2022-05-13T12:21:32-05:00 2021-06-30 366055558 GRANT THORNTON LLP 2001 MARKET STREET SUITE 700 PHILADELPHIA PA 19103 990 2020-07-01 510319455 BEEBE MEDICAL FOUNDATION BEEB 3026442900 902 SAVANNAH ROAD LEWES DE 19958 PAUL PERNICE CFO 3026442900 2022-05-13 1 PAUL PERNICE 999009999 ALYCIA SOLECKI P01272637 2155614200 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z TOM PROTACK PRESIDENT 902 SAVANNAH ROAD LEWES DE 19958 6195702 0 X WWW.BEEBEFOUNDATION.ORG X 1989 DE SEE SCHEDULE OTHE MISSION OF BEEBE MEDICAL FOUNDATION IS TO IDENTIFY AND SECURE PHILANTHROPHIC SUPPORT AND INTEREST OF THE GREATER BEEBE HEALTHCARE COMMUNITY. 19 17 0 200 0 0 7309189 5178486 0 0 512690 369561 235270 511655 8057149 6059702 12726498 4810688 0 0 1082171 965050 39900 0 887750 388870 284643 14237439 6060381 -6180290 -679 31976716 36267660 461949 519865 31514767 35747795 X THE MISSION OF BEEBE MEDICAL FOUNDATION IS TO IDENTIFY AND SECURE PHILANTHROPIC SUPPORT AND INTEREST OF THE GREATER BEEBE HEALTHCARE COMMUNITY FOR THE VARIOUS BUILDING PROGRAMS AND SERVICES PROVIDED BY BEEBE HEALTHCARE, INC. 0 0 4364759 4364759 BEEBE MEDICAL FOUNDATION FUNDED CAPITAL EQUIPMENT PURCHASES FOR BEEBE MEDICAL CENTER AS FOLLOWS: $4,121,716 FOR SOUTH COASTAL HEALTH CAMPUS, $80,140 FOR COVID CEPHEID UPGRADE, $51,567 NEW VEHICLE, $41,622 FOR SCHOOL OF NURSING CAMERAS AND MICROPHONES, $33,870 SABELLA FLEX BREAST SYSTEM, $25,000 TWIAGE SUBSCRIPTION, $13,000 TRAUMA INFORMED INITIATIVE, $12,745 PORTABLE FETAL MONITOR, $12,143 VENTILATOR HEATERS & COMPONENTS, $10,784 FETAL MONITOR UPGRADE, $6,044 PULMONARY BIKE, $5,645 TREADMILL, $2,894 SONICONE HANDPIECE. 362373 362373 BEEBE MEDICAL FOUNDATION FUNDED EXPENSES FOR OPERATIONAL EXPENSES PAID BY BEEBE MEDICAL CENTER AS FOLLOWS: $143,310 TRAVEL NURSE EXPENSES; $52,329 GULL HOUSE RENT; $43,622 IS SOFTWARE UPDATES; $34,053 CARVAS REGISTRY EXPENSES; $27,095 WOMEN'S HEALTH BIOMED MAINTENANCE; $17,565 MIH 1 SCEMS; $12,427 SCHOOL OF NURSING PROFESSIONAL DEVELOPMENT; $6,736 PALLIATIVE CARE ATHENA EXPENSES; $6,627 WOMEN'S HEALTH SLEEP SACS; $4,487 CONTRAST MEDIA RADIOLOGY; $3,557 ONCOLOGY ARIA 8; $3,150 IPADS FOR PATIENT USE; $1,826 ONCOLOGY INTEGRATIVE HEALTH EXPENSES; $1,791 ONCOLOGY PICNIC TABLES; $1,069 NEPHROLOGY - TESTING KITS; $858 VACCINATE IN 48 EXPENSES; $825 ONCOLOGY BREAST FUND PATIENT EXPENSES; $684 LACTATION - BREAST PUMP & MILK INITIATION KIT; $200 GEORGETOWN BUILDING IMPROVEMENTS; $162 DIABETES MEDICAL WASTE EXPENSES. 56356 56356 BEEBE MEDICAL FOUNDATION FUNDED EXPENSES FOR PROGRAMS MANAGED BY BEEBE MEDICAL CENTER AS FOLLOWS: $21,202 TUNNEL CANCER CENTER SPECIAL NEEDS PROGRAM; $12,150 MIH 1 SCEMS; $10,095 MOBILE INTEGRATED HEALTH - TRAINING & PARAMEDIC SERVICES; $4,047 REACH OUT AND READ BOOKS; $4,032 POPULATION HEALTH - SENIOR FOOD VOUCHER PROGRAM; $2,473 BOOK BAGS FOR FIRST BOOK INITIATIVE; $804 SCHOOL OF NURSING WALK TO REMEMBER EXPENSES; $793 FOOD FOR COVID WORKERS; $760 POP HEALTH SPECIAL NEEDS PROGRAM 27200 27200 OTHER EXPENSES: $27,200 SCHOOL OF NURSING SCHOLARSHIPS 27200 27200 4810688 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 1 0 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 X 19 17 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 CT DC FL MD NJ NY PA VA X JUSTEN ALBRIGHT 3026442900 902 SAVANNAH ROAD LEWES DE 19958 DAVID TAM MD DIRECTOR/BMC PRESIDENT & CEO 2.00 42.00 X X 0 735826 24491 JEFFREY FRIED FORMER DIRECTOR/ FORMER BMC PRES. & CEO 0.00 0.00 X 0 696000 0 PAUL PERNICE TREASURER/BMC CFO 1.00 44.00 X X 0 583321 7452 THOMAS PROTACK PRESIDENT, BEEBE MEDICAL FOUNDATION 40.00 0.00 X 0 198838 12921 ALICIA YOUNG EXECUTIVE DIRECTOR - FOUNDATION 40.00 0.00 X 0 109401 9702 CHRISTIAN HUDSON CHAIR 1.00 0.00 X X 0 0 0 CHARLES BURTON VICE CHAIR 1.00 0.00 X X 0 0 0 CINDY SZABO SECRETARY 1.00 0.00 X X 0 0 0 JACK BERBERIAN DIRECTOR 1.00 0.00 X 0 0 0 JENNIFER CARROLL DIRECTOR 1.00 0.00 X 0 0 0 LYNDIE HERTRICH DIRECTOR 1.00 0.00 X 0 0 0 SEN GERALD HOCKER DIRECTOR 1.00 0.00 X 0 0 0 LYNN KOKJOHN DIRECTOR 1.00 0.00 X 0 0 0 ALAN LEVIN DIRECTOR 1.00 0.00 X 0 0 0 NANCY LEVENSON DIRECTOR 1.00 0.00 X 0 0 0 MARNIE OURSLER DIRECTOR 1.00 0.00 X 0 0 0 KEITH PARSELL DIRECTOR 1.00 0.00 X 0 0 0 ANN RASKAUSKAS DIRECTOR 1.00 0.00 X 0 0 0 SCOTT ROYAL DIRECTOR 1.00 0.00 X 0 0 0 KHALIL SALIBA DIRECTOR 1.00 0.00 X 0 0 0 PAUL TOWNSEND DIRECTOR 1.00 0.00 X 0 0 0 MINDI TUNNELL DIRECTOR 1.00 0.00 X 0 0 0 TED BECKER EMERITUS MEMBER 1.00 0.00 X 0 0 0 JOE HUDSON EMERITUS MEMBER 1.00 0.00 X 0 0 0 DAVID HERBERT EX-OFFICIO MEMBER 1.00 2.00 X 0 0 0 PAUL MYLANDER EMERITUS MEMBER 1.00 0.00 X 0 0 0 BRADLEY L TRAVIS JR EX-OFFICIO MEMBER 1.00 0.00 X 0 0 0 0 2323386 54566 0 1 1 0 0 12750 1163249 4002487 5178486 369561 369561 601735 12750 136000 465735 465735 TRUST INCOME 900099 45920 45920 45920 6059702 0 0 881216 4783488 4783488 27200 27200 416741 75013 341728 505572 112647 392925 42737 12487 30250 93227 93227 94289 19264 75025 40316 17907 22409 27064 27064 2690 2690 976 976 668 668 DONOR CULTIVATION 25413 25413 6060381 4810688 361943 887750 1277525 519865 6452974 3021938 9762 11276 69050 66920 2798 2130 24233657 32712451 0 0 31976716 36267660 461949 519865 0 0 0 0 461949 519865 X 4103770 6463902 27410997 29283893 31514767 35747795 31976716 36267660 -679 4233707 0 X 0 1 X 1 0 X X 1 BEEBE MEDICAL CENTER INC 510067938 3 0 4761243 0 1 4761243 0 4501019 14593972 6799922 7309189 5178486 38382588 4501019 14593972 6799922 7309189 5178486 38382588 8174174 30208414 292367 256444 458252 512610 369561 1889234 852838 784902 984170 101476 647655 3371041 43642863 0.69220 0.86810 X 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 6 DETAIL OF OTHER SUPPORT THROUGH A GRANT FROM SUSAN G. KOMEN, THE TUNNELL CANCER CENTER PARTNERS WITH BEEBE MEDICAL CENTER AND NANTICOKE MEMORIAL HOSPITAL TO PROVIDE BREAST CANCER SERVICES IN SUSSEX COUNTY TO LOW INCOME WOMEN. THIS SERVICE INSURES THAT THESE WOMEN OBTAIN THE SCREENING AND SUBSEQUENT TREATMENT THAT THEY WOULD OTHERWISE NOT RECEIVE. SOUTHERN DELAWARE IMAGING AND DELMARVA RADIOLOGY ARE UTILIZED AND REIMBURSED FOR READING THE TESTS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11151747 426602 3881526 305782 15154093 9838772 125521 1426633 239179 11151747 7439153 2041875 574329 216585 9838772 6923477 99150 615755 199229 7439153 5857316 60679 1226185 220703 6923477 0.35500 0.31100 0.33400 0 0 69050 66920 2130 2130 X PART V, LINE 4: INTENDED USE OF ORGANIZATION'S ENDOWMENT FUNDS: ANNUAL DISTRIBUTION OF 3.5% OF TRAILING 12 QUARTER MARKET VALUE TO PURCHASE EQUIPMENT, FUND SCHOLARSHIPS AND SUPPORT MEDICAL CENTER SERVICES AND PROGRAMS. PART X, LINE 2: FIN 48 (ASC 740) THE SYSTEM FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTIES IN INCOME TAX POSITIONS WHICH REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS. X X X X X X 0 CT DC FL MD NJ NY PA VA BEACH BASH 244750 12750 232000 5285 29956 24123 BEACH BALL 183500 183500 14004 3 186235 186235 62632 614485 12750 601735 5285 29956 100759 136000 465735 1 BEEBE MEDICAL CENTER INC 424 SAVANNAH ROAD LEWES DE 19958 510067938 501(C)(3) 4761243 EQUIPMENT & SERVICES SUSSEX COUNTY COUNCIL PO BOX 589 GEORGETOWN DE 19947 516000161 501(C)(3) 22245 TRAINING & PARAMEDIC SERVICES 2 0 BEEBE MEDICAL CENTER - NURSING SCH UNDER $5K 9 16000 SCHOLARSHIPS & AWARDS BEEBE MEDICAL CENTER - NURSING EXAM FEES 56 11200 NCLEX STUDENT EXAM FEES SCHEDULE I, PART II GRANTS TO BEEBE MEDICAL CENTER, INC. DONATIONS RECEIVED THAT ARE RESTRICTED FOR A SPECIFIC PURPOSE ARE RECORDED IN TEMPORARILY RESTRICTED FUND ACCOUNTS FOR THAT PURPOSE. MEDICAL CENTER DEPARTMENT DIRECTORS REQUEST FUNDS FOR EQUIPMENT AND SERVICES. REQUESTS ARE APPROVED BY THE VICE PRESIDENTS AND PRESIDENT/CEO AND ARE SUBMITTED TO THE FOUNDATION BOARD OF DIRECTORS FOR APPROVAL TO DISBURSE. EQUIPMENT, DIAGNOSTIC SERVICES AND PROGRAMS ARE PAID BY BEEBE MEDICAL CENTER AND BILLED TO THE FOUNDATION FOR REIMBURSEMENT. NURSING SCHOLARSHIPS ARE AWARDED ANNUALLY FROM RESTRICTED DONATIONS, TRUST INCOME AND ENDOWMENT SPENDING ALLOCATIONS. BEEBE SCHOOL OF NURSING HAS SCHOLARSHIP CRITERIA BASED ON MERIT OR FINANCIAL NEED OF STUDENTS. A SELECTION COMMITTEE REVIEWS APPLICATIONS AND AWARDS SCHOLARSHIP AMOUNTS TO STUDENTS BASED ON MEETING THE CRITERIA AND THE AMOUNT OF FUNDS AVAILABLE. X X X X 1 0 0 0 0 0 0 0 0 DAVID TAM MD DIRECTOR/BMC PRESIDENT & CEO 0 542768 0 0 0 193058 0 4097 0 20394 0 760317 0 0 JEFFREY FRIED FORMER DIRECTOR/ FORMER BMC PRES. & 0 0 0 0 0 696000 0 0 0 0 0 696000 0 0 PAUL PERNICE TREASURER/BMC CFO 0 470768 0 0 0 112553 0 5700 0 1752 0 590773 0 0 THOMAS PROTACK PRESIDENT, BEEBE MEDICAL FOUNDATION 0 187023 0 0 0 11815 0 2892 0 10029 0 211759 0 0 PART I, LINE 3 THE BOARD OF DIRECTORS OF BEEBE MEDICAL CENTER, INC. APPROVES THE COMPENSATION OF THE EXECUTIVE DIRECTOR. AN INDEPENDENT COMPENSATION CONSULTANT IS UTILIZED TO COMPILE SALARY INFORMATION FOR THIS POSITION. MINUTES OF MEETINGS ARE MAINTAINED TO DOCUMENT DELIBERATION AND DECISIONS. X AUCTION ITEMS 9 12750 VALUED BY DONORS 0 1 0 FORM 990, PART VI, SECTION A, LINE 7A BEEBE MEDICAL CENTER, INC. HAS THE POWER TO APPROVE THE ELECTION OF ANY DIRECTOR OF THE FOUNDATION AND AT LEAST A SIMPLE MAJORITY OF THE FOUNDATION'S BOARD MUST ALSO SERVE ON THE BOARD OF BEEBE MEDICAL CENTER, INC. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS REQUIRE THE APPROVAL OF BEEBE MEDICAL CENTER, INC.: (1) ANY AMENDMENT OF THE FOUNDATION'S CHARTER, CERTIFICATE OF INCORPORATION, OR BYLAWS; (2) ELECTION OR REMOVAL OF ANY DIRECTOR, INCLUDING REPLACEMENT OF DIRECTORS IN THE EVENT OF A VACANCY; (3) ANY SALE OR LEASE OF FOUNDATION PROPERTY THAT HAS BEEN DONATED; (4) ANY BORROWING ON BEHALF OF THE FOUNDATION; AND (5) DISSOLUTION OF BEEBE MEDICAL FOUNDATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED INTERNALLY BY MANAGEMENT OF BEEBE MEDICAL CENTER, INC. THE RETURN IS REVIEWED BY A THIRD PARTY ACCOUNTING FIRM, GRANT THORNTON LLP. A COPY OF THE FORM 990 WAS PROVIDED TO THE GOVERNING BODY BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C BEEBE MEDICAL FOUNDATION ADOPTED THE FORMAL WRITTEN CONFLICT OF INTEREST POLICY OF BEEBE MEDICAL CENTER, INC. CONFLICT OF INTEREST STATEMENTS ARE REQUIRED ANNUALLY FOR ALL BOARD MEMBERS, EXECUTIVES AND ALL MANAGEMENT TEAM MEMBERS. NON-MANAGEMENT TEAM MEMBERS ARE REQUIRED TO SUBMIT A CONFLICT OF INTEREST STATEMENT UPON HIRE. CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY THE BOARD AND AUDIT COMMITTEE FOR THE EXISTENCES OF ANY ADVERSE INTEREST. FORM 990, PART VI, SECTION B, LINE 15B THE BOARD OF DIRECTORS OF BEEBE MEDICAL CENTER AND BEEDE MEDICAL FOUNDATION APPROVE THE COMPENSATION OF THE EXECUTIVE DIRECTOR AND KEY EMPLOYEES (IF ANY). AN INDEPENDENT CONSULTANT IS UTILIZED TO COMPILE SALARY INFORMATION FOR THIS POSITION. MINUTES OF THE MEETINGS ARE MAINTAINED TO DOCUMENT DELIBERATIONS AND DECISIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. BEEBE MEDICAL CENTER INC 424 SAVANNAH ROAD LEWES DE 19958 510067938 HEALTHCARE DE 501(C)(3) LINE 3 N/A 0 BEEBE PHYSICIAN NETWORK PO BOX 760 LEWES DE 19958 522011066 PHYS SERVICES DE 501(C)(3) LINE 9 BEEBE MED CT 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0