2018-08-15T13:45:57-05:00 2017-09-30 861065772 DELOITTE TAX LLP 201 N FRANKLIN STREET SUITE 3600 TAMPA FL 336025818 990 2016-10-01 596137805 BETHESDA HOSPITAL FOUNDATION INC BETH 5617377733 2815 S SEACREST BLVD BOYNTON BEACH FL 33435 JOANNE I AQUILINA VP OF FINANCE/CFO 5617377733 2018-08-15 1 P00648526 8132738355 2016 2022-09-23 18:48:47Z W HOWARD ELLINGSWORTH 2815 S SEACREST BLVD BOYNTON BEACH FL 33435 17393457 0 X WWW.BETHESDAHOSPITALFOUNDATION.ORG X 1947 FL BETHESDA HOSPITAL FOUNDATION IS A NOT-FOR-PROFIT ORGANIZATION ESTABLISHED FOR THE BENEFIT AND SUPPORT OF BETHESDA HOSPITAL. ITS PURPOSE IS TO ASSIST THE HOSPITAL IN ACCOMPLISHING ITS MISSION THROUGH THE ACQUISITION, MANAGEMENT AND DISBURSEMENT OF PHILANTHROPIC ASSETS AND BY BUILDING SUPPORT OF THE HOSPITAL WITHIN THE COMMUNITY. 25 25 10 25 0 0 4754227 4456915 0 0 437852 1330710 -471116 -294637 4720963 5492988 1910353 1988931 0 0 836774 851062 0 0 907940 351785 211346 3098912 3051339 1622051 2441649 42831706 47239924 2032666 1943604 40799040 45296320 X SEE SCHEDULE O 0 0 1713931 1713931 THE BETHESDA HOSPITAL FOUNDATION, CELEBRATING OVER 65 YEARS OF SERVICE TO THE COMMUNITY, REMAINS COMMITTED TO RAISING AWARENESS AND RAISING FUNDS TO PROVIDE WORLD-CLASS HEALTHCARE IN OUR COMMUNITY. WITH BETHESDA'S EXPANDING ROLE AS A LEADER IN REGIONAL HEALTHCARE AND THE DRAMATIC GROWTH IN THE COMMUNITY WE SERVE, BETHESDA'S PLANS HAVE RAPIDLY PROGRESSED WITH THE OPENING OF PALM BEACH COUNTY'S NEWEST HOSPITAL IN JANUARY 2013. WITH COMMUNITY SUPPORT, BETHESDA WILL PREPARE FOR THE FUTURE AND ENSURE QUALITY CARE FOR EACH AND EVERY RESIDENT IN OUR COMMUNITY. 275000 275000 BETHESDA HOSPITAL FOUNDATION PROVIDES FUNDING TO BETHESDA HOSPITAL FOR THE DRISKILL CENTER FOR CARING, WHOSE MISSION IS TO TEACH CAREGIVERS TO EFFECTIVELY INTEGRATE CARING AND CLINICAL SKILLS, SUCH THAT A PHILOSOPHY OF "CARING EXCELLENCE" BECOMES THE CULTURE THROUGHOUT BETHESDA HOSPITAL. THE DRISKILL ENDOVASCULAR CENTER ALLOWS SURGEONS TO CARE FOR PATIENTS WITH VASCULAR PROBLEMS USING MINIMALLY INVASIVE PROCEDURES. 1988931 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 27 0 1 10 1 0 0 0 0 0 1 1 0 0 0 0 X 25 25 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X JOANNE AQUILINA 5617377733 2815 S SEACREST BLVD BOYNTON BEACH FL 33435 W HOWARD ELLINGSWORTH CHAIR 2.00 0.00 X X 0 0 0 STEVEN M LITINSKY VICE CHAIR 2.00 4.00 X X 0 0 0 IRENE STOLFI BURNS SECRETARY 2.00 0.00 X X 0 0 0 J GARY KOSINSKI JR TREASURER 2.00 0.00 X X 0 0 0 MARIE Y BEDNER DIRECTOR 2.00 4.00 X 0 0 0 MARY J BLUM DIRECTOR BEG 10/16 2.00 0.00 X 0 0 0 DEBRA A ELMORE DIRECTOR 2.00 0.00 X 0 0 0 CHARLES W BOWIE DIRECTOR BEG 10/16 2.00 0.00 X 0 0 0 MICHAEL TB DENNIS MD DIRECTOR ENDED 9/17 2.00 0.00 X 0 0 0 STACEY M HALLBERG DIRECTOR 2.00 0.00 X 0 0 0 ANN P HEILAKKA DIRECTOR 2.00 0.00 X 0 0 0 CARRIE P HILL DIRECTOR BEG 10/16 2.00 0.00 X 0 0 0 PASCAL J LIGUORI DIRECTOR BEG 10/16 2.00 0.00 X 0 0 0 BRUCE H LYNN DIRECTOR 2.00 0.00 X 0 0 0 MICHAEL M MCCARTHY DIRECTOR BEG 10/16 2.00 0.00 X 0 0 0 MICHAEL M MULLIN III DIRECTOR 2.00 0.00 X 0 0 0 JOHN I MURRAY DIRECTOR 2.00 0.00 X 0 0 0 STORMET C NOREM DIRECTOR 2.00 4.00 X 0 0 0 JOHN R PASQUAL DMD DIRECTOR 2.00 0.00 X 0 0 0 KAREN M ROGERS DIRECTOR 2.00 0.00 X 0 0 0 THOMAS M STANLEY ESQ DIRECTOR 2.00 0.00 X 0 0 0 RICHARD J VIENS DIRECTOR BEG 10/16 2.00 0.00 X 0 0 0 WARREN L VODAK DIRECTOR 2.00 0.00 X 0 0 0 CHARLES L WHITE III DIRECTOR ENDED 9/17 2.00 0.00 X 0 0 0 BETTINA YOUNG DIRECTOR ENDED 9/17 2.00 0.00 X 0 0 0 ROGER L KIRK PRESIDENT 2.00 52.00 X 0 1199810 122551 KAY HARVEY EXECUTIVE DIRECTOR 40.00 0.00 X 252776 0 59194 JOHN LANDRY-ODELL MAJOR GIFTS/PLAN GIVING DIR 40.00 0.00 X 129860 0 22349 382636 1199810 204094 2 0 1 0 0 1051880 3405035 469146 4456915 827787 827787 11777234 11274311 502923 502923 502923 268394 1051880 564586 -296192 -296192 63127 61572 1555 1555 5492988 0 0 1036073 1988931 1988931 256477 38471 218006 582291 3467 578824 -71288 -3564 -67724 38442 1922 36520 45140 2257 42883 3623 3623 24416 24416 31007 31007 53638 8150 45488 30907 30907 3986 3986 685 685 2403 1834 569 1286 1286 PROVISION FOR BAD DEBTS 19450 19450 PROSPECT RESEARCH 18874 18874 ALL OTHER EXPENSES 11249 1471 9778 POSTAGE 9822 9822 3051339 1988931 154468 907940 300 300 4804079 5376667 2724636 2382272 0 0 0 0 0 0 0 0 0 0 76813 130406 162461 157170 7694 5291 31306728 35499629 3911456 3845359 42831706 47239924 127133 141305 1905533 1802299 2032666 1943604 X 21993740 24846197 17558559 19203382 1246741 1246741 40799040 45296320 42831706 47239924 X 2441649 2180659 -125028 X 0 1 X 1 0 X 6254434 4916081 6220525 4753727 4456915 26601682 6254434 4916081 6220525 4753727 4456915 26601682 1883246 24718436 724292 836214 1227663 1392977 1330710 5511856 469984 304735 382350 -596971 -294637 265461 32378999 0.76340 0.71250 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 21777094 0 2490016 0 360452 23906658 20297259 0 1841966 0 362131 0 21777094 21966433 0 -1302981 0 366193 0 20297259 20756493 63700 1504343 0 358103 0 21966433 19276731 0 1839883 0 329789 30332 20756493 0.70500 0.24300 0.05200 0 0 162461 157170 5291 5291 RECEIVABLES UNDER CONTRIBUTION AGREEMENTS - NET 3845359 3845359 DEFERRED PLANNED GIVING ANNUITIES 1802299 1802299 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED TO SUPPORT BETHESDA HEALTH AND AFFILIATES IN THE PROVISION OF QUALITY HEALTH CARE SERVICES TO THE SURROUNDING COMMUNITY. PART X, LINE 2: THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT BHS, BPS, BHOS, BHCIS, THE FOUNDATION, AND THE HOSPITAL ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). ALL OTHER AFFILIATES OF BHS ARE FOR-PROFIT ENTITIES THAT FILE A CONSOLIDATED TAX RETURN. AS OF SEPTEMBER 30, 2017 AND 2016, THE CONSOLIDATED FOR-PROFIT ENTITIES HAVE RECORDED A PROVISION FOR INCOME TAX IN ACCORDANCE WITH ASC TOPIC 740, INCOME TAXES. THE SYSTEM APPLIES THE PROVISIONS OF ASC TOPIC 740 TO EVALUATE UNCERTAIN TAX POSITIONS. THIS GUIDANCE CREATES A SINGLE MODEL TO ADDRESS UNCERTAIN INCOME TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MORE-LIKELY-THAN-NOT MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. UNDER THE REQUIREMENT OF ASC TOPIC 740, TAX-EXEMPT ORGANIZATIONS MAY BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. THERE WERE NO UNCERTAIN TAX PROVISIONS RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS AT SEPTEMBER 30, 2017 AND 2016. PART XI, LINE 4(B) CHANGE IN VALUE OF SPLIT INTEREST OBLIGATION BETHESDA BALL 485139 392139 93000 0 0 0 133363 22500 97944 WOMEN OF GRACE LUNCHEON 259030 204980 54050 0 0 19828 63998 0 34012 5 576105 454761 121344 0 0 19086 54273 1350 118232 1320274 1051880 268394 38914 251634 23850 250188 564586 -296192 63127 36720 24852 0 0 1 1.00000 63127 36720 24852 61572 1555 FL 0 A GAMING LICENSE IS NOT REQUIRED IN FLORIDA. 0 0 0 0.00000 1.00000 DONNA SEYMOUR 2815 S SEACREST BLVD BOYNTON BEACH FL 33435 0 PAULA HENDERSON 675 MANAGES GAMING ACTIVITIES X 0 SCHEDULE G, PART III, LINE 16 - GAMING MANAGER COMPENSATION ONLY 1% OF PAULA HENDERSON'S TIME IS RELATED TO GAMING; THEREFORE ONLY 1% OF HER COMPENSATION IS SHOWN AS GAMING COMPENSATION. 1 BETHESDA HOSPITAL INC 2815 SOUTH SEACREST BLVD BOYNTON BEACH FL 33435 592447554 501(C)(3) 1988931 FMV TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY 1 0 PART I, LINE 2: UNRESTRICTED FUNDS INCLUDED IN THE GRANT PAID TO BETHESDA HOSPITAL CAN BE USED FOR ANY PURPOSE NECESSARY TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY. DONOR-RESTRICTED FUNDS INCLUDED IN THE GRANT PAID TO BETHESDA HOSPITAL MUST BE USED FOR PURPOSES RELATED TO THE DONOR'S RESTRICTIONS. THESE FUNDS ARE NOT TRANSFERRED TO THE HOSPITAL UNTIL EVIDENCE HAS BEEN PRESENTED THAT AMOUNTS HAVE BEEN SPENT BY THE HOSPITAL FOR SUCH PURPOSES. 0 1 0 0 0 0 0 0 0 ROGER L KIRK PRESIDENT 0 615888 0 20 0 583902 0 107299 0 15252 0 1322361 0 0 KAY HARVEY EXECUTIVE DIRECTOR 246298 0 20 0 6458 0 50466 0 8728 0 311970 0 0 0 JOHN LANDRY-ODELL MAJOR GIFTS/PLAN GIVING DIR 126358 0 20 0 3482 0 11436 0 10913 0 152209 0 0 0 PART I, LINE 1A THE ORGANIZATION'S PRESIDENT IS PAID BY BETHESDA HEALTH, INC. (A RELATED ORGANIZATION). BETHESDA HEALTH, INC. USES THE FOLLOWING TO DETERMINE HIS COMPENSATION: INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD. PART I, LINE 4B THE ORGANIZATION MAINTAINS A 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. DURING 2016, THE FOLLOWING PAYMENTS WERE MADE TO THE PLAN: ROGER L. KIRK - $56,899 X 18 436253 COST OR SELLING PRICE X GIFTS-IN-KIND 76 32893 COST OR SELLING PRIC 0 0 1 0 FORM 990, PART III, LINE 1 BETHESDA HOSPITAL FOUNDATION IS A NOT-FOR-PROFIT ORGANIZATION ESTABLISHED FOR THE BENEFIT AND SUPPORT OF BETHESDA HOSPITAL. ITS PURPOSE IS TO ASSIST THE HOSPITAL IN ACCOMPLISHING ITS MISSION THROUGH THE ACQUISITION, MANAGEMENT AND DISBURSEMENT OF PHILANTHROPIC ASSETS AND BY BUILDING SUPPORT OF THE HOSPITAL WITHIN THE COMMUNITY. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE OFFICERS OF THE FOUNDATION, EXCEPT FOR THE EXECUTIVE DIRECTOR, WITH AT LEAST TWO BUT NO MORE THAN FIVE ADDITIONAL MEMBERS OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 4 THE ARTICLES OF INCORPORATION WERE AMENDED DURING THE FISCAL YEAR TO ADD TWO VOTING MEMBERS TO THE BOARD OF DIRECTORS. SUCH CHANGES ARE EFFECTIVE OCTOBER 1, 2017. 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. HAS THE AUTHORITY TO APPROVE THE APPOINTMENT, REPLACEMENT OR REMOVAL OF THE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B BETHESDA HEALTH, AS THE SOLE MEMBER SHALL HAVE THE ABSOLUTE RIGHT TO TAKE THE FOLLOWING UNILATERAL ACTIONS ON BEHALF OF AND IN THE NAME OF THE FOUNDATION: -ADOPTING A PLAN OF DISSOLUTION OF THE FOUNDATION; -AUTHORIZING THE FOUNDATION TO ENGAGE IN, OR ENTER INTO, ANY TRANSACTION PROVIDING FOR: (I) THE SALE, MORTGAGE, GRANTING A SECURITY INTEREST IN ITS GROSS REVENUES, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE FOUNDATION; OR (II) THE FOUNDATION TO ENTER INTO A FINANCING PLAN WITH BETHESDA HEALTH AND ONE OR MORE OF ITS OTHER AFFILIATES IN WHICH THE FOUNDATION WOULD BE UNCONDITIONALLY AND IRREVOCABLY LIABLE, JOINTLY AND SEVERALLY, FOR THE PAYMENT OF AN OBLIGATION ENTERED INTO BY BETHESDA HEALTH EITHER BY VIRTUE OF A GUARANTEE OR BECOMING A MEMBER OF AN OBLIGATED GROUP CONSISTING OF BETHESDA HEALTH AND ONE OR MORE OF ITS AFFILIATES; -ADOPTING A PLAN OF REORGANIZATION OR THE MERGER OR CONSOLIDATION OF THE FOUNDATION WITH ANOTHER ENTITY; -APPROVING THE BOARD'S APPOINTMENT OR REMOVAL OF THE ATTORNEYS, ACCOUNTANTS OR AUDITORS OF THE FOUNDATION; -TO APPROVE THE APPOINTMENT, REPLACEMENT OR REMOVAL OF THE DIRECTORS OF THE FOUNDATION; -ADOPTING OR AMENDING THE ARTICLES OF INCORPORATION OF THE BYLAWS OF THE FOUNDATION; -ADOPTING OR PERMITTING ANY CHANGE TO ANY STRATEGIC MASTER PLANS OR POLICIES OF THE FOUNDATION; -AUTHORIZING THE VOLUNTARY FILING OF ANY PETITION IN BANKRUPTCY; AND -ADOPTING ANY ANNUAL OR LONG-TERM CAPITAL OR OPERATIONAL BUDGET OR ANY CHANGES THEREIN. FORM 990, PART VI, SECTION B, LINE 11B THE EXECUTIVE DIRECTOR OF THE FOUNDATION AND CHIEF FINANCIAL OFFICER OF BETHESDA HEALTH, INC. REVIEW THE FORM 990 AND ALL REQUIRED SUPPORTING SCHEDULES. THE FORM 990 IS THEN PROVIDED TO THE BOARD OF TRUSTEES OF THE ORGANIZATION FOR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS ANY TRUSTEE, DIRECTOR, OFFICER OR MEMBER OF ANY COMMITTEE OF THE BOARD WITH BOARD-DELEGATED POWERS. THE INDIVIDUALS COVERED UNDER THE POLICY ARE REQUIRED TO DISCLOSE ANNUALLY ANY CONFLICTS OF INTEREST. THE CHAIRMAN OF THE BOARD AND THE INTERNAL AUDIT DIVISION OF BETHESDA HEALTH, INC. CONTINUOUSLY REVIEW AND MONITOR ALL CONFLICTS OF INTEREST NOTED BY THE INDIVIDUALS COVERED UNDER THE POLICY. ANY INDIVIDUAL WHO HAS A CONFLICT OF INTEREST IS PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISION IN THE TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR'S COMPENSATION IS REVIEWED ANNUALLY ACCORDING TO BETHESDA HEALTH'S ANNUAL REVIEW PROCESS. THE VICE PRESIDENT OF HUMAN RESOURCES OF BETHESDA HEALTH, INC. RECOMMENDS TO THE PRESIDENT/CEO OF BETHESDA HEALTH COMPENSATION AND BENEFIT LEVELS THE CONSULTING FIRM WORKS INDEPENDENTLY OF MANAGEMENT AND PROVIDES DETAILED COMPENSATION AND BENEFIT DATA FOR COMPARABLY SIZED HEALTHCARE ORGANIZATIONS ON A REGIONAL AND NATIONAL BASIS BASED ON THE COMPENSATION PHILOSOPHY OF THE BOARD OF TRUSTEES OF BETHESDA HEALTH AS IT RELATES TO THE MARKET IN GENERAL AND ON SPECIFIC COMPENSATION LEVELS NOTED AS THE RESULT OF THE CONSULTING ENGAGEMENT. THE PRESIDENT/CEO OF BETHESDA HEALTH SETS THE COMPENSATION AND BENEFITS FOR THE FOUNDATION'S EXECUTIVE DIRECTOR. THE PROCESS WAS UNDERTAKEN FOR THE YEAR ENDED SEPTEMBER 30, 2017. THE PROCESS AND DECISIONS ARE DOCUMENTED IN THE EMPLOYEE FILES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS OF THE ORGANIZATION, ITS CONFLICT OF INTEREST POLICY, AND ITS FINANCIAL STATEMENTS ARE AVAILABLE ON REQUEST. DEPENDING ON THE QUANTITY OF THE REQUEST A MINIMAL FEE MAY APPLY. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF SPL -125,028. BETHESDA HEALTH INC 2815 S SEACREST BLVD BOYNTON BEACH FL 33435 592447553 SUPPORT ORG FL 501(C)(3) 12C, TYPE III-FI N/A 0 BETHESDA HOSPITAL INC 2815 S SEACREST BLVD BOYNTON BEACH FL 33435 592447554 HOSPITAL FL 501(C)(3) 3 BETHESDA HEALTH INC 0 BETHESDA HEALTH COMPREHENSIVE IMAGING SERVICES INC 2815 S SEACREST BLVD BOYNTON BEACH FL 33435 592771779 O/P MED SVCS FL 501(C)(3) 10 BETHESDA HEALTH INC 0 BETHESDA PAYROLL SERVICES INC 2815 S SEACREST BLVD BOYNTON BEACH FL 33435 650523164 PAYROLL SUPPORT FL 501(C)(3) 12C, TYPE III-FI BETHESDA HEALTH INC 0 BETHESDA MEMORIAL SIT - WORKMANS COMP 2815 S SEACREST BLVD BOYNTON BEACH FL 33435 596775830 SELF INS TRUST FL 501(C)(3) 12C, TYPE I BETHESDA HEALTH INC 0 BETHESDA HEALTH OUTPATIENT SERVICES INC 2815 S SEACREST BLVD BOYNTON BEACH FL 33435 650561263 O/P MED SVCS FL 501(C)(3) 10 BETHESDA HEALTH INC 0 BETHESDA MEMORIAL SIT - MALPRACTICE 2815 S SEACREST BLVD BOYNTON BEACH FL 33435 592230109 SELF INS TRUST FL 501(C)(3) 12C, TYPE I BETHESDA HEALTH INC 0 CARE SERVICES OF BETHESDA LLC 6688 N CENTRAL EXPY SUITE 1300 DALLAS TX 75206 201745631 HOME HEALTH FL N/A 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 BETHESDA HOSPITAL INC B 1988931 ACTUAL EXPENSES