2019-11-01T16:22:53-05:00 2018-12-31 990 2018-01-01 222565278 Catholic Health System CATH 7168282974 144 GENESEE ST BUFFALO NY 14203 DAVID P MACHOLZ VP FINANCE, CORP CONTROLLER 7168282974 2019-11-01 204.68.186.4 2019-11-01 16:22:49 ED P D6D028B83EC7BAE48696A0FE418AC7215527A94E 06E798C64FE9B4A74D95EF11437255C02E87A9E2 2018 2020-03-31 21:24:44Z MARK SULLIVAN CATHOLIC HEALTH ADMINISTRATION 6TH FLOOR 144 GENESEE STREET BUFFALO NY 14203 153582409 0 X WWW.CHSBUFFALO.ORG X 1998 NY The Mission of the Catholic Health System, as part of the Catholic Health System (CHS) in Western New York, is to provide quality healthcare services in a acute care, long term care, and home care setting. Committed to a common mission, the providers of the Catholic Health System 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 2018 Community Service Plan can be found at https://www.chsbuffalo.org/about-us/community. 25 21 1499 5 0 -76019 1149141 1456829 149917276 152275787 316825 1188097 1762672 -1338304 153145914 153582409 0 0 0 0 97471095 94041295 0 0 0 55889635 59541113 153360730 153582408 -214816 1 293661372 294187862 184020977 178821204 109640395 115366658 X The Mission of the Catholic Health System, as part of the Catholic Health System (CHS) in Western New York, is to provide quality healthcare services in a (an) (acute care, long term care, home care) setting. Committed to a common mission, the providers of the Catholic Health System 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 2018 Community Service Plan can be found at https://www.chsbuffalo.org/about-us/community. 0 0 143136216 152301565 The Catholic Health System (CHS) provides administrative support services to the Catholic Health System entities which include: Acute Care, Continuing Care, Home Care, and Primary Care services. The program services are support services that are provided for the benefits of the health care delivery system. These include Compliance, Facility Planning, Finance, Human Resources, Information Technology, Legal Services, Marketing, Revenue Management Center, and other services. More information can be found on the Catholic Health System website www.CHSBUFFALO.ORG. 143136216 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 1 145 0 1 1499 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 25 21 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X X DAVID P MACHOLZ 7168282974 144 GENESEE STREET BUFFALO NY 14203 BRIAN D BEITZ DIRECTOR 4.00 X 0 0 0 CARMEN A GRANTO DIRECTOR 4.00 X 0 0 0 MAUREEN M ATHOE CPA DIRECTOR 4.00 X 0 0 0 PEGGY M K CHOONG PHD VICE CHAIR 4.00 X X 0 0 0 ROBERT M GREENE ESQ CHAIRMAN OF THE BOARD 8.00 X X 0 0 0 KEVIN A KEENAN DIRECTOR 4.00 X 0 0 0 MARSHA L LEWIS PHD RN DIRECTOR 4.00 X 0 0 0 CANDACE S JOHNSON PHD DIRECTOR 4.00 X 0 0 0 JOSEPH MCDONALD PRESIDENT & CEO 55.00 X X 1217317 0 29530 JAY MCWATTERS CPA DIRECTOR 4.00 X 0 0 0 ROBERT A MINICUCCI SR DIRECTOR 4.00 X 0 0 0 ALFRED A HAMILTON PHD FHIMSS DIRECTOR 4.00 X 0 0 0 MICHAEL J MURRAY CPA DIRECTOR 4.00 X 0 0 0 JOHN A CAPASSO DIRECTOR 4.00 X 0 0 0 HONORABLE HUGH B SCOTT DIRECTOR 4.00 X 0 0 0 SHELDON K SMITH ESQ SECRETARY 4.00 X X 0 0 0 MONSIGNOR ROBERT E ZAPFEL STD DIRECTOR 4.00 X 0 0 0 JOHN C NOTARO MD DIRECTOR 4.00 X 0 0 0 ROBERT J TRAVIS CPA TREASURER 4.00 X X 0 0 0 MARK SULLIVAN PRESIDENT & CEO 55.00 X X 1126042 0 93913 CAROL HECKMAN ESQ DIRECTOR 4.00 X 0 0 0 CHRISTOPHER M GLYNN DIRECTOR 4.00 X 0 0 0 MAUREEN HURLEY ESQ DIRECTOR 4.00 X 0 0 0 PAUL A TOKASZ DIRECTOR 4.00 X 0 0 0 LARRY V WHISTLER CFA DIRECTOR 4.00 X 0 0 0 JAMES A DUNLOP JR EXECUTIVE VP, CHIEF FINANC 55.00 X 774324 0 18105 DR BRIAN D'ARCY SENIOR VP, MEDICAL AFFAIRS 55.00 X 559472 0 43350 JOYCE MARKIEWICZ PRESIDENT & CEO HOME AND COMMUNITY BASED CARE 55.00 X 425967 0 78638 DR MICHAEL GALANG SENIOR VP, CHIEF INFORMATI 55.00 X 533930 0 33302 NANCY SHEEHAN SENIOR VP, LEGAL SERVICES/ 55.00 X 393915 0 46854 MARIA FOTI SENIOR VP, STRATEGIC PLANN 55.00 X 391140 0 46311 MICHAEL MOLEY SENIOR VP, HUMAN RESOURCES 55.00 X 604916 0 42703 DR MICHAEL EDBAUER CHIEF CLINICAL OFFICER 28.00 X 508629 0 18325 LEE GUTERMAN MD PHYSICIAN 55.00 X 393633 0 52406 LEE C RUOTSI MD PHYSICIAN/MEDICAL DIRECTOR 55.00 X 307578 0 50526 WILLIAM J LAGALY DO PHYSICIAN 55.00 X 326052 0 40913 THOMAS SMITH MD PHYSICIAN 55.00 X 378573 0 25080 DR DAVID SERRA PHYSICIAN 55.00 X 307059 0 34791 8248547 0 654747 136 0 1 0 ECG MANAGEMENT CONSULTANTS 11512 EL CAMINO REAL SUITE 200 SAN DIEGO CA 92130 CONSULTING SERVICES 5514003 TRIMEDX LLC 5451 LAKEVIEW PKWY S DRIVE INDIANAPOLIS IN 46268 EQUIPMENT SERVICES 1625489 THE ADVISORY BOARD 655 NEW YORK AVE NW WASHINGTON DC 20001 CONSULTING SERVICES 1271622 SCC SOFT COMPUTER 5400 TECH DATA DRIVE CLEARWATER FL 33760 CONSULTING SERVICES 1234539 15 FINGERS LLC 599 DELAWARE AVE SUITE 215 BUFFALO NY 14202 MARKETING SERVICES 1080506 38 1448169 8660 1456829 ADMINISTRATIVE/CLINICA 621610 152275787 152275787 152275787 1188097 1188097 25778 0 25778 25778 25778 IT SUPPORT SERVICES 561000 535260 535260 EMPLOYEE PARKING 900099 290825 290825 DIETARY REVENUE 900099 277665 277665 -2467832 -2467832 -1364082 153582409 152301565 0 -175985 6986681 4643323 2343358 66259847 66078396 181451 4988069 4913571 74498 10461625 10412680 48945 5345073 5345073 895198 190600 704598 515996 515996 89335 89335 7144164 1376358 5767806 2296873 2291611 5262 181987 180485 1502 25653317 25653317 1204430 1152018 52412 332384 292700 39684 89781 52022 37759 3153836 3153836 7488850 7488850 498800 498800 CONTRACTED SERVICES 4805299 4586777 218522 MISCELLANEOUS 3346972 2847946 499026 BANK & CREDIT CARD FEES 934787 934787 DUES 547988 79236 468752 361116 358499 2617 153582408 143136216 10446192 0 1575446 25538 53980882 44854187 8309 9977 5628528 6654472 120754525 41951916 84154230 78802609 13202109 20841641 135111868 142999438 293661372 294187862 29169387 29443521 33500 73946589 70215689 5048592 5015000 75856409 74113494 184020977 178821204 X 106181477 111907740 3412671 3412671 46247 46247 109640395 115366658 293661372 294187862 X 1 5726263 X 0 1 X 1 0 X 126247587 136999878 149399371 151058291 153732616 717437743 2290 29324 31614 126249877 137029202 149399371 151058291 153732616 717469357 0 0 0 717469357 35915 34162 50657 311928 1188097 1620759 35915 34162 50657 311928 1188097 1620759 437669 467774 819364 939521 1054341 3718669 13566353 678924 831277 -2392645 12683909 126723461 151097491 150948316 153141017 153582409 735492694 0.97550 0.97410 0.00220 0.00060 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 51807 0 1 37528 89335 0 Part II-B, Line 1: Part II-B, Line 1, i. Lobbying Activities: Other lobbying activities: Lobbying expenses of $37,528 represent the total of dues paid to national and state associations that is specifically allocable to lobbying. Catholic Health System does not participate in or intervene in (including the publishing or distributing of statement) any political campaign on behalf of (or opposition to) any candidate. ADDITIONALLY, CHS RETAINS INDIVIDUALS TO ADVOCATE ON BEHALF OF THE CATHOLIC HEALTH SYSTEM, INC. WITH THE NEW YORK STATE LEGISLATURE RELATING TO ISSUES THAT IMPACT THE SYSTEM. COSTS INCURRED IN RELATION TO SUCH ACTIVITIES AMOUNTED TO $51,807 IN 2018. 46671594 4867851 41803743 8439970 2687660 5752310 64373601 34024293 30349308 1269360 372112 897248 78802609 DUE FROM RELATED SUBSIDIARIES 111453363 INSURANCE RECOVERIES 642735 MISCELLANEOUS RECEIVABLES 1313576 ACQUISITION INVESTMENT 29589764 142999438 DUE TO RELATED FACILITIES 13097425 ACCRUED PENSION 58833633 INSURANCE IBNR 2182436 74113494 X 153582409 0 153582409 0 153582409 153582409 0 153582409 0 153582409 Part X, Line 2: THE FINANCIAL STATEMENTS DO NOT INCLUDE A PROVISION FOR INCOME TAXES, AS CHS IS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)3 OF THE INTERNAL REVENUE CODE. THE TAX-EXEMPT ORGANIZATIONS ARE SUBJECT TO FEDERAL TAXES ON UNRELATED BUSINESS INCOME UNDER SECTION 511 OF THE INTERNAL REVENUE CODE WHICH ARE REPORTED AS OTHER EXPENSES IN THE FINANCIAL STATEMENTS. X X 1 1 X X X X X 1 0 0 0 0 0 0 0 0 JOSEPH MCDONALD PRESIDENT & CEO 124093 0 191491 0 901733 0 8633 0 20897 0 1246847 0 191491 0 MARK SULLIVAN PRESIDENT & CEO 695527 0 156198 0 274317 0 65865 0 28048 0 1219955 0 156198 0 JAMES A DUNLOP JR EXECUTIVE VP, CHIEF FINANC 547002 0 140504 0 86818 0 -8500 0 26605 0 792429 0 140504 0 DR BRIAN D'ARCY SENIOR VP, MEDICAL AFFAIRS 515961 0 0 0 43511 0 16137 0 27213 0 602822 0 0 0 JOYCE MARKIEWICZ PRESIDENT & CEO HOME AND COMMUNITY B 407828 0 0 0 18139 0 58453 0 20185 0 504605 0 0 0 DR MICHAEL GALANG SENIOR VP, CHIEF INFORMATI 413567 0 102217 0 18146 0 23361 0 9941 0 567232 0 102217 0 NANCY SHEEHAN SENIOR VP, LEGAL SERVICES/ 374956 0 25 0 18934 0 26085 0 20769 0 440769 0 0 0 MARIA FOTI SENIOR VP, STRATEGIC PLANN 299755 0 74394 0 16991 0 36561 0 9750 0 437451 0 74394 0 MICHAEL MOLEY SENIOR VP, HUMAN RESOURCES 354293 0 96820 0 153803 0 23426 0 19277 0 647619 0 96820 0 DR MICHAEL EDBAUER CHIEF CLINICAL OFFICER 173522 0 117972 0 217135 0 10293 0 8032 0 526954 0 321406 0 LEE GUTERMAN MD PHYSICIAN 391822 0 0 0 1811 0 24593 0 27813 0 446039 0 0 0 LEE C RUOTSI MD PHYSICIAN/MEDICAL DIRECTOR 305424 0 0 0 2154 0 25693 0 24833 0 358104 0 0 0 WILLIAM J LAGALY DO PHYSICIAN 315907 0 8750 0 1395 0 15432 0 25481 0 366965 0 0 0 THOMAS SMITH MD PHYSICIAN 375991 0 0 0 2582 0 24663 0 417 0 403653 0 0 0 DR DAVID SERRA PHYSICIAN 297737 0 25 0 9297 0 8346 0 26445 0 341850 0 0 0 Part I, Line 1a Tax Indemnification and Gross up payments: Officers and key employees received a tax indemnification and gross-up payment for reimbursement of withholding taxes in conjunction with certain taxable benefits paid on behalf of employee. Health or social club dues or initiation fees: One officer had a one-time initiation fee for a business club. Part I, Line 4a Change of Control Payments were made to: Joseph McDonald: $618,613 Jim Millard: $305,963 SCHEDULE J: ADDITIONAL SUPLEMENTAL INFORMATION Certain portions of the incentive compensation paid in 2018 are a result of the targets that were achieved in previous years. Deferred compensation reported in 2018 includes both qualified deferred pension compensation, as well as deferred compensation and employer contribution for 403b for certain associates for the amounts that are able to be estimated in 2018. Actual W-2 compensation paid to the executive is as per Schedule J Part II B. A BUFFALO AND ERIE COUNTY INDUSTRIAL LAND DEVELOPMENT CORPORATION 222413596 2015-04-30 75540000 See Part VI 0 0 0 A 83526118 369937 5515154 2434992 75155804 50231 2015 0 0 0 1 A 0 1 1 1 0 0.00040 0.00040 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 Part I A ( c ) Part I A ( c ) CUSIP #: The 2015 Bond Series were issued under numerous CUSIP #s with varying maturity dates. The associated CUSIP #s are as follows: 11943KBG6, 11943KBH4, 11943KBJ0, 11943KBK7, 11943KBL5, 11943KBM3, 11943KBN1, 11943KBP6, 11943KBQ4, 11943KBR2, 11943KBS0, 11943KBT8, 11943KBU5, 11943KBV3, 11943KBW1, 11943KBX9, 11943KBY7 Part I A (f) Description of Purpose: Part I A (f) Description of Purpose: To finance the cost of an approximately 140,000 square foot corporate headquarters and associated leasehold improvements and for the implementation of an Enterprise Resource Planning software package system wide. KATHLEEN ZAPFEL SISTER-IN-LAW OF BOARD OF DIRECTOR MEMBER, MSGR ROBERT ZAPFEL 63506 HUMAN RESOURCE EMPLOYEE OF CATHOLIC HEALTH SYSTEM 0 SCOTT MARKIEWICZ SON OF KEY EMPLOYEE, JOYCE MARKIEWICZ 52480 SUPERVISOR, FATHER BAKER MANOR 0 JULIE SULLIVAN DAUGHTER OF CHIEF EXECUTIVE OFFICER 54655 HUMAN RESOURCE EMPLOYEE OF CATHOLIC HEALTH SYSTEM 0 Form 990, Part VI, Section A, line 6 CHS has two members: Trinity Health, and the Diocese of Buffalo, NY. Each member is able to participate equally in electing the governing body, approving significant decisions of the governing body, and in receiving a share of net assets upon dissolution, according to the CHS Bylaws. Form 990, Part VI, Section A, line 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 Catholic Health System 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 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 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 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 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 2018, 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 financial statements, governing documents and conflict of interest policy are provided upon request according to applicable federal and state laws. Form 990, Part XI, line 9: PENSION LIABILITY 5519683. CAPITAL EQUITY CONTRIBUTIONS/DISTRIBUTIONS (INTERCOMPANY) -3650877. GRANT REVENUE FOR CAPITAL 3857457. ACQUIRED INVESTMENT MERCY HOSPITAL OF BUFFALO 565 ABBOTT ROAD BUFFALO NY 14220 160756336 ACUTE CARE HOSPITAL NY 501 C 509(a)(1),170(b)(1)( CATHOLIC HEALTH SYSTEM INC 0 SISTERS OF CHARITY HOSPITAL 2157 MAIN STREET BUFFALO NY 14214 160743187 ACUTE CARE HOSPITAL NY 501 C 509(a)(1),170(b)(1)( CATHOLIC HEALTH SYSTEM INC 0 KENMORE MERCY HOSPITAL 2950 ELMWOOD AVENUE KENMORE NY 14217 160762843 ACUTE CARE HOSPITAL NY 501 C 509(a)(1),170(b)(1)( CATHOLIC HEALTH SYSTEM INC 0 NAZARETH HOME OF THE FRANCISCAN SISTERS 291 NORTH STREET BUFFALO NY 14201 160813142 SKILLED NURSING FACILITY NY 501 C 509(a)(2) CATHOLIC HEALTH SYSTEM INC 0 ST ELIZABETH HOME FOR THE AGED 5539 BROADWAY LANCASTER NY 14086 160743154 ADULT HOME NY 501 C 509(A)(2) CATHOLIC HEALTH SYSTEM INC 0 ST FRANCIS HOME OF WILLIAMSVILLE 147 REIST STREET WILLIAMSVILLE NY 14221 160743153 SKILLED NURSING FACILITY NY 501 C 509(a)(2) CATHOLIC HEALTH SYSTEM INC 0 ST FRANCIS OF BUFFALO INC 34 BENWOOD AVENUE BUFFALO NY 14214 161523535 SKILLED NURSING FACILITY NY 501 C 509(a)(2) CATHOLIC HEALTH SYSTEM INC 0 ST VINCENT MANOR 319 WASHINGTON AVENUE DUNKIRK NY 14048 160743167 ADULT HOME NY 501 C 509(a)(2) CATHOLIC HEALTH SYSTEM INC 0 WNY CATHOLIC LONG TERM CARE INC 6400 POWERS ROAD ORCHARD PARK NY 14127 161434368 SKILLED NURSING FACILITY NY 501 C 509(a)(2) CATHOLIC HEALTH SYSTEM INC 0 NIAGARA HOMEMAKER SERVICES (MERCY HOME CARE) 144 GENESEE STREET BUFFALO NY 14203 161317960 HOMECARE PROVIDER NY 501 C 509(a)(2) CATHOLIC HEALTH SYSTEM INC 0 MCAULEY SETON HOME CARE 144 GENESEE STREET BUFFALO NY 14203 161310062 HOMECARE PROVIDER NY 501 C 509(a)(2) CATHOLIC HEALTH SYSTEM INC 0 CATHOLIC HEALTH SYSTEM INFUSION PHARMACY INC 6350 TRANSIT ROAD DEPEW NY 14043 200198518 HOMECARE INFUSION SERVICES NY 501 C 509(a)(2) CATHOLIC HEALTH SYSTEM INC 0 OLV RENAISSANCE CORPORATION 144 GENESEE STREET BUFFALO NY 14203 200167745 REAL ESTATE HOLDING COMPANY NY 501 C 509(a)(2) CATHOLIC HEALTH SYSTEM INC 0 OLV COMMUNITY HOUSING (CHODO) 144 GENESEE STREET BUFFALO NY 14203 200372194 COMMUNITY HOUSING DEVELOPMENT (CHODO) NY 501 C 509(a)(2) CATHOLIC HEALTH SYSTEM INC 0 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 509(a)(1),170(b)(1)( CATHOLIC HEALTH SYSTEM INC 0 TRINITY MEDICAL WNY PC 144 GENESEE STREET BUFFALO NY 14203 272576645 PRIMARY CARE PROVIDER NY 501 C 509(a)(3) CATHOLIC HEALTH SYSTEM INC 0 MCAULEY MERCY CORPORATION 144 GENESEE STREET BUFFALO NY 14203 161279834 MANAGEMENT NY 501 C 509(a)(2) CATHOLIC HEALTH SYSTEM INC 0 KMH HOMES INC 144 GENESEE STREET BUFFALO NY 14203 161387890 REAL ESTATE HOLDING COMPANY NY 501 C 509(a)(2) 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 509(a)(1),170(b)(1)( CATHOLIC HEALTH SYSTEM INC 0 CH Emmaus Inc 144 Genesee Street Buffalo NY 14203 821852345 General Purpose NY Related 166878 2230960 0 0 0 0 1 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1