MOUNT ST MARYS HOSPITAL OF NIAGARA FALLS: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- MOUNT ST MARYS HOSPITAL OF NIAGARA FALLS (EIN 16-1523353)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2017-01-10
- IRS object ID
- 201710109349300901
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-01-10T12:32:56-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161523353 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mount St Mary's Hospital | BusinessNameLine1Txt |
| Business Name Line2 | of Niagara Falls | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MOUN | BusinessNameControlTxt |
| Phone | 7168282974 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 144 Genesee St 4th Floor - Finance | AddressLine1Txt |
| City | Buffalo | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14203 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | David P Macholz | PersonNm |
| Person Title | CHS VP Finance,Corp.Controller | PersonTitleTxt |
| Phone | 7168282974 | PhoneNum |
| Signature | 2017-01-10 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Amended Return | Yes (X) | AmendedReturnInd |
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mount St Mary's Hospital and Health | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Joseph D McDonald | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 144 Genesee Street | AddressLine1Txt |
| City | Buffalo | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $93,678,815 | 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 Catholic Health System (CHS) Mission is to provide quality healthcare services in an acute care setting. Committed to a common mission, CHS providers 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 2015 Community Service Plan can be found at www.chsbuffalo.org. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 921 | TotalEmployeeCnt |
| Total Volunteers | 230 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $803,382 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $92,112,823 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $92,209,017 | CYProgramServiceRevenueAmt |
| PY Investment Income | $159,586 | PYInvestmentIncomeAmt |
| CY Investment Income | $32,150 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,246,306 | PYOtherRevenueAmt |
| CY Other Revenue | $1,437,648 | CYOtherRevenueAmt |
| PY Total Revenue | $96,322,097 | PYTotalRevenueAmt |
| CY Total Revenue | $93,678,815 | 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 | $56,997,901 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $59,044,765 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $36,099,229 | PYOtherExpensesAmt |
| CY Other Expenses | $35,757,873 | CYOtherExpensesAmt |
| PY Total Expenses | $93,097,130 | PYTotalExpensesAmt |
| CY Total Expenses | $94,802,638 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,224,967 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,123,823 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $51,071,072 | TotalAssetsBOYAmt |
| Total Assets EOY | $47,446,166 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $41,142,119 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $20,119,146 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,928,953 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $27,327,020 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | We are called to continue the healing ministry of Jesus by providing compassionate person-centered care. We will respect the dignity of all, with special concern for those who are poor and vulnerable. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $36,877,175 | ExpenseAmt |
| Revenue | $46,874,358 | RevenueAmt |
| Desc | Mount St. Mary's Hospital provides in-patient medical and surgical services to the community, including acute care, cardiac and medical intensive care, telemetry, maternity, pediatrics, palliative care, stroke care and inpatient alcohol & substance abuse rehab. During the calendar year ending December 31, 2015, our Hospital treated 5371 inpatient adults and children in the community for a total of 26,915 patient days of service. A substantial portion of services are provided to the elderly and poor. During the calendar year ending December 31, 2015, approximately 46% of the value of services rendered was to elderly patients under the Medicare program, and approximately 23% of the services were provided to patients who were deemed indigent under state, county, or Hospital guidelines. In the spirit of principles adopted by Catholic Health and our Mount St. Mary's Hospital Board of Trustees, Mount St. Mary's Hospital has taken proactive steps to address those issues that affect accessibility, financing, and delivery of healthcare to all persons, especially those who are uninsured, underinsured, and underserved. All services are designed to provide healing without harm to those we serve. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $36,367,016 | ExpenseAmt |
| Revenue | $46,225,898 | RevenueAmt |
| Desc | Mount St. Mary's Hospital provides the following outpatient medical services to the community: cardiac services, emergency services, laboratory services, neurology services including EEG and EMG, orthopedic services, pain management, primary care clinic services, radiology services, rehabilitation services, surgical services, physical therapy, occupational therapy, speech therapy, wound care, ENT, neurology, hyperbaric medicine, respiratory therapy and pulmonary function studies. Some of the services listed, such as the primary care clinic services, operate at a deficit but are supported and maintained in order to ensure that all services are available to meet community health care needs. During the calendar year ending December 31, 2015, our Hospital provided 158,458 services to outpatients, including 6772 outpatient surgery patients, 21,331 emergency room visits, 65,877 referred ambulatory patients, and 64,478 clinic visits. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $8,705,493 | ExpenseAmt |
| Desc | During the calendar year ending December 31, 2015, the estimated unreimbursed cost of services provided to the elderly, uninsured, and underinsured totaled $8,706,000, including $118,000 cost for charity care, $758,000 in programs for the poor, $698,000 in services to the general community, and $7,132,000 in unpaid cost of public programs. Community benefit programs or activities are those that provide treatment and/or promote health and healing as a response to identified community needs. In efforts to promote healthy living, Mount St. Mary's Hospital has made available the following programs to the community: physical fitness activities, community health programs, medical education, cancer screening programs, heart disease screening programs, support groups and educational classes, CPR and first aid classes, flu shot clinics, nutrition and weight loss management, and smoking cessation, among others. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $81,949,684 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 | Yes (1) | 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 | 0 | TaxExemptBondsInd |
| 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 79 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 921 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | David P Macholz CHS VP Finance C | PersonNm |
| Phone | 7168282974 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 144 Genesee St | AddressLine1Txt |
| City | Buffalo | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14203 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (48 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Joseph McDonald | |||||||||
| President and CEO, CHS | 0.00 | 55.00 | Yes (X) | $0 | $1,582,915 | $204,904 | |||
| Mark Sullivan | |||||||||
| Executive VP/COO | 0.00 | 55.00 | Yes (X) | $0 | $831,321 | $134,963 | Yes (X) | ||
| James A Dunlop Jr | |||||||||
| Executive VP, Finance/CFO | 0.00 | 55.00 | Yes (X) | $0 | $887,602 | $110,616 | |||
| Dr Brian D'Arcy | |||||||||
| Senior VP, Medical Affairs | 0.00 | 55.00 | Yes (X) | $0 | $588,913 | $86,724 | |||
| Judith Maness | |||||||||
| Pres. & CEO, Mount St. Mary's Hospital | 55.00 | Yes (X) | $299,732 | $0 | $33,736 | ||||
| Gary Tucker | |||||||||
| Pres. & CEO, Mount St. Mary's Hospital | 55.00 | Yes (X) | $440,125 | $0 | $68,790 | Yes (X) | |||
| David Macholz | |||||||||
| Treasurer | 0.00 | 55.00 | Yes (X) | $0 | $329,578 | $24,203 | Yes (X) | ||
| Stephen Franko III | |||||||||
| Chief Financial Officer | 55.00 | Yes (X) | $318,571 | $0 | $32,244 | ||||
| Brian Beitz | |||||||||
| Director | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| Peter Bergmann | |||||||||
| Director | 1.00 | 55.00 | Yes (X) | $0 | $495,499 | $23,556 | |||
| Frances Crosby RN PHD | |||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Ricard Curran MD | |||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| John Davanzo | |||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Dr Michael Edbauer | |||||||||
| Director | 0.00 | 27.50 | Yes (X) | $0 | $362,923 | $70,688 | |||
| Joseph Gelormini MD | |||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Mark Jajkowski | |||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Joyce Markiewicz | |||||||||
| Director | 0.00 | 55.00 | Yes (X) | $0 | $367,821 | $35,357 | |||
| Raquel Martin DO | |||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| James Millard | |||||||||
| Director | 0.00 | 55.00 | Yes (X) | $0 | $419,950 | $34,672 | |||
| Sherry Pomeroy PhD | |||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Mark Sullivan | |||||||||
| Officer/Director | 55.00 | Yes (X) | $0 | $0 | $0 | ||||
| Gary Tucker | |||||||||
| Officer/Director | 55.00 | Yes (X) | $0 | $0 | $0 | ||||
| Mary Turkiewiecz MD | |||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Charles Urlaub | |||||||||
| Director | 2.00 | 55.00 | Yes (X) | $0 | $463,086 | $36,126 | |||
| Monsignor Robert E Zapfel | |||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Dena Armstrong | |||||||||
| MSMH BOD | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| William Bradberry | |||||||||
| MSMH BOD | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Christopher H Brown | |||||||||
| MSMH BOD | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Lloyd W Brown MD | |||||||||
| MSMH BOD | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Anthony Eugeni | |||||||||
| MSMH BOD | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Carmen A Granto | |||||||||
| MSMH BOD | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Donald J Largo Jr MD | |||||||||
| MSMH BOD | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Robert A Minicucci | |||||||||
| MSMH BOD | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Sister Kathleen Natwin DC | |||||||||
| MSMH BOD | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Sister Marilyn Perkins DC | |||||||||
| MSMH BOD | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Robert J Travis | |||||||||
| MSMH BOD | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Michael L Vitch | |||||||||
| MSMH BOD | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Deborah J Winslow-Schaber | |||||||||
| MSMH BOD | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Judith A Maness | |||||||||
| MSMH BOD | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Maria Foti | |||||||||
| Sr. VP, Strategic Planning | 0.00 | 55.00 | $0 | $347,846 | $63,087 | Yes (X) | |||
| Dr Michael Galang | |||||||||
| Sr. VP, Chief Information Officer | 0.00 | 55.00 | $0 | $509,718 | $81,005 | Yes (X) | |||
| Michael Moley | |||||||||
| Sr. VP, Human Resources | 55.00 | 0.00 | $0 | $687,938 | $105,480 | Yes (X) | |||
| Nancy Sheehan | |||||||||
| SVP Legal Service, General Counsel | 0.00 | 55.00 | $0 | $380,104 | $52,928 | Yes (X) | |||
| Dr Michael Kreymer | |||||||||
| Physician | 55.00 | 0.00 | $329,599 | $0 | $40,253 | Yes (X) | |||
| Dr Roger W Rogers | |||||||||
| Physician | 55.00 | 0.00 | $396,425 | $0 | $32,457 | Yes (X) | |||
| Dr Benjamin G Rueda | |||||||||
| Physician | 55.00 | 0.00 | $477,267 | $0 | $43,943 | Yes (X) | |||
| Dr Arif S Syed | |||||||||
| Physician | 55.00 | 0.00 | $415,036 | $0 | $43,218 | Yes (X) | |||
| Dr Sharmilee Thota | |||||||||
| Physician | 55.00 | 0.00 | $336,312 | $0 | $19,506 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,013,067 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,255,214 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,378,456 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 59 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | 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 |
|---|---|---|---|---|---|
| Touchpoint | |||||
| PO Box 102289 | Atlanta | GA | 30368 | Consulting Services | $1,979,466 |
| Trimedx LLC | |||||
| PO Box 636129 | Cincinnati | OH | 45263 | Consulting Services | $1,422,841 |
| The Peyton Barlow Company | |||||
| 360 Delaware Ave Suite 300 | Buffalo | NY | 14202 | Consulting Services | $857,927 |
| Precision Health Care Services | |||||
| 1160 Southwest 21st Avenue | Boca Roton | FL | 33486 | Consulting Services | $856,055 |
| Exigence Hospitalist Medical Services | |||||
| PO Box 634850 | Cincinnati | OH | 45263 | Consulting Services | $708,182 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 26 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Inpatient Services | 621990 | $46,425,635 | $46,425,635 |
| Net Outpatient Services | 621990 | $45,783,382 | $45,783,382 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $92,209,017 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $32,150 | TotalRevenueColumnAmt |
| Exclusion | $32,150 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $85,410 | 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 | $85,410 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $85,410 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $85,410 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| All Other | 621990 | $985,777 | $985,777 | |
| Cafeteria | 722210 | $366,461 | $366,461 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,352,238 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $93,678,815 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $93,280,204 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $398,611 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,487,642 | TotalAmt |
| Program Services | $42,264,001 | ProgramServicesAmt |
| Management And General | $5,223,641 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,057,779 | TotalAmt |
| Program Services | $941,423 | ProgramServicesAmt |
| Management And General | $116,356 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,299,698 | TotalAmt |
| Program Services | $6,496,731 | ProgramServicesAmt |
| Management And General | $802,967 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,199,646 | TotalAmt |
| Program Services | $2,847,685 | ProgramServicesAmt |
| Management And General | $351,961 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,605 | TotalAmt |
| Management And General | $101,605 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,248 | TotalAmt |
| Management And General | $78,248 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,406 | TotalAmt |
| Management And General | $16,406 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,644,259 | TotalAmt |
| Program Services | $1,888,107 | ProgramServicesAmt |
| Management And General | $756,152 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $261,393 | TotalAmt |
| Management And General | $261,393 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,943,861 | TotalAmt |
| Program Services | $2,503,121 | ProgramServicesAmt |
| Management And General | $2,440,740 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$52,052 | TotalAmt |
| Program Services | $10,645 | ProgramServicesAmt |
| Management And General | -$62,697 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,430,936 | TotalAmt |
| Program Services | $1,073,202 | ProgramServicesAmt |
| Management And General | $357,734 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,488 | TotalAmt |
| Program Services | $2,284 | ProgramServicesAmt |
| Management And General | $8,204 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,636 | TotalAmt |
| Program Services | $59,070 | ProgramServicesAmt |
| Management And General | $58,566 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $476,064 | TotalAmt |
| Program Services | $446,449 | ProgramServicesAmt |
| Management And General | $29,615 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,014,302 | TotalAmt |
| Program Services | $1,888,996 | ProgramServicesAmt |
| Management And General | $125,306 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $612,020 | TotalAmt |
| Program Services | $537,162 | ProgramServicesAmt |
| Management And General | $74,858 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Purchased Services | $11,491,623 | $10,227,543 | $1,264,080 |
| Medical Supplies | $10,241,407 | $10,173,153 | $68,254 |
| Other Supplies Non-Medi | $1,136,012 | $428,701 | $707,311 |
| Dues | $233,665 | $161,411 | $72,254 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,802,638 | TotalAmt |
| Program Services | $81,949,684 | ProgramServicesAmt |
| Management And General | $12,852,954 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,695,187 | BOYAmt |
| EOY | $4,003,131 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,302,523 | BOYAmt |
| EOY | $8,790,533 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $435,749 | BOYAmt |
| EOY | $1,070,267 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,502,512 | BOYAmt |
| EOY | $1,765,902 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $548,222 | BOYAmt |
| EOY | $565,563 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $60,808,742 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $36,128,054 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,776,533 | BOYAmt |
| EOY | $24,680,688 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,810,346 | BOYAmt |
| EOY | $6,570,082 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,071,072 | BOYAmt |
| EOY | $47,446,166 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,802,635 | BOYAmt |
| EOY | $7,147,916 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,339,484 | BOYAmt |
| EOY | $12,971,230 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,142,119 | BOYAmt |
| EOY | $20,119,146 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,136,211 | BOYAmt |
| EOY | $21,180,240 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,792,742 | BOYAmt |
| EOY | $6,146,780 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,928,953 | BOYAmt |
| EOY | $27,327,020 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,071,072 | BOYAmt |
| EOY | $47,446,166 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,123,823 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$58,165 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $18,580,055 | 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) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| 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 | $16,406 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $16,406 | 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 | Lobbying expenses represent the portion of dues paid to national and state associations that is specifically allocable to lobbying. Mount St. Mary's Hospital of Niagara Falls 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 for public office. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,227,100 | OtherCostOrOtherBasisAmt |
| Book Value | $1,227,100 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $32,895,476 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,399,240 | DepreciationAmt |
| Book Value | $14,496,236 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,432,987 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,045,797 | DepreciationAmt |
| Book Value | $7,387,190 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,253,179 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,683,017 | DepreciationAmt |
| Book Value | $1,570,162 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $24,680,688 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Due From Affiliates | $265,863 |
| Beneficial Interest in Net Assets of Foundation | $6,147,472 |
| Other Assets | $156,747 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $6,570,082 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Third Party Liabilities | $2,824,696 |
| Self-Insurance Liability | $811,600 |
| Other Long Term Liabilities | $9,334,934 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $12,971,230 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $94,372,267 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $693,451 | OtherRevenueAmt |
| Revenue Not Reported | $693,451 | RevenueNotReportedAmt |
| Revenue Subtotal | $93,678,816 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $93,678,816 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $95,705,533 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $902,894 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $902,894 | ExpensesNotReportedAmt |
| Expenses Subtotal | $94,802,639 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $94,802,639 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part XI, Line 2d - Other Adjustments: | Childcare Revenue Foundation Revenue |
| Part XII, Line 2d - Other Adjustments: | Childcare Expenses Foundation Expenses (net of eliminations) |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| 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 | $835,591 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $717,249 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $118,342 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,665,833 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,605,816 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,060,017 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07450 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $147,085 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $75,385 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $71,700 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,648,509 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,398,450 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,250,059 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07650 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $738,005 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $738,005 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00780 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $154,432 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $154,432 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,238,253 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $804,225 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $434,028 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00460 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $166 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $166 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $128,803 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $128,803 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,259,659 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $804,225 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,455,434 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01540 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,908,168 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,202,675 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,705,493 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09190 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $186 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $186 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,317 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,317 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $289 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $289 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,792 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,792 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,438,981 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $103,238 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $16,562,420 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $15,545,677 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,016,743 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| 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 Speciality | 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 | Yes (1) | 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | 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 | http://chsbuffalo.org/Community | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | http://www.chsbuffalo.org/Community | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| 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 | 300.000000000000 | 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 | http://chsbuffalo.org/billing/finance | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | http://chsbuffalo.org/billing/finance | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | http://chsbuffalo.org/billing/finance | 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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Section A: | CT Scanner Chemical Dependence - IP Rehabilitation O/P Chemical Dependence - Withdrawal O/P Clinic Part Time Services Clinical Laboratory Service Coronary Care Emergency Department Health Fairs O/P Intensive Care Lithotripsy Magnetic Resonance Imaging Maternity Medical Services - Primary Care Medical Social Services Medical/Surgical Nuclear Medicine - Diagnostic Nuclear Medicine - Therapeutic Pediatric O/PPharmaceutical Service Radiology - Diagnostic Renal Dialysis - Acute Therapy - Occupational O/P Therapy - Physical O/P Therapy - Speech Language Pathology |
| Mount St. Mary's Hospital of Niagara Falls | Part V, Section B, Line 5: Health awareness and prevention activities are conducted throughout the year targeting priorities identified in numerous community surveys. In calendar year 2012-2013, Mount St. Mary's Hospital (MSMH) conducted a survey with respect to the community's health needs. As noted below, MSMH surveyed community members and visitors to the hospital, community organizations and churches and personally interviewed hospital volunteers while conducting focus groups to discuss survey and interview results. In addition, later in 2013, MSMH compiled and reviewed health data from surveys conducted by the Niagara County Department of Health and data from the New York State Department of Health and amended its plan to add two additional priorities from the NYS Department of Health Prevention Agenda.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. While MSMH initially identified priorities as related to community needs, in 2013 two additional priorities were added from meetings involving other local area local area hospitals and the Niagara County Department of Health. |
| Mount St. Mary's Hospital of Niagara Falls | Part V, Section B, Line 6b: Niagara County Department of Health New York State Department of Health |
| Mount St. Mary's Hospital of Niagara Falls | Part V, Section B, Line 2: Effective July 1, 2015, Catholic Health and Ascension completed a transaction to transfer ownership/sponsorship of Mount St. Mary's from Ascension to Catholic Health. Ascension was the sponsor of Mount St. Mary's from 2000 to July 1, 2015. |
| Mount St. Mary's Hospital of Niagara Falls | Part V, Section B, Line 11: 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 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 addressed not 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. |
| Mount St. Mary's Hospital of Niagara Falls | Part V, Section B, Line 16i: Brochures describing the Financial Assistance Policy and a sign indicating where to call or go to talk to the Financial Counselor, are located at every entry point of the hospital, including all off campus locations, The brochure and application are also posted on the hospital' s website. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 8 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Mount St Mary's Hospital Rehab Svc | ||||
| 1 Columba Drive | Niagara Falls | NY | 14305 | Licensed, Extension Clinic: Therapy-Occupational O/P, Therapy-Physical O/P/ |
| 2 - Mount St Mary's Diagnostic Imaging Svc | ||||
| 7300 Porter Road | Niagara Falls | NY | 12414 | Licensed, Extension Clinic: Medical Services-Primary Care |
| 3 - Mount St Mary's Ear Nose and Throat Sv | ||||
| 6941 Elaine Drive | Niagara Falls | NY | 14304 | Licensed, Extension Clinic: Primary Medical Care O/P |
| 4 - Mount St Mary's Orthopedic Services | ||||
| 5320 Military Road | Lewiston | NY | 14092 | Licensed, Extension Clinic: Orthopedic Services General,Vascular & Cardiotho |
| 5 - Mount St Mary's Primary Care | ||||
| 1302 Main Street | Niagara Falls | NY | 14301 | Extension Clinic: Medical Services O/P, Primary Medical Care O/P, Radiology |
| 6 - Mount St Mary's Neighborhood Health Ctr | ||||
| 3101 Ninth Street | Niagara Falls | NY | 14305 | Licensed, Extension Clinic: Medical Social Services O/P, Nutritional O/P |
| 7 - Mount St Mary's Campus Medical Arts Bld | ||||
| 5290 Military Road Suite 8 | Lewiston | NY | 14092 | Extension Clinic: Primary Care |
| 8 - Witmer Park Medical Center | ||||
| One Colomba Drive Suite 8 | Niagara Falls | NY | 14304 | Extension Clinic: Primary Care |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | A cost to charge ratio was used for costing various amounts in the table using a calculation based on Worksheet 2. |
| Part II, Community Building Activities: | Community Building Activities for Mount St. Mary's Hospital included Economic Development of $186 and Community Support - Boards and Advisory Councils for $6,795. |
| Part III, Line 2: | The provision for doubtful accounts is based upon management's assessment of historical and expected net collections considering economic conditions trends in health care coverage, and other collection indicators, Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payer category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for uncollectable accounts, After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Hospital may place past due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Ascension Health.Accounts receivable are written off after collection efforts have been followed in accordance with the Hospital's policies,The methodology for determining the allowance for doubtful accounts and related write-offs on uninsured patient accounts has remained consistent with the prior year, The Hospital has not experienced material changes in write-off trends and has not materially changed its charity care policy in 2014,The organization's share of bad debt expense in 2015 was $2,438,981 at charges. |
| Part III, Line 4: | The hospital does not have a footnote that describes bad debt in the financial statements. |
| Part III, Line 8: | Ascension Health and related health ministries follow the Catholic Health Association {CHA) guidelines for determining community benefit. |
| Part III, Line 9b: | The organization has a written debt collection policy that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity or financial assistance certain collectionpractices do not apply. |
| Part V Section A Line 1 | CT Scanner Chemical Dependence - IP Rehabilitation O/P Chemical Dependence - Withdrawal O/P Clinic Part Time Services Clinical Laboratory Service Coronary Care Emergency Department Health Fairs O/P Intensive Care Lithotripsy Magnetic Resonance Imaging Maternity Medical Services - Primary Care Medical Social Services Medical/Surgical Nuclear Medicine - Diagnostic Nuclear Medicine - Therapeutic Pediatric O/P Pharmaceutical Service Radiology - Diagnostic Renal Dialysis - Acute Therapy - Occupational O/P Therapy - Physical O/P Therapy - Speech Language Pathology |
| 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, Catholic Academy of Niagara Falls, March of Dimes, Healthy Moms/Healthy Babies, among others. In each of the organizations listed, a member of the Mount St. Mary's leadership term serves on their board of directors or key committee with consistent dialogue about our services. |
| Part VI, Line 3: | Patients are personally informed of the financial assistance and charity care policies at each inpatient and outpatient entry point of the Hospital by Patient Access representatives, who also direct those individuals requiring further information to the Financial Assistance Counselors. Each entry point of the Hospital and all of its offsite locations have both signs and brochures explaining the Financial Assistance Policy in place.In addition, the Financial Assistance Policy and application have been placed on the homepage of the Hospital's website.Part VI, Line 4: |
| 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 in Erie County and the surrounding communities. Our Mission Statement - 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 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. Each year, Catholic Health touches tens of thousands of area residents through its community health education programs, health screenings, clinical and support services, and community service activities. Most of these programs are free to encourage participation by people from all walks of life. Catholic Health will continue to meet community needs by providing charity care to the uninsured and underinsured, traditional Medicaid services, and community benefit programs, including collaborative community health improvement initiatives, health professional education programs, volunteering and community service activities, and cash and in-kind contributions to community organizations that serve the poor and disadvantaged. In 2015, the Catholic Health System provided more than $100 million in charity care and community benefit activities (including $5 million from Mount St. Mary's) 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 Buffalo City Mission, Friends of Night People, and the Health Science Charter School 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.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 its 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. For Breast Health, Mount St. Mary's has not only raised necessary funds to invest in the first digital mammography units in Niagara County, but an MRI Breast Coil has been secured and capital from Catholic Health will be used to bring 3D Tomosynthesis to Mount St. Mary's and Niagara County. |
| Part VI, Line 6: | Mount St. Mary's Hospital of Niagara Falls d/b/a Mount St. Mary's Hospital and Health Center (the Hospital) was a member of Ascension from 2000 to July 2015. Ascension is the sole corporate member and parent organization of Ascension Health, a Catholic, national health system consisting primarily of nonprofit corporations that own and operate local health care facilities, or Health Ministries located in 23 of the United States and the District of Columbia. In July 2015, Mount St. Mary's and Catholic Health worked cooperatively with Ascension to have sponsorship of Mount St. Mary's transferred to Catholic Health. |
| Part VI, Line 7, Reports Filed With States | NY |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | 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 (22 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Joseph McDonald | ||||||||||||||
| President and CEO, CHS | $0 | $740,806 | $0 | $536,131 | $0 | $305,978 | $0 | $180,650 | $0 | $24,254 | $0 | $1,787,819 | $0 | $0 |
| Mark Sullivan | ||||||||||||||
| Executive VP/COO | $0 | $504,363 | $0 | $208,657 | $0 | $118,301 | $0 | $112,959 | $0 | $22,004 | $0 | $966,284 | $0 | $0 |
| James A Dunlop Jr | ||||||||||||||
| Executive VP, Finance/CFO | $0 | $501,920 | $0 | $315,368 | $0 | $70,314 | $0 | $89,631 | $0 | $20,985 | $0 | $998,218 | $0 | $0 |
| Dr Brian D'Arcy | ||||||||||||||
| Senior VP, Medical Affairs | $0 | $440,939 | $0 | $95,588 | $0 | $52,386 | $0 | $65,094 | $0 | $21,630 | $0 | $675,637 | $0 | $0 |
| Judith Maness | ||||||||||||||
| Pres. & CEO, Mount St. Mary's Hospit | $288,774 | $0 | $0 | $0 | $10,958 | $0 | $19,955 | $0 | $13,781 | $0 | $333,468 | $0 | $0 | $0 |
| Gary Tucker | ||||||||||||||
| Pres. & CEO, Mount St. Mary's Hospit | $243,236 | $0 | $173,623 | $0 | $23,266 | $0 | $43,271 | $0 | $25,519 | $0 | $508,915 | $0 | $0 | $0 |
| David Macholz | ||||||||||||||
| Treasurer | $0 | $210,123 | $0 | $110,699 | $0 | $8,756 | $0 | $1,925 | $0 | $22,278 | $0 | $353,781 | $0 | $0 |
| Stephen Franko III | ||||||||||||||
| Chief Financial Officer | $135,862 | $0 | $164,000 | $0 | $18,709 | $0 | $14,602 | $0 | $17,642 | $0 | $350,815 | $0 | $0 | $0 |
| Peter Bergmann | ||||||||||||||
| Director | $0 | $403,466 | $0 | $63,731 | $0 | $28,302 | $0 | $3,149 | $0 | $20,407 | $0 | $519,055 | $0 | $0 |
| Dr Michael Edbauer | ||||||||||||||
| Director | $0 | $238,222 | $0 | $111,206 | $0 | $13,495 | $0 | $59,457 | $0 | $11,231 | $0 | $433,611 | $0 | $0 |
| Joyce Markiewicz | ||||||||||||||
| Director | $0 | $280,167 | $0 | $70,559 | $0 | $17,095 | $0 | $14,186 | $0 | $21,171 | $0 | $403,178 | $0 | $0 |
| James Millard | ||||||||||||||
| Director | $0 | $330,958 | $0 | $71,925 | $0 | $17,067 | $0 | $23,675 | $0 | $10,997 | $0 | $454,622 | $0 | $0 |
| Charles Urlaub | ||||||||||||||
| Director | $0 | $387,431 | $0 | $40,588 | $0 | $35,067 | $0 | $15,442 | $0 | $20,684 | $0 | $499,212 | $0 | $0 |
| Maria Foti | ||||||||||||||
| Sr. VP, Strategic Planning | $0 | $232,624 | $0 | $98,515 | $0 | $16,707 | $0 | $54,191 | $0 | $8,896 | $0 | $410,933 | $0 | $0 |
| Dr Michael Galang | ||||||||||||||
| Sr. VP, Chief Information Officer | $0 | $343,441 | $0 | $149,570 | $0 | $16,707 | $0 | $78,087 | $0 | $2,918 | $0 | $590,723 | $0 | $0 |
| Michael Moley | ||||||||||||||
| Sr. VP, Human Resources | $0 | $351,252 | $0 | $175,656 | $0 | $161,030 | $0 | $82,554 | $0 | $22,926 | $0 | $793,418 | $0 | $0 |
| Nancy Sheehan | ||||||||||||||
| SVP Legal Service, General Counsel | $0 | $290,590 | $0 | $72,447 | $0 | $17,067 | $0 | $43,525 | $0 | $9,403 | $0 | $433,032 | $0 | $0 |
| Dr Michael Kreymer | ||||||||||||||
| Physician | $319,412 | $0 | $9,890 | $0 | $297 | $0 | $16,490 | $0 | $23,763 | $0 | $369,852 | $0 | $0 | $0 |
| Dr Roger W Rogers | ||||||||||||||
| Physician | $395,795 | $0 | $0 | $0 | $630 | $0 | $11,062 | $0 | $21,395 | $0 | $428,882 | $0 | $0 | $0 |
| Dr Benjamin G Rueda | ||||||||||||||
| Physician | $456,311 | $0 | $18,822 | $0 | $2,134 | $0 | $17,563 | $0 | $26,380 | $0 | $521,210 | $0 | $0 | $0 |
| Dr Arif S Syed | ||||||||||||||
| Physician | $367,807 | $0 | $46,644 | $0 | $585 | $0 | $16,913 | $0 | $26,305 | $0 | $458,254 | $0 | $0 | $0 |
| Dr Sharmilee Thota | ||||||||||||||
| Physician | $235,601 | $0 | $100,533 | $0 | $178 | $0 | $10,983 | $0 | $8,523 | $0 | $355,818 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 4b | FormAndLineReferenceDesc |
| Explanation | Certain Officers and Key employees participated in a supplemental nonqualified retirement plan. The intention is to provide additional retirement compensation to address any gaps in the compensation limit. Pension Gap Joseph McDonald $26,000.00 Mark Sullivan $19,500.00 Dr. Brian D'Arcy $9,800.00 Peter Bergmann $7,334.00 SERP Joseph McDonald $94,179.00 Certain portions of the incentive compensation paid in 2015 are a result of the targets that were achieved in 2014. Deferred compensation reported in 2015 includes both qualified deferred pension compensation and employer contribution for 403b for certain Sisters of Charity Hospital associates, as well as deferred compensation for the amounts that are able to be estimated in 2015. Actual W-2 compensation paid to the executive is as per Schedule J Part II B. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Susan Urlaub | |||
| Wife of Mercy CEO, C.J. Urlaub | $80,304 | Corporate Nurse educator | 0 |
| Kathleen Zapfel | |||
| Sister-in-law of BOD, Msgr. Robert Zapfel | $65,837 | HR Employee of CHS | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 990 Page 1 Section B, Schedule J Page 2 Part II | An amended 990 return has been prepared to correct the W2 compensation listed on Part II of Schedule J for one officer. The original filing did not have the appropriate breakdown between base compensation and other reportable compensation. Total compensation that was originally submitted was reported accurately. |
| Form 990, Part VI, Section A, line 6 | CHS has three members: Ascension Health, 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 up to three individuals to act as its representatives on the Corporate Member Board, and in undertaking any action in its capacity as a Member. The Corporate Member Board oversees the governance of the Catholic Health System. |
| Form 990, Part VI, Section A, line 7b | Each member is entitled to one vote on each matter properly submitted at any membership meeting, and the members also have reserve powers which allow approval for certain business events and ratification of certain business transactions. |
| Form 990, Part VI, Section B, line 11 | 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. 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 associates on the Merit program; all Physicians and Non Physician Practitioners as well as Physician groups who are independent contractors or employees of CHS; and all board members must 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 2015, the Catholic Health System utilized a Compensation Committee of the Board of 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: | Pension Liability Adjustment -3,198,453. Transfer From Affiliate -531,701. Change in Interest in Foundation 2,491,153. Inherent Contribution Gain on Acquisition 20,593,043. Other -773,987. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (24 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) | Line 9 | 0 | |
| Mercy Hospital of Buffalo | ||||||||||
| 565 Abbott Road | Buffalo | NY | 14220 | 160756336 | Acute Care Hospital | NY | 501(c)(3) | 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) | Line 3 | 0 | Catholic Health System Inc |
| Kenmore Mercy Hospital | ||||||||||
| 2950 Elmwood Avenue | Kenmore | NY | 14217 | 160762843 | Acute Care Hospital | NY | 501(c)(3) | Line 3 | 0 | Catholic Health System Inc |
| Nazareth Home of Franciscan Sisters | ||||||||||
| 291 North Street | Buffalo | NY | 14201 | 160813142 | Skilled Nursing Facility | NY | 501(c)(3) | Line 9 | 0 | Catholic Health System Inc |
| St Elizabeth Home for the Aged | ||||||||||
| 5539 Broadway | Lancaster | NY | 14086 | 160743154 | Adult Home | NY | 501(c)(3) | Line 9 | 0 | Catholic Health System Inc |
| St Francis Home of Williamsville | ||||||||||
| 147 Reist St | Williamsville | NY | 14221 | 160743153 | Skilled Nursing Facility | NY | 501(c)(3) | Line 9 | 0 | Catholic Health System Inc |
| St Francis of Buffalo Inc | ||||||||||
| 34 Benwood Ave | Buffalo | NY | 14214 | 161523535 | Skilled Nursing Facility | NY | 501(c)(3) | Line 9 | 0 | Catholic Health System Inc |
| St Vincent Manor | ||||||||||
| 319 Washington Avenue | Dunkirk | NY | 14048 | 160743167 | Adult Home | NY | 501(c)(3) | Line 9 | 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) | Line 9 | 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) | Line 9 | 0 | Catholic Health System Inc |
| McAuley Seton Home Care | ||||||||||
| 144 Genesee Street | Buffalo | NY | 14203 | 161310062 | Home Care Provider | NY | 501(c)(3) | Line 9 | 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) | Line 9 | 0 | Catholic Health System Inc |
| OLV Renaissance Corporation | ||||||||||
| 144 Genesee Street | Buffalo | NY | 14203 | 200167745 | Real Estate Holding Company | NY | 501(c)(3) | Line 9 | 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) | 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) | Line 11a, I | 0 | Catholic Health System Inc |
| KMH Homes Inc | ||||||||||
| 144 Genesee Street | Buffalo | NY | 14203 | 161387890 | Real Estate Holding Company | NY | 501(c)(3) | Line 9 | 0 | Catholic Health System Inc |
| Mount St Mary's Hospital Foundation Inc | ||||||||||
| 5300 Military Road | Lewiston | NY | 14092 | 161360884 | Foundation | NY | 501(c)(3) | 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) | Line 9 | 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) | Line 11a, I | 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) | Line 11a, I | 0 | Mount St Mary's Hospital of Niagara Falls |
| Ascension Health Alliance | ||||||||||
| 4600 Edmundson Road | St Louis | MO | 63134 | 453358926 | National Health System | MO | 501(c)(3) | Line 11a, I | 0 | |
| Ascension Health | ||||||||||
| PO Box 45998 | St Louis | NY | 63145 | 311662309 | National Health System | MO | 501(c)(3) | Line 11a, I | 0 | Ascension Health Alliance |
| Our Lady of Peace Inc | ||||||||||
| 5285 Lewiston Road | Lewiston | NY | 14092 | 161608735 | Nursing Home | NY | 501(c)(3) | Line 3 | 0 | Ascension Health Alliance |
| 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 |
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