Form 990 for tax year 2023
Filed by MERCY MEDICAL CENTER FOUNDATION.
Totals
- Total revenue
- $591,472
- Total expenses
- $5,484
- Contributions and grants received
- $606,386
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $0
- Other revenue
- -$14,914
- Total assets, end of year
- $1,730,430
- Total liabilities, end of year
- $535,094
- Net assets or fund balances, end of year
- $1,195,336
- Program services expenses (Part IX)
- $0
- Management and general expenses
- $5,484
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $0
Program services were 0.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
PATRICK O'SHAUGHNESSY DO
EX-OFFICIO
- Total calculated
- $4,648,566
- From this org
- $0
- From related orgs
- $3,177,674
- Other
- $1,470,892
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $0 + $1,748,018 related
- Bonus
- $0 + $1,400,000 related
- Other
- $0 + $29,656 related
- Deferred
- $0 + $1,414,803 related
- Nontaxable benefits
- $0 + $56,089 related
- Filer's total
- $0 + $4,648,566 related
-
DENNIS VERZI
EX-OFFICIO
- Total calculated
- $2,405,981
- From this org
- $0
- From related orgs
- $1,839,485
- Other
- $566,496
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $0 + $1,164,908 related
- Bonus
- $0 + $400,000 related
- Other
- $0 + $274,577 related
- Deferred
- $0 + $544,803 related
- Nontaxable benefits
- $0 + $21,693 related
- Filer's total
- $0 + $2,405,981 related
-
PATRICK MINICUS
EVP & CFO
- Total calculated
- $1,928,665
- From this org
- $0
- From related orgs
- $1,220,160
- Other
- $708,505
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $0 + $921,345 related
- Bonus
- $0 + $270,000 related
- Other
- $0 + $28,815 related
- Deferred
- $0 + $655,803 related
- Nontaxable benefits
- $0 + $52,702 related
- Filer's total
- $0 + $1,928,665 related
-
JOSEPH MANOPELLA
PRESIDENT
- Total calculated
- $940,757
- From this org
- $0
- From related orgs
- $657,239
- Other
- $283,518
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $0 + $543,614 related
- Bonus
- $0 + $95,000 related
- Other
- $0 + $18,625 related
- Deferred
- $0 + $232,793 related
- Nontaxable benefits
- $0 + $50,725 related
- Filer's total
- $0 + $940,757 related
-
MARGARET MAHER
SVP & CHIEF DEVELOPMNT OFFICER
- Total calculated
- $514,630
- From this org
- $0
- From related orgs
- $488,031
- Other
- $26,599
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $0 + $406,314 related
- Bonus
- $0 + $76,000 related
- Other
- $0 + $5,717 related
- Deferred
- $0 + $20,856 related
- Nontaxable benefits
- $0 + $5,743 related
- Filer's total
- $0 + $514,630 related
-
TRACY MILLER
EX-OFFICIO
- Total calculated
- $0
- Hours/week
- 2
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 3 - METHODS TO ESTABLISH COMPENSATION BY RELATED ORGANIZATION
- THE FOLLOWING METHODS ARE USED BY A RELATED ORGANIZATION TO ESTABLISH COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR: A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, FORM 990 OF OTHER ORGANIZATIONS, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
- PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN
- THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THE AMOUNTS BELOW ARE INCLUDED ON SCHEDULE J, PART II, COLUMN C. PATRICK O'SHAUGHNESSY $1,392,000 PARTICIPATION IN PLAN. JOSEPH MANOPELLA $209,000 PARTICIPATION IN THE PLAN. DENNIS VERZI $522,000 PARTICIPATION IN THE PLAN. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THESE INDIVIDUALS INCLUDES BOTH QUALIFIED AND NON-QUALIFIED RETIREMENT PLANS. THE FOLLOWING INDIVIDUALS VESTED IN THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THE AMOUNTS BELOW ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III). THESE AMOUNTS INCLUDE A TAX GROSS UP. DENNIS VERZI $220,957 VESTED IN PLAN.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
CATHOLIC HEALTH SYSTEM OF LONG ISLAND
501(C)(3) · SUPPORT ORG · NY
Directly controlled by NA
-
501(C)(3) · SUPPORT ORG · NY
Directly controlled by CHSLI
-
501(C)(3) · DORMANT · NY
Directly controlled by CHSLI
-
GOOD SAMARITAN HOSPITAL MEDICAL CENTER
501(C)(3) · HOSPITAL · NY
Directly controlled by CHSLI
-
GOOD SAMARITAN SELF INSURANCE AGAINST
501(C)(3) · SELF INSURANC · NY
Directly controlled by GOOD SAMARTN
-
501(C)(3) · HOSPITAL · NY
Directly controlled by CHSLI
-
501(C)(3) · HOME CARE · NY
Directly controlled by CHSLI
-
OUR LADY OF CONSOLATION GERIATRIC CARE
501(C)(3) · LT NURSE CARE · NY
Directly controlled by CHSLI
-
ST CATHERINE OF SIENA MEDICAL CENTER
501(C)(3) · HOSPITAL · NY
Directly controlled by CHSLI
-
501(C)(3) · HOSPITAL · NY
Directly controlled by CHSLI
-
501(C)(3) · HOSPITAL · NY
Directly controlled by CHSLI
-
ST FRANCIS HOSPITAL FOUNDATION
501(C)(3) · SUPPORT ORG · NY
Directly controlled by ST FRANCIS
-
ST FRANCIS HOSPITAL RESEARCH & EDUCATIO
501(C)(3) · RESEARCH ORG · NY
Directly controlled by ST FRANCIS
-
501(C)(3) · HOSPITAL · NY
Directly controlled by CHSLI
-
501(C)(3) · SUPPORT ORG · NY
Directly controlled by CHSLI
-
501(C)(3) · SUPPORT ORG · NY
Directly controlled by CHSLI
-
WISDOM GARDENS HOUSING DEVELOPMENT FUND
501(C)(3) · SR HOUSING · NY
Directly controlled by ST CHARLES
-
501(C)(3) · HOSPICE SVC · NY
Directly controlled by CHSLI
-
ST CHARLES HOSPITAL FOUNDATION
501(C)(3) · SUPPORT ORG · NY
Directly controlled by ST CHARLES
-
GOOD SAMARITAN HOSPITAL FOUNDATION
501(C)(3) · SUPPORT ORG · NY
Directly controlled by GOOD SAMARTN
-
ST CATHERINE OF SIENA MEDICAL CTR FDN
501(C)(3) · SUPPORT ORG · NY
Directly controlled by STCATHERINE
-
CHS HOME CARE AND HOSPICE FOUNDATION
501(C)(3) · SUPPORT ORG · NY
Directly controlled by CATHHOMECARE
-
GOOD SHEPHERD HOSPICE FOUNDATION
501(C)(3) · SUPPORT ORG · NY
Directly controlled by GOODSHEPHERD
-
OUR LADY OF CONSOLATION FOUNDATION
501(C)(3) · SUPPORT ORG · NY
Directly controlled by OURLADYOFC
-
501(C)(3) · REAL ESTATE · NY
Directly controlled by CHSLI
-
501(C)(3) · HEALTHCARESVC · NY
Directly controlled by ST FRANCIS
-
501(C)(3) · CAPTIVE INS · NY
Directly controlled by CHSLI
-
SAMARITAN EMERGENCY MEDICAL SERVICES PC
501(C)(4) · HEALTHCARESVC · NY
Directly controlled by GOOD SAMARTN
-
501(C)(3) · SUPPORT ORG · NY
Directly controlled by WSNCHS NORTH
-
501(C)(3) · CAPTIVE INS · NY
Directly controlled by CHSLI
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
N/A · PHYSICIAN ASSN · NY
Directly controlled by NA
-
N/A · HEALTH SERVICES · PA
Directly controlled by NA
-
N/A · HEALTHCARE · NY
Directly controlled by NA
-
N/A · SR HOUSING · NY
Directly controlled by NA
-
CHS PHYSICIAN PARTNERS ACO LLC
N/A · HEALTHCARE · NY
Directly controlled by NA
-
LONG ISLAND HEALTHCARE NETWORK
N/A · CONTRACTING · NY
Directly controlled by NA
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
RADIOLOGY CONSULTING OF LONG ISLANDPLLC
C-CORP · HEALTHCARE SVC · NY
Directly controlled by GOOD SAMARITAN
-
SAMARITAN PEDIATRIC SERVICES PC
C-CORP · HEALTHCARE SVC · NY
Directly controlled by GOOD SAMARITAN
-
C-CORP · HEALTHCARE SVC · NY
Directly controlled by GOOD SAMARITAN
-
C-CORP · HEALTHCARE SVC · NY
Directly controlled by GOOD SAMARITAN
-
C-CORP · HEALTHCARE SVC · NY
Directly controlled by GOOD SAMARITAN
-
LI REGIONAL ARTHRITIS & OSTEOPOROSIS CAR
C-CORP · HEALTHCARE SVC · NY
Directly controlled by GOOD SAMARITAN
-
C-CORP · HEALTHCARE SVC · NY
Directly controlled by CHSLI
-
ADVANCED REHABILIATION MEDICINE PLLC
C-CORP · HEALTHCARE SVC · NY
Directly controlled by STCHARLES HOSP
-
ST FRANCIS CARDIAC PREVENTION SERVICES
C-CORP · HEALTHCARE SVC · NY
Directly controlled by STFRANCIS HOSP
-
SOUTH SHORE PRACTICE MANAGEMENT
C-CORP · HEALTHCARE SVC · NY
Directly controlled by SAMARITAN MGMT
-
C-CORP · HEALTHCARE SVC · NY
Directly controlled by SAMARITAN MGMT
-
C-CORP · HEALTHCARE SVC · NY
Directly controlled by MERCY MED CTR
-
S-CORP · PHYSICIAN SVC · NY
Directly controlled by MERCY MED CTR
-
C-CORP · PHARMACY · NY
Directly controlled by CHSLI
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 11 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202443209349316354
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