SISTERS OF CHARITY HOSPITAL OF BUFFALO NEW YORK: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: SISTERS OF CHARITY HOSPITAL OF BUFFALO NEW YORK (EIN 16-0743187)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-10-28
IRS object ID: 201513019349301116
Schema version: 2014v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-10-28T14:28:37-05:00	ReturnTs
Tax Period End	2014-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-01-01	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 St Finance 4th Fl	AddressLine1Txt
City	BUFFALO	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14203	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	David Macholz	PersonNm
Person Title	President and CEO	PersonTitleTxt
Phone	7168282974	PhoneNum
Signature	2015-04-24	SignatureDt

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Joseph D McDonald	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	144 Genesse Street	AddressLine1Txt
City	Buffalo	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14203	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$325,677,806	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 Catholic Health System 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 2014 Community Service Plan can be found at www.chsbuffalo.org.	ActivityOrMissionDesc
Voting Members Governing Body	24	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	2607	TotalEmployeeCnt
Total Volunteers	740	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$122,828	PYContributionsGrantsAmt
CY Contributions Grants	$1,282,534	CYContributionsGrantsAmt
PY Program Service Revenue	$315,493,950	PYProgramServiceRevenueAmt
CY Program Service Revenue	$317,819,721	CYProgramServiceRevenueAmt
PY Investment Income	$263,159	PYInvestmentIncomeAmt
CY Investment Income	$270,223	CYInvestmentIncomeAmt
PY Other Revenue	$8,332,921	PYOtherRevenueAmt
CY Other Revenue	$6,305,328	CYOtherRevenueAmt
PY Total Revenue	$324,212,858	PYTotalRevenueAmt
CY Total Revenue	$325,677,806	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	$153,563,523	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$153,947,466	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$163,954,327	PYOtherExpensesAmt
CY Other Expenses	$164,172,668	CYOtherExpensesAmt
PY Total Expenses	$317,517,850	PYTotalExpensesAmt
CY Total Expenses	$318,120,134	CYTotalExpensesAmt
PY Revenues Less Expenses	$6,695,008	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$7,557,672	CYRevenuesLessExpensesAmt
Total Assets BOY	$298,093,662	TotalAssetsBOYAmt
Total Assets EOY	$304,757,941	TotalAssetsEOYAmt
Total Liabilities BOY	$185,005,387	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$218,281,686	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$113,088,275	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$86,476,255	NetAssetsOrFundBalancesEOYAmt
Mission	None	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$150,409,433	ExpenseAmt
Revenue	$200,931,096	RevenueAmt
Desc	Inpatient Services:70,564 Acute Care Patient Days18,995 Newborn Patient Days28,402 Skilled Nursing Patient Days5,719 I/P Ambulatory Surgeries	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$79,924,656	ExpenseAmt
Revenue	$106,920,326	RevenueAmt
Desc	Outpatient Services:61,596 ED Visits net of Admits280,141 Referred Ambulatory Visits10,192 Operating Room7,843 G.I. Laboratory1,738 Interventional Radiology (IXR)489 Windsong ASU595 Ambulatory Surgery Center357 Transfusion	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$7,491,554	ExpenseAmt
Revenue	$9,968,300	RevenueAmt
Desc	Primary Care Clinics:24,632 Clinic/Prmiary Care Center Visits321,019 Substance Visits	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$237,825,643	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	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	Yes (1)	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	261	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2607	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	24	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	7168282974	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	Health- 144 Genesee StreetFinance	AddressLine1Txt
City	Buffalo	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14203	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (44 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	1.00	37.50	Yes (X)	Yes (X)	$0	$1,344,183	$55,937
Mark Sullivan
Executive VP/COO	1.00	37.50	Yes (X)	Yes (X)	$0	$716,018	$47,406
Peter Bergmann
President and CEO, Sisters	37.50		Yes (X)	Yes (X)	$521,653	$0	$39,456
David Macholz
Treasurer	1.00	37.50	Yes (X)	Yes (X)	$0	$253,185	$42,733
Louis Baumann MD
Director	1.00		Yes (X)		$0	$0	$0
Brian Beitz
Director	1.00		Yes (X)		$0	$0	$0
Frances Crosby RN PHD
Director	1.00		Yes (X)		$0	$0	$0
Richard Curran MD
Director	1.00		Yes (X)		$0	$0	$0
John Davanzo
Director	1.00		Yes (X)		$0	$0	$0
Dennis Dombek
Director	1.00		Yes (X)		$0	$0	$0
David Durante MD
Director	1.00	18.80	Yes (X)		$0	$113,038	$0
Dr Michael Edbauer
Director	1.00	18.80	Yes (X)		$0	$306,246	$23,873
Joseph Gelormini MD
Director	1.00		Yes (X)		$0	$0	$0
Mr William LawleyJr
director	1.00		Yes (X)		$0	$0	$0
Li Lin PHD
Chairman of Ministry Services	1.00		Yes (X)		$0	$0	$0
Judith Maness
Director	1.00		Yes (X)		$0	$0	$0
James Manzella
Director	1.00		Yes (X)		$0	$0	$0
Joyce Markiewicz
Director	1.00	37.50	Yes (X)		$0	$336,389	$49,581
Raquel Martin DO
Director	1.00		Yes (X)		$0	$0	$0
James Millard
Director	1.00	37.50	Yes (X)		$0	$360,108	$217,116
Michael Montante
Director	1.00		Yes (X)		$0	$0	$0
Mark Podlas MD
Director	1.00		Yes (X)		$0	$0	$0
Sherry Pomeroy PHD
Director	1.00		Yes (X)		$0	$0	$0
Donald Slate MD
Director	1.00		Yes (X)		$0	$0	$0
Mary Turkiewiecz MD
Director	1.00		Yes (X)		$0	$0	$0
Charles J Urlaub
Director	1.00	37.50	Yes (X)		$0	$500,168	$48,207
Cynthia Zane EdD
Director	1.00		Yes (X)		$0	$0	$0
Monsignor Robert E Zapfel
Director	1.00		Yes (X)		$0	$0	$0
James A Dunlop Jr
Executive VP, Finance/CFO	1.00	37.50		Yes (X)	$0	$610,886	$180,721
Dr Brian D'Arcy
Senior VP, Medical Affairs	1.00	37.50		Yes (X)	$0	$528,516	$49,956
Martin Borzyak
COO, Sisters/SJC	37.50			Yes (X)	$199,988	$0	$26,039
Michael Moley
Sr.VP, Human Resources	1.00	37.50			$0	$602,383	$52,698	Yes (X)
John Stavros
Sr.VP, Marketing/P.R	1.00	37.50			$0	$299,464	$45,380	Yes (X)
Maria Foti
Sr. VP Strategic Planning	1.00	37.50			$0	$302,471	$40,116	Yes (X)
Dr Michael Galang
Chief Information Officer	1.00	37.50			$0	$415,734	$36,231	Yes (X)
Nancy Sheehan
SVP Legal Service, General Counsel	1.00	37.50			$0	$340,246	$41,133	Yes (X)
Richard J Ruh MD
Sr. VP Service lines	1.00	37.50			$0	$490,180	$43,760	Yes (X)
Dr Nady Shehata
VP, Medical Affairs	37.50				$329,467	$0	$51,046	Yes (X)
Dr Ali Ghomi
Physician	37.50				$458,155	$0	$32,160		Yes (X)
Dr Bruce Rodgers
Physician	37.50				$370,901	$0	$24,845		Yes (X)
Dr Anthony Pivarunus
Physician	37.50				$355,397	$0	$220,931		Yes (X)
Dr Margaret McDonnell
Physician	37.50				$334,867	$0	$48,681		Yes (X)
Dr Jack R Lawler
Physician	37.50				$312,726	$0	$22,008		Yes (X)
Christine Kluckhohn
Pres. & CEO Continuing Care	0.00	0.00			$0	$289,537	$123,443			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,883,154	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,808,752	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,563,457	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	100	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
SOdexho Inc & Affiliates
PO Box 81049	Woburn	MA	01813	Environmental Services	$2,744,833
Buffalo Medical Group
85 High Street	Buffalo	NY	14203	Physician Services	$2,558,736
Quest Diagnostics
2178 Collection Center Drive	Chicago	IL	60693	Laboratory Services	$1,575,000
R & P Oak Hill Development Corporation
3556 Lakeshore Road	Buffalo	NY	14219	Construction Services	$1,502,124
Atlas Healthcare Line Services
60 Grider Street	Buffalo	NY	14127	Laundry Services	$894,163

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	65	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$1,282,534	AllOtherContributionsAmt
Total Contributions	$1,282,534	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Services	900099	$177,123,662	$177,123,662
Medicaid/Medicare	900099	$140,696,059	$140,696,059

Field	Value	IRS element (for citing)
Total Program Service Revenue	$317,819,721	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$270,223	TotalRevenueColumnAmt
Exclusion	$270,223	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$785,813	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	$785,813	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$785,813	TotalRevenueColumnAmt
Exclusion	$785,813	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
Shared Services	900099	$2,599,111	$2,599,111
Cafeteria	900099	$1,128,436		$1,128,436
Meaningful Use	900099	$933,767		$933,767

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$858,201	TotalRevenueColumnAmt
Exclusion	$858,201	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,519,515	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$325,677,806	TotalRevenueColumnAmt
Related Or Exempt Func Income	$320,418,832	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$3,976,440	ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$119,056,824	TotalAmt
Program Services	$108,236,144	ProgramServicesAmt
Management And General	$10,820,680	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,475,730	TotalAmt
Program Services	$6,851,684	ProgramServicesAmt
Management And General	$624,046	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$20,846,456	TotalAmt
Program Services	$18,913,985	ProgramServicesAmt
Management And General	$1,932,471	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,568,456	TotalAmt
Program Services	$5,959,707	ProgramServicesAmt
Management And General	$608,749	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$13,937	TotalAmt
Management And General	$13,937	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$11,137,332	TotalAmt
Program Services	$9,050,862	ProgramServicesAmt
Management And General	$2,086,470	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$15,086	TotalAmt
Program Services	$10,540	ProgramServicesAmt
Management And General	$4,546	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,452,290	TotalAmt
Program Services	$4,220,802	ProgramServicesAmt
Management And General	$4,231,488	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$354,253	TotalAmt
Program Services	$83,188	ProgramServicesAmt
Management And General	$271,065	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,632,263	TotalAmt
Program Services	$977,808	ProgramServicesAmt
Management And General	$2,654,455	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$77,441	TotalAmt
Program Services	$64,368	ProgramServicesAmt
Management And General	$13,073	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$128,441	TotalAmt
Program Services	$122,099	ProgramServicesAmt
Management And General	$6,342	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,837,516	TotalAmt
Program Services	$1,837,516	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$13,110,899	TotalAmt
Program Services	$13,110,899	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,146,670	TotalAmt
Program Services	$4,754,185	ProgramServicesAmt
Management And General	$392,485	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Expenses	$52,247,270	$53,128,894	-$881,624
Shared Services	$51,550,861		$51,550,861
Purchased Services	$13,970,626	$8,530,093	$5,440,533
Non Medical Supplies	$2,497,783	$1,972,869	$524,914

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$318,120,134	TotalAmt
Program Services	$237,825,643	ProgramServicesAmt
Management And General	$80,294,491	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$29,847	BOYAmt
EOY	$1,737,371	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$129,874,903	BOYAmt
EOY	$126,920,831	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$138,545	BOYAmt
EOY	$140,167	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$37,376,147	BOYAmt
EOY	$42,153,094	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,013,105	BOYAmt
EOY	$6,377,952	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,536,757	BOYAmt
EOY	$1,365,035	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$149,193,435	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$72,936,671	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$74,535,808	BOYAmt
EOY	$76,256,764	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$48,588,550	BOYAmt
EOY	$49,806,727	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$298,093,662	BOYAmt
EOY	$304,757,941	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$39,199,641	BOYAmt
EOY	$35,893,871	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$448,112	BOYAmt
EOY	$627,297	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$26,894,340	BOYAmt
EOY	$29,863,855	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$8,100,755	BOYAmt
EOY	$8,342,350	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$110,362,539	BOYAmt
EOY	$143,554,313	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$185,005,387	BOYAmt
EOY	$218,281,686	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$110,436,850	BOYAmt
EOY	$83,901,801	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,528,902	BOYAmt
EOY	$2,451,931	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	$113,088,275	BOYAmt
EOY	$86,476,255	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$298,093,662	BOYAmt
EOY	$304,757,941	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$7,557,672	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$34,169,692	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule 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	$15,760,873	DepreciationAmt
Book Value	$9,947,984	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$53,635,031	InvestmentCostOrOtherBasisAmt
Depreciation	$9,162,818	DepreciationAmt
Book Value	$44,472,213	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$67,370,276	InvestmentCostOrOtherBasisAmt
Depreciation	$48,012,980	DepreciationAmt
Book Value	$19,357,296	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$520,303	InvestmentCostOrOtherBasisAmt
Book Value	$520,303	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$76,256,764	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
Other Receivables	$2,757,720
Due from Affiliates	$10,957,141
Workers Comp Funding Surplus	$419,701
Insurance Recoveries	$27,293,073
Investment in Caritas Medical Arts Building	$1,821
Investment in Net Assests of the SOC Foundation	$8,377,271

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$49,806,727	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
Due to Affiliates	$19,813,607
Pension Obligation	$79,235,007
Asset Retirement Obligation	$2,488,077
L/T Disposables	$2,248
L/T General Liability IBNR	$26,390,918
L/T Workers Comp IBNR	$15,624,456

Field	Value	IRS element (for citing)
Total Liability	$143,554,313	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$325,865,990	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$1,388,187	OtherRevenueAmt
Revenue Not Reported	$1,388,187	RevenueNotReportedAmt
Revenue Subtotal	$324,477,803	RevenueSubtotalAmt
Other Revenues Not Included	$1,200,003	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$1,200,003	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$325,677,806	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$319,214,975	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$1,094,841	OtherExpensesIncludedAmt
Expenses Not Reported	$1,094,841	ExpensesNotReportedAmt
Expenses Subtotal	$318,120,134	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$318,120,134	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part XI, Line 2d - Other Adjustments:	SOC Foundation Inc Revenue
Part XI, Line 4b - Other Adjustments:	Contributions from Sisters Hospital Foundation Grant Income
Part XII, Line 2d - Other Adjustments:	Foundation Expenses 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
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	110.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
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	$2,993,589	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$237,535	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,756,054	NetCommunityBenefitExpnsAmt
Total Expense	0.00870	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$72,377,756	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$53,747,958	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,629,798	NetCommunityBenefitExpnsAmt
Total Expense	0.05860	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$75,371,345	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$53,985,493	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,385,852	NetCommunityBenefitExpnsAmt
Total Expense	0.06730	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,526,215	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,526,215	NetCommunityBenefitExpnsAmt
Total Expense	0.00480	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,306,904	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,324,936	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,981,968	NetCommunityBenefitExpnsAmt
Total Expense	0.03140	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$709,791	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$709,791	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$344,295	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$344,295	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,887,205	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,324,936	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,562,269	NetCommunityBenefitExpnsAmt
Total Expense	0.03950	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$90,258,550	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$56,310,429	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,948,121	NetCommunityBenefitExpnsAmt
Total Expense	0.10680	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$65,800	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$65,800	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,022	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,022	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,822	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$70,822	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$7,320,473	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,468,286	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$47,433,606	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$45,358,630	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$2,074,976	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	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc
Sisters of Charity Hospital
1	2157 Main Strret	Buffalo	NY	14214	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Amb Surg, Medical/Surgical, Therapy-I/P & O/P, Maternity, Neonatal Care, CT
Sisters of Charity Hospital-St Joseph Campus
2	2605 Harlem Road	Cheektowaga	NY	14225	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	ED, Clinical Services, Intensive Care, Medical/Surgical, Radiology, O/P Surg

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)
Facility	1	FacilityNum
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
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	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	http://chsbuffalo.org/Community	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	http://guidestar.org	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	14	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	http://www.chsbuffalo.org/Community	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	110.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
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 App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	Yes (1)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Sisters of Charity Hospital	Part V, Section B, Line 5: Section CCatholic 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
Sisters of Charity Hospital	Part V, Section B, Line 6a: Sisters Hospital was conducted with Sisters St. Joseph Campus.
Sisters of Charity Hospital	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. 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.
Sisters of Charity Hospital	Part V, Section B, Line 16i: Includes information in both English and Spanish on all signage and brochures for financial assistance.
Sisters of Charity Hospital	Part V, Section B, Line 22d: Highest volume commercial payor rate.
Sisters of Charity Hospital	Part V, Section B, Line 24: There are instances where the full charges on the account are equal to or less than the highest volume commercial payor rate.
Part V, Section B, Line 16	Financial Assistance Policy Website Availability
Sisters of Charity Hospital Part V, Section B, line 16a website:	http://chsbuffalo.org/billing/finance
Sisters of Charity Hospital Part V, Section B, line 16b website:	http://chsbuffalo.org/billing/finance
Sisters of Charity Hospital Part V, Section B, line 16c website:	http://chsbuffalo.org/billing/finance

Field	Value	IRS element (for citing)
Facility	11	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Harvey Austin School #97
1405 Sycamore Street	Buffalo	NY	14211	Clinic: Nursing, O/P, Immunology, Veneral Disease Prevention
Pathways Methadone
158 Holden Avenue	Buffalo	NY	14214	Clinic: Methadone Maintenance O/P
Rochester Pathways
79 Howell Street	Rochester	NY	14614	Clinic: Methadone Maintenance O/P
Sisters Hospital STAR Program
1595 Bailey Avenue	Buffalo	NY	14212	Chemical Dependence
St Vincents Health Center
1500 Broadway Avenue	Buffalo	NY	14212	Clinic: PT O/P, Primary Medical Care O/P, Prenatal O/P
Sisters Hospital Star Program
3730 Sheridan Drive	Amherst	NY	14226	Clinic: Methadone Maintenance O/P, Chemical Dependence-Rehab O/P
West Hertel Academy
489 Hertel Avenue	Buffalo	NY	14212	Clinic: Nursing, O/P, Immunology, Veneral Disease Prevention
Southside Elementary School
430 Southside Parkway	Buffalo	NY	14210	Clinic: Nursing, O/P, Immunology, Veneral Disease Prevention
St Catherine Laboure Health Care Center
2157 Main Street	Buffalo	NY	14214	LTC: Adult Day Healthcare, Clinical Lab Srvc O/P, Radiology-Diagnostic O/P
CHS Partners in Rehab
6199 Transit Rd	Depew	NY	14043	Clinic: Occupational O/P, PT O/P
Sisters Central Park Diagnostic Center
34 Benwood Ave	Buffalo	NY	14214	Clinical Lab Service O/P, Ragiology-Diagnostic O/P

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c:	N/A
Part I, Line 6a:	Sisters Hospital Community Benefit Report is contained in a 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:	Sisters Hospital participated in Community Building activities for Community Support of $65,800 and Environmental Improvements of $5,022. Community support included Ebola Readiness Taskforce for $34,245, and Executive Community Board participation of $31,555. Ebola Preparedness included participation in implementing plans associated with preparing the community for Ebola disaster preparedness (such as mental health resources costs associated with training, community partnerships, and outreach planning.) Environment improvements include participation in community pharmaceutical drop-offs.
Part III, Line 2:	The amount in Part III line 2 is the actual bad debt expenses of $7,320,473 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 10/1/2013 to 9/30/2014 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. 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:	Catholic Health serves the eight counties of Western New York. 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.At the 2010 Census, the city's population was 50.4% White (45.8% non-Hispanic White alone), 38.6% Black or African-American, 0.8% American Indian and Alaska Native, 3.2% Asian, 3.9% from some other race, and 3.1% from two or more races. 10.5% of the total population was Hispanic or Latino of any race.The median income for a household in the city is $24,536, and the median income for a family is $30,614. The per capita income for the city is $14,991. 26.6% of the population and 23.0% of families are below the poverty line. Out of the total population, 38.4% of those under the age of 18 and 14.0% of those 65 and older are living below the poverty line.Erie County has an average income significantly lower than the national average and has a greater percentage of persons over the age of 55 than New York State and the United States. Erie County's population is projected to decrease between now and 2017, with the greatest decline expected in those ages 35-54, and the greatest increase projected in those 55 and over.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.The loss of traditional jobs in manufacturing, rapid suburbanization and high costs of labor led to the area's economic decline over the last few decades, making Buffalo one of the poorest among major U.S. cities with populations of more than 250,000 people. Recent investments in medical, educational and bio-tech sectors have led to improvements in the local economy.
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 2014, the Catholic Health System provided more than $82 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 States	NY

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 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	$748,734	$0	$280,841	$0	$314,608	$0	$34,856	$0	$21,081	$0	$1,400,120	$0	$0
Mark Sullivan
Executive VP/COO	$0	$467,326	$0	$113,773	$0	$134,919	$0	$28,266	$0	$19,140	$0	$763,424	$0	$0
Peter Bergmann
President and CEO, Sisters	$391,424	$0	$84,427	$0	$45,802	$0	$20,550	$0	$18,906	$0	$561,109	$0	$0	$0
David Macholz
Treasurer	$0	$195,706	$0	$31,223	$0	$26,256	$0	$22,835	$0	$19,898	$0	$295,918	$0	$0
Dr Michael Edbauer
Director	$0	$228,520	$0	$52,981	$0	$24,745	$0	$13,975	$0	$9,898	$0	$330,119	$0	$0
Joyce Markiewicz
Director	$0	$263,677	$0	$33,005	$0	$39,707	$0	$31,253	$0	$18,328	$0	$385,970	$0	$0
James Millard
Director	$0	$271,916	$0	$48,125	$0	$40,067	$0	$216,802	$0	$314	$0	$577,224	$0	$0
Charles J Urlaub
Director	$0	$369,957	$0	$72,644	$0	$57,567	$0	$29,025	$0	$19,182	$0	$548,375	$0	$0
James A Dunlop Jr
Executive VP, Finance/CFO	$0	$400,137	$0	$123,435	$0	$87,314	$0	$162,397	$0	$18,324	$0	$791,607	$0	$0
Dr Brian D'Arcy
Senior VP, Medical Affairs	$0	$391,380	$0	$62,250	$0	$74,886	$0	$30,981	$0	$18,975	$0	$578,472	$0	$0
Martin Borzyak
COO, Sisters/SJC	$167,420	$0	$21,512	$0	$11,056	$0	$8,337	$0	$17,702	$0	$226,027	$0	$0	$0
Michael Moley
Sr.VP, Human Resources	$0	$331,461	$0	$85,478	$0	$185,444	$0	$33,027	$0	$19,671	$0	$655,081	$0	$0
John Stavros
Sr.VP, Marketing/P.R	$0	$213,088	$0	$44,797	$0	$41,579	$0	$24,145	$0	$21,235	$0	$344,844	$0	$0
Maria Foti
Sr. VP Strategic Planning	$0	$214,638	$0	$48,282	$0	$39,551	$0	$33,051	$0	$7,065	$0	$342,587	$0	$0
Dr Michael Galang
Chief Information Officer	$0	$326,118	$0	$49,909	$0	$39,707	$0	$28,978	$0	$7,253	$0	$451,965	$0	$0
Nancy Sheehan
SVP Legal Service, General Counsel	$0	$291,960	$0	$28,135	$0	$20,151	$0	$33,594	$0	$7,539	$0	$381,379	$0	$0
Richard J Ruh MD
Sr. VP Service lines	$0	$357,065	$0	$93,408	$0	$39,707	$0	$23,473	$0	$20,287	$0	$533,940	$0	$0
Dr Nady Shehata
VP, Medical Affairs	$283,136	$0	$22,557	$0	$23,774	$0	$33,674	$0	$17,372	$0	$380,513	$0	$0	$0
Dr Ali Ghomi
Physician	$366,775	$0	$75,000	$0	$16,380	$0	$14,032	$0	$18,128	$0	$490,315	$0	$0	$0
Dr Bruce Rodgers
Physician	$363,463	$0	$6,250	$0	$1,188	$0	$24,456	$0	$389	$0	$395,746	$0	$0	$0
Dr Anthony Pivarunus
Physician	$297,145	$0	$40,099	$0	$18,153	$0	$199,915	$0	$21,016	$0	$576,328	$0	$0	$0
Dr Margaret McDonnell
Physician	$334,093	$0	$0	$0	$774	$0	$31,285	$0	$17,396	$0	$383,548	$0	$0	$0
Dr Jack R Lawler
Physician	$311,538	$0	$0	$0	$1,188	$0	$21,673	$0	$335	$0	$334,734	$0	$0	$0
Christine Kluckhohn
Pres. & CEO Continuing Care	$0	$0	$0	$0	$0	$289,537	$0	$106,137	$0	$17,306	$0	$412,980	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	Tax Indemnification and Gross up payments Yes one 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, Lines 4a-b	A severance payment of $288,763.47 was made for Christine Kluckhohn, an associate who was listed in Part 1a. Certain Officers and Key employees participated in a supplemental nonqualified retirement plan per the terms and conditions of their employment arrangement. Pension Gap Joseph McDonald $26,000.00 Mark Sullivan $19,500.00 Dr, Brian D'Arcy $9,800.00 Peter Bergmann $7,334.00 CHE SERP Joseph McDonald $117,093.00
Part I, Line 7	Executive Management employed by Catholic Health are compensated under a multi-tiered, goal-based program which includes base pay and a variable portion. The variable portion is referred to as "at risk compensation." Each of the eligible members of executive management is assigned performance goals aligned with organizational strategic goals. Each goal has minimum threshold criteria, target criteria and a maximum.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 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	64983Q5S4	2006-11-29	$30,295,000	Part VI	0	0	0
Dormitory Authority of the State of New York
B	146000293	64983Q5U9	2006-11-29	$8,435,000	Part VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$30,295,000	$1,120,911	$179,286	$28,994,803	1994	Yes (1)	0	Yes (1)	Yes (1)
B	$8,435,000	$341,581	$49,919	$8,043,500	2005	Yes (1)	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 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)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 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	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
HSBC Bank NA
A	Yes (1)	Yes (1)	Yes (1)	18.500000000000	0	Yes (1)	0	0	Yes (1)
JP Morgan Chase
B	Yes (1)	Yes (1)	Yes (1)	18.500000000000	0	Yes (1)	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part 1 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.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
James Manzella
Acute Care board member	$161,739	Key Employee of Manzella Marketing	0
Susan Urlaub
Wife of Mercy CEO, C.J. Urlaub	$82,776	Corporate Nurse Educator	0
Kathleen Zapfel
Sister in Law of BOD, Msgr Robert Zapfel	$70,537	HR Employee of CHS	0
Marie Packard
Daughter of BOD, Dennis Dombek	$84,949	Mercy Physical Therapist	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 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 govening body, and in receiving a share of net assets upon dissolution, according to the CHS Bylaws.
Form 990, Part VI, Section A, line 7a	According to the CHS Bylaws, each member is equally allowed to appoint up to three individuals to act as its representatives on the Corporate Member Board, and in undertaking any action in its capacity as a Member. The Corporate Member Board oversees the goverance of the Catholic Health System.
Form 990, Part VI, Section A, line 7b	Each member is entitled to one vote on each matter properly submitted at any membership meeting, and the members also have reserve powers which allow approval for certain business events and ratification of certain business transactions.
Form 990, Part VI, Section B, line 11	Yes, an electronic copy of the Form 990 was provided to the CHS Boards of Directors before it was filed. The CHS Board of Directors has delegated the responsibility to review the 990 to the Audit Committee. The CHS Audit Committee reviewed in detail selected information for all CHS entities. Reviewed with the Audit Committee: 1. Core Form Part IV: Checklist of required schedules 2. Core Form Part VI: Governance, Management and Disclosure 3. Core Form Part VII: Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees and Independent Contractors 4. Schedule H: Hospitals 5. Schedule K: Supplemental information on Tax Exempt Bonds 6. Schedule J: Compensation Information 7. Schedule L: Transactions with Interested Persons 8. Schedule R: Related Organizations and Unrelated Partnerships 9. Process for which remaining Core Form was completed, utilizing audited financial information
Form 990, Part VI, Section B, line 12c	All associates on the Merit program; all Physicians and Non Physician Practitioners as well as Physician groups who are independent contractors or employees of CHS; and all board members must complete a Conflict of Interest Disclosure Statement (COIDS) in order to fulfill the annual requirements. COIDS are distributed to all parties, as per applicable policy, and once complete are followed up with as follows: 1. Associate and Physician completed COIDS are reviewed and signed off by the manager. If a disclosure is noted, it is discussed with the manager, and the document is forwarded to the Compliance officer who reviews and follows up as appropriate. Once review/follow up is completed the Compliance Officer will sign the COIDS, maintain a copy in the compliance office and return the original to HR for filing in the Personnel file. 2. All board member COIDS are returned to Compliance Officer for review and follow up as warranted. The compliance officer will sign each COIDS and retain on file in the compliance office in a confidential manner.
Form 990, Part VI, Section B, line 15	In 2013, 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; COO; CFO; CEO's for each Ministry; and all Senior Vice Presidents. The Compensation Committee provides oversight to management decisions which are based on outlines approved by the committee, and performs a review of data. The outcome of these meetings is documented.
Form 990, Part VI, Section C, line 19	We make our form 990 open for public inspection upon request. Our website includes an annual report which includes selected financial information. Our financial statements, governing documents and conflict of interest policy are provided upon request according to applicable federal and state laws.
Form 990, Part XI, line 9:	Pension Liability Adjustments -28,096,377. Equity Transfer to Affiliates -5,647,862. Change in unrestricted interest in Net Assets of Sisters Foundation -36,918. Interest Rate Swap Adjustment -311,564. Change in Temporary Restricted interest in Net Assets of Sisters Foundation -76,971.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Catholic Health System Inc
144 Genesee Street	Buffalo	NY	14203	222565278	Health Care Delivery System	NY	501(c)(3)	Line 9	0
Mercy Hospital of Buffalo
565 Abbott Road	Buffalo	NY	14220	160756336	Acute Care Hospital	NY	501(c)(3)	Line 3	0	Catholic Health System Inc
Kenmore Mercy Hospital
2950 Elmwood Ave	Buffalo	NY	14217	160762843	Acute Care Hospital	NY	501(c)(3)	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)	Line 9	0	Catholic Health System Inc
St Elizabeth Home of the Aged
5539 Broadway	Lancaster	NY	14086	160743154	Adult Home	NY	501(c)(3)	Line 9	0	Catholic Health System Inc
St Francis Home of Williamsville
147 Reist St	Williamsville	NY	14221	160743153	Skilled Nursing Facility	NY	501(c)(3)	Line 9	0	Catholic Health System Inc
St Francis of Buffalo Inc
34 Benwood Ave	Buffalo	NY	14214	161523535	Skilled Nursing Facility	NY	501(c)(3)	Line 9	0	Catholic Health System Inc
St Vincent Manor
319 Washington Ave	Dunkirk	NY	14048	160743167	Adult Home	NY	501(c)(3)	Line 9	0	Catholic Health System Inc
WNY Catholic Long Term Care Inc
6400 Powers Rd	Orchard Park	NY	14127	161434368	Skilled Nursing Facility	NY	501(c)(3)	Line 9	0	Catholic Health System Inc
Niagara Homemaker Services
144 Genesee Street	Buffalo	NY	14203	161317960	Home Care Provider	NY	501(c)(3)	Line 9	0	Catholic Health System Inc
McAuley Seton Home Care
144 Genesee Street	Buffalo	NY	14203	161310062	Home Care Provider	NY	501(c)(3)	Line 9	0	Catholic Health System Inc
Catholic Health System Infusion Pharmacy Inc
6350 Transit Rd	Depew	NY	14043	200198518	Home Care Infusion Services	NY	501(c)(3)	Line 9	0	Catholic Health System Inc
CHS Program of All-Inclusive Care for the Elderly Inc
55 Melroy Ave	Lackawanna	NY	14218	261252884	All-inclusive Care for the Elderly	NY	501(c)(3)	Line 3	0	Catholic Health System Inc
Trinity Medical WNY PC
2625 Harlem Rd	Cheektowaga	NY	14225	272576645	Primary Care Provider	NY	501(c)(3)	Line 11a, I	0	Catholic Health System Inc
Sisters Hospital Foundation
2130 Main Street	Buffalo	NY	14214	222283077	Foundation	NY	501(c)(3)	Line 7	0	Sisters of Charity Hospital
KMH Homes Inc
291 North Street	Buffalo	NY	14201	161387890	Real Estate Holding Company	NY	501(c)(3)	Line 9	0	Catholic Health System Inc

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Caritas Medical Arts Building LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	350 Essjay Road Suite 101	AddressLine1Txt
City	Williamsville	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14221	ZIPCd

Field	Value	IRS element (for citing)
EIN	161521486	EIN
Primary Activities	Rental Real Estate	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd
Predominant Income Type	Related	PredominantIncomeTypeTxt
Share Of Total Income	$42,054	ShareOfTotalIncomeAmt
Share Of EOY Assets	$73,785	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	0	GeneralOrManagingPartnerInd

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	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	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	Yes (1)	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