TY 2015 Form 990

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) I JEFFREY PHETERSON ESQ CHAIR	2.0 ................. 2.0	X	X		0	0	0
(2) Marie Bedner VICE CHAIR	2.0 ................. 4.0	X	X		0	0	0
(3) GEORGE T ELMORE SECRETARY	2.0 ................. 2.0	X	X		0	0	0
(4) FRED B DEVITT JR ESQ Member	2.0 ................. 2.0	X			0	0	0
(5) Steven Litinsky MD MBA MEMBER	2.0 ................. 4.0	X			0	0	0
(6) Greg WEEKES Member	2.0 ................. 2.0	X			0	0	0
(7) STORMET C NOREM MEMBER	2.0 ................. 4.0	X			0	0	0
(8) THOMAS A SMITH MEMBER	2.0 ................. 2.0	X			0	0	0
(9) DAVID M LASHWAY MD MEMBER	2.0 ................. 2.0	X			5,511	0	0
(10) DAVID WEINSTEIN MD MEMBER	2.0 ................. 0	X			5,000	0	0
(11) JOANNE AQUILINA VP OF FINANCE/CFO	2.0 ................. 48.0		X		0	324,988	59,294
(12) ROGER L KIRK PRESIDENT	2.0 ................. 54.0		X		0	1,076,427	117,567
(13) ALBERT G BIEHL VP MEDICAL AFFAIRS	40.0 ................. 0			X	352,548	0	62,792
(14) GERALYN A LUNSFORD VP OF PATIENT SERVICES	40.0 ................. 0			X	237,674	0	52,913
(15) GARY S NORDMARK VP OF OPERATIONS	40.0 ................. 0			X	208,749	0	76,885
(16) JOSHUA BAILIN MEDICAL DIRECTOR QUALITY	40.0 ................. 0			X	191,591	0	21,069
(17) DOROTHY KERR ADMINISTRATIVE SUPERVISOR	40.0 ................. 0			X	157,842	0	60,329

(A) Name and business address	(B) Description of services	(C) Compensation
ARAMARK MANAGEMENT SERVICES 2300 WARRENVILLE ROAD DOWNERS GROVE,IL60515	MANAGEMENT FEE	3,394,692
Florida Atlantic University 777 Glades Road Boca Raton,FL334310991	Clinical Services	2,573,457
SHIFTWISE 2501 SW 1ST AVENUE STE 200 PORTLAND,OR97201	CONTRACT STAFFING	1,998,450
CARE LOGISTICS LLC 2655 NORTHWINDS PARKWAY ALPHARETTA,GA30009	CONSULTING, PATIENT LOGISTICS	1,614,755
Cerner Health Services Inc PO Box 959167 St Louis,MO631959167	IS Support	1,344,656
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 44

- TIN:

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

2015

Open to Public
Inspection

Name of the organization

Bethesda Hospital Inc

Employer identification number

59-2447554

Part I

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

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

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

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

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

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

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

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

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

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

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

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

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

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

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

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

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)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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.

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

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

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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

Schedule A (Form 990 or 990-EZ) 2015

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)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513...
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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.)..

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

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

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

Schedule A (Form 990 or 990-EZ) 2015

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

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.

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).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

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.

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.

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.

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.

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.

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).

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?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

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.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) 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.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

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

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

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

A family member of a person described in (a) above?

11b

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

Section B. Type I Supporting Organizations

Yes

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.

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.

Section C. Type II Supporting Organizations

Yes

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).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

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).

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.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

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.

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.

Parent of Supported Organizations. Answer (a) and (b) below.

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.

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.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

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

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) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

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 2015 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-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

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) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

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

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

Bethesda Hospital Inc

Employer identification number

59-2447554

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

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

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box 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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization Bethesda Hospital Inc

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization Bethesda Hospital Inc		Employer identification number 59-2447554

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization Bethesda Hospital Inc			Employer identification number 59-2447554
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.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on 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

2015

Open to Public Inspection

Name of the organization

Bethesda Hospital Inc

Employer identification number

59-2447554

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on 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 ....

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

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds 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? ............................

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

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

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

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

Yes No

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

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

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

Yes No

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" on Form 990, Part IV, line 8.

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.

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 on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

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

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

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

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

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

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

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

Yes No

Part IV

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

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

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	20,297,259	21,966,433	20,756,493	19,276,731	16,942,951
b	Contributions ...			63,700	0	0
c	Net investment earnings, gains, and losses	1,841,966	-1,302,981	1,504,343	1,839,883	2,663,231
d	Grants or scholarships ...				0	0
e	Other expenditures for facilities and programs ...	362,131	366,193	358,103	329,789	299,987
f	Administrative expenses ....				30,332	29,464
g	End of year balance ......	21,777,094	20,297,259	21,966,433	20,756,493	19,276,731

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

69.17 %

Permanent endowment SchDMd Bullet

5.67 %

Temporarily restricted endowment SchDMd Bullet

25.16 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

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

Yes

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

3a(i)

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

3a(ii)

Yes

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

Yes

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' on 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 ...	2,170,248		2,170,248
b	Buildings	326,310,978	163,616,618	162,694,360
c	Leasehold improvements	986,456	759,347	227,109
d	Equipment ...	177,986,147	144,613,710	33,372,437
e	Other ...	1,515,950		1,515,950
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				199,980,104

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on 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
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Reserves for self insurance	36,008,043
Accrued retirement benefit liability	44,376,006
Security Deposit	5,813
Due to state med assist funds	264,675
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	80,654,537
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) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on 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' on 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 V, Line 4 Intended uses of endowment funds

The endowment funds are held by Bethesda Hospital Foundation, Inc. The endowment funds are used to support Bethesda Hospital, Inc. in the provision of quality health care services to the surrounding community.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

The organization is included in the consolidated financial statements of Bethesda Health, Inc. Below is the footnote from those financial statements. The Internal Revenue Service has determined that BHS, BPS, BHOS, BHCIS, the Foundation, and the Hospital are exempt from federal income taxes under Section 501(a) as organizations described in Section 501(c)(3) of the Internal Revenue Code (IRC). All other affiliates of BHS are for-profit entities that file a consolidated tax return. As of September 30, 2016, the consolidated for-profit entities have recorded a provision for income tax in accordance with ASC Topic 740, Income Taxes. The System applies the provisions of ASC Topic 740 to evaluate uncertain tax positions. This guidance creates a single model to address uncertain income tax positions and clarifies the accounting for income taxes by prescribing a more-likely-than-not minimum recognition threshold that a tax position is required to meet before recognized in the consolidated financial statements. Under the requirement of ASC Topic 740, tax-exempt organizations may be required to record an obligation as the result of a tax position they have historically taken on various tax exposure items. There were no uncertain tax provisions recorded in the consolidated financial statements at September 30, 2016.

Schedule D (Form 990) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization
Bethesda Hospital Inc

Employer identification number

59-2447554

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers.Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	Central America and the Caribbean			Investments	10,107,000
















3a	Sub-total .....	0	0		10,107,000
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		10,107,000

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2015

Schedule F (Form 990) 2015

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2015

Schedule F (Form 990) 2015Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2015

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2015

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation
Schedule F, Part IV FOREIGN INVESTMENTS	BETHESDA HOSPITAL, INC. HAS A RIGHT TO THE FOREIGN INVESTMENTS HELD BY BETHESDA HEALTH, INC. HOWEVER, BECAUSE THE LEGAL OWNER OF THE INVESTMENTS IS BETHESDA HEALTH, INC., ANY FILING REQUIREMENTS DUE TO OWNERSHIP OF THE FOREIGN INVESTMENTS ARE COMPLETED BY BETHESDA HEALTH, INC.

Schedule F (Form 990) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on 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

2015

Open to Public Inspection

Name of the organization

Bethesda Hospital Inc

Employer identification number

59-2447554

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

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

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

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:

Yes

100% 150% 200% Other %

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: . . . . . . . .

200% 250% 300% 350% 400% Other %

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.

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"? . . . . . . . . . . . . .

Yes

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

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? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

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

Yes

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

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) . . .			3,889,280	0	3,889,280	1.21 %
b	Medicaid (from Worksheet 3, column a) . . . . .			52,603,214	28,742,596	23,860,618	7.42 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .			3,677,960	1,461,938	2,216,022	0.69 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	0	60,170,455	30,204,534	29,965,921	9.32 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).			1,022,424	0	1,022,424	0.32 %
f	Health professions education (from Worksheet 5) . . .			6,323,017	3,878,682	2,444,335	0.76 %
g	Subsidized health services (from Worksheet 6) . . . .			0	0	0	0 %
h	Research (from Worksheet 7) .			0	0	0	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .			0	0	0	0 %
j	Total. Other Benefits . .	0	0	7,345,441	3,878,682	3,466,759	1.08 %
k	Total. Add lines 7d and 7j .	0	0	67,515,896	34,083,216	33,432,680	10.39 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

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
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	0	0	0	0

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

12,781,198

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. ......

1,520,963

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

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

100,126,909

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

110,063,016

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

-9,936,107

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

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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 .........................

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) 2015

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)						Other (Describe)
1	Bethesda Hospital 2815 South Seacrest Blvd Boynton Beach,FL33435 www.bethesdaweb.com 4452	X	X	X	X	Inpatient Rehabilitation

Schedule H (Form 990) 2015

Page 4

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)

	Bethesda Hospital
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):

Yes

Community Health Needs Assessment

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?........................

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...............

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......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

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 .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

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. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.BETHESDAWEB.COM/PROVIDING-COMMUNITY-BENEFIT

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

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. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.BETHESDAWEB.COM/PROVIDING-COMMUNITY-BENEFIT

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

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

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	Bethesda Hospital
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.0% and FPG family income limit for eligibility for discounted care of %

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

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):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

See Schedule H, Part VI

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):
See Schedule H, Part VI

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	Bethesda Hospital
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized 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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

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.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

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? ...............................

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

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 - BETHESDA HOSPITAL. WE HAD REPRESENTATIVES INCLUDING HOSPITAL EXECUTIVES, AS WELL AS COMMUNITY HEALTH AND PUBLIC SAFETY LEADERS INCLUDING: ANDREA STEPHENSON, CHANDI PATEL AND BERTHOLETTE PARDIEU FROM THE HEALTH COUNCIL OF SOUTHEAST FLORIDA (PUBLIC HEALTH); DR. ALINA ALONSO , DIRECTOR OF THE PALM BEACH COUNTY HEALTH DEPARTMENT (PUBLIC HEALTH); RAY CARTER, BOYNTON BEACH FIRE RESCUE; SHARON L'HEROU, 2-1-1 PALM BEACH/TREASURE COAST; ERIC CHIYEMBEZAKA, GENESIS COMMUNITY HEALTH; GILLIAN CROSS, MARCH OF DIMES; JOAN BRUNSWICK, COBWRA - COALITION OF BOYNTON WEST RESIDENTIAL ASSOCIATIONS; AND RANDY PALO AND LISA WILLIAMS-TAYLOR FROM THE CHILDREN'S SERVICES COUNCIL. WE ALSO CONDUCTED NUMEROUS FOCUS GROUP INTERVIEWS WITH INDIVIDUAL FOCUS GROUPS WHO REPRESENTED A BROAD CROSS SECTION OF THE COMMUNITY INCLUDING: SENIORS; PARENTS WITH CHILDREN; HISPANIC SUB-POPULATION; HAITIAN SUB-POPULATION; HOMELESS INDIVIDUALS AND FAMILIES; AND UNINSURED/UNDERINSURED. THESE FOCUS GROUPS PROVIDED TREMENDOUS INSIGHT INTO IDENTIFYING THE PRIORITIES THAT WOULD FORM BETHESDA HOSPITAL'S CHNA.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Bethesda Hospital. THE METHODOLOGY FOR THE COMPLETION OF BETHESDA HOSPITAL'S CHNA WAS TO IDENTIFY THE COMMUNITY; REVIEW PRIMARY AND SECONDARY SERVICE AREA DATA; IDENTIFY UNMET NEEDS AND SERVICE GAPS; AND PRIORITIZE NEEDS BASED ON BOTH QUANTITATIVE DATA (US CENSUS BUREAU DATA, FLORIDA AND PALM BEACH COUNTY STATISTICS) AND QUANTITATIVE DATA (FOCUS GROUPS, COMMUNITY GROUPS AND KEY INFORMANT INTERVIEWS). THE CHNA ADVISORY COUNCIL, COMPRISED OF HOSPITAL EXECUTIVES AND COMMUNITY/PUBLIC SERVICE LEADERS, IDENTIFIED THE FOLLOWING AREAS OF NEED, AND BETHESDA HOSPITAL IS ADDRESSING EACH OF THESE AS FOLLOWS: 1) LACK OF PREVENTATIVE CARE - BETHESDA PROVIDES COMMUNITY HEALTH FAIRS AND BREAST HEALTH AND DIABETES EDUCATION IN AT-RISK COMMUNITIES, INCLUDING CIVIC CENTERS, CHURCHES AND SCHOOLS; 2) LACK OF ACCESSIBILITY AND AFFORDABILITY FOR HEALTH CARE SERVICES - BETHESDA HOSPITAL PROVIDES COMPLIMENTARY PATIENT TRANSPORTATION TO BETHESDA FOR OUTPATIENT SERVICES. IN ADDITION, BETHESDA HAS A FINANCIAL ASSISTANCE UNIT TO HELP PEOPLE QUALITY FOR FEDERAL AND STATE HEALTHCARE PROGRAMS (MEDICAID, FLORIDA KIDCARE); 3) ACCESS TO MENTAL HEALTH - BETHESDA HOSPITAL SERVES ON THE BOYNTON BEACH MENTAL HEALTH COMMUNITY TO HELP PROMOTE AWARENESS FOR MENTAL HEALTH SERVICES AND PROVIDES NUMEROUS FREE SUPPORT GROUPS TO HELP PEOPLE WHO ARE COPING WITH OBESITY, LOSS OF A LOVED ONE, CANCER, STROKE AND HEART DISEASE; 4) SENIOR SAFETY IN THE HOME (FALL PREVENTION) -- BETHESDA HOSPITAL IS WORKING WITH COBWRA HOME OWNERS' ASSOCIATIONS (55+ COMMUNITIES) AND ASSISTED LIVING FACILITIES WHEN SENIORS ARE DISCHARGED FROM THE HOSPITAL TO ENSURE THEIR HOMES ARE SAFE. IN ADDITION, BETHESDA WORKS WITH LOCAL SENIOR ORGANIZATIONS TO EDUCATE SENIORS ON STAYING SAFE IN THEIR HOMES; 5) OBESITY - BETHESDA HOSPITAL PROVIDES A BARIATRIC PROGRAM AND NUTRITION CLASSES, AS WELL AS A BARIATRIC SURGERY AND SUPPORT PROGRAM TO HELP PEOPLE WHO ARE MORBIDLY OBESE.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - Bethesda Hospital. The Hospital offers self pay rates that are based on the average total reimbursement for traditional Medicare and Commercial Managed Care patients including patient responsibility, based on the previous fiscal year's activity. Averages do not include Government payers (eg Medicaid) which reimburse below the cost of care. Self pay rates are provided in a Medicare payer format utilizing DRG (Diagnosis Related Group) and APC (Ambulatory Payment Classification) based rates for Inpatient and Outpatient services. Some rates are provided as a "flat rate" which covers all hospital based services.
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - Bethesda Hospital. All Self Pay patients receive with their statements a Plain Language Summary of the Financial Assistance Policy.
Schedule H, Part V, Section B, Line 22 Facility , 1	Facility , 1 - Bethesda Hospital. The Hospital offers self pay rates that are based on the average total reimbursement for traditional Medicare and Commercial Managed Care patients including patient responsibility, based on the previous fiscal year's activity. Averages do not include Government payers (eg Medicaid) which reimburse below the cost of care. Self pay rates are provided in a Medicare payer format utilizing DRG (Diagnosis Related Group) and APC (Ambulatory Payment Classification) based rates for Inpatient and Outpatient services. Some rates are provided as a "flat rate" which covers all hospital based services.
Schedule H, Part V, Section B, Line 23 Facility , 1	Facility , 1 - Bethesda Hospital. The organization implemented the FAP and Self Pay Rates in 2014. The Hospital offers self pay rates that are based on the average total reimbursement for traditional Medicare and Commercial Managed Care patients including patient responsibility, based on the previous fiscal year's activity. Averages do not include Government payers (eg Medicaid) which reimburse below the cost of care. Self pay rates are provided in a Medicare payer format utilizing DRG (Diagnosis Related Group) and APC (Ambulatory Payment Classification) based rates for Inpatient and Outpatient services. Some rates are provided as a "flat rate" which covers all hospital based services. Flat Rates may be set in a manner to remain market competitive with Acute and non Acute care settings and may or may not reflect average reimbursement. The Self Pay rates are processed through the system based on the account/patient being identified as Self pay. As with any system generated adjustments there could be times when an FAP eligible individual may have been charged more than the amounts generally billed to individuals with insurance as the self pay rates are based on an average reimbursement for the service for which a self pay rate is provided.
Schedule H, Part V, Section B, Line 24 Facility , 1	Facility , 1 - Bethesda Hospital. The organization implemented the FAP and Self Pay Rates in 2014. The Hospital offers self pay rates that are based on the average total reimbursement for traditional Medicare and Commercial Managed Care patients including patient responsibility, based on the previous fiscal year's activity. Averages do not include Government payers (eg Medicaid) which reimburse below the cost of care. Self pay rates are provided in a Medicare payer format utilizing DRG (Diagnosis Related Group) and APC (Ambulatory Payment Classification) based rates for Inpatient and Outpatient services. Some rates are provided as a "flat rate" which covers all hospital based services. Flat Rates may be set in a manner to remain market competitive with Acute and non Acute care settings and may or may not reflect average reimbursement. The Self Pay rates are processed through the system based on the account/patient being identified as Self pay. As with any system generated adjustments there could be times when an FAP eligible individual may have been charged more than the amounts generally billed to individuals with insurance as the self pay rates are based on an average reimbursement for the service for which a self pay rate is provided. We have contracts with managed care that allow for DRG reimbursement or total charges which ever is less. In these cases we are paid the total charges on the account. The same is true for the self pay rate for certain DRGs and in these cases the FAP eligible individual would have received a bill equal to the charge. However, once we have identified this we process a 79% self pay discount for In-Patient accounts and a 83% self pay discount for Out-Patient accounts. This is to try and reflect the average discounts given with the self pay rates.

Schedule H (Form 990) 2015

Page 8

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?4
Name and address		Type of Facility (describe)
1	Bethesda Professional Plaza 2623 South Seacrest Blvd Boynton Beach,FL33435	Outpatient Rehabilitation
2	Blum Family YMCA of Boca Raton 6631 Palmetto Circle South Boca Raton,FL33433	Outpatient Rehabilitation
3	Bethesda Health City 10301 Hagen Ranch Road Boynton Beach,FL33437	Outpatient Rehabilitation, Wound Care
4	Devos-Blum Family YMCA of Boynton Beach 9600 South Military Trail Boynton Beach,FL33436	Outpatient Rehabilitation
5
6
7
8
9
10

Schedule H (Form 990) 2015

Page 9

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 V, Section B, Line 16a Web Address	https://trustedpartner.cachefly.net/docs/library/BethesdaMemorialHospital2011/Financial%20Assistance%20Policy.pdf
Schedule H, Part V, Section B, Line 16c Web Address	https://trustedpartner.cachefly.net/docs/library/BethesdaMemorialHospital2011/Bethesda%20Health%20-%20Financial%20Assistance%20Policy%20Summary-10-2016.pdf
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	12781198
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE RATIO OF PATIENT CARE COSTS TO CHARGES FROM WORKSHEET 2 WAS USED TO CALCULATE THE COSTS ASSOCIATED WITH PROVIDING FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS TO OUR PATIENTS. OTHER BENEFIT COSTS WERE DETERMINED BY ESTIMATING THE TOTAL HOURS ASSOCIATED WITH EACH COMMUNITY SERVICE AND APPLYING AN AVERAGE HOURLY RATE TO THE STAFF WORKING THE EVENT. THE TOTAL DIRECT EXPENSES WERE TRACKED FOR EACH SERVICE AND ADDED TO THE LABOR COST.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	BAD DEBT EXPENSE IS BASED ON ACTUAL WRITE-OFFS OF ZERO BALANCED ACCOUNTS IN ADDITION TO AN ESTIMATE OF UNSETTLED ACCOUNTS BASED ON HISTORICAL PERCENTAGES.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	OUR ORGANIZATION APPLIED A PERCENTAGE OF 11.9% TO THE TOTAL DOLLAR AMOUNT OF BAD DEBT TO ESTIMATE THE AMOUNT OF OUR ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. THIS PERCENTAGE IS BASED ON EQUIFAX SCORING (PROPRIETARY CREDIT SCORING ALGORITHM) ANALYSIS OF A STATISTICALLY SIGNIFICANT POPULATION (24,800) OF DEBTORS PLACED IN COLLECTION FROM 10/1/2015-9/30/2016. CONSUMERS WITH AN EQUIFAX SCORE OF 301-600 (ON A SCALE OF 301-900) WOULD QUALIFY FOR CHARITY ASSISTANCE IN ACCORDANCE WITH BETHESDA HOSPITAL'S POLICY IF THE NECESSARY DOCUMENTS AND ATTESTATIONS WERE SUBMITTED.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	The allowance for doubtful accounts is based on historical collection and write-off experience. Accounts receivable are turned over to collection agencies at certain aging intervals depending on the insurance payor. The Hospital does not require collateral, and losses are anticipated to be within management's expectations. The organization's financial statements contain footnotes related to accounts receivable and allowance for doubtful accounts. These footnotes are contained in pages 10-11 and 18-19 of the audited financial statements.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	The cost is based on the Hospital's FY 2016 as filed medicare cost report costing methodology. The shortfall is a community benefit as these services were not fully reimbursed. By continuing to treat patients eligible for Medicare, hospitals alleviate the federal government's burden for directly providing medical services. The IRS has acknowledged that lessening the government burden associated with providing Medicare benefits is a charitable purpose.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	AT ANY POINT IN THE COLLECTION CYCLE IF A PATIENT DECLARES THAT THEY MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE, FURTHER COLLECTION EFFORTS ARE SUSPENDED PENDING THE DETERMINATION OF THE PATIENT'S DOCUMENTED ELIGIBILITY FOR FINANCIAL ASSISTANCE.
Schedule H, Part V, Section B, Line 16a FAP website	- Bethesda Hospital: Line 16a URL: See Schedule H, Part VI;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- Bethesda Hospital: Line 16c URL: See Schedule H, Part VI;
Schedule H, Part VI, Line 2 Needs assessment	Our mission to provide quality health services in a caring manner as a community-based hospital system extends to the entire span of communities we serve in South and Central Palm Beach County, including seniors, families, infants and children, as well as growing Hispanic and Haitian populations. After completion of its 2012 Community Health Needs Assessment, Bethesda Hospital began a new 3-year Community Health Needs Assessment in July 2015. In partnership with many of our local constituency groups, Bethesda identified issues related to: access to health services related to language and insurance barriers, maternal/child health and preterm deliveries, behavioral health and obesity. As a result of their feedback, barriers that are being addressed include accessibility and affordability of health care coverage, education initiatives to improve awareness of resources and improved communication with clients to promote access to services. In partnership with local agencies, our Community Health Needs Assessment provides a guide to improve the health status of Palm Beach County residents; address socioeconomic factors causing a negative impact on our community's health and increase access to preventive healthcare services, especially within at-risk sub-populations. To address these community needs, Bethesda provides a number of services to help each of its sub- populations. Bethesda offers patients free transportation to its facilities for outpatient procedures, as well as cardiopulmonary rehabilitation and physical therapy services. In addition, the Hospital's Financial Assistance Unit works with patients to secure federal and state financial assistance, as well as offering convenient payment plans. In addition, health fairs are provided in areas of at-risk populations with healthcare professionals who speak English, Spanish and Creole. Maternity tours and baby classes are also offered in Spanish and Creole. The Hospital's family resource center also allows families to access multi-lingual computers and multi-lingual resources for prenatal, newborn, pediatric and family-centered information. All patient information is provided in English, Spanish and Creole. In working with local organizations such as the March of Dimes, Caridad Center and the Coalition of Boynton West Residential Associations (COBWRA), there is a tremendous need to address the numbers of low birth weight deliveries and premature births in Palm Beach County, especially among African American mothers. Based on this data, Bethesda is now working with the Health Care District of Palm Beach County and the Healthy Beginnings Program to focus greater efforts on reducing the number of pre-term/premature births through pre-natal education classes that are offered in English, Spanish and Creole. Among the senior population in Palm Beach County, diabetes continues to be on the rise. To curb this trend, Bethesda is now working to reduce the incidence of newly diagnosed cases of diabetes in the senior population by providing ongoing diabetes management patient education classes related to nutrition and exercise at Bethesda Hospital West. We also provide 340 (b) services to our patients who qualify for this Federal assistance to receive reduced-price prescription drugs. Our quality resource managers and pharmacists work with each patient to ensure they have the prescription drugs that are needed upon the patient's discharge from the Hospital for both acute care and long-term needs.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	UNINSURED PATIENTS ARE INFORMED ABOUT BETHESDA HOSPITAL'S FINANCIAL ASSISTANCE UNIT AT SEVERAL KEY ACCESS POINTS OF THE HOSPITAL: THE EMERGENCY DEPARTMENT, AMBULATORY SURGERY, OUTPATIENT REGISTRATION, CENTRAL SCHEDULING AND THE ADMITTING DEPARTMENT. OUR HOSPITAL HAS A FINANCIAL ASSISTANCE UNIT WITH A DEDICATED TEAM OF EMPLOYEES WHO HELP PATIENTS AND FAMILIES QUALIFY FOR VARIOUS GOVERNMENTAL ASSISTANCE PROGRAMS AND financial assistance. THE FINANCIAL ASSISTANCE UNIT INCLUDES STAFF MEMBERS WHO ARE FLUENT IN ENGLISH, SPANISH AND CREOLE, SO THAT WE MAY SERVE ALL MEMBERS OF OUR COMMUNITY.
Schedule H, Part VI, Line 4 Community information	LOCATED IN PALM BEACH COUNTY, THE THIRD MOST POPULATED COUNTY IN FLORIDA, BETHESDA HOSPITAL SERVES SOUTH AND CENTRAL PALM BEACH COUNTY, A POPULATION OF APPROXIMATELY 190,000 RESIDENTS. WE DEFINE OUR COMMUNITY BASED ON 31 ZIP CODES, WHICH INCLUDES THE CITIES OF BOYNTON BEACH, PALM BEACH, DELRAY BEACH, LAKE WORTH AND WELLINGTON. OUR HOSPITAL SERVES A DIVERSE POPULATION THAT INCLUDES A LARGE SEGMENT OF ACTIVE SENIOR ADULTS (65+), MANY OF WHOM ARE SEASONAL RESIDENTS AND REPRESENT MORE THAN 20% OF THE POPULATION, AS WELL AS MANY FAMILIES, CHILDREN AND INFANTS, MAKING BETHESDA THE 2ND BUSIEST MATERNITY CENTER IN PALM BEACH COUNTY WITH APPROXIMATELY 3,000 DELIVERIES ANNUALLY. SENIORS IN OUR WEST BOYNTON COMMUNITY CONTINUE TO REPRESENT ONE OF THE FASTEST GROWING SEGMENTS IN THE STATE OF FLORIDA. OUR COMMUNITY HEALTH NEEDS ASSESSMENT REPORTED FOR THE THREE YEARS ENDING 2015 SHOWED THAT PALM BEACH COUNTY HAS A HIGHER PERCENTAGE OF MINORITIES THAN ANY OTHER COUNTY IN FLORIDA, INCLUDING HAITIAN AND GUATEMALAN RESIDENTS, WITH 20% OF THE POPULATION BEING HISPANIC. JUST OVER 14.5% OF PALM BEACH COUNTY RESIDENTS LIVE AT OR BELOW THE FEDERAL POVERTY LEVEL, WITH MORE THAN 22.4% OF PEOPLE UNDER THE AGE OF 18 LIVING BELOW THE FEDERAL POVERTY LEVEL. OF THOSE FAMILIES WITH CHILDREN UNDER THE AGE OF 18, 22.2% WERE REPORTED AT OR BELOW THE FEDERAL POVERTY LEVEL. IN 2010, THE U.S. CENSUS BUREAU ESTIMATED THAT 21% OF PALM BEACH COUNTY RESIDENTS WERE UNINSURED. WHEN COMPARED TO FLORIDA AND THE UNITED STATES, PALM BEACH COUNTY HAS A HIGHER RATE OF UNINSURED AMONG CHILDREN UNDER 18 AND ADULTS AGE 18-64.
Schedule H, Part VI, Line 5 Promotion of community health	BETHESDA HOSPITAL HAS AN ACTIVE BOARD OF TRUSTEES WHO LIVE AND WORK IN OUR COMMUNITY, PROVIDING INDEPENDENT LEADERSHIP AND GOVERNANCE. WE HAVE AN OPEN MEDICAL STAFF THAT ACCEPTS APPLICATIONS FROM ALL PHYSICIANS WHO MEET OUR MEDICAL STAFF BYLAWS GUIDELINES. ALL EXCESS FUNDS FROM OPERATIONS STAY AT THE HOSPITAL TO ENSURE THAT BETHESDA CAN PROVIDE THE MOST ADVANCED EQUIPMENT TO BENEFIT OUR PATIENTS; PROVIDE THE LATEST TRAINING FOR OUR MEDICAL STAFF AND EMPLOYEES; AND ENSURE THAT THE HOSPITAL CAN PROVIDE NEW HEALTHCARE SERVICES TO CONTINUALLY IMPROVE THE HEALTH OF OUR COMMUNITY
Schedule H, Part VI, Line 6 Affiliated health care system	BETHESDA HOSPITAL IS A COMPREHENSIVE COMMUNITY-BASED HOSPITAL SYSTEM WITH BETHESDA HOSPITAL EAST AND BETHESDA HOSPITAL WEST. WE SERVE A COMMUNITY WITH HEALTH NEEDS THAT SPAN ALL THE STAGES OF LIFE FROM PRENATAL CARE THROUGH PRIMARY CARE AND CONTINUING WITH CRITICAL CARE AND END OF LIFE NEEDS. WE ALSO HAVE A DIVERSE COMMUNITY THAT INCLUDES AN AGING POPULATION WITH CONCERNS ABOUT ACCESS TO HEALTHCARE SERVICES AND TRANSPORTATION TO THOSE SERVICES. WE ASSESS OUR COMMUNITY NEEDS THROUGH A VARIETY OF METHODS, INCLUDING ONE-ON-ONE INTERACTIONS WITH COMMUNITY INDIVIDUALS AND CIVIC LEADERS AND PATIENT INTERVIEWS FOLLOWING THEIR EXPERIENCES WITH HOSPITAL CARE AND SERVICES. WE CONTINUE TO DELIVER QUALITY HEALTH SERVICES IN A CARING MANNER, PROVIDING COMMUNITY BENEFITS THAT ARE TAILORED TO THEIR NEEDS. WE PROVIDE PRIMARY, ACUTE, EMERGENCY, SPECIALTY AND CRITICAL CARE TO OUR PATIENTS, AS WELL AS ASSISTANCE FOR OUR UNDER-INSURED COMMUNITY WITH A DEDICATED, HOSPITAL-BASED STAFF THAT HELPS PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE. RECOGNIZING THE NEED FOR ACCESS TO CARE, BETHESDA PROVIDES TRANSPORTATION SERVICES TO HELP PATIENTS ATTEND DOCTORS' APPOINTMENTS OR HAVE A TEST OR PROCEDURE PERFORMED AT THE HOSPITAL. TO ENSURE ACCESS TO CARE FOR OUR DEAF AND HEARING IMPAIRED PATIENTS, WE ALSO PROVIDE A VIDEO INTERPRETER SERVICE. AS WE STRIVE TO MEET THE NEEDS OF THE COMMUNITY, BETHESDA CONTINUES TO ADD PROGRAMS AND SERVICES THAT WILL PROVIDE COMMUNITY BENEFIT FOR ALL SEGMENTS OF OUR POPULATION WITH THE HIGHEST COMMITMENT TO QUALITY AND SAFETY THROUGH EVERY STAGE OF THEIR LIVES. AS PART OF OUR ORGANIZATION'S AFFILIATED HEALTHCARE SYSTEM, OUR WOMEN'S CENTER PROVIDES COMPREHENSIVE SERVICES TO WOMEN IN OUR COMMUNITY, INCLUDING MEDICALLY NEEDY AND UNDER-INSURED PATIENTS. WE OFFER A WIDE RANGE OF SERVICES FROM DIAGNOSTIC TO THERAPEUTIC SERVICES FOR BREAST CARE AND BREAST CANCER TREATMENT, INCLUDING A BREAST NAVIGATOR WHO HELPS PATIENTS GAIN ACCESS TO FINANCIAL ASSISTANCE AND SOCIAL SERVICES. OUR PHYSICIAN PRACTICES DEPARTMENT EMPLOYS PHYSICIANS AND LEASES SPACES TO A BROAD RANGE OF PHYSICIANS WHO SERVE IN SPECIFIC GEOGRAPHIC AREAS OF OUR COMMUNITY, INCLUDING PRIMARY CARE, CARDIOLOGY AND OBSTETRICS AND GYNECOLOGY. IN ADDITION, BETHESDA HOSPITAL PROVIDES ON-THE-JOB TRAINING FOR STUDENTS FROM THE GOODWILL INDUSTRIES SCHOOL FOR MENTALLY CHALLENGED INDIVIDUALS. MANY OF THESE STUDENTS GO ON TO BECOME EMPLOYEES OF BETHESDA IN DEPARTMENTS SUCH AS FOOD AND NUTRITION AND CENTRAL SUPPLY. THIS PROGRAM ENABLES THESE YOUNG PEOPLE TO BECOME PRODUCTIVE MEMBERS OF SOCIETY, THUS PROVIDING ENHANCED COMMUNITY BENEFIT.

Schedule H (Form 990) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

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," on 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

2015

Open to Public
Inspection

Name of the organization
Bethesda Hospital Inc

Employer identification number
59-2447554

Part I

General Information on Grants and Assistance

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? ........................

Yes No

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" on 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)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

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

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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

(1) MAMMOGRAPHY AND BREAST CANCER TREATMENT ASSISTANCE	475	161,060	0	n/a	n/a
(1)
(2)
(3)
(4)
(5)
(6)
(7)

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 Procedures for monitoring use of grant funds.	The organization provides grants as a credit to their total payment due for healthcare services. Therefore the organization is able to monitor that the funds are used for their intended purpose.

Schedule I (Form 990) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

Complete if the organization answered "Yes" on 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

2015

Open to Public Inspection

Name of the organization

Bethesda Hospital Inc

Employer identification number

59-2447554

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

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

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

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

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

Yes

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

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

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

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

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

Any related organization?

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

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

The organization?

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

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

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

Were any amounts reported on 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 .............................

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

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

Cat. No. 50053T

Schedule J (Form 990) 2015

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 on 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 on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1JOANNE AQUILINA VP OF FINANCE/CFO	(i) (ii)	0 ------------- 323,442	0 ------------- 20	0 ------------- 1,526	0 ------------- 37,310	0 ------------- 21,984	0 ------------- 384,282	0 ------------- 0
2ROGER L KIRK PRESIDENT	(i) (ii)	0 ------------- 569,565	0 ------------- 20	0 ------------- 506,842	0 ------------- 96,330	0 ------------- 21,237	0 ------------- 1,193,994	0 ------------- 0
3ALBERT G BIEHL VP MEDICAL AFFAIRS	(i) (ii)	332,413 ------------- 0	20 ------------- 0	20,115 ------------- 0	42,238 ------------- 0	20,554 ------------- 0	415,340 ------------- 0	0 ------------- 0
4GERALYN A LUNSFORD VP OF PATIENT SERVICES	(i) (ii)	235,959 ------------- 0	20 ------------- 0	1,695 ------------- 0	43,505 ------------- 0	9,408 ------------- 0	290,587 ------------- 0	0 ------------- 0
5GARY S NORDMARK VP OF OPERATIONS	(i) (ii)	197,266 ------------- 0	20 ------------- 0	11,463 ------------- 0	57,070 ------------- 0	19,815 ------------- 0	285,634 ------------- 0	0 ------------- 0
6JOSHUA BAILIN MEDICAL DIRECTOR QUALITY	(i) (ii)	189,591 ------------- 0	20 ------------- 0	1,980 ------------- 0	3,610 ------------- 0	17,459 ------------- 0	212,660 ------------- 0	0 ------------- 0
7DOROTHY KERR ADMINISTRATIVE SUPERVISOR	(i) (ii)	156,032 ------------- 0	20 ------------- 0	1,790 ------------- 0	47,741 ------------- 0	12,588 ------------- 0	218,171 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

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 3 Arrangement used to establish the top management official's compensation	The organization's President is paid by Bethesda Health, Inc. (a related organization). Bethesda Health, Inc. uses the following to determine his compensation: independent compensation consultant, form 990 of other organizations, compensation survey or study, and approval by the board.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	The organization maintains a 457(f) supplemental nonqualified retirement plan. During 2015, the following payments were received from the plan: Joanne Aquilina - $431 Albert Biehl - $15,900 Gary Nordmark - $5,315 During 2015, the following contributions were made to the plan: Roger L. Kirk - $52,489 Joanne Aquilina - $15,048 Geralyn Lunsford - $11,588

Schedule J (Form 990) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Bethesda Hospital Inc

Employer identification number

59-2447554

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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

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?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No










Total ............... $

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) 2015

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) CHRISTOPHER D HOHNER	FAMILY MEMBER OF STORMET C. NOREM, BOARD MEMBER	35,081	SALARY AND BENEFITS		No
(2) ROBERT I TSOPELAS	FAMILY MEMBER OF STORMET C. NOREM, BOARD MEMBER	33,161	SALARY AND BENEFITS		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

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

2015

Open to Public
Inspection

Name of the organization

Bethesda Hospital Inc

Employer identification number

59-2447554

Return Reference	Explanation
Form 990, Part III, Line 1 ORGANIZATION'S MISSION	BETHESDA HOSPITAL'S MISSION IS TO PROVIDE QUALITY HEALTH SERVICES IN A CARING MANNER, REGARDLESS OF ABILITY TO PAY. OUR MISSION IS FOUNDED IN A STRONG SYSTEM OF VALUES THAT REFLECTS A COMMITMENT TO SAFETY AND QUALITY THAT ALWAYS EXCEEDS STANDARDS OF EXCELLENCE; A COMMITMENT TO CARING THAT ENSURES A PERSONALIZED HEALING EXPERIENCE AND A COMMITMENT TO SERVICE THAT ALWAYS EXCEEDS EXPECTATIONS. IN STRIVING TO BECOME A VALUE-BASED HEALTHCARE ORGANIZATION, WE WILL ALWAYS STRIVE FOR OUTCOMES THAT MEET THE NEEDS OF OUR DIVERSE PATIENT POPULATION, REGARDLESS OF RACE, CREED, ORIENTATION OR FINANCIAL STATUS, THROUGH EVERY STAGE OF THEIR LIVES FROM PRENATAL CARE NEEDS, TO PEDIATRIC CARE AND FAMILY NEEDS, AND CONTINUING THROUGH END-OF-LIFE CARE, ENSURING THAT THEY HAVE ACCESS TO VITAL HEALTH SERVICES IN THE MOST APPRORIATE SETTING.
Form 990, Part III, Line 4 PROGRAM DESCRIPTION	BETHESDA HOSPITAL, AND ITS AFFILIATES, PROVIDES THE MOST COMPREHENSIVE ARRAY OF HEALTHCARE SERVICES IN PALM BEACH COUNTY SERVING THE HEALTH NEEDS OF OUR COMMUNITY THROUGH EVERY STAGE OF THEIR LIVES INCLUDING NEONATES, CHILDREN, FAMILIES, WOMEN AND SENIORS. BETHESDA'S SPECIALIZED SERVICES INCLUDE: A 31-BED, HEART HOSPITAL FOR COMPREHENSIVE CARDIOVASCULAR SERVICES AND A 24-BED ORTHOPAEDIC INSTITUTE THAT IS A JOINT COMMISSION-CERTIFIED FACILITY FOR HIP AND KNEE REPLACEMENTS. BETHESDA'S 36-BED, CORNELL INSTITUTE FOR REHABILITATION MEDICINE OFFERS INPATIENT REHABILITATION FOR PATIENTS WITH NEUROLOGIC AND ORTHOPEDIC REHABILITATION NEEDS. AS SOUTH PALM BEACH COUNTY'S FIRST MATERNITY CENTER, WE PROVIDE A FULL RANGE OF SERVICES FOR MOTHER AND CHILD INCLUDING PRENATAL CARE, OBSTETRICAL TRIAGING, A LEVEL III NEONATAL CARE UNIT, A PEDIATRIC AND PEDIATRIC INTENSIVE CARE UNIT, ALL IN AN ENVIRONMENT OF FAMILY-CENTERED CARE. BETHESDA OFFERS A FULL RANGE OF GENERAL AND SPECIALIZED SURGERY, WITH STATE-OF-THE-ART ENDOVASCULAR SUITES AT BOTH HOSPITALS DEDICATED TO TREATING VASCULAR DISEASE. RECOGNIZING THAT 60% OF BETHESDA'S PATIENTS ARRIVE THROUGH THE EMERGENCY DEPARTMENT, BETHESDA HAS 24-HOUR EMERGENCY DEPARTMENTS WITH EMERGENCY DEPARTMENTS FOR ADULTS AND CHILDREN AT BOTH HOSPITALS COMPLETE WITH PEDIATRIC PHYSICIANS. COMPLEMENTING THE EMERGENCY DEPARTMENTS ARE BETHESDA'S ADVANCED PRIMARY STROKE CENTERS TO PROVIDE SPECIALIZED CARE FOR PATIENTS WITH STROKE. ADDITIONAL SERVICES INCLUDE BETHESDA'S WOUND CARE AND HYPERBARIC MEDICINE PROGRAM, CENTER FOR SURGICAL WEIGHT REDUCTION AND ACCREDITED CENTERS FOR CHEST PAIN AND HEART FAILURE. AS PART OF BETHESDA'S GOAL TO ENSURE THAT WE WILL HAVE ENOUGH PHYSICIANS AND HEALTHCARE PROFESSIONALS TO CARE FOR OUR COMMUNITY, BETHESDA'S COLLEGE OF HEALTH SCIENCES OFFERS ASSOCIATE OF SCIENCE DEGREE PROGRAMS IN THE FIELDS OF RADIOGRAPHY AND NURSING. IN ADDITION, BETHESDA IS PROUD TO BE AN OFFICIAL TEACHING HOSPITAL, PROVIDING RESIDENCY PROGRAMS FOR PHYSICIANS FROM THE FLORIDA ATLANTIC UNIVERSITY CHARLES E. SCHMIDT COLLEGE OF MEDICINE. THE FOLLOWING STATISTICS, FOR THE FISCAL YEAR ENDING SEPTEMBER 20, 2016, REPRESENT THE SCOPE OF SERVICES PROVIDED BY BETHESDA HOSPITAL: 20,597 INPATIENT ADMISSIONS; 103,721 INPATIENT DAYS OF CARE; 78,935 EMERGENCY DEPARTMENT VISITS; 11,225 SURGICAL CASES; 344 HEART CASES; OVER 2,900 DELIVERIES; AND 164,178 OUTPATIENT VISITS. ADDITIONALLY, BETHESDA HOSPITAL PROVIDED APPROXIMATELY $45 MILLION OF financial assistance TO THE UNINSURED AND UNDER INSURED. BETHESDA HOSPITAL AND AFFILIATES EMPLOY MORE THAN 2,700 EMPLOYEES, MAKING BETHESDA HOSPITAL THE LARGEST EMPLOYER IN BOYNTON BEACH, FLORIDA.
Form 990, Part III, Line 4a Community benefit information	Financial Assistance As one of only three not-for-profit hospital organizations in Palm Beach County, Bethesda Hospital, Inc., is comprised of two community-owned hospitals - Bethesda Hospital East and Bethesda Hospital West - dedicated to providing quality health services in a caring manner, regardless of ability to pay. Since 1990, the Bethesda Hospital, Inc., has met the requirements under the Social Security Act (Section 1886(d)(5)(F)) to receive additional payments to hospitals that serve a significantly disproportionate number of low-income patients. Low-income patients include patients who were entitled to benefits under Medicare Part A and were entitled to Supplementary Security Income (SSI) benefits and patients who were eligible for medical assistance under a State plan approved under Title XIX. The Social Security Act defines the formula for determining the percentage to be used for this disproportionate share adjustment payment. The Hospital provides care to patients who meet certain criteria under its financial assistance policy without charge or at amounts less than its established rates. Bethesda informs its patients about its financial assistance policy by posting this information in our Emergency Departments and Admitting areas. In addition, the Hospital has a Financial Assistance Unit (FAU) to help educate our patients on available programs. Among the services offered, Bethesda's FAU helps patients qualify for Medicaid programs and make arrangements for extended payments for services. Because the Hospital does not pursue collection of amounts determined to qualify as financial assistance, this amount is recorded as a deduction from gross revenue reported. For the fiscal year ending September 30, 2016, Bethesda provided $43.2 million in Indigent and Financial Assistance write-offs, representing 2.6% of the hospital's total charges. For the fiscal year ending September 30, 2016, Bethesda provided an additional $52.56 million in discounts for uninsured patients. These discounts were primarily for services provided in the Emergency Department at Bethesda Hospital East. Community Needs Assessment In keeping with our mission to provide quality health services in a caring manner, Bethesda has tailored its community benefit programs to meet the needs of our key constituent groups identified through our community health needs assessment: seniors, women, children and families. The Hospital utilizes state and regional data, patient surveys, focus group meetings, support group meetings and one-on-one patient interviews. In addition, Bethesda uses evaluation surveys to solicit feedback from attendees of our hospital's various community events, including community health fairs and community lectures provided at the Hospital. In addition, we provide education classes for all segments of our patient population, ranging from prenatal care classes for expectant parents to orthopaedic surgery classes for patients prior to surgery, thereby, helping our patients have a better understanding of their health needs and how we can help them meet their needs. In addition, we offer free weekly community lectures at both hospitals with our physicians who address numerous health topics ranging from diabetes to stroke prevention. Bethesda also provides physicians who speak to groups at residential communities, as part of our "Be Healthy, Be Well" lecture program. We collaborate with community organizations in our service area, such as the Boynton Beach Senior Center and the Mandel Jewish Community Center, to promote additional knowledge of health services available to seniors. Similarly, we participate in local civic events, such as Delray Beach and Boynton Beach Fire Rescue, to teach families how to keep their children safe at home, on the road and in the water, because drowning remains the number one cause of death for children under the age of 4 in Palm Beach County. Through our community needs assessment, we have also identified emerging populations within our community who need improved access to healthcare services, including the growing Hispanic migrant farming population in western Boynton/Lake Worth and the Guatemalan population in Lake Worth. Bethesda works with the Caridad Center, in Boynton Beach, on an ongoing basis to address the health needs of these groups through the provision of health screenings and acute care medical services when Caridad Center seeks additional care for these patients. PROGRAMS AND SERVICES In addition to providing financial assistance, Bethesda provides an array of programs and services to help improve the quality of life in our community, as described below: AARP Safe Driving Program With seniors representing the largest segment of Bethesda's patient population, Bethesda has recognized that having safer drivers on the road means having healthier drivers in our community. Bethesda Hospital West, in collaboration with AARP, hosts a monthly safe driving program for all persons age 50 and older to keep members of our community safe on the roads. Bethesda Hospital, Inc. with AARP held 19 safe driving sessions for 475 people who took advantage of this learning opportunity for the twelve months ended September 30, 2016. Baby Line More than 35% of Bethesda's 3,000 deliveries are born to families with incomes that fall below the Federal Income Poverty Guideline. To ensure that these families get the best start in life, Bethesda helps expectant mothers get the answers they need about pregnancy, birth and beyond. Bethesda's direct phone service provides callers with information and assistance regarding our comprehensive maternity program, as well as physician referral and parent/child education classes, Monday through Friday from 8:30 a.m. to 5:00 p.m. Through the Baby Line, expecting parents can access Bethesda's classes in the following areas: Infant Safety, Breastfeeding, Prepared Childbirth, Prenatal Baby Care and Postnatal Baby Care. As a result, Bethesda held 240 classes with a total of 2,333 attendees for the twelve months ended September 30, 2016. Bethesda PrimeTime Club With more than 70% of Bethesda's patients being over the age of 60, Bethesda's PrimeTime Club was created to help improve their health and knowledge. The Bethesda PrimeTime Club is a free program for people age 50 and over. It provides access to educational resources, health screenings, lifestyle amenities (including a car seat loan program) and other health resources provided by our staff through a dedicated quarterly newsletter, a weekly email blast and community magazine for members, as well as a medical network resource for members. Bethesda served 15,298 PrimeTime Club members for the twelve months ended September 30, 2016. Bethesda provided 95 educational programs, with approximately 2,400 PrimeTime members attending. Bethesda provided 1,100 referrals (non-physician related) for social/agency services to enrich the lives of this group. For the twelve months ended September 30, 2016, 236 car seat loans were provided to PrimeTime Club members, enabling them to provide a safe car for their grandchildren or other visiting infants. In addition, 450 PrimeTime members received discount prescription cards through Bethesda's partnership with Catalyst Scripts, helping them to get their medications when they need them, at more affordable prices. Community Blood Drive Just as our community has grown, Bethesda recognizes that the need for blood has grown as well. To meet this community need, Bethesda conducts two blood drives per year, which are open to all employees and the general public. Bethesda held a total of 21 blood drives at three locations: Bethesda Hospital, Inc., Bethesda Service Center and Bethesda Health City for the twelve months ended September 30, 2016. Community Education: Bethesda Life magazine Through our community assessment survey, Bethesda has found that education is vital to successfully promoting the health and wellness of our community. Three times a year, Bethesda provides a health publication, Bethesda Life magazine, which provides information about new treatments for a variety of health conditions prevalent in our community, as well as information about programs and services, support groups and classes. The publication features articles from Bethesda's Medical Staff who offer advice on topics including: heart health, robotic-assisted procedures, cancer, back and joint pain, and women's health. Mailed to 180,000 homes in Bethesda's primary and secondary service areas. Mailed to homes: October, January and April.
Form 990, Part III, Line 4a Community benefit information	Community Education: Community Lecture Series Keeping our patients informed of new advancements in healthcare, treatments for a wide range of conditions, and providing direct access with a Bethesda physician to answer their questions are the goals behind Bethesda's Community Lecture Series. As part of Bethesda's mission to provide quality health services, Bethesda partners with its physicians to provide lectures on health topics of interest to educate the community. Lectures are advertised through Bethesda Life magazine, and local newspapers including: The Palm Beach Post, Sun-Sentinel, The Boynton Forum, The Delray Forum and The Jewish Journal. Bethesda presented 95 free lecture programs, with 6,560 attendees for the twelve months ended September 30, 2016. These programs helped people become more educated about their health to improve their quality of life through lectures on cancer, kidney and prostate disease, stroke, heart disease, surgical weight reduction, orthopaedics and breast health. Community Websites: BethesdaWeb.com, BethesdaCancerCenter.org; BethesdaHeart.org and BethesdaOrthopaedics.org In response to our community's need for access to health information on the web, Bethesda has its main site: BethesdaWeb.com, and four micro sites: BethesdaWest.org; BethesdaHeart.org; BethesdaOrthopaedics.org; and Bethesda CancerCenter.org. In addition, Bethesda has a mobile site: bethesdaweb.com. These websites provide information about Bethesda's programs, services, community events and support groups, as well as medical information and profiles of physicians who are members of Bethesda's Medical Staff. In addition, Bethesda provides individual websites for each of its employed physicians through the Bethesda Health Physician Group website (BethesdaHealthPhysicianGroup.org). Community Meeting Rooms Recognizing the shortage of public space for civic groups to meet in our community, Bethesda provides use of its meeting rooms for outside organizations for educational purposes. For the twelve months ended September 30, 2016, Bethesda provided meeting room opportunities to serve the needs of the community to serve groups including: Al-Anon, American Heart Association, Boynton Beach Fire Department, Coalition of Boynton West Residential Associations (COBWRA), ECHO Society, Florida Department of Health Immunization Coalition, Greater Boynton Beach Chamber of Commerce and Delray Beach Chamber of Commerce, Hospice of Palm Beach County, La Leche League of Boynton Beach, March of Dimes, Macular Degeneration of South Palm Beach County, Nicotine Anonymous and University of Miami/FAU Medical School. In addition, Bethesda provided a room equipped with computer and Internet access for Medicare counseling sessions held weekly (SHINE program) with 1,200 attendees who received counseling. Complimentary Transportation Service Access to health services remains a common need that has been identified among our constituent groups. To this end, Bethesda provides complimentary, door-to-door transportation service to assist our community's residents for both inpatients and outpatients who have no other means for accessing healthcare services. Bethesda has three courtesy cars that provided transportation during this past fiscal year to 3,352 patients, with 50% of those patients needing transportation to a Bethesda hospital for outpatient services; 10% of the patients needing transportation to the Bethesda's rehab services at the DeVos-Blum Family YMCA; 10% for rehab services at the Bethesda Professional Building; and 30% of those patients needing transportation to Bethesda Health City, an outpatient medical mall located in western Boynton Beach. Emergency Services In keeping with its mission to provide quality health services in a caring manner to all patients, regardless of ability to pay, Bethesda has a 24-hour medical and emergency department staffed by full time physicians. For the twelve months ended September 30, 2016, Bethesda cared for 81,850 patients in the Emergency Departments at Bethesda Hospital East and Bethesda Hospital West. Of those, nearly 3.7% or 3,024 patients were patients eligible for financial assistance, who did not have the ability to pay for healthcare services. Foreign Language Translation Recognizing the diversity of our community, Bethesda provides an interpreter service through the use of a videoconferencing system that is accessible in more than 20 languages, including sign language for the deaf. Services provided routinely to patients who cannot communicate in English. With 3,000, deliveries in FY 2016, Bethesda continues to see a growing number of non-English speaking families arriving in our maternity and pediatric units. In order to accommodate these families, Bethesda's Center for Women and Children has a Family Resource Center that provides multi-lingual computers and incorporates multi-lingual resources to provide prenatal, newborn, pediatric and family-centered information. To assist our families, patient information is provided in English, Spanish and Creole. Graduate Medical Education Program In planning for our community's future growth and medical needs, Bethesda is actively engaged in training physicians for the future. Bethesda provides clinical training to graduate medical students from area colleges and universities, including the University of Miami Miller School of Medicine, Florida Atlantic University and Nova Southeastern University, in the areas of obstetrics, pediatrics, family medicine and general surgery. Bethesda saw its second class of 36 Internal Medicine resident physicians begin their rotations in July 2016. Health Fairs Keeping our community informed about their health helps them lead healthier lives. Bethesda offers health information and screenings including: blood pressure screenings, cholesterol screenings, blood sugar screenings, oxygen saturation screenings, bone density screenings, grip strength screenings, and self screenings for hearing and cardiac risk assessment. Bethesda provided 21 community health fairs, reaching over 3,700 people in various locations throughout South Palm Beach County, including residential and civic centers for the twelve months ended September 30, 2016. Helping Hands Program Just as Bethesda's mission is to serve the community, Bethesda recognizes that it cannot care for the community without a strong employee workforce. To this end, employees at Bethesda Hospital East and Bethesda Hospital West have established a fund to help fellow employees facing financial hardships. This on-going program provides toys for children during the holidays; financial assistance for utility bills and assistance during times of personal loss. Hispanic Outreach Program Through our community needs assessment, Bethesda has identified emerging populations within our community who need improved access to healthcare services, including the growing Hispanic migrant farming population in western Boynton/Lake Worth and the Guatemalan population in Lake Worth. Bethesda works with the Caridad Center on an ongoing basis, in Boynton Beach, to address the health needs of these groups through the provision of health screenings and acute care medical services when Caridad Center seeks additional care for these patients. Hospice Care Caring for patients and families through every stage of their lives is why Bethesda is proud to work with Trust Bridge, Inc. to provide a hospice unit at Bethesda Hospital East and a unit at Bethesda Hospital West. Bethesda's hospice units offers support for patients and their families, with inpatient care and counseling services. Komen Foundation Mammogram Screening Program As part of its commitment to serve medically needy women, Bethesda participates with the Komen Foundation to provide low-cost screening mammograms to needy women in our community. Bethesda Women's Health Center is the largest Komen-grant site in Palm Beach County. For the twelve months ended September 30, 2016, Bethesda provided 921 procedures; saw 592 total patients; and provided 669 employee hours for those 921 procedures at an average hourly rate of $34.50 or $23,080.
Form 990, Part III, Line 4a Community Benefit information	Leadership Boynton Educating our community leaders about the health needs and health services available to their constituents and their families, Bethesda provides a daylong healthcare leadership-training seminar for the Greater Boynton Beach Chamber of Commerce. This program provides education to the City of Boynton Beach's leaders regarding the important issues affecting hospitals today and healthcare policy in our community. Bethesda serves approximately 20-25 participants per year. Leadership Delray Working with the Greater Delray Beach Chamber of Commerce, Bethesda Hospital East provides a healthcare leadership-training program to educate the City's leaders on the important issues affecting healthcare policy and hospitals today. Participants come from the banking, commercial insurance and real estate sectors. Bethesda serves approximately 25 people per year. Living Will Program Hospital offers free copies of living wills to anyone in the community. An individual's living will is kept on file at the hospital in the person's medical record. Approximately 1,200 Living Wills were distributed to residents for the twelve months ended September 30, 2016. Medicare and Medicaid Counseling Program - SHINE Program Bethesda's largest group of patients is seniors and Bethesda recognizes that helping seniors understand their insurance plans and what benefits are provided is vital to their ability to access health services. Bethesda Hospital, in cooperation with Serving Health Insurance Needs of Elders (SHINE), a department of the Florida Department of Elders, provides free weekly counseling to all persons in the community regarding assistance with Medicare, Medicare Part D, prescription assistance, long-term care needs, insurance, and Medicaid. For the twelve months ended September 30, 2016, 400 counseling sessions were provided. Neonatal Intensive Care Unit - Level III Unit With 3,000 deliveries per year, in FY '2016 Bethesda had 471 newborns who spent their first days of life in Bethesda's Level III Neonatal Unit, which provides the highest level of care for critically ill and at-risk newborns in our community. This unit has enabled families to stay close to their newborns, while keeping their own families intact. Bethesda's Level III Neonatal Unit is staffed by a neonatologist 24 hours a day. Nursing Education Program To address the critical shortage of nurses in our community both now and in the future, Bethesda opened the Bethesda College of Health Sciences for nursing and radiography students, seeking a 2-year Associates' Degree. In addition, Bethesda provides education to students at Bethesda Hospital, Inc. with Level I and Level II student nurses working in both group and one-on-one settings with Bethesda nurses in maternity, pediatrics, medical-surgical, critical care, telemetry, endoscopy, oncology, rehabilitation, wound care and imaging. Physician Referral Service For many in our community, access to health services begins with finding the right physician. As a result, Bethesda's Physician Referral Service is a telephone and walk-in service that provides referrals and offers information about approximately 466 physicians who are on the Medical Staff of Bethesda Hospital. For the twelve months ended September 30, 2016, the Physician Referral line provided information to approximately 1,200 callers. Quality Reporting Initiatives Bethesda Hospital, Inc., participates in National Quality Reporting Initiatives through CMS-Medicare and the National Hospital Quality Alliance and Core Measures project of The Joint Commission, as part of our ongoing efforts to improve patient safety and quality of care within our facility. These organizations have defined changes and measures that have been demonstrated to reduce harm and save lives. For the twelve months ended September 30, 2016, Bethesda Hospital, Inc., participated in the publicly reported measurements in the Hospital Quality Alliance for: -Heart Attack -Pneumonia -Congestive Heart Failure -Surgical Infection Prevention -Patient Perception of Care -ACC/STS Scholarship Program Bethesda's scholarship programs are helping students in our community to further their college education. The Bethesda Auxiliary provided five $500 nursing/health career scholarships and two $750 scholarships, totaling $4,000 for the twelve months ended September 30, 2016. Speakers Bureau - "Be Healthy, Be Well" series Recognizing that many residents need healthcare education within their own communities, Bethesda reaches out to these communities by providing a Speakers Bureau with medical topics and relevant speakers. This free service is available to any requesting organization. Bethesda provided speakers for various speaking engagements in area civic centers, schools, and residential settings. Bethesda provided 24 speakers to the community for the twelve months ended September 30, 2016. Sponsorships Bethesda provides sponsorships in the forms of financial assistance, staff support and material resources to a variety of local organizations in our community to promote outreach and awareness through various organizations, as follows: local schools in Boynton Beach, Delray Beach and Lake Worth; civic organizations; the Susan G. Komen Foundation; the American Heart Association; Caridad Center; March of Dimes; the Cities of Boynton Beach, Delray Beach, Lake Worth, and Palm Beach County law enforcement and emergency life-safety agencies; the Boca Raton YMCA and the DeVos-Blum Family YMCA of Boynton Beach. Support Groups Providing our patients and residents with access to support services is an important extension of Bethesda's mission to provide quality health services in a caring manner. Bethesda provides 25 free community support groups to offer counseling support to patients and families in coping with situations involving health related problems, with approximately 17,500 attendees annually: -Al-Anon -American Cancer Society - "Look Good, Feel Better" program -American Heart Association - "Mended Hearts" Support Group -Better Breathers Club -Breast Cancer Support Group -Caregivers and Care Partners -Coping with Cancer -Insulin Pump Support -"I Can Cope" with American Cancer Society -La Leche League - Breastfeeding Support Group -Leukemia/Lymphoma/Myeloma Support Group -Living with Cancer - (en Español) -Lung Cancer Support -Lupus Support Group -Macular Degeneration Support Group -"Man to Man" - Prostate Cancer Support Group -Meditation Support Group -"Moving On After a Diagnosis of Cancer" Support Group -Multiple Myeloma Support Group -Myasthenia Gravis Support Group -Nicotine Anonymous -Post-surgical Breast Cancer Education and Exercise Session -Post-surgical Weight Reduction Support Group -Sharing the Loss (Bereavement for a Loved One) -Stroke Club -Writing our Memories Group Volunteer Program/Auxiliary In serving our community, Bethesda is grateful to many individuals who volunteer their time to further Bethesda's mission to provide quality health services in a caring manner for our patients. A total of 424 adult volunteers and 101 teen volunteers provided over 142,265 hours of in-service for the fiscal year ended September 30, 2016. CONCLUSION Bethesda Hospital, Inc., with Bethesda Hospital East and Bethesda Hospital West, is a comprehensive community-based hospital organization. In keeping with our mission "to provide quality health services in a caring manner," Bethesda Hospital serves a community that is comprised of a diverse population with many needs, from primary to critical care. One particular segment is an aging population that has concerns related to access and transportation to healthcare services. We assess our community needs in numerous ways through a variety of methods, with one-on-one visitor and patient interviews providing some of the most meaningful insight. We continue to deliver quality health services in a caring manner, providing excellent community benefits. We provide primary, acute, emergency, specialty and critical care to our patients, as well as assistance for our under insured community with a dedicated team of individuals that helps patients qualify for various financial assistance. Recognizing that patients need access to health services, we provide transportation services, as well as certified interpreters to facilitate understanding regarding the services we provide. From the prenatal care that helps new families get a healthy start, to the compassionate delivery of hospice care, Bethesda is there for our community through every stage of their lives.
Form 990, Part VI, Line 15a PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	THE BOARD OF TRUSTEES OF BETHESDA HEALTH, INC. ANNUALLY APPOINTS THE PRESIDENT/CEO TO A ONE-YEAR TERM AND ESTABLISHES AND APPROVES THE COMPENSATION OF THE PRESIDENT/CEO. THE BOARD OF TRUSTEES OF BETHESDA HEALTH PERIODICALLY ENGAGES AN INDEPENDENT OUTSIDE PROFESSIONAL COMPENSATION FIRM TO REVIEW COMPENSATION AND BENEFIT LEVELS OF THE PRESIDENT AND CHIEF FINANCIAL OFFICER OF BETHESDA HEALTH. THE CONSULTING FIRM WORKS INDEPENDENTLY OF MANAGEMENT AND REPORTS THE INFORMATION DIRECTLY TO THE TRUSTEES OF BETHESDA HEALTH FOR THE OFFICER'S POSITIONS. THE CONSULTING FIRM PROVIDES DETAILED COMPENSATION AND BENEFIT DATA FOR COMPARABLY SIZED HEALTHCARE ORGANIZATIONS ON A REGIONAL AND NATIONAL BASIS. BASED ON THE COMPENSATION PHILOSOPHY OF THE BOARD OF TRUSTEES OF BETHESDA HEALTH AS IT RELATES TO THE MARKET IN GENERAL AND ON SPECIFIC COMPENSATION LEVELS NOTED AS THE RESULT OF THE CONSULTING ENGAGEMENT, THE BOARD OF TRUSTEES OF BETHESDA HEALTH SETS THE COMPENSATION AND BENEFITS OF THE POSITIONS NOTED ABOVE. THE PROCESS WAS UNDERTAKEN IN THE YEAR ENDED SEPTEMBER 30, 2016. THE PROCESS AND DECISIONS ARE DOCUMENTED IN THE BOARD MINUTES.
Form 990, Part VI, Line 15b PROCESS OF DETERMINING COMPENSATION OF OTHER OFFICERS	THE OTHER OFFICERS OF THE ORGANIZATION ARE SUBJECT TO BETHESDA HEALTH'S ANNUAL EMPLOYEE REVIEW PROCESS. THE VICE PRESIDENT OF HUMAN RESOURCES RECOMMENDS TO THE PRESIDENT/CEO OF BETHESDA HEALTH, INC. COMPENSATION AND BENEFIT LEVELS. THE VICE PRESIDENT OF HUMAN RESOURCES PERIODICALLY ENGAGES AN INDEPENDENT OUTSIDE PROFESSIONAL COMPENSATION FIRM TO REVIEW COMPENSATION AND BENEFIT LEVELS OF THIS AND OTHER MANAGEMENT LEVEL POSITIONS. THE CONSULTING FIRM WORKS INDEPENDENTLY OF MANAGEMENT AND PROVIDES DETAILED COMPENSATION AND BENEFIT DATA FOR COMPARABLY SIZED HEALTHCARE ORGANIZATIONS ON A REGIONAL AND NATIONAL BASIS. BASED ON THE COMPENSATION PHILOSOPHY OF THE BOARD OF TRUSTEES OF THE BETHESDA HEALTH AS IT RELATES TO THE MARKET IN GENERAL AND ON SPECIFIC COMPENSATION LEVELS NOTED AS THE RESULT OF THE CONSULTING ENGAGEMENT, THE PRESIDENT/CEO OF BETHESDA HEALTH SETS THE COMPENSATION AND BENEFITS FOR THE OTHER OFFICERS. THE PROCESS WAS UNDERTAKEN FOR THE YEAR ENDED SEPTEMBER 30, 2016. THE PROCESS AND DECISIONS ARE DOCUMENTED IN THE EMPLOYEE FILES. THE COMPENSATION OF THE CHIEF FINANCIAL OFFICER IS DETERMINED BY THE BOARD OF TRUSTEES OF BETHESDA HEALTH AS DESCRIBED IN THE NARRATIVE FOR FORM 990, PART VI, LINE 15A.
Form 990, Part VI, Line 16b JOINT VENTURE POLICY	THE HOSPITAL DOES NOT HAVE A WRITTEN POLICY FOR JOINT VENTURE RELATIONSHIPS DUE TO THE LIMITED NUMBER OF SUCH RELATIONSHIPS AND THE PRACTICE AND PROCEDURES IN PLACE TO ENSURE THE JOINT VENTURES ARE ESTABLISHED TO IMPROVE THE QUALITY OF HEALTHCARE SERVICES AND SUPPORT THE MISSION OF THE HOSPITAL. THE EXISTING JOINT VENTURES HAVE BEEN ESTABLISHED WITH THE HOSPITAL CONTROLLING AND HAVING THE MAJORITY OF VOTING INTEREST IN THE DECISIONS IMPACTING THE OPERATIONS OF THE ENTITY.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	ROGER L KIRK AND JOANNE AQUILINA - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholders	The Organization has one sole member, Bethesda Health, Inc., a Florida not-for-profit organization.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	Bethesda Health, Inc. approves the members of the governing body.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	Any of the following significant organizational or operational changes would be subject to approval by the sole member of the Corporation which is Bethesda Health, Inc. 1. adopting a plan of dissolution of the Corporation. 2. authorizing the Corporation to engage in, or enter into, any transaction providing for the sale, mortgage or other disposition of all or substantially all of the assets of the Corporation. 3. adopting a plan of reorganization or the merger or consolidation of the Corporation with another entity 4. appointing or removing the attorneys or independent auditors of the Corporation. 5. appointment or removing the Trustees 6. adopting or amending the Articles of Incorporation of the Bylaws of the Corporation 7. adopting or permitting any change to any strategic master plans or policies of the Corporation. 8. authorizing the acquisition, sale, transfer, or other disposition of any assets except in the ordinary course of business 9. authorizing the filing of any petition in bankruptcy 10. adopting marketing and business strategies for the Corporation
Form 990, Part VI, Line 11b Review of form 990 by governing body	The Chief Financial Officer of the organization reviews the Form 990 and all required supporting schedules. The Form 990 is then provided to the Board of Trustees of the Organization for review prior to filing with the IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	The organization's conflict of interest policy covers any trustee, director, officer or member of any committee of the board with board-delegated powers. The individuals covered under the policy are required to disclose annually any conflicts of interest. The chairman of the board and the internal audit division of Bethesda Health continuously review and monitor all conflicts of interest noted by the individuals covered under the policy. Any individual who has a conflict of interest is prohibited from participating in the governing body's deliberations and decision in the transaction.
Form 990, Part VI, Line 19 Required documents available to the public	The governing documents of the organization, its conflict of interest policy, and its financial statements are available on request. Depending on the quantity of the request a minimal fee may apply.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Misc sales - Total Revenue: 6969, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 6969;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Increase in Temp Restricted Assets - 1945299; Pension Adjustment - -2632790; Transfer to Affiliates - -11506552;

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Bethesda Hospital Inc

Employer identification number

59-2447554

Part I

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

(a) Name, address, and EIN (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) BETHESDA SELF INS TRUST GEN LIAB 2815 S SEACREST BLVD BOYNTON BEACH,FL33435 59-2447554	SELF INS TRUST	FL	4,548	404,925	BETHESDA HOSPITAL

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)BETHESDA HEALTH INC 2815 S SEACREST BLVD BOYNTON BEACH,FL33435 59-2447553	SUPPORT ORG	FL	501(c)(3	Type III-FI	na		No
(2)BETHESDA HEALTH COMPRENSIVE IMAGING SERVICES INC 2815 S SEACREST BLVD BOYNTON BEACH,FL33435 59-2771779	O/P MED SVCS	FL	501(c)(3	9	BETHESDA HEALTH		No
(3)BETHESDA PAYROLL SERVICES INC 2815 S SEACREST BLVD BOYNTON BEACH,FL33435 65-0523164	PAYROLL SUPPORT	FL	501(c)(3	Type III-FI	BETHESDA HEALTH		No
(4)BETHESDA MEMORIAL SIT - WORKMAN'S COMP 2815 S SEACREST BLVD BOYNTON BEACH,FL33435 59-6775830	SELF INS TRUST	FL	501(c)(3	Type I	BETHESDA HEALTH		No
(5)BETHESDA HEALTH OUTPATIENT SERVICES INC 2815 S SEACREST BLVD BOYNTON BEACH,FL33435 65-0561263	O/P MED SVCS	FL	501(c)(3	9	BETHESDA HEALTH		No
(6)BETHESDA MEMORIAL SIT - MALPRACTICE 2815 S SEACREST BLVD BOYNTON BEACH,FL33435 59-2230109	SELF INS TRUST	FL	501(c)(3	Type I	BETHESDA HEALTH		No
(7)BETHESDA HOSPITAL FOUNDATION INC 2815 S SEACREST BLVD BOYNTON BEACH,FL33435 59-6137805	FUNDRAISING	FL	501(c)(3	7	BETHESDA HEALTH		No
(8)Auxiliary of Bethesda Hospital Inc 2815 S Seacrest Blvd Boynton Beach,FL33435 59-6519906	Fundraising	FL	501(c)(3	Type I	NA		No
(9)Bethesda Memorial Fund Inc 2815 S Seacest Blvd Boynton Beach,FL33435 23-7366401	Fundraising	FL	501(c)(3	Type I	NA		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2015

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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) CARE SERVICES OF BETHESDA LLC 6688 N Central Expy Ste 1300 Dallas,TX75206 20-1745631	HOME HEALTH	FL	BETHESDA HOSPITAL	Related	334,760	1,674,685		No	0		No	49 %

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	(i) Section 512(b)(13) controlled entity?
(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	Yes	No
(1) BETHESDA HOLDING COMPANY INC AND SUBS 2815 SOUTH SEACREST BLVD BOYNTON BEACH,FL33435 59-2663767	HOLDING CO	FL	NA	C Corporation				No

Schedule R (Form 990) 2015

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

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 .....................

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

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

Yes

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

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

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

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

Yes

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

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

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

Yes

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2015

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)	(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2015

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) 2015

Additional Data

Software ID:	15000238
Software Version:	2015v3.0

1	Briefly describe the organization’s mission or most significant activities: Bethesda Hospital's Mission is to provide quality health services in a caring manner.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	10
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	9
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	2,253
6	Total number of volunteers (estimate if necessary) .............	6	525
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	442,660
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	4,404,152	2,089,220
9	Program service revenue (Part VIII, line 2g) .........	291,638,651	302,592,147
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	5,159,829	4,645,614
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,294,251	3,631,707
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	304,496,883	312,958,688
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	159,408	161,060
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	130,447,611	140,240,267
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	189,006,146	194,043,231
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	319,613,165	334,444,558
19	Revenue less expenses. Subtract line 18 from line 12.......	-15,116,282	-21,485,870
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	401,999,372	372,051,324
21	Total liabilities (Part X, line 26).............	94,611,917	97,049,053
22	Net assets or fund balances. Subtract line 21 from line 20.....	307,387,455	275,002,271

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 304,538,466 including grants of $ 161,060 ) (Revenue $ 302,865,215 )
	FOUNDED IN 1959, BETHESDA HOSPITAL, INC. IS A NOT-FOR-PROFIT HOSPITAL ORGANIZATION SERVING THE MEDICAL NEEDS OF SOUTH AND CENTRAL PALM BEACH COUNTY AND CONSISTS OF BETHESDA HOSPITAL EAST AND BETHESDA HOSPITAL WEST WITH 670 PHYSICIANS IN MORE THAN 40 AREAS OF SPECIALTY AND MORE THAN 2,300 EMPLOYEES. (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 expenses304,538,466

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	1,158,916	1,401,416	450,849

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	1,864,085
e	Government grants (contributions)		1e	15,392

f	All other contributions, gifts, grants, and similar amounts not included above		1f	209,743

g	Noncash contributions included in lines 1a-1f:$ 1,300
h Total.Add lines 1a-1f.......		2,089,220

		Business Code
2a	Patient Service Revenue	622110	300,886,435	300,886,435
b	Affiliate Program Revenue	518210	1,244,216	1,244,216
c	Clinical Research	621500	5,533	5,533
d	Medicare/Medicaid Incentive Payments	900099	13,303	13,303
e	lab revenue	621500	442,660		442,660
f	All other program service revenue.			0	0	0	0
g Total.Add lines 2a–2f.....			302,592,147

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			1,983,064			1,983,064
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		806,498
b	Less: rental expenses		292,492
c	Rental income or (loss)	0	514,006
d	Net rental income or (loss)......			514,006			514,006
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	538,848	87,141,433
b	Less: cost or other basis and sales expenses	945,759	84,071,971
c	Gain or (loss)	-406,911	3,069,462
d	Net gain or (loss).....			2,662,550			2,662,550
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..
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..
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..
Business Code			Miscellaneous Revenue
11a	Food Sales		722210	1,668,869			1,668,869
b	Childcare		624410	726,135			726,135
c	Reimbursement of expenses		900099	715,728	715,728
d	All other revenue ....			6,969	0	0	6,969
e	Total. Add lines 11a–11d ......			3,117,701
12	Total revenue. See Instructions......			312,958,688	302,865,215	442,660	7,561,593

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	161,060	161,060
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	10,511	10,511
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	68,242	68,242
7	Other salaries and wages	113,602,678	104,306,456	9,296,222
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	5,442,635	5,007,224	435,411
9	Other employee benefits .......	12,875,241	11,822,266	1,052,975
10	Payroll taxes ...........	8,240,960	7,581,683	659,277
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	3,335,903		3,335,903
c	Accounting ...........	52,771		52,771
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	555,252		555,252
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	28,620,217	28,458,566	161,651	0
12	Advertising and promotion ....	71,063	67,461	3,602
13	Office expenses .......	16,479,938	15,168,321	1,311,617
14	Information technology ......	6,686,566	5,632,522	1,054,044
15	Royalties ..
16	Occupancy ...........	6,330,125	5,044,510	1,285,615
17	Travel ............	642,242	613,488	28,754
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	48,258	35,442	12,816
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	25,539,598	20,431,679	5,107,919
23	Insurance ...	26,218,656	20,789,820	5,428,836
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	Bad Debt	12,781,198	12,781,198
b	Assessment FL Pub Med Assistance	3,663,802	3,663,802
c	Medical Supplies	62,586,950	62,586,950
d	Membership and Licenses	429,665	306,238	123,427
e	All other expenses	1,027	1,027	0	0
25	Total functional expenses. Add lines 1 through 24e	334,444,558	304,538,466	29,906,092	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 if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			17,287	1	8,961
2	Savings and temporary cash investments .........			3,771,240	2	3,890,380
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			48,351,019	4	44,964,280
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
					5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6	0
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........			6,411,704	8	6,571,238
9	Prepaid expenses and deferred charges ......			4,815,227	9	6,776,562
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	508,969,779
b	Less: accumulated depreciation	10b	308,989,675	219,071,060	10c	199,980,104
11	Investments—publicly traded securities .			94,638,382	11	82,234,774
12	Investments—other securities. See Part IV, line 11 .....			9,192,770	12	10,107,435
13	Investments—program-related. See Part IV, line 11 ..			0	13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			15,730,683	15	17,517,590
16	Total assets. Add lines 1 through 15 (must equal line 34)...			401,999,372	16	372,051,324

17	Accounts payable and accrued expenses .....	17,197,586	17	16,394,516
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	77,414,331	25	80,654,537
26	Total liabilities. Add lines 17 through 25..	94,611,917	26	97,049,053

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	293,311,080	27	258,980,597
28	Temporarily restricted net assets ...........	12,829,634	28	14,774,933
29	Permanently restricted net assets	1,246,741	29	1,246,741
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	307,387,455	33	275,002,271
34	Total liabilities and net assets/fund balances ........	401,999,372	34	372,051,324

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No