FURP.ORG / PUBLIC DATA EXPLORER

MERCY HOSPITAL OF BUFFALO: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
MERCY HOSPITAL OF BUFFALO (EIN 16-0756336)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-10-30
IRS object ID
201423039349300302
Schema version
2013v3.0
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)
Return2014-10-30T08:03:25-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN160756336EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Buffalo Mercy HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlBUFFBusinessNameControlTxt
Phone7168282993PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1144 Genesee Street Finance 4thAddressLine1
Address Line2FloorAddressLine2
CityBuffaloCity
StateNYState
ZIP Code14203ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID P MACHOLZPersonNm
Person TitleVP Finance/Corp ControllerPersonTitleTxt
Phone7168282974PhoneNum
Signature2014-10-30SignatureDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJoseph D McDonaldPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1144 Genesee Street AdministrationAddressLine1
Address Line26th FloorAddressLine2
CityBuffaloCity
StateNYState
ZIP Code14203ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$374,438,592GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.chsbuffalo.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1957FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionThe Catholic Health System (CHS) Mission is to provide quality healthcare services in an acute 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 2013 Community Service Plan can be found at www.chsbuffalo.org.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee2765TotalEmployeeCnt
Total Volunteers243TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$140,829PYContributionsGrantsAmt
CY Contributions Grants$1,016,555CYContributionsGrantsAmt
PY Program Service Revenue$340,731,217PYProgramServiceRevenueAmt
CY Program Service Revenue$362,664,484CYProgramServiceRevenueAmt
PY Investment Income$359,633PYInvestmentIncomeAmt
CY Investment Income$597,906CYInvestmentIncomeAmt
PY Other Revenue$7,016,823PYOtherRevenueAmt
CY Other Revenue$10,159,647CYOtherRevenueAmt
PY Total Revenue$348,248,502PYTotalRevenueAmt
CY Total Revenue$374,438,592CYTotalRevenueAmt
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$163,705,546PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$173,792,996CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$170,924,265PYOtherExpensesAmt
CY Other Expenses$180,639,482CYOtherExpensesAmt
PY Total Expenses$334,629,811PYTotalExpensesAmt
CY Total Expenses$354,432,478CYTotalExpensesAmt
PY Revenues Less Expenses$13,618,691PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$20,006,114CYRevenuesLessExpensesAmt
Total Assets BOY$245,545,386TotalAssetsBOYAmt
Total Assets EOY$268,051,408TotalAssetsEOYAmt
Total Liabilities BOY$298,022,068TotalLiabilitiesBOYAmt
Total Liabilities EOY$259,009,550TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$52,476,682NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$9,041,858NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe Catholic Health System (CHS) Mission is to provide quality healthcare services in an acute 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 2013 Community Service Plan can be found at www.chsbuffalo.org.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$174,620,535ExpenseAmt
Revenue$238,350,776RevenueAmt
DescInpatient Routine/Surgery Visits: Acute Care Patient Days = 86,855Newborn Patient Days = 7,213Medical Rehab Patient Days = 6,835Skilled Nursing Patient Days = 30,380Operating Room = 6,327OPD = 745G.I. Laboratory = 2,335Dialysis Access Center = 647Interventional Radiology = 918Cardiac (EP & Catheterizations) = 3,272Transfusion = 1,009Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$81,155,974ExpenseAmt
Revenue$110,774,998RevenueAmt
DescOutpatient Routine/Surgery Services:Emergency Visits (Net of Admits) = 60,565Referred Ambulatory Visits = 189,018Outpatient Ambulatory Surgery Visits = 15,253Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$9,918,729ExpenseAmt
Revenue$13,538,710RevenueAmt
DescClinic/Primary Care Services:Clinic Visits = 5,339Primary Care Visits = 67,293Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$265,695,238TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
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 Footnote0IncludeFIN48FootnoteInd
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 HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt BondsYes (1)InvestTaxExemptBondsInd
Escrow AccountYes (1)EscrowAccountInd
On Behalf Of IssuerYes (1)OnBehalfOfIssuerInd
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 EntYes (1)BusinessRlnWithOfficerEntInd
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 OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document198IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee2765EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
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
Excess Business Holdings0ExcessBusinessHoldingsInd
Taxable Distributions0TaxableDistributionsInd
Distribution To Donor0DistributionToDonorInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
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 VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1David P Macholz VP Finance Corporate ControllerBusinessNameLine1
FieldValueIRS element (for citing)
Phone7168282974PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1144 Genesee Street Finance 4thAddressLine1
CityBuffaloCity
StateNYState
ZIP Code14203ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Joseph McDonald
President and CEO, CHS0.0037.50Yes (X)Yes (X)$0$1,678,073$23,277
Mark Sullivan
Executive VP / COO0.0037.50Yes (X)Yes (X)$0$748,231$6,740
Charles Urlaub
President, and CEO Mercy37.500.00Yes (X)Yes (X)$453,029$0$23,238
David Macholz
Treasurer0.0037.50Yes (X)Yes (X)$0$236,152$6,647
Peter Bergmann
Director0.0037.50Yes (X)$0$487,172$16,046
James Millard
Director0.0037.50Yes (X)$0$329,262-$54,042
Christine Kluckhohn
Pres.& CEO ContinuingCare0.0037.50Yes (X)$0$288,295-$23,731
Dr Michael Edbauer
Director0.0018.80Yes (X)$0$256,646$8,384
Brian Beitz
Director0.001.00Yes (X)$0$0$0
Frances Crosby RN PhD
Director0.001.00Yes (X)$0$0$0
Richard Curran MD
Director0.001.00Yes (X)$0$0$0
Dennis Dombek
Director0.001.00Yes (X)$0$0$0
Dr Craig Fetterman
Director0.001.00Yes (X)$0$0$0
Mr William Lawley Jr
Director0.001.00Yes (X)$0$0$0
Judith Maness
Director0.001.00Yes (X)$0$0$0
James Manzella
Director0.001.00Yes (X)$0$0$0
Michael Montante
Director0.001.00Yes (X)$0$0$0
Cynthia Zane EdD
Director0.001.00Yes (X)$0$0$0
Monsignor Robert E Zapfel
Director0.001.00Yes (X)$0$0$0
James A Dunlop Jr
Executive VP, Finance / CFO0.0037.50Yes (X)$0$674,481-$51,144
Dr Brian D'Arcy
Senior VP, Medical Affairs0.0037.50Yes (X)$0$434,608$47,365
John Herman
Chief Operating Officer, Mercy37.500.00Yes (X)$231,512$0-$2,977
Michael Moley
Sr.VP, Human Resources0.0037.50$0$644,598$23,524Yes (X)
John Stavros
Sr.VP, Marketing / P.R.0.0037.50$0$278,958$35,521Yes (X)
Dr Michael Galang
Chief Information Officer0.0037.50$0$448,522$4,849Yes (X)
Nancy Sheehan
SVP Legal Service, General Counsel0.0037.50$0$331,332$7,739Yes (X)
Richard J Ruh MD
Sr. VP, Service Lines0.0037.50$0$401,525$22,636Yes (X)
Dr Thomas Raab
Physician37.500.00$492,369$0$7,929Yes (X)
Dr Timothy Gabryel
VP Medical Affairs37.500.00$440,501$0$24,008Yes (X)
Dr Syed Shah
Physician37.500.00$486,374$0$27,557Yes (X)
Dr Lawrence Gugino
Physician37.500.00$268,187$0$21,834Yes (X)
Dr Nicholas Cromwell
Physician37.500.00$256,783$0$12,046Yes (X)
Dr Stephen Downing
Physician37.500.00$274,892$0$10,925Yes (X)
Nils Gunnerson
Leased Administrator37.500.00$297,339$0-$10,549Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,200,986TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,237,855TotReportableCompRltdOrgAmt
Total Other Compensation$187,822TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K106IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
Telco Construction Inc
500 Buffalo RoadEast AuroraNY14052Construction Services$3,914,565
Siemens Medical Solutions
51 Valley Stream ParkwayMalvernePA19355Maintenance Services$3,034,045
Aramark Services Inc
1000 East Henrietta RoadRochesterNY14623Dietery Services$1,827,935
Nursefinders Inc
PO Box 910738DallasTX753910738Nursing Services$1,196,806
Buffalo Gastroenterology
260 Redtail RoadOrchard ParkNY14127Physician Services$1,112,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K47CntrctRcvdGreaterThan100KCnt
Government Grants$1,016,555GovernmentGrantsAmt
Total Contributions$1,016,555TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Care Services900099$260,055,279$260,055,279
Medicaid/Medicare900099$102,609,205$102,609,205
FieldValueIRS element (for citing)
Total Program Service Revenue$362,664,484TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$597,906TotalRevenueColumnAmt
Exclusion$597,906ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$383,877RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$383,877RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$383,877TotalRevenueColumnAmt
Exclusion$383,877ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Lawsuit Settlement900099$4,000,000$4,000,000
Meaningful Use Dollars900099$2,118,073$2,118,073
Cafeteria Revenue900099$1,064,187$1,064,187

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,593,510TotalRevenueColumnAmt
Related Or Exempt Func Income$743,325RelatedOrExemptFuncIncomeAmt
Exclusion$1,850,185ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$9,775,770OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$374,438,592TotalRevenueColumnAmt
Related Or Exempt Func Income$365,525,882RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$7,896,155ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$126,274,730TotalAmt
Program Services$110,858,723ProgramServicesAmt
Management And General$15,416,007ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$16,463,391TotalAmt
Program Services$14,453,490ProgramServicesAmt
Management And General$2,009,901ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$22,344,931TotalAmt
Program Services$19,616,993ProgramServicesAmt
Management And General$2,727,938ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,709,944TotalAmt
Program Services$7,646,607ProgramServicesAmt
Management And General$1,063,337ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$85,695TotalAmt
Program Services$6,207ProgramServicesAmt
Management And General$79,488ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,408,073TotalAmt
Program Services$9,365,788ProgramServicesAmt
Management And General$1,042,285ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$144,870TotalAmt
Program Services$13,259ProgramServicesAmt
Management And General$131,611ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,402,210TotalAmt
Program Services$4,362,450ProgramServicesAmt
Management And General$4,039,760ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$264,815TotalAmt
Program Services$31,950ProgramServicesAmt
Management And General$232,865ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,163,129TotalAmt
Program Services$762,755ProgramServicesAmt
Management And General$6,400,374ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$126,651TotalAmt
Program Services$86,995ProgramServicesAmt
Management And General$39,656ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$166,505TotalAmt
Program Services$152,500ProgramServicesAmt
Management And General$14,005ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,272,581TotalAmt
Program Services$1,772,835ProgramServicesAmt
Management And General$499,746ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,834,604TotalAmt
Program Services$10,012,242ProgramServicesAmt
Management And General$2,822,362ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,010,440TotalAmt
Program Services$2,665,350ProgramServicesAmt
Management And General$345,090ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$70,783,015$72,025,972-$1,242,957
Dues and Shared Service$46,209,571$46,209,571
Purchase Services and O$15,794,567$9,311,223$6,483,344

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,972,756TotalAmt
Program Services$2,549,899ProgramServicesAmt
Management And General$422,857ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$354,432,478TotalAmt
Program Services$265,695,238ProgramServicesAmt
Management And General$88,737,240ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$56,644,895BOYAmt
EOY$62,006,084EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,636,387BOYAmt
EOY$3,222,203EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$47,457,302BOYAmt
EOY$54,105,226EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,628,992BOYAmt
EOY$11,112,862EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,304,804BOYAmt
EOY$1,997,489EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$165,466,674LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$64,346,093LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$96,738,817BOYAmt
EOY$101,120,581EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$135,102BOYAmt
EOY$147,683EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$27,999,087BOYAmt
EOY$34,339,280EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$245,545,386BOYAmt
EOY$268,051,408EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$48,127,796BOYAmt
EOY$51,576,417EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$35,964,324BOYAmt
EOY$34,662,730EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$18,801,923BOYAmt
EOY$16,415,790EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$195,128,025BOYAmt
EOY$156,354,613EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$298,022,068BOYAmt
EOY$259,009,550EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$54,269,577BOYAmt
EOY$7,886,053EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,670,372BOYAmt
EOY$1,033,282EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$122,523BOYAmt
EOY$122,523EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$52,476,682BOYAmt
EOY$9,041,858EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$245,545,386BOYAmt
EOY$268,051,408EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$20,006,114ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$41,512,426OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
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)
HospitalYes (X)HospitalInd

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 D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,409,722InvestmentCostOrOtherBasisAmt
Book Value$1,409,722BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$68,128,532InvestmentCostOrOtherBasisAmt
Depreciation$29,562,087DepreciationAmt
Book Value$38,566,445BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$31,805,143InvestmentCostOrOtherBasisAmt
Depreciation$4,492,155DepreciationAmt
Book Value$27,312,988BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$62,856,460InvestmentCostOrOtherBasisAmt
Depreciation$30,149,425DepreciationAmt
Book Value$32,707,035BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,266,817InvestmentCostOrOtherBasisAmt
Depreciation$142,426DepreciationAmt
Book Value$1,124,391BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$101,120,581TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
Accrued Receivables$5,345,106
Due From Affiliates$119,943
Interest in the Net Assets of Mercy Hospital Foundation Inc$2,178,883
Workers Compensation Funding$671,750
Insurance Recoveries$26,023,598
FieldValueIRS element (for citing)
Total Book Value Other Assets$34,339,280TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
Deferred Comp Liability$11,095
Due to Affiliates$9,906,249
Interest Rate Swap$3,223,924
Asset Retirement Obligation$5,689,954
Accrued Pension Obligation$96,901,865
LT Gen Liab/Workers Comp IBNR$40,427,822
LT Disposables$193,704
FieldValueIRS element (for citing)
Total Liability$156,354,613TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$374,511,655TotalRevEtcAuditedFinclStmtAmt
Other Revenue$1,062,413OtherRevenueAmt
Revenue Not Reported$1,062,413RevenueNotReportedAmt
Revenue Subtotal$373,449,242RevenueSubtotalAmt
Other Revenues Not Included$989,350OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$989,350RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$374,438,592TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$354,970,447TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$537,969OtherExpensesIncludedAmt
Expenses Not Reported$537,969ExpensesNotReportedAmt
Expenses Subtotal$354,432,478ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$354,432,478TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part XI, Line 2d - Other Adjustments:Foundation Activity - 1,062,414
Part XI, Line 4b - Other Adjustments:Contributions from Foundation to Mercy Hospital - 988,410 Contributions from Grants - 940
Part XII, Line 2d - Other Adjustments:Foundation Expenses (net of eliminations) - 537,969

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other110.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,118,969TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$227,821DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,891,148NetCommunityBenefitExpnsAmt
Total Expense0.00820TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$50,332,474TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,961,489DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,370,985NetCommunityBenefitExpnsAmt
Total Expense0.03490TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$53,451,443TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$38,189,310DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,262,133NetCommunityBenefitExpnsAmt
Total Expense0.04310TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,926,316TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,926,316NetCommunityBenefitExpnsAmt
Total Expense0.00540TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,846,155TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,392,672DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,453,483NetCommunityBenefitExpnsAmt
Total Expense0.01540TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$749,047TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$749,047NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$281,295TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$281,295NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,802,813TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,392,672DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,410,141NetCommunityBenefitExpnsAmt
Total Expense0.02370TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$63,254,256TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$39,581,982DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,672,274NetCommunityBenefitExpnsAmt
Total Expense0.06680TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$60,493TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$60,493NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$320,585TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$320,585NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$381,078TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$381,078NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$3,769,764BadDebtExpenseAmt
Bad Debt Expense Attributable$2,721,872BadDebtExpenseAttributableAmt
Reimbursed By Medicare$65,017,329ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$62,457,379CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$2,559,950MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn0FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndOtherOtherDesc
Mercy Hospital of Buffalo
1565 Abbott RoadBuffaloNY14220Yes (X)Yes (X)Yes (X)Yes (X)Ambulatory Surgery - Multi Specialty, Audiology O/P, Cadriac Cathereization,
Mercy Ambulatory Care Center
23669 Southwestern BlvdOrchard ParkNY14127Yes (X)Yes (X)Yes (X)Yes (X)Clinical Laboratory Service, CT Scanner, Emeregency Department, Medical Sur

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Mercy Hospital of BuffaloBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
OtherYes (X)OtherInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://www.chsbuffalo.org/AboutUs/CommuniOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs Addressed0AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care110.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (1)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care500.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
Medicaid MedicareYes (X)MedicaidMedicareInd
State RegulationYes (X)StateRegulationInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Attached To InvoiceYes (X)AttachedToInvoiceInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Provided On AdmissionYes (X)ProvidedOnAdmissionInd
Available On RequestYes (X)AvailableOnRequestInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Mercy Hospital of BuffaloPart V, Section B, Line 1j: In addition to the IRS requirements Catholic Health complied with the NYS Department of Health Community Health Needs Assessment requirements, Community Service Plan.
Mercy Hospital of BuffaloPart V, Section B, Line 3: Catholic Health utilized a variety of sources to develop the health needs assessment to ensure the inclusion of persons who represent the broad interest of the community and have special expertise in, or knowledge of, public health issues and concerns: * Survey of community representatives was conducted to ascertain their perception of the County's health needs * Facilitated group discussions with community and public health experts* Focus group with Catholic Health's Emergency Department Task Force* Erie County Department of Health created community-wide health needs survey* Erie County Department of Health led community forum* Evaluations administered by the Catholic Health Community Education Department after each class, workshop, or program it sponsors. Group Interview Participants:Catholic CharitiesAlzheimer's AssociationBrylin Hospitals Harvest HouseSpectrum Human Services Buffalo State College Center for Community Health Center Health and Social ResearchErie County DOH Wellness InstituteAmerican Cancer Society P2 Collaborative of WNYHealthcare Community Consultant City of Buffalo communityPhysician representativeErie County Department of Health Community Meeting Participants:FDA Cancer Service Program of Erie CountyBuffalo State College Catholic HealthP2 Collaborative of WNYAmerican Cancer SocietyMonroe Plan UBMDWellness Institute EPICM.E.D.-V.A.R. Consulting KaleidaBuffalo Prenatal-Perinatal Network Erie County DOHUnited Way Prevention Focus
Mercy Hospital of BuffaloPart V, Section B, Line 4: Mercy Hospital was conducted with Sisters Hospital and Kenmore Mercy Hospital.
Mercy Hospital of BuffaloPart V, Section B, Line 7: Through the needs assessment, numerous areas were identified as important and clearly impact the health of the community. Catholic Health identified the "significant" needs as the New York State Department of Health Prevention Agenda priorities. Within the "priorities", Catholic Health will address numerous health needs. One priority area was prioritized lower and not addressed in the implementation plan: Promote a Healthy and Safe Environment. Contributing to this lower priority was lack of available funds and potential for less impact upon the community. Although, should opportunity arise, with resources available to effectively address this need, Catholic Health will reconsider for incorporation in the future.
Mercy Hospital of BuffaloPart V, Section B, Line 14g: Includes information in both English and Spanish on all signage and brochures for financial assistance.
Mercy Hospital of BuffaloPart V, Section B, Line 20d: Highest volume commercial payor rate.
Mercy Hospital of BuffaloPart V, Section B, Line 22: There are instances where the full charges on the account are equal to or less than the highest volume commercial payor rate.
FieldValueIRS element (for citing)
Facility8FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
East Aurora Medical Center
94 Olean StEast AuroraNY14052Extension Clinic: OT-O/P, PT-O/P, Speech-O/P, Radiology-O/P, Lab-O/P
Mercy Outpatient Clinic OBGyn
515 Abbott RdBuffaloNY14220Extension Clinic: Prenatal O/P, Primary Medical Care O/P
Mercy Comprehensive Care Center
397 Louisiana StBuffaloNY14202Extension Clinic: Primary Care, Pediatric, Lab, Podiatry, Prenatal,Radiology
OLV Family Care Center
227 Ridge RdLackawannaNY14218Extension Clinic: Prenatal O/P, Primary Medical Care O/P
Mercy Nursing Facility
55 Melroy AveLackawannaNY14218Long Term Care, Lab-O/P, Radiology- Diagnostic O/P
Pace Health Center
55 Melroy AveLackawannaNY14218Extension Clinic: OT-O/P, PT-O/P, Speech-O/P, Primary Care, Psychology O/P
Mercy Ambulatory Care Center
550 Orchard Park RdWest SenecaNY14224CT, Lab-O/P, Primary Care, Radiology-O/P, OT-O/P, PT-O/P, Speech-O/P
Springville Primary Care Center
27 Franklin StSpringvilleNY14141Pediatric-O/P, Primary Medical Care-O/P

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 6a:Part 1, line 6a: Mercy Hospital Community Benefit Report is contained in a report prepared by the Catholic Health System.
Part I, Line 7:Costing is a full step down methodology of cost from non-revenue producing departments to revenue producing departments', with assignment of cost to individual charge items based on volume and charge amount. All patient accounts are cost with the same methodology regardless of patient type (inpatient, outpatient, emergency room, etc.) or insurance coverage (Medicare, Medicaid, private insurance, uninsured, etc.).
Part II, Community Building Activities:Mercy Hospital provided Community Building in the form of Community Support and Leadership Development which improved community leadership by promoting understanding of community healthcare needs and services at various events throughout the community.
Part III, Line 4:The amount in Part III line 2 is the actual bad debt expenses of $8,742,496 written down to cost, utilizing the Uninsured Ratio of Cost to Charges (RCC) obtained from the full step down methodology of cost described in Part 1, line 7. The amount in Part III line 3 is the estimate of bad debt from uninsured balance which is developed as follows: as policy is to write accounts to bad debt 120 days after discharge, the discharge date period of 10/1/2012 to 9/30/2013 was used to determine the population of uninsured accounts. The balance of these accounts was determined and the RCC was applied to develop the estimate in H Part III Line 3.As our determination of eligibility for the Healthcare Assistance Program (HAP) (Charity Care) is based solely on the presentation for care without insurance, which is now for each account, and use of a sophisticated estimator (PARO) of each guarantor's ability to pay an estimate of "the amount that reasonably could be attributable to patients who likely would qualify for financial assistance under the hospital's charity care policy if sufficient information had been available to make a determination of their eligibility" is not relevant. The organization's financial statements do not include a footnote that describes bad debt expense, but the financial statements account for bad debt expenses in the statement of operations as actual expenses written off and an estimate of future write-offs less any recoveries.
Part VI, Line 2:Catholic Health utilizes multiple methods to assess the health care needs of the commuities it serves, including:* Evaluations administered by the Catholic Health Community Education Department after each class, workshop, or program it sponsors;* Patient, resident and caregiver satisfaction surveys;* Physician and leadership participation in forums to define health needs of patient populations; and* Participation in regional planning initiatives.
Part VI, Line 3:Mercy Hospital informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the Catholic Health System Healthcare Assistance Program (HAP) policy. For example, Mercy Hospital has posters and brochures available which include contact information for the Financial Clearance staff in admissions areas, emergency rooms, primary care and outpatient rehabilitation clinics, Revenue Management Center (RMC) and other areas of the organization's facilities where eligible patients are likely to be present; provides information about financial assistance and HAP contact information to patients as part of the intake process; provides financial assistance and HAP contact information to inpatients either during or within 90 days of discharge of their hospital stay; patient bills include the following language: "The Catholic Health System has a Healthcare Assistance Program to assist those in need of financial assistance for qualified patients. If you would like to obtain additional information on the Healthcare Assistance Program, please call (716) 601-3600. Thank you.Our Customer Service area is our front end team to assist all patients in this process." Additionally, we discuss with the patient the availability of various government benefits, such as Medicaid or state programs, and assist the patient with qualification for such programs, where applicable, and there is information about financial aid posted on the Catholic Health System website.
Part VI, Line 4:Catholic Health serves the eight counties of Western New York. The System's primary service area is Erie County which accounts for 90% of its inpatient admissions and 85% of ambulatory care visits. Erie County consists of a mix of urban, suburban and rural populations. It includes the City of Buffalo, New York State's second largest city, surrounded by a ring of older suburbs, which is followed by a ring of more newly developed suburbs, and then rural communities. The current population of Erie County is over nine hundred thousand, with about one-third living in Buffalo.Erie County has an average income significantly lower than and has a greater percentage of persons over the age of 55 than New York State and the United States. Erie County's population is projected to decreasebetween now and 2017, with the greatest decline expected in those ages 35-54, and the greatest increase projected in those 55 and over.Erie County is less racially and ethnically diverse than New York State or the rest of the country, and the Non-White populations are concentrated in and immediately around the City of Buffalo. All of the 11 zip codes in Erie County that have a Non-White population of 50% or more are in Buffalo.
Part VI, Line 5:One of the fundamental reasons for the creation of Catholic Health was to ensure the continued viability of faith-based health care to meet the needs of residents in Erie County and the surrounding communities. Integral to this effort is caring for the needs of those who are poor and disadvantaged. The services provided by Catholic Health organizations are provided in response to identified community needs, and reflect the System's emphasis on caring for the underserved. Catholic Health collaborates with other organizations to maximize its ability to provide needed services to the residents of our region.Each year, Catholic Health touches tens of thousands of community residents through community health education programs, health screenings, clinical and support services, and community support activities. Catholic Health will continue to meet community needs by providing charity care and Medicaid services, in addition to various other community benefit programs, including community health improvement, community benefit operations, health professions education, community building, as well as cash and in-kind contributions.
Part VI, Line 6:In 2013, Catholic Health (the System), including Kenmore Mercy Hospital, Mercy Hospital of Buffalo, Sisters of Charity Hospital, and Sisters of Charity Hospital - St. Joseph Campus, jointly conducted a Community Health Needs Assessment (CHNA) to better understand the health needs of the community they serve and to fulfill the requirements of both the Internal Revenue Service (IRS) and the New York State Department of Health (DOH). To ensure the assessment was comprehensive, input from the public and several community organizations was solicited. As part of this coordinated initiative, the System developed a three-year Implementation Strategy to address the health needs identified in the assessment.
Part VI, Line 7, Reports Filed With StatesNY

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 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 and CEO, CHS$0$707,646$0$355,199$0$615,228$0$4,992$0$18,285$0$1,701,350$0$0
Mark Sullivan
Executive VP / COO$0$434,186$0$180,496$0$133,549$0-$9,590$0$16,330$0$754,971$0$0
Charles Urlaub
President, and CEO Mercy$343,560$0$51,902$0$57,567$0$6,518$0$16,720$0$476,267$0$0$0
David Macholz
Treasurer$0$182,055$0$27,841$0$26,256$0-$11,013$0$17,660$0$242,799$0$0
Peter Bergmann
Director$0$364,848$0$76,524$0$45,800$0-$6,310$0$22,356$0$503,218$0$0
James Millard
Director$0$245,733$0$43,857$0$39,672$0-$54,323$0$281$0$275,220$0$0
Christine Kluckhohn
Pres.& CEO ContinuingCare$0$83,923$0$18,464$0$185,908$0-$46,313$0$22,582$0$264,564$0$0
Dr Michael Edbauer
Director$0$203,206$0$28,710$0$24,730$0-$304$0$8,688$0$265,030$0$0
James A Dunlop Jr
Executive VP, Finance / CFO$0$383,536$0$221,131$0$69,814$0-$68,063$0$16,919$0$623,337$0$0
Dr Brian D'Arcy
Senior VP, Medical Affairs$0$311,162$0$49,658$0$73,788$0$24,059$0$23,306$0$481,973$0$0
John Herman
Chief Operating Officer, Mercy$176,203$0$29,060$0$26,249$0-$18,525$0$15,548$0$228,535$0$0$0
Michael Moley
Sr.VP, Human Resources$0$309,221$0$151,753$0$183,624$0$6,662$0$16,862$0$668,122$0$0
John Stavros
Sr.VP, Marketing / P.R.$0$198,733$0$38,646$0$41,579$0$17,048$0$18,473$0$314,479$0$0
Dr Michael Galang
Chief Information Officer$0$304,298$0$104,516$0$39,708$0-$1,161$0$6,010$0$453,371$0$0
Nancy Sheehan
SVP Legal Service, General Counsel$0$261,089$0$50,717$0$19,526$0$1,457$0$6,282$0$339,071$0$0
Richard J Ruh MD
Sr. VP, Service Lines$0$326,942$0$29,786$0$44,797$0$5,158$0$17,478$0$424,161$0$0
Dr Thomas Raab
Physician$418,181$0$50,000$0$24,188$0-$17,785$0$25,714$0$500,298$0$0$0
Dr Timothy Gabryel
VP Medical Affairs$383,571$0$40,142$0$16,788$0$15,033$0$8,975$0$464,509$0$0$0
Dr Syed Shah
Physician$429,650$0$31,250$0$25,474$0$11,579$0$15,978$0$513,931$0$0$0
Dr Lawrence Gugino
Physician$267,413$0$0$0$774$0$5,386$0$16,448$0$290,021$0$0$0
Dr Nicholas Cromwell
Physician$240,041$0$0$0$16,742$0$11,793$0$253$0$268,829$0$0$0
Dr Stephen Downing
Physician$265,072$0$0$0$9,820$0$0$0$10,925$0$285,817$0$0$0
Nils Gunnerson
Leased Administrator$207,890$0$49,742$0$39,707$0-$10,805$0$256$0$286,790$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Lines 4a-bA severance payment of $176,379.28 was made for Christine Kluckhohn, an associate who was listed in Part 1a. Certain Officers and Key employees participated in a supplemental nonqualified retirement plan per the terms and conditions of their employment arrangement. Mercy Pension Gap CHE SERP Joseph McDonald 26,000.00 299,904.00 Mark Sullivan 19,500.00 Dr. Brian D'Arcy 9,800.00 Peter Bergmann 7,334.00
Part I, Line 6The 2013 Incentive payments were dependent upon achieving the Catholic Health System Operating Income target for Catholic Health System participants or the Ministry Operating Income target for Ministry participants. Joseph McDonald $355,199.37 James A. Dunlop, Jr. $221,130.56 Mark Sullivan $180,495.91 Michael Moley $151,752.84 Dr. Michael Galang $104,515.96 Peter Bergmann $76,523.85 Dr. Michael Edbauer $57,419.55 Charles Urlaub $51,901.70 Nancy Sheehan $50,717.26 Dr. Thomas Raab $50,000.00 Nils Gunnerson $49,741.58 Dr. Brian D'Arcy $49,658.25 James Millard $43,857.45 Dr. Timothy Gabryel $40,141.88 John Stavros $38,645.95 Dr. Syed Shah $31,250.00 John Herman $29,059.58 David Macholz $27,841.37 Bartholomew Rodrigues $20,996.27 Christine Kluckhohn $18,463.54

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Dormitory Authority of the State of NY
A14600029364983Q5R62006-11-29$13,360,000Part VI000
Dormitory Authority of the State of NY
B14600029364983Q5D92008-11-26$24,700,000Part VI000
Dormitory Authority of the State of NY
C146000293649906J962012-07-12$3,080,000Part VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRefunding EscrowRefundingEscrowAmtIn Reserve FundInReserveFundAmtUnspentUnspentAmt
A$13,360,000$537,015$79,065$12,743,9202006Yes (1)0Yes (1)Yes (1)
B$24,700,000$1,150,457$220,774$23,217,040201000Yes (1)Yes (1)$111,729
C$3,080,000$110,012$1,983,0652013000Yes (1)$206,564$780,359

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000
B0000000
C0000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueInd
HSBC Bank USA NA
AYes (1)Yes (1)Yes (1)18.50000000000000000
HSBC Bank USA NA
BYes (1)Yes (1)Yes (1)25.600000000000000Yes (1)0
(no name)
C000000Yes (1)00

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0
C0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I A (f)Description of Purpose: To refinance outstanding commercial indebtedness, the proceeds of which were applied to finance the cost of Mercy's operating room expansion, other expansions/improvements at the facility.
Part I B (f)Description of Purpose: To finance the cost of an approximately 48,300 square foot addition for a new emergency department, new CT/Radiology facilities, construction of a new main entrance lobby area, a new ambulance entrance, construction of a rooftop helipad, renovation of library space into conference rooms, other mechanical and electrical improvements and associated demolition and equipping costs.
Part I C (f)Description of Purpose: To finance the cost of improvements to Mercy's existing approximately 381,000 square foot parking facility.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Susan Urlaub
Wife of Mercy CEO, C.J. Urlaub$78,195Corporate Nurse educator0
James Manzella
Acute Care Board Member$224,880Key Employee of Manzella Marketing0
David Zapfel
Brother of BOD, Msgr. Robert Zapfel$27,471HR Employee of CHS0
Kathleen Zapfel
Sister-in-law of BOD, Msgr. Robert Zapfel$65,673HR Employee of CHS0
Susan Gallagher-Stavros
Wife of Key Employee, John Stavros$14,437Nurse, McAuley Seton Home Care0
Marie Packard
Daughter of BOD, Dennis Dombek$79,972Mercy Physical Therapist0
Dr Craig Fetterman
Partner of Buffalo Niagara Hospitalists$826,313Acute Care Board Member0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6CHS has three members: Ascension Health, CHE/Trinity, and the Diocese of Buffalo, NY. Each member is able to participate equally in electing the governing body, approving significant decisions of the governing body, and in receiving a share of net assets upon dissolution, according to the CHS Bylaws.
Form 990, Part VI, Section A, line 7aAccording to the CHS Bylaws, each member is equally allowed to appoint up to three individuals to act as its representatives on the Corporate Member Board, and in undertaking any action in its capacity as a Member. The Corporate Member Board oversees the governance of the Catholic Health System.
Form 990, Part VI, Section A, line 7bEach member is entitled to one vote on each matter properly submitted at any membership meeting, and the members also have reserve powers which allow approval for certain business events and ratification of certain business transactions.
Form 990, Part VI, Section B, line 11Yes, an electronic copy of the Form 990 was provided to the CHS Boards of Directors before it was filed. The CHS Board of Directors has delegated the responsibility to review the 990 to the Audit Committee. The CHS Audit Committee reviewed in detail selected information for all CHS entities. Reviewed with the Audit Committee: 1. Core Form Part IV: Checklist of required schedules 2. Core Form Part VI: Governance, Management and Disclosure 3. Core Form Part VII: Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees and Independent Contractors 4. Schedule H: Hospitals 5. Schedule K: Supplemental information on Tax Exempt Bonds 6. Schedule J: Compensation Information 7. Schedule L: Transactions with Interested Persons 8. Schedule R: Related Organizations and Unrelated Partnerships 9. Process for which remaining Core Form was completed, utilizing audited financial information
Form 990, Part VI, Section B, line 12cAll associates on the Merit program; all Physicians and Non Physician Practitioners as well as Physician groups who are independent contractors or employees of CHS; and all board members must complete a Conflict of Interest Disclosure Statement (COIDS) in order to fulfill the annual requirements. COIDS are distributed to all parties, as per applicable policy, and once complete are followed up with as follows: 1. Associate and Physician completed COIDS are reviewed and signed off by the manager. If a disclosure is noted, it is discussed with the manager, and the document is forwarded to the Compliance officer who reviews and follows up as appropriate. Once review/follow up is completed the Compliance Officer will sign the COIDS, maintain a copy in the compliance office and return the original to HR for filing in the Personnel file. 2. All board member COIDS are returned to Compliance Officer for review and follow up as warranted. The compliance officer will sign each COIDS and retain on file in the compliance office in a confidential manner.
Form 990, Part VI, Section B, line 15In 2013, 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 B, Line 16: The Catholic Health System has a process to evaluate its participation in joint venture arrangements under applicable federal tax law, and has taken steps to safeguard the organization's exempt status with respect to such arrangements, and has developed a formal policy to formalize the process.
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:Mimimum Pension Liability Adjustment 45,520,264. Equity Transfer to Affiliates -7,310,772. Change in Interest in Foundation Unrestricted 527,508. Change in Interest in Foundation Restricted -637,090. Interest Rate Swap Adjustment 3,412,516.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Catholic Health System Inc
144 Genessee StreetBuffaloNY14203222565278Health Care Delivery SystemNY501 c 3Schedule A line 9N/A0
Sisters of Charity Hospital
2157 Main StreetBuffaloNY14214160743187Acute Care HospitalNY501 c 3Schedule A line 30Catholic Health System Inc
Kenmore Mercy Hospital
2950 Elmwood AvenueKenmoreNY14217160762843Acute Care HospitalNY501 c 3Schedule A line 30Catholic Health System Inc
Nazareth Home of the Franciscan Sisters
291 North StreetBuffaloNY14201160813142Skilled Nursing FacilityNY501 c 3Schedule A line 90Catholic Health System Inc
St Clare Manor
543 Locust StreetLockportNY14094160782647Skilled Nursing FacilityNY501 c 3Schedule A line 90Catholic Health System Inc
St Elizabeth Home for the Aged
5539 BroadwayLancasterNY14086160743154Adult HomeNY501 c 3Schedule A line 90Catholic Health System Inc
St Francis Home of Williamsville
147 Reist StreetWilliamsvilleNY14221160743153Skilled Nursing FacilityNY501 c 3Schedule A line 90Catholic Health System Inc
St Francis of Buffalo Inc
34 Benwood AvenueBuffaloNY14214161523535Skilled Nursing FacilityNY501 c 3Schedule A line 90Catholic Health System Inc
St Joseph Manor
2211 West State StreetOleanNY14760160796400Skilled Nursing FacilityNY501 c 3Schedule A line 90Catholic Health System Inc
St Luke Manor for the Chronically Ill
17 Wiard StreetBataviaNY14020160794811Skilled Nursing FacilityNY501 c 3Schedule A line 90Catholic Health System Inc
St Mary's Manor
515 6th StreetNiagara FallsNY14301160924139Skilled Nursing FacilityNY501 c 3Schedule A line 90Catholic Health System Inc
St Vincent Manor
319 Washington AvenueDunkirkNY14048160743167Adult HomeNY501 c 3Schedule A line 90Catholic Health System Inc
WNY Catholic Long Term Care Inc
6400 Powers RoadOrchard ParkNY14127161434368Skilled Nursing FacilityNY501 c 3Schedule A line 90Catholic Health System Inc
Niagara Homemaker Services (Mercy Home Care)
144 Genessee StreetBuffaloNY14203161317960Home Care ProviderNY501 c 3Schedule A line 90Catholic Health System Inc
McAuley Seton Home Care
144 Genessee StreetBataviaNY14203161310062Home Care ProviderNY501 c 3Schedule A line 90Catholic Health System Inc
Catholic Health System Infusion Pharmacy Inc
6350 Transit RoadDepewNY14043200198518Home Care Infusion ServicesNY501 c 3Schedule A line 90Catholic Health System Inc
OLV Renaissance Corporation
144 Genessee StreetBuffaloNY14203200167745Real Estate Holding CompanyNY501 c 3Schedule A line 90Catholic Health System Inc
CHS Program of All-Inclusive Care for the Elderly Inc
55 Melroy AvenueLackawannaNY14218261252884All-inclusive Care for the ElderlyNY501 c 3Schedule A line 30Catholic Health System Inc
Mercy Hospital Foundation
515 Abbott RoadBuffaloNY14220222209721FoundationNY501 c 3Schedule A line 70Catholic Health System Inc
Southtowns Catholic MRI Inc
200 International DriveBuffaloNY14221161554081ImagingNY501 c 3Schedule A line 90catholic Health System Inc
Trinity Medical WNY PC
2625 Harlem RoadCheektowagaNY14225272576645Primary Care ProviderNY501 c 3Schedule A line 110Catholic Health System Inc
KMH Homes Inc
291 North StreetBuffaloNY14201161387890Real Estate Holding CompanyNY501 c 3Schedule A line 90catholic Health System Inc

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndShare Of EOY AssetsShareOfEOYAssetsAmt
Marian Professional Center Associates LP
350 Essjay Road Suite 101WilliamsvilleNY14221161360469Rental Real EstateNYN/ARelated$144,70300
OLV-Brierwood Helathcare Co LLC
6455 Lake AvenueOrchard ParkNY14127161487207Rental Real EstateNYN/ARelated$35,94900$157,331

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
Orchard Park Mercy Corporation
144 Genesee Street Finance 4th FlooBuffaloNY14203161470350Real Estate Holding CompanyNYMercy HospitalC$139,6251.000000
Aurora Mercy Corporation
144 Genesee Street Finance 4th FlooBuffaloNY14203161354302Real Estate DevelopmentNYMercy HospitalC$46,5141.000000
Alsace Abbott Corporation
144 Genesee Street Finance 4th FlooBuffaloNY14203161355092Partnership Holding CorporationNYMercy HospitalC$338,3261.000000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Orchard Park Mercy CorporationBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeQTransactionTypeTxt
Involved$86,465InvolvedAmt