2024-11-11T13:12:03-06:00 2023-12-31 990 2023-01-01 161360884 MOUNT ST MARY'S HOSPITAL FOUNDATION INC MOUN 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 ROBERT INGRASCI 144 GENESEE ST BUFFALO NY 14203 2769782 0 X WWW.CHSBUFFALO.ORG X 1989 NY SEE MISSION IN SCHEDULE OTHE MOUNT ST. MARY'S HOSPITAL FOUNDATION IS A CHARITABLE, NOT-FOR-PROFIT 501( C) 3 CORPORATION WITH THE SOLE PURPOSE OF RAISING FUNDS FOR THE BENEFIT OF MOUNT ST. MARY'S HOSPITAL IN LEWISTON, NY. 17 12 1 10 0 0 701991 546805 0 0 22632 67715 108457 43055 833080 657575 252079 2021131 0 0 330833 290311 0 0 209930 93527 94561 676439 2406003 156641 -1748428 11717301 9124425 1943744 97677 9773557 9026748 THE MOUNT ST. MARY'S HOSPITAL FOUNDATION IS A CHARITABLE, NOT-FOR-PROFIT 501(C)(3) CORPORATION WITH THE SOLE PURPOSE OF RAISING FUNDS FOR THE BENEFIT OF MOUNT ST. MARY'S HOSPITAL IN LEWISTON, NY. 0 0 1919597 1919597 MOUNT ST. MARY'S HOSPITAL FOUNDATION 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. 25665 25665 MOUNT ST. MARY'S HOSPITAL FOUNDATION PROVIDED FUNDING FOR STAFF EDUCATION AND MEDICAL EDUCATION FOR PHYSICIANS INCLUDING THE REIMBURSEMENT OF TRAVEL AND LODGING EXPENSES. THE FOUNDATION SUPPORTED ASSOCIATE RETENTION AND HEALTH INITIATIVES BY FURNISHING INCREASED GYM EQUIPMENT AND SPONSORING THE SERENITY ROOM. MAINTAINED FUNDS TO SUPPORT SPIRITUAL CARE AND SPONSORED SEVERAL PROGRAMS TO CREATE A HEALTHIER COMMUNITY. 88280 88280 MOUNT ST. MARY'S HOSPITAL FOUNDATION SERVED AN IMPORTANT ROLE IN THE COMMUNITY PROVIDING A WIDE RANGE OF SERVICES TO ADDRESS MANY LEVELS OF CARE BY SUPPORTING THE NEIGHBORHOOD FAMILY CARE CENTER. 2033542 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 1 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 X 17 12 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 CHARLES J URLAUB SR VP SPI & CARE DELIVERY NC PRESI 0.00 55.00 X 0 486698 75182 MARY KNOTTS DIRECTOR 0.00 4.00 X 0 0 0 DAVID MARIES DIRECTOR 0.00 4.00 X 0 0 0 MARTIN SHIMMEL DIRECTOR 0.00 4.00 X 0 0 0 ANTHONY EUGENI VICE CHAIRMAN 0.00 4.00 X X 0 0 0 ROBERT INGRASCI CHAIRMAN 0.00 8.00 X X 0 0 0 PATRICIA A MISKO EXECUTIVE DIRECTOR 55.00 0.00 X 114567 0 1966 THOMAS AUSTEN DIRECTOR 0.00 4.00 X 0 0 0 GEOFFREY MCDERMID DIRECTOR 0.00 4.00 X 0 0 0 LAURA MARKLE TREASURER 0.00 4.00 X X 0 0 0 DOUGLAS RAHAM DIRECTOR 0.00 4.00 X 0 0 0 MARY MURPHY DIRECTOR 0.00 4.00 X 0 0 0 JOAN AUL DIRECTOR 0.00 4.00 X 0 0 0 LYN DYSTER DIRECTOR 0.00 4.00 X 0 0 0 DONALD LARGO MD DIRECTOR 0.00 55.00 X 0 307043 46052 ROBERT TAYLOR MD DIRECTOR 0.00 4.00 X 0 0 0 ANTHONY DELMONTE JR DIRECTOR 0.00 4.00 X 0 0 0 JOYCE MARKIEWICZ CHIEF BUSINESS DEVELOPMENT OFFICER, PRESIDENT&CEO 0.00 55.00 X 0 1086472 81890 114567 3516089 309278 1 0 1 0 0 70783 476022 546805 180578 180578 1937449 2050312 -112863 -112863 -112863 91562 70783 61895 29667 29667 MISCELLANEOUS INCOME 623990 13388 13388 13388 657575 0 0 110770 2021131 2021131 124112 12411 24822 86879 128184 51649 76535 28217 10892 17325 9798 3952 5846 12300 12300 49722 49722 655 655 1432 1432 455 455 1064 1064 DIRECT MAILING 17587 17587 CONTRACTUAL 7020 7020 DONOR RELATIONS 4326 4326 2406003 2033542 162531 209930 2733971 1138612 1886112 502487 719705 79767 319 6895 19222 16114 4172 3108 6372722 7391506 300 2050 11717301 9124425 1943744 97677 1943744 97677 X 4293931 5128760 5479626 3897988 9773557 9026748 11717301 9124425 -1748428 1001619 0 X 0 1 X 1 0 X 509473 460479 3561448 701991 546805 5780196 509473 460479 3561448 701991 546805 5780196 2878298 2901898 117108 107520 101003 144455 180578 650664 6430860 575537 0.45120 0.55970 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 77995 8935 86930 92853 -14858 77995 92520 333 92853 77069 15451 92520 76073 996 77069 0.42180 0.57820 0 0 19222 16114 3108 3108 DUE TO AFFILIATE 97677 97677 X 1721089 1001619 61895 1063514 657575 0 657575 2467898 61895 61895 2406003 0 2406003 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 DIRECT EXPENSES 61,895. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING (SPECIAL EVENTS) DIRECT EXPENSES 61,895. GALA 113562 54408 59154 410 18579 16705 3093 3567 GOLF-WANAKAH 27441 9400 18041 2373 1444 3288 4188 398 1 21342 6975 14367 538 763 2700 3450 399 162345 70783 91562 3321 20786 22693 10731 4364 61895 29667 1 MOUNT ST MARY'S HOSPITAL 5300 MILITARY ROAD LEWISTON NY 14092 161523353 501(C)(3) 2021131 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 CHARLES J URLAUB SR VP SPI & CARE DELIVERY NC PRESI 0 464188 0 0 0 22510 0 66520 0 8662 0 561880 0 0 DONALD LARGO MD DIRECTOR 0 300863 0 0 0 6180 0 29326 0 16726 0 353095 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. SUSAN URLAUB WIFE OF PRESIDENT & MSM CEO, C.J. URLAUB 102515 CLINICAL DOCUMENTATION SPECIALIST 0 FORM 990, PART VI, SECTION A, LINE 6 MOUNT ST. MARY'S HOSPITAL IS THE SOLE CORPORATE MEMBER OF THE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A MOUNT ST. MARY'S HOSPITAL, THE SOLE CORPORATE MEMBER OF THE FOUNDATION, APPROVES THE APPOINTMENT OF ALL MEMBERS OF THE FOUNDATION BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B MOUNT ST. MARY'S HOSPITAL, THE SOLE CORPORATE MEMBER OF THE FOUNDATION, 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, MOUNT ST. MARY'S HOSPITAL, THE SOLE CORPORATE MEMBER, 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. MOUNT ST MARY'S HOSPITAL OF NIAGARA FALLS 5300 MILITARY ROAD LEWISTON NY 14092 161523353 ACUTE CARE HOSPITAL NY 501C(3) LINE 3 CATHOLIC HEALTH SYSTEMS INC 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1