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SISTERS OF CHARITY HOSPITAL OF BUFFALO NEW YORK: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
SISTERS OF CHARITY HOSPITAL OF BUFFALO NEW YORK (EIN 16-0743187)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-10-31
IRS object ID
201643059349301129
Schema version
2015v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-10-31T12:53:44-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN160743187EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Sisters of Charity HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSISTBusinessNameControlTxt
Phone7168282974PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1144 Genesee St Finance 4th FlAddressLine1Txt
CityBuffaloCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14203ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID MACHOLZPersonNm
Person TitleCHS VP Finance/Corp ControllerPersonTitleTxt
Phone7168282974PhoneNum
Signature2016-04-22SignatureDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJoseph D McDonaldPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1144 Genesee StreetAddressLine1Txt
CityBuffaloCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14203ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$322,041,476GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.chsbuffalo.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1849FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionThe Catholic Health System (CHS) Mission is to provide quality healthcare services in an acute care setting. Committed to a common mission, CHS providers continue the healing ministry of Jesus, seeking to improve the health of individuals and communities. We provide high quality service that has reverence, compassion, justice, and excellence. The 2015 Community Service Plan can be found at www.chsbuffalo.org.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee2581TotalEmployeeCnt
Total Volunteers1082TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,282,534PYContributionsGrantsAmt
CY Contributions Grants$208,632CYContributionsGrantsAmt
PY Program Service Revenue$317,819,721PYProgramServiceRevenueAmt
CY Program Service Revenue$314,306,088CYProgramServiceRevenueAmt
PY Investment Income$270,223PYInvestmentIncomeAmt
CY Investment Income$291,165CYInvestmentIncomeAmt
PY Other Revenue$6,305,328PYOtherRevenueAmt
CY Other Revenue$7,235,591CYOtherRevenueAmt
PY Total Revenue$325,677,806PYTotalRevenueAmt
CY Total Revenue$322,041,476CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$153,947,466PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$158,307,832CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$164,172,668PYOtherExpensesAmt
CY Other Expenses$165,394,645CYOtherExpensesAmt
PY Total Expenses$318,120,134PYTotalExpensesAmt
CY Total Expenses$323,702,477CYTotalExpensesAmt
PY Revenues Less Expenses$7,557,672PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,661,001CYRevenuesLessExpensesAmt
Total Assets BOY$304,757,941TotalAssetsBOYAmt
Total Assets EOY$319,784,919TotalAssetsEOYAmt
Total Liabilities BOY$218,281,686TotalLiabilitiesBOYAmt
Total Liabilities EOY$234,146,471TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$86,476,255NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$85,638,448NetAssetsOrFundBalancesEOYAmt
MissionNoneMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$174,716,638ExpenseAmt
Revenue$195,822,810RevenueAmt
DescInpatient Services:67,378 Acute Care Patient Days18,593 Newborn Patient Days28,509 Skilled Nursing Patient Days5,370 I/P SurgeriesDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$96,901,371ExpenseAmt
Revenue$108,762,786RevenueAmt
DescOutpatient Services:63,212 ED Visits net of Admits268,830 Referred Ambulatory Visits10,253 Operating Room8,850 G.I. Laboratory1,726 Interventional Radiology (IXR)1,127 Ambulatory Surgery Center349 TransfusionDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$8,703,745ExpenseAmt
Revenue$9,720,491RevenueAmt
DescPrimary Care Clinics:24,096 Clinic/Prmiary Care Center Visits321,788 Substance VisitsDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$280,321,754TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document266IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2581EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind0Form8899Filedind
Form1098 C Filed0Form1098CFiledInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1David Macholz CHS VP Finance Corporate Controller CatholicBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7168282974PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Health- 144 Genesee StreetFinanceAddressLine1Txt
CityBuffaloCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14203ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Mark Sullivan
Executive VP / COO0.0055.00Yes (X)Yes (X)$0$831,321$134,963
Peter Bergmann
President, and CEO Sisters55.000.00Yes (X)Yes (X)$495,499$0$23,556
David Macholz
Treasurer0.0055.00Yes (X)Yes (X)$0$329,578$24,203
James Millard
Director0.0055.00Yes (X)$0$419,950$34,672
Charles Urlaub
Director0.0055.00Yes (X)$0$463,086$36,126
Gary Tucker
Director0.0055.00Yes (X)$0$440,125$68,790
Dr Michael Edbauer
Director0.0027.50Yes (X)$0$362,923$70,688
Joyce Markiewicz
Director0.0055.00Yes (X)$0$367,821$35,357
Brian Beitz
Director4.000.00Yes (X)$0$0$0
Frances Crosby RN PhD
Director2.000.00Yes (X)$0$0$0
Richard Curran MD
Director2.000.00Yes (X)$0$0$0
John Davanzo
Director2.000.00Yes (X)$0$0$0
Joseph Gelormini MD
Director2.000.00Yes (X)$0$0$0
Mark Jajkowski
Director2.000.00Yes (X)$0$0$0
Raquel Martin DO
Director2.000.00Yes (X)$0$0$0
Sherry Pomeroy PhD
Director2.000.00Yes (X)$0$0$0
Mary Turkiewiecz MD
Director2.000.00Yes (X)$0$0$0
Monsignor Robert E Zapfel
Director2.000.00Yes (X)$0$0$0
Joseph McDonald
President and CEO, CHS0.0055.00Yes (X)$0$1,582,915$204,904
James A Dunlop Jr
Executive VP, Finance / CFO0.0055.00Yes (X)$0$887,602$110,616
Dr Brian D'Arcy
Senior VP, Medical Affairs0.0055.00Yes (X)$0$588,913$86,724
Martin Borzyak
COO, Sisters/SJC55.000.00Yes (X)$192,575$0$15,178
Maria Foti
Sr. VP, Strategic Planning0.0055.00$0$347,846$63,087Yes (X)
Dr Michael Galang
Sr. VP, Chief Information Officer0.0055.00$0$509,718$81,005Yes (X)
Michael Moley
Sr.VP, Human Resources0.0055.00$0$687,938$105,480Yes (X)
Dr Nady Shehata
VP, Medical Affairs55.000.00$332,925$0$33,351Yes (X)
Nancy Sheehan
SVP Legal Service, General Counsel0.0055.00$0$380,104$52,928Yes (X)
Dr Ali Ghomi
Physician55.000.00$551,331$0$25,025Yes (X)
Dr Bruce Rodgers
Physician55.000.00$357,440$0$18,427Yes (X)
Dr Anthony Pivarunus
Physician55.000.00$321,572$0$26,533Yes (X)
Dr Margaret McDonnell
Physician55.000.00$322,069$0$34,102Yes (X)
Dr Jack R Lawler
Physician55.000.00$299,188$0$25,396Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,872,599TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,199,840TotReportableCompRltdOrgAmt
Total Other Compensation$1,311,111TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K81IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Sodexho Inc & Affiliates
PO Box 81049WoburnMA018131049Environmental Services$3,204,386
Quest Diagnostics (Chicago)
2178 Collection Center DriveChicagoIL60693Laboratory Services$1,732,545
Buffalo Medical Group
85 High StreetBuffaloNY14203Physician Services$1,378,384
Renova
4 Executive Circle Suite 185IrvineCA92614Consulting Services$1,251,565
Siemens Medical Solutions
51 Valley Stream ParkwayMalvernePA19355Maintenance Services$1,184,013
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K35CntrctRcvdGreaterThan100KCnt
All Other Contributions$208,632AllOtherContributionsAmt
Total Contributions$208,632TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Services900099$201,057,325$201,057,325
Medicaid/Medicare900099$113,248,763$113,248,763
FieldValueIRS element (for citing)
Total Program Service Revenue$314,306,088TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$285,515TotalRevenueColumnAmt
Exclusion$285,515ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$655,875RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$655,875RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$655,875TotalRevenueColumnAmt
Exclusion$655,875ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$5,650OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$5,650OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,650TotalRevenueColumnAmt
Exclusion$5,650ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Shared Services900099$3,763,306$3,763,306
Cafeteria900099$945,714$945,714
340b Pharmacy900099$643,730$643,730

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,226,966TotalRevenueColumnAmt
Exclusion$1,226,966ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$6,579,716OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$322,041,476TotalRevenueColumnAmt
Related Or Exempt Func Income$318,069,394RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,763,450ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$119,876,833TotalAmt
Program Services$110,268,500ProgramServicesAmt
Management And General$9,608,333ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$10,457,321TotalAmt
Program Services$9,696,353ProgramServicesAmt
Management And General$760,968ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$20,064,097TotalAmt
Program Services$18,469,082ProgramServicesAmt
Management And General$1,595,015ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,909,581TotalAmt
Program Services$7,277,523ProgramServicesAmt
Management And General$632,058ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$67,409TotalAmt
Management And General$67,409ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$29,180TotalAmt
Management And General$29,180ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$11,392,540TotalAmt
Program Services$9,189,664ProgramServicesAmt
Management And General$2,202,876ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,477TotalAmt
Program Services$4,860ProgramServicesAmt
Management And General$1,617ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,554,125TotalAmt
Program Services$4,130,767ProgramServicesAmt
Management And General$4,423,358ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$392,089TotalAmt
Program Services$88,812ProgramServicesAmt
Management And General$303,277ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,319,648TotalAmt
Program Services$2,488,853ProgramServicesAmt
Management And General$830,795ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$63,051TotalAmt
Program Services$58,300ProgramServicesAmt
Management And General$4,751ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$118,639TotalAmt
Program Services$114,782ProgramServicesAmt
Management And General$3,857ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,541,445TotalAmt
Program Services$1,528,015ProgramServicesAmt
Management And General$13,430ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$13,012,130TotalAmt
Program Services$11,069,979ProgramServicesAmt
Management And General$1,942,151ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,775,554TotalAmt
Program Services$3,543,562ProgramServicesAmt
Management And General$1,231,992ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Shared Service$53,307,961$39,233,408$14,074,553
Medical Supplies$51,730,644$52,457,550-$726,906
Purchase Services & Oth$14,115,547$8,337,823$5,777,724
Non Medical Supplies$2,968,206$2,363,921$604,285

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$323,702,477TotalAmt
Program Services$280,321,754ProgramServicesAmt
Management And General$43,380,723ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,737,371BOYAmt
EOY$4,316EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$126,920,831BOYAmt
EOY$134,354,409EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$140,167BOYAmt
EOY$168,117EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$42,153,094BOYAmt
EOY$42,507,801EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,377,952BOYAmt
EOY$7,130,407EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,365,035BOYAmt
EOY$1,473,319EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$159,360,147LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$85,461,127LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$76,256,764BOYAmt
EOY$73,899,020EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$49,806,727BOYAmt
EOY$60,247,530EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$304,757,941BOYAmt
EOY$319,784,919EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$35,893,871BOYAmt
EOY$37,843,098EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$627,297BOYAmt
EOY$573,443EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$29,863,855BOYAmt
EOY$28,129,362EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$8,342,350BOYAmt
EOY$7,834,568EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$143,554,313BOYAmt
EOY$159,766,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$218,281,686BOYAmt
EOY$234,146,471EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$83,901,801BOYAmt
EOY$82,804,142EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,451,931BOYAmt
EOY$2,711,783EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$122,523BOYAmt
EOY$122,523EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$86,476,255BOYAmt
EOY$85,638,448EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$304,757,941BOYAmt
EOY$319,784,919EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,661,001ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$823,194OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$29,180OtherActivitiesAmt
Total Lobbying Expenditures$29,180TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationLobbying expenses 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

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$25,708,857InvestmentCostOrOtherBasisAmt
Depreciation$16,479,209DepreciationAmt
Book Value$9,229,648BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$37,974,214InvestmentCostOrOtherBasisAmt
Depreciation$11,204,307DepreciationAmt
Book Value$44,902,307BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$89,964,740InvestmentCostOrOtherBasisAmt
Depreciation$57,777,611DepreciationAmt
Book Value$14,054,729BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$3,753,368InvestmentCostOrOtherBasisAmt
Book Value$3,753,368BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$73,899,020TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
Other Receivables$3,070,825
Due from Affiliates$11,415,206
Insurance Recoveries$32,903,597
Investment in Caritas Medical Arts Building$21,834
Investment in Net Assets of the SOC Foundation$8,307,147
Assets Whose Use is Limited - DSRIP$4,528,921
FieldValueIRS element (for citing)
Total Book Value Other Assets$60,247,530TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
Due to Affiliates$27,384,752
Pension Obligation$77,019,326
Asset Retirement Obligation$2,624,468
L/T Disposables$589,217
L/T General Liability IBNR$32,422,731
L/T Workers Comp IBNR$15,196,585
DSRIP - Funds$4,528,921
FieldValueIRS element (for citing)
Total Liability$159,766,000TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$322,327,039TotalRevEtcAuditedFinclStmtAmt
Other Revenue$490,615OtherRevenueAmt
Revenue Not Reported$490,615RevenueNotReportedAmt
Revenue Subtotal$321,836,424RevenueSubtotalAmt
Other Revenues Not Included$205,052OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$205,052RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$322,041,476TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$324,734,881TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$1,032,404OtherExpensesIncludedAmt
Expenses Not Reported$1,032,404ExpensesNotReportedAmt
Expenses Subtotal$323,702,477ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$323,702,477TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

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

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other110.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,266,855TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$158,340DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,108,515NetCommunityBenefitExpnsAmt
Total Expense0.00650TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$72,877,129TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$51,099,069DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,778,060NetCommunityBenefitExpnsAmt
Total Expense0.06730TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$75,143,984TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$51,257,409DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,886,575NetCommunityBenefitExpnsAmt
Total Expense0.07380TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,371,117TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,371,117NetCommunityBenefitExpnsAmt
Total Expense0.00420TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,550,895TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,273,583DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,277,312NetCommunityBenefitExpnsAmt
Total Expense0.02870TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,885,024TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,950,706DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,934,318NetCommunityBenefitExpnsAmt
Total Expense0.01520TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$572,945TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$572,945NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$322,464TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$322,464NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,702,445TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,224,289DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,478,156NetCommunityBenefitExpnsAmt
Total Expense0.05090TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$99,846,429TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$59,481,698DirectOffsettingRevenueAmt
Net Community Benefit Expns$40,364,731NetCommunityBenefitExpnsAmt
Total Expense0.12470TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,890TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$34,890NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,890TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$34,890NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$7,841,960BadDebtExpenseAmt
Bad Debt Expense Attributable$2,240,593BadDebtExpenseAttributableAmt
Reimbursed By Medicare$45,610,513ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$45,734,245CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$123,732MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndResearch FacilityResearchFacilityIndEmergency Room24 HrsEmergencyRoom24HrsIndOtherOtherDesc
Sisters of Charity Hospital
12157 Main StBuffaloNY14214www.chsbuffalo.org1401013HYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Ambulatory Surgery - Multi Speciality
Sisters of Charity Hospital - St Joseph Campus
22605 Harlem RoadCheektowagaNY14225www.chsbuffalo.orgYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Ambulatory Surgery - Multi Speciality

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Sisters of Charity HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://chsbuffalo.org/CommunityOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLhttp://chsbuffalo.org/CommunityStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care110.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttp://chsbuffalo.org/billing/financeFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttp://chsbuffalo.org/billing/financeFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttp://chsbuffalo.org/billing/financeFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Section A:Sisters of Charity Hospital continued - Audiology O/P Chemical Dependence - Rehabilitation O/P Clinical Laboratory Service Clinic Part Time Services Coronary Care CT Scanner Dental O/P Emergency Department Health Fairs O/P Intensive Care Magnetic Resonance Imaging Maternity Medical Social Services Medical/Surgical Neonatal Continuing Care Neonatal Intensive Care Neonatal Intermediate Care Nuclear Medicine - Diagnostic Nuclear Medicine - Therapeutic Pediatric O/P Pharmaceutical Service Physical Medical Rehabilitation Physical Medicine and Rehabilitation O/P Podiatry O/P Prenatal O/P Primary Medical Care O/P Psychology O/P Radiology - Diagnostic Renal Dialysis - Acute Therapy - Occupational O/P Therapy - Physical O/P Therapy - Speech Language Pathology Therapy - Vocational Rehabilitation O/P Sisters of Charity Hosptial - St. Joseph Campus continued - Clinic Part Time Services Clinical Laboratory ServicesCoronary Care CT Scanner Emergency Department Intensive Care Magnetic Resonance Imaging Medical Social Services Medical/Surgical Nuclear Medicine - Diagnostic Outpatient Surgery Pharmaceutical Service Primary Medical Care O/P Radiology - Diagnostic Renal Dialysis - Acute Therapy - Speech Language Pathology Health Fairs O/P O/P Surgery
Part V, Section BFacility Reporting Group A
Group A-Facility 2 -- Sisters of Charity Hospital - St. Joseph Part V, Section B, line 5: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: * Survey of community representatives was conducted to ascertain their perception of the County's health needs * Facilitated group discussions with community and public health experts* Focus group with Catholic Health's Emergency Department Task Force* Erie County Department of Health created community-wide health needs survey* Erie County Department of Health led community forum* Evaluations administered by the Catholic Health Community Education Department after each class, workshop, or program it sponsors. Group Interview Participants: Catholic Charities Alzheimer's Association Brylin Hospitals Harvest House Spectrum Human Services Buffalo State College, Center for Community Health Center Health and Social Research Erie County DOH Wellness Institute American Cancer Society P2 Collaborative of WNY Healthcare Community Consultant City of Buffalo community Physician representation Erie County Department of Health Community Meeting Participants FDA Cancer Service Program of Erie County Buffalo State College Catholic Health P2 Collaborative of WNY American Cancer Society Monroe Plan UBMD Wellness Institute EPIC M.E.D.-V.A.R. Consulting Kaleida Buffalo Prenatal-Perinatal Network Erie County DOH United Way Prevention Focus
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
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 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.
Group A-Facility 2 -- Sisters of Charity Hospital - St. Joseph Part V, Section B, line 16i:Includes information in both English and Spanish on all signage and brochures for financial assistance.
Group A-Facility 2 -- Sisters of Charity Hospital - St. Joseph Part V, Section B, line 22d:Highest volume commercial payor rate.
FieldValueIRS element (for citing)
Facility11FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Harvey Austin School #97
1405 Sycamore StBuffaloNY14211Extension Clinic: Nursing, O/P, Immunology, Veneral Disease Prevention
2 - Pathways Methadone
158 Holden AvenueBuffaloNY14214Extension Clinic: Methadone Maintenance O/P, Part 822 Opiode Treatment progr
3 - Rochester Pathways
79 Howell StreetRochesterNY14614Extension Clinic: Methadone Maintenance O/P
4 - Sisters Hospital STAR Program
1595 Bailey AveBuffaloNY14212Chemical Dependence
5 - St Vincents Health Center
1500 Broadway AvenueBuffaloNY14212Extension Clinic: Therapy Physical O/P, Primary Medical Care O/P, Prenatal O
6 - Sisters Hospital Star Program
3730 Sheridan DrAmherstNY14226Extension Clinic: Methadone Maintenance O/P, Chemical Dependence-Rehab O/P
7 - West Hertel Academy
489 Hertel AveBuffaloNY14212Extension Clinic: Nursing, O/P, Immunology, Veneral Disease Prevention
8 - Southside Elementary School #93
430 Southside PkwyBuffaloNY14210Extension Clinic: Nursing, O/P, Immunology, Veneral Disease Prevention
9 - St Catherine Laboure Health Care Center
2157 Main StreetBuffaloNY14214LTC: Adult Day Healthcare, Clinical Lab Srvc O/P, Radiology-Diagnostic O/P
10 - CHS Partners in Rehab
6199 Transit RdDepewNY14043Extension Clinic: Occupational O/P, PT O/P
11 - Sisters Central Park Diagnostic Center
34 Benwood AveBuffaloNY14214Clinical Lab Service O/P, Ragiology-Diagnostic O/P

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 - Boards and Advisory Councils for $34,890.
Part III, Line 2:The amount in Part III line 2 is the actual bad debt expenses of $7,841,960 written down to cost. The amount in Part III line 3 is the estimate of bad debt from uninsured balance which is developed as follows: as policy is to write accounts to bad debt 120 days after discharge, the discharge date period of 10/1/2014 to 9/30/2015 was used to determine the population of uninsured accounts. The balance of these accounts was determined and the RCC was applied to develop the estimate in H Part III Line 3. As our determination of eligibility for the Healthcare Assistance Program (HAP) (Charity Care) is based solely on the presentation for care without insurance, which is now for each account, and use of a sophisticated estimator (PARO) of each guarantor's ability to pay an estimate of "the amount that reasonably could be attributable to patients who likely would qualify for financial assistance under the hospital's charity care policy if sufficient information had been available to make a determination of their eligibility" is not relevant. The organization's financial statements do not include a footnote that describes bad debt expense, but the financial statements account for bad debt expenses in the statement of operations as actual expenses written off and an estimate of future write-offs less any recoveries.
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, Catholic Health utilizes multiple methods to assess the health care needs of the communities it serves, including:* Evaluations administered by 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 service line leaders 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 service line leaders 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, 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 regional planning initiatives that look at the needs of the broader community; * 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 Mercy Hospital, Sisters Hospital and Kenmore Mercy 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 facilities, has posters and brochures available, which include eligibility and contact information for the Financial Clearance staff. This information is available in admissions areas, emergency rooms, primary care and outpatient rehabilitation centers, the Revenue Management Center (RMC) and other areas throughout Catholic Health where eligible patients and family members are likely to be present. Catholic Health also provides information about financial assistance and HAP contact information to patients as part of the intake process and during or within 90 days of their discharge from the hospital. To further assist patients, all patient bills include the following language: "The Catholic Health System has a Healthcare Assistance Program to assist those in need of financial assistance for qualified patients. If you would like to obtain additional information on the Healthcare Assistance Program, please call (716) 601-3600. Thank you." For free, confidential assistance in applying for financial aid, patients can also call our Financial Clearance department 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 will also assist them in applying for assistance at the time of registration. Interpreting services are also available for patients who do not speak English. Additionally, as part of our case management services, we 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. There is also information about our financial assistance program in our patient handbooks and posted on the Catholic Health System website.
Part VI, Line 4:The System's primary service area is Erie County, which accounts for 90% of its inpatient admissions and 85% of ambulatory care visits. Erie County 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. Our Mission Statement - We are called to reveal the healing love of Jesus to those in need - further articulates why we exist. Integral to this effort is caring for the needs of those who are poor and disadvantaged. The services provided by Catholic Health are in response to identified community needs, and reflect the System's emphasis on caring for the underserved. Catholic Health collaborates with other charitable organizations and social service agencies (i.e. Catholic Charities Spectrum Human Services, Evergreen Health Services, Erie County Department of Health, etc.) , to maximize its ability to provide needed services to the residents of our region.The governing Board of Directors of (Mercy Hospital, Sisters Hospital, and Kenmore Mercy 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 (Mercy Hospital, Sisters Hospital, Kenmore Mercy 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 five 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, 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 2015, the Catholic Health System provided more than $95 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 Buffalo City Mission, Friends of Night People, and the Health Science Charter School that help the poor and vulnerable in our community; * Hosting numerous health education and screening programs to help people learn their health risks and take steps to improve their health; * Offering a Healthcare Assistance Program to ensure that people without insurance or financial means get the care they need; * Providing health and wellness information in places of worship through our Faith Community Nursing program; * Helping refugees access quality medical care through our Primary Care and School Based Health Centers, including the Mercy Comprehensive Care Center in Buffalo's Old First Ward; * Providing free care and services to those in need, like our "Cribs for Kids" program, which helps families provide a safe sleeping environment for their newborns; * Supporting children and families in need through our Reach Out and Read Program; Backpack Program for Kids; and Bridget Closet (clothes for the needy);* Sponsoring programs at the Mercy Comprehensive Care Center, which serve the local community, including refugees from Burma, Somalia, the Middle East, and Nepal ; * Providing services through our Social Work Department, which link patients with necessary services including: ESL (English as a Second Language), job opportunities, substance abuse treatment, health care navigators, senior services, insurance information, parenting assistance and more; and * Supporting nationally recognized "green" initiatives to remain good stewards of our natural resources and protect the environment.
Part VI, Line 6:In 2013, Catholic Health (the System), including Kenmore Mercy Hospital, Mercy Hospital of Buffalo, Sisters of Charity Hospital, and Sisters of Charity Hospital St. Joseph Campus, jointly conducted a Community Health Needs Assessment (CHNA) to better understand the health needs of the community they serve and to fulfill the requirements of both the Internal Revenue Service (IRS) and the New York State Department of Health (DOH). To ensure the assessment was comprehensive, input from the public and several community organizations was solicited. As part of this coordinated initiative, the System developed a three-year Implementation Strategy to address the health needs identified in the assessment.
Part VI, Line 7, Reports Filed With StatesNY

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Mark Sullivan
Executive VP / COO$0$504,363$0$208,657$0$118,301$0$112,959$0$22,004$0$966,284$0$0
Peter Bergmann
President, and CEO Sisters$403,466$0$63,731$0$28,302$0$3,149$0$20,407$0$519,055$0$0$0
David Macholz
Treasurer$0$210,123$0$110,699$0$8,756$0$1,925$0$22,278$0$353,781$0$0
James Millard
Director$0$330,958$0$71,925$0$17,067$0$23,675$0$10,997$0$454,622$0$0
Charles Urlaub
Director$0$387,431$0$40,588$0$35,067$0$15,442$0$20,684$0$499,212$0$0
Gary Tucker
Director$0$243,236$0$173,623$0$23,266$0$43,271$0$25,519$0$508,915$0$0
Dr Michael Edbauer
Director$0$238,222$0$111,206$0$13,495$0$59,457$0$11,231$0$433,611$0$0
Joyce Markiewicz
Director$0$280,167$0$70,559$0$17,095$0$14,186$0$21,171$0$403,178$0$0
Joseph McDonald
President and CEO, CHS$0$834,985$0$536,131$0$211,799$0$180,650$0$24,254$0$1,787,819$0$0
James A Dunlop Jr
Executive VP, Finance / CFO$0$501,920$0$315,368$0$70,314$0$89,631$0$20,985$0$998,218$0$0
Dr Brian D'Arcy
Senior VP, Medical Affairs$0$440,939$0$95,588$0$52,386$0$65,094$0$21,630$0$675,637$0$0
Martin Borzyak
COO, Sisters/SJC$179,454$0$12,981$0$140$0$2,373$0$12,805$0$207,753$0$0$0
Maria Foti
Sr. VP, Strategic Planning$0$232,624$0$98,515$0$16,707$0$54,191$0$8,896$0$410,933$0$0
Dr Michael Galang
Sr. VP, Chief Information Officer$0$343,441$0$149,570$0$16,707$0$78,087$0$2,918$0$590,723$0$0
Michael Moley
Sr.VP, Human Resources$0$351,252$0$175,656$0$161,030$0$82,554$0$22,926$0$793,418$0$0
Dr Nady Shehata
VP, Medical Affairs$302,608$0$29,543$0$774$0$14,489$0$18,862$0$366,276$0$0$0
Nancy Sheehan
SVP Legal Service, General Counsel$0$290,590$0$72,447$0$17,067$0$43,525$0$9,403$0$433,032$0$0
Dr Ali Ghomi
Physician$370,562$0$180,589$0$180$0$5,353$0$19,672$0$576,356$0$0$0
Dr Bruce Rodgers
Physician$350,002$0$6,250$0$1,188$0$18,038$0$389$0$375,867$0$0$0
Dr Anthony Pivarunus
Physician$303,863$0$17,295$0$414$0$3,977$0$22,556$0$348,105$0$0$0
Dr Margaret McDonnell
Physician$321,295$0$0$0$774$0$15,216$0$18,886$0$356,171$0$0$0
Dr Jack R Lawler
Physician$298,000$0$0$0$1,188$0$23,061$0$2,335$0$324,584$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aOne Officer received a tax indemnification and gross-up payment for reimbursement of withholding taxes in conjunction with certain taxable benefits paid on behalf of employee.
Part I, Line 4bCertain Officers and Key employees participated in a supplemental nonqualified retirement plan. The intention is to provide additional retirement compensation to address any gaps in the compensation limit. Pension Gap Joseph McDonald $26,000.00 Mark Sullivan $19,500.00 Dr, Brian D'Arcy $9,800.00 Peter Bergmann $7,334.00 Certain portions of the incentive compensation paid in 2015 are a result of the targets that were achieved in 2014. Deferred compensation reported in 2015 includes both qualified deferred pension compensation and employer contribution for 403b for certain Sisters of Charity Hospital associates, as well as deferred compensation for the amounts that are able to be estimated in 2015. Actual W-2 compensation paid to the executive is as per Schedule J Part II B.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Dormitory Authority of the State of New York
A14600029364983Q5S42006-11-29$30,295,000See Part VI000
Dormitory Authority of the State of New York
B14600029364983Q5U92006-11-29$8,435,000See Part VI000
Buffalo and Erie County Industrial Land Development Corporation
C222413596NoneAvail2015-04-30$4,725,000See Part VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndIn Reserve FundInReserveFundAmtUnspentUnspentAmt
A$30,295,000$1,120,911$179,286$28,994,8031994Yes (1)0Yes (1)Yes (1)
B$8,435,000$341,581$49,919$8,043,5002005Yes (1)0Yes (1)Yes (1)
C$5,239,482$153,575$4,605,1262014000Yes (1)$344,971$135,810

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndEngage Bond Counsel ContractsEngageBondCounselContractsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePct
A000000Yes (1)
B000000Yes (1)
C0Yes (1)Yes (1)000Yes (1)Yes (1)0.019800.01980

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueInd
HSBC Bank NA
AYes (1)Yes (1)Yes (1)18.5000000000000Yes (1)00Yes (1)
JP Morgan Chase
BYes (1)Yes (1)Yes (1)18.5000000000000Yes (1)00Yes (1)
(no name)
C00000Yes (1)000

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Susan Urlaub
Wife of Mercy CEO, C.J. Urlaub$80,304Corporate Nurse educator0
Kathleen Zapfel
Sister-in-law of BOD, Msgr. Robert Zapfel$65,837HR Employee of CHS0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6CHS has three members: Ascension Health, Trinity Health, and the Diocese of Buffalo, NY. Each member is able to participate equally in electing the governing body, approving significant decisions of the governing body, and in receiving a share of net assets upon dissolution, according to the CHS Bylaws.
Form 990, Part VI, Section A, line 7aAccording to the CHS Bylaws, each member is equally allowed to appoint up to three individuals to act as its representatives on the Corporate Member Board, and in undertaking any action in its capacity as a Member. The Corporate Member Board oversees the governance of the Catholic Health System.
Form 990, Part VI, Section A, line 7bEach member is entitled to one vote on each matter properly submitted at any membership meeting, and the members also have reserve powers which allow approval for certain business events and ratification of certain business transactions.
Form 990, Part VI, Section B, line 11Yes, an electronic copy of the Form 990 was provided to the CHS Boards of Directors before it was filed. The CHS Board of Directors has delegated the responsibility to review the 990 to the Audit Committee. The CHS Audit Committee reviewed in detail selected information for all CHS entities. Reviewed with the Audit Committee: 1. Core Form Part IV: Checklist of required schedules 2. Core Form Part VI: Governance, Management and Disclosure 3. Core Form Part VII: Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees and Independent Contractors 4. Schedule H: Hospitals 5. Schedule K: Supplemental information on Tax Exempt Bonds 6. Schedule J: Compensation Information 7. Schedule L: Transactions with Interested Persons 8. Schedule R: Related Organizations and Unrelated Partnerships 9. Process for which remaining Core Form was completed, utilizing audited financial information
Form 990, Part VI, Section B, line 12cAll associates on the Merit program; all Physicians and Non Physician Practitioners as well as Physician groups who are independent contractors or employees of CHS; and all board members must complete a Conflict of Interest Disclosure Statement (COIDS) in order to fulfill the annual requirements. COIDS are distributed to all parties, as per applicable policy, and once complete are followed up with as follows: 1. Associate and Physician completed COIDS are reviewed and signed off by the manager. If a disclosure is noted, it is discussed with the manager, and the document is forwarded to the Compliance officer who reviews and follows up as appropriate. Once review/follow up is completed the Compliance Officer will sign the COIDS, maintain a copy in the compliance office and return the original to HR for filing in the Personnel file. 2. All board member COIDS are returned to Compliance Officer for review and follow up as warranted. The compliance officer will sign each COIDS and retain on file in the compliance office in a confidential manner.
Form 990, Part VI, Section B, line 15CHS, in determining the compensation for the CEO, utilizes a process of review and approval, governed by the Board of Directors that includes an outside nationally recognized independent compensation consultant experienced in compensation and benefit matters for non-profit healthcare organizations, and comparability data. In 2015, the Catholic Health System utilized a Compensation Committee of the Board of Directors to monitor the Executive Compensation as per the Executive Compensation Philosophy and Strategy for the CHS CEO and top Senior Executives.
Form 990, Part VI, Section C, line 19We make our form 990 open for public inspection upon request. Our website includes an annual report which includes selected financial information. Our financial statements, governing documents and conflict of interest policy are provided upon request according to applicable federal and state laws.
Form 990, Part XI, line 9:Pension Liability Adjustments 6,932,002. Equity Transfer to Affiliates -6,569,645. Change in unrestricted interest in Net Assets of Sisters Foundation -329,974. Interest Rate Swap Adjustment 530,959. Change in Temporary Restricted interest in Net Assets of Sisters Foundation 259,852.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Catholic Health System Inc
144 Genesee StreetBuffaloNY14203222565278Health Care Delivery SystemNY501(c)(3)Line 90
Mercy Hospital of Buffalo
565 Abbott RoadBuffaloNY14220160756336Acute Care HospitalNY501(c)(3)Line 30Catholic Health System Inc
Kenmore Mercy Hospital
2950 Elmwood AvenueKenmoreNY14217160762843Acute Care HospitalNY501(c)(3)Line 30Catholic Health System Inc
Nazareth Home of the Franciscan Sisters
291 North StreetBuffaloNY14201160813142Skilled Nursing FacilityNY501(c)(3)Line 90Catholic Health System Inc
St Elizabeth Home for the Aged
5539 BroadwayLancasterNY14086160743154Adult HomeNY501(c)(3)Line 90Catholic Health System Inc
St Francis Home of Williamsville
147 Reist StWilliamsvilleNY14221160743153Skilled Nursing FacilityNY501(c)(3)Line 90Catholic Health System Inc
St Francis of Buffalo Inc
34 Benwood AveBuffaloNY14214161523535Skilled Nursing FacilityNY501(c)(3)Line 90Catholic Health System Inc
St Vincent Manor
319 Washington AvenueDunkirkNY14048160743167Adult HomeNY501(c)(3)Line 90Catholic Health System Inc
WNY Catholic Long Term Care Inc
6400 Powers RdOrchard ParkNY14127161434368Skilled Nursing FacilityNY501(c)(3)Line 90Catholic Health System Inc
Niagara Homemaker Services (Mercy Home Care)
144 Genesee StreetBuffaloNY14203161317960Home Care ProviderNY501(c)(3)Line 90Catholic Health System Inc
McAuley Seton Home Care
144 Genesee StreetBuffaloNY14203161310062Home Care ProviderNY501(c)(3)Line 90Catholic Health System Inc
Catholic Health System Infusion Pharmacy Inc
6350 Transit RoadDepewNY14043200198518Home Care Infusion ServicesNY501(c)(3)Line 90Catholic Health System Inc
CHS Program of All-Inclusive Care for the Elderly Inc
55 Melroy AvenueLackawannaNY14218261252884All-inclusive Care for the ElderlyNY501(c)(3)Line 30Catholic Health System Inc
Trinity Medical WNY PC
2625 Harlem RdCheektowagaNY14225272576645Primary Care ProviderNY501(c)(3)Line 11a, I0Catholic Health System Inc
Sisters Hospital Foundation
2130 Main StreetBuffaloNY14214222283077FoundationNY501(c)(3)Line 70Sisters of Charity Hospital
KMH Homes Inc
144 Genesee StreetBuffaloNY14203161387890Real Estate Holding CompanyNY501(c)(3)Line 90Catholic Health System Inc
Mount St Mary's Hospital of Niagara Falls
5300 Military RoadLewistonNY14092161523353Acute Care HospitalNY501(c)(3)Line 30Catholic Health System Inc

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Caritas Medical Arts Building LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 Essjay Road Suite 101AddressLine1Txt
CityWilliamsvilleCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14221ZIPCd
FieldValueIRS element (for citing)
EIN161521486EIN
Primary ActivitiesRental Real EstatePrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Predominant Income TypeRelatedPredominantIncomeTypeTxt
Share Of Total Income-$5,234ShareOfTotalIncomeAmt
Share Of EOY Assets-$2,136ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd