BEACON HEALTH FOUNDATION INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- BEACON HEALTH FOUNDATION INC (EIN 35-1536129)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-15
- IRS object ID
- 201123199349306157
- Schema version
- 2010v3.4
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule F
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-15T13:18:00-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE SUITE 2600 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351536129 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HEALTH FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MEMO | NameControl |
| Phone | 5746473549 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 615 N Michigan Street | AddressLine1 |
| City | South Bend | City |
| State | IN | State |
| ZIP Code | 46601 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEFFREY COSTELLO | Name |
| Title | vp/cfo | Title |
| Date Signed | 2011-11-15 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3176817000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Philip Newbold | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 615 N Michigan Street | AddressLine1 |
| City | South Bend | City |
| State | IN | State |
| ZIP Code | 46601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1640655 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.qualityoflife.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1982 | YearFormation |
| State Legal Domicile | IN | StateLegalDomicile |
| Activity Or Mission Description | MEMORIAL IS COMMITTED TO IMPROVING THE QUALITY OF LIFE OF THE PEOPLE IN OUR COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 26 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 24 | NbrIndependentVotingMembers |
| Total Nbr Employees | 12 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1334217 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1436553 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 121288 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 3 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 181715 | InvestmentIncomePriorYear |
| Investment Income Current Year | 101731 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 41347 | OtherRevenuePriorYear |
| Other Revenue Current Year | 97 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1678567 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1538384 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 2049899 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 4223295 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1110895 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 606847 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 513522 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1253647 | OtherExpensePriorYear |
| Other Expenses Current Year | 899097 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 4414441 | TotalExpensesPriorYear |
| Total Expenses Current Year | 5729239 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -2735874 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -4190855 | RevenuesLessExpensesCY |
| Total Assets BOY | 22804189 | TotalAssetsBOY |
| Total Assets EOY | 22902442 | TotalAssetsEOY |
| Total Liabilities BOY | 48680 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1176625 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 22755509 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 21725817 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | MEMORIAL IS COMMITTED TO IMPROVING THE QUALITY OF LIFE OF THE PEOPLE IN OUR COMMUNITY. | MissionDescription |
| Significant New Program Services | true | SignificantNewProgramServices |
| Significant Change | true | SignificantChange |
| Expense | 4560347 | Expense |
| Grants | 4220691 | Grants |
| Revenue | 100 | Revenue |
| Description | Memorial Health System, Inc. (the "Corporation") was established as the parent corporation of Memorial Hospital of South Bend, Inc. (the "Hospital") in 1981 to develop a full spectrum of health-related services for North Central Indiana and Southwestern Michigan. The Corporation is community-owned and not-for-profit. Along with its subsidiaries, the Corporation serves the greater community throughout the continuum of care from health promotion and sickness prevention to diagnosis, inpatient, outpatient and home health services. It controls the Hospital, Memorial Health Foundation, the Hospital's philanthropic arm, and Memorial Home Care, Inc., collectively referred to as the "System". Memorial Health Foundation, Inc., a tax-exempt foundation, was established in 1982 to provide philanthropic support to the Hospital and the Corporation through contributions and management of endowment funds. Memorial Health Foundation's Mission is to, "support the work of Memorial Health System, Inc. and Memorial Hospital of South Bend, Inc. by seeking innovative partnerships and creating new resources, with special emphasis on today's children and tomorrow's healthy, fulfilled citizens". Memorial Health Foundation (MHF) fulfills that mission through activities that center around three Key Roles: Community Development Fund Development Fund Management Community Development: Throughout 2010, MHF staff served in various roles as part of Memorial's many Creating Healthier Communities initiatives. Historically, Memorial Health Foundation staff members have participated in various advisory roles, implementing Memorial's Community Benefit (Tithing) Policy, under the oversight of the Community Health Enhancement Committee. That committee is composed of board members of Memorial Health System, Memorial Hospital, and MHF. A considerable portion of operating budget and other resources are devoted to this work in the community. The Community Health Enhancement operation of Memorial Hospital is the primary leader in such work. Further, the "R&D" Committee of the MHF Board of Directors is a convener and facilitator of dialogues involving many community organizations and experts on various "quality of life" issues, seeking to discover and collectively launch new concepts to address and resolve those issues. These dialogue models have also driven the emergence of various relationships that are significant to the work. These works in community building are of a collaborative nature, seeking to build both awareness and ownership across the regional community for addressing multiple "quality of life" issues, with special focus on children and young families. Such collaborating partners include a range of social services organizations, community development organizations, other healthcare organizations, K-12 education, and higher education. Fund Development: In 2010, the fund raising focus of Memorial Health Foundation focused upon the following areas: The development of a direct mail campaign The development of Memorial Health Foundation's grant writing effort, focused upon corporate, private and family foundations The addition of a Corporate Relations fund raising position Major gift fund raising focused upon raising funds for the following areas: Community Health Enhancement The Memorial Central Clinic at the South Bend Center for the Homeless Memorial Children's Hospital Family support programs, including Chaplaincy and Child Life Memorial Regional Cancer Center Staff continuing and formal education funding Temporarily restricted net assets as December 31, 2010 available for Memorial's mission are: Community Services $ 425,916 Hospital support services $ 113,397 Quality initiatives $ 539,442 People development/education $ 1,183,807 Financial support services $ 1,924 Growth initiatives $ 1,474,369 Fund Management: Total fund distributions of $4,122,082 made in 2010, went to such projects as: Creating Healthier Communities $ 601,032 Supporting World-Class Service $ 55,719 Supporting Clinical Excellence $ 1,366,965 Investing in a World Class Memorial Team $ 209,906 Investing in Memorial's Growth $ 1,887,660 Distributions to endowment and insurance $ 800 | Description |
| Total Program Service Expense | 4560347 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | true | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 12 | NumberOfEmployees |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form1098 C Filed | false | Form1098CFiled |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 26 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 24 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicy |
| Whistleblower Policy | false | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JEFFREY COSTELLO | NamePerson |
| Telephone Number | 5746473549 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 615 N MICHIGAN STREET | AddressLine1 |
| City | South Bend | City |
| State | IN | State |
| ZIP Code | 46601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (38 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| George B Friend MD | ||||||
| Director thru 3/31/10 | 2.0 | X | 0 | 0 | 0 | |
| Leland R Kaiser PhD | ||||||
| Director | 2.0 | X | 0 | 0 | 0 | |
| Carmi Murphy | ||||||
| Director | 2.0 | X | 0 | 0 | 0 | |
| Olubunmi A Okanlami MD | ||||||
| Director, Physician | 2.0 | X | 0 | 421952 | 26923 | |
| Jan R Reineke MD | ||||||
| Director | 2.0 | X | 2073 | 0 | 0 | |
| James F Keenan | ||||||
| Chair | 2.0 | X | 2073 | 0 | 0 | X |
| John C Kerr | ||||||
| Treasurer | 2.0 | X | 0 | 0 | 0 | X |
| Najeeb A Khan | ||||||
| Vice Chair | 2.0 | X | 0 | 0 | 0 | X |
| Terri T Kosik | ||||||
| Director | 2.0 | X | 0 | 0 | 0 | |
| Mary E Lowe | ||||||
| Director - ended 3/31/10 | 2.0 | X | 0 | 0 | 0 | |
| John T Phair | ||||||
| Director | 2.0 | X | 2073 | 0 | 0 | |
| Peter Veldman | ||||||
| Director | 2.0 | X | 1780 | 0 | 0 | |
| Rev R Mark Beeson | ||||||
| Director - - ended 3/31/10 | 2.0 | X | 0 | 0 | 0 | |
| Gladys Muhammed-Ward | ||||||
| Director - - ended 3/31/10 | 2.0 | X | 0 | 0 | 0 | |
| Louis M Nanni | ||||||
| Director | 2.0 | X | 2073 | 0 | 0 | |
| Julia Schwartz | ||||||
| Director - - ended 3/31/10 | 2.0 | X | 0 | 0 | 0 | |
| Silvia Schweizer | ||||||
| Secretary Jan - March 2010 | 2.0 | X | 0 | 0 | 0 | X |
| Barbara Shields-Byrum | ||||||
| Director - ended 3/31/10 | 2.0 | X | 0 | 0 | 0 | |
| Kurt Simon | ||||||
| Director - ended 3/31/10 | 2.0 | X | 3052 | 0 | 0 | |
| Christopher Chocola | ||||||
| Director | 2.0 | X | 0 | 0 | 0 | |
| Gayle Rosencrantz | ||||||
| Director - ended 3/31/10 | 2.0 | X | 0 | 0 | 0 | |
| James Laing | ||||||
| Director | 2.0 | X | 0 | 0 | 0 | |
| Michael Vogel | ||||||
| Director | 2.0 | X | 0 | 0 | 0 | |
| Mary Jo Halbritter | ||||||
| Director/Secr Apr - Dec 2010 | 2.0 | X | 0 | 0 | 0 | |
| William Schmuhl Jr | ||||||
| Director | 2.0 | X | 1819 | 0 | 0 | |
| Maggie Kernan | ||||||
| Director | 2.0 | X | 2562 | 0 | 0 | |
| Leigh Morris | ||||||
| Director | 2.0 | X | 0 | 0 | 0 | |
| Timothy Griffin | ||||||
| Director, Physician | 2.0 | X | 0 | 216405 | 20977 | |
| Charles Simon | ||||||
| Director beginning 4/1/10 | 2.0 | X | 0 | 0 | 0 | |
| Deborah Barton-Grant | ||||||
| Director beginning 4/1/10 | 2.0 | X | 3052 | 0 | 0 | |
| Deborah Cafiero | ||||||
| Director beginning 4/1/10 | 2.0 | X | 0 | 0 | 0 | |
| Deloris Wilmoski | ||||||
| Director beginning 4/1/10 | 2.0 | X | 0 | 0 | 0 | |
| Otha Reese | ||||||
| Director beginning 4/1/10 | 2.0 | X | 1213 | 0 | 0 | |
| Sandra Brown MD | ||||||
| Director beginning 4/1/10 | 2.0 | X | 3011 | 0 | 0 | |
| Shannon Cullinan | ||||||
| Director beginning 4/1/10 | 2.0 | X | 2289 | 0 | 0 | |
| Philip A Newbold | ||||||
| CEO/President | 2.0 | 0 | 1001875 | 229464 | X | |
| Reginald Wagle | ||||||
| VP/Asst. Secretary | 40.0 | 185932 | 0 | 41759 | X | |
| Jeffrey Costello | ||||||
| CFO/Asst. Treasurer | 2.0 | 0 | 469348 | 99022 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 213002 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2109580 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 418145 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| All Other Contributions | 1436553 | AllOtherContributions |
| Noncash Contributions | 80604 | NoncashContributions |
| Total Contributions | 1436553 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | SPECIAL PROGRAM REVENUE | Description |
| Business Code | 611600 | BusinessCode |
| Total Revenue Column | 3 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 3 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 113552 | TotalRevenueColumn |
| Exclusion | $113,552 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 90450 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 102271 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -11821 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -11821 | TotalRevenueColumn |
| Exclusion | -$11,821 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER INCOME - TIMELESS SETTLEMENT | Description |
| Business Code | 611600 | BusinessCode |
| Total Revenue Column | 97 | TotalRevenueColumn |
| Related Or Exempt Function Income | 97 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 97 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1538384 | TotalRevenueColumn |
| Related Or Exempt Function Income | 100 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $101,731 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4142691 | Total |
| Program Services | 4142691 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80604 | Total |
| Program Services | 80604 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 213002 | Total |
| Program Services | 60649 | ProgramServices |
| Management And General | 85174 | ManagementAndGeneral |
| Fundraising | 67179 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 339702 | Total |
| Program Services | 119637 | ProgramServices |
| Management And General | 87547 | ManagementAndGeneral |
| Fundraising | 132518 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23449 | Total |
| Program Services | 13811 | ProgramServices |
| Management And General | 702 | ManagementAndGeneral |
| Fundraising | 8936 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30694 | Total |
| Program Services | 10012 | ProgramServices |
| Management And General | 9592 | ManagementAndGeneral |
| Fundraising | 11090 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1564 | Total |
| Management And General | 1564 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74911 | Total |
| Management And General | 68192 | ManagementAndGeneral |
| Fundraising | 6719 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52611 | Total |
| Management And General | 29632 | ManagementAndGeneral |
| Fundraising | 22979 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44758 | Total |
| Management And General | 44758 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35688 | Total |
| Management And General | 16551 | ManagementAndGeneral |
| Fundraising | 19137 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27480 | Total |
| Management And General | 16752 | ManagementAndGeneral |
| Fundraising | 10728 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27330 | Total |
| Management And General | 12675 | ManagementAndGeneral |
| Fundraising | 14655 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18259 | Total |
| Management And General | 18259 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45685 | Total |
| Management And General | 45685 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27658 | Total |
| Management And General | 27658 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| CORPORATE ALLOCATION | 407562 | 132943 | 127363 | 147256 |
| OTHER DIRECT EXPENSES | 61119 | 28346 | 32773 | |
| CIRCLES OF EXCELLENCE | 51412 | 23844 | 27568 | |
| DUES/SUBSCRIPTIONS | 17977 | 8337 | 9640 | |
| LICENSES/TAXES | 3120 | 1447 | 1673 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1963 | Total |
| Management And General | 1292 | ManagementAndGeneral |
| Fundraising | 671 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5729239 | Total |
| Program Services | 4560347 | ProgramServices |
| Management And General | 655370 | ManagementAndGeneral |
| Fundraising | 513522 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 500 | BOY |
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4007064 | BOY |
| EOY | 3718038 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1412584 | BOY |
| EOY | 88300 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Accounts Receivable | AccountsReceivable |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3995 | BOY |
| EOY | 1925 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 386064 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 248212 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 343000 | BOY |
| EOY | 137852 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17037046 | BOY |
| EOY | 18956327 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22804189 | BOY |
| EOY | 22902442 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48680 | BOY |
| EOY | 8967 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1057398 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 110260 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48680 | BOY |
| EOY | 1176625 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16256663 | BOY |
| EOY | 17986961 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6498846 | BOY |
| EOY | 3738856 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22755509 | BOY |
| EOY | 21725817 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22804189 | BOY |
| EOY | 22902442 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -4190855 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 3161163 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2354428 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1695500 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1532816 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1334217 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1436553 | CurrentTaxYear |
| Total | 8353514 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 333445 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 207590 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 142561 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 127810 | CurrentTaxYearMinus1Year |
| Current Tax Year | 100 | CurrentTaxYear |
| Total | 811506 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2687873 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1903090 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1675377 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1462027 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1436653 | CurrentTaxYear |
| Total | 9165020 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1333125 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 984449 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 121124 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 133141 | CurrentTaxYearMinus1Year |
| Current Tax Year | 67601 | CurrentTaxYear |
| Total | 2639440 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1333125 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 984449 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 121124 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 133141 | CurrentTaxYearMinus1Year |
| Current Tax Year | 67601 | CurrentTaxYear |
| Total | 2639440 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 6525580 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 752888 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1922402 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 402683 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 201715 | CurrentTaxYearMinus1Year |
| Current Tax Year | 113552 | CurrentTaxYear |
| Total | 3393240 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 13960 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 18314 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10410 | CurrentTaxYearMinus1Year |
| Total | 42684 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 752888 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1936362 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 420997 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 212125 | CurrentTaxYearMinus1Year |
| Current Tax Year | 113552 | CurrentTaxYear |
| Total | 3435924 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3440761 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3839452 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2096374 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1674152 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1550205 | CurrentTaxYear |
| Total | 12600944 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.51786 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.60466 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.27267 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.22170 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 22665989 | BeginningOfYearBalance |
| Contributions | 1296194 | Contributions |
| Investment Earnings Or Losses | 1929600 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 4122082 | GrantsOrScholarships |
| End Of Year Balance | 21769701 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 20595396 | BeginningOfYearBalance |
| Contributions | 1076924 | Contributions |
| Investment Earnings Or Losses | 3137353 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 2143683 | GrantsOrScholarships |
| End Of Year Balance | 22665990 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 28741974 | BeginningOfYearBalance |
| Contributions | 1278996 | Contributions |
| Investment Earnings Or Losses | -6927657 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 2497917 | GrantsOrScholarships |
| End Of Year Balance | 20595396 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.82830 | BoardDesignatedEOYBalance |
| Term Endowment EOY Balance | 0.17170 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Land | Land | |
| Buildings | Buildings | |
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 386064 | OtherCostOrOtherBasis |
| Depreciation | 248212 | Depreciation |
| Book Value | 137852 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildings | |
| Total Of Book Value Land Buildings | 137852 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
| Total Of Amounts | 0 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | INTENDED USE OF ENDOWMENT FUNDS | Identifier |
| Return Reference | Sch. D, Part V, Line 4 | ReturnReference |
| Explanation | Board Designated Endowment - The second amendment, dated July 27, 1995, provides Board direction to utilize each year the income, revenues, and profits arising and accruing from the endowment, in defraying cost associated with the trust and the remainder for support, betterment, improvement, upkeep, expansion, and replacement of Memorial Health System, Inc. and its corporate affiliates. Term endowments, which are the Temporarily restricted net assets are used as designated by the donor. | Explanation |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintained |
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean | Region |
| Type Of Activities Conducted | Investments | TypeOfActivitiesConducted |
| Total Expenditures | 5319235 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Amount Spent | 5319235 | SubtotalAmountSpent |
| Total Amount Spent | 5319235 | TotalAmountSpent |
| Transfer To Foreign Corp | true | TransferToForeignCorp |
| Interest In Foreign Trust | false | InterestInForeignTrust |
| Own Foreign Corp | true | OwnForeignCorp |
| Passive Foreign Invest Co | false | PassiveForeignInvestCo |
| Foreign Partnership | false | ForeignPartnership |
| Boycott Countries | false | BoycottCountries |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | Address Line2AddressUS/AddressLine2 |
|---|---|---|---|---|---|---|---|---|
| Memorial Hospital of South Bend Inc | ||||||||
| 615 N Michigan Street | South Bend | IN | 46601 | 350868132 | 501(c)(3) | 3450860 | General Support | |
| Memorial Health System Inc | ||||||||
| 615 N Michigan Street | South Bend | IN | 46601 | 351536132 | 501(c)(3) | 629455 | General support | |
| Ronald McDonald House Charities Indiana Michiana | ||||||||
| 118 S Mill St | Mishawaka | IN | 46546 | 351831691 | 501(C)(3) | 48578 | General support | PO Box 783 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 3 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | Grants for Children | TypeOfGrant |
| Number Of Recipients | 1885 | NumberOfRecipients |
| Amount Of Non Cash Assistance | 80604 | AmountOfNonCashAssistance |
| Method Of Valuation | FMV | MethodOfValuation |
| Description Of Non Cash Assistance | gift cards | DescriptionOfNonCashAssistance |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | GRANT MONITORING PROCEDURES | Identifier |
| Return Reference | Schedule I, Part I | ReturnReference |
| Explanation | The organization has numerous temporarily restricted funds, from which the distributions are considered grants. In general the grants are to provide scholarships and/or are distributions for the purpose of the specific fund. All distributions of the funds are supported by evidence that the expenditure meets the donor's intent. For scholarships the individual must meet several requirements to qualify. In order to qualify for a scholarship the individual must (1)Apply on-line (intranet) and within the acceptable time parameters for the semester of funds being requested, (2) Maintain a grade of C or better,(3)Pay for tuition/books and submit corresponding original receipts for reimbursement. Reimbursed up to the amount awarded by the scholarship committee. (4) Meet any additional requirements of the specific scholarship fund, and (5) Meet eligibility requirements which include: (A) Employed by Memorial Health System, Inc. (B) Enrolled in a qualified program; (C) Submitted a positive recommendation each semester from the immediate supervisor; and (D) Submitted a positive recommendation each semester from the school. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | X | FirstClassOrCharterTravel |
| Travel For Companions | X | TravelForCompanions |
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | true | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | true | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Philip A Newbold | |||||||||||||
| 0 | 556903 | 0 | 304355 | 0 | 140617 | 0 | 210175 | 0 | 19289 | 0 | 1231339 | 0 | 140555 |
| Olubunmi A Okanlami MD | |||||||||||||
| 0 | 394473 | 0 | 25725 | 0 | 1754 | 0 | 13977 | 0 | 12946 | 0 | 448875 | 0 | 0 |
| Reginald Wagle | |||||||||||||
| 143231 | 0 | 26394 | 0 | 16307 | 0 | 27046 | 0 | 14713 | 0 | 227691 | 0 | 0 | 0 |
| Jeffrey Costello | |||||||||||||
| 0 | 273186 | 0 | 106000 | 0 | 90162 | 0 | 84363 | 0 | 14659 | 0 | 568370 | 0 | 0 |
| Timothy Griffin | |||||||||||||
| 0 | 166117 | 0 | 25725 | 0 | 24563 | 0 | 9588 | 0 | 11389 | 0 | 237382 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PART I, LINE 1A | HEALTH CLUB AND SPOUSAL TRAVEL | MEMORIAL HEALTH SYSTEM, INC. REIMBURSES TRUSTEES FOR THE TAX EFFECT OF THE 1099 REPORTABLE BENEFITS FOR HEALTH CLUB MEMBERSHIP, WITH MEMORIAL HEALTH SYSTEM'S HEALTH AND LIFESTYLE CENTER AND SPOUSAL TRAVEL. THIS REPORTING IMPACTS 12 CURRENT BOARD MEMBERS. MEMORIAL HEALTH SYSTEM ALSO REIMBURSES FOR DIRECT EXPENSES RELATED TO ANY TRAVEL ON MEMORIAL HEALTH SYSTEM'S BEHALF. SPOUSAL TRAVEL INCLUDED IN TAXABLE COMPENSATION -1 EMPLOYEE (PHILIP NEWBOLD) CHARTER TRAVEL FOR INVESTMENT COMMITTEE MEMBERS TO TRAVEL TO INVESTMENT ADVISOR, LOCATED IN MINNEAPOLIS. CHARTER TRAVEL ALLOWED THE ORGINIZATION TO REDUCE THE OVERALL COST OF TRAVEL, BY ELIMINATING THE NEED FOR OVER NIGHT ACCOMIDATIONS. THE CHARTER TRAVEL ALSO REDUCED THE TIME UNPAID BOARD MEMBERS HAD TO COMMIT. (2 INDIVIDUALS LISTED ON PART VII, SECTION LINE 1A - JEFFREY COSTELLO, AND JAMES KEENAN) |
| PART 1, LINE 3 | COMPENSATION REVIEW PROCESS | MEMORIAL HEALTH FOUNDATION, INC. USES A RELATED ORGANIZATION'S (MEMORIAL HEALTH SYSTEM, INC.) COMPENSATION REVIEW PROCESS. IN WHICH, AN EXTENSIVE EXAMINATION IS CONDUCTED USING COMPARABLE MARKET DATA AND IT IS THEN REVIEWED BY AN INDEPENDENT CONSULTANT HIRED BY, AND REPORTING TO, THE BOARD OF DIRECTORS. RECOMMENDATIONS ARE PRESENTED TO THE BOARD FOR DELIBERATION AND FINAL DECISION. |
| PART I, LINE 4B | SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (457(F)) | RELATED ORGANIZATION (MEMORIAL HEALTH SYSTEM, INC.) EMPLOYEE 2010 EARNED VESTED 457(f) PHILIP NEWBOLD $108,930 JEFFREY COSTELLO $ 66,001 MEMORIAL HEALTH SYSTEM PROVIDES A NON-QUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) TO CERTAIN EXECUTIVES. THE PLAN PROVIDES FOR AN ADDED RETIREMENT BENEFIT OVER THE QUALIFIED RETIREMENT PROGRAM. QUALIFIED INDIVIDUALS ARE ELIGIBLE TO RECEIVE A BENEFIT, IN THE FORM OF AN AFTER TAX LUMP SUM WHICH IS THE ACTUARIAL EQUIVALENT OF AN ANNUITY, EQUAL TO 65% OF THE AVERAGE OF THEIR LAST FIVE YEARS OF PRERETIREMENT EARNINGS, OR 70% WITH MORE THAN 25 YEARS OF SERVICE, WITH OFFSETS FOR THE VALUE OF SOCIAL SECURITY AND QUALIFIED RETIREMENT PLAN BENEFITS. PARTICIPANTS VEST INTO THE SERP AFTER FIVE YEARS OF SERVICE. THE INCREASE IN VALUE OF THE BENEFIT EACH YEAR IS INCLUDED IN THE TAXABLE COMPENSATION OF VESTED SERP PARTICIPANTS. SUCH AMOUNTS ARE INCLUDED IN PART II COLUMN(b)(iii). THE ANNUAL VALUE OF THE BENEFIT IS CONVERTED TO A LUMP SUM AND PAID TO THE PARTICIPANT AFTER FULFILLING THE TERMS OF THEIR NON-COMPETE AGREEMENT. |
| PART I, LINE 6A & 6B | COMPENSATION CONTINGENT ON NET EARNINGS | THE RELATED ORGANIZATION HAS TWO INCENTIVE PLANS (EMPLOYEE AND MANAGEMENT) WHICH HAVE A NET OPERATING INCOME TO BUDGET MEASUREMENT FOR THE PAYOUT THRESHOLD. THE EMPLOYEE PLAN SHARES THE EXCESS OVER BUDGET NET OPERATING INCOME WITH THE NON-MANAGMENT EMPLOYEES FOR MEMORIAL HEALTH SYSTEM, INC AND THE AFFILIATED ENTITIES, WHICH INCLUDES MEMORIAL HOSPITAL OF SOUTH BEND, INC. THE EMPLOYEE INCENTIVE HAS A MAXIMUM CAP OF $2,500,000. THE MANAGEMENT INCENTIVE PLAN PAYS A SLIDING PERCENTAGE OF BASE COMPENSATION IF THE NET OPERATING INCOME IS EQUAL TO OR GREATER THAN 80% OF THE BUDGETED NET OPERATING INCOME. THE SLIDING SCALE CAPS WHEN OPERATING INCOME REACHES 120% OF THE BUDGETED OPERATING INCOME. |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArt | |
| Art Historical Treasures | ArtHistoricalTreasures | |
| Art Fractional Interest | ArtFractionalInterest | |
| Books And Publications | BooksAndPublications |
Clothing And Household Goods ClothingAndHouseholdGoods
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 6773 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | Cost Donated Propert | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cars And Other Vehicles | CarsAndOtherVehicles | |
| Boats And Planes | BoatsAndPlanes | |
| Intellectual Property | IntellectualProperty | |
| Securities Publicly Traded | SecuritiesPubliclyTraded | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStock | |
| Securities Prtnrshp Trust Intrsts | SecuritiesPrtnrshpTrustIntrsts | |
| Securities Miscellaneous | SecuritiesMiscellaneous | |
| Qualified Contrib Hist Struct | QualifiedContribHistStruct | |
| Qualified Contrib Other | QualifiedContribOther | |
| Real Estate Residential | RealEstateResidential | |
| Real Estate Commercial | RealEstateCommercial | |
| Real Estate Other | RealEstateOther | |
| Collectibles | Collectibles | |
| Food Inventory | FoodInventory | |
| Drugs And Medical Supplies | DrugsAndMedicalSupplies | |
| Taxidermy | Taxidermy | |
| Historical Artifacts | HistoricalArtifacts | |
| Scientific Specimens | ScientificSpecimens | |
| Archaeological Artifacts | ArchaeologicalArtifacts |
Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | Toys, stuffed animals, books and electronics | 145 | 26544 | Cost Donated Propert |
| X | Hosting/sponsoring events | 28 | 16663 | Cost Donated Propert |
| X | Gift cards, coupons, etc. | 12 | 30624 | Cost Donated Propert |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | GIFT ACCEPTANCE AND REVIEW | Identifier |
| Return Reference | Sch. M, Question 31 | ReturnReference |
| Explanation | Memorial Health Foundation has a written process for review of all gifts, it does not speak specifically to non-standard gifts, however there is a review process in place. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (16 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| HEALTHWORKS! KIDS MUSEUM | Core Form, Part III, Questions 2 & 3 | HealthWorks! Kids Museum and all related activities were transferred to Memorial Hospital of South Bend, Inc. (MHSB), effective January 1, 2010, to better align services within Memorial Health System and its affiliates. |
| EMPLOYEES OF THE ORGANIZATION | Core Form, Part V, Question 2a | Employees are paid by Memorial Health System, Inc.(EIN 35-1536132) and expensed to Memorial Health Foundation through contract labor. |
| MEMBERS OF THE ORGANIZATION | Core Form, Part VI, Section A, Question 6 | Membership in the Corporation shall be divided into two classes: Corporate and Personal. The Corporate Member shall be the Memorial Health System, Inc. The Personal Members shall be the directors of the Corporation. |
| ELECTION OF BOARD MEMBERS | Core Form, Part VI, Section A, Question 7a | The Corporate Member shall appoint the Board of Directors of the Corporation and shall have such powers of advance approval regarding Corporate actions as are delineated in the By-laws of the Corporation. |
| DECISIONS OF THE BOARD OF DIRECTORS | Core Form, Part VI, Section A, Question 7b | Decisions of the Board of Directors must be approved by the Corporate Member. |
| FORM 990, PART VI, SECTION B | THE ORGANIZATION HAS WRITTEN POLICIES AND PROCEDURES THAT COVER NUMEROUS TOPICS. THESE POLICIES AND PROCEDURES WERE NOT APPROVED BY THE GOVERNING BOARD IN THE CURRENT TAX YEAR, BUT WILL BE REVIEWED AND APPROVED BY THE GOVERNING BOARD IN FUTURE YEARS. A FEW OF THE TOPICS COVERED BY THE CURRENT POLICIES AND PROCEDURES OF THE ORGANIZATION ARE: - LOCAL CHAPTERS, BRANCHES AND AFFILIATES - CONFLICT OF INTEREST - WHISTLEBLOWER - DOCUMENT RETENTION AND DESTRUCTION - JOINT VENTURES | |
| REVIEW PROCESS | Core Form, Part VI, Section B, Line 11B | The organization incorporates numerous parties in the production and review of the Form 990 and associated schedules. Senior accounting staff and management, complete the Form 990 and schedules. The forms and schedules are reviewed by the Accounting Manager, Controller and CFO. Subsequent to those steps, the organization engaged Ernst & Young to review the completed Form 990 and appropriate schedules. Prior to filing the return, the compensation committee of the organization and the CEO conduct a general overview of the form 990, including applicable compensation schedules. In addition, the Board of Directors and the audit committee will receive a copy of the 990 prior to filing. |
| CONFLICT OF INTEREST STATEMENTS | Core Form, Part VI, Section B, Line 12c | There are three separate forms that are sent out through the Internal Audit Department to Key Employees or Board Members regarding Conflict of Interest. They are as follows: 1. The first is a Conflict of Interest Statement that is sent to Senior level Administration, Management, and select staff such as Purchasing Department employees. The purpose of the Statement is to require these employees to disclose any potential conflict of interests they may have. The Statements are sent in January of each year and we pursue the replies to get a 100% response rate. In the current year we sent out over 250 Statements and did achieve a 100% response rate. Each response is reviewed by the Director of Internal Audit and the results are reported to the CEO of Memorial as well as the Audit Committee of the Board of Directors. 2. The second Statement is the Board Duality of Interest Statement that is sent to current Board Members, former Board Members from the last five years, the five highest compensated employees from the previous year, employees that are on Grant and Scholarship Committees, and Other Key Employees. The Duality of Interest Statement was sent out in May, 2010. The replies are reviewed by the Director of Internal Audit who summarizes the results, which are reviewed by an independent party. results are reported to the CEO of Memorial and the Audit Committee of the Board of Directors. 3. The third Statement is entitled "Code of Ethics for Senior Financial Officers". The Statement requires an acknowledgement form to be signed by Memorial's Key Financial Employees that Memorial's financial information is to the best of their knowledge true and accurate. This Statement was sent out in early January, 2010 and the signed acknowledgements are kept by the Director of Internal Audit. In 2010, fourteen designated employees were requested to sign the form and we had a 100% compliance rate. Any potential conflicts of interests are reviewed by independant parties both internal and external to the organization, and if necessary, corrective action would be taken to resolve a true conflict. The individual with the potential conflict of interest is excluded from all review proceedings. |
| COMPENSATION REVIEW | Core Form, Part VI, Line 15a & 15b | An extensive examination is conducted using comparable market data and it is then reviewed by an independant consultant hired by, and reporting to, the Board of Directors. Recommendations are presented to the Board for deliberation and final decision. Deliberation and final decision are performed by the independent members of the Board. |
| AVAILABILITY OF GOVERNING DOCUMENTS | Core Form 990, Part VI, Section C, Line 19 | The governing documents and conflict of interest policy are not made available to the public. The financial statements are distributed quarterly to the Electronic Municipal Market Access (EMMA) website as part of the continuing disclosures for the Memorial Health System, Inc. bonds. |
| CHANGE IN FUND BALANCE | Core Form, Part XI, Line 5 | Other changes in fund balance: Transfers from MHSB & MHS $1,191,452 Unrealized gains on investments 1,903,813 Change in Grube Trust 65,898 Total 3,161,163 |
| BUSINESS RELATIONSHIPS | Form 990, Schedule L, Part IV | John Phair is president of Holladay Properties from which Memorial Health Foundation, Inc. rents property for values less than the reporting thresholds. |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Olubunmi A. Okanlami, MD TITLE:Director, Physician HOURS:40 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Timothy Griffin TITLE:Director, Physician HOURS:38 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Philip A. Newbold TITLE:CEO/President HOURS:40 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Jeffrey Costello TITLE:CFO/Asst. Treasurer HOURS:40 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| Memorial Health System Inc | |||||||||
| 615 N Michigan St | South Bend | IN | 46601 | 351536132 | Corp Services | IN | 501c(3) | 9 | NA |
| Memorial Hospital of South Bend Inc | |||||||||
| 615 N Michigan St | South Bend | IN | 46601 | 350868132 | Hospital | IN | 501c(3) | 3 | MHS |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Memorial Home Care Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 615 N Michigan St | AddressLine1 |
| City | South Bend | City |
| State | IN | State |
| ZIP Code | 46601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351901068 | EIN |
| Primary Activity | Home Medical | PrimaryActivity |
| Legal Domicile State | IN | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | true | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Memorial Hospital of South Bend Inc | |
| B | 175884 |
| Memorial Hospital of South Bend Inc | |
| H | 163004 |
| Memorial Hospital of South Bend Inc | |
| K | 3450860 |
| Memorial Hospital of South Bend Inc | |
| P | 77061 |
| Memorial Hospital of South Bend Inc | |
| R | 82427 |
| Memorial Home Care Inc | |
| R | 130739 |
| Memorial Home Care Inc | |
| Q | 125000 |
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