OUR LADY OF VICTORY RENAISSANCE CORPORATION: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- OUR LADY OF VICTORY RENAISSANCE CORPORATION (EIN 20-0167745)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-14
- IRS object ID
- 202313189349307246
- Schema version
- 2022v5.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-14T12:02:23-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 200167745 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OUR LADY OF VICTORY RENAISSANCE CORP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | OURL | BusinessNameControlTxt |
| Phone | 7168282974 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 144 GENESEE STREET | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14203 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RUSSELL EDWARDS | PersonNm |
| Person Title | VP FINANCE / CORP. CONTROLLER | PersonTitleTxt |
| Phone | 7169232968 | PhoneNum |
| Signature | 2023-11-14 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | RUSSELL | PersonFirstNm |
| Person Last | EDWARDS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARK SULLIVAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6TH FLOOR144 GENESEE ST | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $4,446,971 | 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 | 2003 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF OUL LADY OF VICTORY, AS PART OF THE CATHOLIC HEALTH SYSTEM (CHS) IN WESTERN NEW YORK, IS TO PROVIDE QUALITY HEALTHCARE SERVICES IN A LONG TERM CARE SETTING. COMMITTED TO A COMMON MISSION, THE PROVIDERS OF OUR LADY OF VICTORY 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 2022 COMMUNITY SERVICE PLAN CAN BE FOUND AT HTTPS://WWW.CHSBUFFALO.ORG/ABOUT-US/COMMUNITY | ActivityOrMissionDesc |
| Voting Members Governing Body | 4 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $1,665,998 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $50,287 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,780,729 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,380,880 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $54,029 | PYOtherRevenueAmt |
| CY Other Revenue | $66,091 | CYOtherRevenueAmt |
| PY Total Revenue | $5,834,758 | PYTotalRevenueAmt |
| CY Total Revenue | $4,446,971 | 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 | $362,732 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $280,698 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,996,650 | PYOtherExpensesAmt |
| CY Other Expenses | $4,073,479 | CYOtherExpensesAmt |
| PY Total Expenses | $4,359,382 | PYTotalExpensesAmt |
| CY Total Expenses | $4,354,177 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,475,376 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $92,794 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $13,654,205 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,223,512 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,561,634 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,298,037 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,092,571 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,925,475 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF OUL LADY OF VICTORY, AS PART OF THE CATHOLIC HEALTH SYSTEM (CHS) IN WESTERN NEW YORK, IS TO PROVIDE QUALITY HEALTHCARE SERVICES IN A LONG TERM CARE SETTING. COMMITTED TO A COMMON MISSION, THE PROVIDERS OF OUR LADY OF VICTORY 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 2022 COMMUNITY SERVICE PLAN CAN BE FOUND AT HTTPS://WWW.CHSBUFFALO.ORG/ABOUT-US/COMMUNITY | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,290,645 | ExpenseAmt |
| Revenue | $2,780,973 | RevenueAmt |
| Desc | THE CAMPUS INCLUDES 74 UNITS OF LOW/MODERATE INCOME SENIOR APARTMENTS FINANCED BY LOW INCOME HOUSING TAX CREDITS; AN 84 BED SKILLED NURSING FACILITY ("SNF") AND A PROGRAM OF ALL INCLUSIVE CARE FOR THE ELDERLY ("PACE"). SEE COMMUNITY SERVICE PLAN AT WWW.CHSBUFFALO.ORG. | Desc |
| Total Program Service Expenses | $4,290,645 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| 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 | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | 0 | OperateHospitalInd |
| 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 With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 4 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 1 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| 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 | RUSSELL EDWARDS VP FINACECORP CONTROLLER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7169232968 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 144 GENESEE STREET | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14203 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 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 |
|---|---|---|---|---|---|---|---|---|
| MARK SULLIVAN | ||||||||
| PRESIDENT & CEO | 0.00 | 55.00 | Yes (X) | Yes (X) | $0 | $1,314,161 | $25,888 | |
| THOMAS GLEASON | ||||||||
| PRESIDENT & CEO HCBC | 0.00 | 55.00 | Yes (X) | Yes (X) | $0 | $256,724 | $19,299 | |
| DAVID VITKA | ||||||||
| DIRECTOR | 0.00 | 55.00 | Yes (X) | $0 | $202,688 | $42,307 | ||
| MONSIGNOR ROBERT E ZAPFEL | ||||||||
| DIRECTOR | 0.00 | 8.00 | Yes (X) | $0 | $0 | $0 | ||
| JOYCE MARKIEWICZ | ||||||||
| CHIEF BUSINESS DEVELOPMENT | 0.00 | 55.00 | Yes (X) | $0 | $561,183 | $52,362 | ||
| DAVID MACHOLZ | ||||||||
| CHIEF FINANCE OFFICER | 0.00 | 55.00 | Yes (X) | $0 | $624,031 | $15,718 | ||
| DR MICHAEL GALANG | ||||||||
| SENIOR VP, CHIEF INFORMATI | 0.00 | 55.00 | Yes (X) | $0 | $481,207 | $46,473 | ||
| HANS CASSAGNOL | ||||||||
| EXECUTIVE VP, CHIEF PHYSIC | 0.00 | 55.00 | Yes (X) | $0 | $623,902 | $30,245 | ||
| WILLIAM PRYOR | ||||||||
| EXECUTIVE VP, CHIEF ADMIN. | 0.00 | 55.00 | Yes (X) | $0 | $653,255 | $48,421 | ||
| BARTHOLOMEW RODRIGUES | ||||||||
| CHIEF MISSION OFFICER | 0.00 | 55.00 | Yes (X) | $0 | $265,426 | $53,262 | ||
| JAMES M GARVEY | ||||||||
| EXECUTIVE VP, CHIEF OPERAT | 0.00 | 55.00 | Yes (X) | $0 | $725,997 | $40,539 | ||
| REBECCA MCCORMICK BOYLE | ||||||||
| CHIEF INTEGRATION OFFICER | 0.00 | 55.00 | Yes (X) | $0 | $242,893 | $19,523 | ||
| LEONARDO SETTE-CAMARA | ||||||||
| GENERAL COUNSEL - SECRETAR | 0.00 | 55.00 | $0 | $328,158 | $19,941 | Yes (X) | ||
| LISA CILANO | ||||||||
| SENIOR VP, RMC & BUSINESS | 0.00 | 55.00 | $0 | $337,403 | -$281,620 | Yes (X) | ||
| MARTIN BORYSZAK | ||||||||
| SENIOR VP, ACUTE CARE | 0.00 | 55.00 | $0 | $540,613 | $10,178 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $7,157,641 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $142,536 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| IR MUELLER CORP | |||||
| 789 COLVIN BLVD | BUFFALO | NY | 14217 | SECURITY SERVICES | $333,119 |
| MDC SOLUTIONS INC | |||||
| 4039 GENESEE STREET | BUFFALO | NY | 14225 | CONSULTING SERVICES | $279,322 |
| TK ELEVATOR | |||||
| 2745 BROADWAY | CHEEKTOWAGA | NY | 14227 | ELEVATOR SERVICES | $119,468 |
| RAYMOND E KELLEY INC | |||||
| 33 MAIN STREET | BOWMANSVILLE | NY | 14026 | PROFESSIONAL SERVICES | $109,065 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RENTAL REVENUE | Desc |
| Business | 532000 | BusinessCd |
| Total Revenue Column | $4,380,880 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,714,882 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,665,998 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,380,880 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OTHER | 531390 | $43,668 | $43,668 |
| INEFFECTIVE PORTION OF SWAP | 900001 | $22,423 | $22,423 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $66,091 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,446,971 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,780,973 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,665,998 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $221,304 | TotalAmt |
| Program Services | $221,304 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,034 | TotalAmt |
| Program Services | $2,034 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,360 | TotalAmt |
| Program Services | $57,360 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,866 | TotalAmt |
| Program Services | $2,866 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $362,382 | TotalAmt |
| Program Services | $362,382 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,511,121 | TotalAmt |
| Program Services | $1,511,121 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,371 | TotalAmt |
| Program Services | $104,371 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PURCHASED SERVICES | $1,973,360 | $1,909,828 | $63,532 |
| SUPPLIES | $72,301 | $72,301 | |
| PROPERTY TAXES | $31,935 | $31,935 | |
| MISC | $15,143 | $15,143 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,354,177 | TotalAmt |
| Program Services | $4,290,645 | ProgramServicesAmt |
| Management And General | $63,532 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,193,794 | BOYAmt |
| EOY | $2,901,600 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,212 | BOYAmt |
| EOY | $42,356 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,960 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,461 | BOYAmt |
| EOY | $14,461 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $29,418,618 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $20,102,080 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,425,177 | BOYAmt |
| EOY | $9,316,538 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $931,601 | BOYAmt |
| EOY | $948,557 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,654,205 | BOYAmt |
| EOY | $13,223,512 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,069,166 | BOYAmt |
| EOY | $1,117,475 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,521 | BOYAmt |
| EOY | $40,816 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,805,000 | BOYAmt |
| EOY | $6,275,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,665,947 | BOYAmt |
| EOY | $864,746 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,561,634 | BOYAmt |
| EOY | $8,298,037 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,087,408 | BOYAmt |
| EOY | $4,920,312 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,163 | BOYAmt |
| EOY | $5,163 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,092,571 | BOYAmt |
| EOY | $4,925,475 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,654,205 | BOYAmt |
| EOY | $13,223,512 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $92,794 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $740,110 | 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 | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,171,875 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,071,447 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,107,890 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,127,464 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,714,882 | CurrentTaxYearAmt |
| Total | $19,193,558 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,171,875 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,071,447 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,107,890 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,127,464 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,714,882 | CurrentTaxYearAmt |
| Total | $19,193,558 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $19,193,558 | PublicSupportTotal509Amt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $994,170 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,295,249 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,541,783 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,653,265 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,665,998 | CurrentTaxYearAmt |
| Total | $7,150,465 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $994,170 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,295,249 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,541,783 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,653,265 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,665,998 | CurrentTaxYearAmt |
| Total | $7,150,465 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,166,045 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,366,696 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,649,673 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,780,729 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,380,880 | CurrentTaxYearAmt |
| Total | $26,344,023 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.72860 | PublicSupportCY509Pct |
| Public Support PY509 | 0.76800 | PublicSupportPY509Pct |
| Investment Income CY | 0.27140 | InvestmentIncomeCYPct |
| Investment Income PY | 0.23200 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,001,202 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,136,238 | DepreciationAmt |
| Book Value | $6,864,964 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,055,963 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,965,842 | DepreciationAmt |
| Book Value | $2,090,121 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $361,453 | OtherCostOrOtherBasisAmt |
| Book Value | $361,453 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,316,538 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ASSETS LIMITED AS TO USE | $409,861 |
| INTEREST IN NETS ASSETS OF CONTINUING CARE FOUNDATION | $5,163 |
| NOTE RECEIVABLE - RELATED PARTY | $300,000 |
| DUE FROM AFFILIATES | $233,533 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $948,557 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| NOTES PAYABLE | $300,000 |
| INTEREST RATE SWAP LIABILITY | $276,878 |
| ASSET RETIREMENT OBLIGATION | $176,478 |
| OTHER LONG TERM LIABLITIES | -$77,562 |
| DUE TO AFFILIATES | $188,952 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $864,746 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARK SULLIVAN | ||||||||||||||
| PRESIDENT & CEO | $0 | $983,779 | $0 | $62,939 | $0 | $267,443 | $0 | $9,215 | $0 | $16,673 | $0 | $1,340,049 | $0 | $0 |
| JAMES M GARVEY | ||||||||||||||
| EXECUTIVE VP, CHIEF OPERAT | $0 | $682,362 | $0 | $0 | $0 | $43,635 | $0 | $24,133 | $0 | $16,406 | $0 | $766,536 | $0 | $0 |
| WILLIAM PRYOR | ||||||||||||||
| EXECUTIVE VP, CHIEF ADMIN. | $0 | $612,232 | $0 | $25 | $0 | $40,998 | $0 | $25,808 | $0 | $22,613 | $0 | $701,676 | $0 | $0 |
| HANS CASSAGNOL | ||||||||||||||
| EXECUTIVE VP, CHIEF PHYSIC | $0 | $586,116 | $0 | $0 | $0 | $37,786 | $0 | $7,654 | $0 | $22,591 | $0 | $654,147 | $0 | $0 |
| DAVID MACHOLZ | ||||||||||||||
| CHIEF FINANCE OFFICER | $0 | $606,188 | $0 | $0 | $0 | $17,843 | $0 | -$5,919 | $0 | $21,637 | $0 | $639,749 | $0 | $0 |
| JOYCE MARKIEWICZ | ||||||||||||||
| CHIEF BUSINESS DEVELOPMENT | $0 | $541,076 | $0 | $0 | $0 | $20,107 | $0 | $36,124 | $0 | $16,238 | $0 | $613,545 | $0 | $0 |
| MARTIN BORYSZAK | ||||||||||||||
| SENIOR VP, ACUTE CARE | $0 | $498,780 | $0 | $25,000 | $0 | $16,833 | $0 | -$12,319 | $0 | $22,497 | $0 | $550,791 | $0 | $0 |
| DR MICHAEL GALANG | ||||||||||||||
| SENIOR VP, CHIEF INFORMATI | $0 | $464,914 | $0 | $0 | $0 | $16,293 | $0 | $38,161 | $0 | $8,312 | $0 | $527,680 | $0 | $0 |
| LEONARDO SETTE-CAMARA | ||||||||||||||
| GENERAL COUNSEL - SECRETAR | $0 | $327,603 | $0 | $25 | $0 | $530 | $0 | -$2,400 | $0 | $22,341 | $0 | $348,099 | $0 | $0 |
| BARTHOLOMEW RODRIGUES | ||||||||||||||
| CHIEF MISSION OFFICER | $0 | $226,968 | $0 | $25 | $0 | $38,433 | $0 | $30,997 | $0 | $22,265 | $0 | $318,688 | $0 | $0 |
| THOMAS GLEASON | ||||||||||||||
| PRESIDENT & CEO HCBC | $0 | $256,371 | $0 | $0 | $0 | $353 | $0 | -$2,958 | $0 | $22,257 | $0 | $276,023 | $0 | $0 |
| REBECCA MCCORMICK BOYLE | ||||||||||||||
| CHIEF INTEGRATION OFFICER | $0 | $232,874 | $0 | $0 | $0 | $10,019 | $0 | $19,291 | $0 | $232 | $0 | $262,416 | $0 | $0 |
| DAVID VITKA | ||||||||||||||
| DIRECTOR | $0 | $172,833 | $0 | $0 | $0 | $29,855 | $0 | $20,093 | $0 | $22,214 | $0 | $244,995 | $0 | $0 |
| LISA CILANO | ||||||||||||||
| SENIOR VP, RMC & BUSINESS | $0 | $319,655 | $0 | $25 | $0 | $17,723 | $0 | -$295,309 | $0 | $13,689 | $0 | $55,783 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3: | FormAndLineReferenceDesc |
| Explanation | THE CHANGE IN PRESENT VALUE SHOWN FOR EACH PARTICIPANT REPRESENTS THE CHANGE IN THE ACTUARIAL VALUE OF THE ACCRUED BENEFIT, WHETHER OR NOT FUNDED, VESTED OR SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. NOTE THAT THE CHANGE IN PRESENT VALUE IS PARTLY DUE TO CHANGES IN THE DISCOUNT RATE AND, FOR THOSE ACCRUING UNDER THE CASH BALANCE FORMULA, THE ASSUMPTIONS FOR FUTURE CASH BALANCE INTEREST CREDITING RATES AND FACTORS APPLICABLE TO ANNUITY CONVERSIONS. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERIE COUNTY INDUSTRIAL DEVELOPMENT AGENCY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 161090858 | BondIssuerEIN |
| CUSIP | 295085BG8 | CUSIPNum |
| Bond Issued | 2007-04-25 | BondIssuedDt |
| Issue Price | $10,220,000 | IssuePriceAmt |
| Purpose | PART VI | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $10,220,000 | TotalProceedsAmt |
| Capitalized Interest | $314,820 | CapitalizedInterestAmt |
| Issuance Costs From Proceeds | $424,430 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $97,186 | CreditEnhancementAmt |
| Capital Expenditures | $9,383,564 | CapitalExpendituresAmt |
| Substantial Completion | 2008 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | 0 | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | Yes (1) | Form8038TFiledInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | Yes (1) | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HSBC BANK NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 24.900000000000 | TermOfHedgePct |
| Superintegrated Hedge | 0 | SuperintegratedHedgeInd |
| Hedge Terminated | 0 | HedgeTerminatedInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I A (F) | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION OF PURPOSE: TO FINANCE THE COST OF RECONSTRUCTION AND RENOVATION OF AN APPROXIMATELY 97,000 SQUARE FOOT FACILITY FOR USE AS A SKILLED NURSING FACILITY. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| RACHEL MARKIEWICZ | |||
| DAUGHTER IN LAW OF CHIEF BUSINESS DEVELOPMENT OFFICER, JOYCE MARKIEWICZ | $60,528 | SOCIAL WORKER, MSW | 0 |
| CARRIE SETTE-CAMARA | |||
| WIFE OF KEY EMPLOYEE, LEONARDO SETTE-CAMARA | $91,142 | PUBLIC RELATIONS MANAGER, SISTERS | 0 |
| DAVID A MACHOLZ | |||
| NEPHEW OF CHIEF FINANCE OFFICER, DAVID MACHOLZ | $15,904 | NETWORK TECHNICAL ANALYST, CHS | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | CHS HAS TWO MEMBERS: THE FRANCISCAN SISTERS OF ST. JOSEPH OF HAMBURG, NY, 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 HAVE THE POWER TO APPROVE ANY PLAN OF DISSOLUTION OF THE CORPORATION AND THE DISTRIBUTION OF THE ASSETS UPON DISSOLUTION, ACCORDING TO THE CHS BYLAWS. |
| FORM 990, PART VI, SECTION A, LINE 7A | ACCORDING TO THE CHS BYLAWS, EACH MEMBER IS EQUALLY ALLOWED TO APPOINT ONE REPRESENTATIVE AND ONE ALTERNATIVE REPRESENTATIVE TO SERVE ON THE CORPORATE MEMBER COUNCIL AND TO SERVE AS A VOTING DIRECTOR ON THE CHS BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | YES, THE CORPORATE MEMBERS DO HAVE RESERVE POWERS. |
| FORM 990, PART VI, SECTION B, LINE 11B | YES, AN ELECTRONIC COPY OF FORM 990 WAS PROVIDED TO THE CHS BOARDS OF DIRECTORS BEFORE IT WAS FILED. THE CHS BOARD OF DIRECTORS HAS DELEGATED THE RESPONSIBILITY TO REVIEW THE 990 TO THE AUDIT COMMITTEE. THE CHS AUDIT COMMITTEE REVIEWED IN DETAIL SELECTED INFORMATION FOR ALL CHS ENTITIES THAT FILE A 990. REVIEWED WITH THE AUDIT COMMITTEE: 1. CORE FORM PART IV: CHECKLIST OF REQUIRED SCHEDULES 2. CORE FORM PART VI: GOVERNANCE, MANAGEMENT AND DISCLOSURE 3. CORE FORM PART VII: COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES, AND INDEPENDENT CONTRACTORS 4. SCHEDULE H: HOSPITALS 5. SCHEDULE K: SUPPLEMENTAL INFORMATION ON TAX EXEMPT BONDS 6. SCHEDULE J: COMPENSATION INFORMATION 7. SCHEDULE L; TRANSACTIONS WITH INTERESTED PERSONS 8. SCHEDULE R: RELATED ORGANIZATIONS AND UNRELATED PARTNERSHIPS 9. PROCESS FOR WHICH REMAINING CORE FORM WAS COMPLETED, UTILIZING AUDITED FINANCIAL INFORMATION. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT (COIDS) IN ORDER TO FULFILL THE ANNUAL REQUIREMENTS. COIDS ARE DISTRIBUTED TO ALL PARTIES, AS PER APPLICABLE POLICY, AND ONCE COMPLETE ARE FOLLOWED UP WITH AS FOLLOWS: 1. ASSOCIATE AND PHYSICIAN COMPLETED COIDS ARE REVIEWED AND SIGNED OFF BY THE MANAGER. IF A DISCLOSURE IS NOTED, IT IS DISCUSSED BY THE MANAGER, 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 THE COMPLIANCE OFFICER FOR REVIEW AND FOLLOW UP AS WARRANTED. THE COMPLIANCE OFFICER WILL SIGN EACH COIDS AND RETAIN ON FILE IN THE COMPLIANCE OFFICE IN A CONFIDENTIAL MANNER. |
| FORM 990, PART VI, SECTION B, LINE 15 | CHS, IN DETERMINING THE COMPENSATION FOR THE CEO, UTILIZES A PROCESS OF REVIEW AND APPROVAL, GOVERNED BY THE BOARD OF DIRECTORS THAT INCLUDES AN OUTSIDE NATIONALLY RECOGNIZED INDEPENDENT COMPENSATION CONSULTANT EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NON-PROFIT HEALTHCARE ORGANIZATIONS, AND COMPARABILITY DATA. IN 2022, THE CATHOLIC HEALTH SYSTEM UTILIZED A COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS TO MONITOR THE EXECUTIVE COMPENSATION AS PER THE EXECUTIVE COMPENSATION PHILOSOPHY AND STRATEGY FOR THE CHS CEO AND TOP SENIOR EXECUTIVES |
| FORM 990, PART VI, SECTION C, LINE 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: | NET ASSET TRANSFER, NET OF INTEREST RATE SWAP EXPENSE 740,110. |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CATHOLIC HEALTH SYSTEM INC | ||||||||||
| 144 GENESEE STREET | BUFFALO | NY | 14203 | 222565278 | HEALTH CARE DELIVERY SYSTEM | NY | 501(C)(3) | LINE 11 | CATHOLIC HEALTH SYSTEM INC | 0 |
| MERCY HOSPITAL OF BUFFALO | ||||||||||
| 565 ABBOTT ROAD | BUFFALO | NY | 14220 | 160756336 | ACUTE CARE HOSPITAL | NY | 501(C)(3) | LINE 3 | CATHOLIC HEALTH SYSTEM INC | 0 |
| SISTERS OF CHARITY HOSPITAL | ||||||||||
| 2157 MAIN STREET | BUFFALO | NY | 14214 | 160743187 | ACUTE CARE HOSPITAL | NY | 501(C)(3) | LINE 3 | CATHOLIC HEALTH SYSTEM INC | 0 |
| KENMORE MERCY HOSPITAL | ||||||||||
| 2950 ELMWOOD AVENUE | KENMORE | NY | 14217 | 160762843 | ACUTE CARE HOSPITAL | NY | 501(C)(3) | LINE 3 | CATHOLIC HEALTH SYSTEM INC | 0 |
| NAZARETH HOME OF THE FRANCISCAN SISTERS | ||||||||||
| 291 NORTH STREET | BUFFALO | NY | 14201 | 160813142 | SKILLED NURSING FACILITY | NY | 501(C)(3) | LINE 11 | CATHOLIC HEALTH SYSTEM INC | 0 |
| ST ELIZABETH HOME FOR THE AGED | ||||||||||
| 5539 BROADWAY | LANCASTER | NY | 14086 | 160743154 | ADULT HOME | NY | 501(C)(3) | LINE 11 | CATHOLIC HEALTH SYSTEM INC | 0 |
| ST FRANCIS HOME OF WILLIAMSVILLE | ||||||||||
| 147 REIST STREET | WILLIAMSVILLE | NY | 14221 | 160743153 | SKILLED NURSING FACILITY | NY | 501(C)(3) | LINE 11 | CATHOLIC HEALTH SYSTEM INC | 0 |
| ST FRANCIS OF BUFFALO INC | ||||||||||
| 34 BENWOOD AVENUE | BUFFALO | NY | 14214 | 161523535 | SKILLED NURSING FACILITY | NY | 501(C)(3) | LINE 11 | CATHOLIC HEALTH SYSTEM INC | 0 |
| ST VINCENT MANOR | ||||||||||
| 319 WASHINGTON AVENUE | DUNKIRK | NY | 14048 | 160743167 | ADULT HOME | NY | 501(C)(3) | LINE 11 | CATHOLIC HEALTH SYSTEM INC | 0 |
| WNY CATHOLIC LONG TERM CARE | ||||||||||
| 6400 POWERS ROAD | ORCHARD PARK | NY | 14127 | 161434368 | SKILLED NURSING FACILITY | NY | 501(C)(3) | LINE 11 | CATHOLIC HEALTH SYSTEM INC | 0 |
| NIAGARA HOMEMAKER SERVICES (MERCY HOME CARE) | ||||||||||
| 2875 UNION ROAD | CHEEKTOWAGA | NY | 14227 | 161317960 | HOME CARE PROVIDER | NY | 501(C)(3) | LINE 11 | CATHOLIC HEALTH SYSTEM INC | 0 |
| MCAULEY SETON HOME CARE | ||||||||||
| 144 GENESEE STREET | BUFFALO | NY | 14203 | 161310062 | HOME CARE PROVIDER | NY | 501(C)(3) | LINE 11 | CATHOLIC HEALTH SYSTEM INC | 0 |
| CATHOLIC HEALTH SYSTEM INFUSION PHARMACY INC | ||||||||||
| 6350 TRANSIT ROAD | DEPEW | NY | 14043 | 200198518 | HOME CARE INFUSION SERVICES | NY | 501(C)(3) | LINE 11 | CATHOLIC HEALTH SYSTEM INC | 0 |
| CHS CONTINUING CARE FOUNDATION | ||||||||||
| 144 GENESEE STREET | BUFFALO | NY | 14203 | 200947831 | FOUNDATION | NY | 501(C)(3) | LINE 7 | CATHOLIC HEALTH SYSTEM INC | 0 |
| CHS PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY INC | ||||||||||
| 55 MELROY AVENUE | LACKAWANA | NY | 14218 | 261252884 | ALL-INCLUSIVE CARE FOR THE ELDERLY | NY | 501(C)(3) | LINE 3 | CATHOLIC HEALTH SYSTEM INC | 0 |
| OLV COMMUNITY HOUSING DEVELOPMENT ORGANIZATION | ||||||||||
| 144 GENESEE STREET | BUFFALO | NY | 14203 | 200372194 | LOW INCOME HOUSING | NY | 501(C)(3) | LINE 11 | CATHOLIC HEALTH SYSTEM INC | 0 |
| TRINITY MEDICAL WNYPC | ||||||||||
| 2625 HARLEM ROAD | CHEEKTOWAGA | NY | 14225 | 272576645 | PRIMARY CARE PROVIDER | NY | 501(C)(3) | LINE 12B, II | CATHOLIC HEALTH SYSTEM INC | 0 |
| MOUNT ST MARY'S HOSPITAL OF NIAGARA FALLS | ||||||||||
| 5300 MILITARY ROAD | LEWISTON | NY | 14092 | 161523353 | ACUTE CARE HOSPITAL | NY | 501(C)(3) | LINE 3 | CATHOLIC HEALTH SYSTEM INC | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |