Skip to content
Nonprofiteer
← MERCY HOSPITAL CADILLAC FOUNDATION

Form 990 for tax year 2022

Filed by MERCY HOSPITAL CADILLAC FOUNDATION.

Totals

Total revenue
$996,874
Total expenses
$175,000
Contributions and grants received
$0
Grants paid
$175,000
Program services expenses (Part IX)
$175,000
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$175,000

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • PETER MARINOFF

    DIRECTOR; CEO MERCY HOSP CADILLAC

    Total calculated
    $419,771
    From this org
    $0
    From related orgs
    $349,830
    Other
    $69,941
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $277,013 related
    Bonus
    $0 + $71,752 related
    Other
    $0 + $1,065 related
    Deferred
    $0 + $46,642 related
    Nontaxable benefits
    $0 + $23,299 related
    Filer's total
    $0 + $419,771 related

  • DEBRA HENDERSON

    DIRECTOR; PRESIDENT MUNSON HC FND

    Total calculated
    $311,958
    From this org
    $0
    From related orgs
    $276,735
    Other
    $35,223
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $197,993 related
    Bonus
    $0 + $56,587 related
    Other
    $0 + $22,155 related
    Deferred
    $0 + $24,378 related
    Nontaxable benefits
    $0 + $10,845 related
    Filer's total
    $0 + $311,958 related

  • TAMARA RICCO

    DIR; TH-MI, TH MUSK REG CONTROLLER

    Total calculated
    $275,136
    From this org
    $0
    From related orgs
    $237,076
    Other
    $38,060
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $195,839 related
    Bonus
    $0 + $40,032 related
    Other
    $0 + $1,205 related
    Deferred
    $0 + $18,101 related
    Nontaxable benefits
    $0 + $19,959 related
    Filer's total
    $0 + $275,136 related

  • PATRICK CARROLL

    DIRECTOR;CHAIR & TREASURER THR 12/22

    Total calculated
    $0
    Hours/week
    1

  • MICKEY PUTMAN

    DIR; VICE CHR THR 12/22; CHR AT 1/23

    Total calculated
    $0
    Hours/week
    1

  • PAM ANDERSON

    DIRECTOR; SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • DEB BALLARD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • SHANNON HAMNER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • BRITTANY KIELBASA

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • GREG LAMBOURNE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DAVID MACKEY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JOHN MACLEOD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • OWEN ROBERTS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
MERCY HOSPITAL CADILLAC FOUNDATION IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. MERCY HOSPITAL CADILLAC FOUNDATION'S TOP MANAGEMENT OFFICIAL IS THE CHAIR OF THE BOARD OF DIRECTORS. NO COMPENSATION IS PAID TO THE CHAIR OF THE BOARD OF DIRECTORS OF MERCY HOSPITAL CADILLAC FOUNDATION.
PART I, LINE 4B
THE FOLLOWING ARE PARTICIPANTS IN A MUNSON HEALTHCARE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). SUBJECT TO REVIEW AND APPROVAL BY THE BOARD'S COMPENSATION AND EXECUTIVE LEADERSHIP COMMITTEE, IN ORDER TO RECRUIT AND RETAIN QUALIFIED EXECUTIVES, A COMPETITIVE BENEFIT PACKAGE IS OFFERED WHICH INCLUDES PARTICIPATION IN A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN. ANNUAL CONTRIBUTIONS, AT MUNSON HEALTHCARE'S DISCRETION, ARE MADE TO THE PLAN IN ORDER TO ACHIEVE THE TARGETED RETIREMENT BENEFIT LEVEL. THESE FUNDS ARE AVAILABLE TO VESTED PARTICIPANTS UPON SEPARATION OF EMPLOYMENT FROM MUNSON HEALTHCARE. THE FOLLOWING ACCRUALS FOR 2022 FOR THIS PLAN ARE INCLUDED IN COLUMN (C) OF SCHEDULE J, PART II: DEBRA HENDERSON - $14,016 PETER MARINOFF - $33,001

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
14 May 2024
IRS schema version
2022v5.0
Source object
202421359349307207

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.