FURP.ORG / PUBLIC DATA EXPLORER

CATHOLIC HEALTH SYSTEM INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
CATHOLIC HEALTH SYSTEM INC (EIN 22-2565278)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-10-29
IRS object ID
201533029349300123
Schema version
2014v5.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-10-29T09:18:36-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

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
Phone7168282007PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1144 GENESEE ST No 4TH FLAddressLine1Txt
CityBUFFALOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14203ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID P MACHOLZPersonNm
Person TitleVP FINANCE, CORP CONTROLLERPersonTitleTxt
Phone7168282974PhoneNum
Signature2015-10-29SignatureDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOSEPH D MCDONALDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1144 GENESEE STREETAddressLine1Txt
CityBUFFALOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14203ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$128,271,200GrossReceiptsAmt
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 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 2014 Community Service Plan can be found at www.chsbuffalo.org.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee1453TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$56,897NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$31,736PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$122,814,570PYProgramServiceRevenueAmt
CY Program Service Revenue$126,255,996CYProgramServiceRevenueAmt
PY Investment Income$31,537PYInvestmentIncomeAmt
CY Investment Income$348,021CYInvestmentIncomeAmt
PY Other Revenue$726,505PYOtherRevenueAmt
CY Other Revenue$1,667,183CYOtherRevenueAmt
PY Total Revenue$123,604,348PYTotalRevenueAmt
CY Total Revenue$128,271,200CYTotalRevenueAmt
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$81,439,049PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$79,316,512CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$42,165,299PYOtherExpensesAmt
CY Other Expenses$48,300,713CYOtherExpensesAmt
PY Total Expenses$123,604,348PYTotalExpensesAmt
CY Total Expenses$127,617,225CYTotalExpensesAmt
PY Revenues Less Expenses$0PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$653,975CYRevenuesLessExpensesAmt
Total Assets BOY$112,223,659TotalAssetsBOYAmt
Total Assets EOY$190,071,792TotalAssetsEOYAmt
Total Liabilities BOY$92,159,810TotalLiabilitiesBOYAmt
Total Liabilities EOY$166,558,179TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$20,063,849NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$23,513,613NetAssetsOrFundBalancesEOYAmt
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, 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 2014 Community Service Plan can be found at www.chsbuffalo.org.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$119,490,459ExpenseAmt
Revenue$126,255,996RevenueAmt
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$119,490,459TotalProgramServiceExpensesAmt
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 Bonds0TaxExemptBondsInd
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 Document117IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1453EmployeeCnt
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
DAF Excess Business Holdings0DAFExcessBusinessHoldingsInd
Taxable Distributions0TaxableDistributionsInd
Distribution To Donor0DistributionToDonorInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
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 STREET 4TH FLOORAddressLine1Txt
CityBUFFALOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14203ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JAMES BOLDT
CHAIRMAN OF THE BOARD, MAY - OCT 20141.00Yes (X)$0$0$0
CARLTON BROCK
DIRECTOR1.00Yes (X)$0$0$0
WILLIAM J BUSCAGLIA JR
CHAIRMAN OF THE BOARD1.00Yes (X)$0$0$0
PEGGY CHOONG PHD
DIRECTOR1.00Yes (X)$0$0$0
DENNIS DOMBEK
CHAIRMAN OF THE BOARD THROUGH MAY 20141.00Yes (X)$0$0$0
KEVIN KEENAN
DIRECTOR1.00Yes (X)$0$0$0
MARSHA LEWIS PHD
DIRECTOR1.00Yes (X)$0$0$0
LI LIN PHD
DIRECTOR1.00Yes (X)$0$0$0
JOSEPH MCDONALD
PRESIDENT & CEO37.50Yes (X)$1,344,183$0$55,937Yes (X)
KELLI ARNOLD MCLEOD
DIRECTOR1.00Yes (X)$0$0$0
JOHN NATARO MD
DIRECTOR1.00Yes (X)$0$0$0
SR PATRICIA PRINZIG
DIRECTOR1.00Yes (X)$0$0$0
JACK QUINN JR
DIRECTOR1.00Yes (X)$0$0$0
JOSEPH RALABATE MD
DIRECTOR1.00Yes (X)$0$111,115$0
SHARON RANDACCIO
DIRECTOR1.00Yes (X)$0$0$0
ARTHUR RUSS JR
DIRECTOR1.00Yes (X)$0$0$0
HONORABLE HUGH B SCOTT
DIRECTOR1.00Yes (X)$0$0$0
CYNTHIA ZANE EdD
DIRECTOR1.00Yes (X)$0$0$0
MONSIGNOR ROBERT E ZAPFEL
DIRECTOR1.00Yes (X)$0$0$0
MARK SULLIVAN
EXECUTIVE VP/COO37.50$716,018$0$47,406Yes (X)
JAMES A DUNLOP JR
EXECUTIVE VP FINANCE/CFO37.50$610,886$0$180,721Yes (X)
DR BRIAN D'ARCY
SENIOR VP, MEDICAL AFFAIRS37.50$528,516$0$49,956Yes (X)
MICHAEL MOLEY
SENIOR VP, HUMAN RESOURCES37.50$602,383$0$52,698Yes (X)
JOHN STAVROS
SENIOR VP, MARKETING/P.R.37.50$299,464$0$45,380Yes (X)
MARIA FOTI
SENIOR VP, STRATEGIC PLANNING37.50$302,471$0$40,116Yes (X)
BARTHOLOMEW RODRIGUES
SENIOR VP, MISSION INTEGRATION37.50$256,461$0$42,237Yes (X)
DR MICHAEL GALANG
CHIEF INFORMATION OFFICER37.50$415,734$0$36,231Yes (X)
NANCY SHEEHAN
SENIOR VP, LEGAL SERVICES/GENERAL COUNSEL37.50$340,246$0$41,133Yes (X)
RICHARD J RUH MD
SENIOR VP, SERVICE LINES37.50$490,180$0$43,760Yes (X)
LEE GUTERMAN MD
PHYSICIAN37.50$623,006$0$51,927Yes (X)
CATALINA IONITA MD
PHYSICIAN37.50$441,216$0$40,929Yes (X)
LEE C RUOTSI MD
PHYSICIAN/MEDICAL DIRECTOR37.50$373,623$0$42,964Yes (X)
JASON JANKOWIAK
VP CARDIOVASCULAR SERVICE LINE37.50$311,453$0$28,973Yes (X)
WILLIAM J LAGALY DO
PHYSICIAN37.50$319,315$0$36,424Yes (X)
CHRISTINE KLUCKHOHN
FORMER PRESIDENT & CEO CONTINUING CARE0.00$289,537$0$123,443Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,264,692TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$111,115TotReportableCompRltdOrgAmt
Total Other Compensation$960,235TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K126IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
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
SIEMENS MEDICAL SOLUTIONS USA
DEPT AT 40065ATLANTAGA311920065MAINTENANCE SERVICES$6,834,709
INFOR (US) INC
NW 7418 PO BOX 1450MINNEAPOLISMN554857418CONSULTING SERVICES$3,671,365
DELOITTE CONSULTING LLP
PO BOX 844717DALLASTX752844717CONSULTING SERVICES$2,054,761
SOFT COMPUTER CONSULTANTS INC
5400 TECH DATA DRIVECLEARWATERFL33760CONSULTING SERVICES$1,384,298
HANYS
ONE EMPIRE DRIVERENSSELAERNY12144HEALTHCARE SUPPORT SERVICES$1,133,334
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K41CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescADMINISTRATIVE/CLINICALDesc
Business621610BusinessCd
Total Revenue Column$126,247,587TotalRevenueColumnAmt
Related Or Exempt Func Income$126,247,587RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,409TotalRevenueColumnAmt
Related Or Exempt Func Income$8,409RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$126,255,996TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$348,021TotalRevenueColumnAmt
Exclusion$348,021ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
HEALTHHOME PARTNERS621610$874,248$874,248
IT SUPPORT SERVICES561000$663,489$663,489
MISCELLANEOUS INCOME900099$68,361$68,361

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$61,085TotalRevenueColumnAmt
Exclusion$61,085ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,667,183OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$128,271,200TotalRevenueColumnAmt
Related Or Exempt Func Income$126,255,996RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,015,204ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$6,955,100TotalAmt
Program Services$5,554,980ProgramServicesAmt
Management And General$1,400,120ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$55,492,785TotalAmt
Program Services$55,265,192ProgramServicesAmt
Management And General$227,593ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$6,018,634TotalAmt
Program Services$5,983,778ProgramServicesAmt
Management And General$34,856ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,319,547TotalAmt
Program Services$5,298,466ProgramServicesAmt
Management And General$21,081ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,530,446TotalAmt
Program Services$5,530,446ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$913,081TotalAmt
Program Services$247,789ProgramServicesAmt
Management And General$665,292ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$833,694TotalAmt
Program Services$833,694ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$150,900TotalAmt
Program Services$150,900ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,712,415TotalAmt
Program Services$1,401,185ProgramServicesAmt
Management And General$311,230ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,075,602TotalAmt
Program Services$1,910,285ProgramServicesAmt
Management And General$165,317ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$409,564TotalAmt
Program Services$401,499ProgramServicesAmt
Management And General$8,065ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$19,245,051TotalAmt
Program Services$19,245,051ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,901,272TotalAmt
Program Services$1,776,110ProgramServicesAmt
Management And General$125,162ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$344,003TotalAmt
Program Services$309,167ProgramServicesAmt
Management And General$34,836ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$250,401TotalAmt
Program Services$149,831ProgramServicesAmt
Management And General$100,570ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,450,714TotalAmt
Program Services$1,450,714ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,658,997TotalAmt
Program Services$4,658,997ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$312,673TotalAmt
Program Services$312,673ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONTRACTED SERVICES$7,105,598$6,944,384$161,214
DUES$4,614,762$47,243$4,567,519
BANK FEES$371,760$371,760
TELEPHONE$353,492$348,615$4,877

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,596,734TotalAmt
Program Services$1,297,700ProgramServicesAmt
Management And General$299,034ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$127,617,225TotalAmt
Program Services$119,490,459ProgramServicesAmt
Management And General$8,126,766ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$31,053BOYAmt
EOY$117,476EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$27,929,897BOYAmt
EOY$31,772,885EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,689,342BOYAmt
EOY$4,144,020EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$91,438,977LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$14,214,020LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$14,987,851BOYAmt
EOY$77,224,957EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$5,378,709BOYAmt
EOY$5,353,731EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$60,206,807BOYAmt
EOY$71,458,723EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$112,223,659BOYAmt
EOY$190,071,792EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$27,319,126BOYAmt
EOY$27,593,226EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$11,283,006BOYAmt
EOY$9,211,900EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$53,557,678BOYAmt
EOY$129,753,053EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$92,159,810BOYAmt
EOY$166,558,179EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$17,308,630BOYAmt
EOY$23,513,613EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,755,219BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,063,849BOYAmt
EOY$23,513,613EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$112,223,659BOYAmt
EOY$190,071,792EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$653,975ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$2,795,789OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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 RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

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$92,795,318CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$103,572,038CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$117,603,442CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$122,166,373CurrentTaxYearMinus1YearAmt
Current Tax Year$126,247,587CurrentTaxYearAmt
Total$562,384,758TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$29,265CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,947CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$28,180CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,680CurrentTaxYearMinus1YearAmt
Current Tax Year$2,290CurrentTaxYearAmt
Total$112,362TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$92,824,583CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$103,602,985CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$117,631,622CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$122,188,053CurrentTaxYearMinus1YearAmt
Current Tax Year$126,249,877CurrentTaxYearAmt
Total$562,497,120TotalAmt

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$562,497,120PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,027CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,186CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,586CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,566CurrentTaxYearMinus1YearAmt
Current Tax Year$35,915CurrentTaxYearAmt
Total$118,280TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,027CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,186CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,586CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,566CurrentTaxYearMinus1YearAmt
Current Tax Year$35,915CurrentTaxYearAmt
Total$118,280TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$57,690CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$55,706CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$45,368CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$76,875CurrentTaxYearMinus1YearAmt
Current Tax Year$437,669CurrentTaxYearAmt
Total$673,308TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$92,904,300CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$103,678,877CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$117,696,576CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$122,285,494CurrentTaxYearMinus1YearAmt
Current Tax Year$126,723,461CurrentTaxYearAmt
Total$563,288,708TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99860PublicSupportCY509Pct
Public Support PY5090.99610PublicSupportPY509Pct
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$120,000DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$30,900OtherActivitiesAmt
Total Lobbying Expenditures$150,900TotalLobbyingExpendituresAmt
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 BUFFALO NIAGARA PARTNERSHIP THAT UTILIZE A PORTION OF THOSE DUES FOR LOBBYING ACTIVITIES. IN 2014, THE LOBBYING COMPONENT OF THESE DUES WAS APPROXIMATELY $30,900. 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 $120,000 IN 2014.ExplanationTxt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$41,376,030OtherCostOrOtherBasisAmt
Depreciation$1,129,128DepreciationAmt
Book Value$40,246,902BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,222,162OtherCostOrOtherBasisAmt
Depreciation$547,803DepreciationAmt
Book Value$7,674,359BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$31,816,960OtherCostOrOtherBasisAmt
Depreciation$12,537,089DepreciationAmt
Book Value$19,279,871BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,023,825OtherCostOrOtherBasisAmt
Book Value$10,023,825BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$77,224,957TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DUE FROM RELATED SUBSIDIARIES$67,019,474
INSURANCE RECOVERIES$2,605,274
MISCELLANEOUS RECEIVABLES$1,833,975
FieldValueIRS element (for citing)
Total Book Value Other Assets$71,458,723TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
DUE TO RELATED FACILITIES$14,436,625
ACCRUED PENSION$53,460,228
EQUIPMENT CAPITAL LEASES/LOANS$7,041,742
INSURANCE IBNR$4,036,688
REGIONAL TRAINING CENTER CAPITAL LEASE$50,777,770
FieldValueIRS element (for citing)
Total Liability$129,753,053TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$128,271,200TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$128,271,200RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$128,271,200TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$127,617,225TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$127,617,225ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$127,617,225TotalExpensesPerForm990Amt

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
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Personal ServicesYes (X)PersonalServicesInd
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 PaymentYes (1)SeverancePaymentInd
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 PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 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$748,734$0$280,841$0$314,608$0$34,856$0$21,081$0$1,400,120$0$0$0
MARK SULLIVAN
EXECUTIVE VP/COO$467,326$0$113,773$0$134,919$0$28,266$0$19,140$0$763,424$0$0$0
JAMES A DUNLOP JR
EXECUTIVE VP FINANCE/CFO$400,137$0$123,435$0$87,314$0$162,397$0$18,324$0$791,607$0$0$0
DR BRIAN D'ARCY
SENIOR VP, MEDICAL AFFAIRS$391,380$0$62,250$0$74,886$0$30,981$0$18,975$0$578,472$0$0$0
MICHAEL MOLEY
SENIOR VP, HUMAN RESOURCES$331,461$0$85,478$0$185,444$0$33,027$0$19,671$0$655,081$0$0$0
JOHN STAVROS
SENIOR VP, MARKETING/P.R.$213,088$0$44,797$0$41,579$0$24,145$0$21,235$0$344,844$0$0$0
MARIA FOTI
SENIOR VP, STRATEGIC PLANNING$214,638$0$48,282$0$39,551$0$33,051$0$7,065$0$342,587$0$0$0
BARTHOLOMEW RODRIGUES
SENIOR VP, MISSION INTEGRATION$170,867$0$45,920$0$39,674$0$23,834$0$18,403$0$298,698$0$0$0
DR MICHAEL GALANG
CHIEF INFORMATION OFFICER$326,118$0$49,909$0$39,707$0$28,978$0$7,253$0$451,965$0$0$0
NANCY SHEEHAN
SENIOR VP, LEGAL SERVICES/GENERAL CO$291,960$0$28,135$0$20,151$0$33,594$0$7,539$0$381,379$0$0$0
RICHARD J RUH MD
SENIOR VP, SERVICE LINES$357,065$0$93,408$0$39,707$0$23,473$0$20,287$0$533,940$0$0$0
LEE GUTERMAN MD
PHYSICIAN$462,592$0$160,000$0$414$0$31,272$0$20,655$0$674,933$0$0$0
CATALINA IONITA MD
PHYSICIAN$424,571$0$16,375$0$270$0$22,871$0$18,058$0$482,145$0$0$0
LEE C RUOTSI MD
PHYSICIAN/MEDICAL DIRECTOR$349,849$0$0$0$23,774$0$24,035$0$18,929$0$416,587$0$0$0
JASON JANKOWIAK
VP CARDIOVASCULAR SERVICE LINE$259,176$0$26,039$0$26,238$0$11,179$0$17,794$0$340,426$0$0$0
WILLIAM J LAGALY DO
PHYSICIAN$316,201$0$0$0$3,114$0$19,055$0$17,369$0$355,739$0$0$0
CHRISTINE KLUCKHOHN
FORMER PRESIDENT & CEO CONTINUING CA$0$0$0$0$289,537$0$106,137$0$17,306$0$412,980$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. Health or social club dues or initiation fees: Taxable benefits for Country Club expenses were paid per the terms and conditions of the employment agreement for one key employee. Personal services: Personal services for income tax preparation expenses were paid per the terms and conditions of the employment agreement for one key employee.
Part I, Lines 4a-b4a: A severance payment of $ 288,763.47 was made for Christine Kluckhohn, an associate who was listed in Part 1a. 4b: Certain Officers and Key employees participated in a supplemental nonqualified retirement plan per the terms and conditions of their employment arrangement. Pension Gap Supplemental Executive Retirement Plan Joseph McDonald $26,000.00 $117,093.00 Mark Sullivan $19,500.00 Dr. Brian D'Arcy $ 9,800.00 Peter Bergmann $ 7,334.00
Part I, Line 7Executive Management employed by Catholic Health are compensated under a multi-tiered, goal-based program which includes base pay and a variable portion. The variable portion is referred to as "at risk compensation." Each of the eligible members of executive management is assigned performance goals aligned with organizational strategic goals. Each goal has minimum threshold criteria, target criteria and a maximum.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
KATHLEEN ZAPFEL
SISTER-IN-LAW OF BOARD OF DIRECTOR MEMBER, MSGR ROBERT ZAPFEL$70,537HUMAN RESOURCE EMPLOYEE OF CATHOLIC HEALTH SYSTEM0
MARIE PACKARD
DAUGHTER OF BOARD OF DIRECTOR MEMBER, DENNIS DOMBEK$84,949MERCY HOSPITAL PHYSICAL THERAPIST0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6CHS has three members: Ascension Health, 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 up to three individuals to act as its representatives on the Corporate Member Board, and in undertaking any action in its capacity as a Member. The Corporate Member Board oversees the governance of the Catholic Health System.
Form 990, Part VI, Section A, line 7bEach member is entitled to one vote on each matter properly submitted at any membership meeting, and the members also have reserve powers which allow approval for certain business events and ratification of certain business transactions.
Form 990, Part VI, Section B, line 11An electronic copy of the Form 990 was provided to the CHS Board of Directors before it was filed. The CHS Board of Directors has delegated the responsibility to review the 990 to the Audit Committee. The CHS Audit Committee reviewed in detail selected information for all CHS entities. Reviewed with the Audit Committee: 1.Core Form Part IV: Checklist of required schedules 2.Core Form Part VI: Governance, Management and Disclosure 3.Core Form Part VII: Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees and Independent Contractors 4.Schedule H: Hospitals 5.Schedule K: Supplemental information on Tax Exempt Bonds 6.Schedule J: Compensation Information 7.Schedule L: Transactions with Interested Persons 8.Schedule R: Related Organizations and Unrelated Partnerships 9.Process for which remaining Core Form was completed, utilizing audited financial information
Form 990, Part VI, Section B, line 12cAll associates on the Merit program; all Physicians and Non Physician Practitioners as well as Physician groups who are independent contractors or employees of CHS; and all board members must complete a Conflict of Interest Disclosure Statement (COIDS) in order to fulfill the annual requirements. COIDS are distributed to all parties, as per applicable policy, and once complete are followed up with as follows: 1. Associate and Physician completed COIDS are reviewed and signed off by the manager. If a disclosure is noted, it is discussed with the manager, and the document is forwarded to the Compliance officer who reviews and follows up as appropriate. Once review/follow up is completed the Compliance Officer will sign the COIDS, maintain a copy in the compliance office and return the original to HR for filing in the Personnel file. 2. All board member COIDS are returned to Compliance Officer for review and follow up as warranted. The compliance officer will sign each COIDS and retain on file in the compliance office in a confidential manner.
Form 990, Part VI, Section B, line 15In 2014, the Catholic Health System utilized a Compensation Committee of the Board of Directors to monitor the Executive Compensation as per the Executive Compensation Philosophy and Strategy for the CHS CEO; COO; CFO; CEO's for each Ministry; and all Senior Vice Presidents. The Compensation Committee provides oversight to management decisions which are based on outlines approved by the committee, and performs a review of data. The outcome of these meetings is documented.
Form 990, Part VI, Section 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 -14,030,856. CAPITAL EQUITY CONTRIBUTIONS/DISTRIBUTIONS (INTERCOMPANY) 12,326,260. GRANT REVENUE FOR CAPITAL 4,525,375. OTHER CHANGES IN NET ASSETS -24,990.
Form 990, Part XII, Line 2c:Oversight of the financial statement audit process has not changed from the prior year.
SCHEDULE B - CONTRIBUTIONSCONTRIBUTIONS AND PLEDGES THAT ARE RESTRICTED BY THE DONOR ARE REPORTED AS INCREASES IN TEMPORARILY OR PERMANENTLY RESTRICTED NET ASSETS, DEPENDING ON THE NATURE OF THE RESTRICTION. WHEN A RESTRICTION EXPIRES, TEMPORARILY RESTRICTED NET ASSETS ARE RECLASSIFIED TO UNRESTRICTED NET ASSETS AND REPORTED IN THE STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS RELEASED FROM RESTRICTIONS. AS SUCH, CONTRIBUTIONS ARE NOT RECOGNIZED ON SECTION VIII, STATEMENT OF REVENUE, WITHIN THIS RETURN.

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 HOMECARE
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
CHS CONTINUING CARE FOUNDATION
144 GENESEE STREETBUFFALONY14203200947831FOUNDATIONNY501 C509(a)(1),170(b)(1)(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
2625 HARLEM ROADCHEEKTOWAGANY14225272576645PRIMARY 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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1HEALTH HOME PARTNERS OF WNY LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1227 THORN AVENUE BOX 631AddressLine1Txt
CityORCHARD PARKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14127ZIPCd
FieldValueIRS element (for citing)
EIN455343851EIN
Primary ActivitiesHEALTH HOMEPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of EOY Assets$424,792ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
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