MOUNT ST MARYS HOSPITAL OF NIAGARA FALLS: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- MOUNT ST MARYS HOSPITAL OF NIAGARA FALLS (EIN 16-1523353)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-13
- IRS object ID
- 202323179349305902
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-13T12:17:20-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161523353 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mount St Mary's Hospital | BusinessNameLine1Txt |
| Business Name Line2 | of Niagara Falls | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MOUN | BusinessNameControlTxt |
| Phone | 7168282974 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 144 Genesee St | AddressLine1Txt |
| City | Buffalo | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14203 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Russell Edwards | PersonNm |
| Person Title | VP Finance/Corp. Controller | PersonTitleTxt |
| Phone | 7169232968 | PhoneNum |
| Signature | 2023-11-13 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Russell | PersonFirstNm |
| Person Last | Edwards | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Mark Sullivan | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 144 Genesee Street Administration | AddressLine1Txt |
| Address Line2 | 6th Floor | AddressLine2Txt |
| City | Buffalo | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $107,224,283 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.chsbuffalo.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1907 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | The Mission of Mount St. Mary's Hospital of Niagara Falls, as part of the Catholic Health System (CHS) in Western New York, is to provide quality healthcare services in an acute care setting. Committed to a common mission, the providers of Mount St. Mary's Hospital of Niagara Falls 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 | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 925 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,403,221 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,791,498 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $100,495,482 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $103,274,474 | CYProgramServiceRevenueAmt |
| PY Investment Income | $76,508 | PYInvestmentIncomeAmt |
| CY Investment Income | $58,532 | CYInvestmentIncomeAmt |
| PY Other Revenue | $15,055,202 | PYOtherRevenueAmt |
| CY Other Revenue | $2,099,779 | CYOtherRevenueAmt |
| PY Total Revenue | $119,030,413 | PYTotalRevenueAmt |
| CY Total Revenue | $107,224,283 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $62,512,637 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $74,857,003 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $57,175,848 | PYOtherExpensesAmt |
| CY Other Expenses | $53,485,440 | CYOtherExpensesAmt |
| PY Total Expenses | $119,688,485 | PYTotalExpensesAmt |
| CY Total Expenses | $128,342,443 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$658,072 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$21,118,160 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $85,822,879 | TotalAssetsBOYAmt |
| Total Assets EOY | $123,818,443 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $65,462,076 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $124,725,054 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $20,360,803 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$906,611 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The Mission of Mount St. Mary's Hospital of Niagara Falls, as part of the Catholic Health System (CHS) in Western New York, is to provide quality healthcare services in an acute care setting. Committed to a common mission, the providers of Mount St. Mary's Hospital 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 | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $40,779,111 | ExpenseAmt |
| Revenue | $39,689,954 | RevenueAmt |
| Desc | Inpatient Routine/Surgery Visits:Acute Care Patient Days = 16,397Newborn Patient Days = 745Inpatient Surgeries = 622 | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $49,449,382 | ExpenseAmt |
| Revenue | $48,128,654 | RevenueAmt |
| Desc | Outpatient Routine/Surgery Services:Emergency Visits (Net of Admits) = 15,557Referred Ambulatory Visits = 62,312Operating Room = 2,582G.I. Laboratory = 1,188Interventional Radiology = 253 | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $20,845,654 | ExpenseAmt |
| Revenue | $20,288,894 | RevenueAmt |
| Desc | Clinic/Primary Care Services:Clinic Visits = 37,107Primary Care Visits = 33,558 | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $111,074,147 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 94 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 925 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | 0 | Form8899Filedind |
| Form1098 C Filed | 0 | Form1098CFiledInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Russell Edwards VP FinanceCorp Controller CHS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7169232968 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 144 Genesee Street | AddressLine1Txt |
| City | Buffalo | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14203 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Mark Sullivan | ||||||||||
| President and CEO | 0.00 | 55.00 | Yes (X) | Yes (X) | $0 | $1,314,161 | $25,888 | |||
| Walter Ludwig | ||||||||||
| Director | 0.00 | 55.00 | Yes (X) | $0 | $351,681 | $49,177 | ||||
| Russell Edwards | ||||||||||
| VP Finance & Corporate Con | 0.00 | 55.00 | Yes (X) | $0 | $222,888 | $469 | ||||
| Charles Urlaub | ||||||||||
| President & CEO MSM | 55.00 | 0.00 | Yes (X) | Yes (X) | $459,970 | $0 | $20,170 | |||
| Aaron Chang | ||||||||||
| Director | 0.00 | 55.00 | Yes (X) | $0 | $322,970 | $27,367 | ||||
| Carol Heckman Esq | ||||||||||
| Director - Chair | 0.00 | 8.00 | Yes (X) | $0 | $0 | $0 | ||||
| Sister Marcia Ann Fiutko | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| Nelson J Grimm PhD | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| Kevin Keenan | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| Monsignor Robert E Zapfel | ||||||||||
| Director - Vice Chair | 0.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| Ellen Grant | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| Alexis Agnello | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| Emily H Jerge MSRNCHSE | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| Toni Murphy DO | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| Joyce Markiewicz | ||||||||||
| Chief Business Development | 0.00 | 55.00 | Yes (X) | $0 | $561,183 | $52,362 | ||||
| David Macholz | ||||||||||
| Chief Financial Officer | 0.00 | 55.00 | Yes (X) | $0 | $624,031 | $15,718 | ||||
| Dr Michael Galang | ||||||||||
| Senior VP, Chief Informati | 0.00 | 55.00 | Yes (X) | $0 | $481,207 | $46,473 | ||||
| Hans Cassagnol | ||||||||||
| Executive VP, Chief Physic | 0.00 | 55.00 | Yes (X) | $0 | $623,902 | $30,245 | ||||
| William Pryor | ||||||||||
| Executive VP, Chief Admin. | 0.00 | 55.00 | Yes (X) | $0 | $653,255 | $48,421 | ||||
| Bartholomew Rodrigues | ||||||||||
| Chief Mission Officer | 0.00 | 55.00 | Yes (X) | $0 | $265,426 | $53,262 | ||||
| James M Garvey | ||||||||||
| Executive VP, Chief Operat | 0.00 | 55.00 | Yes (X) | $0 | $725,997 | $40,539 | ||||
| Rebecca McCormick Boyle | ||||||||||
| Chief Integration Officer | 0.00 | 55.00 | Yes (X) | $0 | $242,893 | $19,523 | ||||
| Leonardo Sette-Camara | ||||||||||
| General Counsel - Secretar | 0.00 | 55.00 | $0 | $328,158 | $19,941 | Yes (X) | ||||
| Lisa Cilano | ||||||||||
| Senior VP, RMC & Business | 0.00 | 55.00 | $0 | $337,403 | -$281,621 | Yes (X) | ||||
| Martin Boryszak | ||||||||||
| Senior VP of Acute Care & President of MHB | 0.00 | 55.00 | $0 | $540,613 | $10,178 | Yes (X) | ||||
| Dr Parag Parikh | ||||||||||
| Physician | 55.00 | 0.00 | $498,941 | $0 | $16,061 | Yes (X) | ||||
| Dr Gregory Sambuchi | ||||||||||
| Physician | 55.00 | 0.00 | $393,994 | $0 | $47,815 | Yes (X) | ||||
| Dr Stephen Watkins | ||||||||||
| Physician | 55.00 | 0.00 | $583,697 | $0 | $8,451 | Yes (X) | ||||
| Dr Kafai Lai | ||||||||||
| Physician | 55.00 | 0.00 | $376,084 | $0 | $8,123 | Yes (X) | ||||
| Dr Joseph Andrzejewski | ||||||||||
| Physician | 55.00 | 0.00 | $396,096 | $0 | $18,559 | Yes (X) | ||||
| Gary Tucker | ||||||||||
| Director - Former | 0.00 | 0.00 | $58,332 | $0 | -$2,852 | Yes (X) | ||||
| Eddie Bratko | ||||||||||
| Director - Former | 0.00 | 55.00 | $0 | $335,523 | $13,771 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,767,114 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $7,931,291 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $288,040 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 103 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PIKE COMPANY INC THE | |||||
| 1 Circle Street | Rochester | NY | 14607 | Construction Services | $13,620,313 |
| CLARK PATTERSON LEE | |||||
| 26 Mississippi St 300 | Buffalo | NY | 14203 | Construction Services | $1,544,335 |
| TRIMEDX | |||||
| 5451 LAKEVIEW PKWY S DRIVE | INDIANAPOLIS | IN | 46268 | Health Care Services | $1,171,719 |
| EXIGENCE HOSPITALIST MEDICAL | |||||
| 5300 Military Rd | Buffalo | NY | 14092 | Health Care Services | $789,333 |
| LOGAN'S HEALTHCARE | |||||
| APOLLO DR | BATAVIA | NY | 14020 | Laundry Services | $450,691 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 26 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $588,575 | GovernmentGrantsAmt |
| All Other Contributions | $1,202,923 | AllOtherContributionsAmt |
| Total Contributions | $1,791,498 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Medicare/Medicaid | 621990 | $65,378,354 | $65,378,354 |
| All Other Payers | 621990 | $37,896,120 | $37,896,120 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $103,274,474 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $58,532 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,149 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $38,383 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $186,901 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $186,901 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $186,901 | TotalRevenueColumnAmt |
| Exclusion | $186,901 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| 340B Pharmacy | 621990 | $3,229,296 | $3,229,296 | |
| CHS Shared Services | 621990 | $417,471 | $417,471 | |
| Misc Rev Prior Year Reversal | 621990 | -$2,900,001 | -$2,900,001 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,166,112 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,166,112 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,912,878 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $107,224,283 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $108,107,502 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$2,674,717 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,543,530 | TotalAmt |
| Program Services | $55,782,835 | ProgramServicesAmt |
| Management And General | $5,760,695 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,706,065 | TotalAmt |
| Program Services | $1,546,371 | ProgramServicesAmt |
| Management And General | $159,694 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,306,762 | TotalAmt |
| Program Services | $7,529,219 | ProgramServicesAmt |
| Management And General | $777,543 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,300,646 | TotalAmt |
| Program Services | $2,991,694 | ProgramServicesAmt |
| Management And General | $308,952 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,951 | TotalAmt |
| Program Services | $2,535 | ProgramServicesAmt |
| Management And General | $63,416 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,519 | TotalAmt |
| Management And General | $3,519 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,779,991 | TotalAmt |
| Program Services | $3,988,384 | ProgramServicesAmt |
| Management And General | $791,607 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,972 | TotalAmt |
| Program Services | $3,370 | ProgramServicesAmt |
| Management And General | $28,602 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,443,607 | TotalAmt |
| Program Services | $1,780,104 | ProgramServicesAmt |
| Management And General | $1,663,503 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,150 | TotalAmt |
| Program Services | $19,589 | ProgramServicesAmt |
| Management And General | $70,561 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,250,029 | TotalAmt |
| Program Services | $937,522 | ProgramServicesAmt |
| Management And General | $312,507 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,023 | TotalAmt |
| Program Services | $1,427 | ProgramServicesAmt |
| Management And General | $1,596 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,727 | TotalAmt |
| Program Services | $1,727 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $260,629 | TotalAmt |
| Program Services | $73,668 | ProgramServicesAmt |
| Management And General | $186,961 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,234,977 | TotalAmt |
| Program Services | $2,914,038 | ProgramServicesAmt |
| Management And General | $1,320,939 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,298,917 | TotalAmt |
| Program Services | $1,145,479 | ProgramServicesAmt |
| Management And General | $153,438 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Dues and Shared Service | $18,413,340 | $13,628,476 | $4,784,864 |
| Medical Supplies | $14,995,117 | $15,143,607 | -$148,490 |
| Purchased Services | $3,491,321 | $2,679,368 | $811,953 |
| Other Supplies Non-Medi | $1,121,170 | $904,734 | $216,436 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,342,443 | TotalAmt |
| Program Services | $111,074,147 | ProgramServicesAmt |
| Management And General | $17,268,296 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,630 | BOYAmt |
| EOY | $4,679 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,935,491 | BOYAmt |
| EOY | $42,101,103 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,370,326 | BOYAmt |
| EOY | $13,431,442 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,504,193 | BOYAmt |
| EOY | $2,265,528 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,677 | BOYAmt |
| EOY | $163,148 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $109,178,540 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $61,299,299 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,791,798 | BOYAmt |
| EOY | $47,879,241 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $4,950 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,085,764 | BOYAmt |
| EOY | $17,968,352 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,822,879 | BOYAmt |
| EOY | $123,818,443 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,507,772 | BOYAmt |
| EOY | $16,852,785 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,966,667 | BOYAmt |
| EOY | $8,800,001 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,322,980 | BOYAmt |
| EOY | $49,647,972 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $451,739 | BOYAmt |
| EOY | $1,773,221 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,212,918 | BOYAmt |
| EOY | $47,651,075 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,462,076 | BOYAmt |
| EOY | $124,725,054 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,442,845 | BOYAmt |
| EOY | -$2,824,568 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,917,958 | BOYAmt |
| EOY | $1,917,957 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,360,803 | BOYAmt |
| EOY | -$906,611 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,822,879 | BOYAmt |
| EOY | $123,818,443 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$21,118,160 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$149,254 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $72,124 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $72,124 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Part II-B, Line 1, i. Lobbying Activities: Other lobbying activities: Lobbying expenses of $72,124 represent the total of dues paid to national and state associations that is specifically allocable to lobbying. Mount St. Mary's Hospital does not participate in or intervene in (including the publishing or distributing of statement) any political campaign on behalf of (or opposition to) any candidate. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $2,084,435 | InvestmentCostOrOtherBasisAmt |
| Book Value | $2,084,435 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $34,526,759 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $24,149,802 | DepreciationAmt |
| Book Value | $10,376,957 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $10,277,387 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $1,974,342 | DepreciationAmt |
| Book Value | $8,303,045 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $44,790,721 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $35,803,785 | DepreciationAmt |
| Book Value | $8,986,936 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $17,499,238 | InvestmentCostOrOtherBasisAmt |
| Depreciation | -$628,630 | DepreciationAmt |
| Book Value | $18,127,868 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $47,879,241 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Due From Affiliates | $2,165,119 |
| Interest in Net Assets of MSM Foundation | $9,773,557 |
| Insurance Recoveries | $4,450,091 |
| Other Receivables | $822,631 |
| Operating Lease Right of Use Assets | $547,325 |
| Obligated FEMA Revenues | $209,629 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $17,968,352 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Affiliates | $27,534,278 |
| L/T General Liab/Workers Comp IBNR | $8,962,454 |
| Long-Term Pension Obligations | $2,601,198 |
| Asset Retirement Obligation | $4,339,606 |
| Long-Term Portion of EIB Bank | $91,341 |
| Contingent Performance Obligation | $4,898,876 |
| Operating Lease Liabilities | $549,331 |
| LT Portion of Disposables | $8,420 |
| Debt Issuance Costs | -$1,334,429 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $47,651,075 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $106,767,754 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$253,607 | OtherRevenueAmt |
| Revenue Not Reported | -$253,607 | RevenueNotReportedAmt |
| Revenue Subtotal | $107,021,361 | RevenueSubtotalAmt |
| Other Revenues Not Included | $202,922 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $202,922 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $107,224,283 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $129,556,611 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $1,214,168 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $1,214,168 | ExpensesNotReportedAmt |
| Expenses Subtotal | $128,342,443 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $128,342,443 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part XI, Line 2d - Other Adjustments: | Childcare Revenue - 580,992. Foundation Revenue - (net of eliminations) -834,599. |
| Part XI, Line 4b - Other Adjustments: | Contributions from Foundation 202,922. |
| Part XII, Line 2d - Other Adjustments: | Childcare Expenses 741,878. Foundation Expenses (net of eliminations) 472,290. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $843,968 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,235 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $810,733 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00630 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,575,227 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,044,595 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,530,632 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05810 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,419,195 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,077,830 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,341,365 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06440 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,278 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $32,278 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,459,962 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,617,468 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $842,494 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00650 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,579 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,579 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,498,819 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,617,468 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $881,351 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00680 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $55,918,014 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $46,695,298 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,222,716 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07120 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,612 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,612 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,612 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,612 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Reimbursed By Medicare | $13,324,774 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $15,217,397 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,892,623 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mount St Mary's Hospital of Niagara Falls | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5300 Military Rd | AddressLine1Txt |
| City | Lewiston | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14092 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.chsbuffalo.org | WebsiteAddressTxt |
| State License | 3121001H | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | Ambulatory Surgery - Multi Specialty | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mount St Mary's Hospital of Niagara Fal | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V, line 7a page 8 | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Part V, line 10a page 8 | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.chsbuffalo.org/billing-insurance/financial-assistance | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.chsbuffalo.org/sites/default/files/files/billing/catholic-healt | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.chsbuffalo.org/sites/default/files/files/billing/catholic-healt | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| None Made | Yes (X) | NoneMadeInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Section A: | Ambulatory Surgery - Multi Specialty Chemical Dependence - Rehabilitation Chemical Dependence - Withdrawal O/PClinic Part Time ServicesClinical Laboratory ServiceCoronary CareEmergency Department Intensive CareLevel I Perinatal Care Lithotripsy MaternityMedical Services - Other Medical Specialties Medical Services - Primary CareMedical Social Services Medical/Surgical Nuclear Medicine - Diagnostic Nuclear Medicine - Therapeutic Radiology - Diagnostic Renal Dialysis - AcuteStroke Center Therapy - Occupational O/P Therapy - Speech Language Pathology O/P |
| Mount St. Mary's Hospital of Niagara Falls | Part V, Section B, Line 5: - Niagara County Health Department Assessed resources and determined that they would extend the 2019-- 2021 Priorities for the 2022-2024 cycle due to the COVID-19 pandemic.- CHNA/CHIP Steering Committee Monthly meetings held starting in February 2022. Delayed start due to resource allocation as a result of global COVID-19 pandemic.- Three Surveys Conducted Consumer, Provider, and Community Based Organizations- Consumer survey late March 2022 through mid-June 2022 2,329 respondents, reviewed by zip code toensure equitable geographic input- Provider Survey Conducted in May 2022, 49 responses received- Niagara Falls Health Equity Task Force survey Conducted in May 2022, 10 respondents- Focus Groups April 2022 through June 2022, 5 groups for a total of 61 participants- Findings of surveys and focus groups were compiled and reviewed by the Steering Committee which iscomprised of the hospitals, county representatives, and other community organizations who each thendisseminate results with their networks, county contacts, and other organizations (i.e., Niagara Falls HealthEquity Task Force). The results continue to be shared with county and community leaders as the countyworks to support residents during this unprecedented time.- Catholic Health CHNA Summit June 13, 2022. Health system clinical and non-clinical leaders were invitedto review and approve priorities identified through above processes.- Catholic Health Board Strategic Planning Committee Meeting July 11, 2022. Health priorities were sharedwith the committee for review and comment.- Catholic Health Mission Integration Committee September 7, 2022. The 2022-2024 health priorities and initiatives were presented and the reporting dashboard was discussed.- Niagara County Community Health Stakeholder Meeting September 12, 2022. Priorities reviewed andpotential interventions and strategies to target focus areas identified.- Catholic Health Ministry Services Board Meeting November 17, 2022. The CHNA reports and CHIP for eachof the hospitals were presented and approved by the board members.- Catholic Health Board of Directors were informed of the Ministry Services Board's approval of the 2022-2024CHNA reports and CHIP during the December 1, 2022 Board of Directors meeting.- All reports have been published electronically on the Catholic Health website (chsbuffalo.org) with hardcopies available upon request from the Catholic Health Mission Integration office. |
| Mount St. Mary's Hospital of Niagara Falls | Part V, Section B, Line 6a: Bernadette Franjoine Catholic Health bfranjoine@chsbuffalo.orgLauri McCoy Catholic Health lmccoy1@chsbuffalo.orgCarolyn Moore Eastern Niagara Hospital cmoore@enhs.orgAnnette Andrews Kaleida Health aandrews@kaleidahealth.orgBrian Meade Kaleida Health bmeade@kaleidahealth.orgKathleen Tompkins Kaleida Health ktompkins@kaleidahealth.orgStacy Knott Niagara County Department of Health stacy.knott@niagaracounty.comRobert Mowery Niagara Falls Memorial Medical Center robert.mowery@nfmmc.orgAlessandra Duarte Population Health Collaborative of WNY aduarte@phcwny.org |
| Mount St. Mary's Hospital of Niagara Falls | Part V, Section B, Line 6b: Heather Cruz NCDMH (contracted) heather.cruz@niagaracounty.comAdrienne Kasbaum Niagara County Department of Health adrienne.kasbaum@niagaracounty.comCathy Hoy-Patterson Niagara County Department of Health cathy.hoy-patterson@niagaracounty.comDan Stapleton Niagara County Department of Health dan.stapleton@niagaracounty.comJacquelyn Langdon Niagara County Department of Health jacquelyn.langdon@niagaracounty.comTracy Fricano-Chalmers Niagara County Department of Health tracy.fricanochalmers@niagaracounty.comVictoria Pearson Niagara County Department of Health victoria.pearson@niagaracounty.comKaren Hall Population Health Collaborative of WNY khall@phcwny.org |
| Mount St. Mary's Hospital of Niagara Falls | Part V, Section B, Line 11: Catholic Health 2022-2024 Prevention Agenda Priorities and DisparityIn collaboration with the Niagara County Department of Health and other community partners, the following priorities, goals, focus areas and interventions were selected for the Catholic Health Community Health Improvement Plans. Priority Area #1 and Priority Area #2 were priorities identified by the Niagara County Department of Health and selected for our community collaboration. Catholic Health is required to align with at least two county Priority Areas as part of the CHNA process. Of note, the Erie County Department of Health identified the same priorities.Priority Area #1: Prevent Chronic DiseasesDisparity: SocioeconomicFocus Area 1: Healthy Eating and Food SecurityOverarching Goal: Reduce obesity and the risk of chronic diseaseGoal 1.13: Increase the percentage of adults with perceived food securityPriority Area #2: Promote Well-Being and Prevent Mental and Substance Use DisordersDisparity: SocioeconomicFocus Area 1: Promote Well-BeingGoal 1.2: Facilitate supportive environments that promote respect and dignity for people of all agesGoal 2.2: Prevent opioid and other substance misuse and deathsFocus Area 2: Prevent Mental and Substance Use DisordersGoal 2.2: Prevent opioid and other substance misuse and deathsPriority Area #3: Promote Healthy Women, Infants, and ChildrenDisparity: EthnicityFocus Area 1: Maternal and Women's HealthGoal 1.2: Reduce maternal mortality and morbidityFocus Area 2: Perinatal and Infant HealthGoal 2.2: Increase breastfeedingA comprehensive review of outcome data from a variety of state and national resources were reviewed as part of the CHNA process. Primary resources utilized included the New York Prevention Agenda Dashboard, data from the United States census reporting, the University of Wisconsin's Population Health Institute's County Health Rankings and Roadmaps, as well as others. Due to the proximity and nature of the interrelationships between Erie and Niagara counties, as well as the reach of the Catholic Health service area and goal for high level of inclusivity for community health, data from both counties is represented in the following report. This provides a more comprehensive view of the overall service area while still allowing county specific needs to be identified.The overall assessment process is a collaborative effort between Catholic Health, Niagara County Department of Health, and other local organizations and hospitals. More than 15 organizations directly participated in planning meetings and feedback sessions and over 1,300 residents responded to the CHNA survey. Input was also solicited from a broad range of other community organizations, individuals, and groups. This input helped validate and bring focus to areas of specific need and disparity, as well as helped prioritize interventions to address the needs of those we serve. The completed assessment and analysis of the data provided a framework for the health system's overall implementation plan to support priority needs that were identified for the community over the next three years.chs.buffalo.org | 9The progress and overall improvement related to the Prevention Agenda priorities in the Catholic Health improvement plan will be monitored by the internal leaders who are coordinating the interventions identified by the teams to support the priorities identified and as outlined on the CHIP template provided by the New York State Department of Health. Catholic Health will submit updates on progress towards each intervention annually, or as requested. The county's steering committee representatives will also continue to meet at least annually and review progress as well as explore new opportunities to collaborate on to support the priority areas. The Prevention Agenda Dashboard will continue to serve as the primary resource to track latest available trending details and monitor outcome data.While Catholic Health is committed to serving the community through the CHNA priorities in this report, thereare a number of needs that were not incorporated into Catholic Health's individual 2022-2024 CommunityHealth Improvement Plan at this time for one or more of the following reasons: Requires resources that Catholic Health does not currently have available without compromising otherimportant initiatives. Is being targeted or addressed by other entities within the community. Was deemed not as impactful on the overall health of the community as compared to other identified needs.Should community circumstances change or additional resources become available, Catholic Health willconsider incorporating other initiatives into its plan. The Community Health Needs Assessment and Community Health Improvement Plan processes are linked directly to requirements specified by the Federal Internal Revenue Service and the New York State Department of Health. Under the Patient Protection and Affordable Care Act of 2010, the Internal Revenue Service requires all state-licensed, tax-exempt hospitals to develop a Community Health Needs Assessment and Community Health Improvement Plan to maintain their Internal Revenue Code Section 501(c)(3) tax-exempt status. Similarly, New York State requires hospitals and local health departments to collaborate within their community to identify local health priorities and to plan and implement a strategy for local health.Part V, line 7A Page 8: https://www.chsbuffalo.org/mission/social-responsibility-community-benefit Part V, line 10a Page 8: https://www.chsbuffalo.org/mission/social-responsibility-community-benefit |
| Mount St. Mary's Hospital of Niagara Falls | Part V, Section B, Line 16j: Includes information in both English and Spanish on all signage and brochures for financial assistance. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 9 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Mount St Mary's Hospital Rehab Services | ||||
| 1 Columba Drive | Niagara Falls | NY | 14305 | Medical Services - Primary Care Therapy - Occupational O/P Therapy - Physica |
| 2 - Mount St Mary's Diagnostic Imaging Serv | ||||
| 7300 Porter Road | Niagara Falls | NY | 14304 | Medical Services- Primary Care |
| 3 - Mount St Mary's Ear Nose and Throat Se | ||||
| 6941 Elaine Drive | Niagara Falls | NY | 14304 | Medical Services- Primary Care |
| 4 - Mount St Mary's Orthopedic Services | ||||
| 5320 Military Road | Lewiston | NY | 14092 | Medical Services- Primary Care |
| 5 - Mount St Mary's Primary Care Extension | ||||
| 1302 Main Street | Niagara Falls | NY | 14301 | Medical Social Services O/P Primary Medical Care O/P Radiology - Diagnostic |
| 6 - Mount St Mary's Neighborhood Health Cent | ||||
| 3101 Ninth Street | Niagara Falls | NY | 14305 | Medical Social Services O/P Nutritional O/P Prenatal O/P Primary Medical Car |
| 7 - Mount St Mary's Health Center Lockport | ||||
| 6000 Brockton Drive | Lockport | NY | 14094 | Medical Services - Other Medical Specialties Medical Services - Primary Care |
| 8 - Mount St Mary's Neurology Center | ||||
| 4600 Military Road | Niagara Falls | NY | 14305 | Medical Services - Other Medical Specialties- |
| 9 - Mount St Mary's Campus Medical Arts Bui | ||||
| 5290 Military Road Suite 8 | Niagara Falls | NY | 14092 | Medical Services- Primary Care |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a: | Mount St. Mary's Community Benefit Report is contained in the annual report prepared by the Catholic Health System. |
| Part I, Line 7: | Costing is a full step down methodology of cost from non-revenue producing departments to revenue producing departments', with assignment of cost to individual charge items based on volume and charge amount. All patient accounts are cost with the same methodology regardless of patient type (inpatient, outpatient, emergency room, etc.) or insurance coverage (Medicare, Medicaid, private insurance, uninsured, etc.). |
| Part II, Community Building Activities: | Community Building Activities for Mount St. Mary's Hospital included Community Support of $11,612. |
| Part III, Line 2: | The Hospital did not report bad debt on their financial statements, as they adopted ASU 2014-09 Revenue from Contracts with Customers in 2018. Upon adoption, the majority of what was previously classified as provision for bad debts and presented as a reduction to net patient service revenue on the statement of operations and changes in net assets is treated as an implicit price concession that reduces the transacton price, which is reported as net patient service revenue. |
| Part III, Line 3: | The Hospital did not report bad debt on their financial statements, as they adopted ASU 2014-09 Revenue from Contracts with Customers in 2018. Upon adoption, the majority of what was previously classified as provision for bad debts and presented as a reduction to net patient service revenue on the statement of operations and changes in net assets is treated as an implicit price concession that reduces the transacton price, which is reported as net patient service revenue. |
| Part III, Line 4: | The hospital does not have a footnote that describes bad debt in the financial statements. |
| Part III, Line 8: | Mount St. Mary's Hospital does not treat Medicare shortfall as a community benefit, as serving Medicare patients is not a differentiating feature of tax-exempt healthcare organizations. The existing community benefit framework allows community benefit programs that serve the Medicare population to be counted in other community benefit categories. |
| Part III, Line 9b: | The hospital's collection policies contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance. The hospital has implemented billing and collection practices for patient payment obligations that are fair, consistent, and compliant with state and federal regulations and no extraordinary collection practices are followed. |
| Part VI, Line 2: | As part of Catholic Health, Mount St. Mary's Hospital benefits from information received from a key stakeholders engaged in the facilities health ministry. This includes the voice of associate through requests and information received from Catholic Health associates via formal and informal conversations in their departments and requests for assistance through the Helping Hands fund. In addition evaluations administered by the Catholic Health Community Education Department after each class, workshop, or program it sponsors; from input from the physician community during doctor to doctor education programs; from physician and leadership participation in community boards, coalitions and forums to define the health needs of patient populations and seek community solutions; from participation in regional planning initiatives that look at the needs of the broader community; and input from the Catholic Health Board including Board Committee (e.g. Mission Integration Committee). Examples of other sources of input include engagement from a number of countywide, city/town, and regional organizations. Those organizations include the Niagara Falls Health Equity Task Force, Niagara and Lockport School Districts, Niagara Falls' Heart, Love and Soul Food Pantry, Pinnacle Community Services, Niagara County Department of Health, Niagara County Department of Mental Health and Substance Abuse and many others. In each of these organizations, representatives from Mount St. Mary's as well as Catholic Health are actively engaged and in many cases serve on boards or key committee with consistent dialogue about our services. The facility is an active partner in a number of county initiatives as well as the state required Community Health Needs Assessment process. This results in comprehensive geographic reaches and significant collaborative work specifically with the Niagara County Department of Health. |
| Part VI, Line 3: | Catholic Health's Mount St. Mary's Hospital inform and educate patients and persons who may be billed for medical services about their eligibility for assistance under federal, state, or local government programs or our own Healthcare Assistance Program (HAP) in a variety of ways. For example, Mount St. Mary's Hospital, like our other Catholic Health facilities, has posters and brochures available, which include eligibility and contact information for the Patient Financial Services Team. This information is available in admissions areas, emergency rooms, primary care and outpatient rehabilitation centers, the Administrative and Regional Training Center (ARTC) and other areas throughout Catholic Health where eligible patients and family members are likely to be present. This information is also on the website https://www.chsbuffalo.org/billing-insurance/financial-assistanceand includes general information, our policy and application and is translated in Spanish and Arabic. In addition, information on financial assistance is included on our website. Mount St. Mary's Hospital also provides information about financial assistance and Healthcare Assistance program (HAP) contact information to patients as part of the intake process and during or within 90 days of their discharge from the hospital via patient statements or outreach. To further assist patients, all patient bills include the following language: "If you need financial assistance: Catholic Health offers a healthcare assistance program to help those in need. For more details please visit www.chsbuffalo.org/financial assistance, or call our Patient Financial Services Team at (716) 601-3600". For free, confidential assistance in applying for financial assistance, patients can also call our Patient Financial Services team at 716-601-3600. A counselor will work with them to see if they qualify for free or low-cost insurance or other financial assistance. For patients who do not have insurance and need care at a Catholic Health hospital, a registration clerk can put the patient in touch with one of our Certified Application Counselors. Interpreting services are also available for patients who do not speak English. We offer case management services, and our Certified Application Counselors who discuss with patients the availability of various government benefits, such as Medicaid or other state and federal programs, and assist patients and families with eligibility and applications when necessary. |
| Part VI, Line 4: | Catholic Health is a not-for-profit integrated healthcare delivery system that operates four acute careoperations in Erie County and one in neighboring Niagara County. The Niagara County facility, Mount St.Mary's, provides services for residents from the county's cities, towns and the many rural areas in thecounty. In addition, Catholic Health has Home and Community Based Care, Primary Care Centers, as well as Diagnostic and Testing Centers that serve Niagara County residents. The health system is in the process of building a new neighborhood hospital that will be a campus of Mount St. Mary's to address needs in the eastern part of the county. The present hospital operating in the city of Lockport is in bankruptcy and likely closing in mid-2023. The local and state officials have been engaged and partnering with Catholic Health to ensure the 85,000 residents in that part of the county do not lose access to health care. This has resulted in the development of a new hospital concept for that part of Niagara County. The target populations include our general community population including those who may be at risk or disadvantaged. Niagara County is one of the 62 counties that comprise the State of New York. Niagara County has a total area of 522 square miles. It consists of 3 cities (Niagara Falls, North Tonawanda and Lockport) and 12 towns (Cambria, Hartland, Lewiston, Lockport, Newfane, Niagara, Pendleton, Porter, Royalton, Somerset, Wheatfield and Wilson.) It is also the most western part of New York State and is bordered by Lake Ontario on its northern border and the Niagara River (Canada) on its western border.Mount St. Mary's Primary Service Area includes the City of Niagara Falls (Zip Codes 14301, 14302, 14303, 14304 and 14305), a city of about 49,000 where 60% of the population is on some form of public assistance. The towns of Lewiston (14092, 14107, 14109, and 14132), Niagara (portions of 14304 and 14305), Wheatfield (portions of 14305 and 14120), Grand Island {14072) and Porter (14174) are more suburban and rural areas with slightly higher income levels. Secondary Service Area includes the towns of Wilson (14172) a small agricultural community and Lockport (14094) a nearby city with similar characteristics to Niagara Falls. In general, the primary service area is described as Western Niagara County.The population of Niagara County, New York in 2020 was 208,396, a loss of 3.7% from the 216,474 who lived there in 2010. For comparison, the US population grew 6.5% and New York's population shrank by 0.3% during that period. The largest ethnic groups in Niagara County are White (Non-Hispanic) 85.4% and Black or African American (Non-Hispanic) 6.89%. White (Hispanic) accounts for 1.78% and Asian (Non-Hispanic) accounts for 1.1%. |
| Part VI, Line 5: | One of the fundamental reasons for the creation of Catholic Health was to ensure the continued viability of faith-based health care to meet the needs of residents in Erie County and the surrounding communities. The Mission statement of Mount St. Mary's Hospital, as part of Catholic Health - We are called to reveal the healing love of Jesus to those in need further articulates why we exist. Integral to this effort is caring for the needs of those who are poor and disadvantaged. The services provided by Mount St. Mary's Hospital are in response to identified community needs and reflect the Hospitals' emphasis on caring for the underserved. The Hospital collaborates with other charitable organizations and social service agencies (i.e. Catholic Charities, Spectrum Human Services, Evergreen Health Services, Erie County Department of Health, etc.), to maximize its ability to provide needed services to the residents of our region.The governing Board of Directors of Mount St. Mary's Hospital is comprised of community representatives from universities, legal communities, and business leaders. Religious orders are represented, as well as active and retired medical staff members. The Mount St. Mary's Hospital medical staff is considered an "open" medical staff, as any physician can apply for privileges. Each application is reviewed by a vigorous credentialing verification process. The hospitals have robust health professional education programs. Mercy Hospital and Sisters Hospital are also physician teaching facilities. All Catholic Health sites participate in teaching programs for other allied health professionals. Our six emergency departments are open to all people regardless of their ability to pay. Our primary care centers are strategically located in areas deemed economically disadvantaged or where other medical services are lacking in both Erie and Niagara County. Each year, Mount St. Mary's Hospital, as part of Catholic Health touches thousands of area residents through its community health education programs, health screenings, clinical and support services, and community service activities. Most of these program are free to encourage participation by people from all walks of life. Programs offered also include those that are in alignment with state prevention priorities. Catholic Health continues to meet community needs by making charity care a priority and available to the uninsured and underinsured, traditional Medicaid services, and community benefit programs, including collaborative community health improvement initiatives, health professional education programs, volunteering and community service activities, and cash and in-kind contributions to community organizations that serve the poor and disadvantaged. In 2022, the Catholic Health System provided more than $210 million in charity care and community benefit activities to help make our community a healthier place, especially for the poor and underserved. Additional initiatives that Catholic Health and Mount St. Mary's Hospital associates in Erie and Niagara County participate in as part of CHS provide benefit to the community including:- 11 Day Power Play- Altus Management / CRS Radiopharmaceutical- American Red Cross- Amherst Chamber of Commerce- Antioch Missionary Baptist Church "- Bar Association of Erie County, Volunteer LawyersProject- BSA (Troop 229G & Pack 816)- Buffalo Prenatal Perinatal Network INC.- Canopy of Neighbors- Catholic Charities- Catholic Daughters of the Americas- Cheektowaga Senior Services- Department of Family Services - Niagara Falls- Diamonds in the Ruff Animal Rescue- Diocese of Buffalo- D'Youville College Governance Committee- East Aurora Boys Volley Ball Boosters- Ed Tech of WNY- Empower- Feed More WNY- Fourteen Holy Helpers- Franciscan Sisters of Saint Joseph- Gerard Place- Harvest House- Health Association of NYS- Healthcare Association of Western/Central NY- Heart, Love and Soul Dining, Food Pantry, andDaybreak- Holy Cross Church- InTandem- Juvenile Diabetes Research Foundation-JDRF- Kappa Alpha Psi- Lions Club of Hamburg- Literacy Buffalo Niagara- Little Portion Friary- Make-A-Wish of WNY- Masjid Al-Eiman and Islamic Cultural Association of WNY- Nativity Miguel- Near East and West Side (NEWS) Task Force- Niagara Organizing Alliance for Hope- Niagara River Region Chamber of Commerce- Operation Home Front for Military Families- Parish Nurse Ministries of NY, Inc- Paws for Love, Erie County SPCA- Pendleton Athletic Boosters Association- People Inc- Pinnacle Community Services- Save the Michaels- Sigma Pi Phi (Boule)- Squeaky Wheel Film & Media Arts Center- Stella Niagara Education Park- St. Leo the Great Roman Catholic Church- St. Peter Roman Catholic Church- The Buffalo Zoo- The Fellowship of God's Word- Trinidad Neighborhood Association- Urban Christian Ministries- Value Network Advisory Board- Western New York Invention Convention- WNY Church Unleashed/St. Paul's Lutheran Church- WNY Professional Nurses Association- WNYNYON-NY Organization of Nursing Leaders- Worldwide Community First Responders (WCFR)Note: The above list reflects names of organizations associates reported involvement with as part of a 2022 survey coordinated by the Catholic Health Diversity, Equity and Inclusion Committee as well as organizations identified by associates and providers through the Catholic Health Community Benefit Occurrence Tracker system. |
| Part VI, Line 6: | N/A |
| Part VI, Line 7, Reports Filed With States | NY |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mark Sullivan | ||||||||||||||
| President and CEO | $0 | $983,779 | $0 | $62,939 | $0 | $267,443 | $0 | $9,215 | $0 | $16,673 | $0 | $1,340,049 | $0 | $0 |
| James M Garvey | ||||||||||||||
| Executive VP, Chief Operat | $0 | $682,362 | $0 | $0 | $0 | $43,635 | $0 | $24,133 | $0 | $16,406 | $0 | $766,536 | $0 | $0 |
| William Pryor | ||||||||||||||
| Executive VP, Chief Admin. | $0 | $612,232 | $0 | $25 | $0 | $40,998 | $0 | $25,808 | $0 | $22,613 | $0 | $701,676 | $0 | $0 |
| Hans Cassagnol | ||||||||||||||
| Executive VP, Chief Physic | $0 | $586,116 | $0 | $0 | $0 | $37,786 | $0 | $7,654 | $0 | $22,591 | $0 | $654,147 | $0 | $0 |
| David Macholz | ||||||||||||||
| Chief Financial Officer | $0 | $606,188 | $0 | $0 | $0 | $17,843 | $0 | -$5,919 | $0 | $21,637 | $0 | $639,749 | $0 | $0 |
| Joyce Markiewicz | ||||||||||||||
| Chief Business Development | $0 | $541,076 | $0 | $0 | $0 | $20,107 | $0 | $36,124 | $0 | $16,238 | $0 | $613,545 | $0 | $0 |
| Dr Stephen Watkins | ||||||||||||||
| Physician | $583,315 | $0 | $0 | $0 | $382 | $0 | $193 | $0 | $8,258 | $0 | $592,148 | $0 | $0 | $0 |
| Martin Boryszak | ||||||||||||||
| Senior VP of Acute Care & President | $0 | $498,780 | $0 | $25,000 | $0 | $16,833 | $0 | -$12,319 | $0 | $22,497 | $0 | $550,791 | $0 | $0 |
| Dr Michael Galang | ||||||||||||||
| Senior VP, Chief Informati | $0 | $464,914 | $0 | $0 | $0 | $16,293 | $0 | $38,161 | $0 | $8,312 | $0 | $527,680 | $0 | $0 |
| Dr Parag Parikh | ||||||||||||||
| Physician | $498,399 | $0 | $0 | $0 | $542 | $0 | $693 | $0 | $15,368 | $0 | $515,002 | $0 | $0 | $0 |
| Charles Urlaub | ||||||||||||||
| President & CEO MSM | $417,240 | $0 | $0 | $0 | $42,730 | $0 | $11,880 | $0 | $8,290 | $0 | $480,140 | $0 | $0 | $0 |
| Dr Gregory Sambuchi | ||||||||||||||
| Physician | $392,188 | $0 | $0 | $0 | $1,806 | $0 | $25,412 | $0 | $22,403 | $0 | $441,809 | $0 | $0 | $0 |
| Dr Joseph Andrzejewski | ||||||||||||||
| Physician | $395,864 | $0 | $0 | $0 | $232 | $0 | -$3,716 | $0 | $22,275 | $0 | $414,655 | $0 | $0 | $0 |
| Walter Ludwig | ||||||||||||||
| Director | $0 | $333,184 | $0 | $0 | $0 | $18,497 | $0 | $33,122 | $0 | $16,055 | $0 | $400,858 | $0 | $0 |
| Dr Kafai Lai | ||||||||||||||
| Physician | $375,704 | $0 | $0 | $0 | $380 | $0 | -$107 | $0 | $8,230 | $0 | $384,207 | $0 | $0 | $0 |
| Aaron Chang | ||||||||||||||
| Director | $0 | $306,394 | $0 | $0 | $0 | $16,576 | $0 | $5,047 | $0 | $22,320 | $0 | $350,337 | $0 | $0 |
| Eddie Bratko | ||||||||||||||
| Director - Former | $0 | $299,357 | $0 | $25 | $0 | $36,141 | $0 | -$8,560 | $0 | $22,331 | $0 | $349,294 | $0 | $0 |
| Leonardo Sette-Camara | ||||||||||||||
| General Counsel - Secretar | $0 | $327,603 | $0 | $25 | $0 | $530 | $0 | -$2,400 | $0 | $22,341 | $0 | $348,099 | $0 | $0 |
| Bartholomew Rodrigues | ||||||||||||||
| Chief Mission Officer | $0 | $226,968 | $0 | $25 | $0 | $38,433 | $0 | $30,997 | $0 | $22,265 | $0 | $318,688 | $0 | $0 |
| Rebecca McCormick Boyle | ||||||||||||||
| Chief Integration Officer | $0 | $232,874 | $0 | $0 | $0 | $10,019 | $0 | $19,291 | $0 | $232 | $0 | $262,416 | $0 | $0 |
| Russell Edwards | ||||||||||||||
| VP Finance & Corporate Con | $0 | $202,179 | $0 | $0 | $0 | $20,709 | $0 | -$7,619 | $0 | $8,088 | $0 | $223,357 | $0 | $0 |
| Lisa Cilano | ||||||||||||||
| Senior VP, RMC & Business | $0 | $319,655 | $0 | $25 | $0 | $17,723 | $0 | -$295,310 | $0 | $13,689 | $0 | $55,782 | $0 | $0 |
| Gary Tucker | ||||||||||||||
| Director - Former | $28,820 | $0 | $0 | $0 | $29,512 | $0 | -$3,392 | $0 | $540 | $0 | $55,480 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | Certain portions of the incentive compensation paid in 2022 are a result of the targets that were achieved in previous years. Deferred compensation reported in 2022 includes both qualified deferred pension compensation, as well as deferred compensation and employer contribution for 403b for certain associates for the amounts that are able to be estimated in 2022. Actual W-2 compensation paid to the executive is as per Schedule J Part II B. |
| 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. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Dormitory Authority of the State of New York - Series A | ||||||||
| A | 146000293 | SeePartVI | 2019-04-25 | $3,834,625 | See Part VI | 0 | 0 | 0 |
| Dormitory Authority of the State of New York - Series B | ||||||||
| B | 146000293 | 64990GMH2 | 2019-04-25 | $1,216,395 | See Part VI | 0 | 0 | 0 |
| Niagara Area Development Corporation | ||||||||
| C | 900764545 | SeePartVI | 2022-03-22 | $44,370,499 | See Part VI | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $4,170,597 | $47,036 | $4,120,147 | $3,413 | 2020 | Yes (1) | 0 | 0 | Yes (1) | ||
| B | $1,216,395 | $12,941 | $1,201,101 | $2,354 | 2020 | Yes (1) | 0 | 0 | Yes (1) | ||
| C | $44,370,499 | $999,182 | $18,107,793 | $18,314,240 | 2023 | 0 | 0 | 0 | Yes (1) | $4,286,984 | $2,662,301 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | (c) Issuer Name: Niagara Area Development Corporation | FormAndLineReferenceDesc |
| Explanation | Part I A (c) CUSIP #: The 2019 Bond Series A were issued under numerous CUSIP #s with varying maturity dates. The associated CUSIP #s are as follows: 64990GLN0, 64990GLP5, 64990GLQ3, 64990GLR1, 64990GLS9, 64990GLT7, 64990GLU4, 64990GLV2, 64990GLW0, 64990GLX8, 64990GLY6, 64990GLZ3, 64990GMA7, 64990GMB5, 64990GMC3, 64990GMD1, 64990GME9 Part I A (f) Purpose Series A Proceeds of bonds used to (i) finance portions of certain improvements, equipment and strategic investments, including but not limited to a new electronic medical records system, maternity services renovations and new sterile processing department. Part I B (f) Purpose - Series B Proceeds of bonds used to (i) finance portions of certain improvements, equipment and strategic investments, including but not limited to a new electronic medical records system, maternity services renovations and new sterile processing department. Part I C (c) CUSIP #: The 2022 Bond were issued under numerous CUSIP #s with varying maturity dates. The associated CUSIP #s are as follows: 653541BK7, 653541BJ0 Part I C (f) Purpose - Proceeds of bonds used to finance portions of certain improvements, equipment and strategic investments, including but not limited to, construction of Lockport Memorial Hospital. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|
| Susan Urlaub | ||
| Wife of MSM CEO, C.J. Urlaub | Clinical Documentation Specialist, SCH/SJC | 0 |
| Rachel Markiewicz | ||
| Daughter in Law of Chief Business Development Officer, Joyce Markiewicz | Social Worker, MSW | 0 |
| Carrie Sette-Camara | ||
| Wife of Key Employee, Leonardo Sette-Camara | Public Relations Manager, Sisters | 0 |
| David A Macholz | ||
| Nephew of Chief Finance Officer, David Macholz | Network Technical Analyst, CHS | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, approving significant decisions of 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 16b: | The Catholic Health System has a process to evaluate its participation in joint venture arrangements under applicable federal tax law, and has taken steps to safeguard the organization's exempt status with respect to such arrangements, and has developed a formal policy to formalize the process. |
| 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 corporation 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: | Change in Pension Obligation, other than Net Periodic Cost 881,429. Change in Unrestricted Interest in Mount St. Mary's Foundation -1,444,731. Change in Restricted Interest in Mount St. Mary's Foundation 414,048. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|
| Catholic Health System Inc | ||||||||||
| 144 Genesee Street | Buffalo | NY | 14203 | 222565278 | Health Care Delivery System | NY | 501 c 3 | Schedule A Line 10 | 0 | |
| Mercy Hospital of Buffalo | ||||||||||
| 565 Abbott Road | Buffalo | NY | 14220 | 160756336 | Acute Care Hospital | NY | 501 c 3 | Schedule A Line 3 | 0 | Catholic Health System Inc |
| Sisters of Charity Hospital | ||||||||||
| 2157 Main Street | Buffalo | NY | 14214 | 160743187 | Acute Care Hospital | NY | 501 c 3 | Schedule A Line 3 | 0 | Catholic Health System Inc |
| Kenmore Mercy Hospital | ||||||||||
| 2950 Elmwood Avenue | Kenmore | NY | 14217 | 160762843 | Acute Care Hospital | NY | 501 c 3 | Schedule A Line 3 | 0 | Catholic Health System Inc |
| Nazareth Home of the Franciscan Sisters | ||||||||||
| 291 North Street | Buffalo | NY | 14201 | 160813142 | Skilled Nursing Facility | NY | 501 c 3 | Schedule A Line 10 | 0 | Catholic Health System Inc |
| St Elizabeth Home for the Aged | ||||||||||
| 5539 Broadway | Lancaster | NY | 14086 | 160743154 | Skilled Nursing Facility | NY | 501 c 3 | Schedule A Line 10 | 0 | Catholic Health System Inc |
| St Francis Home of Williamsville | ||||||||||
| 147 Reist St | Williamsville | NY | 14221 | 160743153 | Skilled Nursing Facility | NY | 501 c 3 | Schedule A Line 10 | 0 | Catholic Health System Inc |
| St Francis of Buffalo Inc | ||||||||||
| 34 Benwood Ave | Buffalo | NY | 14214 | 161523535 | Skilled Nursing Facility | NY | 501 c 3 | Schedule A Line 10 | 0 | Catholic Health System Inc |
| St Vincent Manor | ||||||||||
| 319 Washington Avenue | Dunkirk | NY | 14048 | 160743167 | Adult Home | NY | 501 c 3 | Schedule A Line 10 | 0 | Catholic Health System Inc |
| WNY Catholic Long Term Care Inc | ||||||||||
| 6400 Powers Rd | Orchard Park | NY | 14127 | 161434368 | Skilled Nursing Facility | NY | 501 c 3 | Schedule A Line 10 | 0 | Catholic Health System Inc |
| Niagara Homemaker Services (Mercy Home Care) | ||||||||||
| 144 Genesee Street | Buffalo | NY | 14203 | 161317960 | Home Care Provider | NY | 501 c 3 | Schedule A Line 10 | 0 | Catholic Health System Inc |
| McAuley Seton Home Care | ||||||||||
| 144 Genesee Street | Buffalo | NY | 14203 | 161310062 | Home Care Provider | NY | 501 c 3 | Schedule A Line 10 | 0 | Catholic Health System Inc |
| Catholic Health System Infusion Pharmacy Inc | ||||||||||
| 6350 Transit Road | Depew | NY | 14043 | 200198518 | Home Care Infusion Services | NY | 501 c 3 | Schedule A Line 10 | 0 | Catholic Health System Inc |
| OLV Renaissance Corporation | ||||||||||
| 144 Genesee Street | Buffalo | NY | 14203 | 200167745 | Real Estate Holding Company | NY | 501 c 3 | Schedule A Line 10 | 0 | Catholic Health System Inc |
| CHS Program of All-Inclusive Care for the Elderly Inc | ||||||||||
| 55 Melroy Avenue | Lackawanna | NY | 14218 | 261252884 | All-inclusive Care for the Elderly | NY | 501 c 3 | Schedule A Line 3 | 0 | Catholic Health System Inc |
| Trinity Medical WNY PC | ||||||||||
| 2625 Harlem Rd | Cheektowaga | NY | 14225 | 272576645 | Primary Care Provider | NY | 501 c 3 | Schedule A Line 12 | 0 | Catholic Health System Inc |
| KMH Homes Inc | ||||||||||
| 144 Genesee Street | Buffalo | NY | 14203 | 161387890 | Real Estate Holding Company | NY | 501 c 3 | Schedule A Line 10 | 0 | Catholic Health System Inc |
| Mount St Mary's Hospital Foundation Inc | ||||||||||
| 5300 Military Road | Lewiston | NY | 14092 | 161360884 | Foundation | NY | 501 c 3 | Schedule A Line 7 | 0 | Mount St Mary's Hospital of Niagara Falls |
| Mount St Mary's Hospital Child Care Center | ||||||||||
| 5310 Military Road | Lewiston | NY | 14092 | 161523352 | Child Care | NY | 501 c 3 | Schedule A Line 10 | 0 | Catholic Health System Inc |
| Board of Associates of Mount St Mary's Hospital Inc | ||||||||||
| 5300 Military Road | Lewiston | NY | 14092 | 161582926 | Fund Raising | NY | 501 c 3 | Schedule A Line 12a | 0 | Mount St Mary's Hospital of Niagara Falls |
| The St Francis Guild of Mount St Mary's Hospital of Niagara Falls Inc | ||||||||||
| 5300 Military Road | Lewiston | NY | 14092 | 510217790 | Fund Raising | NY | 501 c 3 | Schedule A Line 12a | 0 | Mount St Mary's Hospital of Niagara Falls |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CATHOLIC HEALTH ORTHOPEDIC MANAGEMENT COMPANY LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 144 Genesee Street | AddressLine1Txt |
| City | Buffalo | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 843844132 | EIN |
| Primary Activities | General Purpose | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Predominant Income Type | Related | PredominantIncomeTypeTxt |
| Share Of Total Income | -$47,080 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $7,359 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.20000 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CATHOLIC HEALTH ORTHOPEDIC MANAGEMENT COMPANY LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | P | TransactionTypeTxt |
| Involved | $169,701 | InvolvedAmt |
| Method Of Amount Determination | Cash | MethodOfAmountDeterminationTxt |