2024-05-09T10:09:59-05:00 2023-06-30 160765486 LUMSDEN & MCCORMICK LLP 369 FRANKLIN STREET BUFFALO NY 14202 990 2022-07-01 133254655 THE FOUNDATION OF ST MARY'S HEALTHCARE HEALTHCARE INC FOUN 5188417478 427 GUY PARK AVENUE AMSTERDAM NY 12010 MAUREEN RHODES EXECUTIVE DIRECTOR 5188417478 2024-05-07 1 MAUREEN RHODES XXX-XX-XXXX 0 JILL M JOHNSON CPA P01701478 7168563300 2024-05-07 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MAUREEN RHODES 427 GUY PARK AVENUE AMSTERDAM NY 12010 262618 0 X WWW.SMHA.ORG/THE-FOUNDATION/ABOUT-THE-FOUNDATION X 1984 NY TO ACTIVELY SEEK AND INVEST CHARITABLE SUPPORT FOR ST. MARY'S HEALTHCARE, SO THAT THEY MAY IMPROVE THE HEALTH AND WELL-BEING OF ALL THE PEOPLE IN THE COMMUNITIES THEY SERVE. 14 11 3 50 0 0 918263 417383 0 0 1865879 -189133 52832 34368 2836974 262618 2302642 404515 0 0 157801 105219 0 0 139480 215340 198769 2675783 708503 161191 -445885 14808047 15632468 1692864 1339598 13115183 14292870 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-CENETERED, 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 467837 404515 THE FOUNDATION OF ST. MARY'S HEALTHCARE, INC.'S PRIMARY PUROSE IS TO ASSIST ST. MARY'S HEALTHCARE TO DEVELOP AND EXPAND ITS SERVICES TO THE COMMUNITY. THE FOUNDATION ACCOMPLISHES THIS BY BEING THE PRIMARY RECIPIENT OF PHILANTHROPIC SUPPORT. THE FOUNDATION RAISED MONEY TO SUPPORT THE HOSPITAL THORUGH ITS ANNUAL CAMPAIGN AND ONE MAJOR EVENT - THE GALA BALL.AS PART OF THE A CATHOLIC HEALTH MINISTRY, THE FILING ORGANIZATION SERVED IN SUPPORT OF ITS COMMITMENT TO BOTH CARE FOR PATIENTS AND COMMUNITIES AND SUPPORT CAREGIVERS AND OTHER ASSOCIATES THROUGH THE CHALLENGES OF THE COVID-19 GLOBAL PANDEMIC. 467837 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 2 0 1 3 1 0 0 0 0 0 1 1 0 0 0 0 X 14 11 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 1 1 1 1 0 NY X KEITH WATERS CPA 5187707583 427 GUY PARK AVENUE AMSTERDAM NY 12010 THERESA DECARLO BSN PRESIDENT 1.00 50.00 X X 0 157337 17507 AL TURO VICE PRESIDENT 1.00 X X 8050 0 0 JOHN SAWITZKI TREASURER 1.00 X X 0 0 0 JEFFREY METHVEN SECRETARY 1.00 50.00 X X 0 0 0 MARGARET BRODIE DIRECTOR 1.00 X 0 112190 21249 JEFFREY BROWN DIRECTOR 1.00 X 0 0 0 JOHN CAREY DIRECTOR 1.00 X 0 0 0 CHRIS CARMICHAEL DIRECTOR 1.00 X 0 0 0 SR ELIZABETH COSTANZO DIRECTOR 1.00 X 0 0 0 JOHN DEAUGUSTINE DIRECTOR 1.00 X 0 0 0 LINDA NAPLE DIRECTOR 1.00 X 0 0 0 KIMBERLY ROBERTS DIRECTOR 1.00 X 0 0 0 RICK VERTUCCI DIRECTOR 1.00 X 0 0 0 KEITH WATERS HOSPITAL CFO 1.00 50.00 X 0 198702 7773 SCOTT BRUCE DIRECTOR THROUGH FEB. 2023 1.00 50.00 X 0 454223 29728 MAUREEN RHODES EXECUTIVE DIRECTOR 50.00 X 0 99873 14512 BRIGITTA ROSE EXECUTIVE DIRECTOR 50.00 X 43073 0 5569 51123 1022325 96338 0 0 1 0 0 417383 417383 -189133 -189133 34368 0 34368 34368 34368 262618 0 0 -154765 253706 253706 150809 150809 85005 85005 20214 20214 62728 62728 4444 4444 12535 578 11957 15858 15858 63452 63322 130 OTHER 39752 17448 22304 708503 467837 101186 139480 70658 3401 399075 286798 894150 675123 3125 2636 1045349 256314 852487 789035 12588552 13875475 14808047 15632468 249349 224349 1443515 1115249 1692864 1339598 X -560127 -493185 13675310 14786055 13115183 14292870 14808047 15632468 -445885 1623572 0 X X 0 1 X 1 0 X X 1 ST MARY'S HEALTHCARE 141347719 3 1 253706 0 1 253706 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 FORM 990, SCHEDULE A, PART IV, SECTION A, LINE 6 ST. MARY'S HEALTHCARE ASSOCIATES ARE ENCOURAGED TO FILE APPLICATIONS FOR GRANTS UNDER VARIOUS SCHOLARSHIP EDUCATIONAL AND OTHER PROGRAMS. THE ASSOCIATE'S PROFESSIONAL DEVELOPMENT GOALS AND/OR PROGRAMS THAT WILL ALLOW ST. MARY'S HEALTHCARE TO BETTER MEET ITS MISSION ARE DELINEATED IN THE GRANT APPLICATIONS AND RECOMMEND APPROVAL OF EXPENDITURE FROM FUNDS WHICH ARE TEMPORARILY RESTRICTED FOR THESE SPECIFIC PURPOSES. THE FOUNDATION MAINTAINS SUPPORTING DOCUMENTATION OF ALL GRANTS AWARDED AND AVAILABLE BALANCES IN ALL SUCH DESIGNATED FUNDS. FORM 990, SCHEDULE A, PART IV, SECTION D, LINE 3 THE APPOINTED DIRECTORS OF THE BOARD SHALL BE THE CHAIRPERSON OF THE SUPPORTED ORGANIZATION, THE PRESIDENT & CEO OF THE SUPPORTED ORGANIZATION, THE PRESIDENT OF THE SUPPORTED ORGANIZATION'S AUXILIARY; AND THE CHAIRPERSON OF THE SUPPORTED ORGANIZATION'S ADVISORY BOARD. THROUGH THIS RELATIONSHIP THE SUPPORTING ORGANIZATION IS RESPONSIVE TO THE NEEDS AND DEMANDS OF THE SUPPORTED ORGANIZATION. FORM 990, SCHEDULE A, PART IV, SECTION E, LINE 2A THE PURPOSE FOR WHICH THE FOUNDATION IS FORMED ARE TO ASSIST ST. MARY'S HEALTHCARE AT AMSTERDAM TO DEVELOP AND EXPAND ITS SERVICES TO THE COMMUNITY, BY PROVIDING A FOCAL POINT AS THE RECIPIENT FOR PHILANTHROPIC SUPPORT AND BY TRANSFERRING FUNDS TO ST. MARY'S HEALTHCARE AMSTERDAM. FORM 990, SCHEDULE A, PART IV, SECTION E, LINE 2B THE FOUNDATION SERVES AS A FOCAL POINT FOR PHILANTHROPIC SUPPORT FOR ST. MARY'S HEALTHCARE AT AMSTERDAM. WERE IT NOT FOR THE FOUNDATION THESE ACTIVITIES WOULD BE ENGAGED BY ST. MARY'S HEALTHCARE AT AMSTERDAM DIRECTLY. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12009596 1050 889725 12900371 12940604 7158 -934672 3494 12009596 10943367 600 2004494 7857 12940604 10807409 1051 149763 14856 10943367 10093103 100 794106 79900 10807409 0.50510 0.49490 0 0 115000 115000 909373 235747 673626 20976 20567 409 789035 DUE TO ST. MARY'S HEALTHCARE 1107955 OTHER LIABILITIES 7294 1115249 1823462 1623572 1623572 199890 62728 62728 262618 645775 0 645775 62728 62728 708503 PART V, LINE 4: THE INCOME FROM THE ENDOWMENT FUNDS IS USED FOR PATIENT CARE AND NURING SCHOLARSHIPS FOR ST. MARY'S HEALTHCARE. 1 ST MARY'S HEALTHCARE 427 GUY PARK AVENUE AMSTERDAM NY 12010 141347719 501(C)(3) 253706 0 DISTRIBUTION TO ST. MARY'S HEALTHCARE FOR CAPITAL PURPOSES. 1 EMPLOYEE/PATIENT BILL ASSISTANCE, EDUCATIONAL PROGRAMS 2249 150809 PART I, LINE 2: ST. MARY'S HEALTHCARE ASSOCIATES ARE ENCOURAGED TO FILE APPLICATIONS FOR GRANTS UNDER VARIOUS SCHOLARSHIP, EDUCATIONAL, AND OTHER PROGRAMS. THE ASSOCIATE'S PROFESSIONAL DEVELOPMENT GOALS AND/OR PROGRAMS THAT WILL ALLOW ST. MARY'S HEALTHCARE TO BETTER MEET ITS MISSION ARE DELINEATED IN THE GRANT APPLICATION. DESIGNATED COMMITTEE MEMBERS REVIEW THE APPLICATIONS AND RECOMMEND APPROVAL OF THE EXPENDITURE FROM FUNDS WHICH ARE TEMPORARILY RESTRICTED FOR THE SPECIFIC PURPOSES. THE FOUNDATION MAINTAINS SUPPORTING DOCUMENTATION OF ALL GRANTS AWARDED AND AVAILABLE BALANCES IN ALL SUCH DESIGNATED FUNDS. GRANT FUNDS ARE PROVIDED TO ST. MARY'S HEALTHCARE AND RELATED ORGANIZATIONS UNDER THE DIRECTION OF THE BOARD OF TRUSTEES. 0 1 0 0 0 0 0 0 0 SCOTT BRUCE DIRECTOR THROUGH FEB. 2023 0 450000 0 706 0 3517 0 11999 0 17729 0 483951 0 0 KEITH WATERS HOSPITAL CFO 0 196350 0 250 0 2102 0 5891 0 1882 0 206475 0 0 THERESA DECARLO BSN PRESIDENT 0 152653 0 4243 0 441 0 4670 0 12837 0 174844 0 0 PART I, LINE 4B SCOTT BRUCE PARTICIPATES IN A 457B PLAN. NO PAYMENTS WERE RECEIVED IN THE CURRENT YEAR. FORM 990, PART VI, SECTION A, LINE 7B ANY CHANGE IN THE MISSION OR PURPOSE OF THE FOUNDATION MUST BE REVIEWED BY THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF ST. MARY'S HEALTHCARE AND APPROVED BY THE BOARD OF TRUSTEES OF ST. MARY'S HEALTHCARE. FORM 990, PART VI, SECTION B, LINE 11B DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS WHICH MAY INCLUDE, AS NEEDED, FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO DESIGNATED MANAGEMENT TEAM MEMBERS WITH EXPERIENCE IN TAX, IN LIEU OF THE FULL BOARD. FORM 990, PART VI, SECTION B, LINE 12C 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 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0