2014-10-31T14:45:11-05:00 2013-12-31 582676261 Rogers & Company PLLC 8300 Boone Boulevard Suite 600 Vienna VA 22182 990 2013-01-01 450929574 The Casey Health Institute Foundation Incorporated CASE 3016646464 800 South Frederick Avenue Gaithersburg MD 20877 Ilana Bar-Levav Vice President 3016646464 2014-10-30 1 Lori A Collingsworth P00639819 7038930300 2014-10-29 2013 2015-11-30 17:44:51Z David Fogel MD 800 South Frederick Avenue Gaithersburg MD 20877 25416289 0 X n/a X 2011 MD Supporting organization exclusively for the benefit of The Casey Health Institute. 3 2 6 0 0 0 199127 435 0 0 411519 412555 93949 118100 704595 531090 0 1100000 0 0 15659 411257 0 0 0 924053 1730733 939712 3241990 -235117 -2710900 34284925 33723585 598961 476475 33685964 33247110 X The Casey Health Institute Foundation, Inc. ("CHIF") was created to support The Casey Health Institute, Inc. (CHI) in fufilling its mission. See Schedule O for continuation. 0 0 1100000 1100000 The Foundation's sole purpose is to support CHI, a 501(c)(3) corporation through the operation of an IRC Section 509(a)(3) Type 1 supporting organization. All of CHIF's activities and income will benefit CHI. CHIF owns, through a single-member limited liability company, the building in which CHI will conduct its activities. In addition, CHIF will hold and manage investment assets for the sole benefit of CHI. CHIF's income will be used to make grants to CHI and to make payments for the benefit of CHI, all in support of CHI's charitable purpose. 1100000 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 16 0 1 6 1 0 0 0 0 0 0 0 0 0 0 X 3 2 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MD X The Foundation 3016646464 800 South Frederick Avenue Gaithersburg MD 20877 David Fogel MD President 25.00 25.00 X X 156097 156097 13191 Ilana Bar-Levav MD Vice President 25.00 25.00 X X 103967 103967 14843 John Siegler MBA Secretary 1.00 1.00 X X 0 0 0 Steven Gold Treasurer 1.00 1.00 X X 0 0 0 260064 260064 28034 2 0 1 0 KasCon Inc 6325 Woodside Court Suite 300 Columbia MD 21046 Construction 1642219 Petro Design & Build 16401 Old Central Ave Upper Marlboro MD 20774 Landscaping 490453 Healthy Living Marketing 601 Magnolia Avenue Frederick MD 21701 Marketing 301927 Your Part Time Controller 1666 K Street NW Suite 440 Washington DC 20006 Accounting 108352 4 435 435 414036 414036 194275 80570 113705 113705 113705 24803148 24804629 -1481 -1481 -1481 Rebates 900099 4395 4395 4395 531090 0 0 530655 1100000 1100000 260064 260064 140785 140785 4714 4714 5694 5694 21832 21832 48509 48509 130661 130661 165811 165811 364657 364657 57945 57945 40954 40954 414165 414165 4162 4162 12823 12823 327115 327115 7205 7205 Recruiting 72202 72202 Business Development 52255 52255 Taxes & Licenses 6222 6222 Dues & Subsciptions 3130 3130 1085 1085 3241990 1100000 2141990 0 23779 78621 1574842 4129 13754 19191 84484 79034 12064839 487961 9619906 11576878 22968160 21965732 34284925 33723585 574207 101362 15263 0 9491 375113 598961 476475 X 31797964 31359110 1888000 1888000 33685964 33247110 34284925 33723585 -2710900 2272046 0 X X 0 1 X 1 0 X X X X 1 1 1 The Casey Health Institute Inc 450929271 9 1 1 1 1100000 1 1100000 1888000 1888000 4512000 241026 4270974 4913005 126044 4786961 702432 110101 592331 49402 10790 38612 11576878 Due to the Institute 370991 Deposits 4122 375113 X 2883706 2272046 80570 2352616 531090 0 531090 3322560 80570 80570 3241990 0 3241990 Part X, Line 2: Management evaluated the tax positions for the consolidated entities and concluded that there are no uncertain tax positions that may require disclosure or accrual within the consolidated financial statements. Part XI, Line 2d - Other Adjustments: Rental Expenses Part XII, Line 2d - Other Adjustments: Rental Expenses 1 The Casey Health Institute 800 South Frederick Avenue Gaithersburg MD 20877 450929271 501(c)(3) 1100000 0 N/A N/A General operating support 1 0 0 0 0 0 0 0 0 0 David Fogel MD President 149519 149519 0 0 6578 6578 0 13191 0 0 156097 169288 0 0 Ilana Bar-Levav MD Vice President 103614 103614 0 0 353 353 0 11571 0 3272 103967 118810 0 0 Form 990, Schedule J, Line 3 All compensation is paid by a related organization, The Casey Health Institute (the Institute). The Institute allocates payroll costs to the Foundation based upon allocated time spent by staff. The Foundation relies on the Institute's methods for establishing the Foundation's compensation of the top management officials. These include a compensation committee, an independent compensation consultant, a written employment contract, a compensation survey or study, and approval by the board or compensation committee. Form 990, Part III, Line 1 All of CHIF's activities and income benefit CHI. CHIF owns and operates a commercial office building where CHI is housed, and holds and manages investment assets for the sole benefit of CHI. Form 990, Part VI, Section A, line 2 President David Fogel and Vice President Ilana Bar-Levav are husband and wife. Form 990, Part VI, Section B, line 11 A copy of the Form 990 is to be distributed to the Board of Directors in advance of meeting, and is discussed at the Board of Directors meeting. Form 990, Part VI, Section B, line 12c Board members are asked to review, update, and sign a conflict of interest policy at the annual meeting. Form 990, Part VI, Section B, line 15 The Foundation reimburses its related organization, Casey Health Institute Incorporated for allocated staff time. The Institute compensation for the CEO and COO is determined by the Mercer Report according to corporate management financial standards of the Washington, DC metropolitan area. Form 990, Part VI, Section C, line 19 The Foundation's governing documents, conflict of interest policy, and financial statements are available to the public upon request. Form 990, Part XII, Line 2c: The organization does not have a committee responsible for the oversight of the audit and selection of independent accountant. The organization relies on related organization Casey Health Institute which has an audit committee responsible for the oversight of the consolidated audit and selection of independent accountant. CHIF Real Estate Holdings LLC 800 South Frederick Avenue Gaithersburg MD 20877 450929574 Real estate holding MD 194275 10945936 Casey Health Institute Foundation The Casey Health Institute Inc 800 South Frederick Avenue Gaithersburg MD 20877 450929271 Healthcare services MD 501(c)(3) Line 9 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0