Bethesda Hospital Foundation Inc: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
Bethesda Hospital Foundation Inc (EIN 59-6137805)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-15
IRS object ID
201322279349301632
Schema version
2011v1.2
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)
Timestamp2013-08-15T11:00:17-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1401 East Las Olas BlvdAddressLine1
Address Line2Suite 1100AddressLine2
CityFort LauderdaleCity
StateFLState
ZIP Code33301ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN596137805EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BETHESDA HOSPITAL FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBETHNameControl
Phone5617377733Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12815 South Seacrest BlvdAddressLine1
CityBoynton BeachCity
StateFLState
ZIP Code33435ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOANNE AQUILINAName
TitleCHIEF FINANCIAL OFFICERTitle
Date Signed2013-08-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCindy KushnerName
PTINP00739493PTIN
Phone9542028600Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1KAY HARVEYBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12815 S Seacrest BlvdAddressLine1
CityBoynton BeachCity
StateFLState
ZIP Code33435ZIPCode
FieldValueIRS element (for citing)
Gross Receipts18002936GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BETHESDAHOSPITALFOUNDATION.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1947YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionBETHESDA HOSPITAL FOUNDATION WAS ESTABLISHED FOR THE BENEFIT AND SUPPORT OF BETHESDA HOSPITAL. ITS PURPOSE IS TO ASSIST THE HOSPITAL IN ACCOMPLISHING ITS MISSION THROUGH THE ACQUISITION, MANAGEMENT AND DISBURSEMENT OF PHILANTHROPIC ASSETS AND BY BUILDING SUPPORT OF THE HOSPITAL WITHIN THE COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body29NbrVotingMembersGoverningBody
Nbr Independent Voting Members29NbrIndependentVotingMembers
Total Nbr Employees10TotalNbrEmployees
Total Nbr Volunteers25TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7725742ContributionsGrantsPriorYear
Contributions Grants Current Year10830860ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year1153186InvestmentIncomePriorYear
Investment Income Current Year593275InvestmentIncomeCurrentYear
Other Revenue Prior Year-180013OtherRevenuePriorYear
Other Revenue Current Year5083OtherRevenueCurrentYear
Total Revenue Prior Year8698915TotalRevenuePriorYear
Total Revenue Current Year11429218TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year5354686GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY6804395GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1225660SalariesEtcPriorYear
Salaries Etc Current Year1103181SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1430812TotalFundrsngExpCurrentYear
Other Expense Prior Year841185OtherExpensePriorYear
Other Expenses Current Year615969OtherExpensesCurrentYear
Total Expenses Prior Year7421531TotalExpensesPriorYear
Total Expenses Current Year8523545TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1277384RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2905673RevenuesLessExpensesCY
Total Assets BOY32117408TotalAssetsBOY
Total Assets EOY37271657TotalAssetsEOY
Total Liabilities BOY2526136TotalLiabilitiesBOY
Total Liabilities EOY2584324TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY29591272NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY34687333NetAssetsOrFundBalancesEOY
Mission DescriptionBETHESDA HOSPITAL FOUNDATION IS A NOT-FOR-PROFIT ORGANIZATION ESTABLISHED FOR THE BENEFIT AND SUPPORT OF BETHESDA HOSPITAL. ITS PURPOSE IS TO ASSIST THE HOSPITAL IN ACCOMPLISHING ITS MISSION THROUGH THE ACQUISITION, MANAGEMENT AND DISBURSEMENT OF PHILANTHROPIC ASSETS AND BY BUILDING SUPPORT OF THE HOSPITAL WITHIN THE COMMUNITY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense6531425Expense
Grants6531425Grants
Revenue0Revenue
DescriptionTHE BETHESDA HOSPITAL FOUNDATION, CELEBRATING 65 YEARS OF SERVICE TO THE COMMUNITY, REMAINS COMMITTED TO RAISING AWARENESS AND RAISING FUNDS TO PROVIDE WORLD-CLASS HEALTHCARE IN OUR COMMUNITY. WITH BETHESDA'S EXPANDING ROLE AS A LEADER IN REGIONAL HEALTHCARE AND THE DRAMATIC GROWTH IN THE COMMUNITY WE SERVE, BETHESDA'S PLANS ARE RAPIDLY PROGRESSING WITH THE OPENING OF PALM BEACH COUNTY'S NEWEST HOSPITAL TO TAKE PLACE IN EARLY 2013. WITH COMMUNITY SUPPORT, BETHESDA WILL PREPARE FOR THE FUTURE AND ENSURE QUALITY CARE FOR EACH AND EVERY RESIDENT IN OUR COMMUNITY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense228841Expense
Grants228841Grants
Revenue0Revenue
DescriptionBETHESDA HOSPITAL FOUNDATION PROVIDES FUNDING TO BETHESDA HOSPITAL FOR THE DRISKILL CENTER FOR CARING WHOSE MISSION IS TO TEACH CAREGIVERS TO EFFECTIVELY INTEGRATE CARING AND CLINICAL SKILLS, SUCH THAT A PHILOSOPHY OF "CARING EXCELLENCE" BECOMES THE CULTURE THROUGHOUT BETHESDA HOSPITAL. THE DRISKILL ENDOVASCULAR CENTER ALLOWS SURGEONS TO CARE FOR PATIENTS WITH VASCULAR PROBLEMS USING MINIMALLY INVASIVE PROCEDURES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense44129Expense
Grants44129Grants
Revenue0Revenue
DescriptionSCHOLARSHIPS ARE AWARDED TO SUPPORT HEALTHCARE EDUCATION IN OUR COMMUNITY.Description
FieldValueIRS element (for citing)
Total Program Service Expense6804395TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingtrueGaming
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 EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109632NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees10NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members29NbrVotingGoverningBodyMembers
Number Independent Voting Members29NumberIndependentVotingMembers
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 OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Joanne AquilinaBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5617377733TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12815 S Seacrest BlvdAddressLine1
CityBoynton BeachCity
StateFLState
ZIP Code33435ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
DEBORAH SARGEANT
Secretary2.00XX000
MARY J MORRELL
President2.00XX000
PETER BLUM
Vice Chair2.00XX000
W HOWARD ELLINGSWORTH
Treasurer2.00XX000
ANN HEILAKKA
Director2.00X000
ARNOLD B SMITH
Director2.00X000
BETTINA YOUNG
Director2.00X000
BRIAN G CHESLACK ESQ
Director2.00X000
BRUCE H LYNN
Director2.00X000
DENIS F MULLANE
Director2.00X000
FRED W LOVE MD
Director2.00X000
HERBERT F KAHLERT
Director2.00X000
IRENE STOLFI BURNS
Director2.00X000
JAN M KUCERA
Director2.00X000
JOAN ORTHWEIN
Director2.00X000
KENNETH M KALEEL
Director2.00X000
KENNETH T LASSITER
Director2.00X000
LEO N CROWLEY
Director2.00X000
LEWIS J DOCTOR
Director2.00X000
MARGERY ROBERTS
Director2.00X000
MARIE BEDNER
Director2.00X000
MICHAEL M MULLIN III
Director2.00X000
MICHAEL TD DENNIS MD
Director2.00X000
PETER CARNEY
Director2.00X000
RAYMOND RIPLEY JR
Director2.00X000
STACEY M HALLBERG
Director2.00X000
STEVEN LITINSKY MD
Director2.00X000
STORMET C NOREM
DIRECTOR2.00X000
WILLIAM M PLUM
Director2.00X000
KAY P HARVEY
EXECUTIVE DIRECTOR40.00X247693039753
ROBERT B HILL
President - Partial Year2.00X063173684178
ROGER L KIRK
President - Partial Year2.00X044000780362
JOHN M LANDRY
DIR FOUNDATION/PLAN GIVING40.00120629016036X
KRISTIN B CALDER
P/R ANNUAL GIVING DIRECTOR40.0010248909161X
FieldValueIRS element (for citing)
Total Reportable Comp From Org470811TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1071743TotalReportableCompFrmRltdOrgs
Total Other Compensation229490TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events1420274FundraisingEvents
All Other Contributions9410586AllOtherContributions
Noncash Contributions220262NoncashContributions
Total Contributions10830860TotalContributions

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

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

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column720059TotalRevenueColumn
Exclusion$720,059ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities5806904Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities5933688Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-126784Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-126784TotalRevenueColumn
Exclusion-$126,784ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events610858GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events1420274CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses625030FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-14172TotalRevenueColumn
Exclusion-$14,172ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming34255GrossIncomeGaming
Gaming Direct Expenses15000GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column19255TotalRevenueColumn
Exclusion$19,255ExclusionAmount

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11429218TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$598,358ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total6760266Total
Program Services6760266ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total44129Total
Program Services44129ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total288556Total
Management And General42167ManagementAndGeneral
Fundraising246389Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total670023Total
Management And General8575ManagementAndGeneral
Fundraising661448Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total40036Total
Management And General0ManagementAndGeneral
Fundraising40036Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total46455Total
Management And General1511ManagementAndGeneral
Fundraising44944Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total58111Total
Management And General2906ManagementAndGeneral
Fundraising55205Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total146631Total
Fundraising146631Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total60393Total
Management And General60393ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total145203Total
Management And General145203ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5244Total
Management And General3657ManagementAndGeneral
Fundraising1587Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total94408Total
Management And General3686ManagementAndGeneral
Fundraising90722Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total122531Total
Management And General3735ManagementAndGeneral
Fundraising118796Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total15474Total
Management And General624ManagementAndGeneral
Fundraising14850Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total6515Total
Management And General6515ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3002Total
Management And General150ManagementAndGeneral
Fundraising2852Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total1775Total
Management And General1775ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalFundraisingFundraisingManagement And GeneralManagementAndGeneral
PROSPECT RESEARCH69606960
ALL OTHER EXPENSES78333927441

All Other Expenses AllOtherExpenses

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

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8523545Total
Program Services6804395ProgramServices
Management And General288338ManagementAndGeneral
Fundraising1430812Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY102031BOY
EOY234502EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6844446BOY
EOY8459516EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY4389156BOY
EOY5064487EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY75101BOY
EOY52226EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis155781LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec145127LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY12803BOY
EOY10654EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY18028168BOY
EOY21223445EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1483367BOY
EOY1279353EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1182336BOY
EOY947474EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY32117408BOY
EOY37271657EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY151977BOY
EOY105638EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2374159BOY
EOY2478686EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2526136BOY
EOY2584324EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY14435316BOY
EOY16595024EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY13624332BOY
EOY16333751EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1531624BOY
EOY1758558EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY29591272BOY
EOY34687333EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY32117408BOY
EOY37271657EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2905673ReconcilationRevenueExpenses
Reconcilation Other Changes2190388ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9529951CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6016487CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5107070CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7725742CurrentTaxYearMinus1Year
Current Tax Year10830860CurrentTaxYear
Total39210110Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9529951CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6016487CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5107070CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7725742CurrentTaxYearMinus1Year
Current Tax Year10830860CurrentTaxYear
Total39210110Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total8100823AmountsSubstContributorsTotal
Public Support Total17031109287PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1504108CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years975159CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years478138CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year685813CurrentTaxYearMinus1Year
Current Tax Year720059CurrentTaxYear
Total4363277Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1425164CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years307703CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years238533CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year227449CurrentTaxYearMinus1Year
Current Tax Year645113CurrentTaxYear
Total2843962Total
FieldValueIRS element (for citing)
Total Support46417349TotalSupport
Public Support Pertcentage1700.67020PublicSupportPertcentage170
Public Support Pertcent Prior Year0.75260PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationOTHER INCOME, SCHEDULE A, PART II, LINE 10, DESCRIPTION - GROSS INCOME FROM FUNDRAISING EVENTS, COLUMN A - 1425164, COLUMN B - 307703, COLUMN C - 238533, COLUMN D - 227449, COLUMN E - 610858, COLUMN F - 2809707; DESCRIPTION - GROSS INCOME FROM GAMING, COLUMN A - 0, COLUMN B - 0, COLUMN C - 0, COLUMN D - 0, COLUMN E - 34255, COLUMN F - 34255;,GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance16942951BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses2663231InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures299987OtherExpenditures
Administrative Expenses29464AdministrativeExpenses
End Of Year Balance19276731EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance17333861BeginningOfYearBalance
Contributions6000Contributions
Investment Earnings Or Losses-205068InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures151760OtherExpenditures
Administrative Expenses40082AdministrativeExpenses
End Of Year Balance16942951EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance15480219BeginningOfYearBalance
Contributions666556Contributions
Investment Earnings Or Losses1518235InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures250000OtherExpenditures
Administrative Expenses81149AdministrativeExpenses
End Of Year Balance17333861EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance15459550BeginningOfYearBalance
Contributions60000Contributions
Investment Earnings Or Losses292425InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures250000OtherExpenditures
Administrative Expenses81756AdministrativeExpenses
End Of Year Balance15480219EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.65130BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.09130PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.25740TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Book Value0BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Book Value0BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis155781OtherCostOrOtherBasis
Depreciation145127Depreciation
Book Value10654BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10654TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED PLANNED GIVING ANNUITIESDescription
Amount$2,478,686Amount
FieldValueIRS element (for citing)
Total Of Amounts2478686TotalOfAmounts
Total Revenue11429218TotalRevenue
Total Expenses8523545TotalExpenses
Excess Or Deficit For Year2905673ExcessOrDeficitForYear
Net Unrealized GL On Investments2586006NetUnrealizedGLOnInvestments
Other-$395,618OtherAmount
Total Adjustments2190388TotalAdjustments
Excess Or Deficit Per FS5096061ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt13690911TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments2586006NetUnrealizedGainsInvestments
Other Revenues0OtherRevenues
Revenue Not Rptd F9902586006RevenueNotRptdF990
Revenue Subtotal11104905RevenueSubtotal
Investment Expenses Not Included48695InvestmentExpensesNotIncluded
Other Revenues Not Included275618OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt324313RevenueNotRptdOnFinStmt
Total Revenue Per Form99011429218TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8594850TotExpensesEtcAuditedFinclStmt
Other Expenses Included120000OtherExpensesIncluded
Expenses Not Rptd F990120000ExpensesNotRptdF990
Expenses Subtotal8474850ExpensesSubtotal
Investment Expenses Not Included248695InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt48695ExpensesNotRptdOnFinStmt
Total Expenses Per Form9908523545TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Intended uses of endowment fundsSchedule D, Part V, Line 4THE ENDOWMENT FUNDS ARE USED TO SUPPORT BETHESDA HEALTH IN THE PROVISION OF QUALITY HEALTH CARE SERVICES TO THE SURROUNDING COMMUNITY.
FIN 48 (ASC 740) footnoteSchedule D, Part X, Line 2THE FOUNDATION IS A NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE, AS AN ENTITY DESCRIBED IN SECTION 501(C)(3). THE FOUNDATION WOULD BE SUBJECT TO FEDERAL AND STATE INCOME TAX ON ANY TAXABLE INCOME GENERATED FROM UNRELATED BUSINESS ACTIVITIES. THE FOUNDATION HAS NO UNRELATED BUSINESS ACTIVITIES.
Other changes in net assetsSchedule D, Part XI, Line 8CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS - -275618; UNCOLLECTIBLE PLEDGES - -120000;
Other revenues in form 990 not in audited financial statementsSchedule D, Part XII, Line 4bCHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS - 275618;
Other expenses in audited financial statements not in form 990Schedule D, Part XIII, Line 2dUNCOLLECTIBLE PLEDGES - 120000;

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1BETHESDA BALLNameOfEvent1
Gross Receipts Event11143280GrossReceiptsEvent1
Charitable Contributions Event1743800CharitableContributionsEvent1
Gross Revenue Event1399480GrossRevenueEvent1
Rent Facility Costs Event154548RentFacilityCostsEvent1
Food And Beverage Event1130500FoodAndBeverageEvent1
Entertainment Event127700EntertainmentEvent1
Other Direct Expenses Event159559OtherDirectExpensesEvent1
Name Of Event2WOMEN OF GRACENameOfEvent2
Gross Receipts Event2234022GrossReceiptsEvent2
Charitable Contributions Event2184866CharitableContributionsEvent2
Gross Revenue Event249156GrossRevenueEvent2
Rent Facility Costs Event23554RentFacilityCostsEvent2
Food And Beverage Event237746FoodAndBeverageEvent2
Other Direct Expenses Event221799OtherDirectExpensesEvent2
Total Number Of Other Events6TotalNumberOfOtherEvents
Gross Receipts Other Events669431GrossReceiptsOtherEvents
Charitable Contrib Other Events507209CharitableContribOtherEvents
Gross Revenue Other Events162222GrossRevenueOtherEvents
Cash Prizes Other Events8400CashPrizesOtherEvents
Rent Facility Costs Other Events21434RentFacilityCostsOtherEvents
Food And Beverage Other Events87958FoodAndBeverageOtherEvents
Entertainment Other Events20000EntertainmentOtherEvents
Other Direct Expenses Other Events151832OtherDirectExpensesOtherEvents
Gross Receipts Total2046733GrossReceiptsTotal
Charitable Contributions Total1435875CharitableContributionsTotal
Gross Revenue Total Events610858GrossRevenueTotalEvents
Cash Prizes Total Events8400CashPrizesTotalEvents
Non Cash Prizes Total Events0NonCashPrizesTotalEvents
Rent Facility Costs Total Events79536RentFacilityCostsTotalEvents
Food And Beverage Total Events256204FoodAndBeverageTotalEvents
Entertainment Total Events47700EntertainmentTotalEvents
Other Direct Expenses Total Events233190OtherDirectExpensesTotalEvents
Direct Expense Summary Events625030DirectExpenseSummaryEvents
Net Income Summary-14172NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming34255GrossRevenueOtherGaming
Cash Prizes Other Gaming15000CashPrizesOtherGaming
Volunteer Labor Other GamingtrueVolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming0.9VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming34255GrossRevenueTotalGaming
Cash Prizes Total Gaming15000CashPrizesTotalGaming
Non Cash Prizes Total Gaming0NonCashPrizesTotalGaming
Rent Facility Costs Total Gaming0RentFacilityCostsTotalGaming
Other Direct Expenses Total Gaming0OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming15000DirectExpenseSummaryGaming
Net Gaming Income Summary19255NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedFLStatesWhereGamingConducted
LicensedfalseLicensed
Explanation If NoA GAMING LICENSE IS NOT REQUIRED IN FLORIDA.ExplanationIfNo
License Suspended EtcfalseLicenseSuspendedEtc
Gaming With NonmembersfalseGamingWithNonmembers
Member Of Other EntityfalseMemberOfOtherEntity
Percentage Of Gaming Own Facility0PercentageOfGamingOwnFacility
Percentage Of Gaming Othr Facility1PercentageOfGamingOthrFacility

Name Of Gaming Rec Keeper Bus NameOfGamingRecKeeperBus

FieldValueIRS element (for citing)
Business Name Line1DONNA SEYMOURBusinessNameLine1

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line12815 S SEACREST BLVDAddressLine1
CityBOYNTON BEACHCity
StateFLState
ZIP Code33435ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam RevfalseContractWith3rdPartyForGamRev

Gaming Manager Name Business GamingManagerNameBusiness

FieldValueIRS element (for citing)
Business Name Line1AMY BRANDBusinessNameLine1
FieldValueIRS element (for citing)
Gaming Manager Compensation911GamingManagerCompensation
Gaming Manager Services ProvidedMANAGES GAMING ACTIVITIESGamingManagerServicesProvided

Form990 Schedule G Part IV Form990ScheduleGPartIV

FieldValueIRS element (for citing)
IdentifierGAMING MANAGER COMPENSATIONIdentifier
Return ReferenceSCHEDULE G, PART III, LINE 16ReturnReference
ExplanationONLY 1% OF AMY BRAND'S TIME IS RELATED TO GAMING. THEREFORE ONLY 1% OF HER COMPENSATION IS SHOWN AS GAMING COMPENSATION.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1BETHESDA HOSPITAL INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12815 S SEACREST BLVDAddressLine1
CityBOYNTON BEACHCity
StateFLState
ZIP Code33435ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient592447554EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant6760266AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Method Of ValuationN/AMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance
Purpose Of GrantHEALTHCAREPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPSTypeOfGrant
Number Of Recipients40NumberOfRecipients
Amount Of Cash Grant44129AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Method Of ValuationN/AMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedures for monitoring use of grant fundsIdentifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationUNRESTRICTED FUNDS INCLUDED IN THE GRANT PAID TO BETHESDA HOSPITAL CAN BE USED FOR ANY PURPOSE NECESSARY TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY. DONOR-RESTRICTED FUNDS INCLUDED IN THE GRANT PAID TO BETHESDA HOSPITAL MUST BE USED FOR PURPOSES RELATED TO THE DONOR'S RESTRICTIONS. THESE FUNDS ARE NOT TRANSFERRED TO THE HOSPITAL UNTIL EVIDENCE HAS BEEN PRESENTED THAT AMOUNTS HAVE BEEN SPENT BY THE HOSPITAL FOR SUCH PURPOSES. THE ORGANIZATION MAKES SCHOLARSHIP PAYMENTS PAYABLE DIRECTLY TO THE EDUCATIONAL INSTITUTION IN ORDER TO ENSURE FUNDS ARE USED FOR THEIR INTENDED PURPOSE.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base 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
KAY P HARVEY
24689301100690031688080650287446000
ROBERT B HILL
0469259013365102882607785006328071591400
ROGER L KIRK
0323622046222070163063860016502052036900

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental nonqualified retirement planIdentifier
Return ReferenceSchedule J, Part I, Line 4bReturnReference
ExplanationTHE ORGANIZATION MAINTAINS A 457(F) SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. DURING 2011, THE FOLLOWING CONTRIBUTIONS WERE MADE TO THE PLAN: KAY HARVEY - $7,500 ROGER L. KIRK - $25,873Explanation

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions15NumberOfContributions
Noncash Contribs Rptd F990204202NoncashContribsRptdF990
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionPRIZES / SILENT AUCTION ITEMSDescription
Number Of Contributions6NumberOfContributions
Noncash Contribs Rptd F99016060NoncashContribsRptdF990
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReference
Number of contributions or items contributed.Schedule M, part I, column (b), Line 9
Number of contributions or items contributed.Schedule M, part I, column (b), Line other=PRIZES / SILENT AUCTION ITEMS

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Delegate broad authority to a committeeForm 990, Part VI, Section A, Line 1aTHE EXECUTIVE COMMITTEE SHALL CONSIST OF THE OFFICERS OF THE FOUNDATION, EXCEPT FOR THE EXECUTIVE DIRECTOR, WITH AT LEAST TWO BUT NO MORE THAN FIVE ADDITIONAL MEMBERS OF THE BOARD. THE EXECUTIVE COMMITTEE MAY CARRY OUT THE BUSINESS OF THE BOARD EXCEPT FOR THE FOLLOWING ACTIONS WHICH REQUIRE THE CONCURRENCE OF THE BOARD: -APPROVAL OF THE ANNUAL BUDGET AND APPROVAL OF ANY BUDGET VARIANCE WHICH EXCEEDS $2,500 OR TWENTY-PERCENT OF A LINE ITEM WHICHEVER IS GREATER; -APPROVAL OF THE INVESTMENT POLICY AND ANY REVISIONS THERETO; AND -SUCH OTHER MATTERS AS THE BOARD, BY RESOLUTION APPROVED BY A TWO-THIRDS VOTE OF ITS MEMBERSHIP, SHALL REQUIRE BOARD APPROVAL. THE EXECUTIVE COMMITTEE MAY NOT REVERSE ANY ACTION PREVIOUSLY TAKEN BY THE FULL BOARD. MEETINGS OF THE EXECUTIVE COMMITTEE MAY BE CALLED BY THE CHAIRMAN OF THE BOARD OR UPON THE WRITTEN REQUEST OF TWO MEMBERS OF THE COMMITTEE. A MAJORITY OF THE EXECUTIVE COMMITTEE SHALL CONSTITUTE A QUORUM.
Significant changes to organizational documentsForm 990, Part VI, Section A, Line 4THE ORGANIZATION AMENDED ITS BYLAWS DURING THE YEAR FOR THE FOLLOWING CHANGES: -THE POWERS OF THE EXECUTIVE COMMITTEE HAVE BEEN AMENDED TO ALLOW THE COMMITTEE TO BORROW FUNDS WITHOUT HAVING FULL BOARD APPROVAL. -THE OFFICERS OF THE FOUNDATION NOW INCLUDE THE CEO OF BETHESDA HEALTH, INC. -THE EXECUTIVE DIRECTOR OF THE FOUNDATION SHALL BE NOMINATED BY THE CEO OF BETHESDA HEALTH, INC. AND THEREAFTER, IN CONSULTATION WITH THE BOARD, THE EXECUTIVE DIRECTOR SHALL BE HIRED, DIRECTED, AND REMOVED BY THE CEO. -THE ORGANIZATION'S SOLE MEMBER IS BETHESDA HEALTH, INC. THE SOLE CORPORATE MEMBER SHALL HAVE RESERVED POWERS AS OUTLINED IN FORM 990, PART VI, LINE 7.
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6THE ORGANIZATION HAS ONE SOLE MEMBER, BETHESDA HEALTH, INC., A FLORIDA NOT-FOR-PROFIT ORGANIZATION.
Members or stockholders electing members of governing bodyForm 990, Part VI, Section A, Line 7aBETHESDA HEALTH, INC. APPROVES THE MEMBERS OF THE GOVERNING BODY.
Decisions requiring approval by members or stockholdersForm 990, Part VI, Section A, Line 7bANY OF THE FOLLOWING SIGNIFICANT ORGANIZATIONAL OR OPERATIONAL CHANGES WOULD BE SUBJECT TO APPROVAL BY THE SOLE MEMBER OF THE CORPORATION WHICH IS BETHESDA HEALTH, INC. 1. ADOPTING A PLAN OF DISSOLUTION OF THE CORPORATION. 2. AUTHORIZING THE CORPORATION TO ENGAGE IN, OR ENTER INTO, ANY TRANSACTION PROVIDING FOR THE SALE, MORTGAGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION. 3. ADOPTING A PLAN OF REORGANIZATION OR THE MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER ENTITY 4. APPOINTING OR REMOVING THE ATTORNEYS OR INDEPENDENT AUDITORS OF THE CORPORATION. 5. APPOINTMENT OR REMOVING THE TRUSTEES 6. ADOPTING OR AMENDING THE ARTICLES OF INCORPORATION OF THE BYLAWS OF THE CORPORATION 7. ADOPTING OR PERMITTING ANY CHANGE TO ANY STRATEGIC MASTER PLANS OR POLICIES OF THE CORPORATION. 8. AUTHORIZING THE ACQUISITION, SALE, TRANSFER, OR OTHER DISPOSITION OF ANY ASSETS EXCEPT IN THE ORDINARY COURSE OF BUSINESS 9. AUTHORIZING THE FILING OF ANY PETITION IN BANKRUPTCY 10. ADOPTING MARKETING AND BUSINESS STRATEGIES FOR THE CORPORATION.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bTHE EXECUTIVE DIRECTOR OF THE FOUNDATION AND CHIEF FINANCIAL OFFICER OF BETHESDA HOSPITAL REVIEW THE FORM 990 AND ALL REQUIRED SUPPORTING SCHEDULES. THE FORM 990 IS THEN PROVIDED TO THE BOARD OF TRUSTEES OF THE ORGANIZATION FOR REVIEW PRIOR TO FILING WITH THE IRS.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cTHE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS ANY TRUSTEE, DIRECTOR, PRINCIPAL OFFICER OR MEMBER OF ANY COMMITTEE OF THE BOARD WITH BOARD-DELEGATED POWERS. THE INDIVIDUALS COVERED UNDER THE POLICY ARE REQUIRED TO DISCLOSE ANNUALLY ANY CONFLICTS OF INTEREST. THE CHAIRMAN OF THE BOARD AND THE INTERNAL AUDIT DIVISION OF BETHESDA HEALTH, INC. CONTINUOUSLY REVIEW AND MONITOR ALL CONFLICTS OF INTEREST NOTED BY THE INDIVIDUALS COVERED UNDER THE POLICY. ANY INDIVIDUAL WHO HAS A CONFLICT OF INTEREST IS PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISION IN THE TRANSACTION.
Process used to establish compensation of top management officialForm 990, Part VI, Section B, Line 15aTHE EXECUTIVE DIRECTOR'S COMPENSATION IS REVIEWED ANNUALLY ACCORDING TO BETHESDA HEALTH'S ANNUAL EMPLOYEE REVIEW PROCESS. THE VICE PRESIDENT OF HUMAN RESOURCES OF BETHESDA HOSPITAL, INC. RECOMMENDS TO THE PRESIDENT/CEO OF THE BETHESDA HEALTH COMPENSATION AND BENEFIT LEVELS. THE CONSULTING FIRM WORKS INDEPENDENTLY OF MANAGEMENT AND PROVIDES DETAILED COMPENSATION AND BENEFIT DATA FOR COMPARABLY SIZED HEALTHCARE ORGANIZATIONS ON A REGIONAL AND NATIONAL BASIS. BASED ON THE COMPENSATION PHILOSOPHY OF THE BOARD OF TRUSTEES OF THE BETHESDA HEALTH AS IT RELATES TO THE MARKET IN GENERAL AND ON SPECIFIC COMPENSATION LEVELS NOTED AS THE RESULT OF THE CONSULTING ENGAGEMENT, THE PRESIDENT/CEO OF BETHESDA HEALTH SETS THE COMPENSATION AND BENEFITS FOR THE FOUNDATION'S EXECUTIVE DIRECTOR. THE PROCESS WAS UNDERTAKEN FOR THE YEAR ENDED SEPTEMBER 30, 2012. THE PROCESS AND DECISIONS ARE DOCUMENTED IN THE EMPLOYEE FILES.
COMPENSATION OF OTHER OFFICERSFORM 990, PART VI, LINE 15BTHERE ARE NO OTHER OFFICERS OR KEY EMPLOYEES WHO RECEIVE COMPENSATION FROM BETHESDA HOSPITAL FOUNDATION, INC. THEREFORE THIS QUESTION HAS BEEN ANSWERED "NO" IN ACCORDANCE WITH FORM 990 INSTRUCTIONS.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19THE GOVERNING DOCUMENTS OF THE ORGANIZATION, ITS CONFLICT OF INTEREST POLICY, AND ITS FINANCIAL STATEMENTS ARE AVAILABLE ON REQUEST. DEPENDING ON THE QUANTITY OF THE REQUEST A MINIMAL FEE MAY APPLY.
Average number of hours devoted per week to related organizationForm 990, Part VII, Section A, Column BSTORMET C. NOREM:BETHESDA HEALTH, INC.- 2.0002.000, BETHESDA HOSPITAL, INC.- 2.000;FRED W. LOVE, M.D.:BETHESDA HEALTH, INC.- 2.0002.000, BETHESDA HOSPITAL, INC.- 2.000;ROBERT B HILL:BETHESDA HEALTH, INC.- 40.00040.000, BETHESDA MEDICAL ASSOCIATES, INC.- 2.0002.000, BETHESDA HEALTH CITY, INC.- 2.0002.000, WOMEN'S DIAGNOSTIC CENTER OF BETHESDA, INC.- 2.0002.000, BETHESDA HOSPITAL, INC.- 2.0002.000, BETHESDA MEMORIAL SIT - WORKMAN'S COMP- 2.0002.000, BETHESDA MEMORIAL SIT - MALPRACTICE- 2.0002.000, BETHESDA PAYROLL SERVICES, INC.- 2.000;ROGER L KIRK:BETHESDA HEALTH, INC.- 40.00040.000, BETHESDA MEDICAL ASSOCIATES, INC.- 2.0002.000, BETHESDA HEALTH CITY, INC.- 2.0002.000, WOMEN'S DIAGNOSTIC CENTER OF BETHESDA, INC.- 2.0002.000, BETHESDA HOSPITAL, INC.- 2.0002.000, BETHESDA MEMORIAL SIT - WORKMAN'S COMP- 2.0002.000, BETHESDA MEMORIAL SIT - MALPRACTICE- 2.0002.000, BETHESDA PAYROLL SERVICES, INC.- 2.000;
Other changes in net assets or fund balancesForm 990, Part XI, Line 5NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 2586006; CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS - -275618; UNCOLLECTIBLE PLEDGES - -120000;

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
BETHESDA HEALTH INC
2815 S SEACREST BLVDBOYNTON BEACHFL33435592447553SUPPORT ORGFL501(C)(3)11 - Type III - FIBETHESDA HEALTHfalse
BETHESDA HOSPITAL INC
2815 S SEACREST BLVDBOYNTON BEACHFL33435592447554HOSPITALFL501(C)(3)3BETHESDA HEALTHfalse
WOMEN'S DIAGNOSTIC CENTER OF BETHESDA INC
2815 S SEACREST BLVDBOYNTON BEACHFL33435592771779O/P MED SVCSFL501(C)(3)9BETHESDA HEALTHfalse
BETHESDA PAYROLL SERVICES INC
2815 S SEACREST BLVDBOYNTON BEACHFL33435650523164PAYROLL SUPPORTFL501(C)(3)11 - Type III - FIBETHESDA HEALTHfalse
BETHESDA MEMORIAL SIT - WORKMAN'S COMP
2815 S SEACREST BLVDBOYNTON BEACHFL33435596775830SELF INS TRUSTFL501(C)(3)11 - Type IBETHESDA HEALTHfalse
BETHESDA HEALTH CITY INC
2815 S SEACREST BLVDBOYNTON BEACHFL33435650561263O/P MED SVCSFL501(C)(3)9BETHESDA HEALTHfalse
BETHESDA MEMORIAL SIT - MALPRACTICE
2815 S SEACREST BLVDBOYNTON BEACHFL33435592230109SELF INS TRUSTFL501(C)(3)11 - Type IBETHESDA HEALTHfalse
BETHESDA MEDICAL ASSOCIATES INC
2815 S SEACREST BLVDBOYNTON BEACHFL33435596137805O/P MED SVCSFL501(C)(3)3BETHESDA HEALTHfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1BETHESDA HOLDING COMPANY INC AND SUBSBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12815 S SEACREST BLVDAddressLine1
CityBOYNTON BEACHCity
StateFLState
ZIP Code33435ZIPCode
FieldValueIRS element (for citing)
EIN592663767EIN
Primary ActivityHOLDING COPrimaryActivity
Legal Domicile StateFLLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPORATIONTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
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 OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.