2024-11-11T13:15:46-06:00 2023-12-31 990 2023-01-01 222209721 MERCY HOSPITAL FOUNDATION MERC 7169232968 144 GENESEE STREET BUFFALO NY 14203 RUSSELL EDWARDS VP FINANCE/CORP. CONTROLLER 7169232968 2024-11-11 0 2023 2024-10-15 13:58:12Z RICHARD SERRA 144 GENESEE ST BUFFALO NY 14203 1397911 0 X WWW.CHSBUFFALO.ORG X 1978 NY SEE MISSION IN SCHEDULE OMERCY HOSPITAL FOUNDATION, INC. IS A CHARITABLE, NOT-FOR-PROFIT 501(C) 3 CORPORATION WITH THE PURPOSE OF RAISING NEW FUNDS AND STEWARDING RESOURCES WHICH SUPPORT, IMPROVE AND PROMOTE THE CARE AND SERVICES PROVIDED BY MERCY HOSPITAL OF BUFFALO, AND WNY CATHOLIC LONG TERM CARE, INC. DOING BUSINESS AS FATHER BAKER MANOR. 21 15 1 0 0 0 851872 603056 0 0 34180 111226 178359 112543 1064411 826825 272169 749523 0 0 302922 306411 0 0 227839 70870 65638 645961 1121572 418450 -294747 3091529 5086428 70608 2212631 3020921 2873797 X MERCY HOSPITAL FOUNDATION,INC. IS A CHARITABLE, NOT-FOR-PROFIT 501(C) 3 CORPORATION WITH THE PURPOSE OF RAISING NEW FUNDS AND STEWARDING RESOURCES WHICH SUPPORT, IMPROVE AND PROMOTE THE CARE AND SERVICES PROVIDED BY MERCY HOSPITAL OF BUFFALO, AND WNY CATHOLIC LONG TERM CARE, INC. DOING BUSINESS AS FATHER BAKER MANOR. 0 0 669353 669353 THE MERCY HOSPITAL FOUNDATION, INC. PROVIDED FUNDS FOR CAPITAL RENOVATIONS AND EQUIPMENT PURCHASES TO ENSURE THAT OUR CLINICAL CAREGIVERS HAVE ACCESS TO UP-TO-DATE FACILITIES AND STATE-OF-THE-ART TECHNOLOGY. 30393 30393 THE MERCY HOSPITAL FOUNDATION, INC. PROVIDED FUNDING FOR STAFF EDUCATION, INCLUDING THE REIMBURSEMENT OF TRAVEL AND LODGING EXPENSES AT NATIONAL CONFERENCES. IN ADDITION, THE FOUNDATION PROVIDED FUNDS FOR CONTINUING MEDICAL EDUCATION FOR PHYSICIANS, AS WELL AS "LUNCH & LEARN" PROGRAMS TO BENEFIT THE STAFF. 63798 63798 THE MERCY HOSPITAL FOUNDATION, INC. ALSO SERVED AS AN IMPORTANT VEHICLE FOR ASSOCIATE AWARDS AND RECOGNITION, UNDERWRITING THE EXPENSES ASSOCIATED WITH NURSES WEEK, INFECTION CONTROL WEEK, AND BREAST HEALTH AWARENESS WEEK. THE FOUNDATION SUPPORTED WORKPLACE SPIRITUALITY THROUGH SUPPORT OF THE PASTORAL CARE PROGRAM AND THE MERCY HOSPITAL CHAPEL. THE FOUNDATION MAINTAINED FUNDS TO SUPPORT AUDIO/VISUAL EQUIPMENT WITHIN THE CHAPEL FOR VIRTUAL MASSES THROUGHOUT PATIENT ROOMS. THE FOUNDATION SPONSORED A VARIETY OF COMMUNITY EVENTS EACH YEAR TO PROMOTE AWARENESS OF MERCY HOSPITAL OF BUFFALO AND HEALTH-RELATED ISSUES. 763544 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 21 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X RUSSELL EDWARDS VP FINANCECORPORA 7169232968 144 GENESEE STREET BUFFALO NY 14203 MARK A SULLIVAN PRESIDENT & CEO 0.00 55.00 X 0 1635876 104188 DR JEFFREY STEINIG DIRECTOR 0.00 55.00 X 0 223591 44506 SHARON PRISE AZURIN VICE CHAIR 0.00 4.00 X X 0 0 0 LAURA M BICKERT SECRETARY 0.00 4.00 X X 0 0 0 MARTIN GRIFFITH DIRECTOR 0.00 4.00 X 0 0 0 VINCENT O HANLEY DIRECTOR 0.00 4.00 X 0 0 0 RURIK C JOHNSON MD DIRECTOR 0.00 4.00 X 0 0 0 DANIEL JOYCE DIRECTOR 0.00 4.00 X 0 0 0 RICHARD SERRA CHAIRMAN 0.00 8.00 X X 0 0 0 JOHN SHAFLUCAS DIRECTOR 0.00 4.00 X 0 0 0 JAMES TILLEY TREASURER 0.00 4.00 X X 0 0 0 BRYAN C WITTMAN DIRECTOR 0.00 4.00 X 0 0 0 KENNETH ECKHERT MD DIRECTOR 0.00 4.00 X 0 0 0 DEANNA MESSINGER EXECUTIVE DIRECTOR 55.00 0.00 X 99181 0 30193 MARY C SZABAT DIRECTOR 0.00 4.00 X 0 0 0 JAMES GOTTSTINE DIRECTOR 0.00 4.00 X 0 0 0 ROSEMARY OLCHAWSKI DIRECTOR 0.00 4.00 X 0 0 0 DANIEL RAMSEY DIRECTOR 0.00 4.00 X 0 0 0 JOHN RUSSO JR DIRECTOR 0.00 4.00 X 0 0 0 RICHARD GREENAWALT DIRECTOR 0.00 4.00 X 0 0 0 MARTIN BORYSZAK SR.VP OF ACUTE CARE & PRESIDENT MHB 0.00 55.00 X 0 597531 56537 JOYCE MARKIEWICZ CHIEF BUSINESS DEVELOPMENT OFFICER, PRESIDENT&CEO 0.00 55.00 X 0 1086472 81890 99181 3543470 317314 1 0 1 0 0 70783 532273 603056 60167 60167 560250 509191 51059 51059 51059 138762 70783 61895 76867 76867 MISCELLANEOUS INCOME 623990 92517 92517 LIFE INSURANCE CSV EXP 623990 -56841 -56841 35676 826825 0 0 223769 749523 749523 140216 14021 28043 98152 128184 51649 76535 28212 10892 17320 9799 3951 5848 8600 8600 13445 13445 4836 4836 1512 1512 DIRECT MAIL 25862 25862 CONTRACTUAL 8263 8263 DONOR RELATIONS 2610 2610 BAD DEBT 510 510 1121572 763544 130189 227839 630855 252116 2003208 70336 258255 488 6404 9126 9126 0 0 1954847 2206579 435003 359866 3091529 5086428 2000000 70608 212631 70608 2212631 X 1275604 1254796 1745317 1619001 3020921 2873797 3091529 5086428 -294747 147623 0 X 0 1 X 1 0 X 1282235 548484 529007 851872 603056 3814654 1282235 548484 529007 851872 603056 3814654 1736580 2078074 45521 36589 45964 39452 60167 227693 4042347 1033869 0.51410 0.54470 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1147362 142766 1290128 1037703 109659 1147362 896026 141677 1037703 782204 113822 896026 692400 89804 782204 0.09500 0.90500 0 0 9126 9126 0 0 CASH SURRENDER VALUE OF LIFE INSURANCE POLICIES 357816 DUE FROM AFFILIATES 2050 359866 PAYABLE TO AFFILIATES 212631 212631 X 1036343 147623 61895 209518 826825 0 826825 1183467 61895 61895 1121572 0 1121572 PART V, LINE 4: THE ENDOWMENT FUND IS TO ENABLE PRESERVATION OF PURCHASING POWER AS WELL AS TO ENSURE MAINTENANCE OF THE DONOR'S INTENT. PART X, LINE 2: THE FOUNDATION IS A NOT-FOR-PROFIT ORGANIZATION EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS CLASSIFIED BY THE INTERNAL REVENUE SERVICE AS OTHER THAN A PRIVATE FOUNDATION. THE FOUNDATION HAS CONSIDERED THE RECOGNITION REQUIREMENTS FOR UNCERTAIN INCOME TAX POSITIONS. THE FOUNDATION BELIEVES THAT ITS INCOME TAX FILING POSITIONS WOULD BE SUSTAINED UPON EXAMINATION, AND DOES NOT ANTICIPATE ANY ADJUSTMENTS THAT WOULD RESULT IN A MATERIAL ADVERSE AFFECT ON THE FOUNDATION'S FINANCIAL CONDITION. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES - NETTED AGAINST REVENUE 61,895. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES - NETTED AGAINST REVENUE 61,895. GALA 160761 54408 106353 410 18580 16705 3091 3567 GOLF-WANAKAH 27441 9400 18041 2373 1444 3288 4188 399 1 21343 6975 14368 538 763 2700 3450 399 209545 70783 138762 3321 20787 22693 10729 4365 61895 76867 1 MERCY HOSPITAL OF BUFFALO 565 ABBOTT ROAD BUFFALO NY 14220 160756336 501(C)(3) 749523 0 THE GRANT IS TO BE USED TO SUPPORT THE SERVICES OF THE HOSPITAL X X X X X 1 0 0 0 0 0 0 0 0 MARK A SULLIVAN PRESIDENT & CEO 0 926960 0 0 0 708916 0 86783 0 17405 0 1740064 0 0 JOYCE MARKIEWICZ CHIEF BUSINESS DEVELOPMENT OFFICER, 0 970344 0 25 0 116103 0 64816 0 17074 0 1168362 0 0 MARTIN BORYSZAK SR.VP OF ACUTE CARE & PRESIDENT MHB 0 580304 0 0 0 17227 0 32978 0 23559 0 654068 0 0 DR JEFFREY STEINIG DIRECTOR 0 222189 0 0 0 1402 0 27849 0 16657 0 268097 0 0 PART I, LINE 4A SEVERANCE PAYMENTS WERE MADE TO: MARK SULLIVAN $330,113 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. FORM 990, PART VI, SECTION A, LINE 6 MERCY HOSPITAL OF BUFFALO IS THE SOLE CORPORATE MEMBER OF THE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A MERCY HOSPITAL OF BUFFALO IS THE SOLE CORPORATE MEMBER OF THE FOUNDATION AND APPROVES THE APPOINTMENT OF ALL MEMBERS OF THE FOUNDATION BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B MERCY HOSPITAL OF BUFFALO IS THE SOLE CORPORATE MEMBER OF THE FOUNDATION, AND APPROVES THE FOUNDATION'S ANNUAL BUDGET AS WELL AS THE ANNUAL SLATE OF OFFICERS. FORM 990, PART VI, SECTION B, LINE 11B YES, AN ELECTRONIC COPY OF THE FORM 990 WAS PROVIDED TO THE FOUNDATION BOARD OF DIRECTORS BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE OF THE BOARD, 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. EACH DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 IN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVE DIRECTOR, THE SOLE CORPORATE MEMBER, MERCY HOSPITAL OF BUFFALO, A RELATED ORGANIZATION, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. FORM 990, PART VI, SECTION C, LINE 19 WE MAKE OUR FORM 990 OPEN FOR PUBLIC INSPECTION UPON REQUEST. OUR FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE PROVIDED UPON REQUEST ACCORDING TO APPLICABLE FEDERAL AND STATE LAWS. MERCY HOSPITAL OF BUFFALO 565 ABBOTT ROAD BUFFALO NY 14220 160756336 ACUTE CARE HOSPITAL NY 501(C)(3) LINE 3 CATHOLIC HEALTH SYSTEM INC 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1