MYMICHIGAN MEDICAL CENTER SAGINAW FOUNDATION: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
MYMICHIGAN MEDICAL CENTER SAGINAW FOUNDATION (EIN 38-2246366)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-11
IRS object ID
201501319349303260
Schema version
2013v4.0
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

FieldValueIRS element (for citing)
Return2015-05-11T16:03:18-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1250 East Fifth Street Suite 1900AddressLine1
CityCincinnatiCity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN382246366EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St Mary's of Michigan FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlSTMABusinessNameControlTxt
Phone9899077609PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 South Washington AvenueAddressLine1
CitySaginawCity
StateMIState
ZIP Code48601ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNancy HaywoodPersonNm
Person TitleCFOPersonTitleTxt
Phone9899077609PhoneNum
Signature2015-05-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAlicia M JanischPreparerPersonNm
PTINP00741382PTIN
Phone5137847100PhoneNum
Preparation2015-05-08PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJohn GrahamPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 South Washington AvenueAddressLine1
CitySaginawCity
StateMIState
ZIP Code48601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$3,607,731GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addressstmarysofmichigan.org/foundationWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1978FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionTo support and promote the development of St. Mary's of Michigan.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers16TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$598,756PYContributionsGrantsAmt
CY Contributions Grants$1,851,174CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$838,034PYInvestmentIncomeAmt
CY Investment Income$1,707,957CYInvestmentIncomeAmt
PY Other Revenue-$54,866PYOtherRevenueAmt
CY Other Revenue-$112,880CYOtherRevenueAmt
PY Total Revenue$1,381,924PYTotalRevenueAmt
CY Total Revenue$3,446,251CYTotalRevenueAmt
PY Grants And Similar Paid$593,479PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$365,733CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$299,676PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$242,253CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$224,219CYTotalFundraisingExpenseAmt
PY Other Expenses$224,009PYOtherExpensesAmt
CY Other Expenses$205,838CYOtherExpensesAmt
PY Total Expenses$1,117,164PYTotalExpensesAmt
CY Total Expenses$813,824CYTotalExpensesAmt
PY Revenues Less Expenses$264,760PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,632,427CYRevenuesLessExpensesAmt
Total Assets BOY$15,098,127TotalAssetsBOYAmt
Total Assets EOY$18,203,706TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$15,098,127NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$18,203,706NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe Foundation was established to provide a means of tax deductible giving and to sponsor, support, encourage, and promote the development of facilities, equipment, projects and programs which improve the nature and quality of services rendered by St. Mary's of Michigan Medical Center.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescThe St. Mary's of Michigan Foundation receives and administers all charitable contributions on behalf of St. Mary's of Michigan. During the current year, the Foundation held two special events (1) Cornette Ball and (2) a Golf Outing, where proceeds for both events helped provide essential funding for St. Mary's of Michigan new Interventional Radiology Special Procedure Suite. This $2 million project will provide today's patient with the most advanced care while utilizing leading-edge technology. Whether treating brain or abdominal aneurysms, opening blocked arteries and veins or treating other non-cardiac conditions, the new interventional radiology suite will offer the patient less invasive treatment options, less radiation exposure and quicker recovery time.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$365,733ExpenseAmt
Grant$365,733GrantAmt
DescWith the generous gifts donated to us by patients, families, physicians, associates, and community members, the St. Mary's of Michigan Foundation enables St. Mary's of Michigan to do what it does best...deliver the healing edge. It begins with the innovation, devotion, and compassion of our medical experts. It continues with the finest, most patient-centered facilities -- equipped with modern medicine's most amazing equipment and machines. During the fiscal year ended 6/30/14, St. Mary's of Michigan Foundation provided $365,733 of grants to St. Mary's of Michigan Medical Center.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$365,733TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Nancy HaywoodBusinessNameLine1
FieldValueIRS element (for citing)
Phone9899077596PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 South Washington AvenueAddressLine1
CitySaginawCity
StateMIState
ZIP Code48601ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Andrew Richards
Chairman2.000.00Yes (X)Yes (X)$0$0$0
Brian Eggers
Vice-Chairman2.000.00Yes (X)Yes (X)$0$0$0
Gina Butcher start 414
Sec/Treas/CFO - Health System1.0044.00Yes (X)Yes (X)$0$194,674$8,272
Chris Frick end 414
Secretary/Treasurer1.0044.00Yes (X)Yes (X)$0$135,460$4,603
Gary Campbell
Board Member2.000.00Yes (X)$0$0$0
Sandy Donahue
Board Member2.000.00Yes (X)$0$0$0
Gary Glaza
Board Member2.000.00Yes (X)$0$0$0
Janie Gugino
Board Member2.000.00Yes (X)$0$0$0
Albert Sarge Harvey
Board Member2.000.00Yes (X)$0$0$0
Wiiliam Chip Hendrick
Board Member2.000.00Yes (X)$0$0$0
Charles Jessup DO
Board Member2.000.00Yes (X)$0$0$0
Bridget Looby
Board Member2.000.00Yes (X)$0$0$0
Kathleen McGraw
Board Member2.000.00Yes (X)$0$0$0
Betty Nagel
Board Member2.000.00Yes (X)$0$0$0
Kizhakepat Sukumaran MD
Board Member2.000.00Yes (X)$0$0$0
John Graham
Ex-Officio/CEO-Health System1.0044.00Yes (X)Yes (X)$0$1,087,067$9,113
Karen Stiffler
Executive Director44.001.00Yes (X)Yes (X)$0$108,130$9,462
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,525,331TotReportableCompRltdOrgAmt
Total Other Compensation$31,450TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$226,468FundraisingAmt
Related Organizations$700RelatedOrganizationsAmt
All Other Contributions$1,624,006AllOtherContributionsAmt
Total Contributions$1,851,174TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$393,308TotalRevenueColumnAmt
Exclusion$393,308ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,314,649SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,314,649SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,314,649TotalRevenueColumnAmt
Exclusion$1,314,649ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$48,600FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$226,468ContriRptFundraisingEventAmt
Fundraising Direct Expenses$161,480FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$112,880TotalRevenueColumnAmt
Exclusion-$112,880ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,446,251TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,595,077ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$365,733TotalAmt
Program Services$365,733ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$117,591TotalAmt
Management And General$117,591ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$90,080TotalAmt
Fundraising$90,080FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$34,582TotalAmt
Management And General$14,868ManagementAndGeneralAmt
Fundraising$19,714FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$91,413TotalAmt
Management And General$91,413ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$945TotalAmt
Fundraising$945FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtFundraisingFundraisingAmt
Restricted Expenses$81,965$81,965
Supplies$17,005$17,005
Fundraising$10,477$10,477
Catering$2,183$2,183

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,850TotalAmt
Fundraising$1,850FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$813,824TotalAmt
Program Services$365,733ProgramServicesAmt
Management And General$223,872ManagementAndGeneralAmt
Fundraising$224,219FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$387,355BOYAmt
EOY$1,071,016EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,684,832BOYAmt
EOY$8,192,867EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,025,940BOYAmt
EOY$8,939,823EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$15,098,127BOYAmt
EOY$18,203,706EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,421,791BOYAmt
EOY$12,954,016EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,676,336BOYAmt
EOY$5,249,690EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,098,127BOYAmt
EOY$18,203,706EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,098,127BOYAmt
EOY$18,203,706EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,632,427ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$324,508NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$148,644OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
CertificationYes (X)CertificationInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1St Mary's of MI Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
EIN380997730EIN
Organization Type3-HospitalOrganizationTypeDesc
Governing Document ListedYes (1)GoverningDocumentListedInd
Supported Org NotifiedYes (1)SupportedOrgNotifiedInd
US OrganizedYes (1)USOrganizedInd
Support$365,733SupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$365,733SupportSumAmt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$367,371BeginningYearBalanceAmt
Contributions$296ContributionsAmt
Investment Earnings Or Losses$45,206InvestmentEarningsOrLossesAmt
End Year Balance$412,873EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$387,026BeginningYearBalanceAmt
Contributions$505ContributionsAmt
Investment Earnings Or Losses$32,460InvestmentEarningsOrLossesAmt
Other Expenditures$52,620OtherExpendituresAmt
End Year Balance$367,371EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$395,438BeginningYearBalanceAmt
Contributions$1,175ContributionsAmt
Investment Earnings Or Losses-$9,587InvestmentEarningsOrLossesAmt
End Year Balance$387,026EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$327,710BeginningYearBalanceAmt
Contributions$110ContributionsAmt
Investment Earnings Or Losses$67,618InvestmentEarningsOrLossesAmt
End Year Balance$395,438EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,920BeginningYearBalanceAmt
Contributions$305,303ContributionsAmt
Investment Earnings Or Losses$7,486InvestmentEarningsOrLossesAmt
End Year Balance$327,709EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.05000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.95000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Restricted Assets$4,863,786
Interest in Investments Held by Ascension Health Alliance$3,909,291
Cash Surrender Value of Life Insurance Policy$166,746
FieldValueIRS element (for citing)
Total Book Value Other Assets$8,939,823TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The intended use of the endowment funds is to promote the development of facilities, equipment, projects and programs which improve the nature and quality of services rendered by St. Mary's of Michigan Medical Center.
Part X, Line 2:From the consolidated audited financial statements of Ascension Health Alliance and its member organizations ("The System") which include the activity of St. Mary's of Michigan Foundation: The System accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of June 30, 2014.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1Cornette BallNameOfEvent1Amt
Gross Receipts Event1$168,630GrossReceiptsEvent1Amt
Charitable Contri Event1$144,030CharitableContriEvent1Amt
Gross Revenue Event1$24,600GrossRevenueEvent1Amt
Rent Facility Costs Event1$9,621RentFacilityCostsEvent1Amt
Food And Beverage Event1$48,414FoodAndBeverageEvent1Amt
Entertainment Event1$6,350EntertainmentEvent1Amt
Other Direct Expenses Event1$65,979OtherDirectExpensesEvent1Amt
Name Of Event2Golf OutingNameOfEvent2Amt
Gross Receipts Event2$106,438GrossReceiptsEvent2Amt
Charitable Contri Event2$82,438CharitableContriEvent2Amt
Gross Revenue Event2$24,000GrossRevenueEvent2Amt
Non Cash Prizes Event2$8,525NonCashPrizesEvent2Amt
Rent Facility Costs Event2$8,000RentFacilityCostsEvent2Amt
Food And Beverage Event2$5,643FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$8,948OtherDirectExpensesEvent2Amt
Gross Receipts Total$275,068GrossReceiptsTotalAmt
Charitable Contributions Tot$226,468CharitableContributionsTotAmt
Gross Revenue Total Events$48,600GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$8,525NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$17,621RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$54,057FoodAndBeverageTotalEventsAmt
Entertainment Total Events$6,350EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$74,927OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$161,480DirectExpenseSummaryEventsAmt
Net Income Summary-$112,880NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1St Mary's of Michigan Medical CenterBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 South Washington AvenueAddressLine1
CitySaginawCity
StateMIState
ZIP Code48601ZIPCode
FieldValueIRS element (for citing)
Recipient EIN380997730RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$365,733CashGrantAmt
Purpose Of GrantCapital projects such as Pediatric Glidescope, Respite Van, Endoscopy Renovations and Endoscopy Ultrasound Unit.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationLine 2 is more appropriately answered N/A as the organization does not give grants to unrelated organizations.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Gina Butcher start 414
Sec/Treas/CFO - Health System$0$182,912$0$960$0$10,802$0$5,570$0$2,702$0$202,946$0$0
John Graham
Ex-Officio/CEO-Health System$0$481,163$0$579,906$0$25,998$0$7,350$0$1,763$0$1,096,180$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3Ascension Health, a related organization of St. Mary's of Michigan Foundation uses the following to establish the compensation of the organization's President & CEO: - Compensation Committee, - Independent Compensation Consultant, - Compensation Survey or Study, and - Approval by the Board or Compensation Committee.
Part I, Line 4bEligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. No distributions from the supplemental nonqualified retirement plan were made in the current year.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Many of the persons listed on Part VII have a "business relationship" with each other by virtue of sitting on related St. Mary's Health entity boards.
Form 990, Part VI, Section A, line 6St. Mary's of Michigan Foundation has a single corporate member, St. Mary's of Michigan Medical Center.
Form 990, Part VI, Section A, line 7aSt. Mary's of Michigan Foundation has a single corporate member, St. Mary's of Michigan Medical Center, who has the ability to elect members to the governing body of the St. Mary's of Michigan Foundation.
Form 990, Part VI, Section A, line 7bAll decisions that have a material impact to St. Mary's of Michigan Foundation financial information or corporation as a whole are subject to approval by its sole corporate member, St. Mary's of Michigan Medical Center.
Form 990, Part VI, Section B, line 11Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, a committee elected by the board are provided the Form 990 and management team members are available to answer any committee member questions.
Form 990, Part VI, Section B, line 12cThe organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflict of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.
Form 990, Part VI, Section B, line 15In determining the compensation of the organization's CEO, the process, performed by Ascension Health, a related organization of St. Mary's of Michigan Foundation, included a review and approval by independent persons, comparability data and contemporaneous substantiation of the deliberation and decision. The Compensation Committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the committee minutes. The individual was not present when his compensation was decided. The Executive Committee of the Board of Directors in conjunction with the Intermediate Sanctions Compliance Policy of the hospital is responsible for determining the compensation of other officers of the organization. The process includes a market analysis of comparable healthcare positions from other organizations of comparable size, complexity, and business activity. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes.
Form 990, Part VI, Section C, line 19The organization will provide any documents open to public inspection upon request.
Form 990, Part XI, line 9:Transfers from Affiliates 148,644.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Ascension Health Alliance
PO Box 45998St LouisMO631455998453358926National Health SystemMOSection 501(c)(3)Schedule A, Line 11aN/A0
Ascension Health
PO Box 45998St LouisMO63145311662309National Health SystemMOSection 501(c)(3)Schedule A, Line 11a0Ascension Health Alliance
St Mary's - St Joseph Health System
800 South Washington AvenueSaginawMI48601461084363Supporting OrganizationMISection 501(c)(3)Schedule A, Line 11a0Ascension Health
St Mary's of Michigan Medical Center
800 South Washington AvenueSaginawMI48601380997730HospitalMISection 501(c)(3)Schedule A, Line 30Ascension Health
Standish Community Hospital
805 West Cedar StreetStandishMI48658381671120HospitalMISection 501(c)(3)Schedule A, Line 3Yes (1)St Mary's - St Joseph Health System
Field Neurosciences Institute
800 South Washington AvenueSaginawMI48601382790703Medical Research OrganizationMISection 501(c)(3)Schedule A, Line 9Yes (1)St Mary's of Michigan Medical Center

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Towne Centre Surgery Center LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line14599 Towne CentreAddressLine1
CitySaginawCity
StateMIState
ZIP Code48604ZIPCode
FieldValueIRS element (for citing)
EIN204943843EIN
Primary ActivitiesOutpatient servicesPrimaryActivitiesTxt
Legal Domicile StateMILegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
St Mary's of Michigan Specialists
800 South Washington AvenueSaginawMI48601205959777Physician PracticesMIN/AC0
St Mary's Health
800 South Washington AvenueSaginawMI48601383477017InactiveMIN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
St Mary's of Michigan Medical Center
B$365,733Actual Amount Paid
St Mary's of Michigan Medical Center
Q$148,644Actual Amount Paid

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