ST JAMES FOUNDATION INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- ST JAMES FOUNDATION INC (EIN 16-1486437)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-11
- IRS object ID
- 201613169349301081
- Schema version
- 2015v2.1
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-11T10:04:02-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 160765486 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LUMSDEN & MCCORMICK LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 369 FRANKLIN STREET | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161486437 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JAMES MERCY FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STJA | BusinessNameControlTxt |
| Phone | 6073248000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 411 CANISTEO STREET | AddressLine1Txt |
| City | HORNELL | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 148432104 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JENNIFER L SULLIVAN | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 6073248000 | PhoneNum |
| Signature | 2016-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL J GRIMALDI | PreparerPersonNm |
| PTIN | P01295846 | PTIN |
| Phone | 7168563300 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JENNIFER L SULLIVAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 411 CANISTEO STREET | AddressLine1Txt |
| City | HORNELL | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 148432104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $105,950 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://WWW.STJAMESMERCY.ORG/FOUNDATION-OVERVIEW.S | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O ST. JAMES MERCY FOUNDATION STRIVES TO PROVIDE RESOURCES TO BENEFIT ST. JAMES MERCY HOSPITAL, ESTABLISHING PROGRAMS THAT ENCOURAGE A STRONG TRADITION OF CHARITABLE GIVING IN ORDER TO SUSTAIN AND INCREASE HEALTH CARE SERVICES IN THE REGION WE SERVE, NOW AND INTO THE FUTURE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 3 | TotalEmployeeCnt |
| Total Volunteers | 125 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $46,674 | PYContributionsGrantsAmt |
| CY Contributions Grants | $49,869 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $48,450 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $47,110 | CYProgramServiceRevenueAmt |
| PY Investment Income | $135,082 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,250 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$4,348 | PYOtherRevenueAmt |
| CY Other Revenue | -$4,955 | CYOtherRevenueAmt |
| PY Total Revenue | $225,858 | PYTotalRevenueAmt |
| CY Total Revenue | $96,274 | 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 | $101,870 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $141,174 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $28,088 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $91,137 | PYOtherExpensesAmt |
| CY Other Expenses | $47,912 | CYOtherExpensesAmt |
| PY Total Expenses | $193,007 | PYTotalExpensesAmt |
| CY Total Expenses | $189,086 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $32,851 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$92,812 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $593,656 | TotalAssetsBOYAmt |
| Total Assets EOY | $577,306 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $88,388 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $35,465 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $505,268 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $541,841 | NetAssetsOrFundBalancesEOYAmt |
| Mission | ST. JAMES MERCY FOUNDATION STRIVES TO PROVIDE RESOURCES TO BENEFIT ST. JAMES MERCY HOSPITAL, ESTABLISHING PROGRAMS THAT ENCOURAGE A STRONG TRADITION OF CHARITABLE GIVING IN ORDER TO SUSTAIN AND INCREASE HEALTH CARE SERVICES IN THE REGION WE SERVE, NOW AND INTO THE FUTURE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $67,462 | ExpenseAmt |
| Desc | ST. JAMES MERCY FOUNDATION, INC. PROVIDES PHILANTHROPIC SUPPORT SOLELY TO ST. JAMES MERCY HOSPITAL THROUGH GIFTS FROM INDIVIDUALS, CORPORATIONS AND PUBLIC ENTITIES. THE FOUNDATION HELPS TO ACCOMPLISH THE PRIORITIES OF ST. JAMES MERCY HOSPITAL THROUGH FUNDRAISING, VOLUNTEERISM AND STEWARDSHIP. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $31,020 | ExpenseAmt |
| Revenue | $47,110 | RevenueAmt |
| Desc | THE AQUINAS GIFT SHOP IS A PROGRAM SERVICE FOR ST. JAMES MERCY FOUNDATION, INC. THE AQUINAS GIFT SHOP IS STAFFED BY VOLUNTEERS FROM THE ST. JAMES AUXILIARY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $98,482 | 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 | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | 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 | 0 | 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 | 3 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | 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 | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STANLEY D KONOPKO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6073248110 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 411 CANISTEO STREET | AddressLine1Txt |
| City | HORNELL | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14843 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt |
|---|---|---|---|---|---|---|---|
| STEVE PECK | |||||||
| CHAIRPERSON | 0.30 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| PETER WALL | |||||||
| VICE CHAIRPERSON | 0.30 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LISA SCHWARTZ | |||||||
| SECRETARY/TREASURER | 0.30 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| NANCY BARTELL | |||||||
| MEMBER | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| KATHY DESSENA | |||||||
| MEMBER | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| LYNNE FREELAND | |||||||
| MEMBER | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| BEVERLY GILBERT | |||||||
| MEMBER | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| TIM INGALLS | |||||||
| MEMBER | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| UZMA MEHR MD | |||||||
| MEMBER | 0.30 | Yes (X) | $0 | $163,577 | $24,997 | ||
| ELLIE MOREY | |||||||
| MEMBER | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| JIM NICOLOFF | |||||||
| MEMBER | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| TERRY PULLMAN | |||||||
| MEMBER | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| JENNIFER L SULLIVAN | |||||||
| PRESIDENT/CEO | 1.00 | Yes (X) | $0 | $691,400 | $16,810 | 39.00 | |
| STANLEY D KONOPKO | |||||||
| CFO | 0.30 | Yes (X) | $0 | $0 | $0 | 39.70 | |
| SYLVIA BRYANT | |||||||
| VP OF MISSION/DIRECTOR OF FOUNDATION | 22.00 | Yes (X) | $71,892 | $61,403 | $6,100 | 18.00 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $71,892 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $916,380 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $47,907 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $27,599 | FundraisingAmt |
| All Other Contributions | $22,270 | AllOtherContributionsAmt |
| Total Contributions | $49,869 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | AQUINAS GIFT SHOP | Desc |
| Business | 453220 | BusinessCd |
| Total Revenue Column | $47,110 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $47,110 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $47,110 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,921 | TotalRevenueColumnAmt |
| Exclusion | $5,921 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,671 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$1,671 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,671 | TotalRevenueColumnAmt |
| Exclusion | -$1,671 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $3,050 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $27,599 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $8,005 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$4,955 | TotalRevenueColumnAmt |
| Exclusion | -$4,955 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $96,274 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $47,110 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$705 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,182 | TotalAmt |
| Program Services | $37,591 | ProgramServicesAmt |
| Management And General | $37,591 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,841 | TotalAmt |
| Program Services | $30,026 | ProgramServicesAmt |
| Management And General | $10,815 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,151 | TotalAmt |
| Program Services | $14,658 | ProgramServicesAmt |
| Management And General | $10,493 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,651 | TotalAmt |
| Management And General | $2,651 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,916 | TotalAmt |
| Program Services | $965 | ProgramServicesAmt |
| Management And General | $951 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $699 | TotalAmt |
| Program Services | $699 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,563 | TotalAmt |
| Program Services | $7,563 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30 | TotalAmt |
| Program Services | $15 | ProgramServicesAmt |
| Management And General | $15 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | FundraisingFundraisingAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| FUNDRAISING EXPENSE | $28,088 | $28,088 | |
| MISCELLANEOUS EXPENSE | $6,965 | $6,965 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $189,086 | TotalAmt |
| Program Services | $98,482 | ProgramServicesAmt |
| Management And General | $62,516 | ManagementAndGeneralAmt |
| Fundraising | $28,088 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,348 | BOYAmt |
| EOY | $46,235 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $19,909 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $19,835 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104 | BOYAmt |
| EOY | $74 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $544,204 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $530,997 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $593,656 | BOYAmt |
| EOY | $577,306 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,388 | BOYAmt |
| EOY | $35,465 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,388 | BOYAmt |
| EOY | $35,465 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$37,040 | BOYAmt |
| EOY | $13,981 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $270,634 | BOYAmt |
| EOY | $257,586 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $271,674 | BOYAmt |
| EOY | $270,274 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $505,268 | BOYAmt |
| EOY | $541,841 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $593,656 | BOYAmt |
| EOY | $577,306 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$92,812 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$7,285 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $136,670 | 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $115,523 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $747,551 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $93,165 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $46,674 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $49,869 | CurrentTaxYearAmt |
| Total | $1,052,782 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $115,523 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $747,551 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $93,165 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $46,674 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $49,869 | CurrentTaxYearAmt |
| Total | $1,052,782 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $1,052,782 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $29,174 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,606 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24,176 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,641 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,250 | CurrentTaxYearAmt |
| Total | $88,847 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | -$4,955 | CurrentTaxYearAmt |
| Total | -$4,955 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $1,136,674 | TotalSupportAmt |
| Public Support CY170 | 0.92620 | PublicSupportCY170Pct |
| Public Support PY170 | 0.90820 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 | $271,674 | BeginningYearBalanceAmt |
| Grants Or Scholarships | $1,400 | GrantsOrScholarshipsAmt |
| End Year Balance | $270,274 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $271,674 | BeginningYearBalanceAmt |
| End Year Balance | $271,674 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $269,621 | BeginningYearBalanceAmt |
| Contributions | $2,053 | ContributionsAmt |
| End Year Balance | $271,674 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $269,621 | BeginningYearBalanceAmt |
| End Year Balance | $269,621 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $269,621 | BeginningYearBalanceAmt |
| End Year Balance | $269,621 | 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 | $19,909 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,835 | DepreciationAmt |
| Book Value | $74 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $74 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ASSETS WHOSE USE IS LIMITED | Desc |
| Book Value | $530,997 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $530,997 | TotalBookValueOtherAssetsAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF OUTING | Event1Nm |
| Gross Receipts Event1 | $30,649 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $27,599 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $3,050 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $275 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $201 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $2,928 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $1,694 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $2,907 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $30,649 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $27,599 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $3,050 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $275 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $201 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $2,928 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $1,694 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $2,907 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $8,005 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$4,955 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | 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 (2 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UZMA MEHR MD | ||||||||||||||
| MEMBER | $0 | $146,564 | $0 | $16,968 | $0 | $45 | $0 | $2,008 | $0 | $22,989 | $0 | $188,574 | $0 | $0 |
| JENNIFER L SULLIVAN | ||||||||||||||
| PRESIDENT/CEO | $0 | $288,156 | $0 | $65,623 | $0 | $337,621 | $0 | $2,852 | $0 | $13,958 | $0 | $708,210 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 4A | FormAndLineReferenceDesc |
| Explanation | PRIOR TO APRIL 30, 2015, ST. JAMES MERCY HOSPITAL, A RELATED ORGANIZATION, WAS A MEMBER OF TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION OPERATES ON A FISCAL YEAR BASIS WHICH BEGAN ON JULY 1, 2014 AND ENDED ON JUNE 30, 2015. PRIOR TO TRINITY HEALTH CORPORATION'S YEAR END, ST. JAMES MERCY HOSPITAL WAS DIVESTED FROM TRINITY HEALTH CORPORATION AND BECAME AN INDEPENDENT COMMUNITY ORGANIZATION GOVERNED BY A SELF-PERPETUATING COMMUNITY BOARD. AS PART OF THAT DIVESTITURE, CERTAIN INDIVIDUALS RECEIVED INCENTIVE COMPENSATION BASED UPON CONTRACTUAL ARRANGEMENTS WITH TRINITY HEALTH CORPORATION WHEREBY A PORTION OF THEIR TOTAL COMPENSATION WAS CONSIDERED "AT RISK AND ONLY PAID IN THE EVENT THAT CERTAIN PERFORMANCE MEASURES WERE ACHIEVED RELATED TO QUALITY, FINANCE, GROWTH AND PEOPLE. THE FINANCE PERFORMANCE MEASURE WAS TIED TO REDUCING THE OVERALL NET LOSS OF THE ORGANIZATION. ALL INCENTIVE COMPENSATION AND SEVERANCE WAS PAID BY TRINITY HEALTH CORPORATION. THE FOLLOWING INDIVIDUALS RECEIVED INCENTIVE COMPENSATION (INCLUDED IN COLUMN B(II) OF SCHEDULE J AND SEVERANCE PAYMENTS (INCLUDED IN COLUMN B(III) OF SCHEDULE J): JENNIFER L. SULLIVAN, HOSPITAL PRESIDENT AND CEO, RECEIVED $65,623 IN INCENTIVE COMPENSATION AND $337,500 IN SEVERANCE PAYMENTS IN 2015 WHICH WERE PAID BY TRINITY HEALTH CORPORATION IN 2015 RELATED TO HER SERVICE PROVIDED PRIOR TO MAY 1, 2015. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | STANLEY D. KONOPKO HAS SERVED AS THE ORGANIZATION'S CFO SINCE AUGUST 2013. MR. KONOPKO IS A PARTNER OF BONADIO & CO., LLP, AN ACCOUNTING FIRM, WHICH WAS PAID $308,864 FOR MR. KONOPKO'S SERVICES TO BOTH THE FOUNDATION AND ST. JAMES MERCY HOSPITAL, A RELATED ORGANIZATION, IN 2015. THE FEES WERE PAID BY ST. JAMES MERCY HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 4 | THE BYLAWS WERE AMENDED AND RESTATED EFFECTIVE MAY 1, 2015 TO NAME ST. JAMES MERCY HOSPITAL THE SOLE CORPORATE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 6 | BEGINNING MAY 1, 2015, ST. JAMES MERCY HOSPITAL IS THE SOLE CORPORATE MEMBER OF THE FOUNDATION. PRIOR TO THIS DATE, ST. JAMES MERCY HEALTH SYSTEM, INC. WAS THE SOLE CORPORATE MEMBER OF THE FOUNDATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERS OF THE GOVERNING BODY ARE ELECTED BY ST. JAMES MERCY HOSPITAL, THE SOLE CORPORATE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE GOVERNING BODY OF ST. JAMES MERCY FOUNDATION CAN MAKE RECOMMENDATIONS FOR CERTAIN TYPES OF ACTIONS THAT REQUIRE APPROVAL BY THE SOLE CORPORATE MEMBER. SOME EXAMPLES INCLUDE APPOINTING OR REMOVING MEMBERS OF THE GOVERNING BODY, AMENDING ARTICLES OF INCORPORATION AND AMENDING BYLAWS. |
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THE FORM 990 WAS MADE AVAILABLE TO EACH BOARD MEMBER BEFORE IT WAS FILED. ST. JAMES MERCY FOUNDATION, INC. HAS DESIGNATED THE AUDIT AND COMPLIANCE COMMITTEE OF ST. JAMES MERCY HOSPITAL AS THE GROUP TO BE EDUCATED AND TO REVIEW THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | A CALL FOR CONFLICTS IS PART OF EVERY BOARD MEETING. THE ANNUAL BOARD OF DIRECTORS EDUCATION SESSION WAS COMPLETED IN AUGUST 2015. |
| FORM 990, PART VI, SECTION B, LINE 15 | THROUGH APRIL 30, 2015, THE ORGANIZATION HAD ADOPTED TRINITY HEALTH CORPORATION'S PROCESS FOR DETERMINING COMPENSATION WHICH INCLUDED THE FOLLOWING: THE BOARD HAS AN INDEPENDENT COMMITTEE REVIEW AND APPROVE ALL ELEMENTS OF REMUNERATION FOR ALL DISQUALIFIED PARTIES, AS WELL AS OTHER KEY MANAGEMENT. THE BOARD/COMMITTEE HAS AN ESTABLISHED COMPENSATION PHILOSOPHY WHICH DETAILS THE OBJECTIVES OF MARKET POSITIONING AND PAY ELEMENTS. THE COMMITTEE ENGAGES WITH EXTERNAL CONSULTANTS TO PROVIDE MARKET DATA AND GUIDANCE COMPARING THE ORGANIZATION'S ROLES TO SIMILARLY SIZED HEALTH SYSTEMS UTILIZING BOTH TITLE AND JOB CONTENT COMPARISONS. THE COMMITTEE REVIEWS THE MARKET ANALYSIS, APPROVES ANY SALARY ADJUSTMENTS FOR THE EXECUTIVE POPULATION, CONSIDERS BOTH REASONABLENESS AND EFFECTIVENESS OF ALL REMUNERATIVE PROGRAMS AND ESTABLISHES THE DETAILED PERFORMANCE EXPECTATIONS WHICH ARE INCORPORATED INTO THE INCENTIVE PLAN. ALL OF THESE DISCUSSIONS AND DECISIONS ARE DOCUMENTED THROUGH THE PROVISION OF MEETING MINUTES. EFFECTIVE MAY 1, 2015, THE TRINITY HEALTH CORPORATION DIVESTED ITSELF OF ITS INTEREST IN THE ORGANIZATION AND THE ORGANIZATION BECAME AN INDEPENDENT HOSPITAL GOVERNED BY A SELF-PERPETUATING COMMUNITY BASED BOARD. THE ORGANIZATION CONTINUED TO FOLLOW THE PROCESS FOR DETERMINING COMPENSATION EXCEPT FOR THE ENGAGEMENT OF EXTERNAL CONSULTANTS. THE BOARD/COMMITTEE UTILIZED OTHER SOURCES OF MARKET DATA AND FOLLOWED THE SAME PROCEDURES AS OUTLINED ABOVE TO DETERMINE COMPENSATION. THERE WERE NO INCENTIVE COMPENSATION PLANS IN EFFECT FROM MAY 1, 2015 THROUGH DECEMBER 31, 2015. |
| FORM 990, PART VI, SECTION C, LINE 19 | ORGANIZATIONAL DOCUMENTS, SUCH AS THE ARTICLES OF INCORPORATION, CORPORATE BYLAWS, GOVERNANCE POLICIES BELIEVED TO BE OF INTEREST TO THE PUBLIC, CONFLICT OF INTEREST POLICIES AND THE IRS FORM 990, ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | TRANSFERS FROM AFFILIATES 130,841. OTHER CHANGES IN NET ASSETS 5,829. |
| FORM 990, PART XII, LINE 2C: | THE AUDIT AND COMPLIANCE COMMITTEE IS RESPONSIBLE FOR THE SELECTION OF THE INDEPENDENT AUDITOR AND OVERSIGHT OF THE AUDIT. THERE HAS NOT BEEN A CHANGE FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| ST JAMES MERCY HEALTH SYSTEM INC | ||||||||||
| 411 CANISTEO STREET | HORNELL | NY | 14843 | 223127184 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | NY | 501(C)(3) | LINE 11B, II | TRINITY HEALTH CORPORATION | 0 |
| ST JAMES MERCY HOSPITAL | ||||||||||
| 411 CANISTEO STREET | HORNELL | NY | 14843 | 160743310 | HEALTHCARE AND HOSPITAL SERVICES | NY | 501(C)(3) | LINE 3 | ST JAMES MERCY HEALTH SYSTEM INC (THROUGH 4302015) | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SJM PROPERTIES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 411 CANISTEO STREET | AddressLine1Txt |
| City | HORNELL | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14843 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161294991 | EIN |
| Primary Activities | PROPERTY HOLDINGS | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | 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 | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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