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 private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
A For the 2014 calendar year, or tax year beginning 07-01-2014 , and ending 06-30-2015
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 province, country, and ZIP or foreign postal code
BOCA RATON, FL33486
D Employer identification number

59-1006663
E Telephone number

G Gross receipts $ 468,324,019
F Name and address of principal officer:
JERRY FEDELE
800 MEADOWS ROAD
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
subordinates?
H(b)
Are all subordinates
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 21
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 16
5 Total number of individuals employed in calendar year 2014 (Part V, line 2a) ...... 5 2,895
6 Total number of volunteers (estimate if necessary) ............. 6 615
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 2,748,533
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 11,091
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 29,580,695 25,866,538
9 Program service revenue (Part VIII, line 2g) ......... 359,744,979 406,209,088
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 122,265 1,285,586
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 654,948 1,861,161
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 390,102,887 435,222,373
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 129,792 280,999
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) 151,317,712 163,027,597
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).... 200,456,477 227,011,259
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 351,903,981 390,319,855
19 Revenue less expenses. Subtract line 18 from line 12....... 38,198,906 44,902,518
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 419,526,938 456,279,851
21 Total liabilities (Part X, line 26)............. 117,579,411 110,282,307
22 Net assets or fund balances. Subtract line 21 from line 20..... 301,947,527 345,997,544
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 (2014)
Form 990 (2014)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line 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 $ 314,841,622 including grants of $ 280,999 ) (Revenue $ 405,321,716 )
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 expensesMediumBullet314,841,622
Form 990 (2014)
Form 990 (2014)
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
 
No
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 other assistance to or for any foreign organization? 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 other assistance to or for foreign individuals? 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 (2014)
Form 990 (2014)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government 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 or other assistance to or for domestic individuals 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 25a................
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), 501(c)(4), and 501(c)(29) 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
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? 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
 
No
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...
35b
 
 
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 (2014)
Form 990 (2014)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
496
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
2,895
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” to line 3b, 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 FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
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.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?
.........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring 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 (2014)
Form 990 (2014)
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 or note to any line 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
21
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
16
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, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletDAWN JAVERSACK

800 MEADOWS RD
BOCA RATON,FL33486 (561) 955-4200
Form 990 (2014)
Form 990 (2014)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line 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; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) JERRY FEDELE
 
PRESIDENT AND CEO
40.00
.......................6.00
X   X       1,287,156 0 140,288
(2) CHRISTINE E LYNN
 
CHAIR
2.00
.......................4.00
X   X       0 0 0
(3) WARREN ORLANDO
 
Vice Chair
2.00
.......................2.00
X   X       0 0 0
(4) LARRY ALTSCHUL
 
Trustee
2.00
.......................4.00
X           0 0 0
(5) RONALD G ASSAF
 
TRUSTEE
2.00
.......................2.00
X           0 0 0
(6) PETER R BARONOFF
 
Trustee
2.00
.......................2.00
X           0 0 0
(7) J RICHARD DAMRON JR
 
Trustee
2.00
.......................4.00
X           0 0 0
(8) ANTHONY DARDANO DO
 
TRUSTEE
2.00
.......................4.00
X           20,750 0 0
(9) BARBARA GIDEON
 
TRUSTEE
2.00
.......................4.00
X           0 0 0
(10) IRVING GUTIN
 
Trustee
2.00
.......................4.00
X           0 0 0
(11) REP WILLIAM HAGER
 
TRUSTEE
2.00
.......................2.00
X           0 0 0
(12) DAVID A KIRSCHNER
 
Trustee
2.00
.......................2.00
X           0 0 0
(13) MATTHEW KLEIN MD
 
TRUSTEE
2.00
.......................40.00
X           0 374,670 23,003
(14) IRA LAZAR MD
 
Trustee
2.00
.......................2.00
X           0 0 0
(15) MARK SALTZMAN MD
 
Trustee
2.00
.......................2.00
X           850 0 0
(16) HARVEY SANDLER
 
TRUSTEE
2.00
.......................2.00
X           0 0 0
(17) RICHARD SCHULLER
 
Trustee
2.00
.......................4.00
X           0 0 0
Form 990 (2014)
Form 990 (2014)
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; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) CHRISTOPHER WHEELER
 
TRUSTEE
2.00
.......................2.00
X           0 0 0
(19) ALAN SAITOWITZ md
 
Trustee
2.00
.......................44.00
X           0 410,880 23,392
(20) EDMUND NASRALLA
 
Trustee
2.00
.......................4.00
X           0 0 0
(21) Ralph Palumbo MD
 
Trustee
2.00
.......................2.00
X           31,975 0 0
(22) ALEX EREMIA
 
Secretary
40.00
.......................6.00
    X       381,516 0 38,186
(23) DAWN JAVERSACK
 
Treasurer and CFO
40.00
.......................6.00
    X       552,108 0 63,715
(24) KAREN POOLE
 
CHIEF OPERATING OFFICER
40.00
.......................2.00
    X       550,151 0 71,398
(25) CHARLES POSTERNACK
 
CHIEF MEDICAL OFFICER
40.00
.......................0
    X       748,421 0 65,533
(26) MINDY RAYMOND
 
ASST SECRETARY/VICE PRESIDENT
40.00
.......................6.00
    X       329,780 0 59,038
(27) MARIA DULANEY
 
Director, Clinical
40.00
.......................0
      X     189,521 0 22,814
(28) ROBIN HILDWEIN
 
CIO AND EXECUTIVE DIRECTOR
40.00
.......................0
      X     209,459 0 26,135
(29) LOUISE MORRELL MD
 
Medical Director
40.00
.......................0
      X     663,824 0 32,302
(30) MINDY SHIKIAR
 
VICE PRESIDENT
40.00
.......................0
      X     362,971 0 56,938
(31) Melissa Durbin
 
Chief Nursing Officer
40.00
.......................0
      X     283,661 0 46,317
(32) GILBERT CHIDIAC
 
CARDIAC ANESTHESIOLOGIST
40.00
.......................0
        X   482,737 0 32,336
(33) BURAK ILSIN
 
CARDIAC ANESTHESIOLOGIST
40.00
.......................0
        X   434,383 0 30,737
(34) ALEXANDER KULIK
 
Physician
40.00
.......................0
        X   490,562 0 13,140
(35) Dan Sacco
 
Vice President
40.00
.......................0
        X   349,585 0 50,170
(36) Thomas Chakurda
 
Vice President
40.00
.......................0
        X   274,060 0 47,794
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 7,643,470 785,550 843,235
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet168
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 PA

701 NW 13TH ST
BOCA RATON,FL33486
MED/PHYS FEES 11,914,520
ARELLANO CONSTRUCTION CO

7051 SW 12TH STREET
MIAMI,FL33144
CONSTRUCTION SERVICES 11,024,085
DPR Contruction

1641 WORTHINGTON ROAD
SUITE 110
WEST PALM BEACH,FL33409
Construction services 4,017,667
MCKESSON INFORMATION SOLUTIONS

PO BOX 98347
CHICAGO,IL606938347
Information Systems Service Contracts 3,805,093
LEIGHTON MCGINN CO

1983 PGA BLVD
Suite 104
PALM BEACH GARDENS,FL33408
CONTRACTORS 1,123,158
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet65
Form 990 (2014)
Form 990 (2014)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 25,738,159
e Government grants (contributions)1e 9,612
f All other contributions, gifts, grants, and
similar amounts not included above
1f
118,767
g Noncash contributions included in lines
1a-1f:$
 
h Total. Add lines 1a-1f.......MediumBullet 25,866,538
 Program Service RevenueAmt Business Code
2a NET PATIENT REVENUE 622110 400,429,534 400,429,534    
b Outreach Lab 621500 2,120,424   2,120,424  
c MEDICAL RECORD REVENUE 900099 195,243 195,243    
d CLINICAL RESEARCH 541700 1,356,951 1,356,951    
e EHR REVENUE 900099 892,120 892,120    
f All other program service revenue . 1,214,816 586,707 628,109 0
g Total. Add lines 2a–2f........MediumBullet 406,209,088
 OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 118,965     118,965
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(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        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 34,268,267  
b Less: cost or other basis and sales expenses 33,101,646  
c Gain or (loss) 1,166,621 0
d Net gain or (loss)..........MediumBullet 1,166,621     1,166,621
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      
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        
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        
Miscellaneous Revenue Business Code
11a REBATES 900099 231,285 231,285    
b Cafeteria 900099 1,477,537 1,477,537    
c Other misc rev 900099 152,339 152,339    
d All other revenue .... 0 0 0 0
e Total. Add lines 11a–11d ...... MediumBullet 1,861,161
12 Total revenue. See Instructions......MediumBullet 435,222,373 405,321,716 2,748,533 1,285,586
Form 990 (2014)
Form 990 (2014)
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 or note to any line 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 domestic organizations and domestic governments. See Part IV, line 21 .... 280,999 280,999
2 Grants and other assistance to domestic individuals. See Part IV, line 22 .... 0 0
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............ 0 0
4 Benefits paid to or for members .... 0 0
5 Compensation of current officers, directors, trustees, and key employees .... 6,364,559 4,773,419 1,591,140  
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 0    
7 Other salaries and wages .... 133,254,285 99,940,714 33,313,571  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 1,431,709 1,073,782 357,927  
9 Other employee benefits ....... 12,376,864 9,282,648 3,094,216  
10 Payroll taxes ........... 9,600,180 7,200,135 2,400,045  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 731,518   731,518  
c Accounting ........... 57,000   57,000  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17 0 0
f Investment management fees ...... 44,090   44,090  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) .... 39,600,316 16,638,894 22,961,422 0
12 Advertising and promotion .... 1,783,940 1,516,349 267,591  
13 Office expenses ....... 21,022,550 18,920,295 2,102,255  
14 Information technology ...... 7,013,592 5,260,194 1,753,398  
15 Royalties ..        
16 Occupancy ........... 7,086,894 5,669,515 1,417,379  
17 Travel ............ 141,742 113,394 28,348  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 266,669 66,667 200,002  
20 Interest ........... 703,846 70,385 633,461  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 24,109,491 21,698,542 2,410,949  
23 Insurance .............. 2,174,139 1,565,380 608,759  
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 15,862,983 15,862,983    
b INDIGENT CARE ASSESSMENT 4,012,570 4,012,570    
c MEDICAL SUPPLIES 94,614,680 94,614,680    
d REPAIRS AND MAINTENANCE 3,593,677 2,874,942 718,735  
e All other expenses 4,191,562 3,405,135 786,427 0
25 Total functional expenses. Add lines 1 through 24e 390,319,855 314,841,622 75,478,233 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).        
Form 990 (2014)
Form 990 (2014)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ............. -1,702,850 1 22,959
2 Savings and temporary cash investments ......... 2,154,190 2 1,403,869
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 40,627,538 4 43,366,721
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
0 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
0 6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use .............. 6,491,992 8 7,243,410
9 Prepaid expenses and deferred charges .......... 5,260,908 9 5,244,986
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 454,065,640
b Less: accumulated depreciation ..... 10b 266,745,132 179,087,477 10c 187,320,508
11 Investments—publicly traded securities .......... 7,217,988 11 7,287,627
12 Investments—other securities. See Part IV, line 11 ..... 0 12  
13 Investments—program-related. See Part IV, line 11 ..... 0 13  
14 Intangible assets ............... 2,062,563 14 1,983,963
15 Other assets. See Part IV, line 11 ........... 178,327,132 15 202,405,808
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 419,526,938 16 456,279,851
Liabilities 17 Accounts payable and accrued expenses ......... 45,401,917 17 43,825,003
18 Grants payable .................   18  
19 Deferred revenue ................ 334,743 19 222,268
20 Tax-exempt bond liabilities ............. 19,216,822 20  
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.......... 0 22  
23 Secured mortgages and notes payable to unrelated third parties .. 1,090,165 23 660,903
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.................... 51,535,764 25 65,574,133
26 Total liabilities. Add lines 17 through 25......... 117,579,411 26 110,282,307
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 .............. 237,352,372 27 278,165,851
28 Temporarily restricted net assets ........... 64,595,155 28 67,831,693
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 ........... 301,947,527 33 345,997,544
34 Total liabilities and net assets/fund balances ........ 419,526,938 34 456,279,851
Form 990 (2014)
Form 990 (2014)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
435,222,373
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
390,319,855
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
44,902,518
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
301,947,527
5
Net unrealized gains (losses) on investments ...............
5
0
6
Donated services and use of facilities .................
6
0
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-852,501
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
345,997,544
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line 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 (2014)
Form 990 (2014)
Page 13
Form 990, Special Condition Description:
Special Condition Description
Form 990 (2014)
Form 990 (2014)
Page 14
Additional Data


Software ID: 14000329
Software Version: 2014v1.0
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 Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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
a
b
c
d
e
f
Enter the number of supported organizations .............................  
g
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 listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
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) 2014
Schedule A (Form 990 or 990-EZ) 2014
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) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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 VI.)..            
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 section 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) 2014
Schedule A (Form 990 or 990-EZ) 2014
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) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (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 VI.) ..            
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) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 5
Part IV
Supporting Organizations (continued)

Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 6
Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1.   Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    

Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors (explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    

Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7   Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 7
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
 
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions
 
9 Distributable amount for 2014 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  

Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2014
(iii)
Distributable
Amount for 2014
1 Distributable amount for 2014 from Section C, line
6
 
2 Underdistributions, if any, for years prior to 2014
(reasonable cause required--see instructions)
 
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2014 distributable amount  
i Carryover from 2009 not applied (see
instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2014 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2014 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2014, if any. Subtract lines 3g and 4a from line 2
(if amount greater than zero, see instructions)
 
6 Remaining underdistributions for 2014. Subtract
lines 3h and 4b from line 1 (if amount greater than
zero, see instructions)
 
7 Excess distributions carryover to 2015. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......  
e From 2014.......  
Schedule A (Form 990 or 990-EZ) (2014)
Schedule A (Form 990 or 990-EZ) 2014
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2014

Additional Data


Software ID: 14000329
Software Version: 2014v1.0
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.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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 its Form 990PF, Part I, line 2, 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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
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


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

   
 
 

$  


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

   
 
 

$  


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

   
 
 

$  


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

   
 
 

$  


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

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 4
Name of organization
Boca Raton Regional Hospital Inc
 
Employer identification number

59-1006663
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. 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) (2014)

Additional Data


Software ID: 14000329
Software Version: 2014v1.0
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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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 value of contributions to (during year)    
3 Aggregate value of 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)
Revenue included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $ 0
(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
Revenue included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $ 0
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $ 0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
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, for escrow or custodial account liability?
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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. 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 .................   15,176,314 15,176,314
b Buildings ................   159,763,312 68,493,539 91,269,773
c Leasehold improvements ............   1,622,124 1,438,997 183,127
d Equipment ................   240,835,662 184,248,217 56,587,445
e Other .................   36,668,228 12,564,379 24,103,849
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 187,320,508
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) INTEREST IN BRRH FOUNDATION 173,702,487
(2) DUE FROM AFFILIATES 25,459,705
(3) miscellaneous deposits  
(4) OTHER RECEIVABLES 2,221,335
(5) other assets 1,022,281




Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 202,405,808
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
ESTIMATED THIRD PARTY SETTLEMENTS 1,435,524
OTHER LIABILITIES 237,510
PENSION LIABILITY 44,921,712
RESERVE FOR PROFESSIONAL LIABILITIES 14,976,086
CAPITAL LEASE PAYABLE 4,003,301




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 65,574,133
2. Liability for uncertain tax positions. 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) 2014

Schedule D (Form 990) 2014
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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 (losses) 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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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
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.
Return Reference Explanation
Schedule D, Part III, Line 4 Collections of art - description of collections 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.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE ORGANIZATION IS INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS. BELOW IS THE TEXT OF THE ASC 740 FOOTNOTE FROM THOSE FINANCIAL STATEMENTS. AS A RESULT OF NET OPERATING LOSS CARRY-FORWARDS OF $3,495,000 (WHICH EXPIRE BETWEEN 2024 AND 2035), 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, 2012, 2013 AND 2014 ARE STILL SUBJECT TO EXAMINATION BY THE TAXING AUTHORITIES.
Schedule D (Form 990) 2014

Additional Data


Software ID: 14000329
Software Version: 2014v1.0




SCHEDULE H (Form 990)
Department of the TreasuryInternal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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 criteria used 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
 
No
b
If "Yes," did the organization make it available to the public? ..............
6b
 
 
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) ..
    660,541   660,541 0.18 %
b Medicaid (from Worksheet 3,
column a) ....
    9,852,337 3,027,985 6,824,352 1.82 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
    1,657,180 58,996 1,598,184 0.43 %
d Total Financial Assistance
and Means-Tested
Government Programs .
0 0 12,170,058 3,086,981 9,083,077 2.43 %
Other Benefits
    350,176 37,590 312,586 0.08 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
    2,408,801 2,339,624 69,177 0.02 %
g Subsidized health services
(from Worksheet 6) ..
        0 0 %
h Research (from Worksheet 7)         0 0 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
    302,917 0 302,917 0.08 %
j Total. Other Benefits .. 0 0 3,061,894 2,377,214 684,680 0.18 %
k Total. Add lines 7d and 7j . 0 0 15,231,952 5,464,195 9,767,757 2.61 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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
15,862,983
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
3,172,597
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
178,700,905
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
183,258,735
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-4,557,830
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) 2014
Schedule H (Form 990) 2014
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, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 BOCA RATON REGIONAL HOSPITAL INC
 
www.brrh.com
3983
X X   X   X X      
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
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 INC
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 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 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 12
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a 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)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, 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) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

BOCA RATON REGIONAL HOSPITAL INC
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 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 all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 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 individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

BOCA RATON REGIONAL HOSPITAL INC
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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
23 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ................................ 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - BOCA RATON REGIONAL HOSPITAL. 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.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Boca Raton Regional Hospital. CHNA Implementation Report: 2012 The Community Health Needs Assessment initiatives continue to evolve at Boca Raton Regional Hospital. We've made great strides in understanding & addressing the areas of concern that include Fall Prevention, Medication Management and improved Emergency Department utilization. Year 2 of our implementation strategy for Medication Management launched our Medication Counseling Recorded Sessions initiative. Pharmacy residents provided patients recorded medication counseling sessions for reference post-discharge. While we had a small conversion ratio of patients actually retrieving the recorded sessions, we believe patients were still impacted positively. They truly realized the importance of listening to the discharge instruction and often paid much closer attention. Our CHNA Team also implemented a call back program to patients with a high number of medications at discharge deemed to be "high risk" for potential medication mismanagement. Follow up questions on the call included "Are you feeling OK? Have you filled your prescriptions? Do you have any questions for our Pharmacists?" IF yes, patients were transferred to 561-955-MEDS, a dedicated resource line for pharmacy questions. Pharmacy also continued to participate in community outreach events & health fairs in Senior Communities, offering education around each participants unique needs. Lectures to Stroke patients around their Medication Management was offered at our Marcus Neuroscience institute. Lastly the Medication Education booklet began to be utilized Hospital wide. It includes a variety of pertinent education, precautions and common drug interactions and complications & counter indications. Clinical nursing, home health, and pharmacy are a few departments using on a day to day basis. Fall Prevention programs continued with a "Matter of Balance" classes, offered to post discharge patients as well as the community at large. Patients enrolled in the 6 week program reported greater confidence in their gate & ability to prevent a fall. A small pilot study was also conducted offering patients at high risk for falls that were discharged home without home health, a free in-home Fall Risk assessment. No measurable impact was able to be recorded. T-shirts and an awareness campaign were also launched in the community. Our Emergency Department utilization programs included Health Van trips into underserved areas providing free screenings. By identify high glucose, cholesterol, blood pressure and BMI, and providing community education at a teachable moment, community members can address & preempt healthcare issues before they require Emergency Treatment or worse, cause death. For uninsured patients that have not seen a primary care physicians and needed follow up care, a health navigator was brought on the Van to schedule patients at the FAU Residency clinic. As we continue to grow the program, hospital services covering the continuum of care will be covered to avoid the burden to uninsured/underserved members of our community. As we progress into our 3rd year of our CHNA initiatives we look forward to integrating community non-profits and further engaging our partners to make an impact on the health needs our community faces today.
Schedule H, Part V, Section B, Line 22 Facility , 1 Facility , 1 - Boca Raton Regional Hospital, Inc.. It is the policy of BRRH to discount all hospital charges for medically necessary services rendered to all uninsured patients at rates equivalent to or lower than the hospital's current average managed care contracted rates (includes governmental and commercial payors).
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section D. 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 BRRH IMAGING AT BOCA CLINIC
1601 CLINT MOORE RD STE 140
BOCA RATON,FL33487
IMAGING CENTER
5 LYNN CANCER INSTITUTE - DELRAY
16313 S MILITARY TRAIL
DELRAY BEACH,FL33484
CANCER TREATMENT 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 Boca Regional Imaging Hillsboro
3313 W Hillsboro Blvd
Deerfield,FL33442
Imaging/Breast Care
9 CENTER FOR BREAST CARE - DEERFIELD BEACH
3313 W Hillsboro Blvd
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) 2014
Schedule H (Form 990) 2014
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.
Form and Line Reference Explanation
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 15862983
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance 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.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount 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, 2015 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 hospital gross charges for medically necessary services rendered to all uninsured patients. Patients without insurance are treated fairly and with respect during and after their treatment, 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.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology 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 financial assistance 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 considers this portion of bad debt to be a community benefit.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote 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, 2015: 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.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs 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, 2015, there were no material adjustments recorded to revenue related to prior years.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance BRRH has a formal written debt collection policy; it is BRRH's 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 financial assistance from BRRH(charity care). Financial assistance information is provided to patients at time of admission, upon request. Financial counselors visit all uninsured patients prior to the patients' discharge, in order to provide information to the patients about the availability of various forms of financial assistance. Financial assistance is advertised to patients both on the Organization's website, and on all statement mailers to patients. Uninsured patients 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 after reasonable efforts are made by the organization to notify the patient of financial assistance, patients may be referred to collections; however, if a patient account has been referred to collections and subsequently qualifies for alternative funding, such as financial assistance (charity care), the account is recalled from the collection agency and the patient's account is settled based on the alternative funding source.
Schedule H, Part V, Section B, Line 16a FAP website - BOCA RATON REGIONAL HOSPITAL INC: Line 16a URL: http://www.brrh.com/pdf/PP-Financial-Assistance-Policy.pdf;
Schedule H, Part VI, Line 2 Needs assessment 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.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance BRRH has a formal written debt collection policy; it is BRRH's 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 financial assistance. Financial assistance information is provided to patients at time of admission, upon request. Financial counselors visit all uninsured patients prior to the patients' discharge, in order to provide information to the patients about the availability of various forms of financial assistance. Financial assistance is advertised to patients both on the Organization's website, and on all statement mailers to patients. Uninsured patients 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 after reasonable efforts are made by the organization to notify the patient of financial assistance, patients may be referred to collections; however, if a patient account has been referred to collections and subsequently qualifies for alternative funding, such as financial assistance, the account is recalled from the collection agency and the patient's account is settled based on the alternative funding source.
Schedule H, Part VI, Line 4 Community information 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 primary service area (PSA) includes about 650,000 residents. BRRH has a market share of about 20% of the overall PSA. 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. In FY15, about 2% of hospital revenues were related to uninsured patients or patients who were Medicaid recipients.
Schedule H, Part VI, Line 5 Promotion of community health 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, 2015, BRRH spent approximately $34.7 million on capital asset purchases, 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 2015 Fiscal Year the partnership taught over 1,500 people. A community based program, nearly 75% of the participants come from the local community. Participating community groups include: 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.
Schedule H, Part VI, Line 6 Affiliated health care system 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 was formed to provide primary care services to the residents of the community.
Schedule H (Form 990) 2014
Additional Data


Software ID: 14000329
Software Version: 2014v1.0
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.
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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 Domestic Organizations and Domestic Governments. 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 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) ADOLPH & ROSE LEWIS JCC
9801 DONNA KLEIN BLVD
BOCA RATON,FL33428
65-1127438 501(C)(3) 46,000 0 n/a n/a SUPPORT
(2) CENTER FOR THE ARTSALLIANCE FOR THE ARTS
225 NE MIZNER BLVD SUITE 500
BOCA RATON,FL33432
65-0748038 501(C)(3) 15,000 0 n/a n/a SUPPORT
(3) NATIONAL COALITION FOR WOMEN HEART HEALTH
110017th St NW
Suite 500
Washington,DC20036
52-2148006 501(C)(3) 15,000 0 n/a n/a SUPPORT
(4) AMERICAN HEART ASSOCIATION
333 E 7TH ST STE N
BOCA RATON,FL33432
13-5613797 501(C)(3) 28,200 0 n/a n/a SUPPORT
(5) JEWISH FEDERATION OF SOUTH PALM BEACH COUNTY
9901 DONNA KLEIN BLVD
BOCA RATON,FL33428
59-1945109 501(C)(3) 10,000 0 n/a n/a SUPPORT
(6) ALLIANCE FOR LUPUS RESEARCH
28 WEST 44TH STREET STE 5011
NEW YORK,NY10036
58-2492929 501(C)(3) 10,000 0 n/a n/a RESEARCH SUPPORT
(7) FAMILY PROMISE OF SOUTH PALM BEACH
840 GEORGE BUSH BLVD
DELRAY BEACH,FL33483
56-2656166 501(C)(3) 8,000 0 n/a n/a SUPPORT
(8) FLORENCE FULLER CHILD DEVELOMENT
200 NE 14TH ST
BOCA RATON,FL33432
59-1312245 501(c)(3) 13,230 0 n/a n/a HEALTH EDUCATION AND SCREEN CHILDREN
(9) FLORIDA ATLANTIC UNIVERSITY
777 GLADES ROAD
BOCA RATON,FL33431
65-0385507 FAU 9,860 0 n/a n/a SUPPORT
(10) RUTH RALES JEWISH FAMILY SERVICE
21300 RUTH AND BARON COLEMAN BLVD
BOCA RATON,FL33428
65-1115689 501 (C)(3) 10,000 0 n/a n/a SUPPORT SENIORS TRANSPORTATION
(11) YMCA OF BOCA RATON OF SO PALM BEACH COUNTY
6631 PALMETTO CIRCLE SOUTH
BOCA RATON,FL33433
59-1416281 501(c)(3) 10,000 0 n/a n/a SWIM INSTRUCTION GRANT
(12) HOSPICE BY THE SEA FOUNDATION
1531 W PALMETTO PARK ROAD
BOCA RATON,FL33486
26-3273238 501(C)(3) 6,600 0 n/a n/a SUPPORT
(13) GEORGE SNOW SCHOLARSHIP FUND
201 Plaza Real 260
BOCA RATON,FL33432
59-2162597 501(C)(3) 5,250 0 n/a n/a SCHOLARSHIPS
(14) Migrant Association Caridad Center
645 W Boynton Beach Blvd
Boynton Beach,FL33437
65-0149423 501(c)(3) 44,639 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
14
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) 2014

Schedule I (Form 990) 2014
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. 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. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
Schedule I, Part I, Line 2 Description Of Procedure For Monitoring Use Of Grant Funds BOCA RATON REGIONAL HOSPITAL MAKES GRANTS ONLY TO ORGANIZATIONS EXEMPT UNDER 501(C)(3) and GOVERNMENT ENTITIES. FUNDING IS ALSO PROVIDED TO OTHER EXEMPT ORGANIZATIONS THAT SUPPORT THE HEALTHCARE NEEDS OF THE BOCA RATON COMMUNITY.
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. BOCA RATON REGIONAL HOSPITAL MAKES GRANTS ONLY TO ORGANIZATIONS EXEMPT UNDER 501(C)(3) and GOVERNMENT ENTITIES. FUNDING IS ALSO PROVIDED TO OTHER EXEMPT ORGANIZATIONS THAT SUPPORT THE HEALTHCARE NEEDS OF THE BOCA RATON COMMUNITY.
Schedule I (Form 990) 2014


Additional Data


Software ID: 14000329
Software Version: 2014v1.0


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, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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
directors, trustees, officers, including 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), 501(c)(4), and 501(c)(29) organizations 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
Yes
 
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) 2014

Schedule J (Form 990) 2014
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 in column(B) reported as deferred in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1JERRY FEDELE
  PRESIDENT AND CEO
(i)
(ii)
667,599
...............................
0
398,331
...............................
0
221,226
...............................
0
119,440
...............................
0
20,848
...............................
0
1,427,444
...............................
0
144,879
...............................
0
2MATTHEW KLEIN MD
  TRUSTEE
(i)
(ii)
0
...............................
371,837
0
...............................
0
0
...............................
2,833
0
...............................
0
0
...............................
23,003
0
...............................
397,673
0
...............................
0
3ALAN SAITOWITZ md
  Trustee
(i)
(ii)
0
...............................
410,250
0
...............................
0
0
...............................
630
0
...............................
0
0
...............................
23,392
0
...............................
434,272
0
...............................
0
4ALEX EREMIA
  Secretary
(i)
(ii)
274,955
...............................
0
100,000
...............................
0
6,561
...............................
0
29,617
...............................
0
8,569
...............................
0
419,702
...............................
0
0
...............................
0
5DAWN JAVERSACK
  Treasurer and CFO
(i)
(ii)
398,716
...............................
0
150,000
...............................
0
3,392
...............................
0
44,691
...............................
0
19,023
...............................
0
615,823
...............................
0
0
...............................
0
6KAREN POOLE
  CHIEF OPERATING OFFICER
(i)
(ii)
392,011
...............................
0
150,000
...............................
0
8,140
...............................
0
44,339
...............................
0
27,059
...............................
0
621,549
...............................
0
0
...............................
0
7CHARLES POSTERNACK
  CHIEF MEDICAL OFFICER
(i)
(ii)
527,936
...............................
0
200,000
...............................
0
20,485
...............................
0
52,042
...............................
0
13,491
...............................
0
813,954
...............................
0
0
...............................
0
8MINDY RAYMOND
  ASST SECRETARY/VICE PRESIDENT
(i)
(ii)
218,267
...............................
0
85,000
...............................
0
26,513
...............................
0
30,208
...............................
0
28,830
...............................
0
388,818
...............................
0
11,489
...............................
0
9MARIA DULANEY
  Director, Clinical
(i)
(ii)
174,928
...............................
0
14,000
...............................
0
593
...............................
0
3,593
...............................
0
19,222
...............................
0
212,336
...............................
0
0
...............................
0
10ROBIN HILDWEIN
  CIO AND EXECUTIVE DIRECTOR
(i)
(ii)
193,686
...............................
0
15,000
...............................
0
774
...............................
0
6,049
...............................
0
20,086
...............................
0
235,594
...............................
0
0
...............................
0
11LOUISE MORRELL MD
  Medical Director
(i)
(ii)
586,610
...............................
0
75,000
...............................
0
2,214
...............................
0
6,500
...............................
0
25,802
...............................
0
696,126
...............................
0
0
...............................
0
12MINDY SHIKIAR
  VICE PRESIDENT
(i)
(ii)
242,743
...............................
0
85,000
...............................
0
35,227
...............................
0
29,633
...............................
0
27,305
...............................
0
419,909
...............................
0
25,398
...............................
0
13Melissa Durbin
  Chief Nursing Officer
(i)
(ii)
207,525
...............................
0
70,000
...............................
0
6,136
...............................
0
26,217
...............................
0
20,100
...............................
0
329,978
...............................
0
0
...............................
0
14GILBERT CHIDIAC
  CARDIAC ANESTHESIOLOGIST
(i)
(ii)
475,464
...............................
0
6,500
...............................
0
773
...............................
0
6,371
...............................
0
25,965
...............................
0
515,073
...............................
0
0
...............................
0
15BURAK ILSIN
  CARDIAC ANESTHESIOLOGIST
(i)
(ii)
427,200
...............................
0
6,500
...............................
0
683
...............................
0
6,500
...............................
0
24,237
...............................
0
465,120
...............................
0
0
...............................
0
16ALEXANDER KULIK
  Physician
(i)
(ii)
467,188
...............................
0
13,000
...............................
0
10,374
...............................
0
5,200
...............................
0
7,940
...............................
0
503,702
...............................
0
0
...............................
0
17Dan Sacco
  Vice President
(i)
(ii)
244,486
...............................
0
90,000
...............................
0
15,099
...............................
0
29,359
...............................
0
20,811
...............................
0
399,755
...............................
0
0
...............................
0
18Thomas Chakurda
  Vice President
(i)
(ii)
201,343
...............................
0
60,000
...............................
0
12,717
...............................
0
20,304
...............................
0
27,490
...............................
0
321,854
...............................
0
0
...............................
0
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
Page 3
Part III
Supplemental Information
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.
Return Reference Explanation
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments THE CEO RECEIVES A HOUSING ALLOWANCE PER EMPLOYMENT CONTRACT WHICH IS GROSSED UP FOR TAX PURPOSES.
Schedule J, Part I, Line 1a Housing allowance or residence for personal use THE CEO RECEIVES A HOUSING ALLOWANCE. THE HOUSING ALLOWANCE IS TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUAL.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan DURING CALENDAR YEAR 2014, 457(F) PLAN CONTRIBUTIONS WERE MADE FOR DAWN JAVERSACK $39,491.25; MINDY RAYMOND $21,767.75; MINDY SHIKIAR $24,374.25; KAREN POOLE $39,438.75; CHARLES POSTERNACK $52,042; ALEXANDER EREMIA $27,493.75; DAN SACCO $24,381.25; MELISSA DURBIN $ 20,845.75; THOMAS CHAKURDA $20,303.50. A SERP PLAN CONTRIBUTION WAS MADE FOR JERRY FEDELE FOR $114,240.00. DISTRIBUTIONS TAKEN DURING CALENDAR YEAR 2014 ARE AS FOLLOWS: MINDY RAYMOND $11,486.68; MINDY SHIKIAR $25,397.64; JERRY FEDELE $144,878.83.
Schedule J, Part I, Line 7 Non-fixed payments The following individuals received a bonus during the year which was not determined by a fixed formula: Jerry Fedele Alex Eremia Dawn Javersack Karen Poole Charles Posternack Mindy Raymond Maria Dulaney Robin Hildwein Louise Morrell Mindy Shikiar Melissa Durbin Thomas Chakurda Dan Sacco
Schedule J (Form 990) 2014

Additional Data


Software ID: 14000329
Software Version: 2014v1.0
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.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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), section 501(c)(4), and 501(c)(29) 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 Benefiting 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) 2014
Schedule L (Form 990 or 990-EZ) 2014
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 1,020,000 INTENSIVIST SERVICES   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L, Part IV, Column (b) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION RALPH PALUMBO MD, EX OFFICIO VOTING MEMBER OF THE HOSPITAL BOARD, IS ALSO A 25% OWNER IN CRITICAL CARE ASSOCIATES OF SOUTH FLORIDA, LLC.
Schedule L (Form 990 or 990-EZ) 2014

Additional Data


Software ID: 14000329
Software Version: 2014v1.0




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 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
Boca Raton Regional Hospital Inc
 
Employer identification number

59-1006663
Return Reference Explanation
Form 990, Part III, Line 4a PROGRAM DESCRIPTION (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). THE HOSPITAL RECEIVED THE 2014 American Heart Association / American Stroke Association's Get With The Guidelines- Stroke Gold Plus Quality Achievement Award. BOCA RATON REGIONAL HOSPITAL WAS RANKED IN U.S. NEWSMEDIA & WORLD REPORT'S 2015 AMERICA'S BEST HOSPITALS LISTING AS 12TH IN FLORIDA - FEWER THAN 150 OF THE NATION'S HOSPITALS ARE NATIONALLY RANKED. THE FOLLOWING STATISTICS REPRESENT THE YEAR ENDED JUNE 30, 2015: TOTAL DISCHARGES (INPATIENT AND OBSERVATION) 24,097 PATIENT DAYS (INPATIENT AND OBSERVATION) 97,790 EMERGENCY ROOM VISITS 52,530 OUTPATIENT VISITS 348,351 SURGERIES 9,844 BOCA RATON REGIONAL HOSPITAL IS THE RECIPIENT OF THE 2014 DISTINGUISHED HOSPITAL FOR CLINICAL EXCELLENCE AWARD FOR THE TENTH YEAR IN A ROW BY HEALTHGRADES, THE LEADING INDEPENDENT HEALTHCARE RATINGS ORGANIZATION. ONLY 24 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 FOR FOUR YEARS RUNNING, AND IS ALSO THE RECIPIENT OF THE 2014 HEALTHGRADES MATERNITY CARE EXCELLENCE AWARD FOR THE FOURTH YEAR IN A ROW. THE HOSPITAL IS "A" RATED IN THE LEAPFROG GROUP'S FALL 2014 AND SPRING 2015 HOSPITAL SAFETY SCORE. IN 2015, U.S. News & World Report Best Hospitals for Common Care designated BRRH as "high performing" in heart failure, hip replacement and knee replacement procedures - roughly 10% of hospitals reviewed were listed as high performers. ALSO IN 2015, THE HOSPITAL WAS NAMED AS ONE OF FLORIDA'S 10 "Best Value Hospitals" according to Verras Healthcare International's Medical Value Index. 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. The Institute is expanding clinical programs to provide primary care and well woman care to women of all ages. The Institute focuses on five centers of excellence, including the Schmidt Center for Breast Care, the Jean and David Blechman Center for Specialty Care, the Phyllis Sandler Center for Living Well, the Barbara Gutin Center for Pelvic Health and the Center for Imaging. The Institute's core principles combine 'high tech' with 'high touch.' A new, state-of-the-art 46,000 square foot facility opened on July 6, 2015. On June 30, 2014, the Hospital welcomed its first class of 36 internal medicine residents through the Florida Atlantic University College of Medicine Graduate Medical Education Consortium (the "GME Consortium"). The GME Consortium is made up of eight facilities including BRRH as the principal facility for the internal medicine program. In accordance with the Florida Atlantic University-BRRH Internal Medicine Residency Master Affiliation Agreement and Program Addendum, the Hospital is apportioned 60% of the program's internal medicine residents. 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. IT NOW SERVES 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. The institute is one of a select number of hospitals nationally that has access to both intraoperative MRI and intraoperative CT for use in advanced neurosurgical procedures of the brain and spine. 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.
Form 990, Part III, Line 2 New program services In October 2014 BRRH opened the Marcus Neuroscience Center.
Form 990, Part VI, Line 2 FAMILY AND BUSINESS RELATIONSHIPS JERRY FEDELE, DAWN JAVERSACK AND ALEX EREMIA HAVE A BUSINESS RELATIONSHIP, IN THAT, IN THEIR MANAGEMENT CAPACITY FOR BRRH CORPORATION AND AFFILIATES, THEY ALSO SERVE ON THE BOARDS AND/OR ARE OFFICERS OF THE FOLLOWING RELATED FOR-PROFIT CORPORATION: BRRH WOMEN'S INSTITUTE FOR HEALTH & WELLNESS, INC. JERRY FEDELE, DAWN JAVERSACK, ALEX EREMIA, Alan Saitowitz AND MATTHEW KLEIN HAVE A BUSINESS RELATIONSHIP, IN THAT THEY ALSO SERVE ON THE BOARDS AND/OR ARE EMPLOYEES OF THE FOLLOWING RELATED FOR-PROFIT CORPORATION: BOCACARE, INC.
Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE MEMBER OF BOCA RATON REGIONAL HOSPITAL, INC., IS BRRH CORPORATION, INC.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body 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.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders 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.
Form 990, Part VI, Line 11b Review of form 990 by governing body 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.
Form 990, Part VI, Line 12c Conflict of interest policy ANNUALLY THE CHAIR OF THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD, THE CHIEF COMPLIANCE OFFICER, AND THE VICE PRESIDENT, GENERAL COUNSEL 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. THE DISCLOSURES ARE PRESENTED TO THE AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW AND CONSIDERATION. 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.
Form 990, Part VI, Line 15a Process to establish compensation of top management official The executive compensation committee of the BRRH Corporation Board of Trustees annually reviews the compensation for the President and CEO. The Committee determines the compensation for the President and CEO. The process includes a review of current compensation data that benchmarks BRRH executive salaries with other healthcare organizations of a similar size and net revenue. The review process was performed internally for the year ended June 30, 2015, but may also be performed by an outside firm. The review and approval process is documented in the Executive Compensation Committee minutes at the time of the review.
Form 990, Part VI, Line 15b Process to establish compensation of other employees The executive compensation committee of the BRRH Corporation Board of Trustees annually reviews the 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 a review of current compensation data that benchmarks BRRH executive salaries with other healthcare organizations of a similar size and net revenue. The review process was performed internally for the year ended June 30, 2015, but may also be performed by an outside firm. The review and approval process is documented in the Executive Compensation Committee minutes at the time of the review.
Form 990, Part VI, Line 19 Required documents available to the public 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.
Form 990, Part VIII, Line 2f Other Program Service Revenue - Total Revenue: 1214816, Related or Exempt Function Revenue: 586707, Unrelated Business Revenue: 628109, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees CHAO management fees - Total Expense: 12390213, Program Service Expense: , Management and General Expenses: 12390213, Fundraising Expenses: ; other fees - Total Expense: 9643946, Program Service Expense: 5014852, Management and General Expenses: 4629094, Fundraising Expenses: ; physician services - Total Expense: 5186751, Program Service Expense: 5186751, Management and General Expenses: 0, Fundraising Expenses: ; service contracts - Total Expense: 12379406, Program Service Expense: 6437291, Management and General Expenses: 5942115, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN PENSION - -18349061; CHANGE IN BENEFICIAL INTEREST IN BRRH FOUNDATION - 17563577; CHANGE IN INVESTMENT IN SUBSIDIARY - -67223; CONTRIBUTIONS NET OF RELATED EXPENSES RESTRICTED - 206;
Form 990, Part IX Statement of Functional Expense Line 11g Other fees for service The other fees for service are comprised of Management Fees for $12,390,213, Service Contracts for $12,379,406, Physician Fees for $5,186,751 and Other Expense for $9,643,946.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2014

Additional Data


Software ID: 14000329
Software Version: 2014v1.0
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet
Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2014
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" on 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 4,100,453 1,818,311 BRRH INC
 
(2) BOCA THORACIC & CARDIOVASCULAR SURGERY
800 MEADOWS RD
BOCA RATON,FL33486
20-5347210
HEART SURGERY FL 560,049 10,445,218 BRRH INC
 
(3) BRRH SELF INSURANCE TRUST
800 MEADOWS ROAD
BOCA RATON,FL33486
59-1862898
SELF INS TRUST FL 82,029 7,271,602 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
 
(5) BRRH Medical Group LLC
800 Meadows Rd
Boca Raton,FL33486
47-2388852
HEALTHCARE FL 0 0 BRRH INC
 


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


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1) BRRH FOUNDATION INC
745 MEADOWS RD

BOCA RATON,FL33486
59-2406425
FUNDRAISING FL 501(c)(3 7 BRRH CORP
 
 
No
(2) BRRH CORPORATION INC
800 MEADOWS RD

BOCA RATON,FL33486
59-2406033
PARENT FL 501(c)(3 Type II NA
 
 
No
(3) BRRH HOME HEALTH SERVICES INC
800 MEADOWS RD

BOCA RATON,FL34486
65-0044715
HEALTHCARE SERVICES FL 501(c)(3 Type III-FI BRRH CORP
 
 
No
(4) DEBBIE RAND MEMORIAL SERVICE LEAGUE
800 MEADOWS RD

BOCA RATON,FL33486
59-1055553
VOLUNTEER ORGANIZATION FL 501(c)(3 Type III-O NA
 
 
No






For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) BOCACARE INC

800 MEADOWS RD
BOCA RATON,FL33486
26-4190328
PRIMARY CARE PHYSICIANS FL NA
 
C Corporation         No
(2) BRRH WOMEN'S INSTITUTE FOR HEALTH & WELLNESS

800 MEADOWS ROAD
BOCA RATON,FL33486
26-3151406
WOMEN'S HEALTH CARE FL NA
 
C Corporation         No










Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on 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
 
No
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
Yes
 
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
Yes
 
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 related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved





Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

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




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2014
Additional Data


Software ID: 14000329
Software Version: 2014v1.0