SISTERS OF CHARITY HOSPITAL OF BUFFALO NEW YORK: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: SISTERS OF CHARITY HOSPITAL OF BUFFALO NEW YORK (EIN 16-0743187)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-01
IRS object ID: 201903059349301890
Schema version: 2018v3.1
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 K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-01T16:27:37-05:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	160743187	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Sisters of Charity Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SIST	BusinessNameControlTxt
Phone	7168282974	PhoneNum

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	David P Macholz	PersonNm
Person Title	Treasurer, CHS MS Board	PersonTitleTxt
Phone	7168282974	PhoneNum
Signature	2019-11-01	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	204.68.186.4	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-11-01	IPDt
IP Tm	16:27:33	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	924F5484B370A9FF257601B07D0C5CFB195EBBD3	AtSubmissionCreationDeviceId
At Submission Filing Device Id	06E798C64FE9B4A74D95EF11437255C02E87A9E2	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-01-14 16:20:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Mark Sullivan	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	144 Genesee Street Administration	AddressLine1Txt
Address Line2	6th Floor	AddressLine2Txt
City	Buffalo	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14203	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$327,505,882	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	1849	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	The Mission of Sisters of Charity Hospital, as part of the Catholic Health System (CHS) in Western New York, is to provide quality healthcare services in an acute care setting. Committed to a common mission, the providers of Sisters of Charity Hospital 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 2018 Community Service Plan can be found at https://www.chsbuffalo.org/about-us/community	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	2569	TotalEmployeeCnt
Total Volunteers	1779	TotalVolunteersCnt
Total Gross UBI	$129,303	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$10,510	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,154,995	PYContributionsGrantsAmt
CY Contributions Grants	$2,257,675	CYContributionsGrantsAmt
PY Program Service Revenue	$325,670,625	PYProgramServiceRevenueAmt
CY Program Service Revenue	$321,415,287	CYProgramServiceRevenueAmt
PY Investment Income	$8,843,242	PYInvestmentIncomeAmt
CY Investment Income	-$4,049,647	CYInvestmentIncomeAmt
PY Other Revenue	$12,259,888	PYOtherRevenueAmt
CY Other Revenue	$7,882,567	CYOtherRevenueAmt
PY Total Revenue	$347,928,750	PYTotalRevenueAmt
CY Total Revenue	$327,505,882	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	$161,309,002	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$164,094,371	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$169,177,306	PYOtherExpensesAmt
CY Other Expenses	$171,582,567	CYOtherExpensesAmt
PY Total Expenses	$330,486,308	PYTotalExpensesAmt
CY Total Expenses	$335,676,938	CYTotalExpensesAmt
PY Revenues Less Expenses	$17,442,442	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$8,171,056	CYRevenuesLessExpensesAmt
Total Assets BOY	$342,096,232	TotalAssetsBOYAmt
Total Assets EOY	$337,336,484	TotalAssetsEOYAmt
Total Liabilities BOY	$249,178,040	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$246,364,779	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$92,918,192	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$90,971,705	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	The Mission of Sisters of Charity Hospital, as part of the Catholic Health System (CHS) in Western New York, is to provide quality healthcare services in an acute care setting. Committed to a common mission, the providers of Sisters of Charity Hospital 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 2018 Community Service Plan can be found at https://www.chsbuffalo.org/about-us/community	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$164,180,885	ExpenseAmt
Revenue	$180,931,661	RevenueAmt
Desc	Inpatient Services:64,572 Acute Care Patient Days18,137 Newborn Patient Days26,311 Skilled Nursing Patient Days5,116 I/P Surgeries	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$108,408,464	ExpenseAmt
Revenue	$120,185,574	RevenueAmt
Desc	Outpatient Services:60,615 ED Visits net of Admits241,266 Referred Ambulatory Visits9,245 Operating Room6,490 G.I. Laboratory1,193 Interventional Radiology (IXR)821 Transfusion/Infusion	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$18,638,138	ExpenseAmt
Revenue	$20,298,051	RevenueAmt
Desc	Primary Care Clinics:31,345 Clinic/Primary Care Center Visits423,324 Substance Abuse Visits	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$291,227,487	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	Yes (1)	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	0	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	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
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	246	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2569	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
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
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	6	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	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	David P Macholz VP Finance Corporate Controller CHS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7168282974	PhoneNum

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

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Joseph McDonald
President and CEO, CHS	0.00	55.00	Yes (X)	Yes (X)	$0	$1,217,317	$29,530
Mark Sullivan
President and CEO, CHS	0.00	55.00	Yes (X)	Yes (X)	$0	$1,126,042	$93,913
David Macholz
Treasurer	0.00	55.00	Yes (X)	Yes (X)	$0	$286,087	$33,427
Charles Urlaub
Director	0.00	55.00	Yes (X)		$0	$461,578	$45,568
Gary Tucker
Director	0.00	55.00	Yes (X)		$0	$379,138	$49,345
Martin Boryszak
President and CEO, Sisters	55.00	0.00	Yes (X)	Yes (X)	$371,258	$0	$27,945
Joyce Markiewicz
Director	0.00	55.00	Yes (X)		$0	$425,967	$78,638
Walt Ludwig
Director	0.00	55.00	Yes (X)		$0	$296,019	$49,141
Brian Beitz
Director	0.00	8.00	Yes (X)		$0	$0	$0
Lynn Catalano
Director	0.00	4.00	Yes (X)		$0	$0	$0
John Davanzo
Director	0.00	4.00	Yes (X)		$0	$0	$0
Georgiana Ford Esq
Director	0.00	4.00	Yes (X)		$0	$0	$0
Dr Donald J Largo Jr
Director	0.00	55.00	Yes (X)		$0	$93,606	$0
Mary Turkiewiecz MD
Director	0.00	4.00	Yes (X)		$0	$0	$0
Katherine Vanderhorst
Director	0.00	4.00	Yes (X)		$0	$0	$0
Monsignor Robert E Zapfel
Director	0.00	4.00	Yes (X)		$0	$0	$0
James A Dunlop Jr
Executive VP, Finance / CFO	0.00	55.00		Yes (X)	$0	$774,324	$18,105
Dr Brian D'Arcy
Senior VP, Medical Affairs	0.00	55.00		Yes (X)	$0	$559,472	$43,350
John Sperrazza
Chief Operating Officer	55.00	0.00		Yes (X)	$225,793	$0	$19,246
Michael Moley
Sr.VP, Human Resources	0.00	55.00			$0	$604,916	$42,703	Yes (X)
Dr Michael Galang
Sr. VP, Chief Information Officer	0.00	55.00			$0	$533,930	$33,302	Yes (X)
Nancy Sheehan
SVP Legal Service, General Counsel	0.00	55.00			$0	$393,915	$46,854	Yes (X)
Dr Nady Shehata
VP, Medical Affairs	55.00	0.00			$408,081	$0	$53,816	Yes (X)
Dr Michael Edbauer
Chief Clinical Officer	0.00	28.00			$0	$508,629	$18,325	Yes (X)
Maria Foti
Sr. VP, Strategic Planning	0.00	55.00			$0	$391,140	$46,311	Yes (X)
Dr Bruce Rodgers
Physician	55.00	0.00			$360,839	$0	$19,367		Yes (X)
Dr Ali Ghomi
Physician	55.00	0.00			$657,716	$0	$32,994		Yes (X)
Dr Margaret McDonnell
Physician	55.00	0.00			$358,125	$0	$44,394		Yes (X)
Dr Jaime Obst
Physician	55.00	0.00			$314,772	$0	$28,994		Yes (X)
Dr Paul Updike
Physician	55.00	0.00			$291,937	$0	$31,260		Yes (X)
Jim Millard
Former Director	0.00	0.00			$0	$316,719	-$50,019			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,988,521	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$8,368,799	TotReportableCompRltdOrgAmt
Total Other Compensation	$836,509	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	90	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	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
Buffalo Medical Group
325 Essjay	Williamsville	NY	14221	Physician Services	$3,925,698
Sodexho Inc & Affiliates
PO Box 81049	Woburn	MA	018131049	Environmental Services	$2,934,378
AMN Healthcare Inc
3735 Collection Center Drive	Chicago	IL	60693	Healthcare Services	$2,673,824
Telco Construction Inc
500 Buffalo Road	East Aurora	NY	14052	Construction Services	$2,436,714
Quest Diagnostics
3 Giralda Farms	Madison	NJ	07940	Laboratory Services	$1,565,706

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	53	CntrctRcvdGreaterThan100KCnt
Government Grants	$251,600	GovernmentGrantsAmt
All Other Contributions	$2,006,075	AllOtherContributionsAmt
Total Contributions	$2,257,675	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Services	900099	$212,135,348	$212,006,045	$129,303
Medicaid/Medicare	900099	$109,279,939	$109,279,939

Field	Value	IRS element (for citing)
Total Program Service Revenue	$321,415,287	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$4,049,647	TotalRevenueColumnAmt
Related Or Exempt Func Income	$54,847	RelatedOrExemptFuncIncomeAmt
Exclusion	-$4,104,494	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$721,513	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	$721,513	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$721,513	TotalRevenueColumnAmt
Exclusion	$721,513	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Shared Lab Services	900099	$2,581,171	$2,581,171
Medicaid health home care coordin	900099	$2,424,867	$2,424,867
Periodic Pension Costs	900099	-$3,155,900	-$3,155,900

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,310,916	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,251,468	RelatedOrExemptFuncIncomeAmt
Exclusion	$4,059,448	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,161,054	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$327,505,882	TotalRevenueColumnAmt
Related Or Exempt Func Income	$324,442,437	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$129,303	UnrelatedBusinessRevenueAmt
Exclusion	$676,467	ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$127,655,965	TotalAmt
Program Services	$119,082,319	ProgramServicesAmt
Management And General	$8,573,646	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,417,293	TotalAmt
Program Services	$5,976,936	ProgramServicesAmt
Management And General	$440,357	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$20,975,522	TotalAmt
Program Services	$19,543,506	ProgramServicesAmt
Management And General	$1,432,016	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,045,591	TotalAmt
Program Services	$8,439,275	ProgramServicesAmt
Management And General	$606,316	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$118,219	TotalAmt
Management And General	$118,219	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$21,393	TotalAmt
Management And General	$21,393	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$14,440,940	TotalAmt
Program Services	$11,131,513	ProgramServicesAmt
Management And General	$3,309,427	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$15,512	TotalAmt
Program Services	$4,890	ProgramServicesAmt
Management And General	$10,622	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,901,528	TotalAmt
Program Services	$4,842,663	ProgramServicesAmt
Management And General	$5,058,865	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$383,608	TotalAmt
Program Services	$76,186	ProgramServicesAmt
Management And General	$307,422	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,273,019	TotalAmt
Program Services	$2,454,764	ProgramServicesAmt
Management And General	$818,255	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$52,381	TotalAmt
Program Services	$46,993	ProgramServicesAmt
Management And General	$5,388	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$80,734	TotalAmt
Program Services	$80,241	ProgramServicesAmt
Management And General	$493	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,833,880	TotalAmt
Program Services	$2,368,593	ProgramServicesAmt
Management And General	$465,287	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$11,302,177	TotalAmt
Program Services	$9,402,796	ProgramServicesAmt
Management And General	$1,899,381	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,404,138	TotalAmt
Program Services	$3,022,398	ProgramServicesAmt
Management And General	$381,740	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$54,053,283	$54,561,327	-$508,044
Shared Services	$52,230,899	$38,392,734	$13,838,165
Purchased Services & Ot	$16,379,047	$9,322,419	$7,056,628
Non-Medical Supplies	$3,091,809	$2,477,934	$613,875

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$335,676,938	TotalAmt
Program Services	$291,227,487	ProgramServicesAmt
Management And General	$44,449,451	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,736	BOYAmt
EOY	$4,688	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$53,902,049	BOYAmt
EOY	$56,909,051	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$183,004	BOYAmt
EOY	$119,973	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$34,783,501	BOYAmt
EOY	$31,310,822	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,779,921	BOYAmt
EOY	$6,112,814	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,705,110	BOYAmt
EOY	$1,431,053	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$188,678,583	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$117,488,174	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$71,048,415	BOYAmt
EOY	$71,190,409	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$96,545,038	BOYAmt
EOY	$91,654,117	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$837,820	BOYAmt
EOY	$856,474	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$76,306,638	BOYAmt
EOY	$77,747,083	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$342,096,232	BOYAmt
EOY	$337,336,484	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$37,021,837	BOYAmt
EOY	$37,308,771	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$407,414	BOYAmt
EOY	$349,183	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$23,948,381	BOYAmt
EOY	$21,631,641	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$7,833,390	BOYAmt
EOY	$10,593,115	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$179,967,018	BOYAmt
EOY	$176,482,069	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$249,178,040	BOYAmt
EOY	$246,364,779	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$88,900,723	BOYAmt
EOY	$87,726,506	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,894,946	BOYAmt
EOY	$3,122,676	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$122,523	BOYAmt
EOY	$122,523	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$92,918,192	BOYAmt
EOY	$90,971,705	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$342,096,232	BOYAmt
EOY	$337,336,484	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$8,171,056	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$6,224,569	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)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

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

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	$21,393	OtherActivitiesAmt
Total Lobbying Expenditures	$21,393	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 of $21,393 represent the total of dues paid to national and state associations that is specifically allocable to lobbying. Sisters of Charity Hospital 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.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$1,958,968	InvestmentCostOrOtherBasisAmt
Book Value	$1,958,968	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$25,708,857	InvestmentCostOrOtherBasisAmt
Depreciation	$18,531,181	DepreciationAmt
Book Value	$7,177,676	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$50,839,804	InvestmentCostOrOtherBasisAmt
Depreciation	$18,333,694	DepreciationAmt
Book Value	$32,506,110	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$106,951,683	InvestmentCostOrOtherBasisAmt
Depreciation	$80,623,299	DepreciationAmt
Book Value	$26,328,384	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$3,219,271	InvestmentCostOrOtherBasisAmt
Book Value	$3,219,271	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$71,190,409	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	Ascension Investment Management	Desc
Book Value	$91,654,117	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$91,654,117	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
Other Receivables	$2,552,957
Due from Affiliates	$10,938,976
Workers Comp Insurance Recoveries	$4,309,731
HPL Insurance Recoveries	$31,020,107
Investment in Net Assets of the SOC Foundation	$9,851,744
Assets Whose Use is Limited - DSRIP Funds	$19,073,568

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$77,747,083	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
Due to Affiliates	$23,398,946
Pension Obligation	$79,533,231
Asset Retirement Obligation	$2,901,034
L/T Disposables	$140,102
L/T General Liability IBNR	$36,702,068
L/T Workers Comp IBNR	$15,121,634
DSRIP - Funds	$19,073,568
Debt Issuance Costs	-$388,514

Field	Value	IRS element (for citing)
Total Liability	$176,482,069	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$326,541,551	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$276,556	OtherRevenueAmt
Revenue Not Reported	$276,556	RevenueNotReportedAmt
Revenue Subtotal	$326,264,995	RevenueSubtotalAmt
Other Revenues Not Included	$1,240,887	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$1,240,887	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$327,505,882	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$336,440,993	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$764,055	OtherExpensesIncludedAmt
Expenses Not Reported	$764,055	ExpensesNotReportedAmt
Expenses Subtotal	$335,676,938	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$335,676,938	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part XI, Line 2d - Other Adjustments:	SOC Foundation Revenue
Part XI, Line 4b - Other Adjustments:	Distributions from Foundations and Grant Revenue
Part XII, Line 2d - Other Adjustments:	Foundation Expense less the SOC Foundation Contributions to the Hospital

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
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	$4,496,783	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$148,437	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,348,346	NetCommunityBenefitExpnsAmt
Total Expense	0.01300	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$94,837,205	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$64,950,372	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,886,833	NetCommunityBenefitExpnsAmt
Total Expense	0.08900	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$99,333,988	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$65,098,809	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,235,179	NetCommunityBenefitExpnsAmt
Total Expense	0.10200	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,062,415	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,062,415	NetCommunityBenefitExpnsAmt
Total Expense	0.00320	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,070,090	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,371,006	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,699,084	NetCommunityBenefitExpnsAmt
Total Expense	0.04080	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,065,971	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,242,474	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,823,497	NetCommunityBenefitExpnsAmt
Total Expense	0.00840	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$571,983	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$571,983	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$328,447	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$328,447	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,098,906	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,613,480	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,485,426	NetCommunityBenefitExpnsAmt
Total Expense	0.05510	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$126,432,894	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$73,712,289	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,720,605	NetCommunityBenefitExpnsAmt
Total Expense	0.15710	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,623	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,623	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,623	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,623	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Reimbursed By Medicare	$41,343,504	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$40,400,590	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$942,914	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc
Sisters of Charity Hospital
1	2157 Main Street	Buffalo	NY	14214	www.chsbuffalo.org	1401013H	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Ambulatory Surgery - Multi Specialty
Sisters of Charity Hospital - St Joseph Campus
2	2605 Harlem Road	Cheektowaga	NY	14225	www.chsbuffalo.org		Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Ambulatory Surgery - Multi Specialty

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Sisters of Charity Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	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
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	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	See Part V, Line 7a Page 8	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	See Part V, Line 10a Page 8	StrategyWebsiteURLTxt
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	500.000000000000	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	https://www.chsbuffalo.org/billing-insurance/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.chsbuffalo.org/sites/default/files/files/billing/catholic-healt	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.chsbuffalo.org/sites/default/files/files/billing/catholic-healt	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
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
None Made	Yes (X)	NoneMadeInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Section A:	Sisters of Charity Hospital continuedAudiology O/P Chemical Dependence - Rehabilitation O/PClinic Part Time Services Clinical Laboratory ServiceCoronary Care Dental O/P Emergency Department Intensive CareLevel III Perinatal Care MaternityMedical Services - Other Medical SpecialtiesMedical Services - Primary Care Medical Social Services Medical/Surgical Neonatal Continuing Care Neonatal Intensive Care Neonatal Intermediate Care Nuclear Medicine - Diagnostic Nuclear Medicine - Therapeutic Physical Medical Rehabilitation Podiatry O/P Primary Stroke Center Radiology - Diagnostic Renal Dialysis - AcuteTherapy - Occupational O/P Therapy - Physical O/P Therapy - Speech Language PathologyTherapy - Vocational Rehabilitation O/P "Sisters of Charity Hospital - St. Joseph Campus continued Clinic Part Time ServicesClinical Laboratory ServicesCoronary Care Emergency Department Intensive CareMedical Services - Other Medical SpecialtiesMedical Services - Primary Care Medical Social Services Medical/Surgical Nuclear Medicine - Diagnostic Radiology - Diagnostic Renal Dialysis - Acute Therapy - Speech Language Pathology
Part V, Section B	Facility Reporting Group A
Group A-Facility 2 -- Sisters of Charity Hospital - St. Joseph Part V, Section B, line 5:	"The Hospital, as part of Catholic Health utilized a variety of sources to develop the health needs assessment to ensure the inclusion of persons who represent the broad interest of the community and have special expertise in, or knowledge of, public health issues and concerns: * Disseminating and promoting the completion of a fifty-seven question survey developed by the Erie County Department of Health to the community at large including Catholic Health's own staff. * Two focus groups including representation from a broad range of health care and social service organizations in Erie County * Western New York Community Health Needs Assessment (December 2014) jointly sponsored by the two Performing Provider Systems in the region linked the Delivery System Reform Incentive Program (DSRIP). * 50 patient interviews (verbal survey) targeting individuals utilizing services at Catholic Health clinics operating within federally designated Health Professional Shortage Areas (HPSA)Focus group participants: Catholic Charities Brylin Hospitals Erie County DOH P2 Collaborative of WNY City of Buffalo community Physician representation Erie County Department of Health Community Meeting Participants Catholic Health American Cancer Society Cazenovia Recovery Systems Friends of Night People Buffalo Fire Department Northwest Community Center Mid Erie Counseling and Treatment Center American Heart Association Meals on Wheels Evergreen Services Pride Center of Western New York United WayFor more information about our CHNA, go to https://www.chsbuffalo.org/mission/social-responsibility-community-benefit"
Group A-Facility 2 -- Sisters of Charity Hospital - St. Joseph Part V, Section B, line 6a:	Sisters Hospital was conducted with Sisters St. Joseph Campus, Mercy: Mercy Hospital was conducted with Mercy Ambulatory Care Center
Group A-Facility 2 -- Sisters of Charity Hospital - St. Joseph Part V, Section B, line 6b:	Sisters Hospital was conducted with Mercy Hospital and Kenmore Mercy Hospital and Mount St. Mary's Hospital as well as the Erie County Department of Health.
Group A-Facility 2 -- Sisters of Charity Hospital - St. Joseph Part V, Section B, line 11:	"Through the needs assessment, numerous areas were identified as important and clearly impact the health of the community. Catholic Health identified the "significant" needs as the New York State Department of Health Prevention Agenda priorities. Within the "priorities", Catholic Health will address numerous health needs as described in the publicly available CHNA report. One priority area was prioritized lower and not addressed in the implementation plan: Promote a Healthy and Safe Environment. Contributing to this lower priority was lack of available funds and potential for less impact upon the community. Although, should opportunity arise, with resources available to effectively address this need, Catholic Health will reconsider for incorporation in the future.Other needs were identified as part of the Community Health Needs Assessments conducted by Erie County Department of Health, the local DSRIP PPS organizations, and Catholic Health. However, a number of those needs were not incorporated into CH's individual 2016-2018 Community Health Implementation Plans for each of its acute care operations for one or more of the following reasons: Was not deemed as impactful on the overall health of the community as compare to other identified need Is being targeted or addressed by other entities within the community Requires resources that CH does not currently have available without compromising otherimportant initiatives. But, should community circumstances change or additional resources become available, CH will consider incorporating other initiatives into its plan.Among those additional needs not addressed in the 2016-2018 CHIP are: Need for greater integration of primary care and behavioral health services (being addressed by local PPS organizations via NYS DSRIP *) Need to address childhood obesity through improved nutrition especially in urban "fooddeserts and increased exercise programming for children Continued need to improve access to smoking cessation programs (Roswell Park Cancer Institute leading efforts of local PPS organizations as part of the NYS DSRIP program) Need to improve educational services to parents in urban areas with regard to asthmamanagement and dangers of lead poisoning Slowing the rate of HIV infection especially within minority communities (NYS Prepprogram with local support from Evergreen)The 2016 Erie County Community Health Needs Assessment began by first re-evaluating theneeds prioritized in the previous cycle (2013) and the impact of the projects corresponding tothose needs that were selected for implementation. Catholic Health's understanding of thecommunities it serves was then updated by soliciting new input from the public and severalcommunity organizations as outlined in the Process and Methods section of this report. Thisassessment represents a collaborative effort across Catholic Health's facilities as well as withexternal organizations to identify the health needs of the community and to develop a strategyfor addressing them. The systematic process used helped identify significant health needsacross Catholic Health's Erie County service area including vulnerable and under-representedpopulations. "Part V, Line 7a page 8: https://www.chsbuffalo.org/mission/social-responsibility-community-benefitPart V, line 10a, page 8: https://www.chsbuffalo.org/mission/social-responsibility-community-benefit
Group A-Facility 2 -- Sisters of Charity Hospital - St. Joseph Part V, Section B, line 16j:	Includes information in both English and Spanish on all signage and brochures for financial assistance.

Field	Value	IRS element (for citing)
Facility	10	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - Harvey Austin School #97
1405 Sycamore Street	Buffalo	NY	14211	Extension Clinic:Health Education O/P ImmunologyMedical Social Services O
2 - Pathways Methadone
158 Holden Ave	Buffalo	NY	14214	Extension Clinic:Methadone Maintenance O/PPart 822 Opioid Treatment progr
3 - Rochester Pathways
79 Howell Street	Rochester	NY	14614	Extension Clinic:Methadone Maintenance O/P
4 - St Vincent Health Center
1500 Broadway Avenue	Buffalo	NY	14212	Extension Clinic:Prenatal O/PPrimary Medical Care O/PTherapy Physical O/P
5 - Sisters Health Center Amherst
210 John Glenn Drive	Amherst	NY	14228	Extension Clinic:Chemical Dependence - Rehabilitation O/PMedical Services
6 - West Hertel Academy
489 Hertal Avenue	Buffalo	NY	14212	Extension Clinic:Health Education O/PImmunology Medical Social Services O
7 - Southside Elementary School #93
430 Southside Pkwy	Buffalo	NY	14210	Extension Clinic:Health Education O/P Immunology Medical Social Services
8 - St Catherine Laboure Health Care Center
2157 Main Street	Buffalo	NY	14214	Long Term Care:BaselineAdult Day Health Care (25)Clinical Laboratory Serv
9 - Sisters Health Center Depew
6199 Transit Road	Depew	NY	14043	Medical Services - Other Medical SpecialtiesMedical Services - Primary Care
10 - Pace Health Center
55 Melroy Avenue	Lackwanna	NY	14218	Extension Clinic:Medical Services - Primary Care

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 6a:	Sisters Hospital Community Benefit Report is contained in the annual report prepared by the Catholic Health System.
Part I, Line 7:	Costing is a full step down methodology of cost from non-revenue producing departments to revenue producing departments', with assignment of cost to individual charge items based on volume and charge amount. All patient accounts are cost with the same methodology regardless of patient type (inpatient, outpatient, emergency room, etc.) or insurance coverage (Medicare, Medicaid, private insurance, uninsured, etc.).
Part II, Community Building Activities:	Community Building Activities for Sisters Hospital included Community Support - for $10,623.
Part III, Line 2:	The Hospital did not report bad debt on their financial statements, as they adopted ASU 2014-09 Revenue from Contracts with Customers in 2018. Upon adoption, the majority of what was previously classified as provision for bad debts and presented as a reduction to net patient service revenue on the statement of operations and changes in net assets is treated as an implicit price concession that reduces the transacton price, which is reported as net patient service revenue.
Part III, Line 3:	The Hospital did not report bad debt on their financial statements, as they adopted ASU 2014-09 Revenue from Contracts with Customers in 2018. Upon adoption, the majority of what was previously classified as provision for bad debts and presented as a reduction to net patient service revenue on the statement of operations and changes in net assets is treated as an implicit price concession that reduces the transacton price, which is reported as net patient service revenue.
Part III, Line 4:	The hospital does not have a footnote that describes bad debt in the financial statements.
Part III, Line 8:	Sisters Hospital does not treat Medicare shortfall as a community benefit, as serving Medicare patients is not a differentiating feature of tax-exempt healthcare organizations. The existing community benefit framework allows community benefit programs that serve the Medicare population to be counted in other community benefit categories.
Part III, Line 9b:	The hospital's collection policies contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance. The hospital has implemented billing and collection practices for patient payment obligations that are fair, consistent, and compliant with state and federal regulations and no extraordinary collection practices are followed.
Part VI, Line 2:	In addition to its CHNA, Sisters Hospital as part of Catholic Health utilizes multiple methods to assess the health care needs of the communities it serves, including:* Evaluations administered by Sisters Hospital in coordination with the Catholic Health Community Education Department after each class, workshop, or program it sponsors seeking input on other programs or topics of interest participants would like to see. Based on this feedback, program planners meet with leadership to develop programs or workshops that match community interest/need;* Input from physician community during doctor to doctor education programs. Based on this feedback, program planners meet with leadership to develop physician continuing education programs that address gaps in care or other pressing community health needs. * Patient, resident and caregiver satisfaction surveys conducted in our hospitals, health centers, and nursing homes and among our home care patients, help alert us to health care needs among our patient population; * Physician and leadership participation in community boards, coalitions and forums to define the health needs of patient populations and seek community solutions; * Surveys conducted among high risk, high need Medicaid populations through our collaborative Health Home Program help alert us to the needs of individuals with developmental disabilities and behavioral health issues; * Participation in NYS Delivery System Reform Incentive Program (DSRIP) with Community Partners of WNY initiatives that look at transforming the care of the Medicaid population; * Information management obtains from administrative data and payer mix to assist in evaluating the health needs and trends of the community; and* Input from Catholic Health Board including Board Committee (e.g. Mission Integration Committee).
Part VI, Line 3:	Catholic Health's Sisters Hospital inform and educate patients and persons who may be billed for medical services about their eligibility for assistance under federal, state, or local government programs or our own Healthcare Assistance Program (HAP) in a variety of ways. For example, Sisters Hospital, like our other Catholic Health facilities, has posters and brochures available, which include eligibility and contact information for the Patient Financial Services Team. This information is available in admissions areas, emergency rooms, primary care and outpatient rehabilitation centers, the Administrative and Regional Training Center (ARTC) and other areas throughout Catholic Health where eligible patients and family members are likely to be present. This information is also on the website https://www.chsbuffalo.org/billing-insurance/financial-assistance and includes general information, our policy and application and is translated in Spanish and Arabic. In addition, information on financial assistance is included on our website.Sisters Hospital also provides information about financial assistance and Healthcare Assistance program (HAP) contact information to patients as part of the intake process and during or within 90 days of their discharge from the hospital via patient statements or outreach. To further assist patients, all patient bills include the following language: "If you need financial assistance: Catholic Health offers a healthcare assistance program to help those in need. For more details please visit www.chsbuffalo.org/financial assistance, or call our Patient Financial Services Team at (716) 601-3600". For free, confidential assistance in applying for financial assistance, patients can also call our Patient Financial Services team at 716-601-3600. A counselor will work with them to see if they qualify for free or low-cost insurance or other financial assistance. For patients who do not have insurance and need care at a Catholic Health hospital, a registration clerk can put the patient in touch with one of our Certified Application Counselors. Interpreting services are also available for patients who do not speak English. We offer case management services, and our Certified Application Counselors who discuss with patients the availability of various government benefits, such as Medicaid or other state and federal programs, and assist patients and families with eligibility and applications when necessary.
Part VI, Line 4:	Catholic Health is a not-for-profit integrated healthcare delivery system that operates four acute care operations in Erie County and one in Niagara County. For all intents and purposes, the primary service area for Catholic Health's Erie County based acute care operations is Erie County. In fact, Erie County residents account for 79% of all inpatient volume.Sisters Hospital is located in Erie County, which consists of a mix of urban, suburban and rural populations, with about one-third of the population residing in the City of Buffalo. Buffalo is New York State's second largest city, surrounded by a ring of older suburbs. Beyond the first ring suburbs are newer suburban communities and established rural communities. The current population of Erie County is over nine hundred thousand.Erie County is less racially and ethnically diverse than New York State or the rest of the country, and the Non-White populations are concentrated in and immediately around the City of Buffalo. All of the 11 zip codes in Erie County that have a Non-White population of 50% or more are in Buffalo.
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. The Mission statement of the Sisters Hospital, as part of Catholic Health - 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 Sisters Hospital are in response to identified community needs, and reflect the Hospitals's emphasis on caring for the underserved. The Hospital 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 Sisters 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 Sisters Hospital 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 hospitals have robust health professional education programs. Mercy Hospital and Sisters Hospital are physician teaching facilities. All sites participate in teaching programs for other allied health professionals. Our six emergency departments are 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, Sisters Hospital, as part of 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 program 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 2018, the Catholic Health System provided more than $126 million in charity care and community benefit activities 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 Global Health Ministry, United Way, Harvest House, St. Luke's Mission of Mercy, The CRIB Maternity Group Home in Niagara Falls, MY (part of Family & Children Services of Niagara), Care and Share Food Pantry, and the Project Connect Niagara 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.Additional initiatives that the hospital participates in as part of CHS provide benefit to the community including: Advanced Directive / MOLST education, Community Health Fairs , Footprints on the Heart(perinatal bereavement) , McGowan Grant for Health Care Tabling Events , Marian Building & Springville, OB/GYN Clinics, Medicaid Enrollment Assistance, Neonatal Abstinence Syndrome Program in Mercy, NICU Cuddler Program, Open Access Scheduling, Osteoporosis Screening, Prenatal-perinatal Network of WNY, Quest Fit Testing, Refugee Programs, Transitional contact to Catholic Charities from Primary Care Sites, and Transportation Assistance. One of the innovative ways Catholic Health is leading the transformation of healthcare is by supporting other organizations whose work has a direct impact on community health. For the third year, Catholic Health has allocated a portion of its net income ($139,000) for Community Benefit Grants to support programs that serve the poor and disadvantaged and address unmet health needs in our community. Recipients of the 2018 Community Benefit Grants include: Durham's Central City Baby Caf - $7,000 The Canopy of Neighbors Programming to Address Social Isolation - $12,000 Buffalo Go Green Healthy Community Fruits & Vegetables Rx Program (FVRx) - $16,920 RAHAMA: Trauma-informed domestic violence program for Muslim, Immigrant and Refugee Women - $20,000 Buffalo United Charter School Moral Focus: Focus on Building Up Our Future - $13,000 Urban Christian Ministries: Brothers With A Purpose - $18,100 Catholic Health Neighborhood Legal Services: Medical-Legal Partnership - $25,000 Ransom House - $19,780
Part VI, Line 7, Reports Filed With States	NY

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	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 (23 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	$124,093	$0	$191,491	$0	$901,733	$0	$8,633	$0	$20,897	$0	$1,246,847	$0	$191,491
Mark Sullivan
President and CEO, CHS	$0	$695,527	$0	$156,198	$0	$274,317	$0	$65,865	$0	$28,048	$0	$1,219,955	$0	$156,198
David Macholz
Treasurer	$0	$229,943	$0	$47,229	$0	$8,915	$0	$5,658	$0	$27,769	$0	$319,514	$0	$0
Charles Urlaub
Director	$0	$423,637	$0	$0	$0	$37,941	$0	$26,189	$0	$19,379	$0	$507,146	$0	$0
Gary Tucker
Director	$0	$270,048	$0	$72,907	$0	$36,183	$0	$22,058	$0	$27,287	$0	$428,483	$0	$72,907
Martin Boryszak
President and CEO, Sisters	$354,592	$0	$0	$0	$16,666	$0	$2,824	$0	$25,121	$0	$399,203	$0	$0	$0
Joyce Markiewicz
Director	$0	$407,828	$0	$0	$0	$18,139	$0	$58,453	$0	$20,185	$0	$504,605	$0	$0
Walt Ludwig
Director	$0	$277,875	$0	$0	$0	$18,144	$0	$22,756	$0	$26,385	$0	$345,160	$0	$0
James A Dunlop Jr
Executive VP, Finance / CFO	$0	$547,002	$0	$140,504	$0	$86,818	$0	-$8,500	$0	$26,605	$0	$792,429	$0	$140,504
Dr Brian D'Arcy
Senior VP, Medical Affairs	$0	$515,961	$0	$0	$0	$43,511	$0	$16,137	$0	$27,213	$0	$602,822	$0	$0
John Sperrazza
Chief Operating Officer	$217,033	$0	$0	$0	$8,760	$0	$1,428	$0	$17,818	$0	$245,039	$0	$0	$0
Michael Moley
Sr.VP, Human Resources	$0	$354,293	$0	$96,820	$0	$153,803	$0	$23,426	$0	$19,277	$0	$647,619	$0	$96,820
Dr Michael Galang
Sr. VP, Chief Information Officer	$0	$413,567	$0	$102,217	$0	$18,146	$0	$23,361	$0	$9,941	$0	$567,232	$0	$102,217
Nancy Sheehan
SVP Legal Service, General Counsel	$0	$374,956	$0	$25	$0	$18,934	$0	$26,085	$0	$20,769	$0	$440,769	$0	$0
Dr Nady Shehata
VP, Medical Affairs	$406,006	$0	$0	$0	$2,075	$0	$29,480	$0	$24,336	$0	$461,897	$0	$0	$0
Dr Michael Edbauer
Chief Clinical Officer	$0	$173,522	$0	$117,972	$0	$217,135	$0	$10,293	$0	$8,032	$0	$526,954	$0	$321,406
Maria Foti
Sr. VP, Strategic Planning	$0	$299,755	$0	$74,394	$0	$16,991	$0	$36,561	$0	$9,750	$0	$437,451	$0	$74,394
Dr Bruce Rodgers
Physician	$356,252	$0	$0	$0	$4,587	$0	$18,977	$0	$390	$0	$380,206	$0	$0	$0
Dr Ali Ghomi
Physician	$657,102	$0	$0	$0	$614	$0	$7,840	$0	$25,154	$0	$690,710	$0	$0	$0
Dr Margaret McDonnell
Physician	$355,939	$0	$0	$0	$2,186	$0	$26,762	$0	$17,632	$0	$402,519	$0	$0	$0
Dr Jaime Obst
Physician	$314,598	$0	$0	$0	$174	$0	$4,279	$0	$24,715	$0	$343,766	$0	$0	$0
Dr Paul Updike
Physician	$291,505	$0	$0	$0	$432	$0	$6,056	$0	$25,204	$0	$323,197	$0	$0	$0
Jim Millard
Former Director	$0	$8,001	$0	$0	$0	$308,718	$0	-$68,320	$0	$18,301	$0	$266,700	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 4a	FormAndLineReferenceDesc
Explanation	Change of Control Payments were made to: Joseph McDonald: $618,613 Jim Millard: $305,963 Certain portions of the incentive compensation paid in 2018 are a result of the targets that were achieved in previous years. Deferred compensation reported in 2018 includes both qualified deferred pension compensation, as well as deferred compensation and employer contribution for 403b for certain associates for the amounts that are able to be estimated in 2018. Actual W-2 compensation paid to the executive is as per Schedule J Part II B.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Dormitory Authority of the State of New York
A	146000293	64983Q584	2006-11-29	$30,295,000	SeePartVI	0	0	0
Dormitory Authority of the State of New York
B	146000293	64983Q5U9	2006-11-29	$8,435,000	SeePartVI	0	0	0
Buffalo and Erie County Industrial Land Development Corporation
C	222413596	SeePartVI	2015-04-30	$4,725,000	SeePartVI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Refunding EscrowRefundingEscrowAmt	Other Spent ProceedsOtherSpentProceedsAmt
A	$30,295,000	$1,120,911	$179,286	$28,994,803	1994	Yes (1)	Yes (1)	Yes (1)
B	$8,435,000	$341,581	$49,919	$8,043,500	2005	Yes (1)	Yes (1)	Yes (1)
C	$5,239,482	$153,575		$4,606,669	2014	0	0	Yes (1)	$344,971	$134,267

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	Yes (1)
B	0	0	0	0	0	0	Yes (1)
C	0	0	0	0	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd
HSBC Bank NA
A	Yes (1)	Yes (1)	Yes (1)	18.500000000000	0	Yes (1)	0	Yes (1)
JP Morgan Chase
B	Yes (1)	Yes (1)	Yes (1)	18.500000000000	0	Yes (1)	0	Yes (1)
(no name)
C	0	0	0				0	Yes (1)	0	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I A (f)	Part I A (f) Description of Purpose: To refund Sisters of Charity of Buffalo Insured Revenue Bonds, Series 2003, which were bonds issued for the purpose of refunding a series of bonds issued in 1991, the proceeds of which were applied to finance the construction and renovation of the Sisters of Charity facilities and to refinance outstanding indebtedness.
Part I B (f)	Description of Purpose: To finance the cost of the St. Joseph Campus emergency room expansion project.
Part IV 4 (e)	The interest rate swaps through HSBC Bank and JP Morgan Chase associated with the 2006 series were unwound and terminated on 11/26/14.
Part I C (c)	CUSIP #: The 2015 Bond Series were issued under numerous CUSIP #s with varying maturity dates. The associated CUSIP #s are as follows: 11943KBH4, 11943KBJ0, 11943KBK7, 11943KBL5, 11943KBM3, 11943KBN1, 11943KBP6, 11943KBQ4, 11943KBR2, 11943KBS0, 11943KBT8, 11943KBU5, 11943KBV3, 11943KBW1, 11943KBX9, 11943KBY7
Part I C (f)	Description of Purpose: To finance the costs of improvements made to the Ambulatory Surgery Center at Sisters Hospital, St. Joseph Campus.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Susan Urlaub
Wife of Mercy CEO, C.J. Urlaub	$93,874	Corporate Nurse educator	0
Kathleen Zapfel
Sister-in-law of BOD, Msgr. Robert Zapfel	$63,506	HR Employee of CHS	0
Scott Markiewicz
Son of Key Employee, Joyce Markiewicz	$52,480	Supervisor, Father Baker Manor	0
Julie Sullivan
Daughter of Chief Executive Officer	$54,655	HR employee, CHS	0
Jacob Tucker
Son of Director, Gary Tucker	$5,403	Imaging associate, MSMH	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 6	CHS has two members: 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 one representative and one alternative representative to serve on the Corporate Member Council and to serve as a voting director on the Catholic Health System Board of Directors.
Form 990, Part VI, Section A, line 7b	Yes, the corporate members do have reserve powers
Form 990, Part VI, Section B, line 11b	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 that file a 990. 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 officers, directors, and key employees 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 2018, the Catholic Health System utilized a Compensation Committee of the corporation Directors to monitor the Executive Compensation as per the Executive Compensation Philosophy and Strategy for the CHS CEO and top Senior Executives . 16. b. The Catholic Health System has a process to evaluate its participation in joint venture arrangements under applicable federal tax law, and has taken steps to safeguard the organization's exempt status with respect to such arrangements, and has developed a formal policy to formalize the process.
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:	Change in Minimum Pension Liability Adjustment 5,182,514. Equity Transfer to Affiliates 1,300,728. Change in unrestricted interest in Net Assets of Sisters Foundation -618,325. Interest Rate Swap Adjustment 1,131,922. Change in temporary restricted interest in Net Assets of Sisters Foundation -772,270.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 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)	Schedule A line 3	0
Mercy Hospital of Buffalo
565 Abbott Road	Buffalo	NY	14220	160756336	Acute Care Hospital	NY	501(c)(3)	Schedule A line 3	0	Catholic Health System Inc
Kenmore Mercy Hospital
2950 Elmwood Avenue	Kenmore	NY	14217	160762843	Acute Care Hospital	NY	501(c)(3)	Schedule A line 3	0	Catholic Health System Inc
Nazareth Home of the Franciscan Sisters
291 North Street	Buffalo	NY	14201	160813142	Skilled Nursing Facility	NY	501(c)(3)	Schedule A line 3	0	Catholic Health System Inc
St Elizabeth Home for the Aged
5539 Broadway	Lancaster	NY	14086	160743154	Adult Home	NY	501(c)(3)	Schedule A line 3	0	Catholic Health System Inc
St Francis Home of Williamsville
147 Reist St	Williamsville	NY	14221	160743153	Skilled Nursing Facility	NY	501(c)(3)	Schedule A line 3	0	Catholic Health System Inc
St Francis of Buffalo Inc
34 Benwood Ave	Buffalo	NY	14214	161523535	Skilled Nursing Facility	NY	501(c)(3)	Schedule A line 3	0	Catholic Health System Inc
St Vincent Manor
319 Washington Avenue	Dunkirk	NY	14048	160743167	Adult Home	NY	501(c)(3)	Schedule A line 3	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)	Schedule A line 3	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)	Schedule A line 3	0	Catholic Health System Inc
McAuley Seton Home Care
144 Genesee Street	Buffalo	NY	14203	161310062	Home Care Provider	NY	501(c)(3)	Schedule A line 3	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)	Schedule A line 3	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)	Schedule A 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)	Schedule A line 3	0	Catholic Health System Inc
Sisters Hospital Foundation
2130 Main Street	Buffalo	NY	14214	222283077	Foundation	NY	501(c)(3)	Schedule A line 3	0	Sisters of Charity Hospital
KMH Homes Inc
144 Genesee Street	Buffalo	NY	14203	161387890	Real Estate Holding Company	NY	501(c)(3)	Schedule A line 3	0	Catholic Health System Inc
Mount St Mary's Hospital of Niagara Falls
5300 Military Road	Lewiston	NY	14092	161523353	Acute Care Hospital	NY	501(c)(3)	Schedule A line 3	0	Catholic Health System Inc

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
Health Home Partners of WNY LLC
227 Thorn Avenue Box 631	Orchard Park	NY	14127	455343851	Health Home	NY	related	$84,274	$890,265	0	0
Caritas Medical Arts Building LLC
350 Essjay Road Suite 101	Williamsville	NY	14221	161521486	Rental Real Estate	NY	related	-$76,216	-$20,873	0	0

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