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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-12T11:28:30-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 MOUNMENT CIRCLE SUITE 2600AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN351536129EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL HEALTH FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JEFFREY COSTELLOInCareOfName
Name ControlMEMONameControl
Phone5746473549Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1615 N Michigan StreetAddressLine1
Address Line2SuiteAddressLine2
CitySouth BendCity
StateINState
ZIP Code46601ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJEFFREY COSTELLOName
TitleCFOTitle
Date Signed2013-11-11DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPhilip NewboldNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1615 N Michigan StreetAddressLine1
CitySouth BendCity
StateINState
ZIP Code46601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2515310GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.qualityoflife.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionMEMORIAL IS COMMITTED TO IMPROVING THE QUALITY OF LIFE OF THE PEOPLE IN OUR COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body24NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2225724ContributionsGrantsPriorYear
Contributions Grants Current Year1549546ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year203953InvestmentIncomePriorYear
Investment Income Current Year599565InvestmentIncomeCurrentYear
Other Revenue Prior Year-1208OtherRevenuePriorYear
Other Revenue Current Year17080OtherRevenueCurrentYear
Total Revenue Prior Year2428469TotalRevenuePriorYear
Total Revenue Current Year2166191TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1238765GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY978859GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year560314SalariesEtcPriorYear
Salaries Etc Current Year518343SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year438169TotalFundrsngExpCurrentYear
Other Expense Prior Year721413OtherExpensePriorYear
Other Expenses Current Year544026OtherExpensesCurrentYear
Total Expenses Prior Year2520492TotalExpensesPriorYear
Total Expenses Current Year2041228TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-92023RevenuesLessExpensesPriorYear
Revenues Less Expenses CY124963RevenuesLessExpensesCY
Total Assets BOY22210857TotalAssetsBOY
Total Assets EOY24619806TotalAssetsEOY
Total Liabilities BOY123796TotalLiabilitiesBOY
Total Liabilities EOY145569TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY22087061NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY24474237NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionMEMORIAL IS COMMITTED TO IMPROVING THE QUALITY OF LIFE OF THE PEOPLE IN OUR COMMUNITY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1023932Expense
Grants978859Grants
Revenue20176Revenue
DescriptionOn 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 $ 22,163Description
Total Program Service Expense1023932TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
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 EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members24NbrVotingGoverningBodyMembers
Number Independent Voting Members21NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
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 BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJEFFREY COSTELLONamePerson
Telephone Number5746473549TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1615 N MICHIGAN STREETAddressLine1
CitySouth BendCity
StateINState
ZIP Code46601ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Carmi Murphy
Director2.00.0X000
John C Kerr
Officer/VICE Chair thru Mar122.00.0X405300
Najeeb A Khan
Officer/Chair2.00.0X000X
Terri T Kosik
Director thru March 20122.00.0X000
John T Phair
Director thru March 20122.00.0X189500
Peter Veldman
Director2.00.0X288900
Louis M Nanni
Director thru March 20122.00.0X230500
James Laing
Director2.00.0X000
Mary Jo Halbritter
Officer/Secretary thru Mar 122.00.0X000
William Schmuhl Jr
Director2.00.0X171300
Maggie Kernan
Director2.00.0X239200
Leigh Morris
Officer/Treasurer2.00.0X000X
Leland Kaiser PhD
Director thru March 20122.00.0X000
Charles Simon
Director2.00.0X000
Deborah Barton-Grant
Director2.00.0X309900
Deborah Cafiero
Director2.00.0X000
Otha Reese
Director2.00.0X171300
Sandra Brown MD
Director2.00.0X189500
Shannon Cullinan
Director2.00.0X309900
Greta Roemer Lewis
Director2.00.0X453000
Colleen Morrison MD
Director2.040.0X020708714093
Michael Steinberg MD
Director2.040.0X06481733162
Katie Toothaker
Secretary2.00.0X260300X
Emerson Spartz
Director2.00.0X000
Christopher Hickey
Director2.00.0X309900
David Hornback MD
Director2.040.0X061427320202
Thomas Cassady Jr
Vice Chair2.00.0X667200X
Paqui Kelly
Director2.00.0X000
Brad Beutter
Director2.00.0X000
Ray Gans
Director2.00.0X000
Delores Wilmoski
Director thru 3/20122.00.0X000
Philip A Newbold
CEO/President2.040.001382738163374X
Jeffrey Costello
CFO/Asst. Treasurer2.040.0063158082813X
Kellie Porter
Asst. Secretary40.02.0180730034197X
FieldValueIRS element (for citing)
Total Reportable Comp From Org222687TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3483851TotalReportableCompFrmRltdOrgs
Total Other Compensation317841TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events25785FundraisingEvents
All Other Contributions1523761AllOtherContributions
Noncash Contributions44546NoncashContributions
Total Contributions1549546TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

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Total Revenue Column548735TotalRevenueColumn
Exclusion$548,735ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

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Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

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Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

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Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

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Securities391553Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

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Securities340723Securities

Gain Or Loss GainOrLoss

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Securities50830Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

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Total Revenue Column50830TotalRevenueColumn
Exclusion$50,830ExclusionAmount
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Gross Income Fundraising Events5300GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events25785CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses8396FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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Total Revenue Column-3096TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

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Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

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Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER INCOME - CV OF LIFE INS6116001957419574
OTHER INCOME - REBATES AND REFUNDS611600485485
OTHER INCOME - COMMERCE CARD6116008383

Miscellaneous Revenue MiscellaneousRevenue

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Total Revenue Column34TotalRevenueColumn
Related Or Exempt Function Income34RelatedOrExemptFunctionIncome
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Total Other Revenue20176TotalOtherRevenue

Total Revenue TotalRevenue

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Total Revenue Column2166191TotalRevenueColumn
Related Or Exempt Function Income20176RelatedOrExemptFunctionIncome
Exclusion$599,565ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

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Total955513Total
Program Services955513ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

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Total23346Total
Program Services23346ProgramServices

Foreign Grants ForeignGrants

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Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

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Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

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Total256884Total
Management And General149420ManagementAndGeneral
Fundraising107464Fundraising

Comp Disqual Persons CompDisqualPersons

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Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

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Program Services26435ProgramServices
Management And General62059ManagementAndGeneral
Fundraising95204Fundraising

Pension Plan Contributions PensionPlanContributions

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Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

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Total53415Total
Program Services10ProgramServices
Management And General26716ManagementAndGeneral
Fundraising26689Fundraising

Payroll Taxes PayrollTaxes

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Program Services1461ProgramServices
Management And General11686ManagementAndGeneral
Fundraising11199Fundraising

Fees For Services Management FeesForServicesManagement

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Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

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Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

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Program Services0ProgramServices
Management And General545ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

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Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

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Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

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Total14479Total
Program Services0ProgramServices
Management And General13212ManagementAndGeneral
Fundraising1267Fundraising

Advertising Advertising

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Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

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Total45674Total
Program Services0ProgramServices
Management And General25074ManagementAndGeneral
Fundraising20600Fundraising

Information Technology InformationTechnology

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Total14387Total
Program Services0ProgramServices
Management And General14387ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

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Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

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Total32235Total
Program Services0ProgramServices
Management And General16460ManagementAndGeneral
Fundraising15775Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total5146Total
Program Services0ProgramServices
Management And General1233ManagementAndGeneral
Fundraising3913Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

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Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

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Total3243Total
Program Services0ProgramServices
Management And General1656ManagementAndGeneral
Fundraising1587Fundraising

Interest Interest

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Total29200Total
Program Services0ProgramServices
Management And General29200ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

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Total0Total

Depreciation Depletion DepreciationDepletion

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Total50513Total
Program Services0ProgramServices
Management And General50513ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

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Total21294Total
Program Services0ProgramServices
Management And General21294ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
CORPORATE ALLOCATION28611617167137336131613
LICENSES/TAXES9100046474453
FUNDRAISING-BLACKBAUD5483005483
DUES/SUBSCRIPTIONS3956020201936

All Other Expenses AllOtherExpenses

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Total22655Total
Management And General11669ManagementAndGeneral
Fundraising10986Fundraising

Total Functional Expenses TotalFunctionalExpenses

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Program Services1023932ProgramServices
Management And General579127ManagementAndGeneral
Fundraising438169Fundraising

Cash Non Interest Bearing CashNonInterestBearing

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BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

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EOY4164748EOY

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EOY140258EOY

Accounts Receivable AccountsReceivable

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BOY0BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

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EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

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EOY0EOY

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BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

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BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

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BOY0BOY
EOY0EOY
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Land Buildings Equipment Basis416856LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec347752LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

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BOY119618BOY
EOY69104EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

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BOY15981845BOY
EOY18061943EOY

Investments Other Securities InvestmentsOtherSecurities

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BOY2429699BOY
EOY2183753EOY

Investments Program Related InvestmentsProgramRelated

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BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

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BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

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EOY0EOY

Total Assets TotalAssets

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BOY22210857BOY
EOY24619806EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

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BOY47675BOY
EOY91982EOY

Grants Payable GrantsPayable

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BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

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BOY76121BOY
EOY53587EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

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BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

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BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

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BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

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BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

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BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

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BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

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BOY123796BOY
EOY145569EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY17413169BOY
EOY19144727EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4483222BOY
EOY5138840EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY190670BOY
EOY190670EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22087061BOY
EOY24474237EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22210857BOY
EOY24619806EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses124963ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1375079ReconciliationUnrealizedInvest
Reconcilation Other Changes887134ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1532816CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1334217CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1436553CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2225724CurrentTaxYearMinus1Year
Current Tax Year1549546CurrentTaxYear
Total8078856Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years142561CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years127810CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years100CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year268CurrentTaxYearMinus1Year
Current Tax Year20176CurrentTaxYear
Total290915Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1675377CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1462027CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1436653CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2225992CurrentTaxYearMinus1Year
Current Tax Year1569722CurrentTaxYear
Total8369771Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years121124CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years133141CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years67601CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year370311CurrentTaxYearMinus1Year
Current Tax Year168329CurrentTaxYear
Total860506Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years121124CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years133141CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years67601CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year370311CurrentTaxYearMinus1Year
Current Tax Year168329CurrentTaxYear
Total860506Total
FieldValueIRS element (for citing)
Public Support Total5097509265PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years402683CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years201715CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years113552CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year195423CurrentTaxYearMinus1Year
Current Tax Year548735CurrentTaxYear
Total1462108Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18314CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10410CurrentTaxYearMinus3Years
Total28724Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years420997CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years212125CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years113552CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year195423CurrentTaxYearMinus1Year
Current Tax Year548735CurrentTaxYear
Total1490832Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year1955CurrentTaxYearMinus1Year
Current Tax Year5300CurrentTaxYear
Total7255Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2096374CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1674152CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1550205CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2423370CurrentTaxYearMinus1Year
Current Tax Year2123757CurrentTaxYear
Total9867858Total
FieldValueIRS element (for citing)
Public Support Percentage5090.76098PublicSupportPercentage509
Prior Year Support Percentage0.60659PriorYearSupportPercentage
Investment Income Percentage0.15108InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.24849PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance22198822BeginningOfYearBalance
Contributions1501904Contributions
Investment Earnings Or Losses1884305InvestmentEarningsOrLosses
Grants Or Scholarships923860GrantsOrScholarships
End Of Year Balance24661171EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance21769701BeginningOfYearBalance
Contributions2155236Contributions
Investment Earnings Or Losses-543657InvestmentEarningsOrLosses
Grants Or Scholarships1182458GrantsOrScholarships
End Of Year Balance22198822EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance22665989BeginningOfYearBalance
Contributions1296194Contributions
Investment Earnings Or Losses1929600InvestmentEarningsOrLosses
Grants Or Scholarships4122082GrantsOrScholarships
End Of Year Balance21769701EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance20595396BeginningOfYearBalance
Contributions1076924Contributions
Investment Earnings Or Losses3137353InvestmentEarningsOrLosses
Grants Or Scholarships2143684GrantsOrScholarships
End Of Year Balance22665989EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance28741974BeginningOfYearBalance
Contributions1278996Contributions
Investment Earnings Or Losses-6927657InvestmentEarningsOrLosses
Grants Or Scholarships2497917GrantsOrScholarships
End Of Year Balance20595396EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.78390BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00770PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.20840TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis416856OtherCostOrOtherBasis
Depreciation347752Depreciation
Book Value69104BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings69104TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests
Total Of Book Value Securities0TotalOfBookValueSecurities

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USE OF ENDOWMENT FUNDSSch. D, Part V, Line 4The 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) FootnoteSch. D, Part X, line 2Memorial 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

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Type Of Activities ConductedInvestmentsTypeOfActivitiesConducted
Total Expenditures2183753TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Amount Spent2183753SubtotalAmountSpent
Total Amount Spent2183753TotalAmountSpent
Transfer To Foreign CorpfalseTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Jazz About ArtNameOfEvent1
Gross Receipts Event131085GrossReceiptsEvent1
Charitable Contributions Event125785CharitableContributionsEvent1
Gross Revenue Event15300GrossRevenueEvent1
Food And Beverage Event18264FoodAndBeverageEvent1
Entertainment Event1132EntertainmentEvent1
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Other Events0GrossReceiptsOtherEvents
Charitable Contrib Other Events0CharitableContribOtherEvents
Gross Revenue Other Events0GrossRevenueOtherEvents
Cash Prizes Other Events0CashPrizesOtherEvents
Non Cash Prizes Other Events0NonCashPrizesOtherEvents
Rent Facility Costs Other Events0RentFacilityCostsOtherEvents
Food And Beverage Other Events0FoodAndBeverageOtherEvents
Entertainment Other Events0EntertainmentOtherEvents
Other Direct Expenses Other Events0OtherDirectExpensesOtherEvents
Gross Receipts Total31085GrossReceiptsTotal
Charitable Contributions Total25785CharitableContributionsTotal
Gross Revenue Total Events5300GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events0NonCashPrizesTotalEvents
Rent Facility Costs Total Events0RentFacilityCostsTotalEvents
Food And Beverage Total Events8264FoodAndBeverageTotalEvents
Entertainment Total Events132EntertainmentTotalEvents
Other Direct Expenses Total Events0OtherDirectExpensesTotalEvents
Direct Expense Summary Events8396DirectExpenseSummaryEvents
Net Income Summary-3096NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Memorial Hospital of South Bend Inc
615 N Michigan StreetSouth BendIN46601350868132501(c)(3)694548General Support
Memorial Health System Inc
615 N Michigan StreetSouth BendIN46601351536132501(c)(3)215681General support
Ronald McDonald Charities
One Kroc DriveOak BrookIL60523362934689501(c)(3)10584Distributions
Samantha Hickey Foundation Inc
54530 White Tail DrMishawakaIN46545412089450501(c)(3)12000Distributions
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantGrants for ChildrenTypeOfGrant
Amount Of Non Cash Assistance23346AmountOfNonCashAssistance
Method Of ValuationFMVMethodOfValuation
Description Of Non Cash Assistancegift cardsDescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGRANT MONITORING PROCEDURESIdentifier
Return ReferenceSchedule I, Part IReturnReference
ExplanationThe 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

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 OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs

Form990 Schedule J Part II Form990ScheduleJPartII (6 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
Philip A Newbold
CEO/President06615030326180039505501520940112800154611200
Jeffrey Costello
CFO/Asst. Treasurer03364770114704018039907823904574071439300
Colleen Morrison MD
Director02049900172303740846905624022118000
Michael Steinberg MD
Director06475730006000003162065133500
David Hornback MD
Director059298300021290010000010202063447500
Kellie Porter
Asst. Secretary13984403360007286025170090270214927000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ASOCIAL CLUB AND SPOUSAL TRAVELMEMORIAL 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 3COMPENSATION REVIEW PROCESSMEMORIAL 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 4BEXECUTIVE RETENTION PLANBeacon 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 & 6BCOMPENSATION CONTINGENT ON NET EARNINGSTHE 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

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XToys, stuffed animals, books and electronics45610031Cost Donated Propert
XHosting/sponsoring events111328015Cost Donated Propert
XGift cards, coupons, etc.1156500Cost Donated Propert
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierGIFT ACCEPTANCE AND REVIEWIdentifier
Return ReferenceSch. M, Question 31ReturnReference
ExplanationMemorial 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)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
EMPLOYEES OF THE ORGANIZATIONCore Form, Part V, Question 1a & 2aEmployees 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 DOCUMENTSCore Form, Part VI, Section A, Question 4THE ARTICLES OF INCORPORATION AND BYLAWS WERE CHANGED TO HAVE BEACON HEALTH SYSTEM, INC. BECOME THE SOLE CORPORATE MEMBER.
MEMBERS OF THE ORGANIZATIONCore Form, Part VI, Section A, Question 6Membership 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 MEMBERSCore Form, Part VI, Section A, Question 7aThe 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 DIRECTORSCore Form, Part VI, Section A, Question 7bDecisions of the Board of Directors must be approved by the Corporate Member.
REVIEW PROCESSCore Form, Part VI, Section B, Line 11BThe 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 STATEMENTSCore Form, Part VI, Section B, Line 12cTHERE 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 REVIEWCore Form, Part VI, Line 15a & 15bBeacon 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 DOCUMENTSCore Form 990, Part VI, Section C, Line 19The 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 INVESTMENTSCore Form, Part X, Lines 11 & 12Prior year alternative investments were reclassed from line 11 to line 12 to be consistent with current year presentation.
CHANGE IN FUND BALANCECore Form, Part XI, Line 5Other 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 RELATIONSHIPSForm 990, Schedule L, Part IVJohn 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/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Memorial Health System Inc
615 N Michigan StSouth BendIN46601351536132Corp ServicesIN501(c)(3)9BEACONtrue
Memorial Hospital of South Bend Inc
615 N Michigan StSouth BendIN46601350868132HospitalIN501(c)(3)3BEACONtrue
ELKHART GENERAL HOSPITAL INC
600 EAST BOULEVARDELKHARTIN46514350877574HOSPITALIN501(c)(3)3BEACONtrue
BEACON HEALTH SYSTEM INC
600 EAST BOULEVARDELKHARTIN46514453864076Parent OrgIN501(c)(3)11C III-FINAfalse
MEMORIAL ENDOWMENT FUND FOR MEM HOSP
PO BOX 1602SOUTH BENDIN46634356068581ENDOWMENTIN501(c)(3)11D III-OMEM HOSPITALtrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
Beacon Health Ventures Inc
615 N Michigan StSouth BendIN46601351901068Home MedicalINNAC
Beacon Health Ventures Michigan Inc
615 N Michigan StSouth BendIN46601208259773HOME MEDICALMINAC
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 OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
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 OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Memorial Health System Inc
C831951ACCT ACTIVITY
Memorial Health System Inc
B215681CASH TRANSFER
Memorial Hospital of South Bend Inc
B694548CASH TRANSFER
Memorial Health System Inc
M286116ACCT ACTIVITY
Memorial Health System Inc
P464928PAYROLL
Memorial Health System Inc
P1167360ACCT ACTIVITY
Memorial Health System Inc
Q182500CASH TRANSFER
Memorial Hospital of South Bend Inc
R57559CASH TRANSFER
Memorial Health System Inc
S1167360ACCT ACTIVY

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