MOUNT ST MARYS HOSPITAL OF NIAGARA FALLS: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- MOUNT ST MARYS HOSPITAL OF NIAGARA FALLS (EIN 16-1523353)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-12
- IRS object ID
- 202023179349304907
- Schema version
- 2019v5.1
- 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 | 2020-11-12T12:51:31-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | 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 | 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 |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Russell Edwards | PersonNm |
| Person Title | VP Finance/Corp. Controller | PersonTitleTxt |
| Phone | 7169232968 | PhoneNum |
| Signature | 2020-11-12 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 204.68.186.4 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-12 | IPDt |
| IP Tm | 12:51:25 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | CCC2802FD33C98784776EE3B4A7BA94AEA207375 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | 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 | $98,387,590 | 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 2019 Community Service Plan can be found at https://www.chsbuffalo.org/about-us/community | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 893 | TotalEmployeeCnt |
| Total Volunteers | 112 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,353,886 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,356,914 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $94,412,335 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $92,350,814 | CYProgramServiceRevenueAmt |
| PY Investment Income | $125,903 | PYInvestmentIncomeAmt |
| CY Investment Income | $256,757 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,692,218 | PYOtherRevenueAmt |
| CY Other Revenue | $4,423,105 | CYOtherRevenueAmt |
| PY Total Revenue | $99,584,342 | PYTotalRevenueAmt |
| CY Total Revenue | $98,387,590 | 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 | $58,466,908 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $62,809,397 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $42,236,168 | PYOtherExpensesAmt |
| CY Other Expenses | $44,191,315 | CYOtherExpensesAmt |
| PY Total Expenses | $100,703,076 | PYTotalExpensesAmt |
| CY Total Expenses | $107,000,712 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,118,734 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$8,613,122 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $52,515,783 | TotalAssetsBOYAmt |
| Total Assets EOY | $62,321,979 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $28,254,959 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $46,486,832 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $24,260,824 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $15,835,147 | 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 2019 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 | $55,595,251 | ExpenseAmt |
| Revenue | $56,932,767 | RevenueAmt |
| Desc | Inpatient Routine/Surgery Visits:Acute Care Patient Days = 16,677Newborn Patient Days = 847Inpatient Surgeries = 801 | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $17,825,217 | ExpenseAmt |
| Revenue | $18,254,057 | RevenueAmt |
| Desc | Outpatient Routine/Surgery Services:Emergency Visits (Net of Admits) = 17,149Referred Ambulatory Visits = 75,590Operating Room = 3,364G.I. Laboratory = 1,115Interventional Radiology = 353Transfusion = 103 | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $16,760,758 | ExpenseAmt |
| Revenue | $17,163,990 | RevenueAmt |
| Desc | Clinic/Primary Care Services:Clinic Visits = 35,436Primary Care Visits = 36,193 | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $90,181,226 | 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 | 0 | 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 | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 96 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 893 | 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 | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | 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 | 0 | InvestmentInJointVentureInd |
| 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 | $1,290,346 | $128,283 | |||
| David Macholz | ||||||||||
| Treasurer | 0.00 | 55.00 | Yes (X) | Yes (X) | $0 | $289,804 | $43,017 | |||
| Martin Boryszak | ||||||||||
| Director | 0.00 | 55.00 | Yes (X) | $0 | $474,752 | $74,809 | ||||
| Georgiana Ford Esq | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| Dr Donald J Largo Jr | ||||||||||
| Director | 0.00 | 55.00 | Yes (X) | $0 | $131,891 | $8,511 | ||||
| Walter F Ludwig | ||||||||||
| Director | 0.00 | 55.00 | Yes (X) | $0 | $323,082 | $59,062 | ||||
| Charles Urlaub | ||||||||||
| President & CEO MSM | 55.00 | 0.00 | Yes (X) | Yes (X) | $468,646 | $0 | $55,182 | |||
| Eddie Bratko | ||||||||||
| Director | 0.00 | 55.00 | Yes (X) | $0 | $250,307 | $32,661 | ||||
| Monsignor Robert E Zapfel | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| Brian Beitz | ||||||||||
| Director | 0.00 | 8.00 | Yes (X) | $0 | $0 | $0 | ||||
| John Davanzo | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| Katherine Vanderhorst | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| Lynn Catalano | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| Kevin Keenan | ||||||||||
| Director | 0.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| James A Dunlop Jr | ||||||||||
| Executive VP, CFO | 0.00 | 55.00 | Yes (X) | $0 | $800,257 | $271,627 | ||||
| Dr Brian D'Arcy | ||||||||||
| Senior VP, Medical Affairs | 0.00 | 55.00 | Yes (X) | $0 | $395,000 | $63,209 | ||||
| Joyce Markiewicz | ||||||||||
| Chief Business Development | 0.00 | 55.00 | Yes (X) | $0 | $590,271 | $89,432 | ||||
| Hans Cassagnol | ||||||||||
| Executive VP, Chief Physician | 0.00 | 55.00 | $0 | $484,111 | $74,534 | Yes (X) | ||||
| William Pryor | ||||||||||
| Executive VP, Chief Admin Officer | 0.00 | 55.00 | $0 | $527,804 | $80,173 | Yes (X) | ||||
| Bartholomew Rodrigues | ||||||||||
| Chief Mission Officer | 0.00 | 55.00 | $0 | $242,396 | $38,945 | Yes (X) | ||||
| Dr Michael Galang | ||||||||||
| Senior VP, Chief Information Officer | 0.00 | 55.00 | $0 | $447,062 | $75,803 | Yes (X) | ||||
| Nancy Sheehan | ||||||||||
| Senior VP, Legal Services | 0.00 | 55.00 | $0 | $406,637 | $40,172 | Yes (X) | ||||
| Dr Parag Parikh | ||||||||||
| Physician | 55.00 | 0.00 | $444,840 | $0 | $33,200 | Yes (X) | ||||
| Dr Kafai Lai | ||||||||||
| Physician | 55.00 | 0.00 | $374,209 | $0 | $17,458 | Yes (X) | ||||
| Dr Samuel Sirianni | ||||||||||
| Physician | 55.00 | 0.00 | $411,236 | $0 | $46,060 | Yes (X) | ||||
| Dr Gregory Sambuchi | ||||||||||
| Physician | 55.00 | 0.00 | $393,680 | $0 | $41,506 | Yes (X) | ||||
| Dr Steven Watkins | ||||||||||
| Physician | 55.00 | 0.00 | $370,377 | $0 | $6,902 | Yes (X) | ||||
| Joseph McDonald | ||||||||||
| President and CEO - Former | 0.00 | 0.00 | $0 | $1,154,669 | $36,171 | Yes (X) | ||||
| Gary Tucker | ||||||||||
| Director - Former | 0.00 | 0.00 | $308,648 | $0 | $40,829 | Yes (X) | ||||
| Maria Foti | ||||||||||
| Senior VP, Strategic Planning - Former | 0.00 | 0.00 | $0 | $391,767 | $30,626 | Yes (X) | ||||
| Michael Moley | ||||||||||
| Senior VP, Human Resources - Former | 0.00 | 0.00 | $0 | $702,650 | $37,617 | Yes (X) | ||||
| James Millard | ||||||||||
| Director - Former | 0.00 | 0.00 | $0 | $12,155 | -$131,033 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,771,636 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,914,961 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,294,756 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 71 | 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 |
|---|---|---|---|---|---|
| O'Connell Electric Company | |||||
| 830 Phillips Road | Victor | NY | 14564 | Electric Services | $1,723,931 |
| Fortec Litho WNY LLC | |||||
| 6245 Hudson Crossing Parkway | Hudson | OH | 44236 | Health Care Services | $972,795 |
| AMN Healthcare Inc | |||||
| 2735 Collection Center Drive | Chicago | IL | 60693 | Health Care Services | $915,055 |
| Precision Healthcare LLC | |||||
| 4209 Lakeland Dr 363 | Flowood | MS | 39232 | Health Care Services | $877,581 |
| EXIGENCE HOSPITALIST MEDICAL | |||||
| 5300 Military Road | Buffalo | NY | 14092 | Health Care Services | $839,250 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 19 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $1,356,914 | AllOtherContributionsAmt |
| Total Contributions | $1,356,914 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| All Other Payers | 621990 | $60,497,469 | $60,497,469 |
| Medicare/Medicaid | 621990 | $31,853,345 | $31,853,345 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $92,350,814 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $256,757 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $230,582 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $26,175 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $44,239 | 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 | $44,239 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $44,239 | TotalRevenueColumnAmt |
| Exclusion | $44,239 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| 340B Pharmacy | 621990 | $3,510,978 | $3,510,978 | |
| Cafeteria | 722210 | $363,999 | $363,999 | |
| Net Periodiac Pension | 524292 | -$248,688 | -$72,999 | -$175,689 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $752,577 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $56,337 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $696,240 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,378,866 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $98,387,590 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $92,462,044 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,568,632 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,164,811 | TotalAmt |
| Program Services | $43,666,634 | ProgramServicesAmt |
| Management And General | $6,498,177 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,718,998 | TotalAmt |
| Program Services | $1,496,325 | ProgramServicesAmt |
| Management And General | $222,673 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,610,095 | TotalAmt |
| Program Services | $6,624,309 | ProgramServicesAmt |
| Management And General | $985,786 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,315,493 | TotalAmt |
| Program Services | $2,886,015 | ProgramServicesAmt |
| Management And General | $429,478 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,814 | TotalAmt |
| Management And General | $29,814 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,028,652 | TotalAmt |
| Program Services | $3,405,644 | ProgramServicesAmt |
| Management And General | $623,008 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,851 | TotalAmt |
| Program Services | $933 | ProgramServicesAmt |
| Management And General | $87,918 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,719,981 | TotalAmt |
| Program Services | $2,100,951 | ProgramServicesAmt |
| Management And General | $1,619,030 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,788 | TotalAmt |
| Program Services | $16,053 | ProgramServicesAmt |
| Management And General | $76,735 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,325,589 | TotalAmt |
| Program Services | $994,192 | ProgramServicesAmt |
| Management And General | $331,397 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,413 | TotalAmt |
| Program Services | $11,672 | ProgramServicesAmt |
| Management And General | $3,741 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,082 | TotalAmt |
| Program Services | $4,098 | ProgramServicesAmt |
| Management And General | $2,984 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,198 | TotalAmt |
| Program Services | $90,821 | ProgramServicesAmt |
| Management And General | $27,377 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,392,987 | TotalAmt |
| Program Services | $2,607,112 | ProgramServicesAmt |
| Management And General | $785,875 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $998,030 | TotalAmt |
| Program Services | $855,742 | ProgramServicesAmt |
| Management And General | $142,288 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Dues and Shared Service | $11,675,381 | $8,639,782 | $3,035,599 |
| Medical Supplies | $10,940,022 | $10,992,947 | -$52,925 |
| Purchased Services | $6,365,717 | $4,584,489 | $1,781,228 |
| Other Supplies Non-Medi | $1,392,810 | $1,203,507 | $189,303 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,000,712 | TotalAmt |
| Program Services | $90,181,226 | ProgramServicesAmt |
| Management And General | $16,819,486 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,229 | BOYAmt |
| EOY | $4,630 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,040,729 | BOYAmt |
| EOY | $14,127,118 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,076,499 | BOYAmt |
| EOY | $9,421,795 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,211,008 | BOYAmt |
| EOY | $2,198,223 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $371,938 | BOYAmt |
| EOY | $89,151 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $74,849,009 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $48,973,993 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,036,020 | BOYAmt |
| EOY | $25,875,016 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,775,360 | BOYAmt |
| EOY | $10,606,046 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,515,783 | BOYAmt |
| EOY | $62,321,979 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,359,301 | BOYAmt |
| EOY | $13,579,252 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $5,370,884 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,895,658 | BOYAmt |
| EOY | $27,536,696 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,254,959 | BOYAmt |
| EOY | $46,486,832 | 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 | $22,199,036 | BOYAmt |
| EOY | $13,912,877 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,061,788 | BOYAmt |
| EOY | $1,922,270 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,260,824 | BOYAmt |
| EOY | $15,835,147 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,515,783 | BOYAmt |
| EOY | $62,321,979 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$8,613,122 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $187,445 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| 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 | $5,169 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,169 | 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 $5,169 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 | $1,227,100 | InvestmentCostOrOtherBasisAmt |
| Book Value | $1,227,100 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $30,822,513 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $20,695,738 | DepreciationAmt |
| Book Value | $10,126,775 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $6,508,675 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $357,973 | DepreciationAmt |
| Book Value | $6,150,702 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $36,729,780 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $28,914,027 | DepreciationAmt |
| Book Value | $7,815,753 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | -$439,059 | InvestmentCostOrOtherBasisAmt |
| Depreciation | -$993,745 | DepreciationAmt |
| Book Value | $554,686 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $25,875,016 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Due From Affiliates | $250,233 |
| Interest in Net Assets of Mount St. Mary's Hospital Foundation | $6,429,292 |
| Insurance Recoveries | $1,968,360 |
| Other Receivables | $826,606 |
| Operating Lease Right of Use Assets | $1,131,555 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $10,606,046 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Affiliates | $9,779,883 |
| Long-Term Portion of Insurance Liabilities | $6,350,191 |
| Long-Term Pension Obligations | $2,441,222 |
| Asset Retirement Obligation | $327,499 |
| Long-Term Portion of EIB Bank | $146,758 |
| Contingent Performance Obligation | $7,242,452 |
| Operating Lease Liabilities | $1,131,897 |
| LT Portion of Disposables | $174,276 |
| Debt Issuance Costs - 2019 Series Bonds | -$57,482 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $27,536,696 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $99,341,137 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $2,135,541 | OtherRevenueAmt |
| Revenue Not Reported | $2,135,541 | RevenueNotReportedAmt |
| Revenue Subtotal | $97,205,596 | RevenueSubtotalAmt |
| Other Revenues Not Included | $1,181,994 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,181,994 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $98,387,590 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $108,211,706 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $1,210,994 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $1,210,994 | ExpensesNotReportedAmt |
| Expenses Subtotal | $107,000,712 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $107,000,712 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part XI, Line 2d - Other Adjustments: | Childcare Revenue - 581210. Foundation Revenue - (net of eliminations) 1554331. |
| Part XI, Line 4b - Other Adjustments: | Contributions from Foundation 373697. Grant Revenue 808297. |
| Part XII, Line 2d - Other Adjustments: | Childcare Expenses 683819. Foundation Expenses (net of eliminations) 527175. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 500.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | $660,736 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,758 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $645,978 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00600 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,049,640 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,766,403 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,283,237 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06810 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,710,376 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $18,781,161 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,929,215 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07410 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $744,510 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $744,510 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00700 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,231,721 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,231,721 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01150 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,215,544 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,971,535 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,244,009 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01160 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $169,393 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $169,393 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $326,309 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $326,309 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00300 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,687,477 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,971,535 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,715,942 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03470 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,397,853 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,752,696 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,645,157 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10880 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,639 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $21,639 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $82,448 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $82,448 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $313 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $313 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,076 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,076 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $114,476 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $114,476 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Reimbursed By Medicare | $14,937,952 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $14,409,421 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $528,531 | 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 | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | 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 | 19 | 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 | 500.000000000000 | 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 (5 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 Service Coronary Care Emergency 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: "To identify and prioritize the MSMH community' s health needs, this Community Health Needs Assessment (CHNA) considered multiple data sources, including written surveys, interviews, focus groups, demographic data, health status indicators, and disease prevalence data. MSMH compiled the data from these sources to arrive at potential priority health needs in the community. MSMH convened meetings with MSMH staff and external healthcare experts (including the Niagara County Department of Health) to share the survey results, discuss the potential priority health needs and to elicit considerations regarding secondary health needs. Collaboration included involvement from other local area local area hospitals, Niagara Falls Memorial, DeGraff Memorial, and Eastern Niagara. A countywide questionnaire was sent in addition to individual surveys sent to community organizations, local health officials and others of varying socioeconomic backgrounds: - Written Survey targeting local community organizations and nonprofits that are active in the primary service area - Written Survey targeting local block clubs and church groups active in the primary service area - Focus Group at the Mount St. Mary's Neighborhood Health Center, located in the part of the service area with the lowest per capita income and underserved in a variety of ways - Focus Group at Mount St. Mary's Hospital involving associates - Input from Focus Groups conducted throughout Niagara County by Niagara County DOH - Written Request for input from physicians at Mount St. Mary's - Written Survey conducted by Niagara County Department of Health that was countywide, but also with the ability to gather input from our primary service area.These included members of the Creating a Healthier Niagara Falls Collaborative and Healthy BehaviorsWork Group: - Family and Children's Services of Niagara - Niagara County Office of the Aging - American Diabetes Association - Niagara County Department of Mental Health - BuffaloNiagara YMCA - Planned Parenthood of Niagara - Native American Community Services - Isaiah 61 Project - Roswell Park Cancer Institute/Niagara Falls City Council - Niagara Falls School District/Niagara Falls City CouncilOther groups included: - Mom's Net - Family and Children's Services of Niagara - Heart, Love & Soul Food Pantry - Project Connect NiagaraFor more information about our CHNA, go to https://www.chsbuffalo.org/mission/social-responsibility-community-benefit |
| Mount St. Mary's Hospital of Niagara Falls | Part V, Section B, Line 6b: Catholic Health System, P2 Collaborative, Niagara County Department of Health and New York State Department of Health |
| Mount St. Mary's Hospital of Niagara Falls | Part V, Section B, Line 11: The 2019 Niagara County Community Health Needs Assessment began by bringing together the participants from the 2016 process. This included the Niagara County Department of Health, and representatives of the four hospitals in Niagara County: Mount St. Mary's, Niagara Falls Memorial, DeGraff Memorial, and Eastern Niagara. The process was coordinated by the P2 Collaborative of Western New York. Initial meetings focused on evaluating activities from the 2016 CHNA's and the County Health Department's Community Service Plan priorities. Despite posting our 2016-18 report on our website and providing notice in the media, we did not receive any written input on the report. Subsequent sessions were devoted to developing a countywide questionnaire to survey residents and initiatives to gather as much relevant data as possible from surveys, interviews, and focus groups. As part of this coordinated initiative, Mount St. Mary's worked to develop an updated (2019-2021) Community Health Improvement Plan/Implementation Strategy (CHIP/IS) to continue the collaboration in our community to improve patient care, preventive services, overall health, and quality of life. Our input process covered many segments of the community including individual surveys,community organizations, local health officials and others of varying socioeconomic backgrounds. Through the needs assessment, numerous areas were identified as important and clearly impact the health of the community. Mount St. Mary's identified the "significant" needs as related to the New York State Department of Health Prevention Agenda priorities. Within the "priorities," Mount St. Mary's will address numerous health needs as described in the publicly available CHNA report. Two priorities not specifically addressed in the implementation plan: Neighborhood Safety and Food/Water Safety. We did not address in our plan because of a lack of expertise and resources to effectively address each of the issues.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 $21,639, Environmental Improvements of $82,448, Leadership development and training for community members of $313 and Workforce development of $10,076. |
| 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 2019. 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 2019. 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 benefits from information received from 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 Catholic Health Board including Board Committee (e.g. Mission Integration Committee). Examples of other sources of input include input from leadership of Family and Children's Services of Niagara, the Heart, Love and Soul Food Pantry, Stella Niagara Education Center, March of Dimes, Niagara Falls Block Club Council, Project Connect Niagara, Opportunities Unlimited of Niagara, and Complete Senior Care, among others. In each of the organizations listed, a member of the Mount St. Mary's leadership team serves on their board of directors or key committee with consistent dialogue about our services. |
| 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-assistance and 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 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: | 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. |
| 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 of WNY and the surrounding communities. Our Mission Statement ,as a 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 as part of Catholic Health are in response to identified community needs, and reflect the System's emphasis on caring for the underserved. Catholic Health 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 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 hospital has a robust health professional education programs and participates in teaching programs for other allied health professionals. Our emergency department is 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 2019, the Catholic Health System provided more than $135 million in charity care and community benefit activities to help make our community a healthier place, especially for the poor and underserved. These activities included: - Spearheading Project Homeless Connect An outreach initiative to link homeless individuals and families with medical and other support services; -Supporting charitable and educational organizations, like the Global Health Ministry, United Way, Harvest House, St. Luke's Mission of Mercy, The CRIB Maternity Group Home in Niagara Falls, MY (part of Family & Children Services of Niagara), Care and Share Food Pantry, and the Project Connect Niagara that help the poor and vulnerable in our community; - Hosting numerous health education and screening programs to help people learn their health risks and take steps to improve their health; - Offering a Healthcare Assistance Program to ensure that people without insurance or financial means get the care they need; - Providing health and wellness information in places of worship through our Faith Community Nursing program; - Helping refugees access quality medical care through our Primary Care and School Based Health Centers, including the Mercy Comprehensive Care Center in Buffalo's Old First Ward; - Providing free care and services to those in need, like our "Cribs for Kids" program, which helps families provide a safe sleeping environment for their newborns; - Supporting children and families in need through our Reach Out and Read Program; Backpack Program for Kids; and Bridget Closet (clothes for the needy); - Sponsoring programs at the Mercy Comprehensive Care Center, which serve the local community, including refugees from Burma, Somalia, the Middle East, and Nepal ; - Providing services through our Social Work Department, which link patients with necessary services including: ESL (English as a Second Language), job opportunities, substance abuse treatment, health care navigators, senior services, insurance information, parenting assistance and more; and - Supporting nationally recognized "green" initiatives to remain good stewards of our natural resources and protect the environment.Additional initiatives that the hospital participates in as part of CHS provide benefit to the community including: Advanced Directive / MOLST education, Community Health Fairs , Footprints on the Heart(perinatal bereavement) , McGowan Grant for Health Care Tabling Events , Marian Building & Springville, OB/GYN Clinics, Medicaid Enrollment Assistance, Neonatal Abstinence Syndrome Program in Mercy, NICU Cuddler Program, Open Access Scheduling, Osteoporosis Screening, Prenatal-perinatal Network of WNY, Quest Fit Testing, Refugee Programs, Transitional contact to Catholic Charities from Primary Care Sites, and Transportation Assistance. One of the ways Catholic Health is working to improve the health of our community is by supporting local non-profit organizations whose work has a direct impact on our region's most vulnerable citizens. For the fourth consecutive year, Catholic Health has allocated a portion of its net income to award Community Benefit Grants to area groups who share a similar mission serving the poor and disadvantaged in their communities. This year, eight local organizations will receive funding for various projects. The awards, ranging from $2,500 to $10,000, total $76,000.The recipients of the 2019-2020 Catholic Health Community Benefit Grants include: Buffalo City Mission New Building: A One-Stop-Shop for food, shelter, primary care medical clinic, $10,000/- Little Portion Friary Homeless Shelter: Healthcare for the Homeless, $10,000/- Kenmore United Methodist Church and Pre-school: Better Nutrition through Education and Fresh Foods, $2,500/- Response to Love Center: Wholistic Approach to Healthy Living, $10,000/- Save the Michaels of the World (STM): STM Access to Treatment and Aftercare, $10,000/- Mercy Comprehensive Care Center: Mercy Hospital Stroke Support Group, $10,000/- Canopy of Neighbors: New pathways to aging well in Buffalo, $10,000/- Community Missions, Inc.: Improving Food Access through Client Choice & Supports, $10,000/- Red Thread Theatre Inc.: A Conversation with OxyContin, $3,500/-As part of Catholic Health, Mount St. Mary's is supportive of the initiatives above. In addition, other ways the Hospital furthers its exempt purpose by promoting the health of the community include free health screenings (Lipid Panel each February as part of Heart Month and PSA in June as part of a Father's Day promotion) and health fairs as described further in our community benefit report in Schedule 0. The organization extends medical staff privileges to all qualified physicians in its community for many of its departments. The organization applies funding to improvements in patient care, such as the expanded cardiology services Women's Center for Breast Health, and it's Center for Women, which provides services at both the main hospital and the Neighborhood Health Center facility in an underserved section of the City of Niagara Falls.Other substantive community benefit initiatives supported by Mount St. Mary's Hospital include: Advanced Directive / MOLST education, Baby and Me Program, Caring Smiles Dental Program, Community Health Fairs, Medicaid Enrollment Assistance, P2 Collaborative for Adult Mental Health and Substance Abuse Screening, Tower Grant for Pediatric Care Coordination, and Transportation Assistance. |
| Part VI, Line 6: | N/A |
| Part VI, Line 7, Reports Filed With States | NY |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (24 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 | $827,922 | $0 | $164,916 | $0 | $297,508 | $0 | $107,674 | $0 | $20,609 | $0 | $1,418,629 | $0 | $164,916 |
| David Macholz | ||||||||||||||
| Treasurer | $0 | $256,628 | $0 | $24,246 | $0 | $8,930 | $0 | $22,973 | $0 | $20,044 | $0 | $332,821 | $0 | $0 |
| Martin Boryszak | ||||||||||||||
| Director | $0 | $458,042 | $0 | $0 | $0 | $16,710 | $0 | $54,599 | $0 | $20,210 | $0 | $549,561 | $0 | $0 |
| Walter F Ludwig | ||||||||||||||
| Director | $0 | $304,682 | $0 | $25 | $0 | $18,375 | $0 | $38,947 | $0 | $20,115 | $0 | $382,144 | $0 | $0 |
| Charles Urlaub | ||||||||||||||
| President & CEO MSM | $430,147 | $0 | $0 | $0 | $38,499 | $0 | $47,619 | $0 | $7,563 | $0 | $523,828 | $0 | $0 | $0 |
| Eddie Bratko | ||||||||||||||
| Director | $0 | $240,929 | $0 | $0 | $0 | $9,378 | $0 | $12,611 | $0 | $20,050 | $0 | $282,968 | $0 | $0 |
| James A Dunlop Jr | ||||||||||||||
| Executive VP, CFO | $0 | $567,533 | $0 | $145,869 | $0 | $86,855 | $0 | $251,209 | $0 | $20,418 | $0 | $1,071,884 | $0 | $130,869 |
| Dr Brian D'Arcy | ||||||||||||||
| Senior VP, Medical Affairs | $0 | $339,535 | $0 | $0 | $0 | $55,465 | $0 | $43,900 | $0 | $19,309 | $0 | $458,209 | $0 | $0 |
| Joyce Markiewicz | ||||||||||||||
| Chief Business Development | $0 | $454,100 | $0 | $116,632 | $0 | $19,539 | $0 | $74,805 | $0 | $14,627 | $0 | $679,703 | $0 | $101,632 |
| Hans Cassagnol | ||||||||||||||
| Executive VP, Chief Physician | $0 | $430,783 | $0 | $10,000 | $0 | $43,328 | $0 | $58,850 | $0 | $15,684 | $0 | $558,645 | $0 | $0 |
| William Pryor | ||||||||||||||
| Executive VP, Chief Admin Officer | $0 | $491,200 | $0 | $12,500 | $0 | $24,104 | $0 | $62,126 | $0 | $18,047 | $0 | $607,977 | $0 | $0 |
| Bartholomew Rodrigues | ||||||||||||||
| Chief Mission Officer | $0 | $206,167 | $0 | $0 | $0 | $36,229 | $0 | $18,917 | $0 | $20,028 | $0 | $281,341 | $0 | $0 |
| Dr Michael Galang | ||||||||||||||
| Senior VP, Chief Information Officer | $0 | $428,801 | $0 | $0 | $0 | $18,261 | $0 | $68,265 | $0 | $7,538 | $0 | $522,865 | $0 | $0 |
| Nancy Sheehan | ||||||||||||||
| Senior VP, Legal Services | $0 | $387,581 | $0 | $25 | $0 | $19,031 | $0 | $25,616 | $0 | $14,556 | $0 | $446,809 | $0 | $0 |
| Dr Parag Parikh | ||||||||||||||
| Physician | $344,449 | $0 | $99,849 | $0 | $542 | $0 | $15,216 | $0 | $17,984 | $0 | $478,040 | $0 | $0 | $0 |
| Dr Kafai Lai | ||||||||||||||
| Physician | $373,819 | $0 | $0 | $0 | $390 | $0 | $9,702 | $0 | $7,756 | $0 | $391,667 | $0 | $0 | $0 |
| Dr Samuel Sirianni | ||||||||||||||
| Physician | $243,089 | $0 | $165,084 | $0 | $3,063 | $0 | $26,012 | $0 | $20,048 | $0 | $457,296 | $0 | $0 | $0 |
| Dr Gregory Sambuchi | ||||||||||||||
| Physician | $391,880 | $0 | $0 | $0 | $1,800 | $0 | $20,566 | $0 | $20,940 | $0 | $435,186 | $0 | $0 | $0 |
| Dr Steven Watkins | ||||||||||||||
| Physician | $345,065 | $0 | $25,000 | $0 | $312 | $0 | $0 | $0 | $6,902 | $0 | $377,279 | $0 | $0 | $0 |
| Joseph McDonald | ||||||||||||||
| President and CEO - Former | $0 | $0 | $0 | $129,246 | $0 | $1,025,423 | $0 | $21,214 | $0 | $14,957 | $0 | $1,190,840 | $0 | $129,246 |
| Gary Tucker | ||||||||||||||
| Director - Former | $221,250 | $0 | $0 | $0 | $87,398 | $0 | $19,996 | $0 | $20,833 | $0 | $349,477 | $0 | $0 | $0 |
| Maria Foti | ||||||||||||||
| Senior VP, Strategic Planning - Form | $0 | $236,046 | $0 | $69,116 | $0 | $86,605 | $0 | $23,723 | $0 | $6,903 | $0 | $422,393 | $0 | $69,091 |
| Michael Moley | ||||||||||||||
| Senior VP, Human Resources - Former | $0 | $27,219 | $0 | $87,505 | $0 | $587,926 | $0 | $22,590 | $0 | $15,027 | $0 | $740,267 | $0 | $87,505 |
| James Millard | ||||||||||||||
| Director - Former | $0 | $0 | $0 | $0 | $0 | $12,155 | $0 | -$131,600 | $0 | $567 | $0 | -$118,878 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | Certain portions of the incentive compensation paid in 2019 are a result of the targets that were achieved in previous years. Deferred compensation reported in 2019 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 2019. 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: Joseph McDonald: $765,901 Michael Moley: $446,180 Maria Foti: $72,705 Gary Tucker: $57,760 James Millard: $12,239 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 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 | $1,203,455 | See Part VI | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 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 |
|---|---|---|---|---|---|---|---|---|---|
| A | $4,170,597 | $47,036 | $3,318,606 | $804,954 | 2020 | Yes (1) | 0 | 0 | Yes (1) |
| B | $1,216,395 | $12,941 | $648,399 | $555,055 | 2020 | Yes (1) | 0 | 0 | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 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) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Susan Urlaub | |||
| Wife of Mercy CEO, C.J. Urlaub | $97,893 | Clinical Documentation Specialist, SCH/SJC | 0 |
| Kathleen Zapfel | |||
| Sister-in-law of BOD, Msgr. Robert Zapfel | $77,058 | HR Employee of CHS | 0 |
| Scott Markiewicz | |||
| Son of Key Employee, Joyce Markiewicz | $54,259 | Supervisor, Father Baker Manor | 0 |
| Julie Sullivan | |||
| Daughter of Chief Executive Officer | $64,441 | HR employee, CHS | 0 |
| Jacob Tucker | |||
| Son of Director, Gary Tucker | $4,732 | Imaging associate, MSMH | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | CHS has two members: Trinity Health, 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 in receiving a share of net assets upon dissolution, according to the CHS Bylaws. |
| Form 990, Part VI, Section A, line 7a | According to the CHS Bylaws, each member is equally allowed to appoint one representative and one alternative representative to serve on the Corporate Member Council and to serve as a voting director on the Catholic Health System Board of Directors. |
| Form 990, Part VI, Section A, line 7b | Yes, the corporate members do have reserve powers. |
| Form 990, Part VI, Section B, line 11b | Yes, an electronic copy of the Form 990 was provided to the CHS Boards of Directors before it was filed. The CHS Board of Directors has delegated the responsibility to review the 990 to the Audit Committee. The CHS Audit Committee reviewed in detail selected information for all CHS entities that file a 990. Reviewed with the Audit Committee: 1. Core Form Part IV: Checklist of required schedules 2. Core Form Part VI: Governance, Management and Disclosure 3. Core Form Part VII: Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees and Independent Contractors 4. Schedule H: Hospitals 5. Schedule K: Supplemental information on Tax Exempt Bonds 6. Schedule J: Compensation Information 7. Schedule L: Transactions with Interested Persons 8. Schedule R: Related Organizations and Unrelated Partnerships 9. Process for which remaining Core Form was completed, utilizing audited financial information |
| Form 990, Part VI, Section B, line 12c | All officers, directors, and key employees complete a Conflict of Interest Disclosure Statement (COIDS) in order to fulfill the annual requirements. COIDS are distributed to all parties, as per applicable policy, and once complete are followed up with as follows: 1. Associate and Physician completed COIDS are reviewed and signed off by the manager. If a disclosure is noted, it is discussed with the manager, and the document is forwarded to the Compliance officer who reviews and follows up as appropriate. Once review/follow up is completed the Compliance Officer will sign the COIDS, maintain a copy in the compliance office and return the original to HR for filing in the Personnel file. 2. All board member COIDS are returned to Compliance Officer for review and follow up as warranted. The compliance officer will sign each COIDS and retain on file in the compliance office in a confidential manner. |
| Form 990, Part VI, Section B, line 15 | CHS, in determining the compensation for the CEO, utilizes a process of review and approval, governed by the Board of Directors that includes an outside nationally recognized independent compensation consultant experienced in compensation and benefit matters for non-profit healthcare organizations, and comparability data. In 2019, 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 -614526. Change in Unrestricted Interest in Mount St. Mary's Foundation 941489. Change in Temp & Perm Restricted Interest in Mount St. Mary's Foundation -139518. |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | 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 | 0 | 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 |