA COLLEGES AND UNIVERSITIES, INCLUDING THE UNIVERSITY OF MIAMI MILLER SCHOOL OF MEDICINE, FLORIDA ATLANTIC UNIVERSITY AND NOVA SOUTHEASTERN UNIVERSITY, IN THE AREAS OF OBSTETRICS, PEDIATRICS, FAMILY MEDICINE AND GENERAL SURGERY. HEALTH FAIRS KEEPING OUR COMMUNITY INFORMED ABOUT THEIR HEALTH HELPS THEM LEAD HEALTHIER LIVES. BETHESDA OFFERS HEALTH INFORMATION AND SCREENINGS INCLUDING: BLOOD PRESSURE SCREENINGS, CHOLESTEROL SCREENINGS, BLOOD SUGAR SCREENINGS, OXYGEN SATURATION SCREENINGS, BONE DENSITY SCREENINGS, GRIP STRENGTH SCREENINGS, AND SELF SCREENINGS FOR HEARING AND CARDIAC RISK ASSESSMENT. BETHESDA PROVIDED 56 COMMUNITY HEALTH FAIRS, REACHING OVER 4,100 PEOPLE IN VARIOUS LOCATIONS THROUGHOUT SOUTH PALM BEACH COUNTY, INCLUDING RESIDENTIAL AND CIVIC CENTERS, AS OF 9/30/11. HELPING HANDS PROGRAM JUST AS BETHESDA'S MISSION IS TO SERVE THE COMMUNITY, BETHESDA RECOGNIZES THAT IT CANNOT CARE FOR THE COMMUNITY WITHOUT A STRONG EMPLOYEE WORKFORCE. TO THIS END, BETHESDA MEMORIAL HOSPITAL AND ITS EMPLOYEES HAVE ESTABLISHED A FUND TO HELP FELLOW EMPLOYEES FACING FINANCIAL HARDSHIPS. THIS ON-GOING PROGRAM PROVIDES TOYS FOR CHILDREN DURING THE HOLIDAYS; FINANCIAL ASSISTANCE FOR UTILITY BILLS AND ASSISTANCE DURING TIMES OF PERSONAL LOSS. HISPANIC OUTREACH PROGRAM THROUGH OUR COMMUNITY NEEDS ASSESSMENT, BETHESDA HAS 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 AND ACUTE CARE MEDICAL SERVICES WHEN CARIDAD CENTER SEEKS ADDITIONAL CARE FOR THESE PATIENTS. HOSPICE CARE CARING FOR PATIENTS AND FAMILIES THROUGH EVERY STAGE OF THEIR LIVES IS WHY BETHESDA IS PROUD TO WORK IN PARTNERSHIP WITH HOSPICE OF PALM BEACH COUNTY TO PROVIDE AN INPATIENT HOSPICE UNIT IN THE HOSPITAL. BETHESDA'S HOSPICE UNIT OFFERS SUPPORT FOR PATIENTS AND THEIR FAMILIES, WITH INPATIENT CARE AND COUNSELING SERVICES. HEALTHY KIDS' DAY WHILE DROWNING IS THE LEADING CAUSE OF DEATH FOR CHILDREN UNDER THE AGE OF FOUR IN PALM BEACH COUNTY, BETHESDA CONTINUES TO SEE AN ALARMING NUMBER OF CHILDREN EVERY YEAR IN ITS EMERGENCY DEPARTMENT WHO ARE THE VICTIMS OF DROWNING AND NEAR DROWNING EVENTS. IN CARING FOR OUR COMMUNITY'S CHILDREN, BETHESDA HAS MADE A COMMITMENT TO HELPING KEEP KIDS SAFE BY PROVIDING A FREE, EDUCATIONAL HEALTH FAIR. HELD IN PARTNERSHIP WITH THE DEVOS-BLUM FAMILY YMCA OF BOYNTON BEACH AND IN COOPERATION WITH SAFE KIDS COALITION OF PALM BEACH COUNTY, "HEALTHY KIDS DAY" IS A FREE, ANNUAL EDUCATIONAL EVENT GEARED FOR CHILDREN AGES 2-14. THE EVENT TEACHES SAFETY TIPS FOR WATER SAFETY, BICYCLE SAFETY, HOME AND FIRE SAFETY, AND PERSONAL SAFETY. THE PROGRAM ALSO OFFERS FREE CAR SEAT SAFETY CHECKS FOR PARENTS AND GRANDPARENTS. PROMOTED TO 40,000 STUDENTS IN PUBLIC AND PRIVATE PRE-SCHOOL, ELEMENTARY AND MIDDLE SCHOOLS IN SOUTH AND CENTRAL PALM BEACH COUNTY, AND THROUGH DIRECTED PRINT, WEBSITE AND RADIO ADVERTISING. KOMEN FOUNDATION MAMMOGRAM SCREENING PROGRAM AS PART OF ITS COMMITMENT TO SERVE MEDICALLY NEEDY WOMEN, BETHESDA PARTICIPATES WITH THE KOMEN FOUNDATION TO PROVIDE LOW-COST SCREENING MAMMOGRAMS TO NEEDY WOMEN IN OUR COMMUNITY. BETHESDA WOMEN'S HEALTH CENTER IS THE LARGEST KOMEN-GRANT SITE IN PALM BEACH COUNTY. FOR THE TWELVE MONTHS ENDED SEPTEMBER 30, 2011, BETHESDA PROVIDED 463 LOW-COST MAMMOGRAMS; 314 BREAST ULTRASOUNDS; 129 BREAST BIOPSIES AND 33 MRI TESTS TO MEDICALLY NEEDY WOMEN IN OUR COMMUNITY. LEADERSHIP BOYNTON EDUCATING OUR COMMUNITY LEADERS ABOUT THE HEALTH NEEDS AND HEALTH SERVICES AVAILABLE TO THEIR CONSTITUENTS AND THEIR FAMILIES, BETHESDA PROVIDES A DAYLONG HEALTHCARE LEADERSHIP-TRAINING SEMINAR FOR THE GREATER BOYNTON BEACH CHAMBER OF COMMERCE. THIS PROGRAM PROVIDES EDUCATION TO THE CITY OF BOYNTON BEACH'S LEADERS REGARDING THE IMPORTANT ISSUES AFFECTING HOSPITALS TODAY AND HEALTHCARE POLICY IN OUR COMMUNITY. BETHESDA SERVES APPROXIMATELY 20-25 PARTICIPANTS PER YEAR. LEADERSHIP DELRAY WORKING WITH THE GREATER DELRAY BEACH CHAMBER OF COMMERCE, BETHESDA MEMORIAL HOSPITAL PROVIDES A HEALTHCARE LEADERSHIP-TRAINING PROGRAM TO EDUCATE THE CITY'S LEADERS ON THE IMPORTANT ISSUES AFFECTING HEALTHCARE POLICY AND HOSPITALS TODAY. PARTICIPANTS COME FROM THE BANKING, COMMERCIAL INSURANCE AND REAL ESTATE SECTORS. BETHESDA SERVES APPROXIMATELY 25 PEOPLE PER YEAR. LIVING WILL PROGRAM HOSPITAL OFFERS FREE COPIES OF LIVING WILLS TO ANYONE IN THE COMMUNITY. AN INDIVIDUAL'S LIVING WILL IS KEPT ON FILE AT THE HOSPITAL IN THE PERSON'S MEDICAL RECORD. APPROXIMATELY 200 LIVING WILLS WERE DISTRIBUTED TO RESIDENTS DURING FISCAL YEAR 2011. MEDICARE AND MEDICAID COUNSELING PROGRAM - SHINE PROGRAM BETHESDA'S LARGEST GROUP OF PATIENTS IS SENIORS AND BETHESDA RECOGNIZES THAT HELPING SENIORS UNDERSTAND THEIR INSURANCE PLANS AND WHAT BENEFITS ARE PROVIDED IS VITAL TO THEIR ABILITY TO ACCESS HEALTH SERVICES. BETHESDA MEMORIAL HOSPITAL, IN COOPERATION WITH SERVING HEALTH INSURANCE NEEDS OF ELDERS (SHINE), A DEPARTMENT OF THE FLORIDA DEPARTMENT OF ELDERS, PROVIDES FREE WEEKLY COUNSELING TO ALL PERSONS IN THE COMMUNITY REGARDING ASSISTANCE WITH MEDICARE, MEDICARE PART D, PRESCRIPTION ASSISTANCE, LONG-TERM CARE NEEDS, INSURANCE, AND MEDICAID. FOR FISCAL YEAR 2011, 135 COUNSELING SESSIONS WERE PROVIDED. NEONATAL INTENSIVE CARE UNIT - LEVEL III UNIT WITH 2,800 DELIVERIES PER YEAR, MORE THAN 275 NEWBORNS SPENT THEIR FIRST DAYS OF LIFE IN BETHESDA'S LEVEL III NEONATAL UNIT, WHICH PROVIDES THE HIGHEST LEVEL OF CARE FOR CRITICALLY ILL AND AT-RISK NEWBORNS IN OUR COMMUNITY. THIS UNIT HAS ENABLED FAMILIES TO STAY CLOSE TO THEIR NEWBORNS, WHILE KEEPING THEIR OWN FAMILIES INTACT. BETHESDA'S LEVEL III NEONATAL UNIT IS STAFFED BY A NEONATOLOGIST 24 HOURS A DAY.
COMMUNITY SERVICE (CONTINUED) PART III, LINE 4 FOR FISCAL YEAR 2011, BETHESDA CARED FOR 350 NEONATAL PATIENTS. NURSING EDUCATION PROGRAM IN RECOGNITION OF THE NEED FOR NURSES IN OUR COMMUNITY BOTH NOW AND IN THE FUTURE, BETHESDA MEMORIAL HOSPITAL HAS TAKEN A PROACTIVE APPROACH TO WORK WITH AREA NURSING SCHOOLS AND COLLEGES, INCLUDING FLORIDA ATLANTIC UNIVERSITY AND PALM BEACH COMMUNITY COLLEGE TO PROVIDE CLINICAL ROTATION PROGRAMS FOR MORE THAN 550 STUDENT NURSES ANNUALLY. LEVEL I AND LEVEL II STUDENT NURSES WORK IN BOTH GROUP AND ONE-ON-ONE SETTINGS WITH BETHESDA NURSES IN MATERNITY, PEDIATRICS, MEDICAL-SURGICAL, CRITICAL CARE, TELEMETRY, ENDOSCOPY, ONCOLOGY, REHABILITATION, WOUND CARE AND IMAGING. (IN AN EFFORT TO ESTABLISH A BASE OF COMPETENT, WELL-TRAINED AND EXPERIENCED HEALTHCARE STAFF TO WORK IN THE FIELDS OF RADIOLOGY AND NURSING, BETHESDA MEMORIAL HOSPITAL BEGAN WORK ON THE ESTABLISHMENT OF THE BETHESDA COLLEGE OF HEALTH SCIENCES. THE COLLEGE RECEIVED PROVISIONAL LICENSURE FROM THE FLORIDA DEPARTMENT OF EDUCATION IN OCTOBER 2011, AND WILL SEE ITS FIRST CLASS OF STUDENTS IN AUGUST 2012.) PHYSICIAN REFERRAL SERVICE FOR MANY IN OUR COMMUNITY, ACCESS TO HEALTH SERVICES BEGINS WITH FINDING THE RIGHT PHYSICIAN. AS A RESULT, BETHESDA'S PHYSICIAN REFERRAL SERVICE IS A TELEPHONE AND WALK-IN SERVICE THAT PROVIDES REFERRALS AND OFFERS INFORMATION ABOUT APPROXIMATELY 300 PHYSICIANS WHO ARE ON THE MEDICAL STAFF OF BETHESDA MEMORIAL HOSPITAL. FOR FISCAL YEAR 2011, THE PHYSICIAN REFERRAL LINE PROVIDED INFORMATION TO APPROXIMATELY 4,378 CALLERS. QUALITY REPORTING INITIATIVES BETHESDA MEMORIAL HOSPITAL PARTICIPATES IN NATIONAL QUALITY REPORTING INITIATIVES THROUGH CMS-MEDICARE AND THE NATIONAL HOSPITAL QUALITY ALLIANCE AND CORE MEASURES PROJECT OF THE JOINT COMMISSION, AS PART OF OUR ONGOING EFFORTS TO IMPROVE PATIENT SAFETY AND QUALITY OF CARE WITHIN OUR FACILITY. THESE ORGANIZATIONS HAVE DEFINED CHANGES AND MEASURES THAT HAVE BEEN DEMONSTRATED TO REDUCE HARM AND SAVE LIVES. FOR FISCAL YEAR 2011, BETHESDA MEMORIAL HOSPITAL PARTICIPATED IN THE PUBLICLY REPORTED MEASUREMENTS IN THE HOSPITAL QUALITY ALLIANCE FOR: HEART ATTACK PNEUMONIA CONGESTIVE HEART FAILURE SURGICAL INFECTION PREVENTION PATIENT PERCEPTION OF CARE ACC/STS SCHOLARSHIP PROGRAM BETHESDA'S SCHOLARSHIP PROGRAMS ARE HELPING STUDENTS IN OUR COMMUNITY TO FURTHER THEIR COLLEGE EDUCATION. THE BETHESDA AUXILIARY PROVIDED EIGHT NURSING/HEALTH CAREER SCHOLARSHIPS, TOTALING $6,000, AS OF 9/30/11. IN ADDITION, THE PETER BLUM SCHOLARSHIP PROGRAM PROVIDED 4-YEAR COLLEGE SCHOLARSHIPS TO12 STUDENTS, TOTALING $60,000, AS OF 9/30/11. IN ADDITION, 16 SCHOLARSHIPS, FOR $500 EACH, WERE AWARDED TOTALING $8,000. THESE SCHOLARSHIPS WERE AWARDED BASED ON ACADEMIC ACHIEVEMENT AND COMMUNITY SERVICE. SPEAKERS BUREAU RECOGNIZING THAT MANY RESIDENTS NEED HEALTHCARE EDUCATION WITHIN THEIR OWN COMMUNITIES, BETHESDA REACHES OUT TO THESE COMMUNITIES BY PROVIDING A SPEAKERS BUREAU WITH MORE THAN 40 MEDICAL TOPICS AND RELEVANT SPEAKERS. THIS FREE SERVICE IS AVAILABLE TO ANY REQUESTING ORGANIZATION. BETHESDA PROVIDED SPEAKERS FOR VARIOUS SPEAKING ENGAGEMENTS IN AREA CIVIC CENTERS, SCHOOLS, AND RESIDENTIAL SETTINGS. BETHESDA PROVIDED 44 SPEAKERS TO THE COMMUNITY DURING FISCAL YEAR 2011. SPONSORSHIPS BETHESDA PROVIDES SPONSORSHIPS IN THE FORMS OF FINANCIAL ASSISTANCE, STAFF SUPPORT AND MATERIAL RESOURCES TO A VARIETY OF LOCAL ORGANIZATIONS IN OUR COMMUNITY TO PROMOTE OUTREACH AND AWARENESS THROUGH VARIOUS ORGANIZATIONS, AS FOLLOWS: LOCAL SCHOOLS IN BOYNTON BEACH, DELRAY BEACH AND LAKE WORTH; CIVIC ORGANIZATIONS; THE SUSAN G. KOMEN FOUNDATION; THE AMERICAN HEART ASSOCIATION; CARIDAD CENTER; MARCH OF DIMES; THE CITIES OF BOYNTON BEACH, DELRAY BEACH, LAKE WORTH, AND PALM BEACH COUNTY LAW ENFORCEMENT AND EMERGENCY LIFE-SAFETY AGENCIES; THE BOCA RATON YMCA AND THE DEVOS-BLUM FAMILY YMCA OF BOYNTON BEACH. BETHESDA PROVIDED $101,615.00 IN SPONSORSHIP GRANTS TO LOCAL ORGANIZATIONS DURING FISCAL YEAR 2011. SUPPORT GROUPS PROVIDING OUR PATIENTS AND RESIDENTS WITH ACCESS TO SUPPORT SERVICES IS AN IMPORTANT EXTENSION OF BETHESDA'S MISSION TO PROVIDE QUALITY HEALTH SERVICES IN A CARING MANNER. BETHESDA PROVIDES 24 FREE COMMUNITY SUPPORT GROUPS TO OFFER COUNSELING SUPPORT TO PATIENTS AND FAMILIES IN COPING WITH SITUATIONS INVOLVING HEALTH RELATED PROBLEMS, WITH APPROXIMATELY 850 ATTENDEES ANNUALLY: * AL-ANON * AMERICAN CANCER SOCIETY - "LOOK GOOD, FEEL BETTER" PROGRAM * AMERICAN HEART ASSOCIATION - "MENDED HEARTS" SUPPORT GROUP * BETTER BREATHERS CLUB * BREAST CANCER SUPPORT GROUP * CAREGIVERS AND CARE PARTNERS * COPING WITH CANCER * INSULIN PUMP SUPPORT * "I CAN COPE" WITH AMERICAN CANCER SOCIETY * LA LECHE LEAGUE - BREASTFEEDING SUPPORT GROUP * LEUKEMIA/LYMPHOMA/MYELOMA SUPPORT GROUP * LIVING WITH CANCER - (EN ESPAÑOL) * LUNG CANCER SUPPORT * LUPUS SUPPORT GROUP * MACULAR DEGENERATION SUPPORT GROUP * "MAN TO MAN" - PROSTATE CANCER SUPPORT GROUP * MEDITATION SUPPORT GROUP * "MOVING ON AFTER A DIAGNOSIS OF CANCER" SUPPORT GROUP * MULTIPLE MYELOMA SUPPORT GROUP * MYASTHENIA GRAVIS SUPPORT GROUP * NICOTINE ANONYMOUS * POST-SURGICAL BREAST CANCER EDUCATION AND EXERCISE SESSION * POST-SURGICAL WEIGHT REDUCTION SUPPORT GROUP * SHARING THE LOSS (BEREAVEMENT FOR A LOVED ONE) * STROKE CLUB * WRITING OUR MEMORIES GROUP VOLUNTEER PROGRAM/AUXILIARY IN SERVING OUR COMMUNITY, BETHESDA IS GRATEFUL TO MANY INDIVIDUALS WHO VOLUNTEER THEIR TIME TO FURTHER BETHESDA'S MISSION TO PROVIDE QUALITY HEALTH SERVICES IN A CARING MANNER FOR OUR PATIENTS. A TOTAL OF 693 ADULT VOLUNTEERS AND 81 TEEN VOLUNTEERS PROVIDED 142,525 HOURS OF IN-SERVICE FOR THE FISCAL YEAR ENDING 9/30/11. CONCLUSION BETHESDA MEMORIAL HOSPITAL IS A COMPREHENSIVE COMMUNITY-BASED HOSPITAL. OUR COMMUNITY REFLECTS A DIVERSE POPULATION WITH MANY NEEDS, FROM PRIMARY TO CRITICAL CARE. ONE PARTICULAR SEGMENT IS 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 AS 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, BETHESDA IS THERE FOR OUR COMMUNITY THROUGH EVERY STAGE OF THEIR LIVES.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2011

Additional Data


Software ID: 11000230
Software Version: v2011.1.0
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
BETHESDA 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 4,036 396,987 BETHESDA HOSPITAL
 










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
Yes No
(1) BETHESDA HEALTH INC

2815 S SEACREST BLVD

BOYNTON BEACH,FL33435
59-2447553 		SUPPORT ORG FL 501(C)(3) 11 - Type III - FI BETHESDA HEALTH
 
 
No
(2) 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 BETHESDA HEALTH
 
 
No
(3) BETHESDA PAYROLL SERVICES INC

2815 S SEACREST BLVD

BOYNTON BEACH,FL33435
65-0523164 		PAYROLL SUPPORT FL 501(C)(3) 11 - Type III - FI BETHESDA HEALTH
 
 
No
(4) 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 BETHESDA HEALTH
 
 
No
(5) BETHESDA HEALTH CITY INC

2815 S SEACREST BLVD

BOYNTON BEACH,FL33435
65-0561263 		O/P MED SVCS FL 501(C)(3) 9 BETHESDA HEALTH
 
 
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 BETHESDA HEALTH
 
 
No
(7) BETHESDA MEDICAL ASSOCIATES INC

2815 S SEACREST BLVD

BOYNTON BEACH,FL33435
59-6137805 		O/P MED SVCS FL 501(C)(3) 3 BETHESDA HEALTH
 
 
No
(8) BETHESDA HOSPITAL FOUNDATION INC

2815 S SEACREST BLVD

BOYNTON BEACH,FL33435
59-6137805 		FUNDRAISING FL 501(C)(3) 7 BETHESDA HEALTH
 
 
No
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
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 V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) CARE SERVICES OF BETHESDA LLC

2500 QUANTUM LAKES DR
BOYNTON BEACH,FL33426
20-1745631 		HOME HEALTH FL NA
  		RELATED 150,320 2,448,336   No 0   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)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(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) 2011
Schedule R (Form 990) 2011
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
No
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 . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
2
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 115,814 FMV
(1)
(2)
(3)
(4)
(5)
(6)
Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
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)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(e)
Are all
partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
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: 11000230
Software Version: v2011.1.0