BOCA RATON REGIONAL HOSPITAL FOUNDATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BOCA RATON REGIONAL HOSPITAL FOUNDATION INC (EIN 59-2406425)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-14
IRS object ID
201431349349303803
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-14T12:00:09-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1401 East Las Olas BlvdAddressLine1
Address Line2Suite 1100AddressLine2
CityFort LauderdaleCity
StateFLState
ZIP Code33301ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN592406425EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BRRH FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBRRHNameControl
Phone5619554200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1745 Meadows RoadAddressLine1
CityBoca RatonCity
StateFLState
ZIP Code33486ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAWN JAVERSACKName
TitleTREASURERTitle
Date Signed2014-05-12DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCINDY KUSHNERName
PTINP00739493PTIN
Phone9542028600Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1JAN SAVARICKBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1745 MEADOWS ROADAddressLine1
CityBOCA RATONCity
StateFLState
ZIP Code33486ZIPCode
FieldValueIRS element (for citing)
Gross Receipts57280077GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BRRH.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTHE FOUNDATION SUPPORTS THE HOSPITAL'S MISSION OF PROVIDING SUPERIOR, COMPASSIONATE HEALTH CARE THROUGH THE CULTIVATION AND STEWARDSHIP OF PHILANTHROPIC GIFTS AND RAISING THE PUBLIC AWARENESS OF THE HOSPITAL.ActivityOrMissionDescription
Nbr Voting Members Governing Body32NbrVotingMembersGoverningBody
Nbr Independent Voting Members31NbrIndependentVotingMembers
Total Nbr Employees15TotalNbrEmployees
Total Nbr Volunteers31TotalNbrVolunteers
Total Gross UBI152288TotalGrossUBI
Net Unrelated Business Txbl Income142805NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year18583536ContributionsGrantsPriorYear
Contributions Grants Current Year18222032ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year3243999InvestmentIncomePriorYear
Investment Income Current Year9800891InvestmentIncomeCurrentYear
Other Revenue Prior Year1019434OtherRevenuePriorYear
Other Revenue Current Year-480514OtherRevenueCurrentYear
Total Revenue Prior Year22846969TotalRevenuePriorYear
Total Revenue Current Year27542409TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year10219720GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY17720456GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1348973SalariesEtcPriorYear
Salaries Etc Current Year1325700SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1726304TotalFundrsngExpCurrentYear
Other Expense Prior Year1765232OtherExpensePriorYear
Other Expenses Current Year924962OtherExpensesCurrentYear
Total Expenses Prior Year13333925TotalExpensesPriorYear
Total Expenses Current Year19971118TotalExpensesCurrentYear
Revenues Less Expenses Prior Year9513044RevenuesLessExpensesPriorYear
Revenues Less Expenses CY7571291RevenuesLessExpensesCY
Total Assets BOY133862644TotalAssetsBOY
Total Assets EOY142620835TotalAssetsEOY
Total Liabilities BOY377526TotalLiabilitiesBOY
Total Liabilities EOY1377385TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY133485118NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY141243450NetAssetsOrFundBalancesEOY
Mission DescriptionBOCA RATON REGIONAL HOSPITAL FOUNDATION, INC. SUPPORTS THE HOSPITAL'S MISSION OF PROVIDING SUPERIOR, COMPASSIONATE HEALTH CARE THROUGH THE CULTIVATION AND STEWARDSHIP OF PHILANTHROPIC GIFTS AND RAISING THE PUBLIC AWARENESS OF THE HOSPITAL AND ITS PROGRAMS AND SERVICES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense17720456Expense
Grants17720456Grants
Revenue0Revenue
DescriptionBOCA RATON REGIONAL HOSPITAL FOUNDATION (THE FOUNDATION) WAS ESTABLISHED TO RAISE FUNDS FOR THE BENEFIT AND SUPPORT OF THE BOCA RATON REGIONAL HOSPITAL (BRRH) AND ITS AFFILIATE COMPANIES IN ITS MISSION TO PROVIDE HIGH QUALITY HEALTH CARE SERVICES TO THE BOCA RATON COMMUNITY. THE FOUNDATION'S PURPOSE IS TO SUPPORT BRRH THROUGH THE PROVISION OF FUNDING FOR VARIOUS PROGRAMS OF THE HOSPITAL AND IN BUILDING COMMUNITY SUPPORT FOR THE HOSPITAL AND ITS AFFILIATES.Description
Total Program Service Expense17720456TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109667NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees15NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members32NbrVotingGoverningBodyMembers
Number Independent Voting Members31NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DAWN JAVERSACKBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5619554200TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1800 MEADOWS ROADAddressLine1
CityBOCA RATONCity
StateFLState
ZIP Code33486ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (38 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
JERRY FEDELE
PRESIDENT AND CEO2.0044.00XX0720796164245
RICHARD SCHULLER
CHAIRMAN/TRUSTEE2.004.00XX000
ABNER LEVINE
TRUSTEE2.000X000
CHARLES KRAUSER
TRUSTEE2.000X000
CHRISTINE E LYNN
TRUSTEE2.004.00X000
DAVID A KIRSCHNER
TRUSTEE2.004.00X000
DEBBIE LEISING
TRUSTEE2.004.00X000
EDWARD BURNS
TRUSTEE2.000X000
GERALD N ROBINSON MD
TRUSTEE2.002.00X000
IRA GELB MD
TRUSTEE2.000X000
IRVING GUTIN
TRUSTEE2.004.00X000
J RICHARD DAMRON JR
TRUSTEE2.004.00X000
JACK PECHTER
TRUSTEE2.000X000
JEFFERY HOLLANDER
TRUSTEE2.000X000
JOAN WARGO
TRUSTEE2.000X000
JOSEPH VECCIA
TRUSTEE2.000X000
KEITH O'DONNELL
TRUSTEE2.004.00X000
LARRY ALTSCHUL
TRUSTEE2.004.00X000
LARRY MILLER
TRUSTEE2.000X000
LAWERENCE FELDMAN
TRUSTEE2.000X000
LOUIS B GREEN
TRUSTEE2.000X000
LYN JURICK
TRUSTEE2.000X000
MYRON MIKE BAKER
TRUSTEE2.002.00X000
NEIL MEANY
TRUSTEE2.000X000
PATRICIA THOMAS
TRUSTEE2.002.00X000
PAUL M ADKINS
TRUSTEE2.000X000
ROBERT CAMPBELL
TRUSTEE2.000X000
ROBIN RUBIN
TRUSTEE2.000X000
SCOTT ADAMS
TRUSTEE2.000X000
STANLEY L BARRY
TRUSTEE2.000X000
STEVEN SCHMIDT
TRUSTEE2.000X000
WILLIAM RUTTER
TRUSTEE2.000X000
ALEX EREMIA
SECRETARY2.0044.00X024914741821
DAWN JAVERSACK
TREASURER2.0044.00X037918068558
JAN SAVARICK
PRESIDENT OF FOUNDATION40.000X362057068906
MINDY RAYMOND
SECRETARY2.0044.00X024993489207
EILEEN HORVATH
Director of Foundation Communications40.00010668403446X
SARAH S POLLAK
Director of Donor Relations and Development40.000111974011941X
FieldValueIRS element (for citing)
Total Reportable Comp From Org580716TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1599057TotalReportableCompFrmRltdOrgs
Total Other Compensation448123TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BOCA RESORT AND CLUB
PO BOX 404655BOCA RATONFL303844655CATERING & EVENTS379967
DALSIMER OF BOCA RATON INC
1250 W NEWPORT CENTER DRDEERFIELD BEACHFL33442DECOR146847
AMBASSADOR PRINTING
1025 NW 17TH AVE SUITE CDELRAY BEACHFL33445PRINTING112391
ERNST & YOUNG LLP
PO BOX 933514ATLANTAGA311933514AUDIT & TAX SERVICES106437
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Fundraising Events1682822FundraisingEvents
All Other Contributions16539210AllOtherContributions
Noncash Contributions366042NoncashContributions
Total Contributions18222032TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

Total Revenue ColumnTotalRevenueColumn
0
0
0
0
0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1020499TotalRevenueColumn
Unrelated Business Revenue152288UnrelatedBusinessRevenue
Exclusion$868,211ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities37774065Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities28993673Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities8780392Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column8780392TotalRevenueColumn
Exclusion$8,780,392ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events263379GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events1682822CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses743995FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-480616TotalRevenueColumn
Exclusion-$480,616ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MISCELLANEOUS900099102$102
0
0

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue102TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column27542409TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue152288UnrelatedBusinessRevenue
Exclusion$9,168,089ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total17585520Total
Program Services17585520ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total134936Total
Program Services134936ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total309940Total
Management And General49590ManagementAndGeneral
Fundraising260350Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total802550Total
Management And General128408ManagementAndGeneral
Fundraising674142Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total213210Total
Management And General34114ManagementAndGeneral
Fundraising179096Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total135000Total
Management And General135000ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total147477Total
Program Services0ProgramServices
Management And General23596ManagementAndGeneral
Fundraising123880Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total18439Total
Management And General2950ManagementAndGeneral
Fundraising15489Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total343542Total
Management And General54967ManagementAndGeneral
Fundraising288576Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total575Total
Management And General92ManagementAndGeneral
Fundraising483Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralFundraisingFundraising
DONOR PROGRAMS978054209055715
DONOR PROSPECT & RECOGNITION1353406767128573
ALL OTHER EXPENSES4678446784

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total19971118Total
Program Services17720456ProgramServices
Management And General524358ManagementAndGeneral
Fundraising1726304Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY35806532BOY
EOY10679275EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY17101482BOY
EOY17358592EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY95805BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY100113BOY
EOY161808EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis329538LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec329538LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY31335897BOY
EOY48941992EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY41384948BOY
EOY57445754EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8037867BOY
EOY8033414EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY133862644BOY
EOY142620835EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY236855BOY
EOY181429EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY140671BOY
EOY1195956EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY377526BOY
EOY1377385EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY75210761BOY
EOY85147305EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY58274357BOY
EOY56096145EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY133485118BOY
EOY141243450EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY133862644BOY
EOY142620835EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses7571291ReconcilationRevenueExpenses
Reconciliation Unrealized Invest208541ReconciliationUnrealizedInvest
Reconcilation Other Changes-21500ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11729516CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7308088CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25281582CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17566761CurrentTaxYearMinus1Year
Current Tax Year18222032CurrentTaxYear
Total80107979Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11729516CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7308088CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25281582CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17566761CurrentTaxYearMinus1Year
Current Tax Year18222032CurrentTaxYear
Total80107979Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total17850455AmountsSubstContributorsTotal
Public Support Total17062257524PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1952969CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1120540CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2315134CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1287491CurrentTaxYearMinus1Year
Current Tax Year1020499CurrentTaxYear
Total7696633Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25364CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21904CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year180321CurrentTaxYearMinus1Year
Total227589Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years798676CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years987254CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1009210CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1855888CurrentTaxYearMinus1Year
Current Tax Year263481CurrentTaxYear
Total4914509Total
FieldValueIRS element (for citing)
Total Support92946710TotalSupport
Gross Receipts From Admissions Etc0GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.66980PublicSupportPertcentage170
Public Support Pertcent Prior Year0.61910PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationSCHEDULE A, PART II, LINE 10, OTHER INCOME, DESCRIPTION - SPECIAL EVENTS, COLUMN A - 798676, COLUMN B - 987254, COLUMN C - 1009210, COLUMN D - 1855888, COLUMN E - 263379, COLUMN F - 4914407; DESCRIPTION - OTHER INCOME, COLUMN A - 0, COLUMN B - 0, COLUMN C - 0, COLUMN D - 0, COLUMN E - 102, COLUMN F - 102;GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Book Value0BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Book Value0BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis329538OtherCostOrOtherBasis
Depreciation329538Depreciation
Book Value0BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

FieldValueIRS element (for citing)
Book Value0BookValue

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value0BookValue

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
FUND OF FUNDS5785454C
PARTNERSHIPS27523036C
HEDGE FUNDS24137264C
FieldValueIRS element (for citing)
Total Of Book Value Securities57445754TotalOfBookValueSecurities

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
OTHER ASSETS33414
LOAN TO HOSPTIAL8000000
FieldValueIRS element (for citing)
Total Book Value Other Assets8033414TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
OTHER LONG TERM LIABILITIES$132,312
DUE TO AFFILIATES$1,063,644
FieldValueIRS element (for citing)
Total Of Amounts1195956TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt28494945TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments208541NetUnrealizedGainsInvestments
Other Revenues743995OtherRevenues
Revenue Not Rptd F990952536RevenueNotRptdF990
Revenue Subtotal27542409RevenueSubtotal
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99027542409TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt20736613TotExpensesEtcAuditedFinclStmt
Other Expenses Included765495OtherExpensesIncluded
Expenses Not Rptd F990765495ExpensesNotRptdF990
Expenses Subtotal19971118ExpensesSubtotal
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99019971118TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FIN 48 (ASC 740) footnoteSchedule D, Part X, Line 2THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND FROM STATE INCOME TAXES UNDER THE PROVISIONS OF CHAPTER 220.13 OF THE FLORIDA INCOME TAX CODE. LYNN CLINICAL RESEARCH IS ORGANIZED AS A LIMITED LIABILITY COMPANY FOR WHICH TAXABLE INCOME, IF ANY, IS TAXABLE TO ITS MEMBERS IN CERTAIN INSTANCES. ANY INCOME TAXES RELATED TO LYNN CLINICAL RESEARCH IS NOT MATERIAL TO THE FOUNDATION.
Other revenues in audited financial statements not in form 990Schedule D, Part XI, Line 2dSPECIAL EVENTS EXPENSES - 743995;
Other expenses in audited financial statements not in form 990Schedule D, Part XII, Line 2dUNCOLLECTIBLE PLEDGES - 21500; SPECIAL EVENTS EXPENSES - 743995;

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegionType Of Activities ConductedTypeOfActivitiesConductedTotal ExpendituresTotalExpenditures
CENTRAL AMERICA AND THE CARIBBEANINVESTMENTS19637264
NORTH AMERICA (CANADA & MEXICO ONLY)INVESTMENTS5168578
FieldValueIRS element (for citing)
Total Amount Spent24805842TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CotruePassiveForeignInvestCo
Foreign PartnershiptrueForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1BALLNameOfEvent1
Gross Receipts Event11013821GrossReceiptsEvent1
Charitable Contributions Event1923902CharitableContributionsEvent1
Gross Revenue Event189919GrossRevenueEvent1
Food And Beverage Event1187185FoodAndBeverageEvent1
Entertainment Event110500EntertainmentEvent1
Other Direct Expenses Event1130028OtherDirectExpensesEvent1
Name Of Event2GO PINKNameOfEvent2
Gross Receipts Event2690095GrossReceiptsEvent2
Charitable Contributions Event2590250CharitableContributionsEvent2
Gross Revenue Event299845GrossRevenueEvent2
Food And Beverage Event2102193FoodAndBeverageEvent2
Entertainment Event255794EntertainmentEvent2
Other Direct Expenses Event2132733OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events242285GrossReceiptsOtherEvents
Charitable Contrib Other Events168670CharitableContribOtherEvents
Gross Revenue Other Events73615GrossRevenueOtherEvents
Food And Beverage Other Events33805FoodAndBeverageOtherEvents
Other Direct Expenses Other Events91757OtherDirectExpensesOtherEvents
Gross Receipts Total1946201GrossReceiptsTotal
Charitable Contributions Total1682822CharitableContributionsTotal
Gross Revenue Total Events263379GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events0NonCashPrizesTotalEvents
Rent Facility Costs Total Events0RentFacilityCostsTotalEvents
Food And Beverage Total Events323183FoodAndBeverageTotalEvents
Entertainment Total Events66294EntertainmentTotalEvents
Other Direct Expenses Total Events354518OtherDirectExpensesTotalEvents
Direct Expense Summary Events743995DirectExpenseSummaryEvents
Net Income Summary-480616NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
ADOLPH ROSE LEWIS JCC
9801 DONNA KLEIN BLVDBOCA RATONFL33428651127438501(C)(3)215000N/AN/ACOMMUNITY SUPPORT
FLORIDA ATLANTIC UNIVERSITY
777 GLADES ROADBOCA RATONFL33431650385507FAU90100N/AN/ACOMMUNITY SUPPORT
GEORGE SNOW SCHOLARSHIP FUND
998 S FEDERAL HIGHWAYBOCA RATONFL33432592162597501(C)(3)55000N/AN/ACOMMUNITY SUPPORT
JEWISH FEDERATION OF PALM BEACH COUNTY
9901 DONNA KLEIN BLVDBOCA RATONFL33428591945109501(C)(3)107920N/AN/ACOMMUNITY SUPPORT
JUNIOR LEAGUE OF BOCA RATON
216 N 16TH STREETBOCA RATONFL33432237402731501(C)(3)183000N/AN/ACOMMUNITY SUPPORT
SUSAN B KOMEN
4700 NORTH CONGRESS AVE SUITE 102WEST PALM BEACHFL33407650254225501(C)(3)98750N/AN/ACOMMUNITY SUPPORT
BOCA RATON REGIONAL HOSPITAL
800 MEADOWS ROADBOCA RATONFL33486591006663501(C)(3)172942410N/AN/ACAPITAL, OPERATING AND PROGRAMS
THERPAY DOGS OF SOUTH FLORIDA
14545 S MILITARY TRAIL STE 186DELRAY BEACHFL33484331034677501(C)(3)475000N/AN/APET THERAPY PROGRAM IN HOSPITAL
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants8TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (5 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
NURSING SCHOLARSHIPS15624430N/AN/A
UNDERSERVED MAMOGRAMS25213620N/AN/A
LYNN CANCER INSTITUTE - INTERNSHIP PROGRAM1100000N/AN/A
PURCHASE OF NUTRITION FOR HAITI1000040131FMVFOOD
CPR GRANT AWARD110000N/AN/A

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Procedures for monitoring use of grant fundsSchedule I, Part I, Line 2BOCA RATON REGIONAL HOSPITAL FOUNDATION MAKES GRANTS ONLY TO ORGANIZATIONS EXEMPT UNDER 501(C)(3) AND TO INDIVIDUALS UNDER A SCHOLARSHIP PROGRAM. THE MAJORITY OF THE GRANTS TO ORGANIZATIONS WERE PROVIDED TO RELATED EXEMPT ORGANIZATIONS TO SUPPORT THE PROVISION OF HEALTHCARE IN THE BOCA RATON COMMUNITY. FUNDING IS ALSO PROVIDED TO OTHER EXEMPT ORGANIZATIONS THAT SUPPORT THE HEALTH CARE NEEDS OF THE BOCA RATON COMMUNITY. SCHOLARSHIP FUNDING IS AWARDED BASED UPON A COMPLETED SCHOLARSHIP APPLICATION AND INDEPENDENT COMMITTEE REVIEW.
Estimated Number of RecipientsSchedule I, Part III, column(b)NAME=PURCHASE OF NUTRITION FOR HAITI,DESCRIPTION=THIS IS THE NUMBER OF INDIVIDUALS IN THE PROGRAM REPORTED TO US.;

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ALEX EREMIA
SECRETARY023781600011331026500015321029096800
DAWN JAVERSACK
TREASURER0378214000966058428010130044773800
JAN SAVARICK
PRESIDENT OF FOUNDATION270327000917300595240938204309630809400
JERRY FEDELE
PRESIDENT AND CEO0655775000650210149771014474088504100
MINDY RAYMOND
SECRETARY0207086000428480565580326490339141033024

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Arrangement used to establish the top management official's compensationSchedule J, Part I, Line 3THE COMPENSATION OF THE FOUNDATION PRESIDENT WAS DETERMINED BY BOCA RATON REGIONAL HOSPITAL, INC. (A RELATED TAX-EXEMPT ORGANIZATION). THE COMPENSATION WAS DETERMINED USING THE FOLLOWING: COMPENSATION COMMITTEE, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bDURING CALENDAR YEAR 2012: 457F PLAN CONTRIBUTIONS WERE MADE FOR DAWN JAVERSACK $47,303; MINDY RAYMOND $11,074; ALEXANDER EREMIA $26,500 AND JAN SAVARICK $32,960. A SERP PLAN CONTRIBUTION WAS MADE FOR JERRY FEDELE FOR $138,646. DISTRIBUTIONS TAKEN DURING CALENDAR YEAR 2012 ARE AS FOLLOWS: MINDY RAYMOND $33,024; JAN SAVARICK $80,940.

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions20NumberOfContributions
Noncash Contribs Rptd F990366042NoncashContribsRptdF990
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierNumber of contributions or items contributed.Identifier
Return ReferenceSchedule M, part I, column (b), Line 9ReturnReference

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Delegate broad authority to a committeeForm 990, Part VI, Section A, Line 1aTHE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE ALL POWERS AND AUTHORITY OF THE BOARD OF TRUSTEES WHEN THE BOARD IS NOT IN SESSION; PROVIDED, HOWEVER, THE EXECUTIVE COMMITTEE SHALL HAVE NO AUTHORITY TO NEGATE ANY OFFICIAL DECISION OF THE BOARD OF TRUSTEES. MEMBERS OF THE EXECUTIVE COMMITTEE, OTHER THAN THE EX OFFICIO MEMBERS, SHALL BE APPOINTED BY THE CHAIRPERSON OF THE BOARD. THE CHAIRPERSON OF THE BOARD OF TRUSTEES OF BOCA RATON REGIONAL HOSPITAL, INC. (BRRH), A RELATED TAX-EXEMPT ORGANIZATION, AND THE PRESIDENT OF BRRH SHALL SERVE AS EX OFFICIO MEMBERS, WITH VOTE, OF THE EXECUTIVE COMMITTEE. THE CHAIRPERSON OF THE BOARD SHALL SERVE AS CHAIRPERSON OF THE EXECUTIVE COMMITTEE.
FAMILY OR BUSINESS RELATIONSHIPSFORM 990, PART VI, LINE 2JERRY FEDELE, DAWN JAVERSACK AND ALEX EREMIA HAVE A BUSINESS RELATIONSHIP, IN THAT, IN THEIR MANAGEMENT CAPACITY FOR BRRH CORPORATION AND AFFILIATES, THEY ALSO SERVE ON THE BOARDS AND/OR ARE OFFICERS OF THE FOLLOWING FOR-PROFIT CORPORATIONS WHICH ARE WHOLLY OWNED BY BOCA RATON REGIONAL HOSPITAL, INC.: BOCA CARE, INC. BRRH WOMEN'S INSTITUTE FOR HEALTH & WELLNESS, INC. JEFF HOLLANDER AND DAVID KIRSCHNER HAVE A BUSINESS RELATIONSHIP.
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6THE SOLE MEMBER OF BRRH FOUNDATION, INC. IS BRRH CORPORATION, INC., A RELATED TAX-EXEMPT ORGANIZATION.
Members or stockholders electing members of governing bodyForm 990, Part VI, Section A, Line 7aTHE SOLE CORPORATE MEMBER, BRRH CORPORATION, INC., MAY ELECT, REMOVE WITH OR WITHOUT CAUSE, REPLACE AND FILL ANY VACANCY ON THE BOARD OF TRUSTEES OF THE FOUNDATION.
Decisions requiring approval by members or stockholdersForm 990, Part VI, Section A, Line 7bDECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL BY THE SOLE CORPORATE MEMBER, BRRH CORPORATION INCLUDE: - APPROVE IN ADVANCE: CANDIDATES ARE PROPOSED BY THE FOUNDATION TO BE ELECTED BY THE FOUNDATION'S BOARD AS OFFICERS OF THE FOUNDATION AND APPROVE IN ADVANCE THE REMOVAL, TERMINATION AND REPLACEMENT OF SUCH OFFICERS BY THE FOUNDATION BOARD; - APPROVE IN ADVANCE: CANDIDATES PROPOSED BY THE FOUNDATION TO BE ELECTED BY THE FOUNDATION TO SERVE AS TRUSTEES OR DIRECTORS ON THE BOARDS OF THOSE AFFILIATED ORGANIZATIONS OF WHICH THE CORPORATION IS THE SOLE MEMBER OR SHAREHOLDER, INCLUDING BRRH HOME HEALTH SERVICE, INC., BOCA RATON REGIONAL HOSPITAL SELF INSURANCE TRUST AND BRRH HEALTH PLANS, INC.; - AMEND THE ARTICLES OF INCORPORATION OF THE FOUNDATION; - AMEND, ALTER, RESTATE, RESCIND OR REPEAL THESE BYLAWS; PROVIDED, HOWEVER, THAT THESE BYLAWS AND ANY AMENDMENTS HERETO SHALL NOT BE INCONSISTENT WITH PROVISION OF THE ARTICLES OF INCORPORATION; - APPROVE IN ADVANCE OF ADOPTION BY THE FOUNDATION ANY ANNUAL OR LONG-TERM CAPITAL OR OPERATIONAL BUDGET OF THE FOUNDATION OR ANY CHANGE THERE IN EXCEEDING ONE PERCENT (1%) IN THE AGGREGATE OF THE TOTAL ORIGINAL APPROVED BUDGET; - APPROVE IN ADVANCE OF THE FOUNDATION'S AUTHORIZATION ANY CONTRACTS OR ANY TRANSACTIONS OF THE FOUNDATION WHICH ARE NOT PROVIDED FOR IN THE ANNUAL OR LONG TERM CAPITAL OR OPERATIONAL BUDGET APPROVED BY THE MEMBER WHERE THE AMOUNT INVOLVED EXCEEDS ONE HUNDRED THOUSAND DOLLARS ($100,000) IN THE AGGREGATE; - CAUSE THE FOUNDATION TO ENTER INTO SUCH CONTRACTS FROM TIME TO TIME AS THE MEMBER MAY DETERMINE AND DIRECT, AND TO PLEDGE, HYPOTHECATE,MORTGAGE, TRANSFER OR OTHERWISE ENCUMBER ALL OR ANY PORTION OF THE ASSETS OF THE FOUNDATION FROM TIME TO TIME, IN EACH CASE AS DETERMINED BY THE MEMBER IN ITS DISCRETION AND WITHOUT THE NECESSITY OF ANY FORMAL CORPORATE ACTION BY THE FOUNDATION; - ADOPT A PLAN OF DISSOLUTION OF THE FOUNDATION; - AUTHORIZE THE FOUNDATION 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 FOUNDATION; - ADOPT A PLAN OF MERGER OR CONSOLIDATION OF THE FOUNDATION WITH ANOTHER CORPORATION; - APPROVE ANY CONTRIBUTION, GRANTS, OR LOANS PROPOSED TO BE MADE BY THE FOUNDATION TO ANY OTHER ORGANIZATION OTHER THAN THE HOSPITAL; OR - CAUSE OR PERMIT THE FOUNDATION'S ORGANIZATION OR ACQUISITION OF OR INVESTMENT IN, ANY ENTITY, INCLUDING ANY CORPORATION, LIMITED LIABILITY COMPANY, ASSOCIATION, PARTNERSHIP, TRUST, JOINT VENTURE OR OTHER ENTITY.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bTHE FORM 990 IS REVIEWED IN DETAIL BY MANAGEMENT. THE FORM 990 IS ALSO REVIEWED AND DISCUSSED WITH THE FINANCE COMMITTEE, A SUBCOMMITTEE COMPRISED OF MEMBERS OF THE BRRH CORPORATION'S BOARD OF TRUSTEES, AS WELL AS THE BOARD OF TRUSTEES PRIOR TO FILING. ANY QUESTIONS AND CONCERNS ARE ADDRESSED PRIOR TO THE SUBMISSION OF THE FORM 990 TO THE INTERNAL REVENUE SERVICE. NOT ALL MEMBERS OF THE FINANCE COMMITTEE OR BOARD OF TRUSTEES ARE PRESENT AT THE RESPECTIVE MEETINGS.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cCONFLICT OF INTEREST QUESTIONNAIRES ARE DISTRIBUTED TO THE BOARD, OFFICERS AND KEY EMPLOYEES ANNUALLY. THE CHAIR OF THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD AND THE CHIEF COMPLIANCE OFFICER REVIEW THE CONFLICT OF INTEREST STATEMENTS. IT IS DOCUMENTED IN THE BOARD MEETING MINUTES THAT MEMBERS WITH POTENTIAL CONFLICTS RECUSE THEMSELVES FROM INVOLVEMENT IN DISCUSSIONS/BOARD ACTIONS RELATING TO THE POTENTIAL CONFLICTS. MANAGEMENT POTENTIAL CONFLICTS WOULD BE DISCLOSED TO AUDIT & COMPLIANCE COMMITTEE.
Process used to establish compensation of top management officialForm 990, Part VI, Section B, Line 15aTHE EXECUTIVE COMPENSATION COMMITTEE OF THE BOCA RATON REGIONAL HOSPITAL (BRRH) BOARD OF TRUSTEES ANNUALLY REVIEWS COMPENSATION FOR THE FOUNDATION PRESIDENT. THE COMMITTEE REVIEWS AND APPROVES THE COMPENSATION AMOUNT AS WELL AS ANY INCREASES FOR THE FOUNDATION PRESIDENT. THE PROCESS INCLUDES REVIEW OF CURRENT COMPENSATION DATA THAT BENCHMARKS BRRH EXECUTIVE SALARIES WITH OTHER HEALTH CARE ORGANIZATIONS OF A SIMILAR SIZE AND NET REVENUE. THIS REVIEW AND APPROVAL IS DOCUMENTED IN THE EXECUTIVE COMPENSATION COMMITTEE MINUTES AT THE TIME OF THE REVIEW.
COMPENSATION OF OTHER OFFICERSFORM 990, PART VI, LINE 15BTHE COMPENSATION OF THE OTHER OFFICERS AND KEY EMPLOYEES IS PAID BY A RELATED EXEMPT ORGANIZATION, BOCA RATON REGIONAL HOSPITAL, INC. THE FORM 990 INSTRUCTIONS INDICATE WHEN COMPENSATION IS NOT PAID BY THE FILING ORGANIZATION, THIS QUESTION SHOULD BE ANSWERED "NO".
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19THE FINANCIAL STATEMENTS ARE AVAILABLE FOR REVIEW ON WWW.DACBOND.COM. THE CONFLICT OF INTEREST POLICY IS NOT PUBLICLY POSTED BUT IS AVAILABLE UPON REQUEST. THE GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.
Other changes in net assets or fund balancesForm 990 , Part XI, Line 9UNCOLLECTIBLE PLEDGES - -21500;
OVERSIGHT OF THE AUDIT, REVIEW OR COMPILATION OF FINANCIAL STATEMENTSFORM 990, PART XII, LINE 2CTHE AUDIT COMMITTEE AT THE BRRH CORPORATION, INC. LEVEL IS THE COMMITTEE WITH OVERSIGHT OVER THE CONSOLIDATED AUDIT, WHICH INCLUDES BRRH FOUNDATION, INC.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1EUGENE & CHRISTINE LYNN CLINIC RESEARCHBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1800 MEADOWS ROADAddressLine1
CityBOCA RATONCity
StateFLState
ZIP Code33486ZIPCode
FieldValueIRS element (for citing)
EIN203619766EIN
Primary ActivitiesCANCER RESEARCHPrimaryActivities
Legal Domicile StateFLLegalDomicileState
Total Income0TotalIncome
EOY Assets0EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BRRH FOUNDATIONBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
BOCA RATON REGIONAL HOSPTIAL INC
800 MEADOWS ROADBOCA RATONFL33486HOSPITALFL501(C)(3)3BRRH CORPfalse
BRRH CORPORATION INC
800 MEADOWS ROADBOCA RATONFL33486PARENTFL501(C)(3)11 - Type IINAfalse
DEBBIE RAND MEMORIAL SERVICE LEAGUE
800 MEADOWS ROADBOCA RATONFL33486VOLUNTEER ORGANIZATIONFL501(C)(3)11 - Type III - NFIBRRH CORPfalse
BRRH HOME HEALTH SERVICES INC
800 MEADOWS ROADBOCA RATONFL33486HEALTHCARE SERVICESFL501(C)(3)11 - Type III - FIBRRH CORPfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
BOCA CARE INC
800 MEADOWS ROADBOCA RATONFL33486264190328PRIMARY CARE PHYSICIANSFLNAC CORPORATION
BRRH WOMEN'S INSTITUTE HEALTH & WELLNESS
800 MEADOWS ROADBOCA RATONFL33486263151406WOMEN'S HEALTHCAREFLNAC CORPORATION
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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