2016-10-28T12:38:07-05:00 2015-12-31 381357951 PLANTE & MORAN PLLC 27400 NORTHWESTERN HIGHWAY SOUTHFIELD MI 48034 990 2015-01-01 383085047 HURLEY FOUNDATION HURL 8102629667 ONE HURLEY PLAZA FLINT MI 485035993 RICHARD R WARMBOLD PHD PRESIDENT 8102629524 2016-10-21 1 CHAD SCHAFER P00742041 2483522500 2015 2017-02-10 21:41:12Z RICHARD R WARMBOLD PHD ONE HURLEY PLAZA FLINT MI 485035993 4810061 0 X WWW.HURLEYFOUNDATION.ORG X 1992 MI ADVANCEMENT OF MEDICAL SCIENCES, EDUCATION, MEDICAL CARE, AND THE DELIVERY THEREOF FOR THE BENEFIT OF RESIDENTS OF THE GREATER FLINT METROPOLITAN AREA. 16 15 0 550 0 0 2264018 3240083 0 0 487268 120867 -14631 43725 2736655 3404675 1442788 1632891 0 0 0 0 0 0 315363 705616 960172 2148404 2593063 588251 811612 5208320 6272637 140849 530647 5067471 5741990 TO CONTRIBUTE TO FULFILLING THE HURLEY MEDICAL CENTER MISSION OF "CLINICAL EXCELLENCE. SERVICE TO PEOPLE" WHILE FACILITATING CHARITABLE GIVING THAT CONTRIBUTES TO THE MEDICAL CENTER. 0 0 1640179 1632891 ALLOCATIONS WERE MADE TO HURLEY MEDICAL CENTER FOR VARIOUS MEDICAL CARE PURPOSES. 1640179 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 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 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 X 16 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 0 0 0 MI X RICHARD WARMBOLD PHD 8102629524 ONE HURLEY PLAZA FLINT MI 48503 PHILIP W SHALTZ PAST CHAIR 1.00 X 0 0 0 DONNA DODDS HAMM VICE-CHAIR 1.00 X X 0 0 0 WILLIAM H MOELLER TREASURER 1.00 X X 0 0 0 SUSAN STEINER BOLHOUSE CHAIR 1.00 X X 0 0 0 MARCUS A RANDOLPH DIRECTOR 1.00 X 0 0 0 IRA A RUTHERFORD III DIRECTOR 1.00 X 0 0 0 PHILLIP C DUTCHER DIRECTOR 1.00 X 0 0 0 MELANY GAVULIC DIRECTOR 1.00 X 0 0 0 DR VICTOR B RABINKOV DIRECTOR 1.00 X 0 0 0 ANDREW D SUSKI DIRECTOR 1.00 X 0 0 0 LYNNE A TAFT-DRAPER Secretary 1.00 X X 0 0 0 Carl Bekofske DIRECTOR 1.00 X 0 0 0 Jason B Caya DIRECTOR (THRU 3/10/15) 1.00 X 0 0 0 LINDSAY CLARK DIRECTOR 1.00 X 0 0 0 CORNELIUS DARCY DIRECTOR 1.00 X 0 0 0 BRYN MICKLE DIRECTOR 1.00 X 0 0 0 GLENN WILSON DIRECTOR 1.00 X 0 0 0 RICHARD R WARMBOLD PHD PRESIDENT 40.00 X 201016 0 34485 201016 0 34485 1 0 1 1 0 284004 2956079 367558 3240083 108548 108548 1224091 1211772 12319 12319 12319 237339 284004 193614 43725 43725 3404675 0 0 164592 X 1632891 1632891 34259 34259 98622 15314 83308 36649 36649 166138 12480 153658 6561 3597 2964 2039 2039 GRANT CENTER EXPENSE 566284 7288 556996 2000 FUNDRAISING EXPENSES 33482 33482 BANK CHARGES 12836 12836 TRUST FEES 3302 0 3302 2593063 1640179 637521 315363 613965 1355118 208677 548006 29980 12717 3843520 3834158 512178 522638 5208320 6272637 137015 529169 3834 1478 140849 530647 X 1337681 1427730 1384171 1664820 2345619 2649440 5067471 5741990 5208320 6272637 X 811612 -137093 0 X 0 1 X 0 0 X 1462815 1679315 2127654 2264018 3240083 10773885 1462815 1679315 2127654 2264018 3240083 10773885 1696450 9077435 52428 85286 111901 132810 108548 490973 11264858 884172 0.80580 0.76180 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3846299 211516 105842 97368 4066289 3232587 244880 463818 94986 3846299 3160416 43216 76712 47757 3232587 3054909 131212 65189 90894 3160416 2578108 65232 457331 45762 3054909 0.12560 0.65160 0.22280 0 0 0 LIFE INSURANCE POLICIES - CASH SURRENDER VALUE 522638 522638 LIABILITY TO LIFE BENEFICIARIES OF CHARITABLE ANNUITIES 1478 1478 4031674 -137093 511112 374019 3657655 36990 -289970 -252980 3404675 3357155 511112 193613 704725 2652430 36990 -96357 -59367 2593063 Part V, Line 4: THE BOARD-DESIGNATED ENDOWMENT FUND WAS ESTABLISHED BY THE BOARD IN 1998. THE DESIGNATION OF THESE FUNDS WAS VOLUNTARY AND CAN BE REVISED BY THE GOVERNING BOARD AT ANY TIME. ALL OTHER ENDOWMENTS WERE ESTABLISHED TO SUPPORT DEPARTMENTAL SPECIFIC GENERAL EXPENSES OR EDUCATIONAL EXPENSES. Part XI, Line 4b - Other Adjustments: SPECIAL EVENT EXPENSES NETTED WITH REVENUE ON 990 -193,613. NONCASH CONTRIBUTIONS OF SERVICES USED BY THE FOUNDATION -96,357. Part XII, Line 2d - Other Adjustments: SPECIAL EVENT EXPENSES NETTED WITH REVENUE ON 990 193,613. Part XII, Line 4b - Other Adjustments: MANAGEMENT FEE EXPENSE -262,750. MANAGEMENT FEE INCOME 262,750. NONCASH CONTRIBUTIONS OF SERVICES USED BY THE FOUNDATION -96,357. GOLF CLASSIC 148349 105360 42989 21074 28660 6286 BENEFIT BALL 293114 133160 159954 39439 76234 0 0 3 79880 45484 34396 8540 2274 3500 2825 4782 521343 284004 237339 69053 107168 3500 2825 11068 193614 43725 1 WOMEN'S HOSPITAL ASSOCIATION OF FLINT MICHIGAN 401 S BALLENGER HWY FLINT MI 48532 381358053 501(C)(3) 6000 SPONSORSHIP GENESEE COUNTY FREE MEDICAL CLINIC 2437 WELSH BLVD FLINT MI 48504 382995700 501(C)(3) 10000 SPONSORSHIP HURLEY MEDICAL CENTER ONE HURLEY PLAZA FLINT MI 48503 386005601 115 1378084 198507 FAIR MARKET VALUE DONATED GIFTS FOR HOSPITAL PATIENTS ALLOCATION FOR MEDICAL SERVICES 3 0 SCHEDULE I, PART 1, LINE 2: HURLEY FOUNDATION GRANT FUNDS TYPICALLY ARE PROVIDED TO ORGANIZATIONS IN OUR COMMUNITY WHERE STAFF WORK AND LIVE. AS A RESULT WE LEARN ABOUT FOUNDATION SUPPORTED ACTIVITIES, RECEIVE ANNOUNCEMENTS AND AT TIMES ARE SENT PROGRAM INFORMATION. THE STAFF OF HURLEY FOUNDATION ALSO ATTEND AND/OR PARTICIPATE IN EVENTS AND OBSERVE THE GRANTEE. 0 0 0 0 0 0 0 0 0 RICHARD R WARMBOLD PHD PRESIDENT 201016 0 0 0 0 0 0 0 34485 0 235501 0 0 0 Form 990 Schedule J page 3 officer was paid directly by an unrelated organization, hurley medical center, ein 38-6005601. compensation was treated as an in-kind donation from unrelated organization. unrelated organization issued a w-2 for compensation. X 2 3050 FAIR MARKET VALUE X 215746 FAIR MARKET VALUE X 1 100028 FAIR MARKET VALUE X 17 4340 FAIR MARKET VALUE X ENTERTAINMENT ITEMS 105 37066 FAIR MARKET VALUE X SPORTING GOODS 17 5083 FAIR MARKET VALUE X ELECTRONICS 5 1375 FAIR MARKET VALUE X EDUCATIONAL ITEMS 1 900 FAIR MARKET VALUE 0 0 0 Form 990, Part VI, Section A, line 1 THE FOUNDING MEMBER EMERITUS, PHILLIP DUTCHER, IS NOT A VOTING MEMBER Form 990, Part VI, Section B, line 11 FORM 990 IS PROVIDED TO BOARD PRESIDENT AND ACCOUNTING CONTROLLER FOR REVIEW BEFORE FILING. A FILE COPY IS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING. Form 990, Part VI, Section B, line 12c ANNUALLY SIGNING OF STATEMENTS DECLARING ANY CONFLICT OF INTEREST. IF ANY SITUATION OR CIRCUMSTANCE ARISES WHICH PRESENTS A CONFLICT OF INTEREST OR A POTENTIAL CONFLICT OF INTEREST, MEMBER WILL DISCLOSE SUCH A CONFLICT/POTENTIAL AND REFRAIN FROM ACTIONS INVOLVING SUCH CONFLICTS. Form 990, Part VI, Section C, line 19 THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN OR VERBAL REQUEST. Form 990, Part IX, line 11g Other fees-Fndrsng-990: Program service expenses 0. Management and general expenses 0. Fundraising expenses 54,050. Total expenses 54,050. MANAGEMENT FEES: Program service expenses 0. Management and general expenses 15,314. Fundraising expenses 29,258. Total expenses 44,572.