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← ST LUKE'S HOSPITAL FOUNDATION

Form 990 for tax year 2022

Filed by ST LUKE'S HOSPITAL FOUNDATION.

Totals

Total revenue
$536,926
Total expenses
$338,379
Contributions and grants received
$219,449
Grants paid
$138,425
Program service revenue
$0
Investment income
$317,477
Other revenue
$0
Total assets, end of year
$18,610,389
Total liabilities, end of year
$4,380
Net assets or fund balances, end of year
$18,606,009
Program services expenses (Part IX)
$138,425
Management and general expenses
$157,799
Fundraising expenses
$42,155
Program service expenses (Part III)
$138,425

Program services were 40.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1a · Federated campaigns

    $804

  • 1d · Related organizations

    $79,495

  • 1f · All other contributions, gifts and grants

    $139,150

  • 3 · Investment income

    total $384,069 · excluded $384,069

  • 7b · Less cost or other basis and sales expenses

    securities $66,592

  • 7c · Gain or loss

    securities -$66,592

  • 7d · Net gain or loss

    total -$66,592 · excluded -$66,592

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $131,077 · program services $131,077

  • 2 · Grants to domestic individuals

    total $7,348 · program services $7,348

  • 7 · Other salaries and wages

    total $40,326 · management and general $17,962 · fundraising $22,364

  • 8 · Pension plan contributions

    total $2,161 · management and general $963 · fundraising $1,198

  • 9 · Other employee benefits

    total $5,023 · management and general $2,237 · fundraising $2,786

  • 10 · Payroll taxes

    total $3,689 · management and general $1,643 · fundraising $2,046

  • 11b · Fees: legal

    total $55,009 · management and general $55,009

  • 11f · Fees: investment management

    total $19,704 · management and general $19,704

  • 12 · Advertising and promotion

    total $13,761 · fundraising $13,761

  • 13 · Office expenses

    total $2,233 · management and general $2,233

  • 14 · Information technology

    total $56,975 · management and general $56,975

  • 17 · Travel

    total $284 · management and general $284

  • 24a · Other expenses: DUES AND SUBSCRIPTIONS

    total $290 · management and general $290

  • 24b · Other expenses: FOOD

    total $108 · management and general $108

  • 24e · All other expenses

    total $391 · management and general $391

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $110,518 · end of year $100,000

  • 2 · Savings and temporary cash investments

    beginning of year $1,170,135 · end of year $1,048,990

  • 3 · Pledges and grants receivable

    beginning of year $114,499 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $11,275 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $13,902,858 · end of year $15,963,796

  • 15 · Other assets

    beginning of year $1,386,233 · end of year $1,497,603

  • 17 · Accounts payable and accrued expenses

    beginning of year $6,516 · end of year $4,380

  • 25 · Other liabilities

    beginning of year $47,515 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $14,577,318 · end of year $16,373,589

  • 28 · Net assets with donor restrictions

    beginning of year $2,064,169 · end of year $2,232,420

Mission and programs · 2022

Mission

ST. LUKE'S HOSPITAL FOUNDATION IS DEDICATED TO SECURING RESOURCES TO SUPPORT THE HEALING AND CHARITABLE MISSION OF ST. LUKE'S HOSPITAL FOR THE COMMUNITIES IT SERVES.

Activities or mission (Part I)

ST. LUKE'S HOSPITAL FOUNDATION, THROUGH ITS SUPPORT OF ST. LUKE'S HOSPITAL, CONTRIBUTES TO THE PROVISION OF HEALTHCARE AND ENHANCING THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITY.

  • ST. LUKE'S HOSPITAL FOUNDATION, THROUGH ITS SUPPORT OF ST. LUKE'S HOSPITAL, CONTRIBUTES TO THE PROVISION OF HEALTH CARE AND ENHANCING THE QUALITY OF LIFE FOR PEOPLE IN OUR COMMUNITY.

    Expenses $138,425 · Grants $138,425

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Jennifer Montgomery

    TRUSTEE/ST. LUKE'S HOSPITAL CEO

    Total calculated
    $806,437
    From this org
    $0
    From related orgs
    $770,465
    Other
    $35,972
    Hours/week
    1 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $559,520 related
    Bonus
    $0
    Other
    $0 + $210,945 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $35,972 related
    Filer's total
    $0 + $806,437 related

  • Rebecca Siders Do

    TRUSTEE

    Total calculated
    $187,878
    From this org
    $0
    From related orgs
    $181,528
    Other
    $6,350
    Hours/week
    1

    Schedule J breakdown matched by us

    Base
    $0 + $129,838 related
    Bonus
    $0 + $51,690 related
    Other
    $0
    Deferred
    $0 + $6,118 related
    Nontaxable benefits
    $0 + $232 related
    Filer's total
    $0 + $187,878 related

  • Rhonda Wise

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1

  • Kevin Carmony

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Brooke Brown

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Megan Bruss

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Tim Goligoski

    TRUSTEE/MSL CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Jared Kalb

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Deborah Knight

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Jackie Stalter

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Mary Anne Steinbaugh

    TRUSTEE/AUX CO-PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • Jr Toland

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Nazarene Tubman

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Sheila Wineman-Krieger

    TRUSTEE/AUX CO-PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • Katherine Lonsbrough

    TRUSTEE - PART YEAR

    Total calculated
    $0
    Hours/week
    1

  • Sylvia Washburn

    TRUSTEE - PART YEAR

    Total calculated
    $0
    Hours/week
    1

  • Steve Thompson

    CHIEF FINANCIAL OFFICER - PART YEAR

    Total calculated
    $340,464
    From this org
    $0
    From related orgs
    $323,800
    Other
    $16,664
    Hours/week
    1 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $323,800 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $1,414 related
    Filer's total
    $0 + $340,464 related

  • Kelle Pack

    FOUNDATION PRESIDENT - PART YEAR

    Total calculated
    $138,179
    From this org
    $0
    From related orgs
    $116,921
    Other
    $21,258
    Hours/week
    40

  • Kevin Riley

    CHIEF FINANCIAL OFFICER - FORMER

    Total calculated
    $100,487
    From this org
    $0
    From related orgs
    $100,487
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $100,487 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $100,487 related

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, and on a Form 990-PF Part VIII's — 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

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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 1A
THE CEO/EXECUTIVE DIRECTOR WAS COMPENSATED BY A RELATED ORGANIZATION, AND THEREFORE NONE OF THE LINE 1 BOXES HAVE BEEN CHECKED. THE CORPORATE CEO, SUBSIDIARY CEOS AND CORPORATE EXECUTIVE & SENIOR VICE-PRESIDENTS IN SOME INSTANCES HAVE RECEIVED TAX INDEMNIFICATION FOR THE FOLLOWING BENEFITS: VEHICLE COSTS, GROUP TERM LIFE INSURANCE, SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS, AND HEALTH CLUB OR SOCIAL DUES. THESE BENEFITS HAVE BEEN INCLUDED IN TAXABLE COMPENSATION.
PART I, LINE 3
THE CEO/EXECUTIVE DIRECTOR WAS COMPENSATED BY A RELATED ORGANIZATION, AND THEREFORE NONE OF THE LINE 3 BOXES HAVE BEEN CHECKED. THE RELATED ORGANIZATION USED THE FOLLOWING METHODOLOGIES TO ESTABLISH THE COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINES 4A-B
KEVIN RILEY RECEIVED SEVERANCE PAYMENTS TOTALING $412,500, STARTING NOVEMBER 2020 THROUGH APRIL 2022. HE RECEIVED A TOTAL OF $100,487 DURING THE CALENDAR YEAR 2022. MCLAREN MAINTAINS TWO SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES (THE "SERPS"). THE OLD SERP WAS CLOSED TO NEW PARTICIPANTS ON OCTOBER 1, 2006, AND THE NEW SERP BECAME EFFECTIVE AS OF JANUARY 1, 2007. NO EMPLOYEE MAY PARTICIPATE IN BOTH OF THE SERPS. THE OLD SERP IS STRUCTURED AS A DEFINED BENEFIT PLAN THAT ESSENTIALLY REPLACES THE BENEFITS THE PARTICIPANT IS NOT PERMITTED TO RECEIVE UNDER MCLAREN'S QUALIFIED RETIREMENT PLAN DUE TO IRS LIMITATIONS APPLICABLE TO QUALIFIED PLANS. THE BENEFIT UNDER THE OLD SERP IS PAYABLE IN EITHER THE FORM OF A LUMP SUM DISTRIBUTION OR IN MONTHLY PAYMENTS EQUAL TO THE ACTUARIAL EQUIVALENT OF THE PARTICIPANT'S ACCRUED BENEFIT. THE BENEFIT IS PAID AT AGE 55, AND IF THE PARTICIPANT REMAINS EMPLOYED, THE BENEFIT IS PAID UPON TERMINATION OF EMPLOYMENT, REDUCED TO TAKE INTO ACCOUNT THE BENEFIT PREVIOUSLY PAID. THE NEW SERP IS STRUCTURED AS A DEFINED CONTRIBUTION PLAN, AND MCLAREN CONTRIBUTES 15 PERCENT OF EACH PARTICIPANT'S COMPENSATION TO THE PLAN EACH YEAR FOR ALLOCATION TO THE PARTICIPANT'S ACCOUNT. PARTICIPANTS IN THE NEW SERP BECOME VESTED IN THEIR ACCOUNTS UPON THE EARLIER OF FIVE YEARS OF PARTICIPATION IN THE PLAN OR ATTAINMENT OF AGE 60. PARTICIPANTS IN THE NEW SERP SELF-DIRECT THE INVESTMENT OF THEIR ACCOUNTS AND HAVE THE ACTUAL INVESTMENT RETURN CREDITED OR DEBITED TO THEIR ACCOUNTS. THE BENEFIT UNDER THE NEW SERP IS EQUAL TO THE PARTICIPANT'S ACCOUNT BALANCE, AND THE BENEFIT IS PAID IN A SINGLE SUM WITHIN 60 DAYS OF THE PARTICIPANT'S TERMINATION DATE. BENEFITS UNDER BOTH SERPS ARE PROVIDED ON A TAX-NEUTRAL BASIS. BOTH SERPS ARE DESIGNED TO COMPLY WITH INTERNAL REVENUE CODE SECTIONS 457(F) AND 409A.
PART I, LINE 7
MCLAREN HEALTH CARE (MHC) HAS A LEADERSHIP INCENTIVE PROGRAM FOR LEADERS OF THE CORPORATION, SUBSIDIARY EXECUTIVES AND DIRECTORS, MANAGERS AND SUPERVISORS. THE PURPOSE OF THE PLAN IS TO ENHANCE THE ORGANIZATION'S ABILITY TO ACHIEVE ITS GOALS BY PROVIDING TOP OFFICIALS AND THE BOARD OF DIRECTORS WITH A TOOL FOR (A) CLEARLY COMMUNICATING PERFORMANCE ON THE PART OF KEY LEADERS, (B) STIMULATING AND REWARDING SUPERIOR LEVELS OF PERFORMANCE ON THE PART OF KEY LEADERS WHICH WILL ULTIMATELY BENEFIT THE COMMUNITIES MHC SERVES, AND (C) PROTECTING MHC'S ABILITY TO COMPETE WITH OTHER EMPLOYERS FOR HIGH-TALENT LEADERS.

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • MCLAREN - NORTHERN EQUITIES CANCER CENTER PROJECT LLC

    RENTAL REAL ESTATE · MI · general or managing partner

  • MOUNT CLEMENS REGIONAL HEALTH BUILDING HEALTH PARTNERS

    BUILDING MANAGEMENT · MI · general or managing partner

  • SOUTH VAN DYKE MEDICAL COMPLEX-A

    VARIOUS HEALTHCARE ACTIVITIES · MI · general or managing partner

  • WATERVILLE MEDICAL CENTER LLC

    RELATED · RENTAL REAL ESTATE · OH · 70% owned

    Directly controlled by ST LUKE'S HOSPITAL

  • CLARKSTON ASC PARTNERS LLC

    SURGERY CENTER · MI · general or managing partner

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • CLARKSTON PROPERTY ASSOCIATES

    C · REAL ESTATE · MI · controlled entity

  • DELPHINUS INVESTMENT INC

    C · HOLD PASSIVE INVESTMENT · MI · controlled entity

  • HEALTH ADVANTAGE INC

    C · INSURANCE · MI · controlled entity

  • MCLAREN INSURANCE COMPANY LTD

    C · INSURANCE · CJ · controlled entity

  • MID-MICHIGAN PHYSICIANS PC

    C · PHYSICIAN PRACTICE · MI · controlled entity

  • MCLAREN PHYSICIAN PARTNERS

    C · MANAGED CARE · MI · controlled entity

  • VITALCARE HOME MEDICAL EQUIPMENT INC

    C · SALE AND RENTAL OF DURABLE MEDICAL EQUIPMENT · MI · controlled entity

  • HURON CLINIC CONDOMINIUMS OWNERS

    C · VARIOUS HEALTHCARE ACTIVITIES · MI · controlled entity

Provenance

Return type
form_990
Tax year
2022
Filed
8 August 2024
IRS schema version
2022v5.0
Source object
202412269349301971

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