2014-11-14T07:47:59-06:00 2013-12-31 381357951 PLANTE & MORAN PLLC 65 EAST STATE ST STE 600 COLUMBUS OH 43215 990 2013-01-01 352408321 MERCY DEVELOPMENT FOUNDATION MERC 3304891000 1320 MERCY DRIVE NW CANTON OH 44708 THOMAS TURNER PRESIDENT 3304891007 2014-11-14 1 BERNIE OSTROWSKI P00366367 6148493000 2013 2015-11-30 17:44:51Z THOMAS TURNER 1320 MERCY DRIVE NW CANTON OH 44708 1739690 0 0928 X WWW.CANTONMERCY.ORG/GIVING X 2011 OH SCHEDULE OMERCY DEVELOPMENT FOUNDATION IS ORGANIZED EXCLUSIVELY FOR THE BENEFIT OF MERCY MEDICAL CENTER, INC., A MINISTRY OF THE SISTERS OF CHARITY HEALTH SYSTEM. ITS PURPOSE IS TO (1) SOLICIT FUNDS AND GIFTS FROM INDIVIDUALS,BUSINESSES,CORPORATIONS,ORGANIZATIONS,FOUNDATIONS AND THE COMMUNITY OR GOVERNMENT AGENCIES, (2) RECEIVE, RECEIPT, RECORD AND ACKNOWLEDGE ALL GIFTS, (3) APPROPRIATELY MANAGE AND INVEST THESE FUNDS, AND (4) DISBURSE THESE FUNDS IN THE BEST INTEREST OF THE HOSPITAL 33 28 0 105 0 0 432941 1734914 0 0 0 4776 0 0 432941 1739690 4000 0 0 0 339549 311036 0 0 0 89392 91542 432941 402578 0 1337112 0 142879 0 0 0 142879 X SCHEDULE OAS A CATHOLIC HEALTHCARE ORGANIZATION, THE MISSION OF MERCY MEDICAL CENTER AND THE DEVELOPMENT FOUNDATION ARE THE SAME: TO CONTINUE CHRIST'S HEALING MINISTRY BY PROVIDING QUALITY, COMPASSIONATE, ACCESSIBLE AND AFFORDABLE CARE TO THE WHOLE PERSON - REGARDLESS OF ABILITY TO PAY. 0 0 402578 SCHEDULE OTHE MERCY DEVELOPMENT FOUNDATION EXISTS SOLELY TO BENEFIT THE PATIENTS, PROGRAMS, AND SERVICES OF MERCY MEDICAL CENTER, A MINISTRY OF THE SISTERS OF CHARITY HEALTH SYSTEM, THROUGH PHILANTHROPY. FOUNDATION ACTIVITIES FOR 2013 INCLUDE:*ESTATE PLANNING SEMINARS AND PLANNED GIVING EDUCATIONAL OPPORTUNITIES FOR EMPLOYEES, VOLUNTEERS AND THE GREATER COMMUNITY.*ANNUAL CAMPAIGN OF CARING APPEAL.*MERCY HOSPICE MEMORIALS & TRIBUTES.*2ND CENTURY CAPITAL CAMPAIGN FOR THE EXPANSION AND RENOVATION OF THE HOSPITAL'S EMERGENCY DEPARTMENT-SECURED 3-TO-1 CHALLENGE GRANT-FOR EVERY $3 WE CAN RAISE IN NEW DOLLARS FROM NEW DONORS, THE SISTERS OF CHARITY FOUNDATION OF CANTON WOULD MATCH AN ADDITIONAL $1, UP TO $250,000.*CORPORATE, FOUNDATION AND GOVERNMENT GRANT SEEKING ACTIVITIES.*BI-MONTHLY FOUNDATION BOARD MEETINGS.*DONOR CULTIVATION AND STEWARDSHIP ACTIVITIES INCLUDING OUR FOUNDERS DAY MASS AND RECEPTION; AWARDED THE 2ND ANNUAL ST. AUGUSTINE AWARD FOR DISTINGUISHED SERVICE.*SPECIAL EVENT FUNDRAISING AND SUPPORT OF THE MERCY SERVICE LEAGUE AUXILIARY. 402578 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 33 28 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X DAVID STEWART 3304891007 1320 MERCY DRIVE NW CANTON OH 44708 X THOMAS F TURNER PRESIDENT 10.00 30.00 X X 0 220350 28177 TERRY MOORE BOARD CHAIRMAN 2.00 0.00 X X 0 0 0 DONALD PETERSON III VICE CHAIRMAN 2.00 0.00 X X 0 0 0 STEVEN A MAXIM SECRETARY 2.00 0.00 X X 0 0 0 DAVID STEWART TREASURER 2.00 38.00 X X 0 345696 36592 JUDITH E BARNES-LANCASTER BOARD MEMBER 2.00 0.00 X 0 0 0 SR CAROLYN CAPUANO HM BOARD MEMBER 2.00 38.00 X 0 0 0 THOMAS E CECCONI BOARD MEMBER 2.00 38.00 X 0 512670 55396 RICHARD E CROASDAILE JR BOARD MEMBER 2.00 0.00 X 0 0 0 CHRISTOPHER A DILORETO BOARD MEMBER 2.00 0.00 X 0 0 0 ALBERT DOMINGO MD BOARD MEMBER 2.00 0.00 X 0 0 0 MARK FLEINER BOARD MEMBER 2.00 0.00 X 0 0 0 LINDA R GANSER BOARD MEMBER 2.00 0.00 X 0 0 0 JOSEPH A GERZINA BOARD MEMBER 2.00 0.00 X 0 0 0 GRETCHEN GRAHAM BOARD MEMBER 2.00 0.00 X 0 0 0 MEL HERNCANE BOARD MEMBER 2.00 0.00 X 0 0 0 SR JUDITH ANN KARAM BOARD MEMBER 2.00 38.00 X 0 0 0 TERRENCE KESSLER BOARD MEMBER 2.00 38.00 X 0 323532 53495 JAMES E KING MD BOARD MEMBER 2.00 0.00 X 0 0 0 JONI LOCKE BOARD MEMBER 2.00 0.00 X 0 0 0 LOUISE F MAHONEY BOARD MEMBER 2.00 0.00 X 0 0 0 ROBERT W MAHONEY BOARD MEMBER 2.00 0.00 X 0 0 0 MICHAEL A MCCANN BOARD MEMBER 2.00 0.00 X 0 0 0 STEVEN MAXIM BOARD MEMBER 2.00 0.00 X 0 0 0 JOHN M OVNIC BOARD MEMBER 2.00 0.00 X 0 0 0 THOMAS A PAUMIER DDS BOARD MEMBER 2.00 0.00 X 0 0 0 JOHN M PRELAC BOARD MEMBER 2.00 0.00 X 0 0 0 WILLIAM P SCHWEIZER BOARD MEMBER 2.00 0.00 X 0 0 0 JANE C SMYTH BOARD MEMBER 2.00 0.00 X 0 0 0 RANDOLPH L SNOW BOARD MEMBER 2.00 0.00 X 0 0 0 DAVID C THOMSON BOARD MEMBER 2.00 0.00 X 0 0 0 LEE ANN THORNE BOARD MEMBER 2.00 0.00 X 0 0 0 CHRISTINA WALKER BOARD MEMBER 2.00 38.00 X 0 225347 27179 LYNNE DRAGAMIER RESIGNED JAN BOARD MEMBER 2.00 38.00 X 0 49150 1228 MICHAEL RIEGER RESIGNED MAR'13 TREASURER 2.00 38.00 X X 0 105559 6124 ROBERT TIMKEN RESIGNED AUG'13 BOARD MEMBER 2.00 0.00 X X 0 0 0 0 1782304 208191 0 0 1 0 0 167231 1567683 48670 1734914 4776 4776 1739690 0 0 4776 53741 53741 190209 190209 48845 48845 18241 18241 640 640 38408 38408 30913 30913 5000 5000 12 12 4514 4514 1142 1142 145 145 ALL OTHER 6717 6717 DUES & MEMBERSHIPS 4051 4051 402578 402578 0 0 142879 0 142879 0 0 X 3137 139742 0 142879 0 142879 X 1337112 -1194233 X X 0 1 X 1 0 X X X 0 0 0 MERCY MEDICAL CTR 341893439 3 1 1 1 1335000 1 1335000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 134966 4776 139742 1.00000 0 0 0 X PART V, LINE 4: TO SUPPORT MERCY MEDICAL CENTER'S DENTAL RESIDENCY PROGRAM AND CLINIC. THE AMOUNT SHOWN AS CONTRIBUTIONS THIS YEAR, $102,000 WERE FUNDS REPORTED ON MERCY MEDICAL CENTER'S BOOKS IN 2012. THESE FUNDS WERE TRANSFERRED OVER TO THE FOUNDATION AT THE BEGINNING OF THE YEAR FOR GROWTH OPPORTUNITIES AND MANAGEMENT OF THE ENDOWMENT FUND. PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM AND RECOGNIZE A TAX LIABILITY IF THE SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE SYSTEM AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE SYSTEM IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2010. 0 1 0 0 0 0 0 0 0 THOMAS F TURNER PRESIDENT 0 200557 0 16864 0 2929 0 7841 0 20336 0 248527 0 0 DAVID STEWART TREASURER 0 302998 0 40603 0 2095 0 25552 0 11040 0 382288 0 0 THOMAS E CECCONI BOARD MEMBER 0 431948 0 49155 0 31567 0 42552 0 12844 0 568066 0 0 TERRENCE KESSLER BOARD MEMBER 0 292134 0 27581 0 3817 0 42455 0 11040 0 377027 0 0 CHRISTINA WALKER BOARD MEMBER 0 196233 0 26397 0 2717 0 16139 0 11040 0 252526 0 0 PART I, LINE 3 THE PRESIDENT IS PAID FROM MERCY MEDICAL CENTER WHICH IS A RELATED ORGANIZATION. MERCY MEDICAL CENTER UTILIZES A COMPENSATION COMMITTEE, PERFORMS COMPENSATION SURVEYS AND STUDIES AS WELL AS GETS APPROVAL FROM THE BOARD OF MERCY MEDICAL CENTER. PART I, LINE 4B SUPPLEMENTAL EXECUTIVE RETIREMENT PAYMENTS (SERP) OF $17,000 WERE MADE BY THE RELATED ORGANIZATION TO THOMAS CECCONI AND TERRENCE KESSLER. X 657 48670 SELLING PRICE 0 0 1 1 PART I, COLUMN (B): NUMBER OF CONTRIBUTIONS REPRESENTS NUMBER OF SHARES OF STOCK DONATED. PART I, LINE 32B: THE FOUNDATION USES THE SISTERS OF CHARITY OF ST. AUGUSTINE HEALTH SYSTEM INC (SCHS) TO PROCESS THE SALE OF DONATED STOCK. SCHS IS A RELATED ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE CORPORATE MEMBER: MERCY MEDICAL CENTER FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S MEMBER MAY ELECT MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN DECISIONS OF THE GOVERNING BODY, SUCH AS APPROVAL OF BUDGETS, CAPITAL EXPENDITURES, LIQUIDATION, MERGER OR DISSOLUTION OF ASSETS, AND THE MODIFICATION OF THE ARTICLES OF INCORPORATION AND CODE OF REGULATIONS, MUST BE APPROVED BY THE BOARD OF THE MEMBER ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 AFTER FORM 990 IS REVIEWED INTERNALLY, IT IS SUBMITTED FOR REVIEW TO OUR TAX ADVISOR. THEY REVIEW FOR COMPLETENESS AND COMMUNICATE ANY CONCERNS THAT THEY IDENTIFY WITHIN THE DOCUMENTS AND WORKSHEETS OF THE TAX RETURN. ITEMS IDENTIFIED ARE REVIEWED BY STAFF AND ANY NEEDED CORRECTIONS ARE MADE. THE RETURN IS THEN PROVIDED TO THE CFO FOR REVIEW AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C MERCY DEVELOPMENT FOUNDATION INITITATED OPERATIONS IN 2011. AS AN ORGANIZATION ESTABLISHED EXCLUSIVELY FOR THE SUPPORT AND BENEFIT OF MERCY MEDICAL CENTER, THE FOUNDATION ADHERES TO THE ADMINISTRATIVE POLICIES OF MERCY MEDICAL CENTER, INCLUDING, BUT NOT LIMITED TO: CORPORATE COMPLIANCE POLICIES; DISCLOSURE OF CONFLICTS OF INTEREST; DOCUMENT RETENTION AND DESTRUCTION; HUMAN RESOURCES; AS WELL AS FINANCIAL MANAGEMENT AND REPORTING. FORM 990, PART VI, SECTION B, LINE 15 THE FOUNDATION ADHERES TO THE ADMINISTRATIVE POLICIES AND PROCEDURES OF MERCY MEDICAL CENTER AND FOLLOWS THEIR ANNUAL COMPENSATION REVIEW BY AN EXTERNAL SOURCE WHICH IS THEN REVIEWED BY THE BOARD FOR APPROVAL. FORM 990, PART VI, SECTION C, LINE 18 THE FORM 990 AND 1023 ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII LINE 1A MERCY MEDICAL CENTER EMPLOYS THE INDIVIDUALS WHO WORK AT MERCY DEVELOPMENT FOUNDATION. THEIR SALARIES AND BENEFITS ARE DIRECTLY EXPENSED BACK TO MERCY DEVELOPMENT FOUNDATION. MERCY MEDICAL CENTER IS A RELATED ORGANIZATION TO THE FILING ORGANIZATION. FORM 990, PART XI, LINE 9: TRANSFER OF ENDOWMENT, RESTRICTED FUNDS FROM MERCY MEDICAL CENTER 140,767. ASSET TRANSFER TO MERCY MEDICAL CENTER -1,335,000. FORM 990, PART XII, LINE 2C A RELATED TAX-EXEMPT ORGANIZATION'S BOARD, MERCY MEDICAL CENTER, ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR. SISTERS OF CHARITY OF ST AUGUSTINE HEALTH SYSTEM INC 2475 EAST 22ND ST CLEVELAND OH 44115 341379356 CHARITABLE ORGANIZATION OH 501 (C) 3 11A N/A 0 SISTERS OF CHARITY OF ST AUGUSTINE ROMAN CATHOLIC CHURCH 5232 BROADVIEW ROAD RICHFIELD OH 44286 340714763 RELIGIOUS ORDER OF WOMEN OH 501 (C) 3 1 N/A 0 SISTERS OF CHARITY PROVIDENCE HOSPITALS 120 GATEWAY CORPORATION COLUMBIA SC 29203 570314409 HOSPITAL SC 501 (C) 3 3 SCHS 1 PROVIDENCE HOSPITALS DEVELOPMENT FOUNDATION 2435 FOREST DRIVE COLUMBIA SC 29204 271140183 CHARITABLE ORGANIZATION SC 501 (C) 3 11A PROVIDENCE HOSPITALS 1 REGINIA HEALTH CENTER 5232 BROADVIEW ROAD RICHFIELD OH 44286 341722394 RETIREMENT COMMUNITY OH 501 (C) 3 9 SCHS 1 ST VINCENT CHARITY MEDICAL CENTER 2351 EAST 22ND STREET CLEVELAND OH 44115 340714756 HOSPITAL OH 501 (C) 3 3 SCHS 1 ST VINCENT CHARITY DEVELOPMENT FOUNDATION 2351 EAST 22ND STREET CLEVELAND OH 44115 271602445 CHARITABLE FOUNDATION OH 501 (C) 3 11A ST VINCENT CHARITY MEDICAL CENTER 1 MERCY MEDICAL CENTER 1320 MERCY DRIVE NW CANTON OH 44708 341893439 HOSPITAL OH 501 (C) 3 3 SCHS 1 ST JOHN HOSPITAL 2475 EAST 22ND ST CLEVELAND OH 44115 340714504 CHARITABLE ORGANIZATION OH 501 (C) 3 11A SCHS 1 HEALTHY LEARNERS 2749 LAUREL STREET COLUMBIA SC 29204 571127197 CHARITABLE ORGANIZATION SC 501 (C) 3 11A SCHS 1 JOSEPH'S HOME 2412 COMMUNITY COLLEGE AVENUE CLEVELAND OH 44115 340901676 TRANSITIONAL HOME OH 501 (C) 3 9 SCHS 1 SISTERS OF CHARITY FOUNDATION OF CLEVELAND 1228 EUCLID AVE HALLE BLDG CLEVELAND OH 44115 341832698 CHARITABLE FOUNDATION OH 501 (C) 3 11A SCHS 1 SISTERS OF CHARITY FOUNDATION OF CANTON 400 MARKET AVE N STE 300 CANTON OH 44702 341832697 CHARITABLE FOUNDATION OH 501 (C) 3 11A SCHS 1 EARLY CHILDHOOD RESOURCE CENTER 1718 CLEVELAND AVE NW CANTON OH 44703 340714462 CHARITABLE ORGANIZATION OH 501 (C) 3 11A SISTERS OF CHARITY FOUNDATION OF CANTON 1 SISTERS OF CHARITY FOUNDATION OF SC 2711 MIDDLEBURG DRIVE COLUMBIA SC 29204 570708391 CHARITABLE FOUNDATION OH 501 (C) 3 11A SCHS 1 SOUTH CAROLINA CENTER FOR FATHERS & FAMILIES 2711 MIDDLEBURG DRIVE COLUMBIA SC 29204 364506347 CHARITABLE ORGANIZATION SC 501 (C) 3 7 SISTERS OF CHARITY FOUNDATION OF SOUTH CAROLINA 1 MERCY PROFESSIONAL CARE CORP 1320 MERCY DRIVE CANTON OH 44708 341873008 PHYSICIAN/MEDICAL SERVICES OH N/A C 1 ST VINCENT MEDICAL GROUP 2475 EAST 22ND STREET CLEVELAND OH 44115 341634990 PHYSICIAN/MEDICAL SERVICES OH N/A C 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 SISTERS OF CHARITY FOUNDATION OF CANTON C 167231 BOOK MERCY MEDICAL CENTER B 1335000 BOOK MERCY MEDICAL CENTER S 102000 BOOK