BETHESDA HEALTH PHYSICIAN GROUP INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
BETHESDA HEALTH PHYSICIAN GROUP INC (EIN 65-0561267)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-13
IRS object ID
201102259349300410
Schema version
2009v1.7
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)
Timestamp2011-08-13T11:07:31-04:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

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 Line1201 SOUTH BISCAYNE BLVD SUITE 3000AddressLine1
CityMIAMICity
StateFLState
ZIP Code33131ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN650561267EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BETHESDA MEDICAL ASSOCIATES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBETHNameControl
Phone5617377733Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12815 S SEACREST BLVDAddressLine1
CityBOYNTON BEACHCity
StateFLState
ZIP Code33435ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJoanne AquilinaName
TitleVP of FinanceTitle
Phone5617377733Phone
Date Signed2011-08-12DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3053584111Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRobert B HillNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12815 S Seacrest BlvdAddressLine1
CityBoynton BeachCity
StateFLState
ZIP Code33435ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12827046GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.BETHESDAWEB.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE QUALITY GENERAL AND SPECIALIZED PHYSICIAN SERVICES TO THE COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees41TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI2882TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12322154ProgramServiceRevenuePriorYear
Program Service Revenue CY12648779ProgramServiceRevenueCY
Investment Income Prior Year2274InvestmentIncomePriorYear
Investment Income Current Year1422InvestmentIncomeCurrentYear
Other Revenue Prior Year2930OtherRevenuePriorYear
Other Revenue Current Year2882OtherRevenueCurrentYear
Total Revenue Prior Year12327358TotalRevenuePriorYear
Total Revenue Current Year12653083TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4316005SalariesEtcPriorYear
Salaries Etc Current Year4977673SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year11854010OtherExpensePriorYear
Other Expenses Current Year12996384OtherExpensesCurrentYear
Total Expenses Prior Year16170015TotalExpensesPriorYear
Total Expenses Current Year17974057TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-3842657RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-5320974RevenuesLessExpensesCY
Total Assets BOY1329545TotalAssetsBOY
Total Assets EOY2461949TotalAssetsEOY
Total Liabilities BOY988903TotalLiabilitiesBOY
Total Liabilities EOY1426287TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY340642NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1035662NetAssetsOrFundBalancesEOY
Mission DescriptionBETHESDA MEDICAL ASSOCIATES, INC. MISSION IS TO PROVIDE QUALITY GENERAL AND SPECIALIZED PHYSICIAN SERVICES TO THE COMMUNITY AND SUPPORT THE HEALTH CARE SERVICES PROVIDED BY AFFILIATED ENTITIES OF BETHESDA HEALTHCARE SYSTEM.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense14473524Expense
Revenue12648779Revenue
DescriptionBETHESDA MEDICAL ASSOCIATES, INC. PROVIDES OUTPATIENT PHYSICIANS AND MEDICAL SERVICES TO ALL MEMBERS OF THE COMMUNITY. THESE SERVICES ARE PROVIDED IN A COST EFFICIENT MANNER EMPLOYING THE PHYSICIANS AND OTHER MEDICAL PERSONNEL. BETHESDA MEDICAL ASSOCIATES, INC. OPERATES AS PART OF A TAX-EXEMPT HEALTHCARE SYSTEM PROVIDING HEALTHCARE AND RELATED SERVICES. THE ORGANIZATION CURRENTLY EMPLOYS PHYSICIANS IN THE FIELD OF ORTHOPEDIC, CARDIAC SURGERY, AND INTERNAL/FAMILY MEDICINE. IN ADDITION, BETHESDA MEDICAL ASSOCIATES MANAGES THE ANESTHESIA SERVICES PROVIDED AT BETHESDA MEMORIAL HOSPITAL.Description
Total Program Service Expense14473524TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109670NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees41NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing 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
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDonna SeymourNamePerson
Telephone Number5617377733TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Robert B Hill
President2.0XX02003930287023
Roger Kirk
Executive Vice President2.0XX0592956163550
Joanne Aquilina
Vice President of Finance2.0XX020155141666
Robert Broadway
Vice President of Corporate St2.0XX020162552817
MICHAEL CARMICHAEL
PHYSICIAN40.0594949017927X
GEOFFREY LYNN
PHYSICIAN40.0593688018183X
JOSEPH NEUSTEIN
PHYSICIAN40.0387063024312X
ANGELO N INCORVAIA
PHYSICIAN40.0332026015995X
SAMANTHA E KWON
PHYSICIAN40.032066006145X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2228386TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3000062TotalReportableCompFrmRltdOrgs
Total Other Compensation627618TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Ricardo Ayala MD
737 Harbour Isles PlaceNORTH PALM BEACHFL33410PROF FEES PHYSICIAN491662
JES Anesthesia Inc
314 Waterside CircleBOYNTON BEACHFL33435PROF FEES PHYSICIAN478614
Richard Drucker MD
1115 Lyontree StreetHOLLYWOODFL33019PROF FEES PHYSICIAN460684
Blaine Cameron
6513 Marble Tree LaneLAKE WORTHFL33467PROF FEES PHYSICIAN413433
Daniel Sucherman MD
225 NE 1st Street H14DELRAY BEACHFL33444PROF FEES PHYSICIAN403531
FieldValueIRS element (for citing)
Number Of Contractors GT100 K32NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Medical Service Fees6211101082265310822653
Other Medical Services62111018261261826126
FieldValueIRS element (for citing)
Total Program Service Revenue12648779TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2357TotalRevenueColumn
Exclusion$2,357ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real110115Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real107233Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real2882Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column2882TotalRevenueColumn
Unrelated Business Revenue2882UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other65795Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other66730Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-935Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-935TotalRevenueColumn
Exclusion-$935ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12653083TotalRevenueColumn
Related Or Exempt Function Income12648779RelatedOrExemptFunctionIncome
Unrelated Business Revenue2882UnrelatedBusinessRevenue
Exclusion$1,422ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

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)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4496567Total
Program Services4102055ProgramServices
Management And General394512ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total263680Total
Program Services237319ProgramServices
Management And General26361ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total217426Total
Program Services195683ProgramServices
Management And General21743ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2169012Total
Management And General2169012ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total69727Total
Management And General69727ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total5664Total
Management And General5664ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total7588600Total
Program Services7520474ProgramServices
Management And General68126ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total12528Total
Program Services12528ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1142007Total
Program Services416668ProgramServices
Management And General725339ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total53460Total
Management And General53460ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total495585Total
Program Services446531ProgramServices
Management And General49054ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total3214Total
Program Services2250ProgramServices
Management And General964ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total7832Total
Program Services5874ProgramServices
Management And General1958ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total128536Total
Program Services106724ProgramServices
Management And General21812ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total491997Total
Program Services491963ProgramServices
Management And General34ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Provision for Bad Debt935455935455
Less rental expenses-107233-107233

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total17974057Total
Program Services14473524ProgramServices
Management And General3500533ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY-24318BOY
EOY25332EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY855788BOY
EOY1086834EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY40862EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY108049BOY
EOY201181EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1406519LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec365946LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY322859BOY
EOY1040573EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY67167BOY
EOY67167EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1329545BOY
EOY2461949EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY988903BOY
EOY1426287EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY988903BOY
EOY1426287EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY340642BOY
EOY1035662EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY340642BOY
EOY1035662EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1329545BOY
EOY2461949EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

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

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis271451OtherCostOrOtherBasis
Depreciation161229Depreciation
Book Value110222BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis897148OtherCostOrOtherBasis
Depreciation204717Depreciation
Book Value692431BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis237920OtherCostOrOtherBasis
Book Value237920BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1040573TotalOfBookValueLandBuildings

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 (9 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
Robert B Hill
04186380104380014809120281823052000229095301443650
Roger Kirk
02402710650220287663014865301489707565060252654
Joanne Aquilina
015531603995106284024420017246024321705984
Robert Broadway
0158235037370060200428540996302544420471
MICHAEL CARMICHAEL
59363902001290000179270612876000
GEOFFREY LYNN
5932180200450000181830611871000
JOSEPH NEUSTEIN
34312603806005877000243120411375000
ANGELO N INCORVAIA
27089105557705558000159950348021000
SAMANTHA E KWON
320190020045000061450326805000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSchedule JIdentifier
Return ReferenceSUPPLEMENTAL INFORMATIONReturnReference
ExplanationSCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS RECEIVED FROM THE PLAN FOR THE FOLLOWING: ROBERT HILL $ 1,443,650 ROGER KIRK $ 252,654 JOANNE AQUILINA $ 5,984 ROBERT BROADWAY $ 471 CONTRIBUTIONS INTO THE PLAN FOR THE FOLLOWING: ROBERT HILL $ 255,358 ROGER KIRK $ 96,452Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonDRANGELO N CORVAIANamePerson
Purpose Of LoanPURCHASE EQUIPPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$64,596OriginalPrincipalAmount
Balance Due40862BalanceDue
DefaultfalseDefault
Approved By BoardtrueApprovedByBoard
Written AgreementtrueWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due40862TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF RELATIONSHIPSIdentifier
ExplanationFORM 990, PART VI, QUESTION 2 ROBERT B HILL, ROGER L KIRK, JOANNE AQUILINA, AND ROBERT BROADWAY HAVE A BUSINESS RELATIONSHIP. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 THE ORGANIZATION HAS ONE SOLE MEMBER, BETHESDA HEALTHCARE SYSTEM, INC., A FLORIDA NON-FOR-PROFIT ORGANIZATION. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTION 7A BETHESDA HEALTHCARE SYSTEM INC. APPROVES THE MEMBERS OF THE GOVERNING BODY. CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTION 7B ANY OF THE FOLLOWING SIGNIFICANT ORGANIZATIONAL OR OPERATIONAL CHANGES WOULD BE SUBJECT TO APPROVAL BY THE SOLE MEMBER OF THE CORPORATION WHICH IS BETHESDA HEALTHCARE SYSTEM, 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) APPOINTING OR REMOVING THE TRUSTEES; -6) ADOPTING OR AMENDING THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION; -7) ADOPTING OR PERMITTING ANY CHANGES TO ANY STRATEGIC MASTER PLANS OR POLICIES OF THE CORPORATION; -8) AUTHORIZING THE ACQUISITION, SALE, TRANSFER, OR OTHER DISPOSITION OF ANY ASSETS EXCEPT IN ORDINARY COURSE OF BUSINESS; -9) AUTHORIZING THE FILING OF ANY PETITION IN BANKRUPTCY; -10) ADOPTING MARKETING AND BUSINESS STRATEGIES FOR THE CORPORATION. DESCRIBE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11A THE CHIEF FINANCIAL OFFICER OF THE ORGANIZATION REVIEWS THE FORM 990 AND ALL REQUIRED SUPPORTING SCHEDULES. THE FORM 990 IS THEN PROVIDED TO THE BOARD OF TRUSTEES OF THE ORGANIZATION PRIOR TO FILING WITH THE IRS. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12C AS PART OF THE WRITTEN AGENDA OF THE REGULAR MEETINGS OF THE BOARD OF TRUSTEES IS AN ITEM LABELED CONFLICT OF INTEREST DISCLOSURE. THE CHAIRMAN OF THE BOARD, UPON CALLING THE MEETING TO ORDER, REQUESTS THAT ANY BOARD MEMBER WHO HAS A CONFLICT OF INTEREST DISCLOSURE ON ANY ITEM ON THE AGENDA TO DECLARE THE CONFLICT AND LEAVE THE ROOM DURING THE DISCUSSION RELATED TO THAT TOPIC OR ITEM ON THE AGENDA. ADDITIONALLY, DURING THE MEETING, IF ANY ITEM NOT ON THE AGENDA WERE DISCUSSED, ANY BOARD MEMBER WITH AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST WOULD BE REQUIRED TO DECLARE SUCH CONFLICT AT THAT TIME AND LEAVE THE ROOM DURING THE DISCUSSION. ANNUALLY, EACH MEMBER OF THE BOARD OF TRUSTEES IS REQUIRED TO FILE A WRITTEN, SIGNED AND DATED CONFLICT OF INTEREST STATEMENT LISTING ANY AND ALL CONFLICTS OF INTEREST. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTION 15A ALL OF THE MENTIONED POSITIONS ARE SUBJECT TO BETHESDA HEALTHCARE SYSTEM'S ANNUAL EMPLOYEE REVIEW PROCESS. THE PRESIDENT/CEO OF BETHESDA HEALTHCARE SYSTEM PROVIDES A REVIEW OF PERFORMANCE FOR ALL NOTED POSITIONS EXCEPT HIMSELF. THE PRESIDENT OF THE BETHESDA HEALTHCARE SYSTEM RECOMMENDS TO THE BOARD OF THE BETHESDA HEALTHCARE SYSTEM, INC. COMPENSATION AND BENEFIT LEVELS TO BE PROVIDED FOR THE NOTED POSITIONS. THE BOARD OF TRUSTEES OF BETHESDA HEALTHCARE SYSTEM ANNUALLY APPOINTS THE PRESIDENT/CEO OF BETHESDA HEALTHCARE SYSTEM TO A ONE-YEAR TERM AND ESTABLISHES AND APPROVES THE COMPENSATION OF THE PRESIDENT/CEO. THE BOARD OF TRUSTEES OF BETHESDA HEALTHCARE SYSTEM PERIODICALLY ENGAGES AN INDEPENDENT OUTSIDE PROFESSIONAL COMPENSATION FIRM TO REVIEW COMPENSATION AND BENEFIT LEVELS OF THE PRESIDENT, EXECUTIVE VICE-PRESIDENT/COO AND CHIEF FINANCIAL OFFICER OF THE BETHESDA HEALTHCARE SYSTEM. THE CONSULTING FIRM WORKS INDEPENDENTLY OF MANAGEMENT AND REPORTS THE INFORMATION DIRECTLY TO THE TRUSTEES OF BETHESDA HEALTHCARE SYSTEM. THE CONSULTING FIRM 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 HEALTHCARE SYSTEM AS IT RELATES TO THE MARKET IN GENERAL AND ON SPECIFIC COMPENSATION LEVELS NOTED AS THE RESULT OF THE CONSULTING ENGAGEMENT, THE BOARD OF TRUSTEES OF BETHESDA HEALTHCARE SYSTEM SETS THE COMPENSATION AND BENEFITS OF THE POSITIONS NOTED ABOVE. THE PROCESS WAS UNDERTAKEN FOR THE CURRENT YEAR. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTION 15B ALL OF THE MENTIONED POSITIONS ARE SUBJECT TO BETHESDA HEALTHCARE SYSTEMS ANNUAL EMPLOYEE REVIEW PROCESS. THE VICE PRESIDENT OF HUMAN RESOURCES RECOMMENDS TO THE PRESIDENT/CEO AND EXECUTIVE VICE PRESIDENT/COO OF THE BETHESDA HEALTHCARE SYSTEM, INC. COMPENSATION AND BENEFIT LEVELS TO BE PROVIDED FOR THE NOTED POSITIONS. THE VICE PRESIDENT OF HUMAN RESOURCES PERIODICALLY ENGAGES AN INDEPENDENT OUTSIDE PROFESSIONAL COMPENSATION FIRM TO REVIEW COMPENSATION AND BENEFIT LEVELS OF THESE AND OTHER MANAGEMENT LEVEL POSITIONS. 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 HEALTHCARE SYSTEM AS IT RELATES TO THE MARKET IN GENERAL AND ON SPECIFIC COMPENSATION LEVELS NOTED AS THE RESULT OF THE CONSULTING ENGAGEMENT, THE PRESIDENT/CEO AND EXECUTIVE VICE PRESIDENT/COO OF BETHESDA HEALTHCARE SYSTEM SETS THE COMPENSATION AND BENEFITS OF THE POSITIONS NOTED ABOVE. THE PROCESS WAS UNDERTAKEN FOR THE CURRENT YEAR. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 THE 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. HOURS WORKED FOR RELATED ORGANIZATION FORM 990, PART VII, SECTION A, COLUMN B ESTIMATED HOURS WORKED BY OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES AT RELATED ENTITIES: BETHESDA MEMORIAL HOSPITAL ROBERT B. HILL - 2 HOURS ROGER KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS BETHESDA HEALTHCARE SYSTEM, INC. ROBERT B. HILL - 2 HOURS ROGER KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS ROBERT L. BROADWAY - 2 HOURS BETHESDA HEALTH CITY ROBERT B. HILL - 2 HOURS ROGER KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS ROBERT L. BROADWAY - 2 HOURS BETHESDA HOSPITAL FOUNDATION ROBERT B. HILL - 2 HOURS ROGER KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS ROBERT L. BROADWAY - 2 HOURS BETHESDA MEMORIAL SELF INSURANCE MALPRACTICE ROBERT B. HILL - 2 HOURS BETHESDA MEMORIAL SELF INSURANCE WORKMAN'S COMP ROBERT B. HILL - 2 HOURS BETHESDA PAYROLL SERVICES ROBERT B. HILL - 2 HOURS ROGER KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS ROBERT L. BROADWAY - 2 HOURS WOMEN'S DIAGNOTIC CENTER OF BETHESDA ROBERT B. HILL - 2 HOURS ROGER KIRK - 2 HOURS JOANNE AQUILINA- 2 HOURS ROBERT L. BROADWAY - 2 HOURSExplanation

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Bethesda Healthcare System Inc
2815 S Seacrest BlvdBoynton BeachFL33435592447553Support OrgFL501(C)(3)11, III-FINA
BETHESDA MEMORIAL HOSPITAL INC
2815 S SEACREST BLVDBOYNTON BEACHFL33435592447554HOSPITALFL501(C)(3)3NA
BETHESDA HEALTH CITY INC
2815 S SEACREST BLVDBOYNTON BEACHFL33435650561263O/P MED SVCSFL501(C)(3)9NA
WOMEN'S DIAGNOSTIC CENTER BETHESDA INC
2815 S SEACREST BLVDBOYNTON BEACHFL33435592771779O/P MED SVCSFL501(C)(3)9NA
BETHESDA HOSPITAL FOUNDATION INC
2815 S SEACREST BLVDBOYNTON BEACHFL33435596137805FUNDRAISINGFL501(C)(3)7NA
BETHESDA SELF-INSURANCE TRUST - WC
2815 S SEACREST BLVDBOYNTON BEACHFL33435656232797SELF INS TRSTFL501(C)(3)11, INA
BETHESDA SELF-INSURANCE TRUST - GEN LIAB
2815 S SEACREST BLVDBOYNTON BEACHFL33435592447554SELF INS TRSTFL501(C)(3)11, INA
BETHESDA SELF-INS TRUST - MALPRACTICE
2815 S SEACREST BLVDBOYNTON BEACHFL33435656232796SELF INS TRSTFL501(C)(3)11, INA
BETHESDA PAYROLL SERVICES
2815 S SEACREST BLVDBOYNTON BEACHFL33435650523164PAYROLL SUPPFL501(C)(3)11, III-FINA

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Care Services of BethesdaBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12500 Quantum Lakes DrAddressLine1
CityBoynton BeachCity
StateFLState
ZIP Code33426ZIPCode
FieldValueIRS element (for citing)
EIN201745631EIN
Primary ActivityMEDICRE HOME HLTHPrimaryActivity
Legal Domicile StateFLLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Bethesda Holding Company Inc and SubsBusinessNameLine1
FieldValueIRS element (for citing)
EIN592663767EIN
Primary ActivityInv in PBCPrimaryActivity
Legal Domicile StateFLLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityC CorpTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
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 OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Bethesda Health City Inc
j168568
Bethesda Memorial Hospital Inc
K1748182
Bethesda Memorial Hospital Inc
o114783
Bethesda Payroll Services Inc
o4766869

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