2011-05-11T12:45:32-05:00 2010-06-30 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2009-07-01 237374129 Bethesda Foundation Inc BETH 5135696575 619 Oak Street - Accounting 3 West Cincinnati OH 45206 Michael Crofton 5135696575 2011-05-11 1 5137847100 2009 2016-02-24 21:20:13Z Ed Osofsky 619 Oak Street - Accounting 3 West Cincinnati OH 45206 70983120 0 X www.bethesdafoundation.com X 1974 OH Support Bethesda Hospital to accomplish its strategic vision and meet health care challenges. 18 16 15 280 0 0 1755139 1836322 577341 700000 -8646233 4436425 -303066 -107061 -6616819 6865686 1262205 1094354 0 863093 995522 0 384638 1809849 2188737 3935147 4278613 -10551966 2587073 79317936 88703844 9523207 11209365 69794729 77494479 The mission of Bethesda Foundation, Inc. is to help ensure that Bethesda Hospital has the resources needed to successfully accomplish its strategic vision and meet the healthcare challenges facing the large, growing community it serves. Bethesda Foundation, Inc. cultivates philanthropic support for indigent care, medical education and research, patient services, facilities and community outreach programs provided by Bethesda Hospital and its related entities. 0 0 2492254 1094354 700000 Bethesda Foundation, Inc. supports Bethesda Hospital, Inc. and its subsidiaries as follows:Bethesda North Hospital - department support including improvements for cardiac, breast center, special care nursery, and trauma servicesHospice of Cincinnati - operational support of four in-patient care centers and home care as well as programmatic support including bereavement services, holistic services and patient needsFernside - programmatic support relating to adult and child support groups at four sites, summer camp, and crisis intervention 2492254 1 1 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 1 48 0 1 15 1 0 0 0 0 0 1 1 0 0 0 18 16 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X Michael Crofton 5135696577 619 Oak Street - Accounting 3 West Cincinnati OH 45202 X John Brooks 1.00 X X 0 0 0 Ed Osofsky 40.00 X X 0 247200 67026 Rance Duke 1.00 X X 0 0 0 Thomas Huenefeld 1.00 X X 0 0 0 T Stephen Phillips 1.00 X 0 0 0 Karen Clark 1.00 X 0 0 0 Fuheid Daoud MD 1.00 X 0 0 0 Craig Eisentrout MD 1.00 X 0 0 0 Peggy Eshman 1.00 X 0 0 0 Grant Hesser 1.00 X 0 0 0 Edmund Jones MD 1.00 X 0 0 0 Marion Barrett Leibold 1.00 X 0 0 0 Edward Owens III 1.00 X 0 0 0 Myrtis Powell 1.00 X 0 0 0 LT Wilburn 1.00 X 0 0 0 David Wiltse MD 1.00 X 0 0 0 Susan Weinberg MD 1.00 X 0 0 0 John Prout 60.00 X 0 1075342 134799 Robert Halonen 20.00 X 0 224306 0 Donna Nienaber Esq 60.00 X 0 361282 116135 Craig Rucker 60.00 X 0 440236 82847 Michael Crofton 60.00 X 0 235898 61113 Gary Algie 40.00 X 130723 0 36838 130723 2584264 498758 1 0 1 0 McMurray Inc PO Box 44377 Phoenix AZ 85064 Layout Design and Printing 268702 Washington Speakers Bureau 1663 Prince Street Alexandria VA 22314 Speakers Bureau 160253 Jacobson Consulting Applications Inc 575 Eighth Ave 21st Floor New York NY 10018 Technology Consulting 109543 3 93425 1742897 136321 1836322 Service Fee 900099 700000 700000 700000 1393610 1393610 66316786 63273971 3042815 3042815 3042815 736402 93425 843463 -107061 -107061 6865686 700000 0 4329364 1065328 1065328 29026 29026 800272 235095 565177 38473 38473 97391 33781 63610 59386 18187 41199 24600 24600 375761 375761 515203 254182 261021 196807 119203 77604 47585 6631 40954 19432 19432 107164 107164 Fundraising Expense 384638 384638 Overhead Allocation 323616 168743 154873 Contract Maintenance 28554 28554 Dues & Subscriptions 24552 24552 Recruitment Expenses 15000 15000 125825 98779 27046 4278613 2492254 1401721 384638 255361 155621 643769 513539 2400 1855490 107164 1299086 1748326 54562115 60072106 22557605 26211852 79317936 88703844 686204 884867 8837003 10324498 9523207 11209365 X 65306443 72927279 896476 971095 3591810 3596105 69794729 77494479 79317936 88703844 X 0 1 1 X 0 X 1620631 2239440 1805885 1755139 1836322 9257417 1620631 2239440 1805885 1755139 1836322 9257417 1092908 8164509 2176898 2430033 2210630 2011406 1393610 10222577 19479994 4801805 0.41910 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3591810 4295 3596105 3586810 5000 3591810 1.00000 0 0 986695 986695 637920 53160 584760 230875 54004 176871 1748326 Real Estate 1042910 F Emerging Markets 3757845 F Private Equity 4434626 F Hedge Funds 8333839 F Other 8642632 F 26211852 Due to Related Organizations 10324498 10324498 6865686 4278613 2587073 6683554 -1570877 5112677 7699750 11447246 6683554 6683554 4763692 375761 1726233 2101994 6865686 3747490 37714 37714 3709776 375761 193076 568837 4278613 Part V, Line 4: Description of Intended Use of Endowment Funds: Investment proceeds from endowment funds are used to support Bethesda Hospital, Inc. programs. Part X: Description of Uncertain Tax Positions Under FIN 48: Following is the text of the footnote to Bethesda Foundation, Inc.'s audited financial statements that reports its liability, if applicable, for uncertain tax positions under FIN 48. The Foundation completed an analysis of its tax positions in accordance with applicable accounting guidance at June 30, 2010 and 2009, and determined that no amounts were required to be recognized in the financial statements at June 30, 2010 or 2009. Part XI, Line 8 - Other Adjustments: Net Related Entity Contribution Management Transactions: -1533163. Net Unrelated Entity Contribution Management Transactions: -37714. Part XII, Line 4b - Other Adjustments: Related Entity Contribution Management Transactions: 1726233. Part XIII, Line 2d - Other Adjustments: Unrelated Entity Contribution Management Transactions: 37714. Part XIII, Line 4b - Other Adjustments: Net Related Entity Grants Paid Management Transactions: 193076. Bethesda Lyceum 185334 93425 91909 187458 A Gourmet Sensation 284045 0 284045 47950 12050 1250 222795 3 360446 0 360446 99303 978 271681 829825 93425 736400 147253 13028 1250 681934 843465 -107065 1 Bethesda Healthcare Inc 619 Oak Street Cincinnati OH 45206 311027660 501(c)(3) 334228 Community Outreach Bethesda Hospital Inc 619 Oak Street Cincinnati OH 45206 310537122 501(c)(3) 628100 General Purpose Urban Health Project 619 Oak Street 7th Floor Cincinnati OH 45206 501(c)(3) 21000 General Purpose Hand Surgery Specialists Inc 538 Oak Street Suite 200 Cincinnati OH 45219 N/A 75000 Fellowship Sponsor Good Samaritan College of Nursing and Health Science 619 Oak Street Cincinnati OH 45206 311778403 501(c)(3) 7000 Library Services 4 1 Nursing and General Education Scholaships 13 10163 Charity Care Assistance - Mammography 104 18863 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: Bethesda Foundation, Inc. has a stated application process and two committees that evaluate and accept or reject grant proposals. In addition, grantees are required to make a six month report on the progress of their grant. 0 1 0 0 0 0 0 0 0 Ed Osofsky 0 140962 0 45324 0 60914 0 49831 0 17195 0 314226 0 0 John Prout 0 749844 0 0 0 325498 0 125103 0 9696 0 1210141 0 256041 Robert Halonen 0 0 0 0 0 224306 0 0 0 0 0 224306 0 0 Donna Nienaber Esq 0 257602 0 71856 0 31824 0 99929 0 16206 0 477417 0 0 Craig Rucker 0 286286 0 96468 0 57482 0 75220 0 7627 0 523083 0 0 Michael Crofton 0 175098 0 40921 0 19879 0 39495 0 21618 0 297011 0 0 Gary Algie 82959 0 22783 0 24981 0 21949 0 14889 0 167561 0 0 0 Part I, Line 4a Eligible executives (generally Vice President and above) participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. TriHealth, Inc., the related organization that paid the salaries of the following individuals listed in Schedule J, Part II, contributed, on behalf of the following individuals, to a supplemental nonqualified retirement plan in the amounts as noted: John Prout - $93,797 Donna Nienaber, Esq. - $45,985 Ed Osofsky - $11,886 Craig Rucker - $52,321 Michael Crofton - $11,894 There were no distributions from a supplemental non-qualified deferred compensation plan during the 2009 calendar year. Supplemental Information Part III Part I, Line 3: TriHealth, Inc., a related organization of Bethesda Foundation, Inc., uses the following to establish the compensation of the organization's CEO/Executive Director: Compensation Committee, independent compensation consultant, compensation survey or study, and approval by the Board/Compensation Committee. X 3 136321 Cost or Selling Price 0 0 1 Method for Determining Number of Contributors: Part I, Column (b): For purposes of Schedule M, Part I, Column (b) - Number of Contributions, the Bethesda Foundation, Inc. is reporting the number of contributions received during the tax year. Third Party Use: Part I, Line 32b: U.S. Bank is the holding facility that handles the stock. Form 990, Part VI, Section A, line 6 Bethesda Foundation, Inc. has a single corporate member, Bethesda, Inc. Form 990, Part VI, Section A, line 7a Bethesda Foundation, Inc. has a single corporate member, Bethesda, Inc., who has the ability to elect members to the governing body of Bethesda Foundation, Inc. Form 990, Part VI, Section A, line 7b Bethesda, Inc. must approve amendments to Bethesda Foundation, Inc.'s governing documents, dissolution or consolidation of Bethesda Foundation, Inc. and any transaction involving substantially all of Bethesda Foundation Inc.'s property. Form 990, Part VI, Section B, line 11 Members of the Board are provided an electronic copy of this Form 990 prior to filing. However, for the protection of donor privacy, Schedule B - Schedule of Contributors was removed from the copy provided to the Board. Subsequent to presentation to the Board, the organization files the return making any non-substantive changes necessary to effect e-filing. Any such non-substantive changes are not submitted to the Board. Form 990, Part VI, Section B, line 12c All Board members are required to annually disclose certain financial interests and fiduciary relationships. The Executive Committee and Corporate Counsel review responses, conduct further investigation (if necessary), and determine when a conflict exists with respect to a certain transaction. If a conflict exists, the transaction is not to be entered into unless alternatives are fully investigated, and in their absence, the Board, without the participation of the interested member(s), determines that the transaction is in the best interest of the organization. Plans to manage the conflict during the relationship are implemented. All discussions are appropriately documented. All directors and managers, which include officers and key employees, are required to annually disclose any circumstances, including family and business relationships, that may create a conflict of interest for the organization. These responses are reviewed and acted upon by a conflict of interest committee. Form 990, Part VI, Section B, line 15 In determining compensation of the organization's officers and key employees, the annual process performed by TriHealth, Inc. (a related organization who paid the individuals), included: Compensation Committee; independent compensation consultant; compensation survey or study; and, approval by the Board or Compensation Committee. Additionally, all discussions and decisions are contemporaneously documented. Form 990, Part VI, Section C, line 19 Bethesda Foundation, Inc. will provide any documents open to public inspection upon request. Form 990, Part XI, line 2c Change in Process of Audit Oversight or Selection of Independent Auditor The financial statements of Bethesda Foundation, Inc. ("Foundation") are audited on a standalone basis. Foundation has a committee that assumes the responsibility for oversight of the audit of its financial statements. In addition, Foundation's financial statements are audited with Bethesda, Inc., the parent organization of Foundation. Bethesda, Inc. has a committee that assumes the responsibility for oversight of the audit of both its and its subsidiaries financial statements as well as the selection of the independent auditor. During the tax year, there was not a change in the process of audit oversight and/or selection of an independent auditor by either Foundation or Bethesda, Inc. Form 990, Part VI, Line 1a Executive Committee Composition & Authority The Executive Committee is composed of the Chairman of the Board, the Vice-Chairman, the President, the Secretary and the Treasurer of Bethesda Foundation, Inc. (Foundation) as well as the past Chairman of the Board, who may or may not be a member of the governing body. The Executive Committee has the power to transact all business of the Board in the management of the Foundation during the period between meetings of the Board. Form 990, Part VII, Section A Average Hours per Week Directors and Officers (as noted with a "Sch O" reference) for Bethesda Foundation, Inc. provide services to TriHealth, Inc. (a related organization who paid the individuals) and its subsidiaries/affiliates ("TriHealth"). Hours worked are not tracked on an entity by entity basis. Therefore, all officer, director and key employee hours reported on Form 990, Part VII - Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors represent aggregate hours worked per week for TriHealth. Form 990, Part I, Line 6 Volunteer Information During the tax year, the Bethesda Foundation, Inc. benefited from approximately 1,400 volunteer hours. This includes 3 office assistants providing administrative support for Bethesda Foundation, Inc. activities, 235 volunteers helping at five (5) special events, and over 40 volunteers attending bi-monthly board meetings to provide financial oversight and committee members assisting with major and planned giving initiatives. Bethesda Inc 619 Oak Street-Accounting 3 West Cincinnati OH 45206 311108895 Investment Management OH Section 501(c)(3) Schedule A, Line 11c N/A Bethesda Hospital Inc 619 Oak Street-Accounting 3 West Cincinnati OH 45206 310537122 Inpatient and Outpatient Services OH Section 501(c)(3) Schedule A, Line 3 Bethesda Inc Bethesda Healthcare Inc 619 Oak Street-Accounting 3 West Cincinnati OH 45206 311027660 Healthcare Services OH Section 501(c)(3) Schedule A, Line 11b Bethesda Inc Bethesda Family Practice Center 619 Oak Street-Accounting 3 West Cincinnati OH 45206 311242442 Healthcare Services OH Section 501(c)(3) Schedule A, Line 11c Bethesda Hospital Inc Bethesda Properties Inc 619 Oak Street-Accounting 3 West Cincinnati OH 45206 311352694 Property Management OH Section 501(c)(2) Bethesda Hospital Inc Hospice of Cincinnati Incorporated 619 Oak Street-Accounting 3 West Cincinnati OH 45206 310917155 Hospice Services OH Section 501(c)(3) Schedule A, Line 7 Bethesda Hospital Inc Fernside Inc A Center for Grieving Children 619 Oak Street-Accounting 3 West Cincinnati OH 45206 311179234 Counseling to Grieving Children OH Section 501(c)(3) Schedule A, Line 7 Hospice of Cincinnati Incorporated TriHealth Inc 619 Oak Street-Accounting 3 West Cincinnati OH 45206 311438846 Support Affiliated Hospitals OH Section 501(c)(3) Schedule A, Line 11b N/A BN Northeast Cardiac Center LLC 619 Oak Street-Accounting 3 West Cincinnati OH 45206 201297322 Cardiac Care OH N/A 10600 Montgomery LLC 619 Oak Street-Accounting 3 West Cincinnati OH 45206 261964995 Property Management OH N/A Consolidated Health Services Inc 1000 Summit Drive Ste 300 Milford OH 45150 311378212 Holding Company OH N/A C American Nursing Care Inc 1000 Summit Drive Ste 300 Milford OH 45150 311085414 Nursing Care OH N/A C Amerimed Inc 1000 Summit Drive Ste 300 Milford OH 45150 311158699 Medical Supplies OH N/A C Patient Transport Services Inc 1000 Summit Drive Ste 300 Milford OH 45150 311100798 Ambulance Services OH N/A C TJ CubedMontgomery Inc 619 Oak Street - Accounting 3 West Cincinnati OH 45206 261964885 Holding Company OH N/A S 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 Bethesda Healthcare Inc B 334228 Hospice of Cincinnati Incorporated K 655098 Fernside Inc A Center for Grieving Children Q 265346 Hospice of Cincinnati Incorporated Q 1322340 Bethesda Hospital Inc B 628100 Bethesda Hospital Inc Q 131250