2016-11-15T13:36:06-06:00 2015-12-31 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2015-01-01 581618486 MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER FOUNDATION INC MEMO 9123504927 PO BOX 23089 SAVANNAH GA 31403 LAURA DOW CHIEF FINANCIAL OFFICER 9123504927 2016-11-15 1 AMY BIBBY P00445891 8282542254 2015 2017-02-10 21:41:12Z MARGARET GILL PO BOX 23089 SAVANNAH GA 31403 12587031 0 X WWW.MEMORIALHEALTH.COM/FOUNDATION X 1984 GA TO SUPPLY MEMORIAL HEALTH WITH RESOURCES NECESSARY TO PROVIDE HEALTHCARE PROGRAMS AND SERVICES. 21 21 9 200 0 0 7444801 11141694 0 0 2027977 337772 -72546 817817 9400232 12297283 1296057 4525545 0 0 517419 636782 0 0 329035 385155 373977 2198631 5536304 7201601 6760979 18393186 24509711 54812 444409 18338374 24065302 X TO ENSURE THAT MEMORIAL HEALTH HAS THE CHARITABLE AND COMMUNITY RESOURCES NECESSARY TO PROVIDE HEALTHCARE PROGRAMS AND SERVICES FOR A HEALTHY COMMUNITY. 0 0 4765425 4525545 0 MEMORIAL UNIVERSITY MEDICAL CENTER FOUNDATION HAD A SUCCESSFUL YEAR IN 2015, RAISING A TOTAL OF $11,372,703 IN CASH PHILANTHROPIC GIFTS. THOUSANDS MORE IN PLEDGES FOR FUTURE DONATIONS AND FOR GIFTS IN KIND WERE ALSO RECEIVED IN 2015. THESE GIFTS SUPPORTED THE NAMING OF THE DWAINE AND CYNTHIA WILLETT CHILDREN'S HOSPITAL, ADVANCES IN HEART AND VASCULAR AND CANCER CARE AS WELL AS PATIENT ASSISTANCE, RESEARCH, EDUCATION, PREVENTION, AND TREATMENT PROGRAMS.SEE SCHEDULE O FOR CONTINUATION.THE FOUNDATION'S ACTIVITIES WERE GUIDED DURING 2015 BY BOARD CHAIR WILLIAM DONAHUE. OTHER 2015 BOARD MEMBERS INCLUDED ROBIN ALLEN, ELIZABETH ANDERSON, CAROLYN BROWN, MARGARET GILL (PRESIDENT AND CEO, MUMC; EX-OFFICIO), PAUL HAMILTON, HARRY HASLAM (CHAIRMAN OF THE BOARD, MHS), KATHIE HARLANDER, CATHY HILL, TOBY HOLLENBERG, TED KLEISNER, JEFF KOLE, KEN LARSEN, JAMES LINDLEY, M.D., GERARD MEYER, LINDA MOORE, RICK MULLER, SAM MURRAY, M.D., DAVID PADDISON, JACKIE RABINOWITZ, STEVE STEPHENS, CYNTHIA WILLETT, AND BEVERLY YOUNG. JERRY MEYER SERVED AS CHAIR OF THE BOARD'S FINANCE COMMITTEE. KATHIE HARLANDER SERVED AS CHAIR OF THE TRUSTEESHIP COMMITTEE. THE FOUNDATION WAS LED BY PHOENICIA MIRACLE, VICE PRESIDENT OF THE MEMORIAL HEALTH FOUNDATION.THE CHILDREN'S HOSPITAL AT MEMORIAL HEALTH WAS A KEY AREA OF FUNDRAISING FOR THE FOUNDATION. THE KIDS ONLY CAPITAL CAMPAIGN COMMITTEE, HEADED BY JACKIE RABINOWITZ, ALONG WITH THE GENERAL CHILDREN'S FUND, RECEIVED $8,271,334 AS PART OF OUR $20M COMPREHENSIVE CAPITAL CAMPAIGN.THE CHILDREN'S HOSPITAL IS A PROUD MEMBER OF CHILDREN'S MIRACLE NETWORK. IN 2015, THE CHILDREN'S HOSPITAL, THROUGH CHILDREN'S MIRACLE NETWORK, RAISED FUNDS IN 17 COUNTIES IN SOUTHEAST GEORGIE AND SOUTH CAROLINA. THE CHILDREN'S MIRACLE NETWORK FUNDS WERE ALLOCATED THROUGH A FORMAL APPLICATION PROCESS, WHICH INCLUDES SIGNATURES OF LEADERSHIP MEMBERS WHO DECIDE ON PRIORITY NEEDS. IN 2015, VOLUNTEERS PLAYED A VITAL ROLE IN THE SUCCESS OF THE SPECIAL EVENTS. YOUNG PARENTS FORM THE NEXT GENERATION AND HOST A FALL FAMILY DAY. RETIRED WOMEN GATHER TO CREATE THE ONE HUNDRED, WHICH HOSTED ITS 20TH ANNUAL BEAR GALA IN 2015. DEVOTED CYCLISTS FROM ACROSS OUR REGION RIDE FOR CANCER IN PATRICK'S RIDE; AND OTHER VOLUNTEERS COLLABORATE AND WORK TOGETHER TO EXECUTE THREE SUCCESSFUL GOLF TOURNAMENTS, A SHOOTING CLAY TOURNAMENT, AND THREE LUNCHEON/GALAS. THE CURTIS & ELIZABETH ANDERSON CANCER INSTITUTE IS ANOTHER KEY AREA OF FUNDRAISING FOR THE FOUNDATION. THE CANCER INSTITUTE RECEIVED $607,746 FOR TREATMENT PROGRAMS, EQUIPMENT AND PATIENT SUPPORT. THE FOUNDATION CONTINUED ITS OUTREACH PROGRAM AT ACI TO LEAD INDIVIDUALS AND CORPORATE REPRESENTATIVES ON TOURS OF ACI TO EDUCATE THEM ON CANCER. HUNDREDS OF EMPLOYEES GAVE THROUGH MY MEMORIAL, A PAYROLL DEDUCTION CAMPAIGN, RUN ONE WEEK EACH YEAR. THIS SUPPORT AGAIN INDICATES OUR EMPLOYEES' CONFIDENCE IN OUR RESEARCH, EDUCATION, AND TREATMENT MISSION. FINALLY, IN ADDITION TO THE PROGRAMS MENTIONED ABOVE, THE MEMORIAL HEALTH FOUNDATION SUPPORTED NUMEROUS INITIATIVES TO PROVIDE ASSISTANCE TO NEEDY PATIENTS FOR NON-MEDICAL COSTS ASSOCIATED WITH THEIR CARE. THE FOUNDATION ALSO SUPPORTED A NUMBER OF COMMUNITY EDUCATION AND OUTREACH PROGRAMS DURING 2015. 4765425 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 28 0 1 9 1 0 0 0 0 1 1 1 1 0 0 0 0 X 21 21 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 GA X X LAURA DOW 9213508613 4600 WATERS AVE 2ND FLOOR SAVANNAH GA 31404 WILLIAM DONAHUE CHAIR 1.00 3.00 X X 0 0 0 ELIZABETH ANDERSON BOARD MEMBER 1.00 X 0 0 0 CAROLYN BROWN BOARD MEMBER 1.00 X 0 0 0 ROBIN ALLEN BOARD MEMBER 1.00 X 0 0 0 PAUL HAMILTON BOARD MEMBER 1.00 X 0 0 0 J HARRY HASLAM BOARD MEMBER 1.00 3.00 X 0 0 0 KATHIE HARLANDER BOARD MEMBER 1.00 X 0 0 0 CATHY HILL BOARD MEMBER 1.00 X 0 0 0 TOBY HOLLENBERG BOARD MEMBER 1.00 X 0 0 0 JEFF KOLE BOARD MEMBER 1.00 X 0 0 0 KEN LARSEN BOARD MEMBER 1.00 X 0 0 0 JAMES LINDLEY BOARD MEMBER 1.00 X 0 0 0 TEDD KLEISNER BOARD MEMBER 1.00 X 0 0 0 LINDA MOORE BOARD MEMBER 1.00 X 0 0 0 GERARD MEYER BOARD MEMBER 1.00 X 0 0 0 SAMUEL MURRAY BOARD MEMBER 1.00 X 0 0 0 DAVID PADDISON BOARD MEMBER 1.00 X 0 0 0 FREDERICK MULLER BOARD MEMBER 1.00 X 0 0 0 JACKIE RABINOWITZ BOARD MEMBER 1.00 3.00 X 0 0 0 STEVE STEPHENS BOARD MEMBER 1.00 X 0 0 0 CYNTHIA WILLETT BOARD MEMBER 1.00 X 0 0 0 BEVERLY YOUNG BOARD MEMBER 1.00 X 0 0 0 PHOENICIA MIRACLE VICE PRESIDENT 40.00 X 204626 0 4111 204626 0 4111 1 0 1 0 HDR ENGINEERING OF THE CAROLINAS 440 S CHURCH ST CHARLOTTE NC 28202 ARCHITECT 508748 THE KICKLIGHTER COMPANY 1712 FOREST DRIVE SAVANNAH GA 31404 CONSTRUCTION 331787 FIRST AMERICAN EQUIPMENT FINANCE 255 WOODCLIFF DR FAIRPORT NY 14450 CAPITAL LEASE 159997 MCWATERS PO BOX 2306 COLUMBIA SC 29202 FURNITURE 109532 4 8000 11133694 1009129 11141694 338447 338447 675 -675 -675 -675 1106890 289073 817817 817817 12297283 0 0 1155589 4525545 4525545 208737 62621 146116 345909 160846 120413 64650 4209 1225 1387 1597 44635 12943 14730 16962 33292 9656 10985 12651 17028 17028 168653 39473 43051 86129 29313 2066 27247 473 473 44784 44784 4677 1571 2176 930 209 209 SUPPLIES 106867 10455 96412 1973 963 1010 5536304 4765425 441844 329035 500 500 2422578 5624086 4468659 4334128 13900 0 48648 70716 28741 28741 0 0 9541930 13191580 1896971 1288701 18393186 24509711 38243 33363 16569 411046 54812 444409 X 3133598 2379042 11583155 16914331 3621621 4771929 18338374 24065302 18393186 24509711 X 6760979 53414 -1087465 X X 0 1 X 1 0 X X 1 MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER 311126469 3 1 4525545 239880 1 4525545 239880 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4496899 1150000 32000 124000 5554899 3186899 1124000 186000 4496899 3022837 23000 303203 30500 131641 3186899 2388029 465356 176551 7099 3022837 1795824 597846 -2591 3050 2388029 0.85900 0.14100 0 0 28741 28741 0 0 HEDGE FUNDS 1288701 C 1288701 DUE TO AFFILIATES 411046 411046 X PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED FOR PEDIATRICS, EDUCATION/RESEARCH, AND ONCOLOGY. PART X, LINE 2: THE HEALTH SYSTEM IS PARTIALLY COMPRISED OF ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAX PURSUANT TO SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. WITH RESPECT TO ANY UNRELATED BUSINESS INCOME GENERATED BY ITS FOR-PROFIT SUBSIDIARIES, THE HEALTH SYSTEM RECORDS INCOME TAXES USING THE LIABILITY METHOD UNDER WHICH THE DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON THE DIFFERENCES BETWEEN THE FINANCIAL ACCOUNTING AND TAX BASES OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS OR LIABILITIES AT THE END OF EACH PERIOD ARE DETERMINED USING THE CURRENTLY ENACTED TAX RATE EXPECTED TO APPLY TO TAXABLE INCOME IN THE PERIOD THAT THE DEFERRED TAX ASSET OR LIABILITY IS EXPECTED TO BE REALIZED OR TO BE SETTLED. THE HEALTH SYSTEM HAS EVALUATED ITS TAX POSITIONS AND HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2015 AND 2014. WAITING ON A CURE - ACI LUNCHEON 247429 247429 27523 25855 9879 THE ONE HUNDRED'S BEAR GALA 191594 191594 25908 11003 9260 8 667867 667867 179645 1106890 1106890 53431 36858 198784 289073 817817 1 MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER INC PO BOX 23089 SAVANNAH GA 31403 311126469 501(C)(3) 4525545 PHILANTHROPIC SUPPORT 1 PART I, LINE 2: MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER FOUNDATION, INC. PROVIDES MONETARY SUPPORT TO MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER, INC. IN FURTHERANCE OF ITS TAX-EXEMPT PURPOSE. THE MEDICAL CENTER IS THE SUPPORTED ORGANIZATION OF THE FOUNDATION, AND BOTH ORGANIZATIONS ARE CONTROLLED BY THE SAME SOLE MEMBER ORGANIZATION, MEMORIAL HEALTH, INC. THE COMMON CONTROL OVER BOTH ORGANIZATIONS ENSURES THAT GRANTS AND ASSISTANCE PAID BY THE FOUNDATION ARE USED IN THE MANNER INTENDED. 0 0 0 0 0 0 0 0 0 PHOENICIA MIRACLE VICE PRESIDENT 165617 0 37500 0 1509 0 3035 0 1076 0 208737 0 0 0 PART I, LINE 3 A RELATED ORGANIZATION, MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER, USED A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, FORMS 990 OF OTHER ORGANIZATIONS, A WRITTEN EMPLOYMENT CONTRACT, A COMPENSATION SURVEY, AND APPROVAL BY THE BOARD TO ESTABLISH COMPENSATION FOR THE TOP EXECUTIVE DIRECTOR. X 8 4765 FMV X 2 1004364 FMV 0 0 0 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIR, THE VICE CHAIR, THE EXECUTIVE VICE PRESIDENT, THE SECRETARY, AND THE TREASURER. THE EXECUTIVE COMMITTEE HAS THREE DUTIES. 1. THE EXECUTIVE COMMITTEE SHALL HAVE POWER TO TRANSACT ALL BUSINESS OF THE BOARD IN THE MANAGEMENT OF THE CORPORATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD, SUBJECT TO LIMITATIONS SET FORTH IN THESE BYLAWS AND ANY LIMITATIONS OTHERWISE IMPOSED BY THE BOARD. 2. THE EXECUTIVE COMMITTEE SHALL COORDINATE RECOMMENDATIONS FROM OTHER COMMITTEES OF THE BOARD AND SHALL MAKE RECOMMENDATIONS TO THE BOARD ON ALL MATTERS OF POLICY AND KEEP THE BOARD ADVISED AT ALL TIMES CONCERNING THE STATE OF AFFAIRS OF THE CORPORATIONS. 3. THE EXECUTIVE COMMITTEE SHALL HAVE EXCLUSIVE AUTHORITY TO MAKE GIFTS, GRANTS AND OTHER DISPOSITIONS OF FUNDS TO OTHE ORGANIZATIONS IN FURTHERANCE OF THE PURPOSES SET FORTH IN ARTICLE I OF THESE BYLAWS WHEN DIRECTED OR REQUESTED TO DO SO BY THE MEMBER. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THIS CORPORATION SHALL BE MEMORIAL HEALTH, INC. MEMORIAL HEALTH SHALL HAVE AND MAY EXERCISE WITH RESPECT TO THE CORPORATION ALL RIGHTS AND AUTHORITIES GRANTED BY LAW TO MEMBERS OF A NONPROFIT CORPORATION IN GEORGIA OR BY THE BYLAWS. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF TRUSTEES OF THE CORPORATION SHALL BE ELECTED BY THE MEMBER. THE MEMBER SHALL BE ENTITLED TO CAST ONE VOTE FOR EACH BOARD MEMBER TO BE ELECTED. FORM 990, PART VI, SECTION A, LINE 7B TO THE EXTENT PERMITTED BY LAW, IN LIEU OF MEMBERSHIP MEETINGS, ALL ACTIONS TAKEN BY THE MEMBER MAY BE TAKEN IN THE FORM OF A WRITTEN CONSENT SETTING FORTH THE ACTION SO TAKEN AND SIGNED BY AN AUTHORIZED OFFICER OR MEMBER OF THE BOARD OF TRUSTEES OF MEMORIAL HEALTH. FORM 990, PART VI, SECTION B, LINE 11 THE TAX RETURN IS PREPARED BY AN UNRELATED, INDEPENDENT ACCOUNTING FIRM AND THEN SUBMITTED TO SENIOR MANAGEMENT WITHIN THE ORGANIZATION'S ACCOUNTING DEPARTMENT FOR INTERNAL REVIEW. A DRAFT IS THEN PROVIDED TO THE FINANCE COMMITTEE AND THE ENTIRE BOARD FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO UPDATE AND SUBMIT A NEW CONFLICT OF INTEREST STATEMENT ANNUALLY. THE CHAIRMAN OF THE BOARD, PRESIDENT AND CHIEF EXECUTIVE OFFICER, AND THE CHIEF COMPLIANCE OFFICER SHALL BECOME FAMILIAR WITH THE STATEMENTS OF THE BOARD MEMBERS IN ORDER TO GUIDE THEIR CONDUCT SHOULD A CONFLICT ARISE. AT SUCH TIME AS ANY MATTER COMES BEFORE THE BOARD THAT MAY POTENTIALLY RESULT IN A CONFLICT OF INTEREST, THE AFFECTED BOARD MEMBER SHALL MAKE KNOWN THE POTENTIAL CONFLICT, WHETHER OR NOT DISCLOSE IN A WRITTEN STATEMENT. THE AFFECTED BOARD MEMBER MAY MAKE A PRESENTATION TO THE BOARD OR A COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE OR SHE MUST LEAVE THE MEETING DURING THE DISCUSSION OF AND THE VOTE ON THE TRANSACTION OR ARRANGEMENT CONSIDERED TO BE A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION USES SULLIVAN-COTTER (AN UNRELATED, INDEPENDENT THIRD PARTY COMPANY) TO ANALYZE APPROPRIATE COMPENSATION FOR THE CEO, EXECUTIVES, DIRECTORS AND TOP MANAGEMENT. FOR ALL OTHER POSITIONS, THE ORGANIZATION USES COMPENSATION ANALYST, SALARY.COM, TO ANALYZE COMPENSATION AND COMPILE DATA FOR COMPARABILITY. FORM 990, PART VI, SECTION C, LINE 18 THE FORM 990 IS MADE AVAILABLE UPON REQUEST. IN ADDITION, THE FORM 990 IS AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS OF THE ORGANIZATION ARE HELD AS PUBLIC RECORDS OF THE STATE OF GEORGIA SECRETARY OF STATE OFFICE. AS SUCH, THESE DOCUMENTS ARE OPEN TO THE PUBLIC. THE CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC AS THIS IS NOT A REQUIREMENT. FORM 990, PART XI, LINE 9: REALIZED LOSS ON IMPAIRMENT -350,936. TRANSFER OF EQUITY -736,529. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER INC PO BOX 23089 SAVANNAH GA 314033089 311126469 PROVISION OF MEDICAL SERVICES GA 501(C)(3) LINE 3 MEMORIAL HEALTH INC 0 MEMORIAL HEALTH INC PO BOX 23089 SAVANNAH GA 314033089 582460001 PARENT GA 501(C)(3) LINE 11B, II N/A 0 MEMORIAL PHYSICIANS GROUP INC PO BOX 23089 SAVANNAH GA 314033089 474332277 PROVISION OF MEDICAL SERVICES GA 501(C)(3) LINE 9 MEMORIAL HEALTH INC 0 MEMORIAL SAVANNAH CARDIOLOGY INC PO BOX 23089 SAVANNAH GA 314033089 472872276 PROVISION OF MEDICAL SERVICES GA 501(C)(3) LINE 9 MEMORIAL HEALTH INC 0 PAULSEN STREET SURGERY CENTER LLC 4425 PAULSEN STREET 2ND FLOOR SAVANNAH GA 31405 454517515 HEALTH CARE GA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER INC RELATED 0 0 4600 WATERS AVE PRO CONDO ASSOCIATION INC PO BOX 23089 SAVANNAH GA 314033089 581990705 CONDO ASSOCIATION GA N/A C 0 MEMORIAL HEALTH ANESTHETISTS INC PO BOX 23089 SAVANNAH GA 314033089 431985441 MEDICAL SERVICES GA N/A C 0 MEMORIAL HEALTH PARTNERS INC PO BOX 23089 SAVANNAH GA 314033089 581707311 MANAGED CARE GA N/A C 0 MPPG INC PO BOX 23089 SAVANNAH GA 314033089 582162071 PHYSICIANS PRACTICE GA N/A C 0 PROVIDENT HEALTH SERVICES INC PO BOX 23089 SAVANNAH GA 314033089 581611969 MEDICAL SERVICES GA N/A C 0 PROVIDENT PROFESSIONAL BUILDING CONDO ASSOCIATION INC PO BOX 23089 SAVANNAH GA 314033089 581845972 CONDO ASSOCIATION GA N/A C 0 SAVANNAH MIDTOWN PROPERTIES INC PO BOX 23089 SAVANNAH GA 314033089 582537941 REAL ESTATE HOLDING GA N/A C 0 MEMORIAL PROFESSIONAL ASSURANCE COMPANY PO BOX 1100 GRAND CAYMAN CJ 999999999 OTHER INSURANCE CJ N/A C 0 MEMORIAL HEALTH CORPORATE SERVICES INC 4700 WATERS AVE SAVANNAH GA 31404 900963434 CORPORATE SERVICES GA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1