2018-11-12T10:25:35-06:00 2017-12-31 381357951 PLANTE & MORAN PLLC 250 SOUTH HIGH STREET SUITE 100 COLUMBUS OH 43215 990 2017-01-01 352408321 MERCY DEVELOPMENT FOUNDATION MERC 3304891000 1320 MERCY DRIVE NW CANTON OH 44708 THOMAS TURNER PRESIDENT 3304891007 2018-11-09 1 BERNIE OSTROWSKI P00366367 6148493000 2018-11-08 67.59.56.30 2018-11-09 09:29:09 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 DCADD2CDA100FC630949EB2812E82144C693340D 2017 2019-02-21 02:37:17Z THOMAS TURNER 1320 MERCY DRIVE NW CANTON OH 44708 1052374 0 0928 X WWW.CANTONMERCY.ORG/GIVING X 2011 OH 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. 38 31 0 115 0 0 973911 1028461 0 0 2008 6163 2404 4167 978323 1038791 0 0 0 0 358640 320377 0 0 0 168427 116029 527067 436406 451256 602385 1922105 1881849 224547 130204 1697558 1751645 X 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. 0 0 436406 SCHEDULE OIN 2017, MERCY DEVELOPMENT FOUNDATION SOLICITED 6,601 GIFTS FROM 1,101 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 $831,367 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 & BIOTERRORISM PROGRAMS. THE MERCY DEVELOPMENT FOUNDATION (MDF) SERVES IN AN ADVISORY ROLE TO THE MERCY SERVICE LEAGUE WHICH IS A SEPARATE 501(C)(3). IN 2017, THE MERCY SERVICE LEAGUE PRESENTED A DONATION OF $185,000 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 INAUGURAL WINE WOMEN AND SHOES EVENT HELD IN MAY. THIS EVENT RAISED $200,000 FOR WOMEN'S CANCER SERVICES. IN 2017, THE SERVICE LEAGUE PAID $12,816 FOR 1,600 HALO SACKS THAT WERE DONATE TO MERCY MEDICAL CENTER'S LABOR AND DELIVERY DEPARTMENT. SPECIFIC 2017 PROGRAM SERVICES ACCOMPLISHMENTS INCLUDED:*RUHLIN SPORTING 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. THE RUHLIN COMPANY WAS THE PROJECT'S 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. VASCO ASPHALT WAS THE PROJECT'S SPONSOR. THIS EVENT IS DONE DIRECTLY THROUGH THE MEDICAL CENTER.*2017 CAMPAIGN OF CARING - KEEPERS OF THE MISSION - 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.*KOLP FUND ETHICS SEMINAR - THROUGH PAST FUNDRAISING EFFORTS, THE FOUNDATION HELD A SEMINAR ON 11/02/17. THERE WERE 194 IN ATTENDENCE AND THE SPEAKER WAS MICHAEL ROZIER SJ, MHS, MDIV.*DONOR CULTIVATION AND STEWARDSHIP ACTIVITES INCLUDING OUR FOUNDERS DAY MASS AND RECEPTION AND THE 10TH YEAR ANNIVERSARY CELEBRATION OF THE DENTAL CLINIC AT MERCY MEDICAL CENTER. IN ADDITION TO THESE EVENTS, THE FOUNDATION HONORED 56 INDIVIDUALS AT A BLOSSOM MUSIC EVENT ON 7/22/17. *NUMEROUS PHILANTHROPIC AND GOVERNMENT GRANTS WERE SOLICITED FOR MERCY MEDICAL CENTER.*MAJOR GIFT SOLICITATION - IN 2017, THE FOUNDATION STAFF WORKED WITH DR. ENG CHONG REGARDING HIS DONATION DIRECTLY PAID TO MERCY MEDICAL CENTER. THE FAIR MAKRET VALUE OF HIS DONATION WAS $75,000. 436406 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 X 38 31 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X DAVID STEWART 3304891007 1320 MERCY DRIVE NW CANTON OH 44708 THOMAS TURNER PRESIDENT 10.00 30.00 X X 0 228283 48573 DONALD PETERSON III CHAIRMAN 2.00 0.00 X X 0 0 0 THOMAS PAUMIER DDS VICE CHAIRMAN 2.00 0.00 X X 0 0 0 LEE ANN THORN SECRETARY 2.00 0.00 X X 0 0 0 DAVID STEWART TREASURER 2.00 38.00 X X 0 352357 39273 JOHN PRELAC ASSISTANT TREASURER 2.00 0.00 X X 0 0 0 SR CAROLYN CAPUANO HM BOARD MEMBER 1.00 39.00 X 0 0 0 THOMAS E CECCONI BOARD MEMBER 2.00 38.00 X 0 560541 43494 RICHARD E CROASDAILE JR BOARD MEMBER 1.00 0.00 X 0 0 0 CHRISTOPHER DILORETO BOARD MEMBER 1.00 0.00 X 0 0 0 SCOTT FITZPATRICK BOARD MEMBER 1.00 0.00 X 0 0 0 MARK FLEINER BOARD MEMBER 1.00 0.00 X 0 0 0 DENNIS FULMER BOARD MEMBER 1.00 0.00 X 0 0 0 LINDA GANSER BOARD MEMBER 1.00 0.00 X 0 0 0 DEREK GORDON BOARD MEMBER 1.00 0.00 X 0 0 0 GRETCHEN GRAHAM BOARD MEMBER 1.00 0.00 X 0 0 0 FRANK KAEBERLEIN BOARD MEMBER 1.00 0.00 X 0 19304 0 TERRENCE KESSLER ESQ BOARD MEMBER 1.00 0.00 X 0 79136 16452 JAMES KING MD BOARD MEMBER 1.00 0.00 X 0 0 0 REV MSGR JAMES KOLP BOARD MEMBER 1.00 0.00 X 0 0 0 JUDITH LANCASTER ESQ BOARD MEMBER 1.00 0.00 X 0 0 0 JACK LIBERATOR BOARD MEMBER 1.00 0.00 X 0 0 0 JONI LOCKE BOARD MEMBER 1.00 0.00 X 0 0 0 LOUISE MAHONEY BOARD MEMBER 1.00 0.00 X 0 0 0 ROBERT MAHONEY BOARD MEMBER 1.00 0.00 X 0 0 0 ANNA MAVRAKIS BOARD MEMBER 1.00 0.00 X 0 0 0 STEVEN MAXIM BOARD MEMBER 1.00 0.00 X 0 0 0 MICHAEL MCCANN BOARD MEMBER 1.00 0.00 X 0 0 0 JENNIFER MEIER BOARD MEMBER 1.00 0.00 X 0 0 0 TERRY MOORE ESQ BOARD MEMBER 1.00 0.00 X 0 0 0 MATT SAVAGE BOARD MEMBER 1.00 0.00 X 0 0 0 KATHLEEN STONEMAN ESQ BOARD MEMBER 1.00 0.00 X 0 0 0 THOMAS STRAUSS BOARD MEMBER 1.00 39.00 X 0 1056727 60577 DAVID THOMSON BOARD MEMBER 1.00 0.00 X 0 0 0 CHRISTINA WALKER BOARD MEMBER 1.00 39.00 X 0 172512 26896 BILL RACINE BOARD MEMBER 1.00 0.00 X 0 0 0 FONDA WILLIAMS BOARD MEMBER 1.00 0.00 X 0 0 0 GEORGE WILLIAMS DDS BOARD MEMBER 1.00 0.00 X 0 0 0 0 2468860 235265 0 0 1 0 0 29189 135235 864037 1028461 6143 6143 1137 1117 20 20 20 16633 29189 12466 4167 4167 1038791 0 0 10330 55506 55506 195771 195771 51713 51713 17387 17387 4360 4360 7273 7273 27392 27392 24966 24966 5000 5000 1386 1386 24947 24947 332 332 POSTAGE 14712 14712 RECOGNITION SIGNAGE 3543 3543 CREDIT CARD FEES 1135 1135 MEMBERSHIP DUES & OTHER 983 983 436406 436406 0 0 1222348 1005422 740 3324 831 2825 2493 696192 873934 1922105 1881849 29987 20001 194560 110203 224547 130204 X 523183 596503 606308 483693 568067 671449 1697558 1751645 1922105 1881849 X 602385 52116 -3342 -597072 X X 0 1 X 1 0 X X 1 MERCY MEDICAL CTR 341893439 3 1 637890 0 1 637890 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 568067 6000 100197 2815 671449 537116 10967 28116 6696 1436 568067 310078 232642 -3289 2315 537116 139742 143424 27245 333 310078 134966 4776 139742 1.00000 0 0 3324 831 2493 2493 DENTAL ENDOWMENT FUND 671449 STARK DENTAL CHARITABLE FUND 202485 873934 DUE TO MERCY MEDICAL CENTER 110203 110203 X 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, 2017, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. RUHLIN SPORTING CLAYS 45822 29189 16633 2598 5483 4375 10 45822 29189 16633 2598 5483 4375 10 12466 4167 0 1 0 0 0 0 0 0 0 THOMAS TURNER PRESIDENT 0 210480 0 12930 0 4873 0 16787 0 31786 0 276856 0 0 DAVID STEWART TREASURER 0 330633 0 19629 0 2095 0 27313 0 11960 0 391630 0 0 THOMAS E CECCONI BOARD MEMBER 0 467284 0 71028 0 22229 0 27325 0 16169 0 604035 0 0 THOMAS STRAUSS BOARD MEMBER 0 1039203 0 0 0 17524 0 45312 0 15265 0 1117304 0 0 CHRISTINA WALKER BOARD MEMBER 0 168185 0 0 0 4327 0 15446 0 11450 0 199408 0 0 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, LINE 4B A SUPPLEMENTAL EXECUTIVE RETIREMENT PAYMENT (SERP) OF $18,000 WAS MADE BY THE RELATED ORGANIZATION TO THOMAS STRAUSS. SCHEDULE J PART II THE BOARD MEMBERS' COMPENSATION IS FOR ADMINSTRATIVE AND PHYSICIAN SERVICES FOR RELATED ORGANIZATIONS. THEY ARE NOT COMPENSATED AS BOARD MEMBERS FOR THE FOUNDATION. 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: ASSET TRANSFER TO MERCY MEDICAL CENTER -637,890. INVESTMENT INCOME-ENDOWMENT & STARK DENTAL FUND 62,533. TEMP RESTRICTED DISBURSEMENTS -21,715. 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. 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 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 N/A 0 SISTERS OF CHARITY PROVIDENCE HOSPITALS (SCPH) 120 GATEWAY CORPORATION COLUMBIA SC 29203 570314409 HOSPITAL SC 501 (C) 3 3 SCHS 1 PROVIDENCE HOSPITALS DEVELOPMENT FOUNDATION 2435 FOREST DRIVE COLUMBIA SC 29204 271140183 CHARITABLE ORGANIZATION SC 501 (C) 3 12A SCPH 1 REGINIA HEALTH CENTER 5232 BROADVIEW ROAD RICHFIELD OH 44286 341722394 RETIREMENT COMMUNITY OH 501 (C) 3 10 SCHS 1 ST VINCENT CHARITY MEDICAL CENTER (SVCMC) 2351 EAST 22ND STREET CLEVELAND OH 44115 340714756 HOSPITAL OH 501 (C) 3 3 SCHS 1 ST VINCENT CHARITY DEVELOPMENT FOUNDATION 2351 EAST 22ND STREET CLEVELAND OH 44115 271602445 CHARITABLE ORGANIZATION OH 501 (C) 3 12A SVCMC 1 MERCY MEDICAL CENTER 1320 MERCY DRIVE NW CANTON OH 44708 341893439 HOSPITAL OH 501 (C) 3 3 SCHS 1 ST JOHN HOSPITAL 2475 EAST 22ND ST CLEVELAND OH 44115 340714504 CHARITABLE ORGANIZATION OH 501 (C) 3 12A SCHS 1 HEALTHY LEARNERS 2749 LAUREL STREET COLUMBIA SC 29204 571127197 CHARITABLE ORGANIZATION SC 501 (C) 3 12A SCHS 1 JOSEPH'S HOME 2412 COMMUNITY COLLEGE AVENUE CLEVELAND OH 44115 340901676 TRANSITIONAL HOME OH 501 (C) 3 10 SCHS 1 SISTERS OF CHARITY FOUNDATION OF CLEVELAND 1228 EUCLID AVE HALLE BLDG CLEVELAND OH 44115 341832698 CHARITABLE ORGANIZATION OH 501 (C) 3 12A SCHS 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 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 1 SISTERS OF CHARITY FOUNDATION OF SC 2711 MIDDLEBURG DRIVE COLUMBIA SC 29204 570708391 CHARITABLE ORGANIZATION OH 501 (C) 3 12A SCHS 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 1 LIGHT OF HEARTS VILLA 283 UNION ST BEDFORD OH 44146 341619270 ASSISTED LIVING FACILITY OH 501 (C) 3 12A SCHS 1 MERCY PROFESSIONAL CARE CORP 1320 MERCY DRIVE CANTON OH 44708 341873008 PHYSICIAN/MEDICAL SERVICES OH N/A C 1 ST VINCENT MEDICAL GROUP 2475 EAST 22ND STREET CLEVELAND OH 44115 341634990 PHYSICIAN/MEDICAL SERVICES OH N/A C 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0