CATHOLIC HEALTH SYSTEM INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
CATHOLIC HEALTH SYSTEM INC (EIN 22-2565278)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-13
IRS object ID
201733179349302673
Schema version
2016v3.0
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

FieldValueIRS element (for citing)
Return2017-11-13T10:34:47-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN222565278EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CATHOLIC HEALTH SYSTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCATHBusinessNameControlTxt
Phone7168282974PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1144 GENESEE STAddressLine1Txt
CityBUFFALOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14203ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID P MACHOLZPersonNm
Person TitleVP FINANCE, CORP CONTROLLERPersonTitleTxt
Phone7168282974PhoneNum
Signature2017-11-13SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address204.68.186.4IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-13IPDt
IP Tm10:33:26IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id57DE428BBE4D177780C14DB5EAFEFC598521517DAtSubmissionCreationDeviceId
At Submission Filing Device Id57DE428BBE4D177780C14DB5EAFEFC598521517DAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOSEPH D MCDONALDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1CATHOLIC HEALTH ADMINISTRATION 6THAddressLine1Txt
Address Line2FLOOR 144 GENESEE STREETAddressLine2Txt
CityBUFFALOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14203ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$152,915,642GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHSBUFFALO.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionThe Catholic Health System (CHS) Mission is to provide quality healthcare services in a (an) (acute care, long term care, 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 2016 Community Service Plan can be found at www.chsbuffalo.org.ActivityOrMissionDesc
Voting Members Governing Body23VotingMembersGoverningBodyCnt
Voting Members Independent21VotingMembersIndependentCnt
Total Employee1539TotalEmployeeCnt
Total Volunteers8TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$108,574NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,137,694PYContributionsGrantsAmt
CY Contributions Grants$1,550,836CYContributionsGrantsAmt
PY Program Service Revenue$135,878,008PYProgramServiceRevenueAmt
CY Program Service Revenue$147,858,016CYProgramServiceRevenueAmt
PY Investment Income$48,009PYInvestmentIncomeAmt
CY Investment Income$51,014CYInvestmentIncomeAmt
PY Other Revenue$16,604,743PYOtherRevenueAmt
CY Other Revenue$3,455,776CYOtherRevenueAmt
PY Total Revenue$153,668,454PYTotalRevenueAmt
CY Total Revenue$152,915,642CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$81,860,564PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$92,068,255CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$58,339,164PYOtherExpensesAmt
CY Other Expenses$60,847,387CYOtherExpensesAmt
PY Total Expenses$140,199,728PYTotalExpensesAmt
CY Total Expenses$152,915,642CYTotalExpensesAmt
PY Revenues Less Expenses$13,468,726PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$0CYRevenuesLessExpensesAmt
Total Assets BOY$300,714,094TotalAssetsBOYAmt
Total Assets EOY$273,046,853TotalAssetsEOYAmt
Total Liabilities BOY$237,249,210TotalLiabilitiesBOYAmt
Total Liabilities EOY$182,890,481TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$63,464,884NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$90,156,372NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe Catholic Health System (CHS) Mission is to provide quality healthcare services in acute care, long term care, and home care settings. 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 2016 Community Service Plan can be found at www.chsbuffalo.org.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$145,110,854ExpenseAmt
Revenue$147,858,016RevenueAmt
DescThe 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.Desc
Total Program Service Expenses$145,110,854TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document154IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1539EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind0Form8899Filedind
Form1098 C Filed0Form1098CFiledInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members23GoverningBodyVotingMembersCnt
Independent Voting Member21IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DAVID P MACHOLZBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7168282974PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1144 GENESEE STREETAddressLine1Txt
CityBUFFALOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14203ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
BRIAN BEITZ
DIRECTOR2.00Yes (X)$0$0$0
CARMEN GRANTO
DIRECTOR2.00Yes (X)$0$0$0
WILLIAM J BUSCAGLIA JR
CHAIRMAN OF THE BOARD4.00Yes (X)$0$0$0
PEGGY CHOONG PHD
DIRECTOR2.00Yes (X)$0$0$0
ROBERT GREENE
DIRECTOR2.00Yes (X)$0$0$0
KEVIN KEENAN
DIRECTOR2.00Yes (X)$0$0$0
MARSHA LEWIS PHD
DIRECTOR2.00Yes (X)$0$0$0
CANDACE JOHNSON PHD
DIRECTOR2.00Yes (X)$0$0$0
JOSEPH MCDONALD
PRESIDENT & CEO55.00Yes (X)$1,392,009$0$382,381Yes (X)
JAY MCWATTERS
DIRECTOR2.00Yes (X)$0$0$0
ROBERT A MINICUCCI SR
DIRECTOR2.00Yes (X)$0$0$0
ALFRED HAMILTON PHD
DIRECTOR2.00Yes (X)$0$0$0
MICHAEL MURRAY
DIRECTOR2.00Yes (X)$0$0$0
KATHLEEN NATWIN DC
DIRECTOR2.00Yes (X)$0$0$0
DAVID L ROGERS
DIRECTOR2.00Yes (X)$0$0$0
MICHAEL HEMSLEY ESQ
DIRECTOR2.00Yes (X)$0$0$0
HONORABLE HUGH B SCOTT
DIRECTOR2.00Yes (X)$0$0$0
SHELDON SMITH ESQ
DIRECTOR2.00Yes (X)$0$0$0
MONSIGNOR ROBERT E ZAPFEL
DIRECTOR2.00Yes (X)$0$0$0
JOHN NOTARO MD
DIRECTOR2.00Yes (X)$0$0$0
STEVEN D TIMMEL
DIRECTOR2.00Yes (X)$0$0$0
ROBERT J TRAVIS CPA
DIRECTOR2.00Yes (X)$0$0$0
CHRISTOPHER GLYNN
DIRECTOR2.00Yes (X)$0$0$0
MARK SULLIVAN
EXECUTIVE VP, CHIEF OPERAT55.00$868,844$0$298,589Yes (X)
JAMES A DUNLOP JR
EXECUTIVE VP, CHIEF FINANC55.00$739,625$0$344,451Yes (X)
DR BRIAN D'ARCY
SENIOR VP, MEDICAL AFFAIRS55.00$697,837$0$204,522Yes (X)
JOYCE MARKIEWICZ
EXECUTIVE VP, HOME AND COMMUNITY BASED CARE55.00$356,171$0$48,930Yes (X)
DR MICHAEL GALANG
SENIOR VP, CHIEF INFORMATI55.00$476,331$0$191,735Yes (X)
NANCY SHEEHAN
SENIOR VP, LEGAL SERVICES/55.00$431,398$0$147,216Yes (X)
MARIA FOTI
SENIOR VP, STRATEGIC PLANN55.00$347,897$0$151,644Yes (X)
MICHAEL MOLEY
SENIOR VP, HUMAN RESOURCES55.00$639,095$0$207,439Yes (X)
DR MICHAEL EDBAUER
CHIEF CLINICAL OFFICER28.00$187,804$0$153,258Yes (X)
LEE GUTERMAN MD
PHYSICIAN55.00$830,030$0$45,102Yes (X)
LEE C RUOTSI MD
PHYSICIAN/MEDICAL DIRECTOR55.00$365,074$0$46,123Yes (X)
WILLIAM J LAGALY DO
PHYSICIAN55.00$339,810$0$37,419Yes (X)
DAVID MACHOLZ
VICE PRESIDENT, FINANCE55.00$268,947$0$35,004Yes (X)
THOMAS SMITH MD
PHYSICIAN55.00$283,869$0$20,760Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,224,741TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$2,314,573TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K132IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HEALTHCARE ASSOCIATION OF NYS
1 EMPIRE DRIVERENSSELAERNY12144CONSULTING SERVICES$1,236,698
SCC SOFT COMPUTER
5400 TECH DATA DRIVECLEARWATERFL33760CONSULTING SERVICES$1,182,234
DELOITTE FINANCIAL ADVISORY
1633 BROADWAYNEW YORKNY10019CONSULTING SERVICES$1,092,741
US BANK NATIONAL ASSOCIATION
1310 MADRID STREETMARSHALLMN52658PRINTING & MFP SERVICES$984,964
15 FINGERS LLC
737 MAIN STREET SUITE 201BUFFALONY14203ADVERTISING & MARKETING$866,892
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K76CntrctRcvdGreaterThan100KCnt
Government Grants$1,550,836GovernmentGrantsAmt
Total Contributions$1,550,836TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescADMINISTRATIVE/CLINICADesc
Business621610BusinessCd
Total Revenue Column$147,848,535TotalRevenueColumnAmt
Related Or Exempt Func Income$147,848,535RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,481TotalRevenueColumnAmt
Related Or Exempt Func Income$9,481RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$147,858,016TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$51,014TotalRevenueColumnAmt
Exclusion$51,014ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
GAIN ON LEASE DISPOSAL900099$1,966,970$1,966,970
IT SUPPORT SERVICES561000$669,442$669,442
HEALTHHOME PARTNERS621610$283,797$283,797

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$535,567TotalRevenueColumnAmt
Exclusion$535,567ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,455,776OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$152,915,642TotalRevenueColumnAmt
Related Or Exempt Func Income$147,858,016RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,506,790ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$6,588,857TotalAmt
Program Services$5,196,848ProgramServicesAmt
Management And General$1,392,009ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$64,316,372TotalAmt
Program Services$64,316,372ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$7,144,350TotalAmt
Program Services$7,117,337ProgramServicesAmt
Management And General$27,013ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,516,813TotalAmt
Program Services$8,489,787ProgramServicesAmt
Management And General$27,026ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,501,863TotalAmt
Program Services$5,501,863ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,019,704TotalAmt
Program Services$616,447ProgramServicesAmt
Management And General$403,257ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$533,649TotalAmt
Program Services$533,649ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$93,503TotalAmt
Program Services$93,503ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,955,230TotalAmt
Program Services$1,381,442ProgramServicesAmt
Management And General$573,788ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,171,211TotalAmt
Program Services$2,171,211ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$355,935TotalAmt
Program Services$310,148ProgramServicesAmt
Management And General$45,787ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$26,808,108TotalAmt
Program Services$26,808,108ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$943,997TotalAmt
Program Services$898,889ProgramServicesAmt
Management And General$45,108ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$348,236TotalAmt
Program Services$299,400ProgramServicesAmt
Management And General$48,836ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$176,960TotalAmt
Program Services$97,172ProgramServicesAmt
Management And General$79,788ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,460,649TotalAmt
Program Services$3,460,649ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,699,502TotalAmt
Program Services$7,699,502ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$527,430TotalAmt
Program Services$527,430ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONTRACTED SERVICES$6,359,557$6,109,325$250,232
DUES$4,692,125$146,895$4,545,230
MISCELLANEOUS$2,614,588$2,251,718$362,870
BANK & CREDIT CARD FEES$715,646$715,646

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$371,357TotalAmt
Program Services$367,513ProgramServicesAmt
Management And General$3,844ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$152,915,642TotalAmt
Program Services$145,110,854ProgramServicesAmt
Management And General$7,804,788ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,060,128BOYAmt
EOY$2,908,933EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$22,884,520BOYAmt
EOY$37,841,457EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,798,819BOYAmt
EOY$4,448,387EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$114,319,433LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$26,598,856LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$81,273,619BOYAmt
EOY$87,720,577EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$59,446,924BOYAmt
EOY$15,630,033EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$128,250,084BOYAmt
EOY$124,497,466EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$300,714,094BOYAmt
EOY$273,046,853EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$31,144,603BOYAmt
EOY$27,150,871EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$83,200,296BOYAmt
EOY$77,519,988EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$14,283,702BOYAmt
EOY$7,092,681EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$108,620,609BOYAmt
EOY$71,126,941EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$237,249,210BOYAmt
EOY$182,890,481EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$60,005,966BOYAmt
EOY$86,697,454EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,412,671BOYAmt
EOY$3,412,671EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$46,247BOYAmt
EOY$46,247EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$63,464,884BOYAmt
EOY$90,156,372EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$300,714,094BOYAmt
EOY$273,046,853EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$0ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$26,691,488OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$117,603,442CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$122,166,373CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$126,247,587CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$136,999,878CurrentTaxYearMinus1YearAmt
Current Tax Year$149,399,371CurrentTaxYearAmt
Total$652,416,651TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,180CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,680CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,290CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$29,324CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$81,474TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$117,631,622CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$122,188,053CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$126,249,877CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$137,029,202CurrentTaxYearMinus1YearAmt
Current Tax Year$149,399,371CurrentTaxYearAmt
Total$652,498,125TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$652,498,125PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,586CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,566CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$35,915CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$34,162CurrentTaxYearMinus1YearAmt
Current Tax Year$50,657CurrentTaxYearAmt
Total$160,886TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,586CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,566CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$35,915CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$34,162CurrentTaxYearMinus1YearAmt
Current Tax Year$50,657CurrentTaxYearAmt
Total$160,886TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$45,368CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$76,875CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$437,669CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$467,774CurrentTaxYearMinus1YearAmt
Current Tax Year$819,364CurrentTaxYearAmt
Total$1,847,050TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$13,566,353CurrentTaxYearMinus1YearAmt
Current Tax Year$678,924CurrentTaxYearAmt
Total$14,245,277TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$117,696,576CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$122,285,494CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$126,723,461CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$151,097,491CurrentTaxYearMinus1YearAmt
Current Tax Year$150,948,316CurrentTaxYearAmt
Total$668,751,338TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97570PublicSupportCY509Pct
Public Support PY5090.97620PublicSupportPY509Pct
Investment Income CY0.00020InvestmentIncomeCYPct
Investment Income PY0.00020InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$60,000DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$33,503OtherActivitiesAmt
Total Lobbying Expenditures$93,503TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationLINE 1i: OTHER LOBBYING ACTIVITIES: CATHOLIC HEALTH SYSTEM, INC. PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION, CATHOLIC HEALTH ASSOCIATION, AND THE ADVISORY BOARD THAT UTILIZE A PORTION OF THOSE DUES FOR LOBBYING ACTIVITIES. IN 2016, THE LOBBYING COMPONENT OF THESE DUES WAS APPROXIMATELY $33,503. 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 $60,000 IN 2016.ExplanationTxt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$46,671,594OtherCostOrOtherBasisAmt
Depreciation$1,972,969DepreciationAmt
Book Value$44,698,625BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,410,218OtherCostOrOtherBasisAmt
Depreciation$1,616,699DepreciationAmt
Book Value$6,793,519BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$55,846,053OtherCostOrOtherBasisAmt
Depreciation$22,709,431DepreciationAmt
Book Value$33,136,622BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,391,568OtherCostOrOtherBasisAmt
Depreciation$299,757DepreciationAmt
Book Value$3,091,811BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$87,720,577TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DUE FROM RELATED SUBSIDIARIES$95,455,206
INSURANCE RECOVERIES$1,279,126
MISCELLANEOUS RECEIVABLES$737,863
ACQUISITION INVESTMENT$27,025,271
FieldValueIRS element (for citing)
Total Book Value Other Assets$124,497,466TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DUE TO RELATED FACILITIES$14,335,045
ACCRUED PENSION$54,089,273
EQUIPMENT LEASES/LOANS$268,592
INSURANCE IBNR$2,434,031
FieldValueIRS element (for citing)
Total Liability$71,126,941TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$152,915,642TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$152,915,642RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$152,915,642TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$152,915,642TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$152,915,642ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$152,915,642TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationTHE 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOSEPH MCDONALD
PRESIDENT & CEO$756,655$0$306,361$0$328,993$0$355,355$0$27,026$0$1,774,390$0$101,099$0
MARK SULLIVAN
EXECUTIVE VP, CHIEF OPERAT$573,434$0$176,409$0$119,001$0$273,307$0$25,282$0$1,167,433$0$58,215$0
JAMES A DUNLOP JR
EXECUTIVE VP, CHIEF FINANC$510,950$0$157,684$0$70,991$0$320,331$0$24,120$0$1,084,076$0$52,036$0
DR BRIAN D'ARCY
SENIOR VP, MEDICAL AFFAIRS$490,055$0$151,739$0$56,043$0$179,848$0$24,674$0$902,359$0$50,074$0
JOYCE MARKIEWICZ
EXECUTIVE VP, HOME AND COMMUNITY BAS$338,634$0$0$0$17,537$0$31,113$0$17,817$0$405,101$0$0$0
DR MICHAEL GALANG
SENIOR VP, CHIEF INFORMATI$353,459$0$105,025$0$17,847$0$182,634$0$9,101$0$668,066$0$34,658$0
NANCY SHEEHAN
SENIOR VP, LEGAL SERVICES/$324,583$0$89,242$0$17,573$0$129,403$0$17,813$0$578,614$0$29,450$0
MARIA FOTI
SENIOR VP, STRATEGIC PLANN$259,490$0$71,592$0$16,815$0$141,148$0$10,496$0$499,541$0$23,625$0
MICHAEL MOLEY
SENIOR VP, HUMAN RESOURCES$377,753$0$108,014$0$153,328$0$187,632$0$19,807$0$846,534$0$35,645$0
DR MICHAEL EDBAUER
CHIEF CLINICAL OFFICER$94,214$0$83,957$0$9,633$0$140,631$0$12,627$0$341,062$0$29,185$0
LEE GUTERMAN MD
PHYSICIAN$828,219$0$0$0$1,811$0$19,823$0$25,279$0$875,132$0$0$0
LEE C RUOTSI MD
PHYSICIAN/MEDICAL DIRECTOR$357,524$0$5,000$0$2,550$0$21,119$0$25,004$0$411,197$0$0$0
WILLIAM J LAGALY DO
PHYSICIAN$311,092$0$28,000$0$718$0$15,520$0$21,899$0$377,229$0$0$0
DAVID MACHOLZ
VICE PRESIDENT, FINANCE$260,167$0$0$0$8,780$0$9,691$0$25,313$0$303,951$0$0$0
THOMAS SMITH MD
PHYSICIAN$282,032$0$0$0$1,837$0$20,444$0$316$0$304,629$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aTax 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.
Part I, Line 4bCertain Officers and Key employees participated in a supplemental nonqualified retirement plan. The intention is to provide additional retirement compensation to address any gaps in the compensation limit.
SCHEDULE J: ADDITIONAL SUPPLEMENTAL INFORMATIONCertain portions of the incentive compensation paid in 2016 are a result of the targets that were achieved in previous years. Deferred compensation reported in 2016 includes both qualified deferred pension compensation and employer contribution for 403b for certain Sisters of Charity Hospital associates, as well as deferred compensation for the amounts that are able to be estimated in 2016. Actual W-2 compensation paid to the executive is as per Schedule J Part II B.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1BUFFALO AND ERIE COUNTY INDUSTRIAL LAND DEVELOPMENT CORPORATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN222413596BondIssuerEIN
CUSIPNONEAVAILCUSIPNum
Bond Issued2015-04-30BondIssuedDt
Issue Price$75,540,000IssuePriceAmt
PurposeSEE PART VIPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$83,526,118TotalProceedsAmt
In Reserve Fund$5,515,154InReserveFundAmt
Capitalized Interest$369,937CapitalizedInterestAmt
Issuance Costs From Proceeds$2,434,992IssuanceCostsFromProceedsAmt
Capital Expenditures$70,813,732CapitalExpendituresAmt
Unspent$4,392,303UnspentAmt
Substantial Completion2015SubstantialCompletionYr
Current Refunding0CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease ArrangementsYes (1)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (1)EngageBondCounselContractsInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.02810PrivateBusUseByOthersPct
Total Private Business Use0.02810TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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: 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.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonKATHLEEN ZAPFELPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionSISTER-IN-LAW OF BOARD OF DIRECTOR MEMBER, MSGR ROBERT ZAPFELRelationshipDescriptionTxt
Transaction$70,649TransactionAmt
TransactionHUMAN RESOURCE EMPLOYEE OF CATHOLIC HEALTH SYSTEMTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6CHS 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 7aAccording 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 7bYes, the corporate members do have reserve powers.
Form 990, Part VI, Section B, line 11bYes, 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 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 15CHS, 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 2016, 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 19We make our form 990 open for public inspection upon request. Our website includes an annual report which includes selected financial information. Our financial statements, governing documents and conflict of interest policy are provided upon request according to applicable federal and state laws.
Form 990, Part XI, line 9:PENSION LIABILITY 1122624. CAPITAL EQUITY CONTRIBUTIONS/DISTRIBUTIONS (INTERCOMPANY) 25430364. GRANT REVENUE FOR CAPITAL 10000. OTHER CHANGES IN NET ASSETS 128500. ACQUIRED INVESTMENT

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (19 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
MERCY HOSPITAL OF BUFFALO
565 ABBOTT ROADBUFFALONY14220160756336ACUTE CARE HOSPITALNY501 C509(a)(1),170(b)(1)(CATHOLIC HEALTH SYSTEM INC0
SISTERS OF CHARITY HOSPITAL
2157 MAIN STREETBUFFALONY14214160743187ACUTE CARE HOSPITALNY501 C509(a)(1),170(b)(1)(CATHOLIC HEALTH SYSTEM INC0
KENMORE MERCY HOSPITAL
2950 ELMWOOD AVENUEKENMORENY14217160762843ACUTE CARE HOSPITALNY501 C509(a)(1),170(b)(1)(CATHOLIC HEALTH SYSTEM INC0
NAZARETH HOME OF THE FRANCISCAN SISTERS
291 NORTH STREETBUFFALONY14201160813142SKILLED NURSING FACILITYNY501 C509(a)(2)CATHOLIC HEALTH SYSTEM INC0
ST ELIZABETH HOME FOR THE AGED
5539 BROADWAYLANCASTERNY14086160743154ADULT HOMENY501 C509(A)(2)CATHOLIC HEALTH SYSTEM INC0
ST FRANCIS HOME OF WILLIAMSVILLE
147 REIST STREETWILLIAMSVILLENY14221160743153SKILLED NURSING FACILITYNY501 C509(a)(2)CATHOLIC HEALTH SYSTEM INC0
ST FRANCIS OF BUFFALO INC
34 BENWOOD AVENUEBUFFALONY14214161523535SKILLED NURSING FACILITYNY501 C509(a)(2)CATHOLIC HEALTH SYSTEM INC0
ST VINCENT MANOR
319 WASHINGTON AVENUEDUNKIRKNY14048160743167ADULT HOMENY501 C509(a)(2)CATHOLIC HEALTH SYSTEM INC0
WNY CATHOLIC LONG TERM CARE INC
6400 POWERS ROADORCHARD PARKNY14127161434368SKILLED NURSING FACILITYNY501 C509(a)(2)CATHOLIC HEALTH SYSTEM INC0
NIAGARA HOMEMAKER SERVICES (MERCY HOME CARE)
144 GENESEE STREETBUFFALONY14203161317960HOMECARE PROVIDERNY501 C509(a)(2)CATHOLIC HEALTH SYSTEM INC0
MCAULEY SETON HOME CARE
144 GENESEE STREETBUFFALONY14203161310062HOMECARE PROVIDERNY501 C509(a)(2)CATHOLIC HEALTH SYSTEM INC0
CATHOLIC HEALTH SYSTEM INFUSION PHARMACY INC
6350 TRANSIT ROADDEPEWNY14043200198518HOMECARE INFUSION SERVICESNY501 C509(a)(2)CATHOLIC HEALTH SYSTEM INC0
OLV RENAISSANCE CORPORATION
144 GENESEE STREETBUFFALONY14203200167745REAL ESTATE HOLDING COMPANYNY501 C509(a)(2)CATHOLIC HEALTH SYSTEM INC0
OLV COMMUNITY HOUSING (CHODO)
144 GENESEE STREETBUFFALONY14203200372194COMMUNITY HOUSING DEVELOPMENT (CHODO)NY501 C509(a)(2)CATHOLIC HEALTH SYSTEM INC0
CHS PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY INC
55 MELROY AVENUELACKAWANNANY14218261252884ALL-INCLUSIVE CARE FOR THE ELDERLYNY501 C509(a)(1),170(b)(1)(CATHOLIC HEALTH SYSTEM INC0
TRINITY MEDICAL WNY PC
144 GENESEE STREETBUFFALONY14203272576645PRIMARY CARE PROVIDERNY501 C509(a)(3)CATHOLIC HEALTH SYSTEM INC0
MCAULEY MERCY CORPORATION
144 GENESEE STREETBUFFALONY14203161279834MANAGEMENTNY501 C509(a)(2)CATHOLIC HEALTH SYSTEM INC0
KMH HOMES INC
144 GENESEE STREETBUFFALONY14203161387890REAL ESTATE HOLDING COMPANYNY501 C509(a)(2)CATHOLIC HEALTH SYSTEM INC0
MOUNT ST MARY'S HOSPITAL OF NIAGARA FALLS
5300 MILITARY ROADLEWISTONNY14092161523353ACUTE CARE HOSPITALNY501 C509(a)(1),170(b)(1)(CATHOLIC HEALTH SYSTEM INC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

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