MYMICHIGAN MEDICAL CENTER SAGINAW FOUNDATION: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- MYMICHIGAN MEDICAL CENTER SAGINAW FOUNDATION (EIN 38-2246366)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-13
- IRS object ID
- 201141339349302279
- Schema version
- 2009v1.7
- 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 G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-13T10:46:40-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 East Fifth Street Suite 1900 | AddressLine1 |
| City | Cincinnati | City |
| State | OH | State |
| ZIP Code | 45202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382246366 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's of Michigan Foundation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STMA | NameControl |
| Phone | 9899077609 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 South Washington Avenue | AddressLine1 |
| City | Saginaw | City |
| State | MI | State |
| ZIP Code | 48601 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Al Tucker | Name |
| Title | CFO | Title |
| Phone | 9899077609 | Phone |
| Date Signed | 2011-05-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5137847100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Sherry Desrosiers | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 South Washington Avenue | AddressLine1 |
| City | Saginaw | City |
| State | MI | State |
| ZIP Code | 48601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1568576 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c | X | Organization501c |
| Web Site | stmarysofmichigan.org/foundation | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1978 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | To support and promote the development of St. Mary's of Michigan. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 19 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 16 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1178016 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1035241 | ContributionsGrantsCurrentYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -499376 | InvestmentIncomePriorYear |
| Investment Income Current Year | 533335 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -21385 | OtherRevenuePriorYear |
| Other Revenue Current Year | -101816 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 657255 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1466760 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 64137 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1421999 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 329205 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 596481 | OtherExpensePriorYear |
| Other Expenses Current Year | 581334 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 660618 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2003333 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -3363 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -536573 | RevenuesLessExpensesCY |
| Total Assets BOY | 10453590 | TotalAssetsBOY |
| Total Assets EOY | 11162773 | TotalAssetsEOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 10453590 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 11162773 | NetAssetsOrFundBalancesEOY |
| Mission Description | The 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Revenue | -101816 | Revenue |
| Description | The St. Mary's of Michigan Foundation receives and administers all charitable contributions to St. Mary's of Michigan. During the current year, the Foundation held two special events (1) Cornette Ball, where proceeds will be used to purchase the Volcano Ultrasound Imaging System; and (2) a Golf Outing, where proceeds will be used to purchase the EndoBronchial Ultrasound for early detection and treatment of lung cancer. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1421999 | Expense |
| Grants | 1421999 | Grants |
| Description | With 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. Grants to St. Mary's of Michigan were made to update nursing rooms. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 1421999 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 19 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Chris Frick | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9899077609 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 South Washington | AddressLine1 |
| City | Saginaw | City |
| State | MI | State |
| ZIP Code | 48601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | FormerFormer |
|---|---|---|---|---|---|---|---|
| Suhasini Gudipati MD | |||||||
| Board Chair | 2.00 | X | 0 | 0 | 0 | ||
| John Kunitzer | |||||||
| Vice Chair | 2.00 | X | 0 | 0 | 0 | ||
| Andrew Richards | |||||||
| Secretary | 2.00 | X | 0 | 0 | 0 | ||
| Sara O'Brien | |||||||
| Treasurer | 2.00 | X | 0 | 335865 | 38423 | X | |
| Gary Campbell | |||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | ||
| Virginia Bushey | |||||||
| Board Member | 2.00 | 0 | 0 | 0 | X | ||
| Sandy Donahue | |||||||
| Board Member | 2.00 | 0 | 0 | 0 | X | ||
| Brian Eggers | |||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | ||
| G Stewart Francke | |||||||
| Board Member | 2.00 | 0 | 0 | 0 | X | ||
| George Gugino MD | |||||||
| Board Member | 2.00 | 0 | 0 | 0 | X | ||
| Lioudmila Kinachtchouk MD | |||||||
| Board Member | 2.00 | 0 | 0 | 0 | X | ||
| Paul Metevia | |||||||
| Board Member | 2.00 | 0 | 0 | 0 | X | ||
| Gary Glaza | |||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | ||
| Albert Sarge Harvey | |||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | ||
| William Chip Hendrick | |||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | ||
| Tim Hilk | |||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | ||
| Charles Jessup DO | |||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | ||
| Susan Meyers | |||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | ||
| Molly Ninan | |||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | ||
| David Shooltz | |||||||
| Board Member | 2.00 | X | 0 | 0 | 0 | ||
| Kizhakepat Sukumaran | |||||||
| M.D. - Board Member | 2.00 | X | 0 | 0 | 0 | ||
| John Graham Sch O | |||||||
| President/CEO SMMMC | 45.00 | X | 0 | 505500 | 1509 | X | |
| Sherry DesrosiersSch O | |||||||
| Executive Director | 45.00 | X | 0 | 157327 | 6062 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 998692 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 45994 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 254129 | FundraisingEvents |
| All Other Contributions | 781112 | AllOtherContributions |
| Total Contributions | 1035241 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 387337 | TotalRevenueColumn |
| Exclusion | $387,337 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 145998 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 145998 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 145998 | TotalRevenueColumn |
| Exclusion | $145,998 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 0 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 254129 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 101816 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -101816 | TotalRevenueColumn |
| Related Or Exempt Function Income | -101816 | RelatedOrExemptFunctionIncome |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1466760 | TotalRevenueColumn |
| Related Or Exempt Function Income | -101816 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $533,335 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1421999 | Total |
| Program Services | 1421999 | ProgramServices |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52238 | Total |
| Management And General | 52238 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10568 | Total |
| Fundraising | 10568 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 866 | Total |
| Fundraising | 866 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1904 | Total |
| Fundraising | 1904 | Fundraising |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Sal & Ben Allocation | 382934 | 0 | 199891 | 183043 |
| Restricted Expenses | 96506 | 0 | 0 | 96506 |
| Supplies | 14875 | 0 | 0 | 14875 |
| Fundraising | 10753 | 0 | 0 | 10753 |
| Catering | 4539 | 0 | 0 | 4539 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6151 | Total |
| Fundraising | 6151 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2003333 | Total |
| Program Services | 1421999 | ProgramServices |
| Management And General | 252129 | ManagementAndGeneral |
| Fundraising | 329205 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 144963 | BOY |
| EOY | 106787 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3525560 | BOY |
| EOY | 4476054 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6783067 | BOY |
| EOY | 6579932 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10453590 | BOY |
| EOY | 11162773 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6125775 | BOY |
| EOY | 7277964 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4327815 | BOY |
| EOY | 3884809 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10453590 | BOY |
| EOY | 11162773 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10453590 | BOY |
| EOY | 11162773 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type3 Func Int | X | SupportingOrg509a3Type3FuncInt |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's of Michigan | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 380997730 | EIN |
| Type Of Organization | 3 - Hospital | TypeOfOrganization |
| Listed In Governing Doc | 1 | ListedInGoverningDoc |
| Supported Organization Notified | 1 | SupportedOrganizationNotified |
| Organized In US | 1 | OrganizedInUS |
| Amount | $1,421,999 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 1421999 | SumOfAmounts |
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
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 14920 | BeginningOfYearBalance |
| Contributions | 305303 | Contributions |
| Investment Earnings Or Losses | 7486 | InvestmentEarningsOrLosses |
| End Of Year Balance | 327709 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | 14967 | Contributions |
| Investment Earnings Or Losses | -47 | InvestmentEarningsOrLosses |
| End Of Year Balance | 14920 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.05000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.95000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Health System Depository Account | 2792797 |
| Cash Surrender Value of Life Insurance Policy | 216300 |
| Restricted Assets | 3570835 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 6579932 | TotalBookValueOtherAssets |
| Total Revenue | 1466760 | TotalRevenue |
| Total Expenses | 2003333 | TotalExpenses |
| Excess Or Deficit For Year | -536573 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 645691 | NetUnrealizedGLOnInvestments |
| Other | $600,065 | OtherAmount |
| Total Adjustments | 1245756 | TotalAdjustments |
| Excess Or Deficit Per FS | 709183 | ExcessOrDeficitPerFS |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part X: | Description of Uncertain Tax Positions Under FIN 48: | Per the financial statements of St. Mary's Health, (which include the activity of St. Mary's of Michigan Foundation), there is no ASC 740 (fka FIN 48) footnote for the current year. |
| Part XI, Line 8 - Other Adjustments: | Transfers from Affiliates: 607900. Increase in CSV: -17774. Health System Depository Adjustment: 10418. Transfer to Field Neurosciences Institute: -479. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Cornette Ball | NameOfEvent1 |
| Gross Receipts Event1 | 199902 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 167352 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 32550 | GrossRevenueEvent1 |
| Food And Beverage Event1 | 47179 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 6500 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 13594 | OtherDirectExpensesEvent1 |
| Name Of Event2 | Golf Outing | NameOfEvent2 |
| Gross Receipts Event2 | 119297 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 86777 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 32520 | GrossRevenueEvent2 |
| Non Cash Prizes Event2 | 10310 | NonCashPrizesEvent2 |
| Rent Facility Costs Event2 | 11114 | RentFacilityCostsEvent2 |
| Food And Beverage Event2 | 8139 | FoodAndBeverageEvent2 |
| Other Direct Expenses Event2 | 4980 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 319199 | GrossReceiptsTotal |
| Charitable Contributions Total | 254129 | CharitableContributionsTotal |
| Gross Revenue Total Events | 65070 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 10310 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 11114 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 55318 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 6500 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 18574 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 101816 | DirectExpenseSummaryEvents |
| Net Income Summary | -36746 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's of Michigan Medical Center | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 South Washington Avenue | AddressLine1 |
| City | Saginaw | City |
| State | MI | State |
| ZIP Code | 48601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 380997730 | EINOfRecipient |
| IRC Section | 501(c)(3) | IRCSection |
| Amount Of Cash Grant | 1421999 | AmountOfCashGrant |
| Purpose Of Grant | Capital Projects such as Van, Tissue Processor, Lab Microscope, Hypothermia Machines, Volcano Ultrasound Imaging System, Transcranial Doppler Ultrasound, etc. | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: Students must apply for the scholarship by filling out an application. There are application guidelines which are followed to be considered for the scholarship. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Sara O'Brien | |||||||||||||
| 0 | 193884 | 0 | 133814 | 0 | 8167 | 0 | 21992 | 0 | 16431 | 0 | 374288 | 0 | 0 |
| John Graham (Sch O) | |||||||||||||
| 0 | 400441 | 0 | 65959 | 0 | 39100 | 0 | 600 | 0 | 909 | 0 | 507009 | 0 | 0 |
| Sherry Desrosiers(Sch O) | |||||||||||||
| 0 | 146573 | 0 | 0 | 0 | 10754 | 0 | 3087 | 0 | 2975 | 0 | 163389 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Information | Identifier |
| Return Reference | Part III | ReturnReference |
| Explanation | Part I, Line 3: St. Mary's of Michigan Medical Center, a related organization of St. Mary's of Michigan Foundation, uses the following methods to establish the compensation of the organization's CEO: - Independent Compensation Consultant - Written Employment Contract - Approval by the Board or Compensation Committee | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | St. Mary's of Michigan Foundation has a single corporate member, St. Mary's of Michigan. | |
| Form 990, Part VI, Section A, line 7a | St. Mary's of Michigan Foundation has a single corporate member, St. Mary's of Michigan, 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 7b | All 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. | |
| Form 990, Part VI, Section B, line 11 | Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Management presents the Form to the Board, or a designated committee, to review. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members questions. | |
| Form 990, Part VI, Section B, line 12c | The 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 meeting 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 conflicts 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 15 | In determining the compensation of the organization's CEO, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Ascension Health board reviewed and approved the compensation. In the review of the compensation, the CEO was compared to other organizations in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board 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 or key employees 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 19 | The Organization will provide any documents open to public inspection upon request. | |
| Form 990, Part VII, Section A: | Officers for St. Mary's of Michigan Foundation provide services to St. Mary's of Michigan Medical Center and its subsidiaries. Hours worked are not tracked on an entity by entity basis. Therefore all officers hours reported on Form 990, Part VII, Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees represent aggregate hours worked per week for all entities. | Explanation of Hours for Officers and Key Employees: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|
| Ascension Health | ||||||||||
| PO Box 45998 | St Louis | MO | 63145 | 311662309 | National Health System | MO | Section 501(c)(3) | Schedule A, Line 11a | N/A | |
| St Mary's Health | ||||||||||
| 800 S Washington | Saginaw | MI | 48601 | 383477071 | Local Health System Parent | MI | Section 501(c)(3) | Schedule A, Line 11 | St Mary's of Michigan | |
| St Mary's of Michigan | ||||||||||
| 800 S Washington | Saginaw | MI | 48601 | 380997730 | Hospital | MI | Section 501(c)(3) | Schedule A, Line 3 | Ascension Health | |
| Standish Hospital | ||||||||||
| 805 W Cedar Street | Standish | MI | 48658 | 381671120 | Hospital | MI | Section 501(c)(3) | Schedule A, Line 3 | St Mary's Health | |
| Field Neurosciences Institute | ||||||||||
| 800 S Washington | Saginaw | MI | 48601 | 382790703 | Medical Research Organization | MI | Section 501(c)(3) | Schedule A, Line 9 | St Mary's of Michigan | |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Towne Centre Surgery Center LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4599 Towne Centre | AddressLine1 |
| City | Saginaw | City |
| State | MI | State |
| ZIP Code | 48604 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 204943843 | EIN |
| Primary Activity | Outpatient services | PrimaryActivity |
| Legal Domicile State | MI | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's of Michigan Specialists | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 S washington | AddressLine1 |
| City | Saginaw | City |
| State | MI | State |
| ZIP Code | 48601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 205959777 | EIN |
| Primary Activity | Physician Practices | PrimaryActivity |
| Legal Domicile State | MI | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| St Mary's of Michigan Medical Center | |
| B | 1421999 |
| St Mary's of Michigan Medical Center | |
| Q | 607900 |
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