Form 990 for tax year 2022
Filed by MOUNT ST MARYS HOSPITAL FOUNDATION INC.
Totals
- Total revenue
- $833,080
- Total expenses
- $676,439
- Contributions and grants received
- $701,991
- Grants paid
- $252,079
- Program service revenue
- $0
- Investment income
- $22,632
- Other revenue
- $108,457
- Total assets, end of year
- $11,717,301
- Total liabilities, end of year
- $1,943,744
- Net assets or fund balances, end of year
- $9,773,557
- Program services expenses (Part IX)
- $262,776
- Management and general expenses
- $222,123
- Fundraising expenses
- $191,540
- Program service expenses (Part III)
- $262,776
Program services were 38.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1c · Fundraising events
$45,979
-
1f · All other contributions, gifts and grants
$656,012
-
3 · Investment income
total $144,455 · excluded $144,455
-
7a · Gross sales of assets other than inventory
securities $115,804
-
7b · Less cost or other basis and sales expenses
securities $237,627
-
7c · Gain or loss
securities -$121,823
-
7d · Net gain or loss
total -$121,823 · excluded -$121,823
-
8a · Fundraising events: gross income
$162,923
-
8a · Fundraising events: contributions included on line 1c
$45,979
-
8b · Fundraising events: direct expenses
$55,729
-
8c · Net income from fundraising events
total $107,194 · excluded $107,194
-
11a · Other revenue: MISCELLANEOUS INCOME
total $1,263 · excluded $1,263
-
11e · Other revenue, total
$1,263
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $252,079 · program services $252,079
-
5 · Compensation of officers, directors and key employees
total $106,968 · program services $10,697 · management and general $21,394 · fundraising $74,877
-
7 · Other salaries and wages
total $162,817 · management and general $92,760 · fundraising $70,057
-
8 · Pension plan contributions
total $7,902 · management and general $5,484 · fundraising $2,418
-
9 · Other employee benefits
total $40,781 · management and general $24,879 · fundraising $15,902
-
10 · Payroll taxes
total $12,365 · management and general $6,872 · fundraising $5,493
-
11c · Fees: accounting
total $4,700 · management and general $4,700
-
11f · Fees: investment management
total $48,558 · management and general $48,558
-
11g · Fees: other
total $1,667 · management and general $1,667
-
12 · Advertising and promotion
total $1,198 · fundraising $1,198
-
13 · Office expenses
total $230 · management and general $230
-
17 · Travel
total $581 · management and general $581
-
22 · Depreciation, depletion and amortization
total $1,097 · management and general $1,097
-
24a · Other expenses: DIRECT MAILING
total $17,174 · fundraising $17,174
-
24b · Other expenses: BAD DEBT
total $8,401 · management and general $8,401
-
24c · Other expenses: CONTRACTUAL
total $5,500 · management and general $5,500
-
24d · Other expenses: DONOR RELATIONS
total $4,421 · fundraising $4,421
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $1,772,266 · end of year $2,733,971
-
2 · Savings and temporary cash investments
beginning of year $5,069,445 · end of year $1,886,112
-
3 · Pledges and grants receivable
beginning of year $1,785,074 · end of year $719,705
-
4 · Accounts receivable
beginning of year $1,100
-
9 · Prepaid expenses and deferred charges
beginning of year $274 · end of year $319
-
10a · Land, buildings and equipment: cost or other basis
$19,222
-
10b · Land, buildings and equipment: accumulated depreciation
$15,050
-
10c · Land, buildings and equipment, net
beginning of year $5,269 · end of year $4,172
-
11 · Investments: publicly traded securities
beginning of year $7,588,447 · end of year $6,372,722
-
15 · Other assets
beginning of year $510 · end of year $300
-
18 · Grants payable
beginning of year $5,069,445
-
19 · Deferred revenue
beginning of year $89,878
-
25 · Other liabilities
beginning of year $258,823 · end of year $1,943,744
-
27 · Net assets without donor restrictions
beginning of year $5,729,318 · end of year $4,293,931
-
28 · Net assets with donor restrictions
beginning of year $5,074,921 · end of year $5,479,626
Mission and programs · 2022
Mission
THE MOUNT ST. MARY'S HOSPITAL FOUNDATION IS A CHARITABLE, NOT-FOR-PROFIT 501(C)(3) CORPORATION WITH THE SOLE PURPOSE OF RAISING FUNDS FOR THE BENEFIT OF MOUNT ST. MARY'S HOSPITAL IN LEWISTON, NY.
Activities or mission (Part I)
SEE MISSION IN SCHEDULE OTHE MOUNT ST. MARY'S HOSPITAL FOUNDATION IS A CHARITABLE, NOT-FOR-PROFIT 501( C) 3 CORPORATION WITH THE SOLE PURPOSE OF RAISING FUNDS FOR THE BENEFIT OF MOUNT ST. MARY'S HOSPITAL IN LEWISTON, NY.
-
MOUNT ST. MARY'S HOSPITAL FOUNDATION PROVIDED FUNDS FOR CAPITAL RENOVATIONS AND EQUIPMENT PURCHASES TO ENSURE THAT OUR CLINICAL CAREGIVERS HAVE ACCESS TO UP-TO-DATE FACILITIES AND STATE -OF -THE-ART TECHNOLOGY.
Expenses $178,690 · Grants $178,690
-
MOUNT ST. MARY'S HOSPITAL FOUNDATION PROVIDED FUNDING FOR STAFF EDUCATION AND MEDICAL EDUCATION FOR PHYSICIANS INCLUDING THE REIMBURSEMENT OF TRAVEL AND LODGING EXPENSES AT CONFERENCES. THE FOUNDATION SERVED AS AN IMPORTANT VEHICLE FOR NURSES WEEK AND BREAST HEALTH AWARENESS WEEK. THE FOUNDATION SUPPORTED WORKPLACE SPIRITUALITY THROUGH SUPPORT OF THE PASTORAL CARE PROGRAM, MAINTAINED FUNDS TO SUPPORT SPIRITUAL CARE AND SPONSORED A VARIETY OF COMMUNITY EVENTS EACH YEAR TO PROMOTE AWARENESS OF HEALTH-RELATED ISSUES.
Expenses $36,514 · Grants $36,514
-
MOUNT ST. MARY'S HOSPITAL FOUNDATION SERVED AN IMPORTANT ROLE IN THE COMMUNITY PROVIDING A WIDE RANGE OF SERVICES TO ADDRESS MANY LEVELS OF CARE BY SUPPORTING THE NEIGHBORHOOD FAMILY CARE CENTER.
Expenses $47,572 · Grants $47,572
As filed on the 2022 return.
Listed in Part VII
-
Mark A SullivanMARK A SULLIVAN
PRES & CEO CHS
- Total calculated
- $1,340,049
- From this org
- $0
- From related orgs
- $1,314,161
- Other
- $25,888
- Hours/week
- 0 + 55 related
Schedule J breakdown matched by us
- Base
- $0 + $983,779 related
- Bonus
- $0 + $62,939 related
- Other
- $0 + $267,443 related
- Deferred
- $0 + $9,215 related
- Nontaxable benefits
- $0 + $16,673 related
- Filer's total
- $0 + $1,340,049 related
-
Charles J UrlaubCHARLES J URLAUB
PRESIDENT & CEO MSM
- Total calculated
- $480,140
- From this org
- $0
- From related orgs
- $459,970
- Other
- $20,170
- Hours/week
- 0 + 55 related
Schedule J breakdown matched by us
- Base
- $0 + $417,240 related
- Bonus
- $0
- Other
- $0 + $42,730 related
- Deferred
- $0 + $11,880 related
- Nontaxable benefits
- $0 + $8,290 related
- Filer's total
- $0 + $480,140 related
-
Mary KnottsMARY KNOTTS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0 + 4 related
-
David MariesDAVID MARIES
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0 + 4 related
-
Martin ShimmelMARTIN SHIMMEL
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0 + 4 related
-
Allison ViolanteALLISON VIOLANTE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0 + 4 related
-
Joseph IeraciJOSEPH IERACI
CHAIRMAN
- Total calculated
- $0
- Hours/week
- 0 + 8 related
-
Anthony EugeniANTHONY EUGENI
VICE CHAIRMAN
- Total calculated
- $0
- Hours/week
- 0 + 4 related
-
Robert IngrasciROBERT INGRASCI
TREASURER
- Total calculated
- $0
- Hours/week
- 0 + 4 related
-
Patricia A MiskoPATRICIA A MISKO
EXECUTIVE DIRECTOR
- Total calculated
- $95,229
- From this org
- $95,137
- From related orgs
- $0
- Other
- $92
- Hours/week
- 55
-
Thomas AustenTHOMAS AUSTEN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0 + 4 related
-
Geoffrey McDermidGEOFFREY MCDERMID
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0 + 4 related
-
Laura MarkleLAURA MARKLE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0 + 4 related
-
Douglas RahamDOUGLAS RAHAM
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0 + 4 related
-
Mary MurphyMARY MURPHY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0 + 4 related
-
Joan AulJOAN AUL
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0 + 4 related
-
Lyn DysterLYN DYSTER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0 + 4 related
-
Donald Largo MDDONALD LARGO MD
DIRECTOR
- Total calculated
- $339,516
- From this org
- $0
- From related orgs
- $301,914
- Other
- $37,602
- Hours/week
- 0 + 55 related
Schedule J breakdown matched by us
- Base
- $0 + $295,547 related
- Bonus
- $0
- Other
- $0 + $6,367 related
- Deferred
- $0 + $21,583 related
- Nontaxable benefits
- $0 + $16,019 related
- Filer's total
- $0 + $339,516 related
-
James FernandezJAMES FERNANDEZ
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0 + 4 related
-
Mary RicciardiMARY RICCIARDI
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0 + 4 related
-
Robert TaylorROBERT TAYLOR
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0 + 4 related
-
Gary TuckerGARY TUCKER
PRES & CEO MSM - FORMER
- Total calculated
- $55,480
- From this org
- $0
- From related orgs
- $58,332
- Other
- -$2,852
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0 + $28,820 related
- Bonus
- $0
- Other
- $0 + $29,512 related
- Deferred
- $0 + -$3,392 related
- Nontaxable benefits
- $0 + $540 related
- Filer's total
- $0 + $55,480 related
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
- 3 · Independent compensation consultant
- 3 · Form 990 of other organizations
- 3 · Written employment contract
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
- 4a · Severance or change-of-control payment
Answered no
- 4b · Supplemental nonqualified retirement plan
- 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 4A
- SEVERANCE PAYMENTS/CHANGE OF CONTROL PAYMENTS WERE MADE TO: GARY TUCKER $11,552
- PART II COLUMN C:
- THE CHANGE IN PRESENT VALUE SHOWN FOR EACH PARTICIPANT REPRESENTS THE CHANGE IN THE ACTUARIAL VALUE OF THE ACCRUED BENEFIT, WHETHER OR NOT FUNDED, VESTED OR SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. NOTE THAT THE CHANGE IN PRESENT VALUE IS PARTLY DUE TO CHANGES IN THE DISCOUNT RATE AND, FOR THOSE ACCRUING UNDER THE CASH BALANCE FORMULA, THE ASSUMPTIONS FOR FUTURE CASH BALANCE INTEREST CREDITING RATES AND FACTORS APPLICABLE TO ANNUITY CONVERSIONS.
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
-
$252,079
THE GRANT IS TO BE USED TO SUPPORT THE SERVICES OF THE HOSPITAL
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.
-
MOUNT ST MARY'S HOSPITAL OF NIAGARA FALLS
501C(3) · ACUTE CARE HOSPITAL · NY
Directly controlled by CATHOLIC HEALTH SYSTEMS INC
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 13 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202313179349304836
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