TY 2017 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...................................................................... CHAIRMAN	2.00 ................. 6.00	X	X		0	0	0
(2) MARIE BEDNER...................................................................... VICE-CHAIR	2.00 ................. 4.00	X	X		0	0	0
(3) GEORGE T ELMORE...................................................................... SECRETARY	2.00 ................. 2.00	X	X		0	0	0
(4) FRED B DEVITT JR ESQ...................................................................... BOARD MEMBER	2.00 ................. 2.00	X			0	0	0
(5) STEVEN LITINSKY MD MBA...................................................................... BOARD MEMBER	2.00 ................. 4.00	X			0	0	0
(6) STORMET C NOREM...................................................................... BOARD MEMBER	2.00 ................. 6.00	X			0	0	0
(7) THOMAS A SMITH...................................................................... BOARD MEMBER	2.00 ................. 2.00	X			0	0	0
(8) GREGORY L WEEKES...................................................................... BOARD MEMBER	2.00 ................. 2.00	X			0	0	0
(9) DAVID WEINSTEIN MD...................................................................... CHIEF MED STAFF, C.V.	2.00 ................. 2.00	X			0	0	0
(10) ROGER L KIRK...................................................................... CEO	2.00 ................. 52.00		X		0	1,031,272	114,577
(11) ROBERT BROADWAY...................................................................... VP OF CORPORATE STRATEGY END 7/18	2.00 ................. 46.00		X		0	356,777	55,212
(12) JOANNE AQUILINA...................................................................... VP OF FINANCE	2.00 ................. 46.00		X		0	356,251	36,742
(13) DANIEL GOLDMAN MD...................................................................... VP OF MEDICAL AFFAIRS	40.00 ................. 0.00			X	151,132	0	22,964
(14) DOROTHY KERR...................................................................... ADMINISTRATIVE SUPERVISOR	40.00 ................. 0.00			X	161,605	0	10,051
(15) ELA LENA...................................................................... VP OF OPERATIONS	40.00 ................. 8.00			X	252,304	0	68,554
(16) JOSHUA BAILIN MD...................................................................... MEDICAL DIRECTOR QUALITY	40.00 ................. 0.00			X	212,587	0	36,924
(17) SAFA TAHERNIA...................................................................... PHARMACIST	40.00 ................. 0.00			X	153,336	0	27,331

(A) Name and business address	(B) Description of services	(C) Compensation
FLORIDA ATLANTIC UNIVERSITY 777 GLADES ROAD BOCA RATON,FL334310991	CLINICAL SERVICES	4,711,227
ARAMARK MANAGEMENT SERVICES 2300 WARRENVILLE ROAD DOWNERS GROVE,IL60515	MANAGEMENT FEE	3,745,999
SHIFTWISE INC 1800 SW 1ST AVE SUITE 510 PORTLAND,OR97201	CONTRACT STAFFING	3,382,868
CERNER HEALTH SERVICES INC PO BOX 959167 ST LOUIS,MO631959167	IT SUPPORT	1,973,811
OB HOSPITALIST GROUP LLC 777 LOWNDES HILL ROAD GREENVILLE,SC29607	PHYSICIAN SERVICES	1,049,270
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 31

- 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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 12, 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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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) 2019

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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. 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—2018. 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—2019. 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—2018. 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) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. 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—2018. 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) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d 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 12a or 12b 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) 2019

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) 2019

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 (explain in Part VI). 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) 2019

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 2019 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-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

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) 2019

Additional Data

Software ID:
Software Version:

- 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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

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. Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization BETHESDA HOSPITAL INC

Part I Contributors	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
		$	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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

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) (2019)

Additional Data

Software ID:
Software Version:

- 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.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 7/25/06, 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 FASB 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 FASB 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 FASB 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) 2019

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 ....	23,906,658	21,777,094	20,297,259	21,966,433	20,756,493
b	Contributions ...					63,700
c	Net investment earnings, gains, and losses	1,636,650	2,490,016	1,841,966	-1,302,981	1,504,343
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	308,942	360,452	362,131	366,193	358,103
f	Administrative expenses ....
g	End of year balance ......	25,234,366	23,906,658	21,777,094	20,297,259	21,966,433

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

Board designated or quasi-endowment SchDMd Bullet

71.610 %

Permanent endowment SchDMd Bullet

23.450 %

Term endowment SchDMd Bullet

4.940 %

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 .....	20,282,811		20,282,811
b	Buildings ....	153,911,778	17,130,854	136,780,924
c	Leasehold improvements	102,256	32,853	69,403
d	Equipment ....	13,359,499	5,937,163	7,422,336
e	Other .....	857,545		857,545
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				165,413,019

Schedule D (Form 990) 2019

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
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
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)INVESTMENTS-VHA				50,000
(2)INVESTMENTS-CARESERVICES OF BETHESDA				4,437,800
(3)INVESTMENTS-SCM				1,000
(4)INVESTMENTS-SFRO				3,220,000
(5)INVESTMENTS-SOUTHERN CO-OPERATIVE INSURANCE				1,000
(6)INVESTMENTS-PHYS LIABILITY GRP				1,001,500
(7)INTEREST IN BHF-TEMP RESTRICT				17,286,039
(8)INTEREST IN BHF-PERM RESTRICT				1,246,741
(9)DUE FROM FOUNDATION				1,796
(10)DUE FROM AUXILIARY				16,743
(11)INTANGIBLE ASSETS				148,804
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				27,411,423

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
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	91,143,289
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) 2019

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

PART V, LINE 4:

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.

PART X, LINE 2:

FIN 48 (ASC 740) FOOTNOTE THE CURRENT ACCOUNTING STANDARDS REQUIRE THAT DEFERRED INCOME TAXES REFLECT THE TAX CONSEQUENCES ON FUTURE YEARS OF DIFFERENCES BETWEEN THE TAX BASES OF ASSETS AND LIABILITIES AND THEIR BASES FOR FINANCIAL REPORTING PURPOSES. ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES PRESCRIBES A COMPREHENSIVE MODEL FOR HOW AN ORGANIZATION SHOULD MEASURE, RECOGNIZE, PRESENT, AND DISCLOSE IN ITS FINANCIAL STATEMENTS UNCERTAIN TAX POSITIONS THAT AN ORGANIZATION HAS TAKEN OR EXPECTS TO TAKE ON A TAX RETURN. FUTURE TAX BENEFITS, SUCH AS MINIMUM TAX CREDIT CARRY FORWARDS, ARE REQUIRED TO BE RECOGNIZED TO THE EXTENT THAT REALIZATION OF SUCH BENEFITS IS MORE LIKELY THAN NOT. AS OF SEPTEMBER 30, 2018 AND 2017, BHSF HAD NO MATERIAL UNRECOGNIZED TAX POSITIONS WICH ARE EXPECTED TO REMAIN UNCHANGED THROUGH SEPTEMBER 30, 2019. ON DECEMBER 22, 2017, THE UNITED STATES CONGRESS ENACTED THE TAX CUTS AND JOBS ACT ("TAX ACT"). THE TAX ACT MADE SIGNIFICANT MODIFICATIONS TO THE PROVISIONS OF THE INTERNAL REVENUE CODE, INCLUDING BUT NOT LIMITED TO A U.S. CORPORATE TAX RATE DECREASE TO 21% RATE EFFECTIVE JANUARY 1, 2018. BHSF DEFERRED TAX ASSETS AND LIABILITIES WERE REVALUED AT THE NEWLY ENACTED U.S. CORPORATE TAX RATE AND THE CURRENT INCOME TAX PROVISION HAS BEEN RECOGNIZED FOR OUR FOR-PROFIT AND NOT-FOR-PROFIT CORPORATIONS USING A BLENDED TAX RATE FOR FISCAL YEAR ENDING SEPTEMBER 30, 2018. AT SEPTEMBER 30, 2018, BHE HAD A FEDERAL AND STATE NET OPERATING LOSS CARRYFORWARD, ALL OF WHICH IS AVAILABLE TO REDUCE FUTURE INCOME TAXES. BHSF IS PERIODICALLY AUDITED BY FEDERAL AND STATE TAXING AUTHORITIES. THE OUTCOME OF THESE AUDITS MAY RESULT IN BHSF BEING ASSESSED TAXES IN ADDITION TO AMOUNTS PREVIOUSLY PAID. FEDERAL RETURNS FOR FISCAL YEARS 2015 THROUGH 2017 REMAIN OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.

Schedule D (Form 990) 2019

Additional Data

Software ID:
Software Version:

- 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

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2019

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? . . . . . .

Yes

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		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	4,898,030		4,898,030	1.480 %
b	Medicaid (from Worksheet 3, column a) . . . . .	50,190,915	25,088,789	25,102,126	7.570 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	3,603,340	1,119,676	2,483,664	0.750 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	58,692,285	26,208,465	32,483,820	9.800 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	851,754		851,754	0.260 %
f	Health professions education (from Worksheet 5) . . .	9,083,606	3,777,222	5,306,384	1.600 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	9,935,360	3,777,222	6,158,138	1.860 %
k	Total. Add lines 7d and 7j .	68,627,645	29,985,687	38,641,958	11.660 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
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

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare 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. ......

19,915,347

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. ......

4,737,861

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).....

99,387,923

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

121,070,076

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

-21,682,153

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) 2019

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?2Name, 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)	Facility reporting group
1	BETHESDA HOSPITAL EAST 2815 S SEACREST BLVD BOYNTON BEACH,FL33435 WWW.BETHESDAWEB.COM 4452	X	X	X	X	INPATIENT REHABILITATION	A
2	BETHESDA HOSPITAL WEST 9655 WEST BOYNTON BEACH BLVD BOYNTON BEACH,FL33472 WWW.BETHESDAWEB.COM 4452	X	X	X	X		A

Schedule H (Form 990) 2019

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)

	FACILITY REPORTING GROUP - A
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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 17

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 17

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) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FACILITY REPORTING GROUP - A
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 200.000000000000%
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)

Was widely publicized 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 PART V, PAGE 8

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

SEE PART V, PAGE 8

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, PAGE 8

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)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

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 nonpayment?..................................

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

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

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

	FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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) 2019

Page 8

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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: BETHESDA HOSPITAL EAST, - FACILITY 2: BETHESDA HOSPITAL WEST
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5:	IN DEVELOPING BETHESDA'S 2018 (TAX YEAR 2017) CHNA, BETHESDA EXECUTIVES HELD A SERIES OF MEETINGS WITH COMMUNITY LEADERS AND REPRESENTATIVES TO DETERMINE THE AREAS OF GREATEST NEED. THESE LEADERS INCLUDED: ANDREA STEPHENSON, TIFFANY PARRISH AND LATISHA GONZALEZ FROM THE HEALTH COUNCIL OF SOUTHEAST FLORIDA (PUBLIC HEALTH); DR. ALINA ALONSO, FLORIDA DEPARTMENT OF HEALTH PALM BEACH COUNTY; LINDA ROMAN, 211 PALM BEACH/TREASURE COAST; DIRECTOR OF THE PALM BEACH COUNTY HEALTH DEPARTMENT (PUBLIC HEALTH); CHIEF GLENN JOSEPH, BOYNTON BEACH FIRE RESCUE; OFFICER KELLY HARRIS, BOYNTON BEACH POLICE DEPARTMENT; MARSHA MARTINO, NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) PALM BEACH COUNTY; ELYSE JACOBSON, ALPERT JEWISH FAMILY & CHILDREN'S SERVICES; PATRICK MCNAMARA, PALM HEALTHCARE FOUNDATION; MARIA ANTUNA, HISPANIC CHAMBER OF COMMERCE; JEFF KADEL, PALM BEACH COUNTY SUBSTANCE AWARENESS COALITION; KEMBERLY BUSH, ST. JOHN MISSIONARY BAPTIST CHURCH/PATHWAYS TO PROSPERITY, INC/BRIDGES; SHARETTA REMIKIE, MARCH OF DIMES; DEANNA WARREN, GENESIS COMMUNITY HEALTH; AND MYRNA ROSOFF, FROM COALITION OF BOYNTON WEST RESIDENTIAL ASSOCIATIONS.IN ORDER TO BETTER UNDERSTAND THE COMMUNITY'S GREATEST NEEDS, WE CONDUCTED A SERIES OF FOCUS GROUP INTERVIEWS THAT SPANNED A DIVERSE CROSS SECTION OF THE COMMUNITY INCLUDING: HOMELESS INDIVIDUALS AND FAMILIES; SENIORS, PARENTS WITH CHILDREN; UNINSURED AND UNDERINSURED FAMILIES, AS WELL AS MINORITY POPULATIONS INCLUDING MEMBERS OF THE HAITIAN AND HISPANIC COMMUNITIES. THESE FOCUS GROUPS SERVED AS THE CATALYST FOR BETHESDA TO IDENTIFY THE PRIORITIES FOR BETHESDA HOSPITAL'S 2018 CHNA.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11:	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 QUALITATIVE DATE (FOCUS GROUPS, COMMUNITY GROUPS AND KEY INFORMANT INTERVIEWS.) THE CHNA ADVISORY COUNCIL COMPRISED OF HOSPITAL EXECUTIVES AND COMMUNITY/PUBLIC AGENCY LEADERS, IDENTIFIED THE FOLLOWING AREAS OF NEED, AND BETHESDA HOSPITAL IS ADDRESSING EACH OF THESE AS FOLLOWS: 1) INCREASE ACCESS TO MENTAL HEALTH SERVICES THROUGH PARTNERSHIP WITH NATIONAL ALLIANCE ON MENTAL HEALTH TO INCREASE AWARENESS FOR MENTAL HEALTH RESOURCES IN COMMUNITY CENTERS AND PROVIDE MENTAL HEALTH FIRST AID TRAINING FOR HEALTHCARE WORKERS; 2) INCREASE ACCESS TO HEALTH SERVICES THROUGH COORDINATED TRANSPORTATION EFFORTS WITH PALM TRAN AND FINANCIAL ASSISTANCE COUNSELING FOR UNDERSERVED PATIENTS; 3) PROMOTE HEALTHY LIFESTYLES THROUGH PREVENTION, WELLNESS AND EDUCATION THROUGH LOCAL CHURCHES AND NON-PROFIT ORGANIZATIONS TO PROVIDE HEALTH SCREENINGS AND WELLNESS INFORMATION; AND 4) IMPROVE MATERNAL AND CHILD HEALTH WITH THE DISTRIBUTION OF HEALTHY PREGNANCY INFORMATION AT OB-CLINICS AND DURING HOSPITAL EDUCATION PROGRAMS AND TOURS. IN DETERMINING THESE PRIORITIES, BETHESDA LEADERS MET WITH KEY COMMUNITY OFFICIALS FROM ENTITIES INCLUDING: BOYNTON BEACH MENTAL HEALTH COMMITTEE, THE BOYNTON BEACH POLICE AND FIRE RESCUE DEPARTMENTS, THE HEALTHCARE DISTRICT OF PALM BEACH COUNTY, ALPERT JEWISH FAMILY AND CHILDREN'S SERVICES, AREA AGENCY ON AGING, HEALTHY MOTHERS, HEALTHY BABIES AND PALM BEACH COUNTY SUBSTANCE AWARENESS COALITION.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 16J:
PART V, SECTION B, LINE 16A, FAP:	HTTPS://TRUSTEDPARTNER.AZUREEDGE.NET/DOCS/LIBRARY/BETHESDAMEMORIALHOSPITAL2011/FINANCIAL%20ASSISTANCE%20POLICY.PDFPART V, SECTION B, LINE 16B, FAP APPLICATION:HTTPS://TRUSTEDPARTNER.AZUREEDGE.NET/DOCS/LIBRARY/BETHESDAHEALTHCARE2016/FINANCIALASSISTANCE-APPLICATION-2017-ENGLISH.PDFPART V, SECTION B, LINE 16C, FAP PLAIN LANGUAGE SUMMARYHTTPS://TRUSTEDPARTNER.AZUREEDGE.NET/DOCS/LIBRARY/BETHESDAMEMORIALHOSPITAL2011/BETHESDA%20HEALTH%20-%20FINANCIAL%20ASSISTANCE%20POLICY%20SUMMARY-10-2016.PDFPART V, SECTION B, LINE 16J, OTHERALL SELF PAY PATIENTS RECEIVE WITH THEIR STATEMENTS A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY.

Schedule H (Form 990) 2019

Page 9

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?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2019

Page 10

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
PART I, LINE 7:	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.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 19,915,346.
PART III, LINE 2:	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.
PART III, LINE 3:	OUR ORGANIZATION APPLIED A PERCENTAGE OF 23.79% 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 (25,507) OF DEBTORS PLACED IN COLLECTION FROM 10/1/2017-9/30/2018. 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
PART III, LINE 4:	THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE REPORTED IN THE AUDITEDCONSOLIDATED FINANCIAL STATEMENTS OF BAPTIST HEALTH SOUTH FLORIDA, INC.,WHICH INCLUDES BETHESDA HOSPITAL, INC., IS AS FOLLOWS: BHSFPROVIDES FOR ACCOUNTS RECEIVABLE THAT COULD BECOME UNCOLLECTIBLE IN THEFUTURE BY ESTABLISHING AN ALLOWANCE TO REDUCE THE CARRYING VALUE OF SUCHRECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. ADDITIONS TO THEALLOWANCE FOR DOUBTFUL ACCOUNTS ARE MADE BY MEANS OF THE PROVISION FOR DOUBTFUL ACCOUNTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROMTHE ALLOWANCE AND SUBSEQUENT RECOVERIES ARE ADDED. BHSF ESTIMATES THEALLOWANCE FOR DOUBTFUL ACCOUNTS BY RESERVING A PERCENTAGE OF ACCOUNTSRECEIVABLE BASED ON HISTORICAL AND EXPECTED COLLECTIONS, BUSINESS ANDECONOMIC CONDITIONS, TRENDS IN REIMBURSEMENT, AND OTHER COLLECTIONINDICATORS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTSWHO HAVE THIRD-PARTY COVERAGE, INCLUDING RECEIVABLES FROM GOVERNMENTAGENCIES, BHSF ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES ANALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS. FOR ALLPAYOR TYPES, WHEN BHSF CAN NO LONGER REASONABLY ESTIMATE COLLECTABILITY OFAN ACCOUNT BASED ON THE AGING OF THE BALANCE DUE AND THE VOLATILITY ANDUNPREDICTABLE NATURE OF THE AMOUNT, BHSF RESERVES SUBSTANTIALLY ALLAMOUNTS DUE. RECOVERIES ON WRITTEN-OFF ACCOUNTS RECEIVABLE ARE RECORDED INTHE PERIOD THE RECOVERY OCCURS AS AN INCREASE IN NET PATIENT SERVICEREVENUE THROUGH AN ADJUSTMENT TO THE PROVISION FOR DOUBTFUL ACCOUNTS.
PART III, LINE 8:	THE COST IS BASED ON THE HOSPITAL'S FY 2018 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.
PART III, LINE 9B:	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.
PART VI, LINE 2:	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 SECOND COMMUNITY HEALTH NEEDS ASSESSMENT IN 2015, BETHESDA HOSPITAL BEGAN A NEW 3-YEAR COMMUNITY HEALTH NEEDS ASSESSMENT IN JULY 2018. IN PARTNERSHIP WITH MANY OF OUR LOCAL CONSTITUENCY GROUPS, BETHESDA IDENTIFIED THREE KEY AREAS OF NEED: INCREASE ACCESS TO MENTAL HEALTH RESOURCES AND ASSISTANCE; REDUCE INFANT MORTALITY; INCREASE ACCESS TO HEALTH SERVICES/RESOURCES FOR SENIORS; AND REDUCE HEALTH RISKS IN ADULT POPULATION AMONG AT-RISK GROUPS. WE PARTNERED WITH SEVERAL LOCAL MENTAL HEALTH ORGANIZATIONS, INCLUDING THE BOYNTON BEACH MENTAL HEALTH COMMITTEE, TO INITIATE MENTAL HEALTH FIRST AID TRAINING PROGRAMS FOR HEALTHCARE WORKERS. WE CONTINUED TO EXPAND PRIMARY CARE AND DENTAL SERVICES WITH GENESIS COMMUNITY HEALTH, A FEDERALLY QUALIFIED HEALTH CENTER ON THE CAMPUS OF BETHESDA HOSPITAL EAST. THE CENTER SERVES ADULTS, CHILDREN, SENIORS AND EXPECTANT MOTHERS. WE CONTINUED OUR PARTNERSHIP WITH FLORIDA ATLANTIC UNIVERSITY TO SERVE AS A TEACHING HOSPITAL FOR THEIR MEDICAL RESIDENCY PROGRAM. THESE RESIDENT PHYSICIANS PROVIDE CARE IN THE CLINICAL, MEDICAL-SURGICAL AREAS AND EMERGENCY ROOMS. IN ADDITION, BETHESDA PROVIDED 44 COMMUNITY PHYSICIAN LECTURES AND 19 HEALTH SCREENING FAIRS TO HELP RESIDENTS IMPROVE THEIR HEALTH. THESE LECTURES AND HEALTH FAIRS WERE HELD AT BETHESDA HOSPITAL EAST AND BETHESDA HOSPITAL WEST, AS WELL AS AREA PUBLIC LIBRARIES AND COMMUNITY CENTERS, SUCH AS THE MANDEL JCC.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 AND CARIDAD CENTER, 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 REMAINS AS A DOMINANT MEDICAL CONDITION AMONG THIS AGE GROUP. 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-TERMNEEDS.
PART VI, LINE 3:	UNINSURED PATIENTS ARE INFORMED ABOUT BETHESDA HOSPITAL'S FINANCIAL ASSISTANCE UNIT AT SEVERAL KEY ACCESS POINTS OF THE HOSPITAL. THESE ACCESS POINTS ARE: 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 IS COMPRISED OF A KNOWLEDGEABLE STAFF FROM DIVERSE BACKGROUNDS AND CULTURES, REFLECTIVE OF THE COMMUNITY BETHESDA SERVES. IN AN EFFORT TO ENSURE EFFECTIVE CUSTOMER SERVICE AND COMMUNICATION, THESE STAFF MEMBERS ARE FLUENT IN ENGLISH, SPANISH AND CREOLE.
PART VI, LINE 4:	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 25% OF BETHESDA'S SERVICE AREA AND 16% OF PALM BEACH COUNTY. BETHESDA SERVES MANY FAMILIES AS WELL, INCLUDING CHILDREN AND INFANTS. BETHESDA IS 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. FOR THE THREE YEAR PERIOD ENDING IN 2018, OUR COMMUNITY HEALTH NEEDS ASSESSMENT SHOWED THAT PALM BEACH COUNTY HAS A HIGH PERCENTAGE OF BLACKS, REPRESENTING 18.27%, COMPARED TO 16.14% FOR THE STATE OF FLORIDA, AND PALM BEACH COUNTY HAS A HIGHER PERCENTAGE OF NON-HISPANIC AND NON-LATINO, REPRESENTING 79.29%, COMPARED TO 75.89% FOR THE STATE OF FLORIDA. JUST OVER 33.6% OF PALM BEACH COUNTY RESIDENTS LIVE AT OR BELOW THE 200% FEDERAL POVERTY LINE, WITH 33.4% OF THE POPULATION LIVING IN BETHESDA'S SERVICE AREA LIVING AT OR BELOW THE 200% FEDERAL POVERTY LINE. ACCORDING TO THE U.S. CENSUS BUREAU, AMERICAN COMMUNITY SURVEY, 2012-2016, 16% OF PALM BEACH COUNTY'S RESIDENTS WERE UNINSURED. OF THOSE, 10.4% WERE UNDER THE AGE OF 18; 23.6% WERE BETWEEN THE AGES OF 18 TO 64; AND 1.4% WERE AGE 65 AND OLDER. WHEN COMPARED TO FLORIDA AND THE UNITED STATES, PALM BEACH COUNTY HAS A HIGHER RATE OF UNINSURED AMONG CHILDREN UNDER 18 AT 10.4%, COMPARED TO THE U.S. AVERAGE OF 5.9%. PALM BEACH COUNTY ALSO HAS A HIGHER RATE OF UNINSURED AMONG ADULTS AGE 18-64 WITH 23.6%, COMPARED TO THE U.S. AVERAGE OF 16.4% FOR THIS SAME AGE GROUP.
PART VI, LINE 5:	BETHESDA HOSPITAL HAS AN ACTIVE BOARD OF TRUSTEES WHO LIVE AND WORK IN OUR COMMUNITY, PROVIDING INDEPENDENT LEADERSHIP AND GOVERNANCE, UNDER THE OVERSIGHT OF BAPTIST HEALTH SOUTH FLORIDA, WHICH ACQUIRED BETHESDA HOSPITAL IN OCTOBER 2017. WE HAVE AN OPEN MEDICAL STAFF THAT ACCEPTS APPLICATIONS FROM ALL PHYSICIANS WHO MEET THE GUIDELINES OUTLINED IN OUR MEDICAL STAFF BYLAWS.
PART VI, LINE 6:	AS PART OF BAPTIST HEALTH SOUTH FLORIDA, THE LARGEST NOT-FOR-PROFIT HEALTHCARE CORPORATION IN THE REGION, BETHESDA HOSPITAL IS COMPRISED OF 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 SPACE 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) 2019

Additional Data

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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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

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 noncash 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) 2019

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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) MAMMOGRAPHY AND BREAST CANCER TREATMENT ASSISTANCE	350	110,090	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
PART I, LINE 2:	THE ORGANIZATION PROVIDES GRANTS AS A CREDIT TO THE RECIPIENTS' 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) 2019

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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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 on 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 on 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 nonfixed
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) 2019

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)
1ROGER L KIRK CEO	(i) (ii)	0 ------------- 747,180	0 ------------- 37,665	0 ------------- 246,427	0 ------------- 98,899	0 ------------- 15,678	0 ------------- 1,145,849	0 ------------- 0
2ROBERT BROADWAY VP OF CORPORATE STRATEGY END 7/18	(i) (ii)	0 ------------- 309,074	0 ------------- 29,679	0 ------------- 18,024	0 ------------- 42,000	0 ------------- 13,212	0 ------------- 411,989	0 ------------- 12,000
3JOANNE AQUILINA VP OF FINANCE	(i) (ii)	0 ------------- 319,412	0 ------------- 35,754	0 ------------- 1,085	0 ------------- 21,153	0 ------------- 15,589	0 ------------- 392,993	0 ------------- 0
4DANIEL GOLDMAN MD VP OF MEDICAL AFFAIRS	(i) (ii)	147,168 ------------- 0	2,804 ------------- 0	1,160 ------------- 0	19,194 ------------- 0	3,770 ------------- 0	174,096 ------------- 0	0 ------------- 0
5DOROTHY KERR ADMINISTRATIVE SUPERVISOR	(i) (ii)	159,725 ------------- 0	0 ------------- 0	1,880 ------------- 0	3,213 ------------- 0	6,838 ------------- 0	171,656 ------------- 0	0 ------------- 0
6ELA LENA VP OF OPERATIONS	(i) (ii)	241,967 ------------- 0	9,647 ------------- 0	690 ------------- 0	52,616 ------------- 0	15,938 ------------- 0	320,858 ------------- 0	0 ------------- 0
7JOSHUA BAILIN MD MEDICAL DIRECTOR QUALITY	(i) (ii)	196,727 ------------- 0	13,500 ------------- 0	2,360 ------------- 0	24,000 ------------- 0	12,924 ------------- 0	249,511 ------------- 0	0 ------------- 0
8SAFA TAHERNIA PHARMACIST	(i) (ii)	150,878 ------------- 0	0 ------------- 0	2,458 ------------- 0	19,916 ------------- 0	7,415 ------------- 0	180,667 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2019

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

PART I, LINE 3

THE CEO OF BETHESDA HOSPITAL, INC. IS COMPENSATED BY BETHESDA HEALTH, INC. BOTH BETHESDA HOSPITAL, INC. AND BETHESDA HEALTH, INC. ARE CONTROLLED, DIRECTLY OR INDIRECTLY, BY BAPTIST HEALTH SOUTH FLORIDA, INC. ("BHSF"). THE DETERMINATION OF THE COMPENSATION OF THE CEO FOLLOWS THE SAME PROCESS DELINEATED HEREIN. THE BYLAWS OF BETHESDA HEALTH, INC. DELEGATE THE AUTHORITY TO SET EXECUTIVE COMPENSATION TO BHSF. BHSF'S COMPENSATION COMMITTEE IS COMPRISED EXCLUSIVELY OF INDEPENDENT BOARD MEMBERS WHO SERVE VOLUNTARILY WITHOUT ANY REMUNERATION, AND WHO MUST ADHERE TO A STRINGENT CONFLICT OF INTEREST POLICY THAT PRECLUDES THEM OR THEIR FAMILIES FROM DOING BUSINESS WITH BAPTIST HEALTH. THE COMMITTEE IS RESPONSIBLE FOR REVIEWING THE PERFORMANCE AND APPROVING THE COMPENSATION FOR EXECUTIVES. THE TERM "COMPENSATION" INCLUDES SALARIES, BENEFITS AND INCENTIVES. THE COMPENSATION COMMITTEE ANNUALLY ENGAGES A NATIONALLY-RECOGNIZED, INDEPENDENT CONSULTANT TO CONDUCT COMPENSATION SURVEYS AND TO ADVISE THE BOARD ON COMPENSATION POLICIES. ADDITIONALLY, INCENTIVE COMPENSATION FOR THE CEO WAS APPROVED BY BETHESDA HEALTH, INC.'S BOARD OF TRUSTEES.

PART I, LINE 4B

THE ORGANIZATION MAINTAINS A 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. DURING 2017, THE FOLLOWING PAYMENTS WERE RECEIVED FROM THE PLAN: ROBERT BROADWAY - $ 12,000 DURING 2017, THE FOLLOWING CONTRIBUTIONS WERE MADE TO THE PLAN: ELA LENA - $10,616 JOANNE AQUILINA - $15,953 ROGER KIRK - $56,899

Schedule J (Form 990) 2019

Additional Data

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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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 section 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 the 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) 2019

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	30,898	SALARY AND BENEFITS		No
(2) ROBERT I TSOPELAS	FAMILY MEMBER OF STORMET C. NOREM, BOARD MEMBER	29,570	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) 2019

Additional Data

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SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
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Attach to Form 990 or 990-EZ.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

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:	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 APPROPRIATE SETTING.
PART III, LINE 4A	THE PROGRAM SERVICE ACCOMPLISHMENTS FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2018 INCLUDE THE FOLLOWING: CHARITY CARE: AS ONE OF ONLY THREE NOT-FOR-PROFIT HOSPITAL ORGANIZATIONS IN PALM BEACH COUNTY, BETHESDA HOSPITAL, INC., PART OF BAPTIST HEALTH SOUTH FLORIDA, 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, BETHESDA HOSPITAL, INC., HAS MET THE REQUIREMENTS UNDER THE SOCIAL SECURITY ACT (SECTION 1886(D)(5)(F)) TO RECEIVE ADDITIONAL PAYMENTS TO HOSPITALS THAT SERVE A SIGNIFICANTLY DISPROPORTIONATE NUMBER OF LOW-INCOME PATIENTS. LOW-INCOME PATIENTS INCLUDE PATIENTS WHO WERE ENTITLED TO BENEFITS UNDER MEDICARE PART A AND WERE ENTITLED TO SUPPLEMENTARY SECURITY INCOME (SSI) BENEFITS AND PATIENTS WHO WERE ELIGIBLE FOR MEDICAL ASSISTANCE UNDER A STATE PLAN APPROVED UNDER TITLE XIX. THE SOCIAL SECURITY ACT DEFINES THE FORMULA FOR DETERMINING THE PERCENTAGE TO BE USED FOR THIS DISPROPORTIONATE SHARE ADJUSTMENT PAYMENT. THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BETHESDA INFORMS ITS PATIENTS ABOUT ITS CHARITY CARE POLICY BY POSTING THIS INFORMATION IN OUR EMERGENCY 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 CHARITY CARE, THIS AMOUNT IS RECORDED AS A DEDUCTION FROM GROSS REVENUE REPORTED. FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2018, BETHESDA PROVIDED $47.3 MILLION IN INDIGENT AND CHARITY CARE WRITE-OFFS, REPRESENTING 2.7% OF THE HOSPITAL'S TOTAL CHARGES. FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2018, BETHESDA PROVIDED AN ADDITIONAL $64.46 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'S COMMUNITY HEALTH NEEDS ASSESSMENT, LAUNCHED IN THE SPRING OF 2018, IDENTIFIED FOUR PRIORITIES IN OUR COMMUNITY THAT HAVE THE GREATEST NEED IN PALM BEACH COUNTY. THESE PRIORITIES ARE: 1) INCREASE ACCESS TO MENTAL HEALTH RESOURCES; 2) INCREASE ACCESS TO HEALTH SERVICES; 3) PROMOTE HEALTHY LIFESTYLES THROUGH PREVENTION, WELLNESS AND EDUCATION; AND 4) IMPROVE MATERNAL AND CHILD HEALTH. IN DETERMINING THESE PRIORITIES, BETHESDA LEADERS MET WITH KEY COMMUNITY OFFICIALS FROM ENTITIES INCLUDING: BOYNTON BEACH MENTAL HEALTH COMMITTEE, THE BOYNTON BEACH POLICE AND FIRE RESCUE DEPARTMENTS, THE HEALTHCARE DISTRICT OF PALM BEACH COUNTY, ALPERT JEWISH FAMILY & CHILDREN'S SERVICES, AREA AGENCY ON AGING, HEALTHY MOTHERS, HEALTHY BABIES AND PALM BEACH COUNTY SUBSTANCE AWARENESS COALITION. IN IMPLEMENTING PRIORITY #1, BETHESDA PARTNERED WITH NATIONAL ALLIANCE ON MENTAL HEALTH (NAMI) PALM BEACH COUNTY AND BOYNTON BEACH MENTAL HEALTH COMMUNITY TO INCREASE AWARENESS FOR EDUCATIONAL MENTAL HEALTH RESOURCES AVAILABLE THROUGH CHURCHES, SYNAGOGUES AND COMMUNITY CENTERS. IN ADDITION, BETHESDA INITIATED PLANS TO IMPLEMENT MENTAL HEALTH FIRST AID TRAINING SESSIONS FOR HEALTHCARE WORKERS THAT WOULD TAKE PLACE IN EARLY 2019. WITH PRIORITY #2, BETHESDA FOCUSED ON ACCESS TO HEALTHCARE SERVICES THROUGH IMPROVED ACCESS TO TRANSPORTATION FOR OUTPATIENT HEALTH AND REHABILITATION SERVICES. THE PROCESS OF SCHEDULING TRANSPORTATION WAS MADE EASIER, AND BETHESDA COORDINATED WITH PALM TRAN TO MAKE ACCESS EASIER. BETHESDA'S DEDICATED FINANCIAL ASSISTANCE UNIT ALSO INCREASED ITS STAFF TO ASSIST THE MEDICALLY UNDERSERVED PATIENTS WITH FINDING INCREASED FUNDING SOURCES FOR THEIR CARE. WITH THE IMPLEMENTATION OF PRIORITY #3, BETHESDA EXPANDED ITS COMMUNITY LECTURES AND HEALTH FAIRS TO SERVE MEDICALLY UNDERSERVED COMMUNITIES. IN PARTNERSHIP WITH BETHESDA'S CHNA LEADERS, BETHESDA WORKED WITH LOCAL CHURCHES AND NON-PROFIT ORGANIZATIONS, SUCH AS THE BRIDGES, IN EAST BOYNTON BEACH AND EAST LAKE WORTH TO PROVIDE HEALTH SCREENINGS AND WELLNESS INFORMATION TO THEIR CONSTITUENTS. WITH 3,000 DELIVERIES A YEAR, BETHESDA IMPLEMENTED PRIORITY #4 BY IDENTIFYING ALL OF THE ENTRY POINTS WHEREBY AN EXPECTANT MOTHER COULD RECEIVE INFORMATION TO HELP HER HAVE A HEALTHY PREGNANCY AND A FULL-TERM DELIVERY. HEALTHY PREGNANCY INFORMATION WAS DISTRIBUTED TO THE PHYSICIANS' OFFICES, AS WELL AS THE OB CLINICS. IN ADDITION, EXPECTANT MOTHERS RECEIVED INFORMATION ON HEALTHY PREGNANCY DURING THEIR TOURS AND PRENATAL CLASSES, AS WELL AS IN THE HOSPITAL'S OB-TRIAGE UNIT. PATIENTS LEARNED HOW TO IDENTIFY THE WARNING SIGNS OF PRETERM LABOR, AS WELL AS HEALTHY NUTRITION AND LIFESTYLE HABITS TO BENEFIT BOTH MOTHER AND CHILD. PROGRAMS AND SERVICES: IN ADDITION TO PROVIDING CHARITY CARE, BETHESDA PROVIDES AN ARRAY OF PROGRAMS AND SERVICES TO HELP IMPROVE THE QUALITY OF LIFE IN OUR COMMUNITY, AS DESCRIBED BELOW: AARP SAFE DRIVING PROGRAM: WITH SENIORS REPRESENTING THE LARGEST SEGMENT OF BETHESDA'S PATIENT POPULATION, BETHESDA HAS RECOGNIZED THAT HAVING SAFER DRIVERS ON THE ROAD MEANS HAVING HEALTHIER DRIVERS IN OUR COMMUNITY. BETHESDA HOSPITAL 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 12 SAFE DRIVING SESSIONS FOR 420 PEOPLE WHO TOOK ADVANTAGE OF THIS LEARNING OPPORTUNITY FOR THE 12 MONTHS ENDED SEPTEMBER 30, 2018. BABY LINE: APPROXIMATELY 80% OF BETHESDA'S 3,000 DELIVERIES ARE BORN TO FAMILIES ON MEDICAID. BETHESDA'S "BABY LINE" IS A COMPLIMENTARY SERVICE THAT HELPS EXPECTANT MOTHERS GET THE ANSWERS THEY NEED ABOUT PREGNANCY, BIRTH, BREASTFEEDING AND INFANT SAFETY. 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 214 CLASSES WITH A TOTAL OF 1,334 ATTENDEES FOR THE 12 MONTHS ENDED SEPTEMBER 30, 2018. BETHESDA PRIMETIME CLUB: MORE THAN 70% OF BETHESDA'S PATIENTS ARE OVER THE AGE OF 60, AND BETHESDA'S PRIMETIME CLUB WAS CREATED TO ADDRESS THEIR UNIQUE HEALTH NEEDS. THE BETHESDA PRIMETIME CLUB IS A FREE PROGRAM FOR PEOPLE AGE 50 AND OVER. IT PROVIDES ACCESS TO EDUCATIONAL RESOURCES, HEALTH SCREENINGS, LIFESTYLE AMENITIES 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 15,680 PRIMETIME CLUB MEMBERS FOR THE 12 MONTHS ENDED SEPTEMBER 30, 2018. BETHESDA PROVIDED 44 EDUCATIONAL PROGRAMS, WITH APPROXIMATELY 2,640 PRIMETIME MEMBERS ATTENDING. BETHESDA PROVIDED 1,290 REFERRALS (NON-PHYSICIAN RELATED) FOR SOCIAL/AGENCY SERVICES TO ENRICH THE LIVES OF THIS GROUP. IN ADDITION, BETHESDA PROVIDED FIVE PRIMETIME CLUB ORIENTATIONS TO WELCOME NEW MEMBERS. FOR THE 12 MONTHS ENDED SEPTEMBER 30, 2018, 230 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 BLOOD DRIVES THROUGHOUT THE YEAR, WHICH ARE OPEN TO ALL EMPLOYEES AND THE GENERAL PUBLIC. BETHESDA HELD A TOTAL OF 24 BLOOD DRIVES AT FOUR LOCATIONS: BETHESDA HOSPITAL EAST, BETHESDA HOSPITAL WEST, BETHESDA HEALTH CITY AND THE BETHESDA SERVICE CENTER FOR THE 12 MONTHS ENDED SEPTEMBER 30, 2018.
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 LOCAL NEWSPAPERS INCLUDING: THE PALM BEACH POST, SUN-SENTINEL, THE BOYNTON FORUM, THE DELRAY FORUM AND THE JEWISH JOURNAL. BETHESDA PRESENTED 44 FREE LECTURE PROGRAMS, WITH APPROXIMATELY 3,520 ATTENDEES FOR THE 12 MONTHS ENDED SEPTEMBER 30, 2018. 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 ADDITION TO IN-PERSON LECTURES, BETHESDA STRIVES TO PROVIDE THE COMMUNITY WITH MULTIPLE ACCESS POINTS TO DIGITAL HEALTH INFORMATION VIA THE INTERNET. BETHESDA PROVIDES 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 12 MONTHS ENDED SEPTEMBER 30, 2018, 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 FLORIDA ATLANTIC UNIVERSITY'S CHARLES B. SCHMIDT COLLEGE OF MEDICINE. 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 3,020 PATIENTS, WITH 47.1% OF THOSE PATIENTS NEEDING TRANSPORTATION TO A BETHESDA HOSPITAL FOR OUTPATIENT SERVICES; 8.2% OF THE PATIENTS NEEDING TRANSPORTATION TO THE BETHESDA'S REHAB SERVICES AT THE DEVOS-BLUM FAMILY YMCA; AND 44.7% 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 12 MONTHS ENDED SEPTEMBER 30, 2018, BETHESDA CARED FOR 85,000 PATIENTS IN THE EMERGENCY DEPARTMENTS AT BETHESDA HOSPITAL EAST AND BETHESDA HOSPITAL WEST. OF THOSE, NEARLY 3.4% OR 2,023 PATIENTS WERE CHARITY CARE PATIENTS, 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 24-HOUR VIDEO-CONFERENCING SYSTEM THAT IS ACCESSIBLE IN MORE THAN 20 LANGUAGES, INCLUDING SIGN LANGUAGE FOR THE DEAF. THIS SYSTEM IS USED ROUTINELY TO ASSIST PATIENTS WHO CANNOT COMMUNICATE IN ENGLISH. WITH MORE THAN 3,000 DELIVERIES IN FY 2018, BETHESDA CONTINUES TO SEE A GROWING NUMBER OF NON-ENGLISH SPEAKING FAMILIES ARRIVING IN OUR MATERNITY AND PEDIATRIC UNITS. BETHESDA'S FAMILY RESOURCE CENTER, IN THE CENTER FOR WOMEN AND CHILDREN, PROVIDES FAMILIES WITH USE OF MULTI-LINGUAL COMPUTERS AND INCORPORATES MULTI-LINGUAL RESOURCES TO PROVIDE PRENATAL, NEWBORN, PEDIATRIC AND FAMILY-CENTERED INFORMATION. IN SERVING THE NEEDS OF THESE FAMILIES, PATIENT INFORMATION IS PROVIDED IN ENGLISH, SPANISH AND CREOLE. GRADUATE MEDICAL EDUCATION PROGRAM: IN AN EFFORT TO ENSURE THAT BETHESDA CAN CONTINUE TO CARE FOR ITS COMMUNITY, BETHESDA IS WORKING TO CURB FLORIDA'S RISING PHYSICIAN SHORTAGE DUE TO 6,000 PHYSICIANS EXPECTED TO RETIRE AND THE BABY BOOMER POPULATION CONTINUING TO NEED SERVICES OVER THE NEXT DECADE. BETHESDA IS PART OF PALM BEACH COUNTY'S HOSPITAL CONSORTIUM TO TRAIN PHYSICIANS FOR THE FUTURE. BETHESDA PROVIDES CLINICAL TRAINING TO GRADUATE MEDICAL STUDENTS FROM AREA COLLEGES AND UNIVERSITIES, INCLUDING: FLORIDA ATLANTIC UNIVERSITY, BARRY UNIVERSITY AND NOVA SOUTHEASTERN UNIVERSITY, IN THE AREAS OF INTERNAL MEDICINE, GENERAL SURGERY AND EMERGENCY MEDICINE. BETHESDA WELCOMED ITS FOURTH CLASS OF 36 RESIDENT PHYSICIANS IN JULY 2018. 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 19 COMMUNITY HEALTH FAIRS, REACHING OVER 2,600 PEOPLE IN VARIOUS LOCATIONS THROUGHOUT PALM BEACH COUNTY, INCLUDING RESIDENTIAL AND CIVIC CENTERS FOR THE 12 MONTHS ENDED SEPTEMBER 30, 2018. 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: IN AN EFFORT TO SERVE THE GROWING HISPANIC POPULATION IN PALM BEACH COUNTY, BETHESDA HAS IDENTIFIED EMERGING POPULATIONS WITHIN OUR COMMUNITY 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, A FREE CLINIC IN WEST BOYNTON BEACH, DEDICATED TO SERVING THE HISPANIC POPULATION, TO ADDRESS THE HEALTH NEEDS OF THESE GROUPS THROUGH THE PROVISION OF HEALTH SCREENINGS AND ACUTE CARE MEDICAL SERVICES TO 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 DEDICATED HOSPICE UNIT AT BETHESDA HOSPITAL EAST. BETHESDA'S HOSPICE UNIT 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 12 MONTHS ENDED SEPTEMBER 30, 2018, BETHESDA PROVIDED 705 PROCEDURES, INCLUDING SCREENING AND DIAGNOSTIC MAMMOGRAMS, ULTRASOUND IMAGING AND BREAST BIOPSIES, SERVING 385 PATIENTS THROUGH THE KOMEN GRANT PROGRAM. 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: THE 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 520 LIVING WILLS WERE DISTRIBUTED TO RESIDENTS FOR THE 12 MONTHS ENDED SEPTEMBER 30, 2018. 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, 2018, 320 COUNSELING SESSIONS WERE PROVIDED. NEONATAL INTENSIVE CARE UNIT - LEVEL 3 UNIT: WITH 3,000 DELIVERIES PER YEAR, APPROXIMATELY 12% OF THOSE NEWBORNS SPENT THEIR FIRST DAYS OF LIFE IN BETHESDA'S LEVEL 3 NEONATAL UNIT, AS OF SEPTEMBER 30, 2018. PROVIDING THE HIGHEST LEVEL OF CARE FOR CRITICALLY ILL AND AT-RISK NEWBORNS IN OUR COMMUNITY, BETHESDA'S LEVEL 3 UNIT HAS ENABLED FAMILIES TO STAY CLOSE TO THEIR NEWBORNS, WHILE KEEPING THEIR OWN FAMILIES INTACT. BETHESDA'S LEVEL 3 NEONATAL UNIT IS STAFFED BY A NEONATOLOGIST 24 HOURS A DAY. NURSING EDUCATION PROGRAM: TO ADDRESS THE NATIONAL AND REGIONAL NURSING SHORTAGE, BETHESDA'S COLLEGE OF HEALTH SCIENCES PROVIDES ASSOCIATES' DEGREES IN NURSING AND RADIOGRAPHY. THIS NATIONALLY ACCREDITED FACILITY 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 300 PHYSICIANS WHO ARE ON THE MEDICAL STAFF OF BETHESDA HOSPITAL. FOR THE 12 MONTHS ENDED SEPTEMBER 30, 2018, THE PHYSICIAN REFERRAL LINE PROVIDED INFORMATION TO APPROXIMATELY 1,345 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 FOR MORE THAN 57 QUALITY INDICATORS THAT HAVE BEEN DEMONSTRATED TO REDUCE HARM AND SAVE LIVES. AMONG THOSE 57 QUALITY INDICATORS, BETHESDA HOSPITAL, INC. PARTICIPATED IN THE PUBLICLY REPORTED MEASUREMENTS IN THE HOSPITAL QUALITY ALLIANCE FOR THE FOLLOWING KEY MEASURES: - HEART ATTACK - PNEUMONIA - CONGESTIVE HEART FAILURE - SURGICAL INFECTION PREVENTION - PATIENT PERCEPTION OF CARE SCHOLARSHIP PROGRAM: BETHESDA'S SCHOLARSHIP PROGRAMS ARE HELPING STUDENTS IN OUR COMMUNITY TO FURTHER THEIR COLLEGE EDUCATION. FOR THE FISCAL YEAR OCTOBER 1, 2017 TO SEPTEMBER 30, 2018, THE AUXILIARY PROVIDED ONE AUXILIARY SCHOLARSHIP FOR $500; 14 AUXILIARY SCHOLARSHIPS FOR $750 EACH; AND FIVE JAYNE E. MILLER MEMORIAL SCHOLARSHIPS FOR $750 EACH. 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 12 MONTHS ENDED SEPTEMBER 30, 2018. 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 20 FREE COMMUNITY SUPPORT GROUPS TO OFFER COUNSELING SUPPORT TO PATIENTS AND FAMILIES IN COPING WITH SITUATIONS INVOLVING HEALTH RELATED PROBLEMS, WITH APPROXIMATELY 12,000 ATTENDEES ANNUALLY: - ALCOHOLICS ANONYMOUS - AMERICAN HEART ASSOCIATION - "MENDED HEARTS" SUPPORT GROUP - BETTER BREATHERS CLUB - BOOT CAMP FOR NEW DADS - BREAST CANCER SUPPORT GROUP - CAREGIVERS SUPPORT - COPING WITH CANCER - JOINT JOURNEY - SUPPORT GROUP FOR PATIENTS UNDERGOING JOINT REPLACEMENT SURGERY - KIDNEY SMART SUPPORT - LA LECHE LEAGUE - BREASTFEEDING SUPPORT GROUP - LSVT BIG AND LOUD SUPPORT - LUPUS SUPPORT GROUP - MACULAR DEGENERATION SUPPORT GROUP - MEDITATION SUPPORT GROUP - MYASTHENIA GRAVIS SUPPORT GROUP - "QUIT SMOKING NOW" - TEACUP PREEMIE SUPPORT PROGRAM - SHARING THE LOSS (BEREAVEMENT FOR A LOVED ONE) - STROKE CLUB - YOUNG STROKE SURVIVORS' CLUB 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 394 ADULT VOLUNTEERS AND 115 TEEN VOLUNTEERS DEVOTED VOLUNTEER HOURS FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2018. CONCLUSION: BETHESDA HOSPITAL, INC., WITH BETHESDA HOSPITAL EAST AND BETHESDA HOSPITAL WEST, AND NOW PART OF BAPTIST HEALTH SOUTH FLORIDA, 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 DIVERSE POPULATION WITH HEALTH NEEDS INCLUDING PRENATAL CARE, FAMILY MEDICINE AND PRIMARY CARE, SPECIALTY CARE AND PALLIATIVE CARE. WE CONDUCT REGULAR COMMUNITY HEALTH NEEDS ASSESSMENTS TO GAIN INSIGHT INTO OUR PROGRESS FOR MEETING THE NEEDS OF OUR COMMUNITY. THROUGH THESE ASSESSMENTS, WE LEARN IF WE HAVE IMPROVED IN SERVING OUR SENIORS WITH THEIR TRANSPORTATION NEEDS, AS WELL AS IF WE HAVE IMPROVED IN HELPING OUR MEDICALLY UNDERSERVED RECEIVE FINANCIAL ASSISTANCE FOR HEALTH SERVICES. AS WE STRIVE TO PROVIDE COMMUNITY BENEFIT, BETHESDA LOOKS FORWARD TO DELIVERING THE HIGHEST LEVELS OF PRIMARY, ACUTE, EMERGENCY, SPECIALTY AND CRITICAL CARE TO OUR PATIENTS AT EVERY STAGE OF THEIR LIVES.
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION HAS ONE SOLE MEMBER, BETHESDA HEALTH, INC. A FLORIDA NOT-FOR-PROFIT ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	BETHESDA HEALTH, INC. APPROVES THE MEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7B	ANY OF THE FOLLOWING SIGNIFICANT ORGANIZATIONAL OR OPERATIONAL CHANGES WOULD BE SUBJECT TO APPROVAL BY THE SOLE MEMBER OF THE CORPORATION WHICH IS BETHESDA HEALTH, INC. 1. ADOPTING A PLAN OF DISSOLUTION OF THE CORPORATION. 2. AUTHORIZING THE CORPORATION TO ENGAGE IN, OR ENTER INTO, ANY TRANSACTION PROVIDING FOR THE SALE, MORTGAGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION. 3. ADOPTING A PLAN OF REORGANIZATION OR THE MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER ENTITY 4. APPOINTING OR REMOVING THE ATTORNEYS OR INDEPENDENT AUDITORS OF THE CORPORATION. 5. APPOINTMENT OR REMOVING THE TRUSTEES 6. ADOPTING OR AMENDING THE ARTICLES OF INCORPORATION OF THE BYLAWS OF THE CORPORATION 7. ADOPTING OR PERMITTING ANY CHANGE TO ANY STRATEGIC MASTER PLANS OR POLICIES OF THE CORPORATION. 8. AUTHORIZING THE ACQUISITION, SALE, TRANSFER, OR OTHER DISPOSITION OF ANY ASSETS EXCEPT IN THE ORDINARY COURSE OF BUSINESS 9. AUTHORIZING THE FILING OF ANY PETITION IN BANKRUPTCY 10. ADOPTING MARKETING AND BUSINESS STRATEGIES FOR THE CORPORATION
FORM 990, PART VI, SECTION B, LINE 11B	990 REVIEW PROCESS THE MANAGEMENT OF BAPTIST HEALTH SOUTH FLORIDA (BHSF) IS RESPONSIBLE FOR THE ACCURACY AND COMPLETENESS OF THE TAX RETURNS OF BHSF AND ALL OF ITS NONPROFIT, CHARITABLE AFFILIATES. THIS FORM 990 HAS BEEN PREPARED IN CONFORMITY WITH THE INTERNAL REVENUE CODE AND TREASURY REGULATIONS. INDEPENDENT TAX CONSULTANTS AND MEMBERS OF MANAGEMENT HAVE REVIEWED IN DETAIL THE COMPLETED FORM 990. PRIOR TO FILING, THE FORM 990 PREPARATION PROCESS AND THE DOCUMENTS ARE DISCUSSED AT A MEETING OF THE FINANCE & INSURANCE COMMITTEE OF THE BOARD OF TRUSTEES AND MADE AVAILABLE ELECTRONICALLY TO ALL MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW AND COMMENTARY. ADDITIONALLY THE EXECUTIVE AND COMPENSATION COMMITTEES OF THE BHSF BOARD OF TRUSTEES, COMPOSED OF INDEPENDENT UNCOMPENSATED MEMBERS, REVIEW OTHER PERTINENT AREAS OF THE RETURN. THE PRESIDENT AND CEO AS WELL AS THE EXECUTIVE VICE PRESIDENT AND CFO HEREBY CERTIFY AS TO THE ACCURACY AND COMPLETENESS OF THIS FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	EMPLOYEE CONFLICT OF INTEREST AN ACTUAL, POTENTIAL OR PERCEIVED CONFLICT OF INTEREST OCCURS IN THOSE CIRCUMSTANCES WHERE AN EMPLOYEE'S JUDGEMENT COULD BE AFFECTED BECAUSE THE EMPLOYEE HAS A PERSONAL INTEREST, OTHER THAN THE RECEIPT OF COMPENSATION FROM BAPTIST HEALTH, IN THE OUTCOME OF A DECISION OVER WHICH THE EMPLOYEE HAS CONTROL OR INFLUENCE. FOR THE PURPOSES OF THIS POLICY, IT IS PRESUMED THAT MANAGERS HAVE CONTROL OR INFLUENCE OVER ANY DECISION AFFECTING A MATTER FOR WHICH A MANAGER HAS RESPONSIBILITY. A PERSONAL INTEREST EXISTS WHEN AN EMPLOYEE OR A MEMBER OF HIS OR HER FAMILY STANDS TO DIRECTLY OR INDIRECTLY OBTAIN FINANCIAL GAIN AS A RESULT OF A DECISION. THIS POLICY IS INTENDED FOR ALL EMPLOYEES TO UNDERSTAND, IDENTIFY, MANAGE AND APPROPRIATELY DISCLOSE THOSE TRANSACTIONS WHICH COULD RESULT IN AN ACTUAL, POTENTIAL OR PERCEIVED CONFLICT OF INTEREST. IN ACCORDANCE WITH OUR CODE OF ETHICS, HIGH ETHICAL STANDARDS MUST BE OBSERVED IN THE NEGOTIATION AND EXECUTION OF ALL BUSINESS ACTIVITIES CONDUCTED AT, BY OR WITH BHSF. ANY DECISIONS MADE BY BHSF EMPLOYEES MUST BE MADE IN COMPLIANCE WITH APPLICABLE LAWS AND REGULATIONS, WITH THE BEST ORGANIZATIONAL INTERESTS OF BHSF AS THE HIGHEST PRIORITY AND WITHOUT REGARD TO THE PERSONAL GAIN OR INTEREST OF ANY OTHER PERSON OR ENTITY. LIKEWISE, THE APPEARANCE OF ANY SUCH IMPROPER INFLUENCE ON ANY DECISIONS SHOULD BE CONSCIOUSLY AVOIDED. EMPLOYEES SHOULD ALSO ADHERE TO POLICY 828 WHICH PROHIBITS VENDOR SPONSORED TRAVEL AND POLICY 829 LIMITING ACCEPTANCE OF PERSONAL HONORARIUMS AND POLICY 831 WHICH PROVIDES LIMITATIONS AND GUIDELINES ON PHILANTHROPIC SOLICITATION OF VENDORS. A POTENTIAL OR PERCEIVED CONFLICT OR INTEREST MAY EXIST IRRESPECTIVE OF THE INTENT OF THE EMPLOYEE. BOARD CONFLICT OF INTEREST BAPTIST HEALTH AND ITS AFFILIATES HAVE A STRONG AND ROBUST CONFLICT OF INTEREST POLICY. THE POLICY IS MEANT TO ENSURE THAT EACH VOTING MEMBER OF THE RESPECTIVE ENTITY'S BOARD GOVERNS THE AFFAIRS OF BAPTIST HEALTH AND ITS AFFILIATES WITH HONESTY AND INTEGRITY AND MAKES DECISIONS FOR THE BENEFIT OF BAPTIST HEALTH. VOTING BOARD MEMBERS MAY NOT BE EMPLOYED BY BAPTIST HEALTH NOR ENGAGED TO PROVIDE SERVICES TO BAPTIST HEALTH IN EXCHANGE FOR CASH COMPENSATION. CONFLICT FREE DECISION MAKING EXTENDS BEYOND THE BOARD MEMBERS TO INCLUDE TRANSACTIONS THAT MIGHT BENEFIT (I) THE PRIVATE INTEREST OF A MEMBER OR HIS OR HER FAMILY (II) AN ORGANIZATION CONTROLLED BY A MEMBER OF HIS OR HER FAMILY (III) AN ORGANIZATION IN WHICH A MEMBER OR HIS OR HER FAMILY HAS A MATERIAL INTEREST. SINCE THE APPEARANCE OF A CONFLICT OF INTEREST MAY BE AS DAMAGING TO BAPTIST HEALTH'S REPUTATION AS ACTUALLY PERMITTING A CONFLICT TO EXIST, EACH BOARD MEMBER HAS A CONTINUING OBLIGATION TO DISCLOSE ANY POTENTIAL CONFLICTS. THIS CONTINUING OBLIGATION IS SUPPLEMENTED BY AN ANNUAL CERTIFICATION THAT THE BOARD MEMBER IS FREE FROM ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE ANNUAL CERTIFICATION IS REVIEWED BY THE VICE PRESIDENT OF COMPLIANCE WHO REPORTS DIRECTLY TO THE BOARD. POTENTIAL CONFLICTS ARE FURTHER REVIEWED BY THE BOARD'S ETHICS COMMITTEE. IF A CONFLICT DOES EXIST, THE CONFLICTED BOARD MEMBER MAY BE REQUIRED TO (I) RESIGN FROM THE BOARD OR (II) ELIMINATE THE RELATIONSHIP WHICH GIVES RISE TO THE CONFLICT. CONFLICT OF INTEREST POLICY COMPLIANCE ONE OF BAPTIST HEALTH SOUTH FLORIDA'S GREATEST ASSETS IS THE INTEGRITY OF ITS VOLUNTEER BOARD MEMBERS. ONE WAY TO ASSURE INTEGRITY IS THEIR COMMITMENT TO A STRINGENT CONFLICT OF INTEREST POLICY FOR THEIR GOVERNING BOARDS AND MANAGEMENT. AS A PART OF A ROBUST CONFLICT OF INTEREST POLICY, BOARD MEMBERS MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST DECLARATION FORM. THE AUDIT AND COMPLIANCE DEPARTMENT MONITOR TO ENSURE ALL VOTING MEMBERS SUBMIT THE DECLARATION FORM AND PERFORM NECESSARY RESEARCH TO UNDERSTAND IF A POTENTIAL CONFLICT EXISTS. ALL DISCLOSURES AND THE RELATED RESEARCH ARE SUMMARIZED FOR THE ETHICS COMMITTEE OF THE BAPTIST HEALTH BOARD OF TRUSTEES. ANY DISCLOSURES THAT MAY RESULT IN THE APPEARANCE OF A CONFLICT ARE ADDRESSED BY THE COMMITTEE FOR ITS CONSIDERATION AND RESOLUTION.
FORM 990, PART VI, SECTION B, LINE 15	THE SOUTH FLORIDA MARKET FOR HIGHLY COMPETENT HEALTHCARE EXECUTIVES REFLECTS A VERY COMPETITIVE ENVIRONMENT FOR QUALIFIED EXECUTIVES. IT IS COMPRISED OF LARGE, NATIONAL, FOR PROFIT CHAINS AND NOT-FOR-PROFIT HOSPITAL SYSTEMS AND STAND-ALONE HOSPITALS. THE BOARD OF TRUSTEES OF BAPTIST HEALTH SOUTH FLORIDA ("BAPTIST HEALTH") SEEKS EXECUTIVES OF VISION AND LEADERSHIP TO CARRY OUT THE ORGANIZATION'S FAITH-BASED MISSION OF QUALITY CARE AND COMMUNITY SERVICE. THE BOARD EXPECTS THESE EXECUTIVES TO PROVIDE LEADERSHIP THAT WILL PLACE BAPTIST HEALTH AMONG THE BEST HEALTHCARE SYSTEMS IN THE NATION FOR QUALITY AND EXCELLENCE. THE BOARD EXPECTS EXECUTIVES TO DEMONSTRATE INTEGRITY AND LOYALTY IN THE PERFORMANCE OF THEIR DUTIES AND TO ADHERE TO BAPTIST HEALTH'S CONFLICT OF INTEREST POLICY, EXECUTIVE CODE OF CONDUCT AND ALL COMPLIANCE/ETHICS POLICIES. EXECUTIVE COMPENSATION IS CONSIDERED THE FOUNDATION TO ATTRACT AND RETAIN EXECUTIVES WITH THE TALENT, EXPERIENCE AND CHARACTER TO MEET THESE EXPECTATIONS. THE CEO OF BETHESDA HOSPITAL, INC. IS COMPENSATED BY BETHESDA HEALTH, INC., A RELATED ORGANIZATION. THE DETERMINATION OF THE COMPENSATION OF THE CEO FOLLOWS THE SAME PROCESS DELINEATED HEREIN. THE BYLAWS OF BETHESDA HEALTH, INC. DELEGATE THE AUTHORITY TO SET EXECUTIVE COMPENSATION TO BHSF. BHSF'S COMPENSATION COMMITTEE IS COMPRISED EXCLUSIVELY OF INDEPENDENT BOARD MEMBERS WHO SERVE VOLUNTARILY WITHOUT ANY REMUNERATION, AND WHO MUST ADHERE TO A STRINGENT CONFLICT OF INTEREST POLICY THAT PRECLUDES THEM OR THEIR FAMILIES FROM DOING BUSINESS WITH BAPTIST HEALTH. THE COMMITTEE IS RESPONSIBLE FOR REVIEWING THE PERFORMANCE AND APPROVING THE COMPENSATION FOR EXECUTIVES. ADDITIONALLY, INCENTIVE COMPENSATION FOR THE CEO WAS APPROVED BY BETHESDA HEALTH, INC.'S BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENTS AVAILABLE TO THE PUBLIC DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST. IN ADDITION BOTH THE FORM 990 AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC VIEWING ON THIRD PARTY WEBSITES. THE CONFLICT OF INTEREST POLICY IS AVAILABLE ON WWW.BAPTISTHEALTH.NET.
FORM 990, PART XI, LINE 9:	PENSION ADJUSTEMENT 6,865,351. NET INCREASE IN RESTRICTED ASSETS 322,805. MALPRACTICE/WORKERS COMP SELF INSURANCE FUNDS 211,443. TRANSFERS TO AFFILIATES -109,474,640.
FORM 990, PART XI, LINE 8	ON OCTOBER 1, 2017, FULL AFFILIATION OCCURED BETWEEN BETHESDA HOSPITAL, INC. AND BAPTIST HEALTH SOUTH FLORIDA, INC., AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501. THE PRIOR PERIOD ADJUSTMENT REPORTED ON FORM 990, PART XI, LINE 8 IS A RESULT OF THE ACCOUNTING FOR THE AFFILIATION. SEE ATTACHED AUDITED FINANCIAL STATEMENTS FOR FURTHER DISCUSSION.
FORM 990, PART VI, LINE 16B:	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.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- 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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

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 INSURANCE TRUST GENERAL LIABILITY FUND 2815 S SEACREST BLVD BOYNTON BEACH,FL33435 59-2447554	SELF INSURANCE TRUST	FL	5,795	415,863	BETHESDA HOSPITAL INC

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(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 ORGANIZATION	FL	501(C)(3)	12C	BHSF		No
(2)BETHESDA PAYROLL SERVICES INC 2815 S SEACREST BLVD BOYNTON BEACH,FL33435 65-0523164	PAYROLL SUPPORT	FL	501(C)(3)	12C	BHI		No
(3)BETHESDA HOSPITAL FOUNDATION INC 2815 S SEACREST BLVD BOYNTON BEACH,FL33435 59-6137805	FUNDRAISING	FL	501(C)(3)	7	BHI		No
(4)BETHESDA MEMORIAL SIT-WORKMANS COMP 2815 S SEACREST BLVD BOYNTON BEACH,FL33435 59-6775830	SELF INSURANCE TRUST	FL	501(C)(3)	12A	BHI		No
(5)BETHESDA HEALTH COMPREHENSIVE IMAGING SERVICES 2815 S SEACREST BLVD BOYNTON BEACH,FL33435 59-2771779	OUTPATIENT MEDICAL SERVICES	FL	501(C)(3)	10	BHI		No
(6)BETHESDA HEALTH OUTPATIENT SERVICES INC 2815 S SEACREAST BLVD BOYNTON BEACH,FL33435 65-0561263	OUTPATIENT MEDICAL SERVICES	FL	501(C)(3)	10	BHI		No
(7)BETHESDA MEMORIAL SIT-MALPRACTICE 2815 S SEACREST BLVD BOYNTON BEACH,FL33435 59-2230109	SELF INSURANCE TRUST	FL	501(C)(3)	12A	BHI		No
(8)AUXILIARY OF BETHESDA HOSPITAL INC 2815 S SEACREST BLVD BOYNTON BEACH,FL33435 59-6519906	FUNDRAISING	FL	501(C)(3)	12A	N/A		No
(9)BETHESDA MEMORIAL FUND INC 2815 S SEACREST BLVD BOYNTON BEACH,FL33435 23-7366401	FUNDRAISING	FL	501(C)(3)	12A	N/A		No
(10)BAPTIST HEALTH SOUTH FLORIDA 6855 RED ROAD STE 600 CORAL GABLES,FL33143 65-0267668	SUPPORT	FL	501(C)(3)	12C	N/A		No
(11)BAPTIST HOSPITAL OF MIAMI 8900 N KENDALL DRIVE MIAMI,FL33176 59-0910342	HOSPITAL	FL	501(C)(3)	3	BHSF		No
(12)BHSF REAL ESTATE FOUNDATION 6855 RED ROAD STE 600 CORAL GABLES,FL33143 65-0611015	SUPPORT	FL	501(C)(3)	12A	BHSF		No
(13)HOMESTEAD HOSPITAL 975 BAPTIST WAY HOMESTEAD,FL33033 65-0232993	HOSPITAL	FL	501(C)(3)	3	BHSF		No
(14)SOUTH MIAMI HOSPITAL 6200 SW 73 STREET MIAMI,FL33143 59-0872594	HOSPITAL	FL	501(C)(3)	3	BHSF		No
(15)MARINERS HOSPITAL 91500 OVERSEAS HIGHWAY TAVERNIER,FL33070 59-1987355	HOSPITAL	FL	501(C)(3)	3	BHSF		No
(16)WEST KENDALL BAPTIST HOSPITAL 9555 SW 162 AVENUE MIAMI,FL33196 52-2438452	HOSPITAL	FL	501(C)(3)	3	BHSF		No
(17)BAPTIST HEALTH SOUTH FLORIDA FOUNDATION 6855 RED ROAD STE 600 CORAL GABLES,FL33143 59-1923401	FUNDRAISING	FL	501(C)(3)	7	BHSF		No
(18)BAPTIST OUTPATIENT SERVICES 6855 RED ROAD STE 600 CORAL GABLES,FL33143 56-2290370	MED. DIAG.	FL	501(C)(3)	3	BHSF		No
(19)BAPTIST HEALTH MEDICAL GROUP INC 6855 RED ROAD STE 600 CORAL GABLES,FL33143 46-2597739	HEALTHCARE	FL	501(C)(3)	10	BHSF		No
(20)DOCTORS HOSPITAL 5000 UNIVERSITY DRIVE CORAL GABLES,FL33146 04-3775926	HOSPITAL	FL	501(C)(3)	3	BHSF		No
(21)MIAMI CANCER INSTITUTE AT BAPTIST HEALTH 6855 RED ROAD STE 600 CORAL GABLES,FL33143 47-3090066	HEALTHCARE	FL	501(C)(3)	10	BHSF		No
(22)FISHERMENS HEALTH INC 3301 OVERSEAS HWY MARATHON,FL33050 82-1682066	HOSPITAL	FL	501(C)(3)	3	BHSF		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2019

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	TX	BHI	RELATED	388,820	1,368,778		No			No	49.000 %
(2) KENDALL PROFESSIONAL CENTER LIMITED 6855 RED ROAD SUITE 600 CORAL GABLES,FL33143 59-2645094	LEASING OFFICE SPACE	FL	N/A
(3) BAPTIST SLEEP CENTER AT GALLOWAY LLC 6855 RED ROAD SUITE 600 CORAL GABLES,FL33143 27-1591797	MEDICAL SERVICES	FL	N/A
(4) BAPTIST SLEEP CENTERS OF SOUTH FLORIDA LLC 6855 RED ROAD SUITE 600 CORAL GABLES,FL33143 27-3597226	MEDICAL SERVICES	FL	N/A
(5) BAPTIST SURGERY AND ENDOSCOPY CENTERS LLC 6855 RED ROAD SUITE 600 CORAL GABLES,FL33143 20-1796841	MEDICAL SERVICES	FL	N/A
(6) BAPTIST HEALTH SURGERY CENTER LLC 8900 N KENDALL DRIVE MIAMI,FL33176 65-0663357	MEDICAL SERVICES	FL	N/A
(7) AMSURG BAPTIST NETWORK ALLIANCE LLC 6855 RED ROAD SUITE 600 CORAL GABLES,FL33143 47-3088958	HOLDING COMPANY	FL	N/A
(8) BAPTIST AMBULATORY ALLIANCE LLC 6855 RED ROAD SUITE 600 CORAL GABLES,FL33143 81-4431967	HOLDING COMPANY	FL	N/A
(9) HEALTH NETWORK AMBULATORY ALLIANCE LLC 6855 RED ROAD SUITE 600 CORAL GABLES,FL33143 81-4490589	HOLDING COMPANY	FL	N/A
(10) MIAMI CARDIAC AND VASCULAR INSTITUTE MANAGEMENT COMPANY 6855 RED ROAD SUITE 600 CORAL GABLES,FL33143 47-4128811	CARDIAC MEDICAL CENTER	FL	N/A
(11) MEDLEY OPPORTUNITY FUND III LP 280 PARK AVENUE 6TH FLOOR EAST NEW YORK,NY10152 47-1284126	INVESTMENT IN DEBT	NY	N/A
(12) SOUTH FLORIDA CENTER FOR ENDOSCOPY & DIGESTIVE DISEASE LLC 7875 SW 104TH ST SUITE 201 MIAMI,FL33156 65-1112489	MEDICAL SERVICES	FL	N/A
(13) MCCOY INVESTMENTS III LP 250 W 55TH ST 13D NEW YORK,NY10019 47-1225274	INVESTMENTS	NY	N/A

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 2815 S SEACREST BLVD BOYNTON BEACH,FL33435 59-2663767	HOLDING COMPANY	FL	N/A	C				No
(2) BAPTIST HEALTH ENTERPRISES INC 6855 RED ROAD SUITE 600 CORAL GABLES,FL33143 59-2572862	REAL ESTATE MGMT	FL	N/A	C				No
(3) SAMARITAN RISK RETENTION GROUP 7301 RIVERS AVENUE SUITE 230 NORTH CHARLESTON,SC29406 20-3433505	INSURANCE	SC	N/A	C				No
(4) PINEAPPLE INSURANCE COMPANY 23 LIME TREE BAY AVE PO BOX 1051 GRAND CAYMAN KY1-1102 CJ 98-0465790	INSURANCE	CJ	N/A	C				No
(5) BMAB EAST TOWER INC 6855 RED ROAD SUITE 600 CORAL GABLES,FL33143 65-4047110	LEASE OFFICE	FL	N/A	C				No
(6) BAPTIST MEDICAL SERVICES CORP 6855 RED ROAD SUITE 600 CORAL GABLES,FL33143 65-0506620	HOLDING COMPANY	FL	N/A	C				No
(7) KENDALL CREDIT & BUSINESS SERVICES INC 6855 RED ROAD SUITE 600 CORAL GABLES,FL33143 65-0434778	COLLECTION AGENCY	FL	N/A	C				No
(8) WEST KENDALL PROFESSIONAL SERVICES INC 6855 RED ROAD SUITE 600 CORAL GABLES,FL33143 65-0475570	COLLECTIONS	FL	N/A	C				No
(9) SOUTH MIAMI HEALTH ENTERPRISES INC 6855 RED ROAD SUITE 600 CORAL GABLES,FL33143 59-2623930	MEDICAL CENTER	FL	N/A	C				No
(10) EAST KENDALL INVESTMENTS INC 6855 RED ROAD SUITE 600 CORAL GABLES,FL33143 65-0593165	REAL ESTATE RENTAL	FL	N/A	C				No
(11) BAPTIST AMBULATORY SERVICES INC 6855 RED ROAD SUITE 600 CORAL GABLES,FL33143 42-1573814	HOLDING COMPANY	FL	N/A	C				No
(12) BHE REALTY INC 6855 RED ROAD SUITE 600 CORAL GABLES,FL33143 90-0152617	REAL ESTATE BROKER	FL	N/A	C				No
(13) BAPTIST ANCILLARY SERVICES INC 6855 RED ROAD SUITE 600 CORAL GABLES,FL33143 55-0800138	HOLDING COMPANY	FL	N/A	C				No
(14) BETHESDA HEALTH PHYSICIAN GROUP INC 2815 S SEACREST BLVD BOYNTON BEACH,FL33435 65-0561267	PHYSICIAN OFFICES	FL	N/A	C				No
(15) PALM BEACH CREDIT ADJUSTORS INC 2815 S SEACREST BLVD BOYNTON BEACH,FL33435 59-2507658	INVESTMENT	FL	N/A	C				No

Schedule R (Form 990) 2019

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) 2019

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) 2019

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) 2019

Additional Data

Software ID:
Software Version:

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	9
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	8
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	3,060
6	Total number of volunteers (estimate if necessary) .............	6	509
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	476,952
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	-36,092

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,205,013	2,451,598
9	Program service revenue (Part VIII, line 2g) .........	321,557,249	324,103,524
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	2,704,201	9,237,105
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,761,615	3,762,324
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	330,228,078	339,554,551
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	142,027	110,090
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	138,212,276	141,435,766
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	222,282,334	209,804,788
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	360,636,637	351,350,644
19	Revenue less expenses. Subtract line 18 from line 12.......	-30,408,559	-11,796,093
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	360,086,699	262,262,853
21	Total liabilities (Part X, line 26).............	89,643,554	107,777,797
22	Net assets or fund balances. Subtract line 21 from line 20.....	270,443,145	154,485,056

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 307,961,099 including grants of $ 110,090 ) (Revenue $ 324,278,641 )
	SEE 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 expenses307,961,099

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	930,964	1,744,300	372,355

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	2,324,102
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	127,496

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		2,451,598

		Business Code
2a	PATIENT SERVICE REVENU	622110	322,319,257	322,319,257
b	AFFILIATE PROGRAM REVE	518210	1,301,167	1,301,167
c	LAB REVENUE	621500	476,952		476,952
d	CLINICAL RESEARCH	621500	6,148	6,148
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		324,103,524

3 Investment income (including dividends, interest, and othersimilar amounts) ......			234,794			234,794
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		786,340	6a
b	Less: rental expenses		224,634	6b
c	Rental income or (loss)		561,706	6c
d	Net rental income or (loss).......			561,706			561,706
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	3,122	90,887,216	7a
b	Less: cost or other basis and sales expenses	143,751	81,744,276	7b
c	Gain or (loss)	-140,629	9,142,940	7c
d	Net gain or (loss).........			9,002,311			9,002,311
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	FOOD SALES		722210	1,679,260			1,679,260
b	CHILDCARE		624410	723,847			723,847
c	FEMA REIMBURSEMENTS		900099	175,117	175,117
d	All other revenue ....			622,394			622,394
e	Total. Add lines 11a–11d ......			3,200,618
12	Total revenue. See instructions.....			339,554,551	323,801,689	476,952	12,824,312

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	110,090	110,090
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	60,468	60,468
7	Other salaries and wages........	117,303,921	107,294,221	10,009,700
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	3,284,740	2,989,113	295,627
9	Other employee benefits .......	12,239,304	11,120,354	1,118,950
10	Payroll taxes ...........	8,547,333	7,778,073	769,260
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	2,713,649	2,550,830	162,819
c	Accounting ...........	47,883		47,883
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	106,820		106,820
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	34,511,713	18,583,286	15,928,427
12	Advertising and promotion ....	19,711	16,379	3,332
13	Office expenses .......	19,342,565	19,071,070	271,495
14	Information technology ......	7,173,571	5,732,931	1,440,640
15	Royalties ..
16	Occupancy ...........	6,612,898	5,245,393	1,367,505
17	Travel ............	652,458	630,323	22,135
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	128,313	64,429	63,884
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	23,084,094	18,467,276	4,616,818
23	Insurance ...	28,136,849	21,073,655	7,063,194
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	MEDICAL SUPPLIES	63,016,291	63,016,291
b	PROVISION FOR BAD DEBT	19,915,346	19,915,346
c	ASSESSMENT FLPMA	4,023,101	4,023,101
d	MEMBERSHIP AND LICENSES	319,526	218,470	101,056
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	351,350,644	307,961,099	43,389,545	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 ........			14,887	1	6,400
2	Savings and temporary cash investments .........			4,065,648	2	2,750,850
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			48,071,060	4	44,020,075
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			7,107,769	8	7,571,656
9	Prepaid expenses and deferred charges ......			8,282,643	9	7,441,520
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	188,513,889
b	Less: accumulated depreciation	10b	23,100,870	183,777,424	10c	165,413,019
11	Investments—publicly traded securities .			80,854,242	11	7,647,910
12	Investments—other securities. See Part IV, line 11 .....			8,095,353	12	0
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			19,817,673	15	27,411,423
16	Total assets. Add lines 1 through 15 (must equal line 33)...			360,086,699	16	262,262,853

17	Accounts payable and accrued expenses .....	15,545,708	17	16,634,508
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 any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			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	74,097,846	25	91,143,289
26	Total liabilities. Add lines 17 through 25..	89,643,554	26	107,777,797

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	270,443,145	32	154,485,056
33	Total liabilities and net assets/fund balances ........	360,086,699	33	262,262,853