MERCY DEVELOPMENT FOUNDATION: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- MERCY DEVELOPMENT FOUNDATION (EIN 35-2408321)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-14
- IRS object ID
- 201923189349308842
- Schema version
- 2018v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-14T15:09:43-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 SOUTH HIGH STREET SUITE 100 | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43215 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 352408321 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY DEVELOPMENT FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MERC | BusinessNameControlTxt |
| Phone | 3304891000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1320 MERCY DRIVE NW | AddressLine1Txt |
| City | CANTON | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44708 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THOMAS TURNER | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 3304891007 | PhoneNum |
| Signature | 2019-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BERNIE OSTROWSKI | PreparerPersonNm |
| PTIN | P00366367 | PTIN |
| Phone | 6148493000 | PhoneNum |
| Preparation | 2019-11-13 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 199.33.77.183 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-11-13 | IPDt |
| IP Tm | 17:10:00 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 88BB8417C17E4C1C3BDD6C18F80F35263914D73F | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-04-17 16:48:07Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | THOMAS TURNER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1320 MERCY DRIVE NW | AddressLine1Txt |
| City | CANTON | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44708 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,131,337 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CANTONMERCY.ORG/GIVING | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2011 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | SCHEDULE OMERCY DEVELOPMENT FOUNDATION IS ORGANIZED EXCLUSIVELY FOR THE BENEFIT OF MERCY MEDICAL CENTER, INC., A MINISTRY OF THE SISTERS OF CHARITY HEALTH SYSTEM. ITS PURPOSE IS TO (1) SOLICIT FUNDS AND GIFTS FROM INDIVIDUALS, BUSINESSES, CORPORATIONS, ORGANIZATIONS, FOUNDATIONS AND THE COMMUNITY OR GOVERNMENT AGENCIES, (2) RECEIVE, RECEIPT, RECORD AND ACKNOWLEDGE ALL GIFTS, (3) APPROPRIATELY MANAGE AND INVEST THESE FUNDS, AND (4) DISBURSE THESE FUNDS IN THE BEST INTEREST OF THE HOSPITAL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 38 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 32 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 123 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,028,461 | PYContributionsGrantsAmt |
| CY Contributions Grants | $999,134 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,163 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,101 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,167 | PYOtherRevenueAmt |
| CY Other Revenue | $9,649 | CYOtherRevenueAmt |
| PY Total Revenue | $1,038,791 | PYTotalRevenueAmt |
| CY Total Revenue | $1,014,884 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $320,377 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $331,932 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $116,029 | PYOtherExpensesAmt |
| CY Other Expenses | $130,986 | CYOtherExpensesAmt |
| PY Total Expenses | $436,406 | PYTotalExpensesAmt |
| CY Total Expenses | $462,918 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $602,385 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $551,966 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,881,849 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,993,786 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $130,204 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $179,832 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,751,645 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,813,954 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SCHEDULE OAS A CATHOLIC HEALTHCARE ORGANIZATION, THE MISSION OF MERCY MEDICAL CENTER AND THE DEVELOPMENT FOUNDATION ARE THE SAME: TO CONTINUE CHRIST'S HEALING MINISTRY BY PROVIDING QUALITY, COMPASSIONATE, ACCESSIBLE AND AFFORDABLE CARE TO THE WHOLE PERSON - REGARDLESS OF ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $383,363 | ExpenseAmt |
| Desc | SCHEDULE OIN 2018, MERCY DEVELOPMENT FOUNDATION SOLICITED 6,304 GIFTS FROM 1,013 INDIVIDUALS, BUSINESSES, CORPORATIONS,ORGANIZATIONS, FOUNDATIONS, AND GOVERNMENT AGENCIES. THESE DOLLARS SUPPORTD CAPITAL PROJECTS, CANCER CENTER, DENTAL SERVICES AND MISSION AND MINISTRY OUTREACH PROGRAMS AS WELL AS AREAS OF GREATEST NEED. THROUGH THE FOUNDATION'S EFFORTS, GRANTS TOTALING $688,200 WERE DIRECTLY RECEIVED BY MERCY MEDICAL CENTER. THESE DOLLARS SUPPORTED THE HAVEN (HEALING AFTER VIOLENT ENCOUNTERS NETWORK), WOMEN'S CANCER SERVICES, PATIENT TRANSPORT AND SAFETY, CARDIOLGY, AND MASSILLON OFFSITE PROGRAMS. THE MERCY DEVELOPMENT FOUNDATION (MDF) SERVES IN AN ADVISORY ROLE TO THE MERCY SERVICE LEAGUE WHICH IS A SEPARATE 501(C)(3). IN 2018, THE MERCY SERVICE LEAGUE PRESENTED A DONATION OF $140,000 FOR THE MERCY TRANSFORMATION PROJECT OF OUR ORTHOPEDIC AND CARDIAC OBSERVATON FLOOR. THE STAFF OF THE FOUNDATION WORKED WITH THE WOMEN OF THE SERVICE LEAGUE ON THE SECOND WINE WOMEN AND SHOES EVENT HELD IN MAY. THIS EVENT RAISED $255,000 FOR WOMEN'S CANCER SERVICES. SPECIFIC 2018 PROGRAM SERVICES ACCOMPLISHMENTS INCLUDED:*MERCY CHARITY CLAYS EVENT - THIS EVENT WAS HELD IN MAY AT ONE OF THE PRESTIGIOUS COURSES IN THE MIDWEST - HILL'N DALE CLUB IN MEDINA. THE PROCEEDS FROM THIS EVENT BENEFITED THE FOUNDATION AREA OF GREATEST NEED. PNC WAS THE PROJECT'S LEAD SPONSOR.*FORE MERCY SAKE - MERCY DEVELOPMENT FOUNDATION COORDINATES AN ANNUAL GOLF OUTING CALLED FORE MERCY'S SAKE. THE PROCEEDS FROM THIS EVENT BENEFIT MERCY INTERNATIONAL MISSION OUTREACH THAT SUPPORTS AN ANNUAL MEDICAL MISSION TRIP TO AN UNDERDEVELOPED COUNTRY AND MMC AREA OF GREATEST NEED. VASCO ASPHALT WAS THE PROJECT'S LEAD SPONSOR. *2018 CAMPAIGN OF CARING - KEEPERS OF THE MISSION-"110 YEARS STRONG" - THIS EFFORT WAS THE FOUNDATION'S ANNUAL APPEAL TO BOTH HOSPITAL EMPLOYEES AND COMMUNITY DONORS. THE PROCEEDS FROM THE ANNUAL APPEAL BENEFIT THE HOSPITAL'S AREA OF GREATEST NEED.*DONOR CULTIVATION AND STEWARDSHIP ACTIVITES INCLUDING OUR FOUNDERS DAY MASS AND RECEPTION AND A LABORATORY DEDICATION TO DR. SARIKAYA WHO WAS A MAJOR GIFT DONOR IN 2017. IN ADDITION TO THESE EVENTS, THE FOUNDATION HONORED NUMEROUS INDIVIDUALS OF DONOR OR POTENTIAL DONOR STATUS AT A BLOSSOM MUSIC EVENT ON 8/19/18. *NUMEROUS PHILANTHROPIC AND GOVERNMENT GRANTS WERE SOLICITED FOR MERCY MEDICAL CENTER.*MAJOR GIFT SOLICITATION - IN 2018, THE FOUNDATION STAFF RECIEVED GIFTS FROM GEORGE SEANOR, DR. LEONAR KNELL AND MARGARET HOWLEY | Desc |
| Total Program Service Expenses | $383,363 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 38 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 32 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID STEWART | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3304891007 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1320 MERCY DRIVE NW | AddressLine1Txt |
| City | CANTON | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44708 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| THOMAS TURNER | ||||||||
| PRESIDENT | 10.00 | 30.00 | Yes (X) | Yes (X) | $0 | $216,475 | $50,263 | |
| DONALD PETERSON III | ||||||||
| CHAIRMAN | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| THOMAS PAUMIER DDS | ||||||||
| VICE CHAIRMAN | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LEE ANN THORN | ||||||||
| SECRETARY | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DAVID STEWART | ||||||||
| TREASURER | 2.00 | 38.00 | Yes (X) | Yes (X) | $0 | $343,238 | $42,052 | |
| JOHN PRELAC | ||||||||
| ASSISTANT TREASURER | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SR CAROLYN CAPUANO HM | ||||||||
| BOARD MEMBER | 1.00 | 39.00 | Yes (X) | $0 | $0 | $0 | ||
| GREG COLANER | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MARK COTLEUR | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD CROASDAILE JR | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRISTOPHER DILORETO | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SCOTT FITZPATRICK | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DENNIS FULMER | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| LINDA GANSER | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DEREK GORDON | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| GRETCHEN GRAHAM | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| PAUL HILTZ | ||||||||
| BOARD MEMBER | 2.00 | 38.00 | Yes (X) | $15,525 | $78,997 | $10,917 | ||
| JAMES KING MD | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| REV MSGR JAMES KOLP | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JUDITH LANCASTER ESQ | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JACK LIBERATOR | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| WENDY LICHTENWALTER | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL LINZ MD | ||||||||
| BOARD MEMBER | 1.00 | 5.00 | Yes (X) | $0 | $25,255 | $0 | ||
| JONI LOCKE | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| LOUISE MAHONEY | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT MAHONEY | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JENNIFER MEIER | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TERRY MOORE ESQ | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM RACINE | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| AIDA SAFAR MD | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MATT SAVAGE | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| THOMAS STRAUSS | ||||||||
| BOARD MEMBER | 1.00 | 39.00 | Yes (X) | $0 | $1,130,364 | $60,577 | ||
| DAVID THOMSON | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN TUCKER ESQ | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MARK WILHELM | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| FONDA WILLIAMS | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| GEORGE WILLIAMS DDS | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| THOMAS E CECCONI | ||||||||
| FORMER BOARD MEMBER | 1.00 | 39.00 | $0 | $553,604 | $35,650 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $15,525 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,347,933 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $199,459 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $49,532 | FundraisingAmt |
| Related Organizations | $75,000 | RelatedOrganizationsAmt |
| All Other Contributions | $874,602 | AllOtherContributionsAmt |
| Noncash Contributions | $91,227 | NoncashContributionsAmt |
| Total Contributions | $999,134 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,458 | TotalRevenueColumnAmt |
| Exclusion | $11,458 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $80,565 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $85,922 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$5,357 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$5,357 | TotalRevenueColumnAmt |
| Exclusion | -$5,357 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $40,180 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $49,532 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $30,531 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,649 | TotalRevenueColumnAmt |
| Exclusion | $9,649 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,014,884 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $15,750 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,939 | TotalAmt |
| Management And General | $55,939 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,807 | TotalAmt |
| Program Services | $204,807 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,240 | TotalAmt |
| Program Services | $41,365 | ProgramServicesAmt |
| Management And General | $11,875 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,946 | TotalAmt |
| Program Services | $14,954 | ProgramServicesAmt |
| Management And General | $2,992 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,130 | TotalAmt |
| Management And General | $2,130 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,874 | TotalAmt |
| Program Services | $7,874 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,925 | TotalAmt |
| Program Services | $19,925 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,462 | TotalAmt |
| Program Services | $19,462 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,061 | TotalAmt |
| Management And General | $5,061 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $751 | TotalAmt |
| Management And General | $751 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,668 | TotalAmt |
| Program Services | $12,668 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $332 | TotalAmt |
| Management And General | $332 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| RECOGNITION SIGNAGE | $21,840 | $21,840 | |
| PROGRAM FUNDING FOR MER | $19,488 | $19,488 | |
| POSTAGE | $15,619 | $15,619 | |
| DUES, BOOKS & OTHER | $5,253 | $4,778 | $475 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $583 | TotalAmt |
| Program Services | $583 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $462,918 | TotalAmt |
| Program Services | $383,363 | ProgramServicesAmt |
| Management And General | $79,555 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,005,422 | BOYAmt |
| EOY | $1,108,200 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,324 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,164 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,493 | BOYAmt |
| EOY | $2,160 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $873,934 | BOYAmt |
| EOY | $883,426 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,881,849 | BOYAmt |
| EOY | $1,993,786 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,001 | BOYAmt |
| EOY | $20,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,203 | BOYAmt |
| EOY | $159,832 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,204 | BOYAmt |
| EOY | $179,832 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $596,503 | BOYAmt |
| EOY | $469,210 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $483,693 | BOYAmt |
| EOY | $712,324 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $671,449 | BOYAmt |
| EOY | $632,420 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,751,645 | BOYAmt |
| EOY | $1,813,954 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,881,849 | BOYAmt |
| EOY | $1,993,786 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $551,966 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$99,038 | NetUnrlzdGainsLossesInvstAmt |
| Investment Expense | -$3,946 | InvestmentExpenseAmt |
| Other Changes In Net Assets | -$386,673 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY MEDICAL CTR | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341893439 | EIN |
| Organization Type | 3 | OrganizationTypeCd |
| Governing Document Listed | Yes (1) | GoverningDocumentListedInd |
| Support | $1,003,323 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $1,003,323 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | Yes (1) | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | 0 | OperateBenefitNonSuprtOrgInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $671,449 | BeginningYearBalanceAmt |
| Contributions | $2,000 | ContributionsAmt |
| Investment Earnings Or Losses | -$35,365 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,500 | OtherExpendituresAmt |
| Administrative Expenses | $3,163 | AdministrativeExpensesAmt |
| End Year Balance | $632,421 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $568,067 | BeginningYearBalanceAmt |
| Contributions | $6,000 | ContributionsAmt |
| Investment Earnings Or Losses | $100,197 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $2,815 | AdministrativeExpensesAmt |
| End Year Balance | $671,449 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $537,116 | BeginningYearBalanceAmt |
| Contributions | $10,967 | ContributionsAmt |
| Investment Earnings Or Losses | $28,116 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $6,696 | OtherExpendituresAmt |
| Administrative Expenses | $1,436 | AdministrativeExpensesAmt |
| End Year Balance | $568,067 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $310,078 | BeginningYearBalanceAmt |
| Contributions | $232,642 | ContributionsAmt |
| Investment Earnings Or Losses | -$3,289 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $2,315 | AdministrativeExpensesAmt |
| End Year Balance | $537,116 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $139,742 | BeginningYearBalanceAmt |
| Contributions | $143,424 | ContributionsAmt |
| Investment Earnings Or Losses | $27,245 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $333 | AdministrativeExpensesAmt |
| End Year Balance | $310,078 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,324 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,164 | DepreciationAmt |
| Book Value | $2,160 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,160 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DENTAL ENDOWMENT FUND | $632,420 |
| STARK DENTAL CHARITABLE FUND | $251,006 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $883,426 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO MERCY MEDICAL CENTER | Desc |
| Amt | $159,832 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $159,832 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE MERCY GENERAL PRACTICE DENTAL RESIDENCY ENDOWMENT FUND IS A PERMANENT ENDOWMENT FUND OF THE MERCY DEVELOPMENT FOUNDATION. ITS PURPOSE IS TO GENERATE ADDITIONAL INCOME FROM INVESTMENTS DEDICATED TO THE SUPPORT OF THE LONG TERM GROWTH OF THE MERCY GENERAL DENTAL RESIDENCY PROGRAM FOR PERPETUITY. |
| PART X, LINE 2: | ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM AND RECOGNIZE A TAX LIABILITY IF THE SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE SYSTEM AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2018, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | SPORT EVENT -CLAY SHOOTING | Event1Nm |
| Gross Receipts Event1 | $56,800 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $28,358 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $28,442 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $1,868 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $7,403 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $5,556 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $1,297 | OtherDirectExpensesEvent1Amt |
| Event2 | GOLF OUTING -FORE MERCY SAKE | Event2Nm |
| Gross Receipts Event2 | $32,912 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $21,174 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $11,738 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $777 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $7,480 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $3,159 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $2,991 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $89,712 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $49,532 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $40,180 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $2,645 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $14,883 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $8,715 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $4,288 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $30,531 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $9,649 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THOMAS TURNER | ||||||||||||||
| PRESIDENT | $0 | $211,596 | $0 | $0 | $0 | $4,879 | $0 | $18,026 | $0 | $32,237 | $0 | $266,738 | $0 | $0 |
| DAVID STEWART | ||||||||||||||
| TREASURER | $0 | $340,068 | $0 | $0 | $0 | $3,170 | $0 | $27,852 | $0 | $14,200 | $0 | $385,290 | $0 | $0 |
| THOMAS STRAUSS | ||||||||||||||
| BOARD MEMBER | $0 | $1,108,266 | $0 | $0 | $0 | $22,098 | $0 | $45,852 | $0 | $14,725 | $0 | $1,190,941 | $0 | $0 |
| THOMAS E CECCONI | ||||||||||||||
| FORMER BOARD MEMBER | $0 | $98,392 | $0 | $0 | $0 | $455,212 | $0 | $21,925 | $0 | $13,725 | $0 | $589,254 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE PRESIDENT AND TREASURER ARE PAID FROM RELATED ORGANIZATIONS. MERCY MEDICAL CENTER UTILIZES A COMPENSATION COMMITTEE, PERFORMS COMPENSATION SURVEYS AND STUDIES AS WELL AS GETS APPROVAL FROM THE BOARD OF MERCY MEDICAL CENTER. |
| PART I, LINES 4A-B | THOMAS CECCONI RECEIVED A TWO YEAR TERMINATION AGREEMENT FOR 2018 & 2019. THE TOTAL AMOUNT OF THIS AGREEMENT IS FOR $980,398. SUPPLEMENTAL EXECUTIVE RETIREMENT PAYMENTS (SERP) WERE MADE BY THE RELATED ORGANIZATION TO THOMAS STRAUSS ($18,500) AND PAUL HILTZ ($6,370). SCHEDULE J PART II THE BOARD MEMBERS' COMPENSATION IS FOR ADMINSTRATIVE AND PHYSICIAN SERVICES FOR THE RELATED ORGANIZATIONS. THEY ARE NOT COMPENSATED AS BOARD MEMBERS FOR THE FOUNDATION. |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $91,227 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS ONE CORPORATE MEMBER: MERCY MEDICAL CENTER |
| FORM 990, PART VI, SECTION A, LINE 7A | THE ORGANIZATION'S MEMBER MAY ELECT MEMBERS OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 7B | CERTAIN DECISIONS OF THE GOVERNING BODY, SUCH AS APPROVAL OF BUDGETS, CAPITAL EXPENDITURES, LIQUIDATION, MERGER OR DISSOLUTION OF ASSETS, AND THE MODIFICATION OF THE ARTICLES OF INCORPORATION AND CODE OF REGULATIONS, MUST BE APPROVED BY THE BOARD OF THE MEMBER ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | AFTER FORM 990 IS REVIEWED INTERNALLY, IT IS SUBMITTED FOR REVIEW TO OUR TAX ADVISOR. THEY REVIEW FOR COMPLETENESS AND COMMUNICATE ANY CONCERNS THAT THEY IDENTIFY WITHIN THE DOCUMENTS AND WORKSHEETS OF THE TAX RETURN. ITEMS IDENTIFIED ARE REVIEWED BY STAFF AND ANY NEEDED CORRECTIONS ARE MADE. THE RETURN IS THEN PROVIDED TO THE CFO FOR REVIEW AND APPROVAL. THE RETURN IS MADE AVAILABLE TO THE FULL BOARD THROUGH A WEB PORTAL THAT THEY ACCESS BEFORE IT IS FILED WITH THE IRS. ANY QUESTIONS OR CONCERNS THAT THEY HAVE ARE SENT TO EITHER THE PRESIDENT OR CHIEF FINANCIAL OFFICER OF THE MEDICAL CENTER. |
| FORM 990, PART VI, SECTION B, LINE 12C | MERCY DEVELOPMENT FOUNDATION INITITATED OPERATIONS IN 2011. AS AN ORGANIZATION ESTABLISHED EXCLUSIVELY FOR THE SUPPORT AND BENEFIT OF MERCY MEDICAL CENTER, THE FOUNDATION ADHERES TO THE ADMINISTRATIVE POLICIES OF MERCY MEDICAL CENTER, INCLUDING, BUT NOT LIMITED TO: CORPORATE COMPLIANCE POLICIES; DISCLOSURE OF CONFLICTS OF INTEREST; DOCUMENT RETENTION AND DESTRUCTION; HUMAN RESOURCES; AS WELL AS FINANCIAL MANAGEMENT AND REPORTING. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE FOUNDATION ADHERES TO THE ADMINISTRATIVE POLICIES AND PROCEDURES OF MERCY MEDICAL CENTER AND FOLLOWS THEIR ANNUAL COMPENSATION REVIEW BY AN EXTERNAL SOURCE WHICH IS THEN REVIEWED BY THE BOARD FOR APPROVAL. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE FORM 990 AND 1023 ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CAPITAL ASSET TRANSFERS TO MERCY MEDICAL CENTER -324,063. INVESTMENT INCOME-ENDOWMENT & STARK DENTAL FUND 53,476. TEMP RESTRICTED DISBURSEMENTS -73,691. DENTAL ENDOWMENT DONATIONS 2,000. CHARITABLE DENTAL FUND DONATIONS (TEMP) 66,000. RESTRICTED DONATIONS 577,865. CASH TRANSFER TO MERCY MEDICAL CTR - DR. SARIAKAYA DONATION -679,260. DENTAL ENDOWMENT DISBURSEMENTS -2,500. CHARITABLE DENTAL FUND DISBURSEMENTS -6,500. |
| FORM 990, PART XII, LINE 2C | A RELATED TAX-EXEMPT ORGANIZATION'S BOARD, MERCY MEDICAL CENTER, ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SISTERS OF CHARITY OF ST AUGUSTINE HEALTH SYSTEM INC | |||||||||||
| 2475 EAST 22ND ST | CLEVELAND | OH | 44115 | 341379356 | CHARITABLE ORGANIZATION | OH | 501 (C) 3 | 12A | SISTERS OF CHARITY OF ST AUGUSTINEROMAN CATHOLIC CHURCH | Yes (1) | |
| SISTERS OF CHARITY OF ST AUGUSTINE ROMAN CATHOLIC CHURCH | |||||||||||
| 5232 BROADVIEW ROAD | RICHFIELD | OH | 44286 | 340714763 | RELIGIOUS ORDER OF WOMEN | OH | 501 (C) 3 | 1 | 0 | N/A | |
| SCPH LEGACY CORP (PHLC) | |||||||||||
| 2475 EAST 22ND ST | CLEVELAND | OH | 44115 | 570314409 | CHARITABLE ORGANIZATION | OH | 501 (C) 3 | 12A | SCHS | Yes (1) | |
| PROVIDENCE HOSPITALS DEVELOPMENT FOUNDATION | |||||||||||
| 2475 EAST 22ND ST | CLEVELAND | OH | 44115 | 271140183 | CHARITABLE ORGANIZATION | SC | 501 (C) 3 | 12A | PHLC | Yes (1) | |
| REGINIA HEALTH CENTER | |||||||||||
| 5232 BROADVIEW ROAD | RICHFIELD | OH | 44286 | 341722394 | RETIREMENT COMMUNITY | OH | 501 (C) 3 | 10 | SCHS | Yes (1) | |
| ST VINCENT CHARITY MEDICAL CENTER (SVCMC) | |||||||||||
| 2351 EAST 22ND STREET | CLEVELAND | OH | 44115 | 340714756 | HOSPITAL | OH | 501 (C) 3 | 3 | SCHS | Yes (1) | |
| ST VINCENT CHARITY DEVELOPMENT FOUNDATION | |||||||||||
| 2351 EAST 22ND STREET | CLEVELAND | OH | 44115 | 271602445 | CHARITABLE ORGANIZATION | OH | 501 (C) 3 | 12A | SVCMC | Yes (1) | |
| MERCY MEDICAL CENTER | |||||||||||
| 1320 MERCY DRIVE NW | CANTON | OH | 44708 | 341893439 | HOSPITAL | OH | 501 (C) 3 | 3 | SCHS | Yes (1) | |
| ST JOHN HOSPITAL | |||||||||||
| 2475 EAST 22ND ST | CLEVELAND | OH | 44115 | 340714504 | CHARITABLE ORGANIZATION | OH | 501 (C) 3 | 12A | SCHS | Yes (1) | |
| HEALTHY LEARNERS | |||||||||||
| 2749 LAUREL STREET | COLUMBIA | SC | 29204 | 571127197 | CHARITABLE ORGANIZATION | SC | 501 (C) 3 | 12A | SCHS | Yes (1) | |
| JOSEPH'S HOME | |||||||||||
| 2412 COMMUNITY COLLEGE AVENUE | CLEVELAND | OH | 44115 | 340901676 | CHARITABLE ORGANIZATION | OH | 501 (C) 3 | 10 | SCHS | Yes (1) | |
| SISTERS OF CHARITY FOUNDATION OF CLEVELAND | |||||||||||
| 2475 EAST 22ND ST FOURTH FLOOR | CLEVELAND | OH | 44115 | 341832698 | CHARITABLE ORGANIZATION | OH | 501 (C) 3 | 12A | SCHS | Yes (1) | |
| SISTERS OF CHARITY FOUNDATION OF CANTON | |||||||||||
| 400 MARKET AVE N STE 300 | CANTON | OH | 44702 | 341832697 | CHARITABLE ORGANIZATION | OH | 501 (C) 3 | 12A | SCHS | Yes (1) | |
| EARLY CHILDHOOD RESOURCE CENTER | |||||||||||
| 1718 CLEVELAND AVE NW | CANTON | OH | 44703 | 340714462 | CHARITABLE ORGANIZATION | OH | 501 (C) 3 | 12A | SISTERS OF CHARITY FOUNDATION OF CANTON | Yes (1) | |
| SISTERS OF CHARITY FOUNDATION OF SC | |||||||||||
| 2711 MIDDLEBURG DRIVE | COLUMBIA | SC | 29204 | 570708391 | CHARITABLE ORGANIZATION | OH | 501 (C) 3 | 12A | SCHS | Yes (1) | |
| SOUTH CAROLINA CENTER FOR FATHERS & FAMILIES | |||||||||||
| 2711 MIDDLEBURG DRIVE | COLUMBIA | SC | 29204 | 364506347 | CHARITABLE ORGANIZATION | SC | 501 (C) 3 | 7 | SISTERS OF CHARITY FOUNDATION OF SOUTH CAROLINA | Yes (1) | |
| LIGHT OF HEARTS VILLA | |||||||||||
| 283 UNION ST | BEDFORD | OH | 44146 | 341619270 | CHARITABLE ORGANIZATION | OH | 501 (C) 3 | 12A | SCHS | Yes (1) | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MERCY PROFESSIONAL CARE CORP | ||||||||||||||
| 1320 MERCY DRIVE | CANTON | OH | 44708 | 341873008 | PHYSICIAN/MEDICAL SERVICES | OH | N/A | C | Yes (1) | |||||
| ST VINCENT MEDICAL GROUP | ||||||||||||||
| 2475 EAST 22ND STREET | CLEVELAND | OH | 44115 | 341634990 | PHYSICIAN/MEDICAL SERVICES | OH | N/A | C | Yes (1) | |||||
| SCHS INSURANCE CO LTD | ||||||||||||||
| 980679825 | INSURANCE | N/A | C | Yes (1) | 62 FORUM LANE-3RD FLOOR | GRAND CAYMAN | CJ | KY1-1203 | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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