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CATHOLIC HEALTH SYSTEM INFUSION PHARMACY INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CATHOLIC HEALTH SYSTEM INFUSION PHARMACY INC (EIN 20-0198518)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-12
IRS object ID
201323169349302787
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-12T14:42:24-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN200198518EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Catholic Health System Infusion Pharmacy IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCATHNameControl
Phone7167062359Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16350 Transit RoadAddressLine1
CityDepewCity
StateNYState
ZIP Code14043ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDavid P MacholzName
TitleVP Finance, Corp ControllerTitle
Phone7168282974Phone
Date Signed2013-11-12DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJoseph D McDonaldNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12121 Main Street Suite 300AddressLine1
CityBuffaloCity
StateNYState
ZIP Code14214ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7981532GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.chsbuffalo.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2003YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionThe Catholic Health System (CHS) Mission is to provide quality healthcare services in a home 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 2012 Community Service Plan can be found at www.chsbuffalo.org.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees27TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4012862ProgramServiceRevenuePriorYear
Program Service Revenue CY7979473ProgramServiceRevenueCY
Investment Income Prior Year731InvestmentIncomePriorYear
Investment Income Current Year2059InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year4013593TotalRevenuePriorYear
Total Revenue Current Year7981532TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year977263SalariesEtcPriorYear
Salaries Etc Current Year1834176SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2192572OtherExpensePriorYear
Other Expenses Current Year5805338OtherExpensesCurrentYear
Total Expenses Prior Year3169835TotalExpensesPriorYear
Total Expenses Current Year7639514TotalExpensesCurrentYear
Revenues Less Expenses Prior Year843758RevenuesLessExpensesPriorYear
Revenues Less Expenses CY342018RevenuesLessExpensesCY
Total Assets BOY2582090TotalAssetsBOY
Total Assets EOY2969586TotalAssetsEOY
Total Liabilities BOY1291671TotalLiabilitiesBOY
Total Liabilities EOY1358173TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1290419NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1611413NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionThe Catholic Health System (CHS) Mission is to provide quality healthcare services in a home 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 2012 Community Service Plan can be found at www.chsbuffalo.org.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6773809Expense
Revenue7981532Revenue
DescriptionCatholic Health System Infusion Pharmacy provides home health infusion care and supportive services to individuals throughout Western New York as well as phamaceutical needs to Catholic Health System long term care facilities. Committed to a common mission, Western New York's Catholic Health providers continue the healing ministry of Jesus. Seeking to improve the health of individuals and communities, we provide high quality service that is holistic, compassionate, and respectful of human dignity. Central to this endeavor is the service of persons who are poor and disadvantaged. For more detailed information, the 2012 Catholic Health Community Service report can be found at www.chsbuffalo.org.Description
Total Program Service Expense6773809TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10963NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees27NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDavid P MacholzNamePerson
Telephone Number7168282974TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1515 Abbott RoadAddressLine1
CityBuffaloCity
StateNYState
ZIP Code14220ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Joseph McDonald
President & CEO, CHS37.50XX0147125738697
Mark Sullivan
Executive VP/COO, CHS37.50XX083761331269
Joyce Markiewicz
President & CEP, CHS Home Care37.50XX030362038479
Peter Bergmann
Director37.50X043328933126
Nils Gunnersen
Director37.50X025298477694
Dennis Horrigan
Director1.00X000
Li Lin PhD
Director1.00X000
Brian O'Herron
Director1.00X000
Michael Osborne
Director37.50X020016327510
Katherine Rogala
Director1.00X000
Miguel Santos
Director1.00X000
Gary Tucker
Director1.00X000
Sr Sheila Marie Walsh
Director1.00X000
Monsignor Robert E Zapfel
Director1.00X000
James A Dunlop Jr
Executive VP, Finance/CFO37.50X0672603115267
Michael Moley
Sr. VP Human Resouces37.50061487136811X
John Stavros
Sr. VP Marketing/PR37.50028345336599X
Maria Foti
Sr. VP Planning37.50021043026939X
Bartholomew Rodrigues
Sr. VP Mission Integration37.50022456734605X
Dr Michael Galang
Chief Informatin Officer37.50039310925395X
Nancey Sheehan
Sr. VP Legal Services, General Councel37.50024944526369X
Richard J Ruh MD
Sr. VP Service Lines37.50036137132599X
John Russell
Director, Pharmacy37.50163439031631X
Paul Bembinista
Pharmacist37.50133831061544X
David Bandish
Pharmacist37.50119557014302X
Kelly Ruffner
Pharmacist37.50118374023741X
FieldValueIRS element (for citing)
Total Reportable Comp From Org535201TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs6508775TotalReportableCompFrmRltdOrgs
Total Other Compensation712577TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Home Care Infusion Ser62161040089844008984
Oral Pharmacy Services62161039704893970489
FieldValueIRS element (for citing)
Total Program Service Revenue7979473TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2059TotalRevenueColumn
Related Or Exempt Function Income2059RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7981532TotalRevenueColumn
Related Or Exempt Function Income7981532RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total163438Total
Program Services106235ProgramServices
Management And General57203ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1310137Total
Program Services851589ProgramServices
Management And General458548ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total36049Total
Program Services23432ProgramServices
Management And General12617ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total222824Total
Program Services144836ProgramServices
Management And General77988ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total101728Total
Program Services66123ProgramServices
Management And General35605ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total-1000Total
Management And General-1000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total51618Total
Program Services43130ProgramServices
Management And General8488ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5081624Total
Program Services5015907ProgramServices
Management And General65717ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total29480Total
Management And General29480ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total141114Total
Program Services141114ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total69539Total
Program Services63490ProgramServices
Management And General6049ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total399Total
Management And General399ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total52001Total
Program Services52001ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total-8762Total
Management And General-8762ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Contractual Allowances132252132252
Bad Debt131638131638
Outside Contracted Serv8837788377
Dues and Subscriptions2478924789

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total12269Total
Program Services2062ProgramServices
Management And General10207ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7639514Total
Program Services6773809ProgramServices
Management And General865705ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1380294BOY
EOY1088521EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY520431BOY
EOY907586EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY332904BOY
EOY514418EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY38144BOY
EOY35942EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis261719LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec131204LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY160223BOY
EOY130515EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY140000BOY
EOY140000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY10094BOY
EOY152604EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2582090BOY
EOY2969586EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1281577BOY
EOY1335925EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY10094BOY
EOY22248EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1291671BOY
EOY1358173EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY809016BOY
EOY320994EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1290419BOY
EOY1611413EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2582090BOY
EOY2969586EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses342018ReconcilationRevenueExpenses
Reconcilation Other Changes-21024ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years1344340CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3459821CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4012862CurrentTaxYearMinus1Year
Current Tax Year7979473CurrentTaxYear
Total16796496Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years1344340CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3459821CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4012862CurrentTaxYearMinus1Year
Current Tax Year7979473CurrentTaxYear
Total16796496Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50916796496PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years60CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years630CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year731CurrentTaxYearMinus1Year
Current Tax Year2059CurrentTaxYear
Total3480Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years60CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years630CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year731CurrentTaxYearMinus1Year
Current Tax Year2059CurrentTaxYear
Total3480Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years1344400CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3460451CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4013593CurrentTaxYearMinus1Year
Current Tax Year7981532CurrentTaxYear
Total16799976Total
FieldValueIRS element (for citing)
First5 Years509XFirst5Years509

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis261719OtherCostOrOtherBasis
Depreciation131204Depreciation
Book Value130515BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings130515TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Workers Comp Insurance Recovery22248
Investment in Joint Venture130356
FieldValueIRS element (for citing)
Total Book Value Other Assets152604TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionWorkers Comp Insurance RecoveryDescription
Amount$22,248Amount
FieldValueIRS element (for citing)
Total Of Amounts22248TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt7849280TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal7849280RevenueSubtotal
Other Revenues Not Included132252OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt132252RevenueNotRptdOnFinStmt
Total Revenue Per Form9907981532TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7507262TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal7507262ExpensesSubtotal
Other Expenses Not Included132252OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt132252ExpensesNotRptdOnFinStmt
Total Expenses Per Form9907639514TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierExplanationExplanation
Part XI, Line 4b - Other Adjustments:Contractual Allowances 132,252.
Part XII, Line 4b - Other Adjustments:Contractual Allowances 132,252.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs1CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Joseph McDonald
President & CEO, CHS0691688043681503427540230550156420150995400
Mark Sullivan
Executive VP/COO, CHS042001902530930164501017302013967086888200
Joyce Markiewicz
President & CEP, CHS Home Care0206941057472039207019954018525034209900
Peter Bergmann
Director0355818032583044888014545018581046641500
Nils Gunnersen
Director02013500124270392070774360258033067800
Michael Osborne
Director0150042024409025712012454015056022767300
James A Dunlop Jr
Executive VP, Finance/CFO037261002313590686340101350013917078787000
Michael Moley
Sr. VP Human Resouces028770501451640182002022381014430065168200
John Stavros
Sr. VP Marketing/PR0193171050332039950020253016346032005200
Maria Foti
Sr. VP Planning016555501134403353102019506744023736900
Bartholomew Rodrigues
Sr. VP Mission Integration0153335032085039147016226018379025917200
Dr Michael Galang
Chief Informatin Officer029513705906203891002039704998041850400
Nancey Sheehan
Sr. VP Legal Services, General Counc020629101606802708601989606473027581400
Richard J Ruh MD
Sr. VP Service Lines031190800049463017374015225039397000
John Russell
Director, Pharmacy1312950215370106070134220182090195070000
Paul Bembinista
Pharmacist116767000170640476170139270195375000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 4bCertain Officers and Key employees participated in a supplemental nonqualified retirement plan per the terms and conditions of their employment arrangement. Joseph McDonald: Pension Gap: $26,000 CHE SERP: $150,012 Mark Sullivan: Pension Gap: $39,000 Michael Moley: Pension Gap: $20,697
Part I, Line 6The 2012 Incentive payments were dependent upon achieving the Catholic Health System Operating Income target for Catholic Health System participants or the Ministry Operating Income target for Ministry participants. Joseph McDonald $436,814.82 Mark Sullivan $253,093.07 James A. Dunlop, Jr. $231,359.41 Nancy Sheehan $16,068.24 Michael Moley $145,164.42 John Stavros $50,331.57 Maria Foti $11,344.26 Bartholomew Rodrigues $32,085.26 Dr. Michael Galang $59,062.48 Peter Bergmann $32,583.13 Nils Gunnerson $12,426.51 Joyce Markiewicz $57,471.86 Mike Osborne $24,409.30 John Russell $21,536.78

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
David Zapfel
Brother of BOD, Msgr. Robert Zapfel66713HR Employee of CHS0
Kathleen Zapfel
Sister-in-law of BOD, Msgr. Robert Zapfel57335HR Employee of CHS0
Sasan Gallagher-Stavros
Wife of Key Employee, John Stavros21753Nurse, McAuley Seton Home Care0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 6CHS has three members: Ascension Health, Catholic Health East, and the Diocese of Buffalo, NY. Each member is able to participate equally in electing the governing body, approving significant decisions of the governing body, and in receiving a share of net assets upon dissolution, according to the CHS Bylaws.
Form 990, Part VI, Section A, line 7aAccording to the CHS Bylaws, each member is equally allowed to appoint up to three individuals to act as its representatives on the Corporate Member Board, and in undertaking any action in its capacity as a Member. The Corporate Member Board oversees the governance of the Catholic Health System.
Form 990, Part VI, Section A, line 7bEach member is entitled to one vote on each matter properly submitted at any membership meeting, and the members also have reserve powers which allow approval for certain business events and ratification of certain business transactions.
Form 990, Part VI, Section B, line 11Yes, an electronic copy of the Form 990 was provided to the CHS Boards of Directors before it was filed. The CHS Board of Directors has delegated the responsibility to review the 990 to the Audit Committee. The CHS Audit Committee reviewed in detail selected information for all CHS entities. Reviewed with the Audit Committee: 1. Core Form Part IV: Checklist of required schedules 2. Core Form Part VI: Governance, Management and Disclosure 3. Core Form Part VII: Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees and Independent Contractors 4. Schedule H: Hospitals 5. Schedule K: Supplemental information on Tax Exempt Bonds 6. Schedule J: Compensation Information 7. Schedule L: Transactions with Interested Persons 8. Schedule R: Related Organizations and Unrelated Partnerships 9. Process for which remaining Core Form was completed, utilizing audited financial information
Form 990, Part VI, Section B, line 12cAll associates on the Merit program; all Physicians and Non Physician Practitioners as well as Physician groups who are independent contractors or employees of CHS; and all board members must complete a Conflict of Interest Disclosure Statement (COIDS) in order to fulfill the annual requirements. COIDS are distributed to all parties, as per applicable policy, and once complete are followed up with as follows: 1. Associate and Physician completed COIDS are reviewed and signed off by the manager. If a disclosure is noted, it is discussed with the manager, and the document is forwarded to the Compliance officer who reviews and follows up as appropriate. Once review/follow up is completed the Compliance Officer will sign the COIDS, maintain a copy in the compliance office and return the original to HR for filing in the Personnel file. 2. All board member COIDS are returned to Compliance Officer for review and follow up as warranted. The compliance officer will sign each COIDS and retain on file in the compliance office in a confidential manner.
Form 990, Part VI, Section B, line 1515. b. 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 C, line 1919. 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:Minimum Pension Liability -21,024.Changes in Net Assets or Fund Balances:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (19 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Catholic Health System Inc
515 Abbott RoadBuffaloNY14220222565278Health Care Delivery SystemNY501 c 3Schedule A line 9N/A0
Mercy Hospital of Buffalo
565 Abbott RoadBuffaloNY14220160756336Acute Care HospitalNY501 c 3Schedule A line 30Catholic Health System Inc
Sisters of Charity Hospital
2157 Main StreetBuffaloNY14214160743187Acute Care HospitalNY501 c 3Schedule A line 30Catholic Health System Inc
Kenmore Mercy Hospital
2950 Elmwood AvenueKenmoreNY14217160762843Acute Care HospitalNY501 c 3Schedule A line 30Catholic Health System Inc
Nazareth Home of the Franciscan Sisters
291 North StreetBuffaloNY14201160813142Skilled Nursing FacilityNY501 c 3Schedule A line 90Catholic Health System Inc
St Clare Manor
543 Locust StreetLockportNY14094160782647Skilled Nursing FacilityNY501 c 3Schedule A line 90Catholic Health System Inc
St Elizabeth Home for the Aged
5539 BroadwayLancasterNY14086160743154Adult HomeNY501 c 3Schedule A line 90Catholic Health System Inc
St Francis Home of Williamsville
147 Reist StreetWilliamsvilleNY14221160743153Skilled Nursing FacilityNY501 c 3Schedule A line 90Catholic Health System Inc
St Francis of Buffalo Inc
34 Benwood AvenueBuffaloNY14214161523535Skilled Nursing FacilityNY501 c 3Schedule A line 90Catholic Health System Inc
St Joseph Manor
2211 West State StreetOleanNY14760160796400Skilled Nursing FacilityNY501 c 3Schedule A line 90Catholic Health System Inc
St Luke Manor for the Chronically Ill
17 Wiard StreetBataviaNY14020160794811Skilled Nursing FacilityNY501 c 3Schedule A line 90Catholic Health System Inc
St Mary's Manor
515 6th StreetNiagara FallsNY14301160924139Skilled Nursing FacilityNY501 c 3Schedule A line 90Catholic Health System Inc
St Vincent's Manor
319 Washington AvenueDunkirkNY14048160743167Adult HomeNY501 c 3Schedule A line 90Catholic Health System Inc
WNY Catholic Long Term Care Inc
6400 Powers RoadOrchard ParkNY14127161434368Skilled Nursing FacilityNY501 c 3Schedule A line 90Catholic Health System Inc
Niagara Homemaker Services (Mercy Home Care
2875 Union Road Suite 14CheektowagaNY14227161317960Home Care ProviderNY501 c 3Schedule A line 90Catholic Health System Inc
McAuley Seton Home Care
2875 Union Road Suite 14CheektowagaNY14227161310062Home Care ProviderNY501 c 3Schedule A line 90Catholic Health System Inc
CHS Continuing Care Foundation
291 North StreetBuffaloNY14201200947831FoundationNY501 c 3Schedule A line 70Catholic Health System Inc
OLV Renaissance Corporation
291 North StreetBuffaloNY14201200167745Real Estate Holding CompanyNY501 c 3Schedule A line 90Catholic Health System Inc
CHS Program of All-Inclusive Care for the Elderly
55 Melroy AvenueLackawannaNY14218261252884All-Inclusive Care for the ElderlyNY501 c 3Schedule A line 30Catholic Health System Inc
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg