Form990
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
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 07-01-2012 , 2012, and ending 06-30-2013
BCheck if applicable:
CName of organization
BOCA RATON REGIONAL HOSPITAL INC
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
800 MEADOWS ROAD
 
Room/suite
City or town, state or country, and ZIP + 4
BOCA RATON, FL33486
D Employer identification number

59-1006663
E Telephone number

G Gross receipts $ 393,240,908
F Name and address of principal officer:
JERRY FEDELE
800 MEADOWS RD
BOCA RATON,FL33486
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.BRRH.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: 1967
M State of legal domicile: FL
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: BRRH DELIVERS THE HIGHEST QUALITY PATIENT CARE WITH UNRELENTING ATTENTION TO CLINICAL EXCELLENCE, PATIENT SATISFACTION & SAFETY. OUR PROFESSIONALS DEMONSTRATE UNPARALLELED COMMITMENT TO THOSE WE SERVE.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 24
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 20
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 2,612
6 Total number of volunteers (estimate if necessary) ............. 6 538
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 4,176,452
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -908,936
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 10,541,535 17,879,747
9 Program service revenue (Part VIII, line 2g) ......... 333,402,200 341,541,819
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 202,067 115,586
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 480,870 2,715,232
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 344,626,672 362,252,384
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 171,906 163,108
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) 150,699,636 149,784,466
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–24e).... 188,849,448 190,550,007
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 339,720,990 340,497,581
19 Revenue less expenses. Subtract line 18 from line 12....... 4,905,682 21,754,803
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 340,420,974 359,864,568
21 Total liabilities (Part X, line 26)............. 155,346,425 123,545,747
22 Net assets or fund balances. Subtract line 21 from line 20..... 185,074,549 236,318,821
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 MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
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: BRRH DELIVERS THE HIGHEST QUALITY PATIENT CARE WITH UNRELENTING ATTENTION TO CLINICAL EXCELLENCE, PATIENT SATISFACTION AND PATIENT SAFETY. OUR TEAM OF PROFESSIONALS DEMONSTRATES UNPARALLELED COMPASSION AND COMMITMENT TO THOSE WE SERVE.
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 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 $ 268,249,236 including grants of $ 163,108 ) (Revenue $ 340,080,599 )
MISSION: BRRH DELIVERS THE HIGHEST QUALITY PATIENT CARE WITH UNRELENTING ATTENTION TO CLINICAL EXCELLENCE, PATIENT SATISFACTION AND PATIENT SAFETY. OUR TEAM OF PROFESSIONALS DEMONSTRATES UNPARALLELED COMPASSION AND COMMITMENT TO THOSE WE SERVE. VISION: TO BE THE PREEMINENT REGIONAL LEADER IN HEALTHCARE DELIVERY AND THE HOSPITAL OF CHOICE FOR PATIENTS, PHYSICIANS, EMPLOYEES AND VOLUNTEERS. HISTORY: IN 1962, GLORIA AND ROBERT DRUMMOND'S TWO YOUNG CHILDREN, DEBRA AND JAMES RANDALL WERE TRAGICALLY AND FATALLY POISONED. HAD MEDICAL TREATMENT BEEN CLOSER THAN 30 MINUTES FROM BOCA RATON, THE CHILDREN'S LIVES MAY HAVE BEEN SAVED. (CONTINUED IN SCHEDULE O)
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 expensesMediumBullet268,249,236
Form 990 (2012)
Form 990 (2012)
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 (see instructions)? 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, or have a section 501(h) election in effect during the tax year? 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 Click to see attachment....................
8
Yes
 
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; 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 V......
10
 
No
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, line 10?
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 IXClick 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 XClick 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 XClick 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 and XII .................
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 and XII 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, Parts I and IV.........
14b
 
No
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 United States? If “Yes,” complete Schedule F, Parts II and IV
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 United States? If “Yes,” complete Schedule F, Parts III and IV...
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 (see instructions)....
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 hospital facilities? 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 statements to this return? Click to see attachment
20b
Yes
 
Form 990 (2012)
Form 990 (2012)
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... Click to see attachment
21
Yes
 
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, line 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 lines 24b through 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, highest 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 direct or indirect owner? If “Yes,” complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
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, Part II, III, or IV, and Part 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 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
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
873
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
2,612
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, securities account, or other financial 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 as charitable contributions?...
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. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the 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 amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
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 .....................
1a
24
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
20
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
Yes
 
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
 
No
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 this 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
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
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
 
No
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
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
FL
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:
MediumBulletDAWN JAVERSACK800 MEADOWS RDBOCA RATONFL33486 (561) 955-4200
Form 990 (2012)
Form 990 (2012)
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. 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 organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(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) CHRISTINE E LYNN........................................................................
CHAIR
 2.00
.......................4.00 		X   X       0 0 0
(2) JERRY FEDELE........................................................................
PRESIDENT AND CEO
 40.00
.......................6.00 		X   X       720,796 0 164,245
(3) WARREN ORLANDO........................................................................
Vice Chair
 2.00
.......................2.00 		X   X       0 0 0
(4) ADAM HASNER........................................................................
TRUSTEE
 2.00
.......................2.00 		X           0 0 0
(5) ANTHONY DARDANO DO........................................................................
TRUSTEE
 2.00
.......................2.00 		X           0 0 0
(6) BASIL CHIE-FOR MD........................................................................
TRUSTEE
 2.00
.......................2.00 		X           0 0 0
(7) CHRISTOPHER WHEELER........................................................................
TRUSTEE
 2.00
.......................2.00 		X           0 0 0
(8) DAVID A KIRSCHNER........................................................................
Trustee
 2.00
.......................4.00 		X           0 0 0
(9) DEBBIE LEISING........................................................................
TRUSTEE
 2.00
.......................4.00 		X           0 0 0
(10) HARVEY SANDLER........................................................................
TRUSTEE
 2.00
.......................2.00 		X           0 0 0
(11) IRA LAZAR MD........................................................................
Trustee
 2.00
.......................2.00 		X           1,500 0 0
(12) IRVING GUTIN........................................................................
Trustee
 2.00
.......................4.00 		X           0 0 0
(13) J RICHARD DAMRON JR........................................................................
Trustee
 2.00
.......................4.00 		X           0 0 0
(14) KEITH O'DONNELL........................................................................
TRUSTEE
 2.00
.......................4.00 		X           0 0 0
(15) LARRY ALTSCHUL........................................................................
Trustee
 2.00
.......................4.00 		X           0 0 0
(16) MARK SALTZMAN MD........................................................................
Trustee
 2.00
.......................2.00 		X           25,200 0 0
(17) MARK TAUB........................................................................
TRUSTEE
 2.00
.......................2.00 		X           0 0 0
Form 990 (2012)
Form 990 (2012)
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 (list any hours for related organizations below dotted line) 		(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) MATTHEW KLEIN MD........................................................................
TRUSTEE
 2.00
.......................2.00 		X           0 0 0
(19) MICHAEL GROSS........................................................................
TRUSTEE
 2.00
.......................2.00 		X           0 0 0
(20) PETER R BARONOFF........................................................................
Trustee
 2.00
.......................2.00 		X           0 0 0
(21) RALPH PALUMBO MD........................................................................
TRUSTEE
 2.00
.......................2.00 		X           0 0 0
(22) REP WILLIAM HAGER........................................................................
TRUSTEE
 2.00
.......................2.00 		X           0 0 0
(23) RICHARD SCHULLER........................................................................
Trustee
 2.00
.......................4.00 		X           0 0 0
(24) RONALD G ASSAF........................................................................
TRUSTEE
 2.00
.......................2.00 		X           0 0 0
(25) ALEX EREMIA........................................................................
SECRETARY
 40.00
.......................6.00 		    X       249,147 0 41,821
(26) CHARLES POSTERNACK........................................................................
CHIEF MEDICAL OFFICER
 40.00
.......................0 		    X       513,362 0 81,461
(27) DAWN JAVERSACK........................................................................
TREASURER & CFO
 40.00
.......................6.00 		    X       379,180 0 68,558
(28) KAREN POOLE........................................................................
CHIEF OPERATING OFFICER
 40.00
.......................2.00 		    X       375,552 0 68,344
(29) MINDY RAYMOND........................................................................
ASST SECRETARY/VICE PRESIDENT
 40.00
.......................6.00 		    X       249,934 0 89,207
(30) EDDY HANNAH........................................................................
CHIEF NURSING OFFICER
 40.00
.......................0 		      X     220,873 0 21,292
(31) KATHY TABOR MCEWAN........................................................................
EXECUTIVE DIRECTOR
 40.00
.......................0 		      X     182,386 0 17,304
(32) LOUISE MORRELL MD........................................................................
MEDICAL DIRECTOR
 40.00
.......................0 		      X     512,338 0 25,229
(33) MARIA DULANEY........................................................................
DIRECTOR, CLINICAL
 40.00
.......................0 		      X     170,929 0 26,165
(34) MINDY SHIKIAR........................................................................
VICE PRESIDENT
 40.00
.......................0 		      X     314,272 0 57,658
(35) ROBIN HILDWEIN........................................................................
CIO AND EXECUTIVE DIRECTOR
 40.00
.......................0 		      X     188,124 0 28,392
(36) ALEXANDER KULIK........................................................................
OPEN HEART SURGEON
 40.00
.......................0 		        X   451,183 0 25,368
(37) BURAK ILSIN........................................................................
CARDIAC ANESTHESIOLOGIST
 40.00
.......................0 		        X   412,532 0 36,018
(38) DAN SACCO........................................................................
Vice President
 40.00
.......................0 		        X   255,073 0 54,274
(39) GILBERT CHIDIAC........................................................................
CARDIAC ANESTHESIOLOGIST
 40.00
.......................0 		        X   461,256 0 37,398
(40) JAMES MORRIS MD........................................................................
MEDICAL DIRECTOR
 40.00
.......................0 		        X   685,699 0 22,401
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 6,369,336 0 865,135
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet121
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
THE CENTER FOR HEMATOLOGY - ONCOLOGY PA701 NW 13TH STBOCA RATONFL33486 MED/PHYS FEES 10,370,791
ANF GROUP2700 DAVIE ROADMIAMIFL33131 CONTRACTORS 2,763,938
SODEXHO AMERICA LLCPO BOX 536922ATLANTAGA303536922 FOOD SERVICE/MGMT 2,457,101
GRESHAM SMITH AND PARTNERPO BOX 440029NASHVILLETN37244 ARCHITECTURAL SERVICES 1,566,263
FLORIDA LINEN1407 SW 8TH STREETPOMPANO BEACHFL33069 LAUNDRY SERVICE 1,069,526
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet79
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 17,824,895
e Government grants (contributions)1e 44,550
f All other contributions, gifts, grants, and
similar amounts not included above1f 		10,302
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet 17,879,747
Program Service Revenue Business Code
2a NET PATIENT REVENUE 622110 329,607,224 329,607,224    
b REFERENCE LAB 621500 3,483,502   3,483,502  
c MEDICAL RECORD REVENUE 900099 245,049 245,049    
d CLINICAL RESEARCH 541700 731,158 731,158    
e EHR REVENUE 900099 6,054,690 6,054,690    
f All other program service revenue . 1,420,196 727,246 692,950 0
g Total. Add lines 2a–2f........MediumBullet 341,541,819
Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 118,687     118,687
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss) 0 0
d Net rental income or (loss).......MediumBullet 0      
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 30,985,423  
b Less: cost or other basis and sales expenses 30,988,524  
c Gain or (loss) -3,101 0
d Net gain or (loss)..........MediumBullet -3,101     -3,101
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 REBATES 900099 242,704 242,704    
b DIETARY SALES 900099 63,376 63,376    
c REIMBURSEMENT OF LEGAL FEES FROM LAWSUIT 900099 2,181,710 2,181,710    
d All other revenue .... 227,442 227,442 0 0
e Total. Add lines 11a–11d ...... MediumBullet 2,715,232
12 Total revenue. See Instructions......MediumBullet 362,252,384 340,080,599 4,176,452 115,586
Form 990 (2012)
Form 990 (2012)
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).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 21 163,108 163,108
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 .... 4,622,653 3,466,990 1,155,663  
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 115,345,185 80,535,300 34,809,885  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 10,202,849 7,652,137 2,550,712  
9 Other employee benefits ....... 11,865,352 8,899,014 2,966,338  
10 Payroll taxes ........... 7,748,427 5,811,320 1,937,107  
11 Fees for services (non-employees):        
a Management ...... 750,498   750,498  
b Legal ......... 477,632   477,632  
c Accounting ........... 350,216   350,216  
d Lobbying ........... 0      
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 79,134   79,134  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 32,076,669 16,645,241 15,431,428 0
12 Advertising and promotion .... 1,511,524 1,284,795 226,729  
13 Office expenses ....... 17,905,344 16,114,810 1,790,534  
14 Information technology ...... 5,536,365 4,152,274 1,384,091  
15 Royalties .. 0      
16 Occupancy ........... 8,309,405 6,647,524 1,661,881  
17 Travel ............ 141,757 113,406 28,351  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 223,228 55,807 167,421  
20 Interest ........... 1,584,234 158,423 1,425,811  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 22,135,476 19,921,928 2,213,548  
23 Insurance .............. 6,806,070 4,900,370 1,905,700  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a PROVISION FOR BAD DEBT 9,328,497 9,328,497    
b INDIGENT CARE 3,766,376 3,766,376    
c MEDICAL SUPPLIES 74,420,653 74,420,653    
d REPAIRS AND MAINTENANCE 2,686,789 2,149,431 537,358  
e All other expenses 2,460,140 2,061,832 398,308 0
25 Total functional expenses. Add lines 1 through 24e 340,497,581 268,249,236 72,248,345 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 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ............. -271,132 1 442,094
2 Savings and temporary cash investments .........   2  
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 39,546,542 4 38,965,816
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6 0
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 5,056,337 8 5,227,085
9 Prepaid expenses and deferred charges .......... 2,880,184 9 4,064,491
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 454,231,527
b Less: accumulated depreciation ..... 10b 298,165,256 147,042,149 10c 156,066,271
11 Investments—publicly traded securities .......... 8,430,525 11 8,762,643
12 Investments—other securities. See Part IV, line 11 ..... 0 12 0
13 Investments—program-related. See Part IV, line 11 ..... 0 13 0
14 Intangible assets ............... 1,858,063 14 1,858,063
15 Other assets. See Part IV, line 11 ........... 135,878,306 15 144,478,105
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 340,420,974 16 359,864,568
Liabilities 17 Accounts payable and accrued expenses ......... 46,267,026 17 38,728,151
18 Grants payable .................   18  
19 Deferred revenue ................   19  
20 Tax-exempt bond liabilities ............. 21,874,521 20 20,523,541
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22 0
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.................... 87,204,878 25 64,294,055
26 Total liabilities. Add lines 17 through 25......... 155,346,425 26 123,545,747
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 126,800,404 27 180,222,621
28 Temporarily restricted net assets ........... 58,274,145 28 56,096,200
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), 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 ........... 185,074,549 33 236,318,821
34 Total liabilities and net assets/fund balances ........ 340,420,974 34 359,864,568
Form 990 (2012)
Form 990 (2012)
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
362,252,384
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
340,497,581
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
21,754,803
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
185,074,549
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
29,489,469
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
236,318,821
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
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 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?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
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 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID: 12000266
Software Version: v2012.1.0
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
2012
Open to Public
Inspection
Name of the organization
BOCA RATON REGIONAL HOSPITAL INC
 
Employer identification number

59-1006663
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 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
Provide the following information about the supported organization(s).
(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 monetary support
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0
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
2012
Name of the organization
BOCA RATON REGIONAL HOSPITAL INC
 
Employer identification number

59-1006663
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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 2
Name of organization
BOCA RATON REGIONAL HOSPITAL INC
  		Employer identification number

59-1006663
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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 3
Name of organization
BOCA RATON REGIONAL HOSPITAL INC
  		Employer identification number

59-1006663
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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 4
Name of organization
BOCA RATON REGIONAL HOSPITAL INC
  		Employer identification number

59-1006663
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) (2012)

Additional Data


Software ID: 12000266
Software Version: v2012.1.0
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
2012
Open to Public Inspection
Name of the organization
BOCA RATON REGIONAL HOSPITAL INC
 
Employer identification number

59-1006663
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 section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, 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 XIII, 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 $ 310,875
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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, 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 XIII.
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 XIII 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 XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
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)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII 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 .................   17,923,475 17,923,475
b Buildings ................   135,606,473 69,484,321 66,122,152
c Leasehold improvements ............       0
d Equipment ................   261,378,068 209,152,817 52,225,251
e Other .................   39,323,511 19,528,118 19,795,393
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 156,066,271
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
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 BRRH FOUNDATION 124,220,681
(2) OTHER RECEIVABLES 3,978,227
(3) OTHER ASSETS 2,903,290
(4) DUE FROM AFFILIATES 13,375,907





Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 144,478,105
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
RESERVE FOR PROFESSIONAL FEES 18,984,143
PENSION LIABILITY 29,736,313
ESTIMATED THIRD PARTY SETTLEMENTS 1,491,963
CAPITAL LEASE PAYABLE 3,976,880
OTHER LIABILITIES 10,104,756




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 64,294,055
2. Fin 48 (ASC 740) Footnote. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI 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 XIII.) ............ 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 XIII.) ........... 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 XII 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 XIII.) ............ 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 XIII.) ............ 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 XIII
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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
Collections of art - description of collections Schedule D, Part III, Line 4 THE ORGANIZATION HAS TWO PIECES IN ITS COLLECTION. THEY ARE A PAINTING AND STATUE. THE WORKS OF ART DISPLAY EMBODIES THE SPIRIT OF THE ORGANIZATION.
FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 THE ORGANIZATION IS INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS. BELOW IS THE ASC 740 FOOTNOTE FROM THOSE FINANCIAL STATEMENTS: AS A RESULT OF NET OPERATING LOSS CARRY-FORWARDS OF $3,264,000 (WHICH EXPIRE BETWEEN 2022 AND 2033), THE CORPORATION HAS RECORDED A DEFERRED TAX ASSET; HOWEVER, THAT DEFERRED TAX ASSET IS SUBJECT TO FULL VALUATION ALLOWANCE PURSUANT TO THE PROVISIONS OF ASC 740, ACCOUNTING FOR INCOME TAXES. AS DEFINED BY ASC 740, THE AMOUNT OF UNRECOGNIZED TAX BENEFITS THAT WOULD IMPACT THE CORPORATION IF THEY WERE RECOGNIZED IS NOT MATERIAL. IT IS EXPECTED THAT THE AMOUNT OF UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT 12 MONTHS; HOWEVER, THE CORPORATION DOES NOT EXPECT THE CHANGE TO HAVE A SIGNIFICANT IMPACT ON THE ORGANIZATION'S EFFECTIVE TAX RATE. THE TAX YEARS ENDED JUNE 30, 2010, 2011 AND 2012, AND 2013 ARE STILL SUBJECT TO EXAMINATION BY THE TAXING AUTHORITIES.
Schedule D (Form 990) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0




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
2012
Open to Public Inspection
Name of the organization
BOCA RATON REGIONAL HOSPITAL INC
 
Employer identification number

59-1006663
Part I
Financial Assistance 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) as a factor in determining 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 as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining 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, as a factor in determining 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
 
No
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
 
 
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
 
No
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) .. 		    4,926,254 0 4,926,254 1.490 %
b Medicaid (from Worksheet 3,
column a) .... 		    15,246,555 6,243,695 9,002,860 2.720 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		    1,626,014 198,834 1,427,180 0.430 %
d Total Financial Assistance
and Means-Tested
Government Programs . 		0 0 21,798,823 6,442,529 15,356,294 4.640 %
Other Benefits
     449,588 42,683 406,905 0.120 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		    0 0 0 0 %
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) 		    1,928 0 1,928 0 %
j Total. Other Benefits .. 0 0 451,516 42,683 408,833 0.120 %
k Total. Add lines 7d and 7j . 0 0 22,250,339 6,485,212 15,765,127 4.760 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
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. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
9,328,497
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
1,865,699
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
153,737,367
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
164,613,187
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-10,875,820
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(owned 10% or more by officers, directors, trustees, key employees, and physicians—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) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, and primary website address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 BOCA RATON REGIONAL HOSPITAL
800 MEADOWS RD
BOCA RATON,FL33486 		X X       X X      
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
BOCA RATON REGIONAL HOSPITAL
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A) 1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 Yes  
If "Yes," indicate the FPG family income limit for eligibility for free care: 200%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300%
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 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?....... 15 Yes  
16 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
b
c
d
e
17 Did 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?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 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
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals 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? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
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?10
Name and address Type of Facility (describe)
1 LYNN CANCER INSTITUTE - SANDLER PAVILION
701 NW 13TH ST
BOCA RATON,FL33486 		CANCER TREATMENT CENTER
2 THE CENTER FOR HEMATOLOGY & ONCOLOGY
6282 LINTON BLVD
DELRAY BEACH,FL33484 		CANCER TREATMENT CENTER
3 IMAGING CENTERCENTER FOR BREAST CARE
690 MEADOWS RD
BOCA RATON,FL33486 		BREAST CANCER TREATMENT CENTER IMAGING CENTER
4 LYNN CANCER INSTITUTE - DELRAY
16313 S MILITARY TRAIL
DELRAY BEACH,FL33484 		CANCER TREATMENT CENTER
5 BRRH IMAGING AT BOCA CLINIC
1601 CLINT MOORE RD STE 140
BOCA RATON,FL33487 		IMAGING CENTER
6 DIAGNOSTIC IMAGING CENTER
1905 CLINT MOORE RD STE 114
BOCA RATON,FL33496 		IMAGING CENTER
7 DAVIS THERAPY CENTERS
650 GLADES RD
BOCA RATON,FL33486 		REHABILITATION
8 BRRH IMAGING HILLSBORO
1981 W HILLSBORO BLVD
DEERFIELD BEACH,FL33442 		IMAGING CENTER
9 CENTER FOR BREAST CARE - DEERFIELD BEACH
1979 W HILLSBORO BLVD STE 3
DEERFIELD BEACH,FL33442 		BREAST CANCER TREATMENT CENTER
10 THE CENTER FOR BREAST CAREIMAGING
790 E BROWARD BLVD STE 302
FT LAUDERDALE,FL33301 		IMAGING CENTER
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
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; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
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.
8 Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
Identifier ReturnReference Explanation
Costing Methodology used to calculate financial assistance Schedule H, Part I, Line 7 IN ORDER TO CALCULATE COSTS REPORTED IN PART I, LINE 7, BRRH DEVELOPED A COST TO CHARGE RATIO USING WORKSHEET 2, INCLUDED IN THE INSTRUCTIONS TO SCHEDULE H. TOTAL OPERATING EXPENSES FOR BRRH WERE ADJUSTED FOR NON-PATIENT CARE ACTIVITIES AND MEDICAID PROVIDER TAXES, COMMUNITY BENEFIT EXPENSES, AND COMMUNITY BUILDING EXPENSES. THESE EXPENSES WERE DIVIDED BY GROSS PATIENT CHARGES, TO ARRIVE AT THE COST-TO-CHARGE RATIO.
Bad Debt Expense excluded from financial assistance calculation Schedule H, Part I, Line 7, column(f) 9,328,497
Subsidized Health Services Schedule H, Part I, Line 7g NOT APPLICABLE; BRRH DOES NOT INCLUDE COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC AS SUBSIDIZED HEALTH SERVICES.
RESEARCH SCHEDULE H, PART I, LINE 7H THE ORGANIZATION DID NOT REPORT COMMUNITY BENEFIT EXPENSE FOR RESEARCH PROGRAMS BECAUSE MOST PROGRAMS WERE FUNDED BY OUTSIDE ORGRANIZATIONS WHICH WERE NOT EXEMPT OR GOVERNMENTAL. HOWEVER, THE ORGANIZATION DID RECORD $659,000 FOR RESEARCH REVENUE, AND $808,000 FOR THE RELATED COSTS TO FACILITATE THE VARIOUS RESERCH PROGRAMS. THE NET SHORTFALL FOR THE RESEARCH PROGRAM IS FUNDED FROM OPERATIONS OF THE ORGANIZATION.
Bad debt expense - methodology used to estimate amount Schedule H, Part III, Line 2 BRRH ACCOUNTS FOR BAD DEBT EXPENSE USING A RESERVE METHODOLOGY WHICH ESTIMATES HISTORICAL WRITE-OFFS AS A PERCENTAGE OF PATIENT ACCOUNTS RECEIVABLE. THE ESTIMATED BAD DEBT ON CURRENT ACCOUNTS WHICH WILL BE WRITTEN OFF IN FUTURE PERIODS IS ACCRUED AS EXPENSE IN THE INCOME STATEMENT AND IS EVALUATED MONTHLY. BAD DEBT EXPENSE IS REPORTED AT GROSS IN ACCORDANCE WITH FINANCIAL STATEMENT PRESENTATION IN THE JUNE 30, 2013 AUDITED FINANCIAL STATEMENTS. BY VIRTUE OF ITS EXEMPTION FROM FEDERAL AND STATE TAXES, AND AS PART OF BOCA RATON REGIONAL HOSPITAL'S MISSION TO SERVE THE HEALTH CARE NEEDS OF ITS PATIENTS, IT IS THE POLICY OF BRRH TO PROVIDE A 75% DISCOUNT OFF ALL GROSS HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES RENDERED TO ALL UNINSURED PATIENTS. PATIENTS WITHOUT INSURANCE AT BRRH ARE TREATED FAIRLY AND WITH RESPECT DURING AND AFTER THEIR TREATMENT AND REGARDLESS OF THEIR ABILITY TO PAY FOR THE SERVICES THEY RECEIVE. THIS POLICY APPLIES TO ALL UNINSURED PATIENTS OF BOCA RATON REGIONAL HOSPITAL (BRRH) AND COVERS ALL BILLS FOR MEDICALLY NECESSARY HOSPITAL INSTITUTIONAL SERVICES RENDERED BY BRRH. THE 75% UNINSURED DISCOUNT IS PROACTIVELY POSTED TO ALL UNINSURED ACCOUNTS FOR MEDICALLY NECESSARY SERVICES PRIOR TO BILLING THE PATIENT OR RESPONSIBLE PARTY FOR PAYMENT. THE DISCOUNT IS REFLECTED AS ALLOWANCES AGAINST GROSS CHARGES, AND IS NOT CONSIDERED TO BE PART OF THE PROVISION FOR BAD DEBTS.
Bad debt expense - methodology used to estimate amount as community benefit Schedule H, Part III, Line 3 BRRH HAS USED PROFESSIONAL JUDGMENT TO DETERMINE THAT APPROXIMATELY 20% OF BAD DEBT EXPENSE REASONABLY COULD HAVE BEEN ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER BRRH'S CHARITY CARE POLICY. PATIENTS WITH LITTLE CONCERN FOR THEIR CREDIT RATING, ARE TOO ILL TO COMPLETE PAPERWORK, ET CETERA, ARE EXAMPLES OF SUCH PATIENTS. BRRH MAKES EVERY EFFORT TO QUALIFY PATIENTS FOR CHARITY CARE. BRRH ESTIMATES THAT HAD THESE PATIENTS COMPLETED THE APPROPRIATE PAPERWORK, THEY WOULD HAVE QUALIFIED FOR CHARITY. BRRH CONISDERS THIS PORTION OF BAD DEBT TO BE A COMMUNITY BENEFIT.
Bad debt expense - financial statement footnote Schedule H, Part III, Line 4 THE FOLLOWING DISCLOSURE REGARDING THE PROVISION FOR BAD DEBTS WAS INCLUDED IN FOOTNOTE 4 TO THE CONSOLIDATED FINANCIAL STATEMENT OF BRRH CORPORATION AND AFFILIATES, AS OF AND FOR THE YEAR ENDED JUNE 30, 2013: PATIENT SERVICE REVENUE IS REDUCED BY THE PROVISION FOR BAD DEBTS AND ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THESE AMOUNTS ARE BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS FOR EACH MAJOR PAYOR SOURCE, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, HISTORICAL WRITE-OFF AND COLLECTION EXPERIENCE USING A HINDSIGHT OR LOOK-BACK APPROACH, CASH COLLECTIONS AS A PERCENTAGE OF NET PATIENT SERVICE REVENUE, AND OTHER COLLECTION INDICATORS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE CORPORATION REGULARLY PERFORMS HINDSIGHT PROCEDURES TO EVALUATE HISTORICAL WRITE-OFF AND COLLECTION EXPERIENCE THROUGHOUT THE YEAR TO ASSIST IN DETERMINING THE REASONABLENESS OF ITS PROCESS FOR ESTIMATING THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE CORPORATION'S POLICIES.
Community benefit & methodology for determining medicare costs Schedule H, Part III, Line 8 BOCA RATON REGIONAL HOSPITAL'S MISSION IS TO SERVE THE HEALTH CARE NEEDS OF ITS PATIENTS WITHIN THE COMMUNITY. BRRH CONSIDERS THE PROVISION OF CARE TO PATIENTS, DESPITE REPORTING A MEDICARE OPERATING SHORTFALL, TO BE A COMMUNITY BENEFIT. MEDICARE REVENUE AND ALLOWABLE COSTS WERE DETERMINED BASED UPON THE MEDICARE COST REPORT. ON AN ONGOING BASIS, RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE PROVIDED AND ADJUSTED IN FUTURE PERIODS UPON FINAL SETTLEMENTS OF COST REPORTS. DURING THE YEAR ENDED JUNE 30, 2013, THE HOSPITAL RECEIVED ABOUT $0.7 MILLION FROM MEDICARE FOR PARTIAL SETTLEMENT OF PRIOR YEAR COST REPORTS. ALL AMOUNTS RECEIVED WERE ACCRUED IN PRIOR YEARS.
PART III, LINE 8 SCHEDULE H, PART III, LINE 8 MEDICARE ALLOWABLE COSTS WERE DETERMINED BASED UPON THE MEDICARE COST REPORT.
Collection practices for patients eligible for financial assistance Schedule H, Part III, Line 9b BRRH HAS A FORMAL WRITTEN DEBT COLLECTION POLICY; IT IS BRRH POLICY AND PRACTICE TO SCREEN ALL UNINSURED PATIENTS FOR ALTERNATIVE FUNDING SOURCES, INCLUDING MEDICAID, PALM BEACH COUNTY HEALTH DISTRICT (A LOCAL TAX FUNDED PROGRAM), MEDICARE DISABILITY, AND CHARITY CARE. CHARITY CARE IS ADVERTISED TO PATIENTS BOTH ON THE ORGANIZATION'S WEBSITE, AND ON STATEMENT MAILERS TO PATIENTS. UNINSURED PATIENTS WHO ARE DEEMED LIKELY TO QUALIFY FOR ALTERNATIVE FUNDING ARE ASSISTED WITH THE APPLICATION PROCESS UNTIL FINAL DISPOSITION OF THE APPLICATION. DURING THE QUALIFICATION PROCESS, PATIENTS CONTINUE TO BE BILLED, UNTIL ALTERNATIVE FUNDING IS OBTAINED. IF APPROPRIATE PAPERWORK IS NOT COMPLETED, PATIENTS MAY BE REFERRED TO COLLECTIONS; HOWEVER, IF A PATIENT ACCOUNT HAS BEEN REFERRED TO COLLECTIONS AND SUBSEQUENTLY QUALIFIES FOR ALTERNATIVE FUNDING, SUCH AS CHARITY CARE, THE ACCOUNT IS RECALLED FROM THE COLLECTION AGENCY AND THE PATIENT'S ACCOUNT IS SETTLED BASED ON THE ALTERNATIVE FUNDING SOURCE.
Community Served by Needs Assessment Schedule H, Part V Section B, Line 3 (1) BOCA RATON REGIONAL HOSPITAL - THE MAIN PURPOSE OF THE ASSESSMENT IS TO IMPROVE THE HEALTH STATUS OF PALM BEACH COUNTY AND BROWARD COUNTY RESIDENTS AND INCREASE ACCESS AND AVAILABILITY OF HEALTHCARE SERVICES. THE MAIN GOALS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT ARE TO IMPROVE HEALTH STATUS OF PALM BEACH COUNTY AND BROWARD COUNTY RESIDENTS, ADDRESS SOCIOECONOMIC FACTORS THAT HAVE A NEGATIVE IMPACT ON COMMUNITY HEALTH, AND INCREASE ACCESS TO PREVENTIVE HEALTHCARE SERVICES, ESPECIALLY WITHIN AT-RISK SUB-POPULATIONS. A COMMUNITY HEALTH NEEDS ASSESSMENT ADVISORY COUNCIL WAS CONVENED WITH THE MISSION TO GUIDE THE ASSESSMENT PROCESS, ACT AS A SOUNDING BOARD AND ASSIST IN OBTAINING COMMUNITY INPUT, PARTICIPATE WITH THE PLANNING TEAM IN EVALUATING HEALTH ISSUES AND PRIORITIES ONCE THE ASSESSMENT IS COMPLETED, AND ENGAGE IN COLLABORATIVE ACTION PLANNING ON AN ONGOING BASIS. THE MEMBERS OF COMMUNITY HEALTH NEEDS ASSESSMENT ADVISORY COUNCIL PARTICIPATED IN MEETINGS THAT TOOK PLACE FROM SEPTEMBER 2012 TO JANUARY 2013. A SERIES OF FOCUS GROUPS WERE CONDUCTED WITH THE GOAL TO COLLECT QUALITATIVE DATA FROM DIVERSE GROUPS OF HEALTHCARE CONSUMERS AND SERVICE PROVIDERS. SOME OF THE REPORTED CHALLENGES AND BARRIERS TO HEALTHCARE INCLUDE: HEALTHCARE COVERAGE (ACCESS TO CARE); LACK OF KNOWLEDGE ABOUT AVAILABILITY OF RESOURCES; SCHEDULING; TRANSPORTATION ISSUES (ACCESSIBILITY); LANGUAGE BARRIERS/CULTURAL SENSITIVITY; AND EDUCATION/AWARENESS - CHALLENGES NAVIGATING THE SYSTEM (CLIENT/PATIENTS, CAREGIVERS, AND PROVIDERS). IN DECEMBER 2012, AN ONLINE SURVEY WAS SENT TO KEY STAKEHOLDERS IN THE COMMUNITY THAT SURROUNDS BOCA RATON REGIONAL HOSPITAL. A SURVEY WAS DONE IN LIEU OF KEY INFORMANT INTERVIEW AND ALLOWED FOR ADDITIONAL QUESTIONS TO BE ASKED OF RESPONDENTS. THE SURVEY WAS SENT VIA EMAIL USING SURVEY MONKEY SOFTWARE. NINE KEY INFORMANTS PARTICIPATED AND PROVIDED INSIGHT ON ISSUES IMPACTING THE HEALTHCARE SYSTEM. AN EFFORT WAS MADE TO INCLUDE A BROAD SPECTRUM OF STAKEHOLDERS IN THE COMMUNITY INCLUDING INDIVIDUALS FROM: EDUCATIONAL ENTITIES, FAITH-BASED ORGANIZATION, GOVERNMENT, PUBLIC SAFETY, COMMUNITY-BASED ORGANIZATIONS, ETC. WHEN ASKED ABOUT KEY ISSUES AND BARRIERS FOR THEIR CLIENTS/ CONSTITUENTS TO ACCESS HEALTHCARE, THE TOP THREE REPORTED BARRIERS WERE: COSTLY HEALTH CARE SERVICES, LACK OF HEALTH INSURANCE, AND LACK OF KNOWLEDGE ABOUT AVAILABLE SERVICES. WHEN ASKED ABOUT GAPS IN THE COMMUNITY'S HEALTHCARE DELIVERY SYSTEM, THE FOLLOWING THEMES EMERGED: MENTAL HEALTH AND ORAL HEALTH, MEDICAID PROVIDERS NEEDED FOR PATIENTS AND ALSO FOR THOSE WITH NO PAYMENT SOURCES IN CRISIS, ACCESSIBILITY, ACCESS TO AFFORDABLE URGENT CARE, AND LACK OF PHYSICIANS WHO ACCEPT MEDICAID. THE KEY INFORMANTS ALSO EXPRESSED THE NEED FOR INCREASED COLLABORATION AMONG PROVIDERS OF PREVENTIVE CARE SERVICES. ;
Needs not addressed in Needs Assessment Schedule H, Part V Section B, Line 7 (1) BOCA RATON REGIONAL HOSPITAL - BOCA REGIONAL DID NOT ADDRESS SOME HEALTH NEEDS IDENTIFIED IN WHICH THE ORGANIZATION DETERMINED IT COULD NOT HAVE AN EFFECTIVE IMPACT FOR THE FOLLOWING REASONS: * COMMUNITY NEED IDENTIFIED IS NOT AN AVAILABLE SERVICE LINE AT BRRH (ANY ISSUES RELATED PEDIATRICS OR MENTAL HEALTH) * OTHER NON-PROFITS IN THE COMMUNITY ARE ALREADY ADDRESSING (REDUNDANCY OF DIABETES PREVENTION PROGRAMS LOCALLY) * AREA OF CONCERN IS OUTSIDE OF OUR SERVICE AREA (LOW BIRTH WEIGHT IN BELLE GLADE, OVER 2 HOURS NORTH OF CAMPUS) ULTIMATELY THE ADVISORY COUNCIL DETERMINED THE MAXIMUM IMPACT CAN BE MADE IN THE SELECTED AREAS OF FALL PREVENTION, MEDICATION MANAGEMENT & ED UTILIZATION - SPECIFIC HOSPITAL AREAS OF EXPERTISE. ;
Other factors included in calculating amounts charges to patients Schedule H, Part V Section B, Line 12h (1) BOCA RATON REGIONAL HOSPITAL - THE BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDES: INCOME LEVEL, ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, MEDICAID/MEDICARE ELIGIBILITY, AND OTHER. THE CATEGORY OF OTHER REQUIRES THAT PATIENTS MUST BE RESIDENTS OF PALM BEACH COUNTY, EXCEPT FOR PATIENTS WHO PRESENT THROUGH THE EMERGENCY DEPARTMENT.;
Means used to determine amounts billed Schedule H, Part V Section B, Line 20d (1) BOCA RATON REGIONAL HOSPITAL - AS PART OF ITS MISSION TO SERVE THE HEALTHCARE NEEDS OF THE COMMUNITY, IT IS THE POLICY OF BRRH TO PROVIDE A 75% DISCOUNT OFF ALL GROSS HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES RENDERED TO ALL UNINSURED PATIENTS, THEREBY CHARGING A MAXIMUM OF 25% OF CHARGES TO ALL UNINSURED PATIENTS, INCLUDING FAP-ELIGIBLE PATIENTS. FAP-ELIGIBLE PATIENTS' BILLS ARE REVIEWED INDIVIDUALLY FOR ADDITIONAL DISCOUNTS OR FREE CARE, IN ACCORDANCE WITH BRRH POLICIES.;
Needs assessment. Schedule H, Part VI, Line 2 BRRH ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES BY ANALYSIS OF THE EXTERNAL AND INTERNAL ENVIRONMENTS. EACH YEAR DURING CREATION OF THE CAPITAL BUDGET CAPITAL PROJECTS ARE EVALUATED WITH RESPECT TO THEIR IMPACT ON PATIENT CARE. CAPITAL ASSETS WHICH WILL IMPROVE PATIENT CARE ARE PRIORITIZED OVER CAPITAL ASSETS WHICH ARE MORE ADMINISTRATIVE IN NATURE. BRRH ESTABLISHED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ADVISORY COMMITTEE MADE UP OF OUR COMMUNITY'S NON-PROFIT LEADERS AND EXECUTIVE DIRECTORS, AS WELL AS A WIDE VARIETY OF INTERNAL BRRH STAFF. THE ADVISORY COMMITTEE MET MONTHLY FOR 6 MONTHS ONSITE AT BRRH, WITH EACH SESSION LASTING APPROXIMATELY 2 HOURS. SESSIONS WERE FACILITATED AND ALL DATA WAS GATHERED AND REPORTED BY BROWARD REGIONAL HEALTH PLANNING COUNCIL & THE HEALTH COUNCIL OF SE FLORIDA.
Patient education of eligibility for assistance. Schedule H, Part VI, Line 3 BRRH SCREENS ALL UNINSURED PATIENTS FOR ALTERNATIVE FUNDING SOURCES, INCLUDING MEDICAID, PALM BEACH COUNTY HEALTH DISTRICT (A LOCAL TAX FUNDED PROGRAM), MEDICARE DISABILITY, AND CHARITY CARE. CHARITY CARE IS ADVERTISED TO PATIENTS BOTH ON THE ORGANIZATION'S WEBSITE, AND ON STATEMENT MAILERS TO PATIENTS. UNINSURED PATIENTS WHO ARE DEEMED LIKELY TO QUALIFY FOR ALTERNATIVE FUNDING ARE ASSISTED WITH THE APPLICATION PROCESS UNTIL FINAL DISPOSITION OF THE APPLICATION. DURING THE QUALIFICATION PROCESS, PATIENTS CONTINUE TO BE BILLED, UNTIL ALTERNATIVE FUNDING IS OBTAINED. IF APPROPRIATE PAPERWORK IS NOT COMPLETED, PATIENTS MAY BE REFERRED TO COLLECTIONS; HOWEVER, IF A PATIENT ACCOUNT HAS BEEN REFERRED TO COLLECTIONS AND SUBSEQUENTLY QUALIFIES FOR ALTERNATIVE FUNDING, SUCH AS CHARITY CARE, THE ACCOUNT IS RECALLED FROM THE COLLECTION AGENCY AND THE PATIENT'S ACCOUNT IS SETTLED BASED ON THE ALTERNATIVE FUNDING SOURCE.
Community information. Schedule H, Part VI, Line 4 BRRH IS LOCATED IN BOCA RATON, PALM BEACH COUNTY, FLORIDA. BOCA RATON IS BOUNDED ON THE EAST BY THE ATLANTIC OCEAN, ON THE WEST BY THE FLORIDA EVERGLADES. THE POPULATION IS DENSE (ABOUT 75,000 RESIDENTS), AND MANY RESIDENTS ARE SEASONAL, LIVING IN THE AREA FROM APPROXIMATELY OCTOBER THROUGH APRIL OF EACH YEAR. BRRH'S SERVICE AREA IS EXPECTED TO GROW 5% BY 2015. 55% OF RESIDENTS OF THE SERVICE AREA HAVE INCOMES GREATER THAN $50,000; ABOUT 4% OF RESIDENTS ARE BELOW THE FEDERAL POVERTY LEVEL. THERE ARE APPROXIMATELY 9 HOSPITALS WITHIN BRRH'S SERVICE AREA.
Promotion of community health Schedule H, Part VI, Line 5 A MAJORITY OF BRRH'S GOVERNING BODY IS COMPRISED OF INDEPENDENT MEMBERS WHO RESIDE IN BRRH'S PRIMARY SERVICE AREA, AND WHO ARE NEITHER EMPLOYEES, FAMILY MEMBERS OF EMPLOYEES, NOR INDEPENDENT CONTRACTORS, OF BRRH. THE ORGANIZATION HAS AN OPEN MEDICAL STAFF. MEMBERSHIP ON THE OPEN MEDICAL STAFF SHALL BE EXTENDED TO PROFESSIONALLY COMPETENT PRACTITIONERS WHO CONTINUOUSLY MEET THE QUALIFICATIONS, STANDARDS AND REQUIREMENTS SET FORTH IN THE MEDICAL STAFF BYLAWS. 99% OF THE MEDICAL STAFF IS BOARD CERTIFIED. EACH YEAR, BRRH DETERMINES WHAT LEVEL OF SURPLUS FUNDING FROM OPERATIONS IS AVAILABLE TO FUND IMPROVEMENTS IN PATIENT CARE AND RESEARCH. FUNDS ARE ALLOCATED TO THESE PURSUITS THROUGH THE OPERATING AND CAPITAL BUDGETS OF THE ORGANIZATION. DURING THE YEAR ENDED JUNE 30, 2013, BRRH SPENT OVER $27 MILLION ON CAPITAL ASSET PURCHASES, PRIMARILY FOR NEW EQUIPMENT AND IMPROVEMENTS TO THE HOSPITAL FACILITIES, FOR THE PROVISION OF PATIENT CARE. EACH YEAR BRRH HAS CONTINUED TO MAKE INVESTMENTS IN CLINICAL PROGRAMS FOCUSING RESOURCES AND GROWTH INITIATIVES IN CARDIAC SERVICES, ONCOLOGY, NEUROSCIENCES, WOMEN'S SERVICES AND PRIMARY CARE. BRRH FURTHERS ITS EXEMPT PURPOSE OF PROMOTING THE HEALTH OF THE COMMUNITY IN MANY WAYS. RECOGNIZING THE IMPORTANCE OF REACHING OUT TO THE COMMUNITY, THE BRRH BOARD OF TRUSTEES LAUNCHED THE COMMUNITY OUTREACH PROGRAM IN JULY 1998. THE PURPOSE OF THE PROGRAM IS TO IMPROVE THE OVERALL HEALTH AND WELLNESS OF THE LOCAL BRRH COMMUNITY. A MOBILE HEALTH VAN VISITS AREAS FROM NORTHERN BROWARD COUNTY TO NORTHERN PALM BEACH COUNTY. THE COMMUNITY OUTREACH VAN PROGRAM PROVIDES BLOOD PRESSURE, CHOLESTEROL, GLUCOSE, PSA & BMI SCREENINGS. ON OCCASION THE VAN IS ALSO USED TO PROVIDE SKIN CANCER AND DRE SCREENINGS. THE SMART HEART PARTNERSHIP PROVIDES SEVERAL SMART HEART EVENTS THROUGHOUT THE COMMUNITY WHICH ENCOURAGE PREVENTION AND EDUCATION OF CARDIOVASCULAR DISEASE. BLOOD PRESSURE; BMI AND CHOLESTEROL SCREENINGS, HEALTH, CARDIOVASCULAR DISEASE AND NUTRITION EDUCATION ARE OFFERED. IN ADDITION TO THE EDUCATIONAL PROCESS THE SMART HEART PROGRAM PROVIDES CPR CERTIFICATION CLASSES TO HOSPITAL STAFF, CITY OF BOCA RATON EMPLOYEES, AND THE COMMUNITY AT LARGE. BOCA RATON REGIONAL HOSPITAL IS AN OFFICIAL AMERICAN HEART ASSOCIATION (AHA) TRAINING CENTER FOR BLS CPR. THE SMART HEART PARTNERSHIP TEAMS UP WITH BOCA RATON FIRE RESCUE SERVICES TO PROVIDE QUALITY COMMUNITY AND PROFESSIONAL CPR EDUCATION. IN THE 2013 FISCAL YEAR THE PARTNERSHIP TAUGHT OVER 2400 PEOPLE. A COMMUNITY BASED PROGRAM, MORE THAN 56% OF THE PARTICIPANTS COME FROM THE LOCAL COMMUNITY. BASED ON CLASS EVALUATIONS STUDENTS IN THE CPR CLASSES GAVE AN OVERALL SATISFACTION RATING OF 4.85 OUT OF 5. BRRH COMMUNITY OUTREACH TEACHES CPR AND FIRST AID TO OVER 2,000 PARTICIPANTS FROM COMMUNITY GROUPS SUCH AS: BOCA RATON FIRE RESCUE EXPLORERS, LOCAL BOY SCOUT GROUPS BOCA RATON CAMP COUNSELORS, FLORIDA ATLANTIC UNIVERSITY STUDENT GROUPS, SEVERAL CONDOMINIUM ASSOCIATIONS IN BOCA RATON AND THE COMMUNITY EMERGENCY RESPONSE TEAM MEMBERS OF THE CITY OF BOCA RATON, BOCA RATON POLICE DEPT., AND BOCA RATON FIRE RESCUE SERVICES FIREFIGHTERS.
Affiliated health care system Schedule H, Part VI, Line 6 BRRH IS PART OF AN AFFILIATED HEALTH CARE SYSTEM (SYSTEM). BRRH CORPORATION IS THE NOT-FOR-PROFIT PARENT HOLDING COMPANY OF THE SYSTEM, AND WAS FORMED EXCLUSIVELY FOR CHARITABLE, BENEVOLENT, EDUCATIONAL AND SCIENTIFIC PURPOSES, TO SUPPORT AND ENCOURAGE HEALTH CARE SERVICES THROUGH THE PROMOTION OF THE SERVICES, ACTIVITIES, AND OBJECTIVES OF THE AFFILIATE MEMBERS OF THE SYSTEM. THE AFFILIATES OF THE SYSTEM INCLUDE: BOCA RATON REGIONAL HOSPITAL, A 400 BED NOT-FOR-PROFIT HOSPITAL FORMED TO PROVIDE HEALTH CARE SERVICES; BOCA RATON REGIONAL HOSPITAL FOUNDATION, INC., A NOT-FOR-PROFIT CORPORATION FORMED TO RAISE FUNDS TO SUPPORT THE ORGANIZATION AND OTHER RELATED ORGANIZATIONS; AND BRRH HOME HEALTH SERVICES, INC., A NOT-FOR-PROFIT CORPORATION FORMED TO ASSIST BRRH IN THE FURTHERANCE OF SPECIALIZED CARE IN THE AREA OF HOME HEALTH MEDICINE. BOCACARE, INC., A TAXABLE NOT-FOR-PROFIT CORPORATION FORMED TO PROVIDE PRIMARY CARE SERVICES TO THE RESIDENTS OF THE COMMUNITY.
Schedule H (Form 990) 2012
Additional Data


Software ID: 12000266
Software Version: v2012.1.0
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
BOCA RATON REGIONAL HOSPITAL INC
 
Employer identification number
59-1006663
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) FLORENCE FULLER CENTER
200 NE 14TH STREET
BOCA RATON,FL33432 		59-1312245 501(C)(3) 10,000 0 N/A N/A HEALTH EDUCATION AND SCREEN CHILDREN
(2) MIGRANT ASSOCIATION CARIDAD CENTER
645 W BOYNTON BEACH BLVD
BOYNTON BEACH,FL33432 		65-0149423 501(C)(3) 38,595 0 N/A N/A PROVIDE MEDICAL AND DENTAL CARE
(3) FAU MEMORY AND WELLNESS
777 GLADES ROAD
BOCA RATON,FL33431 		65-0385507 501(C)(3) 9,860 0 N/A N/A PROVIDES MEMORY EVALUATIONS
(4) FAMILY PROMISE
840 GEORGE BUSH BLVD BLD D
DELRAY BEACH,FL33483 		56-2656166 501(C)(3) 5,500 0 N/A N/A SUPPORT
















2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
4
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2012

Schedule I (Form 990) 2012
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance












Part IV
Supplemental Information.
Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Identifier Return Reference Explanation
Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 BOCA RATON REGIONAL HOSPITAL MAKES GRANTS ONLY TO ORGANIZATIONS EXEMPT UNDER 501(C)(3). FUNDING IS ALSO PROVIDED TO OTHER EXEMPT ORGANIZATIONS THAT SUPPORT THE HEALTHCARE NEEDS OF THE BOCA RATON COMMUNITY.
Schedule I (Form 990) 2012


Additional Data


Software ID: 12000266
Software Version: v2012.1.0


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
2012
Open to Public Inspection
Name of the organization
BOCA RATON REGIONAL HOSPITAL INC
 
Employer identification number

59-1006663
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 of the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
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
Yes
 
3
Indicate which, if any, of the following the filing organization used 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
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 (E) amounts for that individual.
(A) Name and Title (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)ALEX EREMIASECRETARY (i)
(ii)		 237,816
0 		0
0 		11,331
0 		26,500
0 		15,321
0 		290,968
0 		0
0
(2)ALEXANDER KULIKOPEN HEART SURGEON (i)
(ii)		 387,722
0 		63,032
0 		430
0 		11,125
0 		14,243
0 		476,551
0 		0
0
(3)BURAK ILSINCARDIAC ANESTHESIOLOGIST (i)
(ii)		 402,041
0 		10,000
0 		491
0 		11,125
0 		24,893
0 		448,550
0 		0
0
(4)CHARLES POSTERNACKCHIEF MEDICAL OFFICER (i)
(ii)		 511,556
0 		0
0 		1,806
0 		62,336
0 		19,125
0 		594,823
0 		0
0
(5)DAN SACCOVICE PRESIDENT (i)
(ii)		 253,267
0 		0
0 		1,806
0 		36,333
0 		17,941
0 		309,347
0 		0
0
(6)DAWN JAVERSACKTREASURER & CFO (i)
(ii)		 378,214
0 		0
0 		966
0 		58,428
0 		10,130
0 		447,738
0 		0
0
(7)EDDY HANNAHCHIEF NURSING OFFICER (i)
(ii)		 218,634
0 		0
0 		2,239
0 		11,125
0 		10,167
0 		242,165
0 		0
0
(8)GILBERT CHIDIACCARDIAC ANESTHESIOLOGIST (i)
(ii)		 450,478
0 		10,000
0 		778
0 		11,125
0 		26,273
0 		498,654
0 		0
0
(9)JAMES MORRIS MDMEDICAL DIRECTOR (i)
(ii)		 654,865
0 		21,011
0 		9,824
0 		18,746
0 		3,655
0 		708,100
0 		0
0
(10)JERRY FEDELEPRESIDENT AND CEO (i)
(ii)		 655,775
0 		0
0 		65,021
0 		149,771
0 		14,474
0 		885,041
0 		0
0
(11)KAREN POOLECHIEF OPERATING OFFICER (i)
(ii)		 372,780
0 		0
0 		2,772
0 		58,119
0 		10,225
0 		443,896
0 		0
0
(12)KATHY TABOR MCEWANEXECUTIVE DIRECTOR (i)
(ii)		 181,803
0 		0
0 		583
0 		10,127
0 		7,177
0 		199,690
0 		0
0
(13)LOUISE MORRELL MDMEDICAL DIRECTOR (i)
(ii)		 509,835
0 		0
0 		2,503
0 		11,125
0 		14,104
0 		537,567
0 		0
0
(14)MARIA DULANEYDIRECTOR, CLINICAL (i)
(ii)		 169,797
0 		0
0 		1,132
0 		9,363
0 		16,802
0 		197,094
0 		0
0
(15)MINDY RAYMONDASST SECRETARY/VICE PRESIDENT (i)
(ii)		 207,086
0 		0
0 		42,848
0 		56,558
0 		32,649
0 		339,141
0 		33,024
0
(16)MINDY SHIKIARVICE PRESIDENT (i)
(ii)		 221,508
0 		0
0 		92,764
0 		45,662
0 		11,995
0 		371,930
0 		83,780
0
(17)ROBIN HILDWEINCIO AND EXECUTIVE DIRECTOR (i)
(ii)		 186,847
0 		0
0 		1,277
0 		15,927
0 		12,465
0 		216,516
0 		0
0
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Identifier Return Reference Explanation
Tax indemnification and gross-up payments Schedule J, Part I, Line 1a THE CEO RECEIVES A HOUSING ALLOWANCE PER EMPLOYMENT CONTRACT WHICH IS GROSSED UP FOR TAX PURPOSES.
Housing allowance or residence for personal use Schedule J, Part I, Line 1a THE CEO RECEIVES A HOUSING ALLOWANCE. THE HOUSING ALLOWANCE IS TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUAL.
Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b DURING CALENDAR YEAR 2012: 457F PLAN CONTRIBUTIONS WERE MADE FOR DAWN JAVERSACK $47,303; MINDY RAYMOND $11,074; MINDY SHIKIAR $29,196; KAREN POOLE $46,994; AND CHARLES POSTERNACK $62,336; ALEXANDER EREMIA $26,500; CARL SACCO $31,333. A SERP PLAN CONTRIBUTION WAS MADE FOR JERRY FEDELE FOR $138,646. DISTRIBUTIONS TAKEN DURING CALENDAR YEAR 2012 ARE AS FOLLOWS: MINDY RAYMOND $33,024; MINDY SHIKIAR $83,780.
Schedule J (Form 990) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
BOCA RATON REGIONAL HOSPITAL INC
 
Employer identification number

59-1006663
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2012
Schedule L (Form 990 or 990-EZ) 2012
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) CRITICAL CARE ASSOC OF SOUTH FL LLC
  		SEE PART V 750,000 INTENSIVIST SERVICES   No
(2) SURGICAL ASSOCIATES PALM BEACH COUNTY
  		SEE PART V 300,000 HEALTHCARE SERVICES   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION SCHEDULE L, PART IV, COLUMN (B) RALPH PALUMBO MD, EX OFFICIO VOTING MEMBER OF THE HOSPITAL BOARD, IS ALSO A 25% OWNER IN CRITICAL CARE ASSOCIATES OF SOUTH FLORIDA, LLC.
RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION SCHEDULE L, PART IV, COLUMN (B) THE HOSPITAL PAID SURGICAL ASSOCIATES PALM BEACH COUNTY (SAPBC) FOR HEALTH CARE SERVICES. MATTHEW KLEIN, MD IS A TRUSTEE OF THE HOSPITAL AND AN OWNER OF SAPBC.
Schedule L (Form 990 or 990-EZ) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0




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
2012
Open to Public
Inspection
Name of the organization
BOCA RATON REGIONAL HOSPITAL INC
 
Employer identification number

59-1006663
Identifier Return Reference Explanation
PROGRAM DESCRIPTION FORM 990, PART III, LINE 4A (CONTINUED FROM PART III) THE DEBBIE-RAND MEMORIAL SERVICE LEAGUE WAS FORMED THAT YEAR WITH THE MISSION OF RAISING FUNDS NEEDED TO BUILD A MEDICAL FACILITY IN BOCA RATON. OUTSIDE CONSULTANTS WHO WERE CALLED IN INFORMED THE LEAGUE BOCA RATON WOULD NEVER WARRANT A HOSPITAL. UNDAUNTED, THE 18 FOUNDING LEAGUE MEMBERS PERSEVERED AND USED "FUNDS INSTEAD OF FLOWERS" AS THEIR RALLYING CRY. BY 1967, THE LEAGUE HAD RAISED $3.5 MILLION AND THE "MIRACLE ON MEADOWS ROAD" OPENED ON JULY 17 OF THAT YEAR. HOSPITAL SERVICES: BOCA RATON REGIONAL HOSPITAL IS AN ADVANCED, TERTIARY MEDICAL CENTER WITH 400 BEDS AND MORE THAN 800 PRIMARY AND SPECIALTY PHYSICIANS ON STAFF. THE HOSPITAL IS A RECOGNIZED LEADER IN ONCOLOGY, CARDIOVASCULAR CARE, ORTHOPEDICS, WOMEN'S HEALTH, EMERGENCY MEDICINE AND THE NEUROSCIENCES, ALL OF WHICH OFFER STATE-OF THE-ART DIAGNOSTICS AND IMAGING CAPABILITIES. THE HOSPITAL IS ACCREDITED BY THE JOINT COMMISSION AND IS ONE OF ONLY FOUR HOSPITALS IN PALM BEACH COUNTY TO BE DESIGNATED AS A COMPREHENSIVE STROKE CENTER BY THE FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION (AHCA). BOCA RATON REGIONAL HOSPITAL WAS ALSO RECOGNIZED IN U.S. NEWSMEDIA & WORLD REPORT'S 2012-2013 BEST HOSPITALS LISTING AS A TOP RANKED HOSPITAL IN THE SOUTH FLORIDA METROPOLITAN AREA. THE FOLLOWING STATISTICS REPRESENT THE YEAR ENDED JUNE 30, 2013: TOTAL DISCHARGES (INPATIENT AND OBSERVATION) 20,743 PATIENT DAYS (INPATIENT) 72,113 EMERGENCY ROOM VISITS 44,121 OUTPATIENT PROCEDURES 334,413 SURGERIES 9,024 BOCA RATON REGIONAL HOSPITAL IS THE RECIPIENT OF THE 2013 DISTINGUISHED HOSPITAL FOR CLINICAL EXCELLENCE AWARD FOR THE NINTH YEAR IN A ROW BY HEALTHGRADES, THE LEADING INDEPENDENT HEALTHCARE RATINGS ORGANIZATION. ONLY 34 OF THE NATION'S 5,000 HOSPITALS HAVE EARNED SUCH A CONSECUTIVE DISTINCTION. THE HOSPITAL HAS ALSO BEEN RECOGNIZED BY HEALTHGRADES AS ONE OF AMERICA'S 50 BEST HOSPITALS IN 2012 AND 2013, THE RECIPIENT OF THE 2013 BEST 100 HOSPITALS IN THE NATION FOR: CARDIAC CARE, GASTROINTESTINAL CARE AND IS RANKED NUMBER 1 IN STATE RANKINGS FOR GASTROINTESTINAL MEDICAL TREATMENT AND OVERALL GASTROINTESTINAL TREATMENT BY HEALTHGRADES. THE HOSPITAL IS ALSO THE RECIPIENT OF THE 2013 HEALTHGRADES WOMEN'S HEALTH EXCELLENCE AWARD FOR THE FOURTH YEAR IN A ROW. HOME TO THE EUGENE M. AND CHRISTINE E. LYNN CANCER INSTITUTE, THE HARVEY & PHYLLIS SANDLER PAVILION OPENED IN NOVEMBER 2008. THE AWARD-WINNING $73 MILLION, 98,000 SQUARE-FOOT FACILITY HOUSES THE HOSPITAL'S IMAGING, RADIATION, CHEMOTHERAPY AND CANCER SUPPORTSERVICES AS WELL AS ITS CLINICAL RESEARCH CAPABILITIES. THE CHRISTINE E. LYNN WOMEN'S HEALTH INSTITUTE AND CENTER FOR BREAST CARE IS INTERNALLY RENOWNED AND PERFORMS OVER 90,000 PROCEDURES A YEAR. IT WAS NAMED AS ONE OF THE TOP IMAGING CENTERS TO WATCH IN 2009 BY A LEADING TRADE JOURNAL. IN 2012, BOCA REGIONAL RECEIVED A $25 MILLION GRANT, THE LARGEST, SINGLE PHILANTHROPIC GIFT IN THE INSTITUTION'S HISTORY, FROM THE MARCUS FOUNDATION TO CREATE THE MARCUS NEUROSCIENCE INSTITUTE ON THE HOSPITAL'S MAIN CAMPUS. THE FACILITY WILL SERVE AS A NEW, STATE-OF-THE-ART NEXUS OF CARE FOR NEUROLOGIC AND NEUROSURGICAL PATIENTS AND TRANSFORM THE LANDSCAPE OF CLINICAL CAPABILITIES AVAILABLE IN THE REGION. GROUNDBREAKING FOR THE INSTITUTION TOOK PLACE IN MARCH 2013 AND THE INSTITUTION IS ANTICIPATED TO OPEN IN APRIL 2014. IN THE LAST FIFTY YEARS, BOCA RATON REGIONAL HOSPITAL HAS EVOLVED FROM A CAPABLE COMMUNITY HOSPITAL INTO ONE OF THE PREEMINENT MEDICAL CENTERS IN FLORIDA. BOCA RATON REGIONAL HOSPITAL. ADVANCING THE BOUNDARIES OF MEDICINE.
Family/business relationships amongst interested persons Form 990, Part VI, Section A, Line 2 JERRY FEDELE, DAWN JAVERSACK, AND ALEX EREMIA - BUSINESS RELATIONSHIP
Classes of members or stockholders Form 990, Part VI, Section A, Line 6 THE SOLE MEMBER OF BOCA RATON REGIONAL HOSPITAL, INC., IS BRRH CORPORATION, INC.
Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a THE SOLE CORPORATE MEMBER, BRRH CORPORATION, MAY ELECT, REMOVE WITH OR WITHOUT CAUSE, REPLACE AND FILL ANY VACANCY ON THE BOARD OF TRUSTEES OF THE HOSPITAL.
Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY THE SOLE CORPORATE MEMBER, BRRH CORPORATION INCLUDE: - APPROVE IN ADVANCE: CANDIDATES ARE PROPOSED BY THE CORPORATION TO BE ELECTED BY THE CORPORATION'S BOARD AS OFFICERS OF THE CORPORATION AND APPROVE IN ADVANCE THE REMOVAL, TERMINATION AND REPLACEMENT OF SUCH OFFICERS BY THE CORPORATION'S BOARD; - APPROVE IN ADVANCE: CANDIDATES PROPOSED BY THE CORPORATION TO BE ELECTED BY THE CORPORATION TO SERVE AS TRUSTEES OR DIRECTORS ON THE BOARDS OF THOSE AFFILIATED ORGANIZATIONS OF WHICH THE CORPORATION IS THE SOLE MEMBER OR SHAREHOLDER, INCLUDING BRRH HOME HEALTH SERVICE, INC., BOCA RATON REGIONAL HOSPITAL SELF INSURANCE TRUST AND BRRH HEALTH PLANS, INC.; - AMEND THE ARTICLES OF INCORPORATION OF THE CORPORATION; - AMEND, ALTER, RESTATE, RESCIND OR REPEAL THESE BYLAWS; PROVIDED, HOWEVER, THAT THESE BYLAWS AND ANY AMENDMENTS HERETO SHALL NOT BE INCONSISTENT WITH PROVISION OF THE ARTICLES OF INCORPORATION; - APPROVE IN ADVANCE OF ADOPTION BY THE CORPORATION ANY ANNUAL OR LONG-TERM CAPITAL OR OPERATIONAL BUDGET OF THE CORPORATION OR ANY CHANGE THEREIN EXCEEDING ONE PERCENT (1%) IN THE AGGREGATE OF THE TOTAL ORIGINAL APPROVED BUDGET; - APPROVE IN ADVANCE OF THE CORPORATION'S AUTHORIZATION ANY CONTRACTS OR ANY TRANSACTIONS OF THE CORPORATION WHICH ARE NOT PROVIDED FOR IN THE ANNUAL OR LONG TERM CAPITAL OR OPERATIONAL BUDGET APPROVED BY THE MEMBER WHERE THE AMOUNT INVOLVED EXCEEDS ONE HUNDRED THOUSAND DOLLARS ($100,000) IN THE AGGREGATE; - CAUSE THE CORPORATION TO ENTER INTO SUCH CONTRACTS FROM TIME TO TIME AS THE MEMBER MAY DETERMINE AND DIRECT, AND TO PLEDGE, HYPOTHECATE, MORTGAGE, TRANSFER OR OTHERWISE ENCUMBER ALL OR ANY PORTION OF THE ASSETS OF THE CORPORATION FROM TIME TO TIME, IN EACH CASE AS DETERMINED BY THE MEMBER IN ITS DISCRETION AND WITHOUT THE NECESSITY OF ANY FORMAL CORPORATE ACTION BY THE CORPORATION; - ADOPT ANY NEW, OR ANY CHANGES TO EXISTING, LONG-TERM OR MASTER INSTITUTIONAL PLANS OF THE HOSPITAL AFTER CONSIDERING ANY RECOMMENDATIONS OF THE CORPORATION; -ADOPT A PLAN OF DISSOLUTION OF THE CORPORATION; - AUTHORIZE THE CORPORATION TO ENGAGE IN, OR ENTER INTO, ANY TRANSACTION PROVIDING FOR THE SALE, MORTGAGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE HOSPITAL; - ADOPT A PLAN OF MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER CORPORATION; - APPROVE ANY CONTRIBUTION, GRANTS, OR LOANS PROPOSED TO BE MADE BY THE CORPORATION TO ANY OTHER ORGANIZATION OR CORPORATION OTHER THAN THE MEMBER; OR - CAUSE OR PERMIT THE CORPORATION'S ORGANIZATION OR ACQUISITION OF OR INVESTMENT IN, ANY ENTITY, INCLUDING ANY CORPORATION, LIMITED LIABILITY COMPANY, ASSOCIATION, PARTNERSHIP, TRUST, JOINT VENTURE OR OTHER ENTITY.
Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b THE FORM 990 IS REVIEWED IN DETAIL BY MANAGEMENT. THE FORM 990 IS ALSO REVIEWED AND DISCUSSED WITH THE FINANCE COMMITTEE, A SUBCOMMITTEE COMPRISED OF MEMBERS OF THE BRRH CORPORATION'S BOARD OF TRUSTEES, AS WELL AS THE BOARD OF TRUSTEES PRIOR TO FILING. ANY QUESTIONS AND CONCERNS ARE ADDRESSED PRIOR TO THE SUBMISSION OF THE FORM 990 TO THE INTERNAL REVENUE SERVICE. NOT ALL MEMBERS OF THE FINANCE COMMITTEE OR BOARD OF TRUSTEES ARE PRESENT AT THE RESPECTIVE MEETINGS.
Conflict of interest policy Form 990, Part VI, Section B, Line 12c ANNUALLY THE CHAIR OF THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD AND THE CHIEF COMPLIANCE OFFICER REVIEW THE CONFLICT OF INTEREST STATEMENTS COMPLETED BY THE BOARD OF DIRECTORS, MANAGEMENT, AND OTHER KEY PERSONNEL WHO INTERACT WITH OUTSIDE ORGANIZATIONS OR BUSINESSES ON BEHALF OF THE CORPORATION. IT IS DOCUMENTED IN THE BOARD MEETING MINUTES THAT MEMBERS WITH POTENTIAL CONFLICTS RECUSE THEMSELVES FROM INVOLVEMENT IN DISCUSSIONS/BOARD ACTIONS RELATING TO THE POTENTIAL CONFLICTS. MANAGEMENT POTENTIAL CONFLICTS WOULD BE DISCLOSED TO AUDIT & COMPLIANCE COMMITTEE.
Process used to establish compensation of top management official Form 990, Part VI, Section B, Line 15a THE EXECUTIVE COMPENSATION COMMITTEE OF THE BRRH BOARD OF TRUSTEES ANNUALLY REVIEWS COMPENSATION FOR THE PRESIDENT AND CEO AS WELL AS OTHER EXECUTIVES/VPS. THE COMMITTEE DETERMINES THE COMPENSATION FOR THE PRESIDENT AND CEO. THE COMMITTEE ALSO REVIEWS AND APPROVES THE MERIT INCREASES FOR THE EXECUTIVES/VPS AS RECOMMENDED BY THE PRESIDENT AND CEO. THE PROCESS INCLUDES REVIEW OF CURRENT COMPENSATION DATA THAT BENCHMARKS BRRH EXECUTIVE SALARIES WITH OTHER HEALTHCARE ORGANIZATIONS OF A SIMILAR SIZE AND NET REVENUE. THIS REVIEW AND APPROVAL IS DOCUMENTED IN THE EXECUTIVE COMPENSATION COMMITTEE MINUTES AT THE TIME OF THE REVIEW.
Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b THE EXECUTIVE COMPENSATION COMMITTEE OF THE BRRH BOARD OF TRUSTEES ANNUALLY REVIEWS COMPENSATION FOR THE OTHER OFFICERS AND KEY EMPLOYEES. THE COMMITTEE ALSO REVIEWS AND APPROVES THE MERIT INCREASES AS RECOMMENDED BY THE PRESIDENT AND CEO. THE PROCESS INCLUDES REVIEW OF CURRENT COMPENSATION DATA THAT BENCHMARKS BRRH EXECUTIVE SALARIES WITH OTHER HEALTHCARE ORGANIZATIONS OF A SIMILAR SIZE AND NET REVENUE. THIS REVIEW AND APPROVAL IS DOCUMENTED IN THE EXECUTIVE COMPENSATION COMMITTEE MINUTES AT THE TIME OF THE REVIEW.
Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 THE FINANCIAL STATEMENTS ARE AVAILABLE FOR REVIEW ON WWW.DACBOND.COM. THE CONFLICT OF INTEREST POLICY IS NOT PUBLICLY POSTED BUT IS AVAILABLE UPON REQUEST. THE GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.
Other changes in net assets or fund balances Form 990 , Part XI, Line 9 CHANGE IN PENSION - 31667415; CHANGE IN BENEFICIAL INTEREST IN FOUNDATION - -2178212; CHANGE IN TEMPORARLILY RESTRICTED NET ASSETS - 266;
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

Additional Data


Software ID: 12000266
Software Version: v2012.1.0
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
2012
Open to Public Inspection
Name of the organization
BOCA RATON REGIONAL HOSPITAL INC
 
Employer identification number

59-1006663
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) 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) BRRH ONCOLOGY LLC
800 MEADOWS RD
BOCA RATON,FL33486
20-3825398 		CANCER TREATMENT FL 0 171,505 BRRH INC
 
(2) BOCA THORACIC & CARDIOVASCULAR SURGERY
800 MEADOWS RD
BOCA RATON,FL33486
20-5347210 		HEART SURGERY FL 0 63,488 BRRH INC
 
(3) BRRH SELF INSURANCE TRUST
800 MEADOWS ROAD
BOCA RATON,FL33486
59-1862898 		SELF INS TRUST FL 124,540 7,093,117 BRRH INC
 
(4) PALM ACCOUNTABLE CARE ORGANIZATION LLC
800 MEADOWS ROAD
BOCA RATON,FL33486
34-2453857 		SUPPORT CHARITABLE MISSIONS OF BRRH AND AFFILIATES FL 0 0 BRRH INC
 




Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to 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 entity?
Yes No
(1) BRRH FOUNDATION INC

745 MEADOWS RD

BOCA RATON,FL33486
 FUNDRAISING FL 501(C)(3) 7 BRRH CORP
 
 
No
(2) BRRH CORPORATION INC

800 MEADOWS RD

BOCA RATON,FL33486
 PARENT FL 501(C)(3) 11 - Type II NA
 
 
No
(3) BRRH HOME HEALTH SERVICES INC

800 MEADOWS RD

BOCA RATON,FL34486
 HEALTHCARE SERVICES FL 501(C)(3) 11 - Type III - FI BRRH CORP
 
 
No
(4) DEBBIE RAND MEMORIAL SERVICE LEAGUE

800 MEADOWS RD

BOCA RATON,FL33486
 VOLUNTEER ORGANIZATION FL 501(C)(3) 11 - Type III - NFI BRRH CORP
 
 
No






For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to 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
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) BOCACARE INC

800 MEADOWS RD
BOCA RATON,FL33486
26-4190328 		PRIMARY CARE PHYSICIANS FL BRRH
  		C CORPORATION 6,928,877 2,204,692 100 % Yes  
(2) BRRH WOMEN'S INSTITUTE FOR HEALTH & WELLNESS

800 MEADOWS ROAD
BOCA RATON,FL33486
26-3151406 		WOMEN'S HEALTH CARE FL BRRH
  		C CORPORATION 26,805 246,888 100 % Yes  










Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
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 or (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
Yes
 
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
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-s) 		(c)
Amount involved 		(d)
Method of determining amount involved





Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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 section 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) 2012
Schedule R (Form 990) 2012
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: 12000266
Software Version: v2012.1.0