2014-11-11T08:04:51-06:00 2013-12-31 381357951 PLANTE & MORAN PLLC 65 EAST STATE ST STE 600 COLUMBUS OH 43215 990 2013-01-01 341745374 BELLEVUE HOSPITAL FOUNDATION THE BELL 4194834040 1400 WEST MAIN STREET BELLEVUE OH 44811 GARY STEINLE CHAIRPERSON 4194834040 2014-10-24 1 BERNIE OSTROWSKI P00366367 6148493000 2013 2015-11-30 17:44:51Z GARY STEINLE 1400 WEST MAIN STREET BELLEVUE OH 44811 574316 0 X N/A X 1993 OH THE BELLEVUE HOSPITAL FOUNDATION CONTINUES TO SPONSOR PROGRAMS, PROJECTS AND SERVICES WITH BENEFIT TO THE BELLEVUE HOSPITAL. 19 17 0 17 0 0 66471 87472 0 0 32499 44870 55402 79543 154372 211885 16129 255852 0 0 66210 54346 0 0 35630 28156 47502 110495 357700 43877 -145815 1624667 1638437 308605 296442 1316062 1341995 NONE 0 0 266721 255852 0 RELATED PARTY GENERAL SUPPORT TO THE BELLEVUE HOSPITAL. 266721 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 X 19 17 0 0 0 0 1 0 1 1 1 0 0 1 1 1 1 0 0 0 0 0 OH X TIMOTHY BUIT 4194834040 1400 W MAIN STREET BELLEVUE OH 44811 GARY STEINLE CHAIRPERSON 1.00 0.00 X X 0 0 0 CAROLYN FARRAR VICE CHAIRPERSON 1.00 0.00 X X 0 0 0 CHRIS CAPUTO TREASURER 1.00 0.00 X X 0 0 0 MARIE ARCHER SECRETARY 1.00 0.00 X X 0 0 0 KATE HERRING FOUNDATION DIRECTOR 12.00 0.00 X 0 50021 2934 MARCIA BRAUN MD TRUSTEE 1.00 0.00 X 0 0 0 PETE CALLAGHAN TRUSTEE 1.00 0.00 X 0 0 0 RODNEY COOK TRUSTEE 1.00 0.00 X 0 0 0 ALICIA CROCKETT TRUSTEE 1.00 0.00 X 0 0 0 DINAH DWYER TRUSTEE 1.00 0.00 X 0 0 0 GREGG ELCHERT TRUSTEE 1.00 0.00 X 0 0 0 CHRISTINE GREILICH TRUSTEE 1.00 0.00 X 0 0 0 DAN HIGGINS TRUSTEE 1.00 0.00 X 0 0 0 ROSEANN HOPKINS TRUSTEE 1.00 0.00 X 0 0 0 REV NANCY HULL TRUSTEE 1.00 0.00 X 0 0 0 DAVE JARVIS TRUSTEE 1.00 0.00 X 0 0 0 BRAD SMITH TRUSTEE 1.00 0.00 X 0 0 0 BETTE WOODS TRUSTEE 1.00 0.00 X 0 0 0 MICHAEL WINTHROP TRUSTEE 1.00 45.00 X 0 482659 27215 0 532680 30149 0 0 1 0 0 38996 48476 87472 37702 37702 205277 198109 7168 7168 7168 18007 38996 19477 -1470 -1470 225858 144845 81013 81013 211885 0 0 124413 255852 255852 54346 10869 16304 27173 2800 2800 12164 12164 1886 1738 148 75 75 17900 17900 971 971 2878 2878 594 594 FUNDRAISING 4128 4128 SCHOLARSHIPS 2331 2331 SPONSORSHIP 1775 1775 357700 266721 55349 35630 123488 180840 237914 0 500 0 747 1353 716 6356 6356 0 0 1251935 1456134 9477 0 1624667 1638437 210 51045 308395 245397 308605 296442 X 269709 520818 684181 456705 362172 364472 1316062 1341995 1624667 1638437 -145815 171748 0 X X 0 1 X 1 0 X X X 0 0 0 THE BELLEVUE HOSPITAL 344428205 3 1 1 1 238487 1 238487 PART I, LINE H(VIII) THE BELLEVUE HOSPITAL FOUNDATION ALSO PROVIDE $16,945 IN NON-CASH SUPPORT TO THE BELLEVUE HOSPITAL. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 362172 2300 364472 361422 750 362172 181484 179938 361422 178664 2820 181484 177564 1100 178664 0.00000 1.00000 0.00000 0 0 6356 6356 0 0 INTERCOMPANY PAYABLES 154844 INTERCOMPANY PLEDGES PAYABLE 90553 245397 X PART V, LINE 4: THE ENDOWMENT FUND INVESTMENTS ARE TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS UNRESTRICTED. PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE FOUNDATION AND RECOGNIZE A TAX LIABILITY IF THE FOUNDATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE HOSPITAL AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. WITH FEW EXCEPTIONS, THE HOSPITAL IS NO LONGER SUBJECT TO U.S. FEDERAL, STATE AND LOCAL, OR NON-U.S. INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2010. GOLF OUTING 42464 38996 3468 1448 398 0 3404 5845 8 14539 14539 8382 57003 38996 18007 1448 398 3404 14227 19477 -1470 225858 107250 37595 0 0.05000 225858 107250 37595 144845 81013 OH 0 IN THE STATE OF OHIO, A CHARITABLE ORGANIZATION THAT IS EXEMPT FROM FEDERAL INCOME TAXATION UNDER SUBSECTION 501(A) AND IS DESCRIBED IN SUBSECTION 501(C)(3) IS NOT REQUIRED TO OBTAIN A GAMING LICENSE TO CONDUCT A RAFFLE TO RAISE MONEY FOR THE ORGANIZATION. OHIO REVISED CODE 2915.092. 0 1 0 0.67000 0.33000 TIMOTHY BUIT 1400 WEST MAIN STREET BELLEVUE OH 44811 0 KATE HERRING 16674 COORDINATION OF ALL ACTIVITIES, SUCH AS, ADVERTISING, MAILINGS, TICKET PURCHASES, TICKET SALES, DRAWINGS, AND WORKING WITH THE BOARD MEMBERS TO HOLD A CORVETTE FOR THE WINNER. X 0 1 THE BELLEVUE HOSPITAL 1400 WEST MAIN STREET BELLEVUE OH 44811 344428205 501(C)(3) 238487 RELATED PARTY GENERAL SUPPORT. THE BELLEVUE HOSPITAL 1400 WEST MAIN STREET BELLEVUE OH 44811 344428205 501(C)(3) 0 16945 RELATED PARTY SUPPORT FOR PURCHASES OF PLANTS. 2 0 PART I, LINE 2: THE FOUNDATION IS A SUPPORTING ORGANIZATION TO THE BELLEVUE HOSPITAL. IT REGULARLY TRANSFERS FUNDS TO FURTHER THE HOSPITAL'S EXEMPT PURPOSES. 0 0 0 0 0 0 0 0 0 MICHAEL WINTHROP TRUSTEE 0 401798 0 70200 0 10661 0 13435 0 13780 0 509874 0 0 PART I, LINE 3: COMPENSATION PAID TO THE ORGANIZATION'S PRESIDENT IS ESTABLISHED BY A RELATED ORGANIZATION AND INCLUDES USE OF A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION A, LINE 6 THE BELLEVUE HOSPITAL FOUNDATION IS ORGANIZED AS A SUBSIDIARY OF THE BELLEVUE HOSPITAL, THE PARENT ORGANIZATION AND SOLE VOTING MEMBER FOR THE CONSOLIDATED GROUP. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS MADE BY THE BELLEVUE HOSPITAL FOUNDATION'S BOARD OF DIRECTORS CAN BE OVERRULED BY THE BELLEVUE HOSPITAL'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF FORM 990 IS MADE AVAILABLE TO THE BELLEVUE HOSPITAL'S PRESIDENT & EXECUTIVE VICE PRESIDENT/CFO AT THE FINANCE MEETING FOR REVIEW AS WELL AS PRESENTATION TO THE BOARD OF DIRECTORS. IN ADDITION, EACH BOARD MEMBER RECEIVES A COPY OF FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE FOUNDATION DOES NOT HAVE ITS OWN CONFLICT OF INTEREST POLICY. HOWEVER, THE FOUNDATION FOLLOWS THE BELLEVUE HOSPITAL'S POLICY WHEN APPLICABLE AS DESCRIBED BELOW. ON AN ANNUAL BASIS, THE PRESIDENT SHALL SEND TO ALL EXECUTIVE STAFF AND SELECTED EMPLOYEES, A COPY OF THE BOARD OF TRUSTEES CONFLICT OF INTEREST POLICY TO BE COMPLETED AND RETURNED. IN ADDITION, NEW BOARD MEMBERS THAT JOIN DURING THE YEAR FILL OUT AND COMPLETE THE CONFLICT OF INTEREST POLICY WHEN THEY FIRST JOIN. AN APPROPRIATE REPORT SHALL BE SUBMITTED TO THE BOARD OF TRUSTEES CONCERNING ANY INTERESTS TO BE DISCLOSED. IF ANY CONFLICTS DO ARISE, THAT TRUSTEE WILL ABSTAIN FROM VOTING ON THE ISSUE. PERIODIC REVIEWS ARE ALSO CONDUCTED TO ENSURE THAT THE CORPORATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES, AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX. THE BOARD OF DIRECTORS REVIEW THE COMPLETED CONFLICT OF INTEREST POLICIES INCLUDING THE PRESIDENT'S. THE BOARD OF DIRECTORS REVIEW THE PRESIDENT'S COMPLETED CONFLICT OF INTEREST POLICY ONCE THE PRESIDENT LEAVES THE ROOM. FORM 990, PART VI, SECTION B, LINE 15 THE FOUNDATION DOES NOT HAVE ITS OWN COMPENSATION, WHISTLEBLOWER, OR DOCUMENT RETENTION POLICIES. HOWEVER, THE FOUNDATION FOLLOWS THE BELLEVUE HOSPITAL'S POLICIES WHEN APPLICABLE AS DESCRIBED BELOW. THE BOARD HAS A COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT DIRECTORS. THE COMMITTEE UTILIZES AN OUTSIDE HEALTHCARE COMPENSATION CONSULTING COMPANY COMPARING COMPARABLE SIZED ORGANIZATIONS CONSISTENT WITH THE BOARD OF TRUSTEE COMPENSATION PHILOSOPHY STATEMENT. RECOMMENDATIONS ARE MADE FROM THE COMPENSATION COMMITTEE TO THE BOARD OF TRUSTEES. ANY COMPENSATION DECISIONS THAT ARE MADE ARE DOCUMENTED IN THE MINUTES OF THE EXECUTIVE COMPENSATION COMMITTEE AND EXECUTIVE SESSION MINUTES. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER 2013. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION MAKES ITS FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PAGE 6, PART VI, LINE 7A: THE BELLEVUE HOSPITAL FOUNDATION'S BOARD OF DIRECTORS ARE NOT ELECTED BY THE BELLEVUE HOSPITAL'S BOARD OF DIRECTORS, HOWEVER THE BELLEVUE HOSPITAL'S BOARD OF DIRECTORS RATIFY THE ELECTED TRUSTEES AT THEIR ANNUAL MEETING. FORM 990, PAGE 12, PART XII, LINE 2C THE BELLEVUE HOSPITAL HAS A COMMITTEE RESPONSIBLE FOR SELECTION OF THE INDEPENDENT ACCOUNTANT AND OVERSIGHT OF THE AUDIT. THE PROCESS FOR OVERSIGHT OF THE AUDIT AS WELL AS SELECTION OF THE INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. BELLEVUE HOSPITAL 1400 WEST MAIN STREET BELLEVUE OH 44811 344428205 HEALTH CARE OH 501(C)3 LINE 3 THE BELLEVUE HOSPITAL ASSOCIATION 1 THE BELLEVUE HOSPITAL ASSOCIATION 1400 WEST MAIN STREET BELLEVUE OH 44811 753102199 ADMINISTRATIVE SUPPORT OH 501(C)3 LINE 11A, I N/A 0 BELLEVUE HEALTH NETWORK 1400 W MAIN STREET BELLEVUE OH 44811 341870470 INSURANCE CONTRACTS OH N/A BELLEVUE PROFESSIONAL SERVICES INC 1400 W MAIN STREET BELLEVUE OH 44811 341828724 PHYSICIAN SERVICES OH N/A C 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 BELLEVUE HOSPITAL M 54346 TIME SHEET COST ALLOCATION BELLEVUE HOSPITAL B 255432 CHECK AND VALUE OF NON-CASH GRANT