Civic Intelligence

Otsego Memorial Hospital Foundation

EIN 38-2135473 • 501(c)3 • Gaylord, MI

Profile

The mission of the otsego memorial hospital foundation is to provide a comprehensive program of fund development that supports the mission and vision of otsego memorial hospital.

825 N Center AveGaylord, MI 49735

www.myomh.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2020

Liabilities / Revenue

20th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • $1M-$5M nonprofits • Source year 2020

Net Margin

7th percentile

-44%

Higher net margin than 7% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2020

Top Officer Pay

98th percentile

$635,697

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 88.1% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2020

Asset Growth

2nd percentile

-100%

Faster asset growth than 2% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2019 to 2020

Revenue Growth

84th percentile

53%

Faster revenue growth than 84% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2019 to 2020

Assets

Down

$0

Down $3,140,195 (-100%) from 2019

Liabilities

Flat

$0

Flat from 2019

Net Assets

Down

$0

Down $3,140,195 (-100%) from 2019

Revenue

Up

$721,866

Up $248,908 (+53%) from 2019

Expenses

Down

$1,038,316

Down $144,088 (-12%) from 2019

Net Income

Up

-$316,450

Up $392,996 (+55%) from 2019

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$4.0M$3.0M$2.0M$1.0M$0Assets 2010: $1,130,985Liabilities 2010: $0Net Assets 2010: $1,130,9852010Assets 2011: $1,171,408Liabilities 2011: $15,175Net Assets 2011: $1,156,2332011Assets 2012: $1,267,769Liabilities 2012: $9,550Net Assets 2012: $1,258,2192012Assets 2013: $1,417,321Liabilities 2013: $4,250Net Assets 2013: $1,413,0712013Assets 2014: $1,281,873Liabilities 2014: $6,108Net Assets 2014: $1,275,7652014Assets 2015: $2,079,617Liabilities 2015: $8,300Net Assets 2015: $2,071,3172015Assets 2016: $3,856,911Liabilities 2016: $0Net Assets 2016: $3,856,9112016Assets 2017: $3,366,121Liabilities 2017: $9,225Net Assets 2017: $3,356,8962017Assets 2018: $3,795,533Liabilities 2018: $0Net Assets 2018: $3,795,5332018Assets 2019: $3,140,195Liabilities 2019: $0Net Assets 2019: $3,140,1952019Assets 2020: $0Liabilities 2020: $0Net Assets 2020: $02020

Highlighted filing

2020

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$3.0M$2.0M$1.0M$0-$1.0MExpenses 2010: $511,9742010Expenses 2011: $456,4472011Expenses 2012: $562,5152012Revenue 2013: $560,415Expenses 2013: $503,281Net Income 2013: $57,1342013Revenue 2014: $647,542Expenses 2014: $835,176Net Income 2014: -$187,6342014Revenue 2015: $1,197,678Expenses 2015: $325,413Net Income 2015: $872,2652015Revenue 2016: $2,210,173Expenses 2016: $498,851Net Income 2016: $1,711,3222016Revenue 2017: $641,226Expenses 2017: $1,320,068Net Income 2017: -$678,8422017Revenue 2018: $313,645Expenses 2018: $130,023Net Income 2018: $183,6222018Revenue 2019: $472,958Expenses 2019: $1,182,404Net Income 2019: -$709,4462019Revenue 2020: $721,866Expenses 2020: $1,038,316Net Income 2020: -$316,4502020

Highlighted filing

2020

Revenue$721,866
Expenses$1,038,316
Net Income-$316,450

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2019 to Jun 30, 2020
Signed
May 13, 2021
Return Version
2019v5.0
Gross Receipts
$2,116,719
Mission and Program Overview

Mission

The mission of the munson healthcare otsego memorial hospital foundation is to provide a comprehensive program of fund development that supports the mission and vision of munson healthcare otsego memorial hospital.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$2,387,797--
Pledges and Grants Receivable$752,398--
Total Assets$3,140,195$0▼ $3,140,195
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,877,845--
Net Assets With Donor Restrictions$1,262,350--
Total Net Assets Fund Balance$3,140,195$0▼ $3,140,195
Total Liabilities and Net Assets / Fund Balance$3,140,195$0▼ $3,140,195

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2020$2,387,797$-1,598,867▲ $116,020$23,868-
2019$2,534,924$723,643▲ $176,287$11,050$2,387,797
2018-$2,528,249▲ $19,472-$2,543,924
Compensation and Service Providers

Employees

NameTitleOtherTotal
Lindsay Straight MdDirector$51,047$51,047
David BrineyDirector$5,000$5,000
Mary SandersDirector$5,000$5,000

Board Members and Trustees

NameTitle
Barry OwensChair
Thomas LemonPresident
Phil HofweberVice Chair
Brett BowenDirector
Carolyn StudyDirector
Dave HintzDirector
Desiree WorthingtonDirector
John MakranyiDirector
Lori ReichardDirector
Peter Handley MdDirector
Scott WeirDirector
Thomas PageDirector
Mark HeplerCFO
Jen MazurSecretary
Robert CourtoisTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$488,679
Program Service Revenue
$133,366
Investment Income
$99,821
Other Revenue
$0
All Other Contributions
$488,679
Change in Net Assets
$-316,450
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$873,261
Other Expenses$165,055
Total Fundraising Expense$133,366
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$873,261--$873,261
Fees for Services Other--$133,366$133,366
Other Expenses$23,868--$23,868
Fees for Service Investment Mgmnt Fees-$7,821-$7,821
Total Functional Expenses$897,129$7,821$133,366$1,038,316
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Munson Healthcare Otsego Memorial HGaylord, MI3Capital Support$825,982
Munson Healthcare Otsego Memorial HGaylord, MI3Operational Support$47,279
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 6

Munson healthcare otsego memorial hospital is the sole member of munson healthcare otsego memorial hospital foundation.

Form 990, Page 6, Part VI, Line 7A

Ratification of election of trustees shall become effective only upon approval of the sole member.

Form 990, Page 6, Part VI, Line 7B

The following actions of the foundation shall become effective only upon approval of the sole member: a) amendment of the articles of incorporation or bylaws of the foundation; b) dissolution, merger, consolidation, reorganization or other change in the corporate structure of the foundation; c) sale, lease, exchange or other dispositions of all or substantially all of the assets of the foundation; d) acquisition of any other entity or establishment of any subsidiary or affiliate; e) adoption of the annual operating budget of the foundation; f) ratification of election of trustees; and g) any lending or borrowing of money by the foundation, the granting of any mortgage, security interest or lien in any property of the foundation and the guarantee by the foundation of any debt or obligation of any entity other than the hospital.

Form 990, Page 6, Part VI, Line 11B

The munson healthcare otsego memorial hospital foundation board is committed to the accuracy and thoroughness of the form 990 reporting. Munson healthcare otsego memorial hospital foundation belongs to the munson healthcare system. Munson healthcare is the parent company in the munson healthcare system, which undergoes an audit by an external audit firm. At the corporate level, the responsible individuals from the finance, administration, patient financial services, legal, human resources, public relations, and fund development departments prepare and review portions of the form 990. The compensation and leadership development committee reviews the compensation information contained in the core form as well as the schedule j information. The conflict, valuation and compliance committee oversees the conflict of interest disclosure process for board members and key employees to ensure compliance with the conflict of interest policy. The audit committee oversees the form 990 preparation process by ensuring proper controls, policies, people and resources are in place to produce an accurate return.

Form 990, Page 6, Part VI, Line 12C

The munson healthcare board of directors (the system parent organization) has a standing conflict, valuation and compliance ("cvc") committee. The cvc committee is composed of independent board and community members. The cvc committee is delegated authority by the board to review and approve the reasonableness/fair market value of financial transactions/arrangements with disqualified persons. Annually, each board member of munson healthcare and all of its subsidiary/controlled entities and all munson executives are required to complete a conflict of interest disclosure/questionnaire. The responses to the disclosure/questionnaire are reviewed by the munson legal department. Any financial arrangements/potential conflicts identified through the disclosure/questionnaires are presented to the cvc committee for its review and determination as to the reasonableness/fair market value. When an action item is considered by a board which involves a potential conflict by a board member, the conflict is disclosed and a board member will abstain from a vote on the action item, and, in addition, the board chair has the discretion/authority to request that the conflicted board member be excused from the meeting for an opportunity for the board to discuss the matter without the presence of the conflicted board member.

Form 990, Page 6, Part VI, Line 15A

The process for determining appropriate levels of pay for executive positions within munson healthcare system is carefully and thoughtfully directed by the munson healthcare board of directors, through the compensation and executive leadership development committee. The committee utilizes "best practices" methods of determining compensation and, as such, is composed of seven members whose voting members are independent. The committee is charged with ensuring that executive compensation is designed to attract and retain high quality, professional leadership while maintaining strong stewardship for the organization. Annually, the committee retains a national independent consultant to ensure that munson healthcare's compensation practices and levels are independently reviewed while being competitive and reasonable. The munson healthcare conflict, valuation and compliance ("cvc") committee also reviews the survey information to evaluate the reasonableness of executive compensation. That analysis occurs each november. Compensation levels reflect the scope of each executive's responsibilities, educational background, experience, and industry standing as well as individual and organizational performance. Annual compensation for munson healthcare system executives is determined, in part, by measurable progress toward the organization's goals including continued improvement in clinical quality, community health, and operational efficiencies. Munson healthcare's intent for executive base compensation is to be at the median when compared to like-size non-profit hospitals and healthcare systems.

Form 990, Page 6, Part VI, Line 15B

Compensation of other officers is consistent with that of the top executives of munson healthcare otsego memorial hospital foundation and munson healthcare.

Form 990, Page 6, Part VI, Line 19

The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Munson Healthcare Otsego Memorial
EIN
38-2135473
Address
825 N CENTER AVE, GAYLORD, MI 49735

Signing Officer

Name
Mark Hepler
Title
CFO
Signed
2021-05-13

Organization Details

Principal Officer
Debra Henderson
Formed
1976
Legal Domicile
Mi
Voting Board Members
12
Independent Board Members
7
Employees
0
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Contract services 0 0 133,366

Form 990, Part XI, Line 9

Tsf to munson healthcare foundations -2,839,165

Financial Statement Notes

Schedule D, Page 2, Part V, Line 4

Certain funds held by munson healthcare otsego memorial hospital foundation are intended for the operations and capital needs of munson healthcare otsego memorial hospital.

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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0CERTAIN FUNDS HELD BY MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL FOUNDATION ARE INTENDED FOR THE OPERATIONS AND CAPITAL NEEDS OF MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PAGE 2, PART V, LINE 4
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IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0THE MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL FOUNDATION AWARDS GRANTS TO THE MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL FOR SPECIFIC EQUIPMENT PURCHASES AND PROGRAM FUNDING. QUARTERLY, THE HOSPITAL REPORTS BACK TO THE MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL FOUNDATION BOARD WITH A DETAILED ACCOUNT OF PURCHASED ITEMS AND FUNDED PROGRAMS.
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