2023-11-14T11:40:34-06:00 2022-12-31 990 2022-01-01 161317960 Mercy Home Care MERC 7168282974 144 Genesee Street Buffalo NY 14203 Russell Edwards VP Finance Corp Controller CHS 7169232968 2023-11-14 Russell Edwards 999009999 0 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Mercy Home Care of WNY Mark Sullivan 144 Genesee Street Buffalo NY 14203 6075782 0 X www.chsbuffalo.org X 1988 NY The Mission of Mercy Home Care, as part of the Catholic Health System (CHS) in Western New York, is to provide quality healthcare services in a home care setting. Committed to a common mission, the providers of Mercy Home Care continue the healing ministry of Jesus, seeking to improve the health of individuals and communities. We provide high quality service that has reverence, compassion, justice, and excellence. The 2022 Community Service Plan can be found at https://www.chsbuffalo.org/about-us/community 12 8 141 0 0 0 820640 739760 5853732 5362212 1812 730 -69617 -26920 6606567 6075782 0 0 0 0 6081150 6139072 0 0 0 784747 462379 6865897 6601451 -259330 -525669 4199398 3377276 4218906 3433000 -19508 -55724 X The Mission of Mercy Home Care, as part of the Catholic Health System (CHS) in Western New York, is to provide quality healthcare services in a home care setting. Committed to a common mission, the providers of Mercy Home Care continue the healing ministry of Jesus, seeking to improve the health of individuals and communities. We provide high quality service that has reverence, compassion, justice, and excellence. The 2022 Community Service Plan can be found at https://www.chsbuffalo.org/about-us/community 0 0 5664661 5362942 Throughout 2022, the staff at Niagara Homemaker Services, Inc. delivered 103,459 HHA hours of care. Additionally, 602 PCA hours were also made. Our registered nurses visits totalled 134 hours. The Home Response program monitored an average of 1,455 units/month during 2022. 5664661 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 4 0 1 141 1 0 0 0 0 0 0 0 0 0 0 X 12 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X X Russell Edwards 7169232968 144 Genesee Street Buffalo NY 14203 Mark Sullivan President and CEO 1.00 55.00 X X 0 1314161 25888 Walter Ludwig Director 1.00 55.00 X 0 351681 49177 Russell Edwards VP Finance, Corp Controller 1.00 55.00 X 0 222888 469 Charles Urlaub Director 1.00 55.00 X 0 459970 20170 Eddie Bratko Director 1.00 55.00 X 0 335523 13771 Aaron Chang President and CEO, SOC 1.00 55.00 X 0 322970 27367 Thomas Gleason President and CEO, HCBC 1.00 55.00 X X 0 256724 19299 Kevin Keenan Director 0.00 4.00 X 0 0 0 Monsignor Robert E Zapfel Director - Vice Chair 0.00 4.00 X 0 0 0 Ellen Grant Director 0.00 4.00 X 0 0 0 Alexis Agnello Director 0.00 4.00 X 0 0 0 Sister Marcia Ann Fiutko Director 0.00 4.00 X 0 0 0 Nelson J Grimm PhD Director 0.00 4.00 X 0 0 0 Emily H Jerge MS RN CHSE Director 0.00 4.00 X 0 0 0 Toni Murphy DO Director 0.00 4.00 X 0 0 0 Joyce Markiewicz Chief Business Development 1.00 55.00 X 0 561183 52362 David Macholz Chief Financial Officer 1.00 55.00 X 0 624031 15718 Dr Michael Galang Senior VP, Chief Informati 1.00 55.00 X 0 481207 46473 Dr Hans Cassagnol Executive VP, Chief Physic 1.00 55.00 X 0 623902 30244 William Pryor Executive VP, Chief Admin 1.00 55.00 X 0 653255 48421 Bartholomew Rodrigues Chief Mission Officer 1.00 55.00 X 0 265426 53262 James Garvey Executive VP, Chief Operat 1.00 55.00 X 0 725997 40539 Rebecca McCormick Boyle Chief Integration Officer 1.00 55.00 X 0 242893 19523 Leonardo Sette-Camara General Cousel-Secretary 1.00 55.00 X 0 328158 19941 Lisa Cilano Senior VP, RMC & Business 1.00 55.00 X 0 337403 -281620 Martin Boryszak Senior VP, Acute Care 1.00 55.00 X 0 540613 10178 Darlene Iarocci Case Manager 55.00 X 101433 0 29483 Cathleen Manteghi Registered Nurse 55.00 X 100376 0 15083 Gary Tucker Director-Former 0.00 X 0 58332 -2852 201809 8706317 252896 2 1 1 0 Valued Relationships Inc 8397 Solutions Center Chicago IL 60677 Personal Monitoring Services 224894 1 739760 739760 Program Service Revenue 621610 5362212 5362212 5362212 730 730 Alloc from CHS 621610 4741 4741 Alloc from CHS Non Operating 621610 200 200 Net Periodic Pension Cost 621610 -31861 -31861 -26920 6075782 5362942 0 -26920 4769465 4022876 746589 267504 225630 41874 777190 655532 121658 324913 274053 50860 25000 25000 346652 253713 92939 9400 2000 7400 167418 146628 20790 23741 13210 10531 75977 68900 7077 548 548 22072 22072 -216823 -216823 CHS Dues 9039 9039 Other -645 1571 -2216 6601451 5664661 936790 0 473329 296669 3238095 2609154 487974 471453 4199398 3377276 3156030 2699121 1062876 733879 4218906 3433000 X 0 0 0 0 -19508 -55724 -19508 -55724 4199398 3377276 X -525669 489453 X 0 1 X 1 0 X 152362 1228358 897905 820640 739760 3839025 6519058 6895675 6194529 5853732 5362212 30825206 6671420 8124033 7092434 6674372 6101972 34664231 0 0 0 34664231 34552 29951 4167 1812 730 71212 34552 29951 4167 1812 730 71212 -41012 -27809 -69346 -69617 -26920 -234704 6664960 8126175 7027255 6606567 6075782 34500739 1.00000 1.00000 0.00210 0.00240 X 0 Workers Comp Recovery 384732 Medical Malpractice Recovery 78303 ROU Asset 8418 471453 Accrued Workers Comp 628155 Accrued Medical Malpractice 101594 LT Operating Lease 4130 733879 X X X X X X 1 0 0 0 0 0 0 0 0 Mark Sullivan President and CEO 0 983779 0 62939 0 267443 0 9215 0 16673 0 1340049 0 0 James Garvey Executive VP, Chief Operat 0 682362 0 0 0 43635 0 24133 0 16406 0 766536 0 0 William Pryor Executive VP, Chief Admin 0 612232 0 25 0 40998 0 25808 0 22613 0 701676 0 0 Dr Hans Cassagnol Executive VP, Chief Physic 0 586116 0 0 0 37786 0 7654 0 22590 0 654146 0 0 David Macholz Chief Financial Officer 0 606188 0 0 0 17843 0 -5919 0 21637 0 639749 0 0 Joyce Markiewicz Chief Business Development 0 541076 0 0 0 20107 0 36124 0 16238 0 613545 0 0 Martin Boryszak Senior VP, Acute Care 0 498780 0 25000 0 16833 0 -12319 0 22497 0 550791 0 0 Dr Michael Galang Senior VP, Chief Informati 0 464914 0 0 0 16293 0 38161 0 8312 0 527680 0 0 Charles Urlaub Director 0 417240 0 0 0 42730 0 11880 0 8290 0 480140 0 0 Walter Ludwig Director 0 333184 0 0 0 18497 0 33122 0 16055 0 400858 0 0 Aaron Chang President and CEO, SOC 0 306394 0 0 0 16576 0 5047 0 22320 0 350337 0 0 Eddie Bratko Director 0 299357 0 25 0 36141 0 -8560 0 22331 0 349294 0 0 Leonardo Sette-Camara General Cousel-Secretary 0 327603 0 25 0 530 0 -2400 0 22341 0 348099 0 0 Bartholomew Rodrigues Chief Mission Officer 0 226968 0 25 0 38433 0 30997 0 22265 0 318688 0 0 Thomas Gleason President and CEO, HCBC 0 256371 0 0 0 353 0 -2958 0 22257 0 276023 0 0 Rebecca McCormick Boyle Chief Integration Officer 0 232874 0 0 0 10019 0 19291 0 232 0 262416 0 0 Russell Edwards VP Finance, Corp Controller 0 202179 0 0 0 20709 0 -7619 0 8088 0 223357 0 0 Lisa Cilano Senior VP, RMC & Business 0 319655 0 25 0 17723 0 -295309 0 13689 0 55783 0 0 Gary Tucker Director-Former 0 28820 0 0 0 29512 0 -3392 0 540 0 55480 0 0 Part I, Line 4a Severance Payments/Change of Control Payments were made to: Gary Tucker: $11,551.97 Part II Column C The change in present value shown for each participant represents the change in the actuarial value of the accrued benefit, whether or not funded, vested or subject to substantial risk of forfeiture. Note that the change in present value is partly due to changes in the discount rate and, for those accruing under the cash balance formula, the assumptions for future cash balance interest crediting rates and factors applicable to annuity conversions. Susan Urlaub Wife of Mercy CEO, C.J. Urlaub 102515 Clinical Documentation Specialist, SCH/SJC 0 Rachel Markiewicz Daughter in Law of Chief Business Development Officer, Joyce Markiewicz 60528 Social Worker, MSW 0 Carrie Sette-Camara Wife of Key Employee, Leonardo Sette-Camara 91142 Public Relations Manager, Sisters 0 David A Macholz Nephew of Chief Financial Officer, David Macholz 15904 Network Technical Analyst, CHS 0 Form 990, Part VI, Section A, line 6 CHS has two members: The Franciscan Sisters of St. Joseph of Hamburg, NY, and the Diocese of Buffalo, NY. Each member is able to participate equally in electing the governing body, and have the power to approve any plan of dissolution of the corporation and the distribution of the assets upon dissolution, according to the CHS Bylaws. Form 990, Part VI, Section A, line 7a According to the CHS Bylaws, each member is equally allowed to appoint one representative and one alternative representative to serve on the Corporate Member Council and to serve as a voting director on the Catholic Health System Board of Directors. Form 990, Part VI, Section A, line 7b Yes, the corporate members do have reserve powers. Form 990, Part VI, Section B, line 11b Yes, an electronic copy of the Form 990 was provided to the CHS Boards of Directors before it was filed. The CHS Board of Directors has delegated the responsibility to review the 990 to the Audit Committee. The CHS Audit Committee reviewed in detail selected information for all CHS entities that file a 990. Reviewed with the Audit Committee: 1. Core Form Part IV: Checklist of required schedules 2. Core Form Part VI: Governance, Management and Disclosure 3. Core Form Part VII: Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees and Independent Contractors 4. Schedule H: Hospitals 5. Schedule K: Supplemental information on Tax Exempt Bonds 6. Schedule J: Compensation Information 7. Schedule L: Transactions with Interested Persons 8. Schedule R: Related Organizations and Unrelated Partnerships 9. Process for which remaining Core Form was completed, utilizing audited financial information Form 990, Part VI, Section B, line 12c All officers, directors, and key employees complete a Conflict of Interest Disclosure Statement (COIDS) in order to fulfill the annual requirements. COIDS are distributed to all parties, as per applicable policy, and once complete are followed up with as follows: 1. Associate and Physician completed COIDS are reviewed and signed off by the manager. If a disclosure is noted, it is discussed with the manager, and the document is forwarded to the Compliance officer who reviews and follows up as appropriate. Once review/follow up is completed the Compliance Officer will sign the COIDS, maintain a copy in the compliance office and return the original to HR for filing in the Personnel file. 2. All board member COIDS are returned to Compliance Officer for review and follow up as warranted. The compliance officer will sign each COIDS and retain on file in the compliance office in a confidential manner. Form 990, Part VI, Section B, line 15 CHS, in determining the compensation for the CEO, utilizes a process of review and approval, governed by the Board of Directors that includes an outside nationally recognized independent compensation consultant experienced in compensation and benefit matters for non-profit healthcare organizations, and comparability data. In 2022, the Catholic Health System utilized a Compensation Committee of the Board of Directors to monitor the Executive Compensation as per the Executive Compensation Philosophy and Strategy for the CHS CEO and top Senior Executives. Form 990, Part VI, Section C, line 19 We make our form 990 open for public inspection upon request. Our website includes an annual report which includes selected financial information. Our financial statements, governing documents and conflict of interest policy are provided upon request according to applicable federal and state laws. Form 990, Part XI, line 9: Minimum Pension Liability 484,853. Epic Error Suspense 4,600. 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