2024-05-14T07:50:19-05:00 2023-06-30 160765486 LUMSDEN & MCCORMICK LLP 369 FRANKLIN STREET BUFFALO NY 14202 990 2022-07-01 141776546 MEDICAL SERVICES ENHANCEMENT INC MEDI 5188421900 425 GUY PARK AVENUE AMSTERDAM NY 12010 KEITH WATERS CFO 5188421900 2024-05-13 1 KEITH WATERS XXX-XX-XXXX 0 JILL M JOHNSON CPA P01701478 7168563300 2024-05-13 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KEITH WATERS 425 GUY PARK AVENUE AMSTERDAM NY 12010 498372 0 X N/A X 1994 NY TO OPERATE A MEDICAL OFFICE BUILDING TO RETAIN AND ATTRACT PHYSICIAN SPECIALISTS TO BETTER SERVE THE HEALTH CARE NEEDS OF THE COMMUNITY. 3 1 0 1 0 0 0 0 482991 498339 54 33 0 0 483045 498372 0 0 0 0 0 0 0 0 0 453893 473602 453893 473602 29152 24770 2030426 1581008 1551123 1076935 479303 504073 X ROOTED IN THE LOVING MINISTRY OF JESUS AS HEALER, WE COMMIT OURSELVES TO SERVING ALL PERSONS WITH SPECIAL ATTENTION TO THOSE WHO ARE POOR AND VULNERABLE. OUR CATHOLIC HEALTH MINISTRY IS DEDICATED TO SPIRITUALLY-CENTERED, HOLISTIC CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES. WE ARE ADVOCATES FOR A COMPASSIONATE AND JUST SOCIETY THROUGH OUR ACTIONS AND OUR WORDS. 0 0 TO OPERATE A MEDICAL OFFICE BUILDING TO RETAIN AND ATTRACT PHYSICIAN SPECIALISTS TO BETTER SERVE THE HEALTH CARE NEEDS OF THE COMMUNITY. 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 1 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X KEITH WATERS 5188421900 425 GUY PARK AVENUE AMSTERDAM NY 12010 JEFFREY METHVEN PRESIDENT EFFECTIVE JAN 2023 1.00 50.00 X X 0 0 0 SCOTT M BRUCE PRESIDENT THROUGH JAN 2023 1.00 50.00 X X 0 454223 29728 SISTER JOAN MARY HARTIGAN CSJ SECRETARY 1.00 X X 0 0 0 KEITH WATERS TREASURER 1.00 50.00 X 0 198702 7773 0 652925 37501 0 0 1 0 0 RENTAL INCOME FROM AFF 531120 498339 498339 498339 33 33 498372 498339 0 33 X 100481 197214 31319 133380 2112 REPAIRS AND MAINTENANCE 7605 OTHER 1491 473602 557980 241942 40883 40883 1645258 375141 1403497 1270117 28066 28066 2030426 1581008 5732 18808 1545391 1058127 1551123 1076935 X 479303 504073 479303 504073 2030426 1581008 24770 0 X X 0 1 X 1 0 1636268 366167 1270101 317 301 16 8673 8673 0 1270117 INTERCOMPANY DEBT 565816 DUE TO AFFILIATES 492311 1058127 0 1 0 SCOTT M BRUCE PRESIDENT THROUGH JAN 2023 0 450000 0 706 0 3517 0 11999 0 17729 0 483951 0 0 KEITH WATERS TREASURER 0 196350 0 250 0 2102 0 5891 0 1882 0 206475 0 0 SCHEDULE J, PART I, LINE 3 A RELATED ORGANIZATION OF THE FILING ORGANIZATION, USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED. SCHEDULE J, PART I, LINE 4B ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO INDIVIDUALS RECEIVED CURRENT YEAR DISTRIBUTIONS. FORM 990, PART VI, SECTION A, LINE 6 MEDICAL SERVICES ENHANCEMENT, INC. HAS A SINGLE CORPORATE MEMBER, ST. MARY'S HEALTHCARE. FORM 990, PART VI, SECTION A, LINE 7A MEDICAL SERVICES ENHANCEMENT, INC. HAS A SINGLE CORPORATE MEMBER, ST. MARY'S HEALTHCARE, WHICH HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF MEDICAL SERVICES ENHANCEMENT, INC. FORM 990, PART VI, SECTION A, LINE 7B ALL DECISIONS THAT HAVE A MATERIAL IMPACT ON MEDICAL SERVICES ENHANCEMENT, INC.'S FINACNIAL INFORMATION OR CORPORATION AS A WHOLE ARE SUBJECT TO APPROVAL BY ITS SOLE CORPORATE MEMBER, ST. MARY'S HEALTHCARE. FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT, INCLUDING CERTAIN OFFICERS, WORKS DILIGENTLY TO COMPLETE THE FORM 990 AND ATTACHED SCHEDULES IN A THOROUGH MANNER. THE BOARD OF TRUSTEES HAS DELEGATED THE REVIEW OF THE FORM 990 TO ITS FINANCE COMMITTEE. MANAGEMENT PRESENTS THE FORM 990 TO FINANCE COMMITTEE MEMBERS TO REVIEW AND ANSWER ANY OF THE MEMBERS' QUESTIONS. PRIOR TO FILING THE RETURN, ALL BOARD MEMBERS ARE PROVIDED THE FORM 990 AND MANAGEMENT TEAM MEMBERS ARE AVAILABLE TO ANSWER ANY BOARD MEMBER QUESTIONS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY PROCESS FOR MEDICAL SERVICES ENHANCEMENT, INC. IS CARRIED OUT ANNUALLY BY ST. MARY'S HEALTHCARE. THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX-EXEMPT PURPOSE. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL, AS WELL AS THAT OF ANY OTHER OFFICERS OR SENIOR EXECUTIVES (IF ANY), IS DIRECTED BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION'S BOARD COMMITTEE RESPONSIBLE FOR COMPENSATION OVERSEES THE PROCESS, UTILIZING INDEPENDENT DELEGEES WITHIN THE ORGANIZATION AS APPROPRIATE, DEPENDING ON THE ROLE. IN SOME CASES, THE PROCESS MAY UTILIZE COMPARABILITY DATA AND ANALYSIS FROM A NATIONAL THIRD-PARTY COMPENSATION FIRM; OR, IF MORE APPROPRIATE FOR THE ROLE, IT MAY INSTEAD UTILIZE OTHER APPLICABLE SOURCES OF MARKET COMPARABILITY DATA AS NEEDED TO VERIFY REASONABLENESS. THE PROCESS ALSO INCLUDES CONTEMPORANEOUS SUBSTANTIATION OF THE ANALYSIS AND DECISION REGARDING THE COMPENSATION ARRANGEMENT. COMPENSATION IS REVIEWED AT LEAST ANNUALLY AND THE PROCESS IS ADMINISTERED TO ASSURE INDEPENDENCE, AVOID CONFLICTS OF INTEREST, ENSURE REASONABLENESS AND MARKET COMPARABILITY OF TOTAL COMPENSATION, AND TO OTHERWISE ABIDE BY PERTINENT LAWS AND REGULATIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST. FORM 990, PART IX, LINE 11G BUILDING SERVICES 81,087. HOUSEKEEPING 14,294. FINANCIAL SERVICES 5,100. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. ST MARY'S HEALTHCARE 427 GUY PARK AVENUE AMSTERDAM NY 12010 141347719 HOSPITAL NY 501(C)(3) LINE 3 N/A 0 CARONDELET REGIONAL MEDICAL PC 427 GUY PARK AVENUE AMSTERDAM NY 12010 814769136 GENERAL PRACTICE CLINIC NY 501(C)(3) LINE 3 ST MARY'S HEALTHCARE 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0