MERCY HOSPITAL OF BUFFALO: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: MERCY HOSPITAL OF BUFFALO (EIN 16-0756336)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-10-28
IRS object ID: 201533019349301023
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	2015-10-28T13:46:43-05:00	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	160756336	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Mercy Hospital of Buffalo	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MERC	BusinessNameControlTxt
Phone	7168282993	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	144 Genesee St Finance 4th Floor	AddressLine1Txt
City	Buffalo	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14203	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID P MACHOLZ	PersonNm
Person Title	VP Finance/Corp Controller	PersonTitleTxt
Phone	7168282974	PhoneNum
Signature	2015-10-28	SignatureDt

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-04-25 22:37:26Z	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 Genesee Street Administration	AddressLine1Txt
Address Line2	6th Floor	AddressLine2Txt
City	Buffalo	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14203	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$390,344,949	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	1957	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	The 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 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	2824	TotalEmployeeCnt
Total Volunteers	278	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,016,555	PYContributionsGrantsAmt
CY Contributions Grants	$863,016	CYContributionsGrantsAmt
PY Program Service Revenue	$362,664,484	PYProgramServiceRevenueAmt
CY Program Service Revenue	$383,444,677	CYProgramServiceRevenueAmt
PY Investment Income	$597,906	PYInvestmentIncomeAmt
CY Investment Income	$456,350	CYInvestmentIncomeAmt
PY Other Revenue	$10,159,647	PYOtherRevenueAmt
CY Other Revenue	$5,580,906	CYOtherRevenueAmt
PY Total Revenue	$374,438,592	PYTotalRevenueAmt
CY Total Revenue	$390,344,949	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	$173,792,996	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$175,096,486	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$180,639,482	PYOtherExpensesAmt
CY Other Expenses	$193,994,169	CYOtherExpensesAmt
PY Total Expenses	$354,432,478	PYTotalExpensesAmt
CY Total Expenses	$369,090,655	CYTotalExpensesAmt
PY Revenues Less Expenses	$20,006,114	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$21,254,294	CYRevenuesLessExpensesAmt
Total Assets BOY	$268,051,408	TotalAssetsBOYAmt
Total Assets EOY	$289,899,928	TotalAssetsEOYAmt
Total Liabilities BOY	$259,009,550	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$306,376,928	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$9,041,858	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$16,477,000	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	The 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 2014 Community Service Plan can be found at www.chsbuffalo.org.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$184,735,092	ExpenseAmt
Revenue	$256,869,966	RevenueAmt
Desc	Inpatient Routine/Surgery Visits: Acute Care Patient Days = 88,896Newborn Patient Days = 7,009Medical Rehab Patient Days = 6,781Skilled Nursing Patient Days = 30,334Operating Room = 6,610OPD = 546G.I. Laboratory = 1,842Dialysis Access Center = 887Interventional Radiology = 934Cardiac (EP & Catheterizations) = 3,507Transfusion = 855	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$81,894,983	ExpenseAmt
Revenue	$113,873,122	RevenueAmt
Desc	Outpatient Routine/Surgery Services:Emergency Visits (Net of Admits) = 63,354Referred Ambulatory Visits = 168,186Outpatient Ambulatory Surgery Visits = 15,181	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$9,134,696	ExpenseAmt
Revenue	$12,701,589	RevenueAmt
Desc	Clinic/Primary Care Services:Clinic Visits = 5,353Primary Care Visits = 66,948	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$275,764,771	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	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	202	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2824	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
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	0	Form8899Filedind
DAF Excess Business Holdings	0	DAFExcessBusinessHoldingsInd
Taxable Distributions	0	TaxableDistributionsInd
Distribution To Donor	0	DistributionToDonorInd
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	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	7168282974	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	144 Genesee Street Finance 4th	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	0.00	37.50	Yes (X)	Yes (X)	$0	$1,344,183	$55,937
Mark Sullivan
Executive VP / COO	0.00	37.50	Yes (X)	Yes (X)	$0	$716,018	$47,406
Charles Urlaub
President, and CEO Mercy	37.50	0.00	Yes (X)	Yes (X)	$500,168	$0	$48,207
David Macholz
Treasurer	0.00	37.50	Yes (X)	Yes (X)	$0	$253,185	$42,733
Peter Bergmann
Director	0.00	37.50	Yes (X)		$0	$521,653	$39,456
James Millard
Director	0.00	37.50	Yes (X)		$0	$360,108	$217,116
Joyce Markiewicz
Director	0.00	37.50	Yes (X)		$0	$336,389	$49,581
Dr Michael Edbauer
Director	0.00	18.80	Yes (X)		$0	$306,246	$23,873
Louis Baumann MD
Director	0.00	1.00	Yes (X)		$0	$0	$0
Brian Beitz
Director	0.00	1.00	Yes (X)		$0	$0	$0
Frances Crosby RN PhD
Director	0.00	1.00	Yes (X)		$0	$0	$0
Richard Curran MD
Director	0.00	1.00	Yes (X)		$0	$0	$0
John Davanzo
Director	0.00	1.00	Yes (X)		$0	$0	$0
Dennis Dombek
Director	0.00	1.00	Yes (X)		$0	$0	$0
David Durante MD
Director	18.80	0.00	Yes (X)		$113,038	$0	$0
Joseph Gelormini MD
Director	0.00	1.00	Yes (X)		$0	$0	$0
Mr William Lawley Jr
Director	0.00	1.00	Yes (X)		$0	$0	$0
Li Lin PhD
Chairman of Ministry Services	0.00	1.00	Yes (X)		$0	$0	$0
Judith Maness
Director	0.00	1.00	Yes (X)		$0	$0	$0
James Manzella
Director	0.00	1.00	Yes (X)		$0	$0	$0
Raquel Martin DO
Director	0.00	1.00	Yes (X)		$0	$0	$0
Michael Montante
Director	0.00	1.00	Yes (X)		$0	$0	$0
Mark Podlas MD
Director	0.00	1.00	Yes (X)		$0	$0	$0
Sherry Pomeroy PhD
Director	0.00	1.00	Yes (X)		$0	$0	$0
Donald Slate MD
Director	0.00	1.00	Yes (X)		$0	$0	$0
Mary Turkiewiecz MD
Director	0.00	1.00	Yes (X)		$0	$0	$0
Cynthia Zane EdD
Director	0.00	1.00	Yes (X)		$0	$0	$0
Monsignor Robert E Zapfel
Director	0.00	1.00	Yes (X)		$0	$0	$0
James A Dunlop Jr
Executive VP, Finance / CFO	0.00	37.50		Yes (X)	$0	$610,886	$180,721
Dr Brian D'Arcy
Senior VP, Medical Affairs	0.00	37.50		Yes (X)	$0	$528,516	$49,956
John Herman
Chief Operating Officer, Mercy	37.50	0.00		Yes (X)	$198,886	$0	$91,492
Michael Moley
Sr.VP, Human Resources	0.00	37.50			$0	$602,383	$52,698	Yes (X)
John Stavros
Sr.VP, Marketing / P.R.	0.00	37.50			$0	$299,464	$45,380	Yes (X)
Dr Michael Galang
Chief Information Officer	0.00	37.50			$0	$415,734	$36,231	Yes (X)
Nancy Sheehan
SVP Legal Service, General Counsel	0.00	37.50			$0	$340,246	$41,133	Yes (X)
Richard J Ruh MD
Sr. VP, Service Lines	0.00	37.50			$0	$490,180	$43,760	Yes (X)
Dr Thomas Raab
Physician	37.50	0.00			$546,424	$0	$206,610	Yes (X)
Dr Timothy Gabryel
VP Medical Affairs	37.50	0.00			$445,197	$0	$33,012	Yes (X)
Dr Syed Shah
Physician	37.50	0.00			$545,903	$0	$36,748		Yes (X)
Dr Joseph Polcaro
Physician	37.50	0.00			$417,833	$0	$18,765		Yes (X)
Dr Stephen Downing
Physician	37.50	0.00			$769,131	$0	$34,924		Yes (X)
Dr David Capaccio
Physician	37.50	0.00			$326,349	$0	$30,160		Yes (X)
Dr Kevin Shiley
Physician	37.50	0.00			$308,130	$0	$31,203		Yes (X)
Christine Kluckhohn
Pres.& CEO ContinuingCare	0.00	0.00			$0	$289,537	$123,443			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,171,059	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,414,728	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,580,545	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	153	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
Telco Construction Inc
500 Buffalo Road	East Aurora	NY	14052	Construction Services	$2,946,637
Aramark Services Inc
1000 East Henrietta Road	Rochester	NY	14623	Dietery Services	$2,547,055
Buffalo Gastroenterology
260 Redtail Road	Orchard Park	NY	14127	Physician Services	$1,932,641
Siemens Medical Solutions
51 Valley Stream Parkway	Malverne	PA	19355	Maintenance Services	$1,220,000
Atlas Healthcare Linen Services
60 Grider Street	Buffalo	NY	14215	Laundry Services	$1,136,169

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	54	CntrctRcvdGreaterThan100KCnt
Government Grants	$863,016	GovernmentGrantsAmt
Total Contributions	$863,016	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Care Services	900099	$277,534,388	$277,534,388
Medicaid/Medicare	900099	$105,910,289	$105,910,289

Field	Value	IRS element (for citing)
Total Program Service Revenue	$383,444,677	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$450,850	TotalRevenueColumnAmt
Exclusion	$450,850	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$332,632	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	$332,632	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$332,632	TotalRevenueColumnAmt
Exclusion	$332,632	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$5,500	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$5,500	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,500	TotalRevenueColumnAmt
Exclusion	$5,500	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
Meaningful Use Dollars	900099	$1,297,627	$1,297,627
Cafeteria Revenue	900099	$1,105,255		$1,105,255
Parking Revenue	900099	$670,679		$670,679

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,174,713	TotalRevenueColumnAmt
Related Or Exempt Func Income	$900,965	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,273,748	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,248,274	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$390,344,949	TotalRevenueColumnAmt
Related Or Exempt Func Income	$385,643,269	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$3,838,664	ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$132,434,930	TotalAmt
Program Services	$116,923,681	ProgramServicesAmt
Management And General	$15,511,249	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$11,876,322	TotalAmt
Program Services	$10,485,325	ProgramServicesAmt
Management And General	$1,390,997	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$21,682,671	TotalAmt
Program Services	$19,143,120	ProgramServicesAmt
Management And General	$2,539,551	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,102,563	TotalAmt
Program Services	$8,036,438	ProgramServicesAmt
Management And General	$1,066,125	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$44,306	TotalAmt
Program Services	$3,625	ProgramServicesAmt
Management And General	$40,681	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$10,497,049	TotalAmt
Program Services	$9,320,733	ProgramServicesAmt
Management And General	$1,176,316	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$151,967	TotalAmt
Program Services	$7,670	ProgramServicesAmt
Management And General	$144,297	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,486,239	TotalAmt
Program Services	$4,097,765	ProgramServicesAmt
Management And General	$4,388,474	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$217,335	TotalAmt
Program Services	$29,070	ProgramServicesAmt
Management And General	$188,265	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,237,150	TotalAmt
Program Services	$790,513	ProgramServicesAmt
Management And General	$6,446,637	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$123,320	TotalAmt
Program Services	$93,505	ProgramServicesAmt
Management And General	$29,815	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$133,125	TotalAmt
Program Services	$118,425	ProgramServicesAmt
Management And General	$14,700	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,458,521	TotalAmt
Program Services	$1,970,027	ProgramServicesAmt
Management And General	$488,494	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,204,556	TotalAmt
Program Services	$11,382,194	ProgramServicesAmt
Management And General	$2,822,362	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,545,006	TotalAmt
Program Services	$3,135,402	ProgramServicesAmt
Management And General	$409,604	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$75,692,871	$76,653,710	-$960,839
Dues & Shared Services	$50,224,145		$50,224,145
Purchased Services & Ot	$17,346,160	$10,454,517	$6,891,643

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,632,419	TotalAmt
Program Services	$3,119,051	ProgramServicesAmt
Management And General	$513,368	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$369,090,655	TotalAmt
Program Services	$275,764,771	ProgramServicesAmt
Management And General	$93,325,884	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$62,006,084	BOYAmt
EOY	$80,350,248	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$3,222,203	BOYAmt
EOY	$3,942,793	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$54,105,226	BOYAmt
EOY	$53,405,815	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,112,862	BOYAmt
EOY	$12,901,666	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,997,489	BOYAmt
EOY	$2,014,747	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$176,318,499	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$78,125,678	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$101,120,581	BOYAmt
EOY	$98,192,821	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$147,683	BOYAmt
EOY	$240,842	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$34,339,280	BOYAmt
EOY	$38,850,996	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$268,051,408	BOYAmt
EOY	$289,899,928	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$51,576,417	BOYAmt
EOY	$46,310,166	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$34,662,730	BOYAmt
EOY	$33,270,753	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$16,415,790	BOYAmt
EOY	$17,761,042	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$156,354,613	BOYAmt
EOY	$209,034,967	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$259,009,550	BOYAmt
EOY	$306,376,928	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,886,053	BOYAmt
EOY	-$17,379,920	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,033,282	BOYAmt
EOY	$780,397	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	$9,041,858	BOYAmt
EOY	-$16,477,000	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$268,051,408	BOYAmt
EOY	$289,899,928	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$21,254,294	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$46,773,152	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	$1,409,723	InvestmentCostOrOtherBasisAmt
Book Value	$1,409,723	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$68,128,532	InvestmentCostOrOtherBasisAmt
Depreciation	$31,840,095	DepreciationAmt
Book Value	$36,288,437	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$33,169,204	InvestmentCostOrOtherBasisAmt
Depreciation	$6,504,839	DepreciationAmt
Book Value	$26,664,365	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$68,912,054	InvestmentCostOrOtherBasisAmt
Depreciation	$39,608,063	DepreciationAmt
Book Value	$29,303,991	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$4,698,986	InvestmentCostOrOtherBasisAmt
Depreciation	$172,681	DepreciationAmt
Book Value	$4,526,305	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$98,192,821	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
Accrued Receivables	$4,244,171
Due From Affiliates	$22,417
Interest in the Net Assets of Mercy Hospital Foundation Inc	$2,047,160
Workers Compensation Funding	$15,315
Insurance Recoveries	$32,521,933

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$38,850,996	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
Deferred Comp Liability	$10,570
Due to Affiliates	$13,801,671
Interest Rate Swap	$4,061,057
Asset Retirement Obligation	$5,991,010
Accrued Pension Obligation	$136,618,346
LT Gen Liab/Workers Comp IBNR	$48,449,050
LT Disposables	$103,263

Field	Value	IRS element (for citing)
Total Liability	$209,034,967	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$390,340,573	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$771,359	OtherRevenueAmt
Revenue Not Reported	$771,359	RevenueNotReportedAmt
Revenue Subtotal	$389,569,214	RevenueSubtotalAmt
Other Revenues Not Included	$775,735	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$775,735	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$390,344,949	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$369,723,968	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$633,313	OtherExpensesIncludedAmt
Expenses Not Reported	$633,313	ExpensesNotReportedAmt
Expenses Subtotal	$369,090,655	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$369,090,655	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part XI, Line 2d - Other Adjustments:	Foundation Activity - 771,359
Part XI, Line 4b - Other Adjustments:	Contributions from Foundation to Mercy Hospital - 607,743 Contributions from Grants - 167,992
Part XII, Line 2d - Other Adjustments:	Foundation Expenses (net of eliminations) - 633,313

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

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	$2,498,190	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$174,647	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,323,543	NetCommunityBenefitExpnsAmt
Total Expense	0.00630	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$59,593,324	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$43,605,786	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,987,538	NetCommunityBenefitExpnsAmt
Total Expense	0.04330	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$62,091,514	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$43,780,433	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,311,081	NetCommunityBenefitExpnsAmt
Total Expense	0.04960	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,365,097	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,365,097	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,720,165	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,186,908	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,533,257	NetCommunityBenefitExpnsAmt
Total Expense	0.02040	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$664,959	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$664,959	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$561,840	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$561,840	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,312,061	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,186,908	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,125,153	NetCommunityBenefitExpnsAmt
Total Expense	0.02740	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$73,403,575	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,967,341	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,436,234	NetCommunityBenefitExpnsAmt
Total Expense	0.07700	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,700	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,700	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$441,189	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$441,189	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$442,889	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$442,889	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$10,081,047	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,051,195	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$68,149,415	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$64,376,746	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$3,772,669	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	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc
Mercy Hospital of Buffalo
1	565 Abbott Road	Buffalo	NY	14220	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Ambulatory Surgery - Multi Specialty, Audiology O/P, Cadriac Cathereization,
Mercy Ambulatory Care Center
2	3669 Southwestern Blvd	Orchard Park	NY	14127	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Clinical Laboratory Service, CT Scanner, Emeregency Department, Medical Sur

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Mercy Hospital of Buffalo	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 (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Mercy Hospital of Buffalo	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 AssociationBrylin Hospitals Harvest HouseSpectrum Human Services Buffalo State College Center for Community Health Center Health and Social ResearchErie County DOH Wellness InstituteAmerican Cancer Society P2 Collaborative of WNYHealthcare Community Consultant City of Buffalo communityPhysician representationErie County Department of Health Community Meeting Participants:FDA Cancer Service Program of Erie CountyBuffalo State College Catholic HealthP2 Collaborative of WNY American Cancer SocietyMonroe Plan UBMDWellness Institute EPICM.E.D.-V.A.R. Consulting KaleidaBuffalo Prenatal-Perinatal Network Erie County DOHUnited Way Prevention Focus
Mercy Hospital of Buffalo	Part V, Section B, Line 6a: Mercy Hospital was conducted with Mercy Ambulatory Care Center.
Mercy Hospital of Buffalo	Part V, Section B, Line 7d: Mercy Hospital was conducted with Sisters Hospital and Kenmore Mercy Hospital.
Mercy Hospital of Buffalo	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.
Mercy Hospital of Buffalo	Part V, Section B, Line 16i: Includes information in both English and Spanish on all signage and brochures for financial assistance.
Mercy Hospital of Buffalo	Part V, Section B, Line 22d: Highest volume commercial payor rate.
Mercy Hospital of Buffalo	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
Mercy Hospital of Buffalo Part V, Section B, line 16a website:	http://chsbuffalo.org/billing/finance
Mercy Hospital of Buffalo Part V, Section B, line 16b website:	http://chsbuffalo.org/billing/finance
Mercy Hospital of Buffalo Part V, Section B, line 16c website:	http://chsbuffalo.org/billing/finance

Field	Value	IRS element (for citing)
Facility	8	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
East Aurora Medical Center
94 Olean St	East Aurora	NY	14052	Extension Clinic: OT-O/P, PT-O/P, Speech-O/P, Radiology-O/P, Lab-O/P
Mercy Outpatient Clinic OBGYN
515 Abbott Rd	Buffalo	NY	14220	Extension Clinic: Prenatal O/P, Primary Medical Care O/P
Mercy Comprehensive Care Center
397 Louisiana St	Buffalo	NY	14202	Extension Clinic: Primary Care, Pediatric, Lab, Podiatry, Prenatal,Radiology
OLV Family Care Center
227 Ridge Rd	Lackawanna	NY	14218	Extension Clinic: Prenatal O/P, Primary Medical Care O/P
Mercy Nursing Facility
55 Melroy Ave	Lackawanna	NY	14218	Long Term Care, Lab-O/P, Radiology- Diagnostic O/P
Pace Health Center
55 Melroy Ave	Lackawanna	NY	14218	Extension Clinic: OT-O/P, PT-O/P, Speech-O/P, Primary Care, Psychology O/P
Mercy Ambulatory Care Center
550 Orchard Park Rd	West Seneca	NY	14224	CT, Lab-O/P, Primary Care, Radiology-O/P, OT-O/P, PT-O/P, Speech-O/P
Springville Primary Care Center
27 Franklin St	Springville	NY	14141	Pediatric-O/P, Primary Medical Care-O/P

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 6a:	Part 1, line 6a: Mercy 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 Mercy Hospital include Economic Development for $1,700, for participation in Chamber of Commerce. Additionally, Community Support of $441,189 including $143,510 for Ebola preparedness, and $297,679 Winter Storm Preparation and response. Ebola Preparedness included participation in implementing plans associated with preparing the community for Ebola disaster preparedness (such as mental health resources costs associated with triaining, community partnerships, and outreach planning.) Winter Storm preparation included the time the associates spent in disaster relief for the community.
Part III, Line 2:	The amount in Part III line 2 is the actual bad debt expenses of $10,081,047. 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:	Mercy 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)
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
Charles Urlaub
President, and CEO Mercy	$369,957	$0	$72,644	$0	$57,567	$0	$29,025	$0	$19,182	$0	$548,375	$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
Peter Bergmann
Director	$0	$391,424	$0	$84,427	$0	$45,802	$0	$20,550	$0	$18,906	$0	$561,109	$0	$0
James Millard
Director	$0	$271,916	$0	$48,125	$0	$40,067	$0	$216,802	$0	$314	$0	$577,224	$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
Dr Michael Edbauer
Director	$0	$228,520	$0	$52,981	$0	$24,745	$0	$13,975	$0	$9,898	$0	$330,119	$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
John Herman
Chief Operating Officer, Mercy	$159,609	$0	$15,075	$0	$24,202	$0	$75,823	$0	$15,669	$0	$290,378	$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
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 Thomas Raab
Physician	$495,236	$0	$50,000	$0	$1,188	$0	$185,687	$0	$20,923	$0	$753,034	$0	$0	$0
Dr Timothy Gabryel
VP Medical Affairs	$398,606	$0	$29,203	$0	$17,388	$0	$25,398	$0	$7,614	$0	$478,209	$0	$0	$0
Dr Syed Shah
Physician	$463,913	$0	$50,000	$0	$31,990	$0	$18,320	$0	$18,428	$0	$582,651	$0	$0	$0
Dr Joseph Polcaro
Physician	$362,929	$0	$54,142	$0	$762	$0	$0	$0	$18,765	$0	$436,598	$0	$0	$0
Dr Stephen Downing
Physician	$595,717	$0	$150,000	$0	$23,414	$0	$16,281	$0	$18,643	$0	$804,055	$0	$0	$0
Dr David Capaccio
Physician	$270,401	$0	$36,791	$0	$19,157	$0	$12,177	$0	$17,983	$0	$356,509	$0	$0	$0
Dr Kevin Shiley
Physician	$223,485	$0	$68,316	$0	$16,329	$0	$10,063	$0	$21,140	$0	$339,333	$0	$0	$0
Christine Kluckhohn
Pres.& CEO ContinuingCare	$0	$0	$0	$0	$0	$289,537	$0	$106,137	$0	$17,306	$0	$412,980	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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. Mercy Pension Gap CHE SERP Joseph McDonald 26,000.00 117,093.00 Mark Sullivan 19,500.00 Dr. Brian D'Arcy 9,800.00 Peter Bergmann 7,334.00

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 (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Dormitory Authority of the State of New York
A	146000293	64983Q5R6	2006-11-29	$13,360,000	See Part VI	0	0	0
Dormitory Authority of the State of New York
B	146000293	64983Q5D9	2008-11-26	$24,700,000	See Part VI	0	0	0
Dormitory Authority of the State of New York
C	146000293	649906J96	2012-07-12	$3,080,000	See Part VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Refunding EscrowRefundingEscrowAmt	In Reserve FundInReserveFundAmt	UnspentUnspentAmt
A	$13,360,000	$537,015	$79,065	$12,743,920	2006	Yes (1)	Yes (1)	Yes (1)
B	$24,700,000	$1,150,457	$220,774	$23,217,040	2010	0	Yes (1)	Yes (1)	$111,729
C	$3,080,000	$110,012		$2,642,081	2013	0	0	Yes (1)		$206,564	$121,343

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd
HSBC Bank NA
A	Yes (1)	Yes (1)	Yes (1)	18.500000000000	0	Yes (1)	0	0	Yes (1)
HSBC Bank NA
B	Yes (1)	Yes (1)	Yes (1)	25.600000000000	0	0	0	Yes (1)	Yes (1)
(no name)
C	0	0	0				0	0	Yes (1)	0	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I A (f)	Description of Purpose: To refinance outstanding commercial indebtedness, the proceeds of which were applied to finance the cost of Mercy's operating room expansion, other expansions/improvements at the facility.
Part I B (f)	Description of Purpose: To finance the cost of an approximately 48,300 square foot addition for a new emergency department, new CT/Radiology facilities, construction of a new main entrance and lobby area, a new ambulance entrance, construction of a rooftop helipad, renovation of library space into conference rooms, other mechanical and electrical improvements and associated demolition and equipping costs.
Part I C (f)	Description of Purpose: To finance the cost of improvements to Mercy's existing approximately 381,000 square foot parking facility.
Part IV 4 (e)	The interest rate swap through HSBC Bank associated with the 2006 series were unwound and terminated on 11/26/14.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Susan Urlaub
Wife of Mercy CEO, C.J. Urlaub	$82,776	Corporate Nurse educator	0
James Manzella
Acute Care Board Member	$161,739	Key Employee of Manzella Marketing	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, CHE/Trinity, and the Diocese of Buffalo, NY. Each member is able to participate equally in electing the governing body, approving significant decisions of the governing body, and in receiving a share of net assets upon dissolution, according to the CHS Bylaws.
Form 990, Part VI, Section A, line 7a	According to the CHS Bylaws, each member is equally allowed to appoint 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 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 2014, 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 B, Line 16: The Catholic Health System has a process to evaluate its participation in joint venture arrangements under applicable federal tax law, and has taken steps to safeguard the organization's exempt status with respect to such arrangements, and has developed a formal policy to formalize the process.
Form 990, Part VI, Section C, line 19	We make our form 990 open for public inspection upon request. Our website includes an annual report which includes selected financial information. Our financial statements, governing documents and conflict of interest policy are provided upon request according to applicable federal and state laws.
Form 990, Part XI, line 9:	Mimimum Pension Liability Adjustment -36,482,858. Equity Transfer to Affiliates -8,197,853. Change in Interest in Foundation Unrestricted 121,161. Change in Interest in Foundation Restricted -252,885. Interest Rate Swap Adjustment -1,960,717.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Catholic Health System Inc
144 Genessee Street	Buffalo	NY	14203	222565278	Health Care Delivery System	NY	501 c 3	Schedule A line 9	N/A	0
Sisters of Charity Hospital
2157 Main Street	Buffalo	NY	14214	160743187	Acute Care Hospital	NY	501 c 3	Schedule A line 3		0	Catholic Health System Inc
Kenmore Mercy Hospital
2950 Elmwood Avenue	Kenmore	NY	14217	160762843	Acute Care Hospital	NY	501 c 3	schedule A line 3		0	Catholic Health System Inc
Nazareth Home of the Franciscan Sisters
291 North Street	Buffalo	NY	14201	160813142	Skilled Nursing Facility	NY	501 c 3	Schedule A line 9		0	Catholic Health System Inc
St Elizabeth Home for the Aged
5539 Broadway	Lancaster	NY	14086	160743154	Adult Home	NY	501 c 3	Schedule A line 9		0	Catholic Health System Inc
St Francis Home of Williamsville
147 Reist Street	Williamsville	NY	14221	160743153	Skilled Nursing Facility	NY	501 c 3	Schedule A line 9		0	Catholic Health System Inc
St Francis of Buffalo Inc
34 Benwood Avenue	Buffalo	NY	14214	161523535	Skilled Nursing Facility	NY	501 c 3	Schedule A line 9		0	Catholic Health System Inc
St Vincent Manor
319 Washington Avenue	Dunkirk	NY	14048	160743167	Adult Home	NY	501 c 3	Schedule A line 9		0	Catholic Health System Inc
WNY Catholic Long Term Care Inc
6400 Powers Road	Orchard Park	NY	14127	161434368	Skilled Nursing Facility	NY	501 c 3	Schedule A line 9		0	Catholic Health System Inc
Niagara Homemaker Services (Mercy Home Care)
144 Genessee Street	Buffalo	NY	14203	161317960	Home Care Provider	NY	501 c 3	Schedule A line 9		0	Catholic Health System Inc
McAuley Seton Home Care
144 Genessee Street	Buffalo	NY	14203	161310062	Home Care Provider	NY	501 c 3	Schedule A line 9		0	Catholic Health System Inc
Catholic Health System Infusion Pharmacy Inc
6350 Transit Road	Depew	NY	14043	200198518	Home Care Infusion Services	NY	501 c 3	Schedule A line 9		0	Catholic Health System Inc
OLV Renaissance Corporation
144 Genessee Street	Buffalo	NY	14203	200167745	Real Estate Holding Company	NY	501 c 3	Schedule A line 9		0	Catholic Health System Inc
CHS Program of All-Inclusive Care for the Elderly Inc
55 Melroy Avenue	Lackawanna	NY	14218	261252884	All-inclusive Care for the Elderly	NY	501 c 3	Schedule A line 3		0	Catholic Health System Inc
Trinity Medical WNY PC
2625 Harlem Road	Cheektowaga	NY	14225	272576645	Primary Care Provider	NY	501 c 3	Schedule A line 11		0	Catholic Health System Inc
Mercy Hospital Foundation
515 Abbott Road	Buffalo	NY	14220	222209721	Foundation	NY	501 c 3	Schedule A line 7		0	Catholic Health System Inc
Southtowns Catholic MRI Inc
200 International Drive	Buffalo	NY	14221	161554081	Imaging	NY	501 c 3	Schedule A line 9		0	Catholic Health System Inc
KMH Homes Inc
291 North Street	Buffalo	NY	14201	161387890	Real Estate Holding Company	NY	501 c 3	Schedule A 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	OLV-Brierwood Helathcare Co LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6455 Lake Avenue	AddressLine1Txt
City	Orchard Park	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14127	ZIPCd

Field	Value	IRS element (for citing)
EIN	161487207	EIN
Primary Activities	Rental Real Estate	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Predominant Income Type	Related	PredominantIncomeTypeTxt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	0	GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
Orchard Park Mercy Corporation
144 Genesee Street Finance 4th Floo	Buffalo	NY	14203	161470350	Real Estate Holding Company	NY	Mercy Hospital	C	1.00000	0
Aurora Mercy Corporation
144 Genesee Street Finance 4th Floo	Buffalo	NY	14203	161354302	Real Estate Development	NY	Mercy Hospital	C	1.00000	0
Alsace Abbott Corporation
144 Genesee Street Finance 4th Floo	Buffalo	NY	14203	161355092	Partnership Holding Corporation	NY	Mercy Hospital	C	1.00000	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Orchard Park Mercy Corporation	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	Q	TransactionTypeTxt