BEACON HEALTH FOUNDATION INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- BEACON HEALTH FOUNDATION INC (EIN 35-1536129)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-12
- IRS object ID
- 201313169349303541
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule F
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-12T11:28:30-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MOUNMENT CIRCLE SUITE 2600 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351536129 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HEALTH FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % JEFFREY COSTELLO | InCareOfName |
| Name Control | MEMO | NameControl |
| Phone | 5746473549 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 615 N Michigan Street | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | South Bend | City |
| State | IN | State |
| ZIP Code | 46601 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEFFREY COSTELLO | Name |
| Title | CFO | Title |
| Date Signed | 2013-11-11 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3176817000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Philip Newbold | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 615 N Michigan Street | AddressLine1 |
| City | South Bend | City |
| State | IN | State |
| ZIP Code | 46601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 2515310 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.qualityoflife.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1982 | YearFormation |
| State Legal Domicile | IN | StateLegalDomicile |
| Activity Or Mission Description | MEMORIAL IS COMMITTED TO IMPROVING THE QUALITY OF LIFE OF THE PEOPLE IN OUR COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 24 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 21 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2225724 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1549546 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 203953 | InvestmentIncomePriorYear |
| Investment Income Current Year | 599565 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -1208 | OtherRevenuePriorYear |
| Other Revenue Current Year | 17080 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2428469 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2166191 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1238765 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 978859 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 560314 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 518343 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 438169 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 721413 | OtherExpensePriorYear |
| Other Expenses Current Year | 544026 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 2520492 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2041228 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -92023 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 124963 | RevenuesLessExpensesCY |
| Total Assets BOY | 22210857 | TotalAssetsBOY |
| Total Assets EOY | 24619806 | TotalAssetsEOY |
| Total Liabilities BOY | 123796 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 145569 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 22087061 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 24474237 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | MEMORIAL IS COMMITTED TO IMPROVING THE QUALITY OF LIFE OF THE PEOPLE IN OUR COMMUNITY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 1023932 | Expense |
| Grants | 978859 | Grants |
| Revenue | 20176 | Revenue |
| Description | On November 23, 2011, Beacon Health System, Inc. (the "Corporation") was established as the parent corporation of Memorial Hospital of South Bend, Inc. ("MHSB") and Elkhart General Hospital, Inc. ("EGH") to develop a full spectrum of health-related services for North Central Indiana and Southwestern Michigan. The Corporation is community-owned and not-for-profit. Along with its subsidiaries, the Corporation serves the greater community throughout the continuum of care from health promotion and sickness prevention to diagnosis, inpatient, outpatient and home health services. The Corporation controls MHSB, EGH, Memorial Health Foundation, and Beacon Health Ventures, Inc., collectively referred to as the "System". Memorial Health Foundation, Inc., (MHF) is a tax-exempt, non-private foundation. It was established in 1982 to provide philanthropic support to MHSB, and continues to provide this support to the newly created Corporation through contributions and management of endowment funds. Memorial Health Foundation's mission is to support the work of Beacon Health System by inspiring generosity and commitment to our cause. MHF exists to allow people to generously support Beacon in a way that connects them with the impact they are having on our work in the community. Memorial Health Foundation works to support Beacon Health System in three key ways: - Creating relationships - Inspiring investment - Stewarding resources Creating Relationships Every day, the associates of Beacon Health System care for those most in need of high quality, specialized medical care. From infants born four months early, to children with cancer, to mothers, fathers, sisters, brothers and friends who have faced a serious injury, we are always here for every member of our community. Memorial Health Foundation (MHF) raises funds for Beacon Health System. Our job is to ensure that charitable support for Beacon is used to create the most significant impact possible at Memorial in a way that is most meaningful to each donor. We build relationships with those who want to make a difference and connect them with a cause within our system that inspires them. Our health system is reliant on the support of our community to ensure that we are always able to provide the highest quality services for every patient. At Memorial Health Foundation, every gift matters and is an investment into our mission and our community. We treat that investment with the same level of care and concern that Beacon Health System shows each one of its patients. Inspiring Investment: In 2012, fund raising at Memorial Health Foundation focused upon the following areas: - Corporate Fundraising - Grant Writing, focusing on private, corporate, and family foundations - Online Giving - Major gift fundraising, focusing on: - Memorial Children's Hospital - The Memorial Neighborhood Health Centers - Memorial HealthWorks! Kids' Museum - Spiritual Care Services - Staff Education - Direct Mail Fundraising Funds available at MHF to support Memorial's mission as of December 31, 2012: Memorial Hospital & Health System $1,188,113 Memorial Children's Hospital $2,940,321 Stewarding Resources In 2012, funds from Memorial Health Foundation went to support the following areas at Memorial: Memorial Hospital & Health System Memorial BrainWorks $ 133,693 Memorial Regional Cancer Center $ 86,343 Community Outreach $ 31,000 Family Medicine Residency Program $ 5,500 Family Emotional Support (Chaplaincy, Social Services, etc.) $ 5,049 Memorial Leighton Heart & Vascular Center $ 35,537 Memorial Neighborhood Health Centers $ 7,110 Pfeil Innovation Center $ 73,637 Reach Out Club $ 78,901 Staff Education $ 122,466 Areas of Greatest Need at Memorial $ 140,291 Memorial Children's Hospital Memorial Children's Hospital $ 23,079 Pediatric Emotional Support (Child Life, Social Services, etc.) $ 11,052 Developmental Pediatrics $ 3,512 HealthWorks! Kids' Museum $ 136,729 Newborn Intensive Care Unit $ 7,798 Pediatric Cancer and Blood Disorders Clinic $ 22,163 Newborn Intensive Care Unit $ 7,798 Pediatric Cancer and Blood Disorders Clinic $ 22,163 | Description |
| Total Program Service Expense | 1023932 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | true | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 24 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 21 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JEFFREY COSTELLO | NamePerson |
| Telephone Number | 5746473549 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 615 N MICHIGAN STREET | AddressLine1 |
| City | South Bend | City |
| State | IN | State |
| ZIP Code | 46601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (34 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|---|
| Carmi Murphy | |||||||
| Director | 2.0 | 0.0 | X | 0 | 0 | 0 | |
| John C Kerr | |||||||
| Officer/VICE Chair thru Mar12 | 2.0 | 0.0 | X | 4053 | 0 | 0 | |
| Najeeb A Khan | |||||||
| Officer/Chair | 2.0 | 0.0 | X | 0 | 0 | 0 | X |
| Terri T Kosik | |||||||
| Director thru March 2012 | 2.0 | 0.0 | X | 0 | 0 | 0 | |
| John T Phair | |||||||
| Director thru March 2012 | 2.0 | 0.0 | X | 1895 | 0 | 0 | |
| Peter Veldman | |||||||
| Director | 2.0 | 0.0 | X | 2889 | 0 | 0 | |
| Louis M Nanni | |||||||
| Director thru March 2012 | 2.0 | 0.0 | X | 2305 | 0 | 0 | |
| James Laing | |||||||
| Director | 2.0 | 0.0 | X | 0 | 0 | 0 | |
| Mary Jo Halbritter | |||||||
| Officer/Secretary thru Mar 12 | 2.0 | 0.0 | X | 0 | 0 | 0 | |
| William Schmuhl Jr | |||||||
| Director | 2.0 | 0.0 | X | 1713 | 0 | 0 | |
| Maggie Kernan | |||||||
| Director | 2.0 | 0.0 | X | 2392 | 0 | 0 | |
| Leigh Morris | |||||||
| Officer/Treasurer | 2.0 | 0.0 | X | 0 | 0 | 0 | X |
| Leland Kaiser PhD | |||||||
| Director thru March 2012 | 2.0 | 0.0 | X | 0 | 0 | 0 | |
| Charles Simon | |||||||
| Director | 2.0 | 0.0 | X | 0 | 0 | 0 | |
| Deborah Barton-Grant | |||||||
| Director | 2.0 | 0.0 | X | 3099 | 0 | 0 | |
| Deborah Cafiero | |||||||
| Director | 2.0 | 0.0 | X | 0 | 0 | 0 | |
| Otha Reese | |||||||
| Director | 2.0 | 0.0 | X | 1713 | 0 | 0 | |
| Sandra Brown MD | |||||||
| Director | 2.0 | 0.0 | X | 1895 | 0 | 0 | |
| Shannon Cullinan | |||||||
| Director | 2.0 | 0.0 | X | 3099 | 0 | 0 | |
| Greta Roemer Lewis | |||||||
| Director | 2.0 | 0.0 | X | 4530 | 0 | 0 | |
| Colleen Morrison MD | |||||||
| Director | 2.0 | 40.0 | X | 0 | 207087 | 14093 | |
| Michael Steinberg MD | |||||||
| Director | 2.0 | 40.0 | X | 0 | 648173 | 3162 | |
| Katie Toothaker | |||||||
| Secretary | 2.0 | 0.0 | X | 2603 | 0 | 0 | X |
| Emerson Spartz | |||||||
| Director | 2.0 | 0.0 | X | 0 | 0 | 0 | |
| Christopher Hickey | |||||||
| Director | 2.0 | 0.0 | X | 3099 | 0 | 0 | |
| David Hornback MD | |||||||
| Director | 2.0 | 40.0 | X | 0 | 614273 | 20202 | |
| Thomas Cassady Jr | |||||||
| Vice Chair | 2.0 | 0.0 | X | 6672 | 0 | 0 | X |
| Paqui Kelly | |||||||
| Director | 2.0 | 0.0 | X | 0 | 0 | 0 | |
| Brad Beutter | |||||||
| Director | 2.0 | 0.0 | X | 0 | 0 | 0 | |
| Ray Gans | |||||||
| Director | 2.0 | 0.0 | X | 0 | 0 | 0 | |
| Delores Wilmoski | |||||||
| Director thru 3/2012 | 2.0 | 0.0 | X | 0 | 0 | 0 | |
| Philip A Newbold | |||||||
| CEO/President | 2.0 | 40.0 | 0 | 1382738 | 163374 | X | |
| Jeffrey Costello | |||||||
| CFO/Asst. Treasurer | 2.0 | 40.0 | 0 | 631580 | 82813 | X | |
| Kellie Porter | |||||||
| Asst. Secretary | 40.0 | 2.0 | 180730 | 0 | 34197 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 222687 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3483851 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 317841 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 25785 | FundraisingEvents |
| All Other Contributions | 1523761 | AllOtherContributions |
| Noncash Contributions | 44546 | NoncashContributions |
| Total Contributions | 1549546 | TotalContributions |
| Total Program Service Revenue | 0 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 548735 | TotalRevenueColumn |
| Exclusion | $548,735 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 391553 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 340723 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 50830 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 50830 | TotalRevenueColumn |
| Exclusion | $50,830 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 5300 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 25785 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 8396 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -3096 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| OTHER INCOME - CV OF LIFE INS | 611600 | 19574 | 19574 |
| OTHER INCOME - REBATES AND REFUNDS | 611600 | 485 | 485 |
| OTHER INCOME - COMMERCE CARD | 611600 | 83 | 83 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 34 | TotalRevenueColumn |
| Related Or Exempt Function Income | 34 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 20176 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2166191 | TotalRevenueColumn |
| Related Or Exempt Function Income | 20176 | RelatedOrExemptFunctionIncome |
| Exclusion | $599,565 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 955513 | Total |
| Program Services | 955513 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23346 | Total |
| Program Services | 23346 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 256884 | Total |
| Management And General | 149420 | ManagementAndGeneral |
| Fundraising | 107464 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 183698 | Total |
| Program Services | 26435 | ProgramServices |
| Management And General | 62059 | ManagementAndGeneral |
| Fundraising | 95204 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53415 | Total |
| Program Services | 10 | ProgramServices |
| Management And General | 26716 | ManagementAndGeneral |
| Fundraising | 26689 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24346 | Total |
| Program Services | 1461 | ProgramServices |
| Management And General | 11686 | ManagementAndGeneral |
| Fundraising | 11199 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 545 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 545 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Fundraising | 0 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14479 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 13212 | ManagementAndGeneral |
| Fundraising | 1267 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45674 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 25074 | ManagementAndGeneral |
| Fundraising | 20600 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14387 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 14387 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32235 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 16460 | ManagementAndGeneral |
| Fundraising | 15775 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5146 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 1233 | ManagementAndGeneral |
| Fundraising | 3913 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3243 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 1656 | ManagementAndGeneral |
| Fundraising | 1587 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29200 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 29200 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50513 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 50513 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21294 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 21294 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| CORPORATE ALLOCATION | 286116 | 17167 | 137336 | 131613 |
| LICENSES/TAXES | 9100 | 0 | 4647 | 4453 |
| FUNDRAISING-BLACKBAUD | 5483 | 0 | 0 | 5483 |
| DUES/SUBSCRIPTIONS | 3956 | 0 | 2020 | 1936 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22655 | Total |
| Management And General | 11669 | ManagementAndGeneral |
| Fundraising | 10986 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2041228 | Total |
| Program Services | 1023932 | ProgramServices |
| Management And General | 579127 | ManagementAndGeneral |
| Fundraising | 438169 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3579430 | BOY |
| EOY | 4164748 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100265 | BOY |
| EOY | 140258 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 416856 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 347752 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 119618 | BOY |
| EOY | 69104 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15981845 | BOY |
| EOY | 18061943 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2429699 | BOY |
| EOY | 2183753 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22210857 | BOY |
| EOY | 24619806 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47675 | BOY |
| EOY | 91982 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 76121 | BOY |
| EOY | 53587 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 123796 | BOY |
| EOY | 145569 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17413169 | BOY |
| EOY | 19144727 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4483222 | BOY |
| EOY | 5138840 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 190670 | BOY |
| EOY | 190670 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22087061 | BOY |
| EOY | 24474237 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22210857 | BOY |
| EOY | 24619806 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 124963 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 1375079 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 887134 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1532816 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1334217 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1436553 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2225724 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1549546 | CurrentTaxYear |
| Total | 8078856 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 142561 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 127810 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 100 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 268 | CurrentTaxYearMinus1Year |
| Current Tax Year | 20176 | CurrentTaxYear |
| Total | 290915 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1675377 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1462027 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1436653 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2225992 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1569722 | CurrentTaxYear |
| Total | 8369771 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 121124 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 133141 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 67601 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 370311 | CurrentTaxYearMinus1Year |
| Current Tax Year | 168329 | CurrentTaxYear |
| Total | 860506 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 121124 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 133141 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 67601 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 370311 | CurrentTaxYearMinus1Year |
| Current Tax Year | 168329 | CurrentTaxYear |
| Total | 860506 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 7509265 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 402683 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 201715 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 113552 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 195423 | CurrentTaxYearMinus1Year |
| Current Tax Year | 548735 | CurrentTaxYear |
| Total | 1462108 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 18314 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10410 | CurrentTaxYearMinus3Years |
| Total | 28724 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 420997 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 212125 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 113552 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 195423 | CurrentTaxYearMinus1Year |
| Current Tax Year | 548735 | CurrentTaxYear |
| Total | 1490832 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 1955 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5300 | CurrentTaxYear |
| Total | 7255 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2096374 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1674152 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1550205 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2423370 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2123757 | CurrentTaxYear |
| Total | 9867858 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.76098 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.60659 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.15108 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.24849 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 22198822 | BeginningOfYearBalance |
| Contributions | 1501904 | Contributions |
| Investment Earnings Or Losses | 1884305 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 923860 | GrantsOrScholarships |
| End Of Year Balance | 24661171 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 21769701 | BeginningOfYearBalance |
| Contributions | 2155236 | Contributions |
| Investment Earnings Or Losses | -543657 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 1182458 | GrantsOrScholarships |
| End Of Year Balance | 22198822 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 22665989 | BeginningOfYearBalance |
| Contributions | 1296194 | Contributions |
| Investment Earnings Or Losses | 1929600 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 4122082 | GrantsOrScholarships |
| End Of Year Balance | 21769701 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 20595396 | BeginningOfYearBalance |
| Contributions | 1076924 | Contributions |
| Investment Earnings Or Losses | 3137353 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 2143684 | GrantsOrScholarships |
| End Of Year Balance | 22665989 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 28741974 | BeginningOfYearBalance |
| Contributions | 1278996 | Contributions |
| Investment Earnings Or Losses | -6927657 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 2497917 | GrantsOrScholarships |
| End Of Year Balance | 20595396 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.78390 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.00770 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.20840 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Land | Land | |
| Buildings | Buildings | |
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 416856 | OtherCostOrOtherBasis |
| Depreciation | 347752 | Depreciation |
| Book Value | 69104 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildings | |
| Total Of Book Value Land Buildings | 69104 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests | |
| Total Of Book Value Securities | 0 | TotalOfBookValueSecurities |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| INTENDED USE OF ENDOWMENT FUNDS | Sch. D, Part V, Line 4 | The Board has discretion to utilize each year the incomes, revenues, and profits arising and accruing from the endowments in defraying costs associated with the trust and the remainder for support, betterment, improvement, upkeep, expansion, and replacement of Beacon Health System, Inc. and its corporate affiliates. Term endowments, which are the Temporarily restricted net assets, are used as designated by the donor. The permanent endowment provides income to be used for health care educational purposes and patient care. |
| FIN 48 (ASC 740) Footnote | Sch. D, Part X, line 2 | Memorial Health Foundation did not have a footnote addressing FIN 48 (ASC 740) liabilities for uncertain tax positions in it's consolidated financial statements. Memorial Health Foundation does not have any uncertain tax positions recorded during fiscal year. |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean | Region |
| Type Of Activities Conducted | Investments | TypeOfActivitiesConducted |
| Total Expenditures | 2183753 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Amount Spent | 2183753 | SubtotalAmountSpent |
| Total Amount Spent | 2183753 | TotalAmountSpent |
| Transfer To Foreign Corp | false | TransferToForeignCorp |
| Interest In Foreign Trust | false | InterestInForeignTrust |
| Own Foreign Corp | true | OwnForeignCorp |
| Passive Foreign Invest Co | false | PassiveForeignInvestCo |
| Foreign Partnership | false | ForeignPartnership |
| Boycott Countries | false | BoycottCountries |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Jazz About Art | NameOfEvent1 |
| Gross Receipts Event1 | 31085 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 25785 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 5300 | GrossRevenueEvent1 |
| Food And Beverage Event1 | 8264 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 132 | EntertainmentEvent1 |
| Total Number Of Other Events | 0 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 0 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 0 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 0 | GrossRevenueOtherEvents |
| Cash Prizes Other Events | 0 | CashPrizesOtherEvents |
| Non Cash Prizes Other Events | 0 | NonCashPrizesOtherEvents |
| Rent Facility Costs Other Events | 0 | RentFacilityCostsOtherEvents |
| Food And Beverage Other Events | 0 | FoodAndBeverageOtherEvents |
| Entertainment Other Events | 0 | EntertainmentOtherEvents |
| Other Direct Expenses Other Events | 0 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 31085 | GrossReceiptsTotal |
| Charitable Contributions Total | 25785 | CharitableContributionsTotal |
| Gross Revenue Total Events | 5300 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 0 | CashPrizesTotalEvents |
| Non Cash Prizes Total Events | 0 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 0 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 8264 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 132 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 0 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 8396 | DirectExpenseSummaryEvents |
| Net Income Summary | -3096 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| Memorial Hospital of South Bend Inc | |||||||
| 615 N Michigan Street | South Bend | IN | 46601 | 350868132 | 501(c)(3) | 694548 | General Support |
| Memorial Health System Inc | |||||||
| 615 N Michigan Street | South Bend | IN | 46601 | 351536132 | 501(c)(3) | 215681 | General support |
| Ronald McDonald Charities | |||||||
| One Kroc Drive | Oak Brook | IL | 60523 | 362934689 | 501(c)(3) | 10584 | Distributions |
| Samantha Hickey Foundation Inc | |||||||
| 54530 White Tail Dr | Mishawaka | IN | 46545 | 412089450 | 501(c)(3) | 12000 | Distributions |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 4 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | Grants for Children | TypeOfGrant |
| Amount Of Non Cash Assistance | 23346 | AmountOfNonCashAssistance |
| Method Of Valuation | FMV | MethodOfValuation |
| Description Of Non Cash Assistance | gift cards | DescriptionOfNonCashAssistance |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | GRANT MONITORING PROCEDURES | Identifier |
| Return Reference | Schedule I, Part I | ReturnReference |
| Explanation | The organization has numerous temporarily restricted funds from which the distributions are considered grants. In general the grants are to provide scholarships and/or are distributions for the purpose of the specific fund. All distributions of the funds are supported by evidence that the expenditure meets the donor's intent. For scholarships the individual must meet several requirements to qualify. In order to qualify for a scholarship the individual must (1)Apply on-line (intranet) and within the acceptable time parameters for the semester of funds being requested, (2) Maintain a grade of C or better,(3)Pay for tuition/books and submit corresponding original receipts for reimbursement - reimbursed up to the amount awarded by the scholarship committee. (4) Meet any additional requirements of the specific scholarship fund, and (5) Meet eligibility requirements. Eligibility requirements include: (A) Employed by Memorial Health System, Inc. (B) Enrolled in a qualified program; (C) Submitted a positive recommendation each semester from the immediate supervisor; and (D) Submitted a positive recommendation each semester from the school. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | true | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | true | CompBasedNetEarningsRelateOrgs |
Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Philip A Newbold | ||||||||||||||
| CEO/President | 0 | 661503 | 0 | 326180 | 0 | 395055 | 0 | 152094 | 0 | 11280 | 0 | 1546112 | 0 | 0 |
| Jeffrey Costello | ||||||||||||||
| CFO/Asst. Treasurer | 0 | 336477 | 0 | 114704 | 0 | 180399 | 0 | 78239 | 0 | 4574 | 0 | 714393 | 0 | 0 |
| Colleen Morrison MD | ||||||||||||||
| Director | 0 | 204990 | 0 | 1723 | 0 | 374 | 0 | 8469 | 0 | 5624 | 0 | 221180 | 0 | 0 |
| Michael Steinberg MD | ||||||||||||||
| Director | 0 | 647573 | 0 | 0 | 0 | 600 | 0 | 0 | 0 | 3162 | 0 | 651335 | 0 | 0 |
| David Hornback MD | ||||||||||||||
| Director | 0 | 592983 | 0 | 0 | 0 | 21290 | 0 | 10000 | 0 | 10202 | 0 | 634475 | 0 | 0 |
| Kellie Porter | ||||||||||||||
| Asst. Secretary | 139844 | 0 | 33600 | 0 | 7286 | 0 | 25170 | 0 | 9027 | 0 | 214927 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PART I, LINE 1A | SOCIAL CLUB AND SPOUSAL TRAVEL | MEMORIAL HEALTH FOUNDATION, INC. (MHF) REIMBURSES TRUSTEES FOR THE TAX EFFECT OF THE 1099 REPORTABLE BENEFITS FOR HEALTH CLUB MEMBERSHIP, WITH MHS'S HEALTH AND LIFESTYLE CENTER, AND SPOUSAL TRAVEL. THIS REPORTING IMPACTS 14 CURRENT BOARD MEMBERS. MHF ALSO REIMBURSES FOR DIRECT EXPENSES RELATED TO ANY TRAVEL ON THE ORGANIZATION'S BEHALF. SPOUSAL TRAVEL WAS INCLUDED IN TAXABLE COMPENSATION FOR 2 EMPLOYEES (PHILIP NEWBOLD AND JEFFREY COSTELLO). SOCIAL CLUB MEMBERSHIP WAS INCLUDED IN TAXABLE COMPENSATION FOR 1 EMPLOYEE (JEFFREY COSTELLO). |
| PART 1, LINE 3 | COMPENSATION REVIEW PROCESS | MEMORIAL HEALTH FOUNDATION, INC. USES A RELATED ORGANIZATION'S (MEMORIAL HEALTH SYSTEM, INC.) COMPENSATION REVIEW PROCESS. THIS REVIEW PROCESS INCLUDES AN EXTENSIVE EXAMINATION USING COMPARABLE MARKET DATA THAT IS THEN REVIEWED BY AN INDEPENDENT CONSULTANT HIRED BY, AND REPORTING TO, THE BOARD OF DIRECTORS. RECOMMENDATIONS ARE PRESENTED TO THE BOARD FOR DELIBERATION AND FINAL DECISION. |
| PART I, LINE 4B | EXECUTIVE RETENTION PLAN | Beacon Health System implemented an Executive Retention Plan to attract and retain key employees by providing additional deferred compensation. The Chief Executive Officer will participate in the plan and will select other participants pursuant to the guidelines set by the Employer's Board of Directors. The Employer may make contributions under the plan and has sole discretion over whether to make a contribution. Vesting occurs on January 1 of the fifth year for which such contributions are made for participants who have been continuously employed. |
| PART I, LINE 6A & 6B | COMPENSATION CONTINGENT ON NET EARNINGS | THE RELATED ORGANIZATION, MEMORIAL HEALTH SYSTEM, HAS THREE INCENTIVE PLANS (EMPLOYEE, MANAGEMENT AND EXECUTIVE) WHICH HAVE A NET OPERATING INCOME TO BUDGET MEASUREMENT FOR THE PAYOUT THRESHOLD. THE EMPLOYEE PLAN SHARES THE EXCESS OVER BUDGET NET OPERATING INCOME WITH THE NON-MANAGMENT EMPLOYEES FOR MEMORIAL HEALTH SYSTEM, INC AND THE AFFILIATED ENTITIES, WHICH INCLUDES MEMORIAL HOSPITAL OF SOUTH BEND, INC. THE EMPLOYEE INCENTIVE HAS A MAXIMUM CAP OF $2,500,000. THE MANAGEMENT INCENTIVE PLAN PAYS A SLIDING PERCENTAGE OF BASE COMPENSATION IF THE NET OPERATING INCOME IS EQUAL TO OR GREATER THAN 80% OF THE BUDGETED NET OPERATING INCOME. THE SLIDING SCALE CAPS WHEN OPERATING INCOME REACHES 120% OF THE BUDGETED OPERATING INCOME. EXECUTIVES ARE COVERED UNDER THE BEACON HEALTH SYSTEM EXECUTIVE SHORT-TERM INCENTIVE PLAN(ESTIP). THE ESTIP PLAN PAYS A SLIDING PERCENTAGE OF BASE COMPENSATION IF THE NET OPERATING INCOME IS EQUAL TO OR GREATER THAN 80% OF THE BUDGETED NET INCOME. THE SLIDING SCALE CAPS WHEN OPERATING INCOME REACHES 120% OF THE BUDGETED OPERATING INCOME. |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArt | |
| Art Historical Treasures | ArtHistoricalTreasures | |
| Art Fractional Interest | ArtFractionalInterest | |
| Books And Publications | BooksAndPublications | |
| Clothing And Household Goods | ClothingAndHouseholdGoods | |
| Cars And Other Vehicles | CarsAndOtherVehicles | |
| Boats And Planes | BoatsAndPlanes | |
| Intellectual Property | IntellectualProperty | |
| Securities Publicly Traded | SecuritiesPubliclyTraded | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStock | |
| Securities Prtnrshp Trust Intrsts | SecuritiesPrtnrshpTrustIntrsts | |
| Securities Miscellaneous | SecuritiesMiscellaneous | |
| Qualified Contrib Hist Struct | QualifiedContribHistStruct | |
| Qualified Contrib Other | QualifiedContribOther | |
| Real Estate Residential | RealEstateResidential | |
| Real Estate Commercial | RealEstateCommercial | |
| Real Estate Other | RealEstateOther | |
| Collectibles | Collectibles | |
| Food Inventory | FoodInventory | |
| Drugs And Medical Supplies | DrugsAndMedicalSupplies | |
| Taxidermy | Taxidermy | |
| Historical Artifacts | HistoricalArtifacts | |
| Scientific Specimens | ScientificSpecimens | |
| Archaeological Artifacts | ArchaeologicalArtifacts |
Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | Toys, stuffed animals, books and electronics | 456 | 10031 | Cost Donated Propert |
| X | Hosting/sponsoring events | 1113 | 28015 | Cost Donated Propert |
| X | Gift cards, coupons, etc. | 115 | 6500 | Cost Donated Propert |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | GIFT ACCEPTANCE AND REVIEW | Identifier |
| Return Reference | Sch. M, Question 31 | ReturnReference |
| Explanation | Memorial Health Foundation has a written process for review of all gifts, it does not speak specifically to non-standard gifts, however there is a review process in place. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| EMPLOYEES OF THE ORGANIZATION | Core Form, Part V, Question 1a & 2a | Employees are paid by Memorial Health System, Inc.(EIN 35-1536132) and expensed to Memorial Health Foundation through contract labor. Memorial Health System, Inc. issues all W-2s and 1099s. |
| CHANGES IN GOVERNING DOCUMENTS | Core Form, Part VI, Section A, Question 4 | THE ARTICLES OF INCORPORATION AND BYLAWS WERE CHANGED TO HAVE BEACON HEALTH SYSTEM, INC. BECOME THE SOLE CORPORATE MEMBER. |
| MEMBERS OF THE ORGANIZATION | Core Form, Part VI, Section A, Question 6 | Membership in the Corporation shall be divided into two classes: Corporate and Personal. The Corporate Member shall be the Beacon Health System, Inc. The Personal Members shall be the directors of the Corporation. |
| ELECTION OF BOARD MEMBERS | Core Form, Part VI, Section A, Question 7a | The Corporate Member shall appoint the Board of Directors of the Corporation and shall have such powers of advance approval regarding Corporate actions as are delineated in the By-laws of the Corporation. |
| DECISIONS OF THE BOARD OF DIRECTORS | Core Form, Part VI, Section A, Question 7b | Decisions of the Board of Directors must be approved by the Corporate Member. |
| REVIEW PROCESS | Core Form, Part VI, Section B, Line 11B | The organization incorporates numerous parties in the production and review of the Form 990 and associated schedules. Senior accounting staff and management complete the Form 990 and schedules. The forms and schedules are reviewed by the Controller and CFO. Subsequent to those steps, the organization engaged Ernst & Young to review the completed Form 990 and appropriate schedules. Prior to filing the return, the compensation committee of the organization and the CEO conduct a general overview of the form 990, including applicable compensation schedules. In addition, the Board of Directors and the audit committee receive a copy of the Form 990 prior to filing. |
| CONFLICT OF INTEREST STATEMENTS | Core Form, Part VI, Section B, Line 12c | THERE ARE THREE SEPARATE FORMS THAT ARE SENT OUT THROUGH THE INTERNAL AUDIT DEPARTMENT TO KEY EMPLOYEES OR BOARD MEMBERS REGARDING CONFLICT OF INTEREST. THEY ARE AS FOLLOWS: 1. THE FIRST IS A CONFLICT OF INTEREST STATEMENT THAT IS SENT TO SENIOR LEVEL ADMINISTRATION, MANAGEMENT, AND SELECT STAFF SUCH AS PURCHASING DEPARTMENT EMPLOYEES. THE PURPOSE OF THE STATEMENT IS TO REQUIRE THESE EMPLOYEES TO DISCLOSE ANY POTENTIAL CONFLICT OF INTERESTS THEY MAY HAVE. THE STATEMENTS ARE SENT IN JANUARY OF EACH YEAR for the previous year activities WE PURSUE THE REPLIES TO GET A 100% RESPONSE RATE. IN THE CURRENT YEAR WE SENT OUT OVER 250 STATEMENTS AND DID ACHIEVE A 100% RESPONSE RATE. EACH RESPONSE IS REVIEWED BY THE DIRECTOR OF INTERNAL AUDIT AND THE RESULTS ARE REPORTED TO THE CEO OF Beacon Health System, the Audit Committee Chairman, AS WELL AS THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. It should be noted that in 2012 the Conflict of Interest Statement were not sent to Elkhart General Hospital Employees but will be sent for the calendar year 2013 in January, 2014. 2. THE SECOND STATEMENT IS THE BOARD DUALITY OF INTEREST STATEMENT THAT is SENT TO CURRENT BOARD MEMBERS, FORMER BOARD MEMBERS FROM THE LAST FIVE YEARS, and OTHER KEY EMPLOYEES. THE DUALITY OF INTEREST STATEMENT is sent using a web based survey tool provided by Ernst & Young. THE REPLIES ARE REVIEWED BY THE DIRECTOR OF INTERNAL AUDIT. THE RESULTS of the surveys are summarized using the web based tool, and are reviewed by Ernst & Young in completing the 990. The RESULTS ARE REPORTED TO THE CEO OF Beacon Health System, the Audit Committee Chairman, AND THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. 3. THE THIRD STATEMENT IS ENTITLED "CODE OF ETHICS FOR SENIOR FINANCIAL OFFICERS". THE STATEMENT REQUIRES AN ACKNOWLEDGEMENT FORM TO BE SIGNED BY Beacon Health System's KEY FINANCIAL EMPLOYEES THAT Beacon's FINANCIAL INFORMATION IS TO THE BEST OF THEIR KNOWLEDGE TRUE AND ACCURATE. THIS STATEMENT WAS SENT OUT IN EARLY JANUARY, 2013 AND THE SIGNED ACKNOWLEDGEMENTS ARE KEPT BY THE DIRECTOR OF INTERNAL AUDIT. IN 2013, Seventeen DESIGNATED EMPLOYEES WERE REQUESTED TO SIGN THE FORM AND WE HAD A 100% COMPLIANCE RATE. ANY POTENTIAL CONFLICTS OF INTERESTS ARE REVIEWED BY INDEPENDENT PARTIES BOTH INTERNAL AND EXTERNAL TO THE ORGANIZATION, AND IF NECESSARY, CORRECTIVE ACTION WOULD BE TAKEN TO RESOLVE A TRUE CONFLICT. THE INDIVIDUAL WITH THE POTENTIAL CONFLICT OF INTEREST IS would be EXCLUDED FROM ALL REVIEW PROCEEDINGS. |
| COMPENSATION REVIEW | Core Form, Part VI, Line 15a & 15b | Beacon Health System, Inc. has an extensive examination that is conducted,for Vice President and higher, using comparable market data and that is then reviewed by an independant consultant hired by, and reporting to, the Board of Directors. Recommendations are presented to the Board for deliberation and final decision. Deliberation and final decision are performed by the independent members of the Board. Vice President and higher compensation is determined after an extensive examination is conducted using comparable market data and then reviewed by an independent consultant hired by, and reporting to, the Board of Directors. Recommendations are presented to the Compensation Committee of the Beacon Health System, Inc. Board for deliberation and final decision. Deliberation and final decision are performed by the independent members of the Board. |
| AVAILABILITY OF GOVERNING DOCUMENTS | Core Form 990, Part VI, Section C, Line 19 | The governing documents and conflict of interest policy are not made available to the public. The financial statements are distributed quarterly to the Electronic Municipal Market Access (EMMA) website as part of the continuing disclosures for the Memorial Health System, Inc. bonds. |
| PY RECLASS OF ALTERNATIVE INVESTMENTS | Core Form, Part X, Lines 11 & 12 | Prior year alternative investments were reclassed from line 11 to line 12 to be consistent with current year presentation. |
| CHANGE IN FUND BALANCE | Core Form, Part XI, Line 5 | Other changes in fund balance: Writeoff of Intercompany MHS $831,954 Writeoff of Intercompany MHSB (22,393) Change in Grube Trust 77,573 Total $887,134 |
| BUSINESS RELATIONSHIPS | Form 990, Schedule L, Part IV | John Phair is president of Holladay Properties from which Memorial Health Foundation, Inc. rents property for values less than the reporting thresholds for Schedule L. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Memorial Health System Inc | ||||||||||
| 615 N Michigan St | South Bend | IN | 46601 | 351536132 | Corp Services | IN | 501(c)(3) | 9 | BEACON | true |
| Memorial Hospital of South Bend Inc | ||||||||||
| 615 N Michigan St | South Bend | IN | 46601 | 350868132 | Hospital | IN | 501(c)(3) | 3 | BEACON | true |
| ELKHART GENERAL HOSPITAL INC | ||||||||||
| 600 EAST BOULEVARD | ELKHART | IN | 46514 | 350877574 | HOSPITAL | IN | 501(c)(3) | 3 | BEACON | true |
| BEACON HEALTH SYSTEM INC | ||||||||||
| 600 EAST BOULEVARD | ELKHART | IN | 46514 | 453864076 | Parent Org | IN | 501(c)(3) | 11C III-FI | NA | false |
| MEMORIAL ENDOWMENT FUND FOR MEM HOSP | ||||||||||
| PO BOX 1602 | SOUTH BEND | IN | 46634 | 356068581 | ENDOWMENT | IN | 501(c)(3) | 11D III-O | MEM HOSPITAL | true |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| Beacon Health Ventures Inc | ||||||||
| 615 N Michigan St | South Bend | IN | 46601 | 351901068 | Home Medical | IN | NA | C |
| Beacon Health Ventures Michigan Inc | ||||||||
| 615 N Michigan St | South Bend | IN | 46601 | 208259773 | HOME MEDICAL | MI | NA | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Memorial Health System Inc | ||
| C | 831951 | ACCT ACTIVITY |
| Memorial Health System Inc | ||
| B | 215681 | CASH TRANSFER |
| Memorial Hospital of South Bend Inc | ||
| B | 694548 | CASH TRANSFER |
| Memorial Health System Inc | ||
| M | 286116 | ACCT ACTIVITY |
| Memorial Health System Inc | ||
| P | 464928 | PAYROLL |
| Memorial Health System Inc | ||
| P | 1167360 | ACCT ACTIVITY |
| Memorial Health System Inc | ||
| Q | 182500 | CASH TRANSFER |
| Memorial Hospital of South Bend Inc | ||
| R | 57559 | CASH TRANSFER |
| Memorial Health System Inc | ||
| S | 1167360 | ACCT ACTIVY |
Comments