2024-11-11T12:36:25-06:00 2023-12-31 990 2023-01-01 161162971 KENMORE MERCY FOUNDATION KENM 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 DANIEL PAOLINI 144 GENESEE ST BUFFALO NY 14203 1282476 0 X WWW.CHSBUFFALO.ORG X 1980 NY SEE MISSION IN SCHEDULE OTHE KENMORE MERCY HOSPITAL FOUNDATION IS A CHARITABLE, NOT-FOR-PROFIT 501( C) 3 CORPORATION WITH THE SOLE PURPOSE OF RAISING FUNDS FOR THE BENEFIT OF KENMORE MERCY HOSPITAL IN KENMORE, NY. 18 12 1 0 0 0 449436 780971 0 0 120818 48013 127985 29667 698239 858651 291057 410419 0 0 310891 315294 0 0 229082 64412 70304 666360 796017 31879 62634 3975810 4361685 88746 81727 3887064 4279958 THE KENMORE MERCY HOSPITAL FOUNDATION IS A CHARITABLE, NOT-FOR-PROFIT 501( C) 3 CORPORATION WITH THE SOLE PURPOSE OF RAISING FUNDS FOR THE BENEFIT OF KENMORE MERCY HOSPITAL IN KENMORE, NY. 0 0 316048 316048 THE KENMORE MERCY 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. 69572 69572 THE KENMORE MERCY FOUNDATION PROVIDED FUNDING FOR STAFF EDUCATION, INCLUDING THE REIMBURSEMENT OF TRAVEL AND LODGING EXPENSES AT NATIONAL CONFERENCES. IN ADDITION, PROVIDED "LUNCH & LEARN" PROGRAMS TO BENEFIT THE STAFF. THE KENMORE MERCY FOUNDATION ALSO SERVED AS AN IMPORTANT VEHICLE FOR ASSOCIATE AWARDS AND RECOGNITION. 39709 39709 THE KENMORE MERCY FOUNDATION PROVIDED FUNDING FOR HEALTHY ACTIVITIES AND CRITICAL PATIENT-FOCUSED PRIORITY PROJECTS/PROGRAMS FOR OUR COMMUNITY. 425329 1 1 0 0 0 0 0 0 0 0 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 X 18 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 WALTER F LUDWIG PRESIDENT & CEO KMF 0.00 55.00 X 0 370404 61647 DOROTHY FERGUSON DIRECTOR 0.00 4.00 X 0 0 0 NICHOLAS SALVATORE DIRECTOR 0.00 4.00 X 0 0 0 DANIEL PAOLINI CHAIRMAN 0.00 8.00 X X 0 0 0 TODD J POTTER JR DIRECTOR 0.00 4.00 X 0 0 0 DONALD M SLATE II MD DIRECTOR 0.00 4.00 X 0 0 0 LEE ANN VOGT SECRETARY 0.00 4.00 X X 0 0 0 ANTHONY BH HABIB DIRECTOR 0.00 4.00 X 0 0 0 MARK KELLER DIRECTOR 0.00 4.00 X 0 0 0 RAYMOND P CRANE CPA VICE CHAIR 0.00 4.00 X X 0 0 0 SUSAN JANDZINSKI EXECUTIVE DIRECTOR 55.00 0.00 X 109997 0 39096 MICHAEL GOUGH MD DIRECTOR 0.00 55.00 X 0 460553 47918 MARK TILLMANNS TREASURER 0.00 4.00 X X 0 0 0 DAVID MINEO DIRECTOR 0.00 4.00 X 0 0 0 JAMES MILLARD DIRECTOR 0.00 4.00 X 0 0 0 MICHAEL SZYMONIAK 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 RYAN SCHULTZ DIRECTOR 0.00 4.00 X 0 0 0 109997 3553305 334739 1 0 1 0 0 70783 710188 780971 65166 65166 344777 361930 -17153 -17153 -17153 91562 70783 61895 29667 29667 858651 0 0 77680 410419 410419 149099 14910 29820 104369 128184 51649 76535 28212 10892 17320 9799 3951 5848 9650 9650 17287 17287 1404 1404 1428 1428 487 487 1047 1047 795 795 DIRECT MAIL 18697 18697 CONTRACTUAL 8263 8263 BAD DEBTS 6361 6361 DONOR RELATIONS/MEALS 4885 4885 796017 425329 141606 229082 934489 58607 547776 548403 897736 195 6023 79197 79197 0 0 2488304 2848493 4419 3050 3975810 4361685 88746 81727 88746 81727 X 2774469 2716015 1112595 1563943 3887064 4279958 3975810 4361685 62634 330260 0 X 0 1 X 1 0 X 505449 237783 1032530 449436 780971 3006169 505449 237783 1032530 449436 780971 3006169 654546 2351623 86960 64957 73015 54473 65166 344571 3350740 726169 0.70180 0.63720 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 79197 79197 0 0 DUE TO AFFILIATES 81727 81727 X 1250806 330260 61895 392155 858651 0 858651 857912 61895 61895 796017 0 796017 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: SPECIAL EVENTS EXPENSE 61,895. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSE 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 KENMORE MERCY HOSPITAL 2950 ELMWOOD AVENUE KENMORE NY 14217 160762843 501(C)(3) 410419 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 MICHAEL GOUGH MD DIRECTOR 0 459904 0 25 0 624 0 24533 0 23385 0 508471 0 0 WALTER F LUDWIG PRESIDENT & CEO KMF 0 349597 0 0 0 20807 0 44872 0 16775 0 432051 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 KENMORE MERCY HOSPITAL OF KENMORE, NY IS THE SOLE CORPORATE MEMBER OF THE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A KENMORE MERCY HOSPITAL OF KENMORE, NY IS 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 KENMORE MERCY HOSPITAL OF KENMORE, NY 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, KENMORE MERCY HOSPITAL, 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. KENMORE MERCY HOSPITAL 2950 ELMWOOD AVENUE KENMORE NY 14217 160762843 ACUTE CARE HOSPITAL NY 501(C)(3) LINE 3 CATHOLIC HEALTH SYSTEM 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1