2025-11-12T10:27:02-06:00 2024-12-31 990 2024-01-01 222565278 Catholic Health System CATH 7169232968 144 GENESEE ST BUFFALO NY 14203 Russell Edwards VP FINANCE, CORP CONTROLLER 7169232968 2025-11-12 0 2024 2025-03-06 01:10:19Z JOYCE MARKIEWICZ CATHOLIC HEALTH ADMINISTRATION 6TH FLOOR 144 GENESEE STREET BUFFALO NY 14203 210097611 0 X WWW.CHSBUFFALO.ORG X 1998 NY The Mission of the Catholic Health System, as part of the Catholic Health System (CHS) in Western New York, is to provide quality healthcare services in an acute care, long term care, and home care setting. Committed to a common mission, the providers of the Catholic Health System continue the healing ministry of Jesus, seeking to improve the health of individuals and communities. We provide high quality service that has reverence, compassion, justice, and excellence. The 2024 Community Service Plan can be found at https://www.chsbuffalo.org/about-us/community. 24 23 1974 1 0 44545 3266553 1493873 192784631 204979347 815429 1075895 1220953 2548496 198087566 210097611 0 0 0 0 117045636 119991266 0 0 0 81126030 93162004 198171666 213153270 -84100 -3055659 578839630 602177294 438651511 453700319 140188119 148476975 X The Mission of the Catholic Health System, as part of the Catholic Health System (CHS) in Western New York, is to provide quality healthcare services in an acute care, long term care, home care setting. Committed to a common mission, the providers of the Catholic Health System continue the healing ministry of Jesus, seeking to improve the health of individuals and communities. We provide high quality service that has reverence, compassion, justice, and excellence. The 2024 Community Service Plan can be found at https://www.chsbuffalo.org/about-us/community. 0 0 204218384 204979347 The Catholic Health System (CHS) provides administrative support services to the Catholic Health System entities which include: Acute Care, Continuing Care, Home Care, and Primary Care services. The program services are support services that are provided for the benefits of the health care delivery system. These include Compliance, Facility Planning, Finance, Human Resources, Information Technology, Legal Services, Marketing, Revenue Management Center, and other services. More information can be found on the Catholic Health System website www.CHSBUFFALO.ORG. 204218384 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 1 154 0 1 1974 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 X 24 23 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X X Russell Edwards VP FinanceCorporate Controller - CHS 7169232968 144 Genesee Street Buffalo NY 14203 Carol Heckman Esq Director 4.00 X 0 0 0 Carrie Beiter Frank Director 4.00 X 0 0 0 David Bauer Director 4.00 X 0 0 0 David Rogers Director 4.00 X 0 0 0 David Schmidt Director 4.00 X 0 0 0 Father John Gaglione Director 4.00 X 0 0 0 Hillary Lewis Director 4.00 X 0 0 0 John Dusett Director 4.00 X 0 0 0 Johnathan Graves Director 4.00 X 0 0 0 Joyce Markiewicz President & Chief Executive Officer Administration 55.00 X X 1851882 0 60318 Kristen Robillard Director 4.00 X 0 0 0 Lawrence V Whistler CFA Treasurer 4.00 X X 0 0 0 Margaret Paroski MD Director 4.00 X 0 0 0 Mary Ellen Frandina Director 4.00 X 0 0 0 Maureen Hurley Esq Vice Chair 4.00 X X 0 0 0 Maureen M Athoe CPA Chairman of the Board 8.00 X X 0 0 0 Monsignor Robert E Zapfel Std Director 4.00 X 0 0 0 Nancy Ware Secretary 4.00 X X 0 0 0 Paul A Tokasz Director 4.00 X 0 0 0 Rolanda Ward Director 4.00 X 0 0 0 Sister Marcia Ann Fiutko Director 4.00 X 0 0 0 Teresa M Majors Director 4.00 X 0 0 0 Brian O'Toole PhD Director 4.00 X 0 0 0 Michael R Winter CPA Director 4.00 X 0 0 0 Bartholomew Rodrigues Executive VP - Chief Mission and Ethics Officer 55.00 X 397474 0 59780 David Macholz Chief Finance Officer 55.00 X 868881 0 29130 Hans Cassagnol Chief Physician Executive 55.00 X 242649 0 7378 Dr Michael Galang Senior VP & Chief Information Officer 55.00 X 660017 0 46689 James M Garvey Executive VP, Chief Operating Officer 55.00 X 993464 0 44425 Rebecca McCormick Boyle Chief Integration Officer 55.00 X 318098 0 2654 Victor Filadora Chief Physician Executive 55.00 X 208244 0 156 Catherine Mohr Chief Nursing Officer 55.00 X 194891 0 8172 Charles Urlaub Senior VP Strategic Growth & Partnerships 55.00 X 608916 0 53386 Laura Cianflone Senior VP Human Resources 55.00 X 573155 0 31866 Leonardo Sette-Camara General Counsel 55.00 X 442007 0 32513 Martin Boryszak Senior VP of Acute Care & President Mercy Hospital 55.00 X 796697 0 30697 Lisa Cilano Senior VP Finance, RMC & Business Advisory 55.00 X 444768 0 15686 Thomas Gleason Senior VP Home and Community Based Care 55.00 X 420621 0 37238 Clayton C Osborne VP Strategic Growth & System Portfolio Management 55.00 X 333218 0 42361 Dr Brian D' Arcy Director Clinical and Graduate Medical Education 55.00 X 1131528 0 126070 Craig Chase VP Revenue Cycle 55.00 X 308332 0 34335 Christine Kukelka VP Human Resources 55.00 X 292204 0 27932 Brian Hackford VP Supply Chain Management 55.00 X 287166 0 10303 Laurie Ricciardi-Merletti Former President Physician Enterprise 0.00 X 268652 0 13988 Mark Sullivan Former President CHS 0.00 X 1851336 0 13203 13494200 0 728280 316 1 1 0 Epic Systems Corporation 1979 Milky Way Verona WI 53593 Technology Services 18134543 Claro Healthcare LLC 433 W Van Buren St Suite 330 Chicago IL 60607 Business Management Consultant 3771671 Trellis RX LLC 1180 W Peachtree St NE 22nd Floor Atlanta GA 30309 Pharmacy Services 2776612 Siemens Medical Solutions USA 40 Liberty Boulevard Malvern PA 19355 Medical Equipment Services 1913285 Experian Health Inc 720 Cool Springs Blvd Suite 200 Franklin TN 37067 Technology Services 1523646 103 1493873 1493873 Administrative/Clinical 621610 204979347 204979347 204979347 1075895 1075895 1088866 0 1088866 1088866 1088866 Other Operating Revenue 561000 729922 729922 Miscellaneous Income 900099 687039 687039 Net Periodic Pension Cost 900099 -188438 -188438 231107 231107 1459630 210097611 207527843 0 1075895 98172128 98172128 3683092 3683092 9809308 9809308 8326738 8326738 2887854 230856 2656998 708895 708895 97647 97647 7392346 6784016 608330 1423802 1417557 6245 146285 145610 675 41771037 41771037 1618376 1590505 27871 304334 285811 18523 117744 18003 99741 4754909 4754909 7105213 7105213 2421390 2421390 Contracted Services 10926434 10428995 497439 Miscellaneous 6382365 5055125 1327240 Dues 3736403 47727 3688676 Bank & Credit Card Fees 1132161 1132161 234809 231661 3148 213153270 204218384 8934886 0 -15298393 -16159773 23505026 73865780 10577106 12569538 248608947 148451283 114609244 100157664 445446647 431744085 578839630 602177294 60284910 70770948 20559 69448 124480204 119563470 2511607 2100665 251354231 261195788 438651511 453700319 X 136729201 145018057 3458918 3458918 140188119 148476975 578839630 602177294 X -3055659 11344515 X 0 1 X 1 0 X 185188462 188411931 189065300 196051185 206473219 965190097 185188462 188411931 189065300 196051185 206473219 965190097 0 0 0 965190097 1151619 1200059 101549 742969 1091235 4287431 1151619 1200059 101549 742969 1091235 4287431 1678057 1483185 1739222 1631369 2089034 8620867 -2010904 -1976454 34984 -353511 541485 -3764400 186007234 189118721 190941055 198072012 210194973 974333995 0.99060 0.99280 0.00440 0.00480 X 0 0 0 0 0 0 1 84110 0 1 13537 97647 0 Part II-B, Line 1: Other Lobbying Activities: Lobbying expenses of $84,110 represent the total of dues paid to national and state associations that is specifically allocable to lobbying. Catholic Health System does not participate in or intervene in (including the publishing or distributing of statement) any political campaign on behalf of (or opposition to) any candidate. Additionally, CHS retains individuals to advocate on behalf of the Catholic Health System, Inc. with the New York State legislature relating to issues that impact the system. Costs incurred in relation to such activities amounted to $13,537 in 2024. 49369069 21849417 27519652 10831216 7386656 3444560 184731626 118913599 65818027 3677036 301611 3375425 100157664 Due from Affiliates 388462215 Insurance Recoveries 2421784 Acquisition Investments 33437888 Undistributed Payments -1315287 Other Receivables 676317 Obligated FEMA Revenue 422407 Operating Lease Right of Use Assets 7270095 Security Deposits 40000 Physician Advance 328666 431744085 Due to Affiliates 209028832 Accrued Pension 39148994 L/T General Liab/Worker Comp IBNR 7025345 Operating Lease Liabilities 7718180 Debt Issuance Costs -1725563 261195788 X 210097611 0 210097611 0 210097611 213153270 0 213153270 0 213153270 Part X, Line 2: The financial statements do not include a provision for income taxes, as CHS is a tax-exempt organization under section 501(C)3 of the internal revenue code. The tax-exempt organizations are subject to federal taxes on unrelated business income under section 511 of the internal revenue code which are reported as other expenses in the financial statements. X 1 1 X X X X X X 1 0 0 0 0 0 0 0 0 Joyce Markiewicz President & Chief Executive Officer 1167389 0 328497 0 355996 0 42024 0 18294 0 1912200 0 0 0 Mark Sullivan Former President CHS 23881 0 437996 0 1389459 0 -5091 0 18294 0 1864539 0 0 0 Dr Brian D' Arcy Director Clinical and Graduate Medic 323976 0 10000 0 797552 0 108372 0 17698 0 1257598 0 773313 0 James M Garvey Executive VP, Chief Operating Office 749131 0 217317 0 27016 0 30098 0 14327 0 1037889 0 0 0 David Macholz Chief Finance Officer 659506 0 191383 0 17992 0 11153 0 17977 0 898011 0 0 0 Martin Boryszak Senior VP of Acute Care & President 611486 0 168006 0 17205 0 5886 0 24811 0 827394 0 0 0 Dr Michael Galang Senior VP & Chief Information Office 496435 0 143738 0 19844 0 37537 0 9152 0 706706 0 0 0 Charles Urlaub Senior VP Strategic Growth & Partner 472358 0 113777 0 22781 0 44256 0 9130 0 662302 0 0 0 Laura Cianflone Senior VP Human Resources 429844 0 126316 0 16995 0 7170 0 24696 0 605021 0 0 0 Leonardo Sette-Camara General Counsel 354360 0 87084 0 563 0 7889 0 24624 0 474520 0 0 0 Lisa Cilano Senior VP Finance, RMC & Business Ad 184412 0 83873 0 176483 0 6720 0 8966 0 460454 0 0 0 Thomas Gleason Senior VP Home and Community Based C 324272 0 79287 0 17062 0 12647 0 24591 0 457859 0 0 0 Bartholomew Rodrigues Executive VP - Chief Mission and Eth 292830 0 86362 0 18282 0 35215 0 24565 0 457254 0 0 0 Clayton C Osborne VP Strategic Growth & System Portfol 284579 0 38812 0 9827 0 17803 0 24558 0 375579 0 0 0 Craig Chase VP Revenue Cycle 263548 0 43671 0 1113 0 16734 0 17601 0 342667 0 0 0 Rebecca McCormick Boyle Chief Integration Officer 133034 0 60140 0 124924 0 2405 0 249 0 320752 0 0 0 Christine Kukelka VP Human Resources 253913 0 38058 0 233 0 3401 0 24531 0 320136 0 0 0 Brian Hackford VP Supply Chain Management 245042 0 33013 0 9111 0 10059 0 244 0 297469 0 0 0 Laurie Ricciardi-Merletti Former President Physician Enterpris 47396 0 0 0 221256 0 -237 0 14225 0 282640 0 0 0 Hans Cassagnol Chief Physician Executive 106191 0 0 0 136458 0 -2196 0 9574 0 250027 0 0 0 Victor Filadora Chief Physician Executive 179984 0 0 0 28260 0 0 0 156 0 208400 0 0 0 Catherine Mohr Chief Nursing Officer 166631 0 0 0 28260 0 0 0 8172 0 203063 0 0 0 Part I, Line 1a Tax Indemnification and Gross up payments: Officers and key employees received a tax indemnification and gross-up payment for reimbursement of withholding taxes in conjunction with certain taxable benefits paid on behalf of employee. Part I, Line 3 The change in present value shown for each participant represents the change in the actuarial value of the accrued benefit, whether or not funded, vested or subject to substantial risk of forfeiture. Note that the change in present value is partly due to changes in the discount rate and, for those accruing under the cash balance formula, the assumptions for future cash balance interest crediting rates and factors applicable to annuity conversions. Part I, Line 4a Severance Payments were made to: Mark Sullivan: $1,122,099.94 Rebecca McCormick-Boyle: $117,304.56 Hans Cassagnol: $133,023.28 Lisa Cilano: $166,159.14 Laurie Ricciardi-Merletti: $219,821.86 Part II Column C: Certain portions of the incentive compensation paid in 2024 are a result of the targets that were achieved in previous years. Deferred compensation reported in 2024 includes both qualified deferred pension compensation, as well as deferred compensation and employer contribution for 403(b) for certain associates for the amounts that are able to be estimated in 2024. Actual W-2 compensation paid to the executive is as per Schedule J Part II (B). A Buffalo and Erie County Industrial Land Development Corporation 222413596 11943KBY7 2015-04-30 83525337 See Part VI 0 0 0 B Dormitory Authority of the State of New York 146000293 64990GMH2 2019-04-25 68994640 See Part VI 0 0 0 A 26900000 83525337 5515155 369937 2434210 50231 75155804 2015 0 0 1 1 B 70455589 760121 68229892 1465575 2020 0 0 0 1 A 0 1 0 0 0.04240 0.00000 0.04240 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 1 0 0 0 0 1 B 0 1 0 0 1 0 0 1 1 A 1 B 1 (a) Issuer Name: Dormitory Authority of the State of New York Part I A (f) Description of Purpose: To finance the cost of an approximately 140,000 square foot corporate headquarters and associated leasehold improvements and for the implementation of an Enterprise Resource Planning software package system wide. Part I B (f) Purpose Series A Proceeds of bonds used to (i) finance portions of certain improvements, equipment and strategic investments, including but not limited to a new electronic medical records system, maternity services renovations and new sterile processing department; (ii) refund in full certain existing bank credit facilities; (iii) refund All of the Catholic Health System Obligated Groups, Series 2006 and Series 2008. Series B Proceeds of bonds used to (i) finance portions of certain improvements, equipment and strategic investments, including but not limited to a new electronic medical records system, maternity services renovations and new sterile processing department. Part II C (3) Proceed amount varies with the bond issue amount due to cumulative investment earnings. Carrie Sette-Camara Wife of Key Employee, Leonardo Sette-Camara 123606 Director Public and Media Relations 0 Diana Sedita Sister of Key Employee, Laura Cianflone 150070 Director Marketing & Communications 0 Rachel Markiewicz Daughter in Law of President & CEO Joyce Markiewicz 73083 Social Worker, MSW 0 Form 990, Part VI, Section A, line 6 CHS has two members: The Franciscan Sisters of St. Joseph of Hamburg, NY, and the Diocese of Buffalo, NY. Each member is able to participate equally in electing the governing body, approving significant decisions of the governing body, and have the power to approve any plan of dissolution of the corporation and the distribution of the assets upon dissolution, according to the CHS Bylaws. Form 990, Part VI, Section A, line 7a According to the CHS Bylaws, each member is equally allowed to appoint one representative and one alternative representative to serve on the Corporate Member Council and to serve as a voting director on the Catholic Health System Board of Directors. Form 990, Part VI, Section A, line 7b Yes, the corporate members do have reserve powers. Form 990, Part VI, Section B, line 11b Yes, an electronic copy of the Form 990 was provided to the CHS Boards of Directors before it was filed. The CHS Board of Directors has delegated the responsibility to review the 990 to the Audit Committee. The CHS Audit Committee reviewed in detail selected information for all CHS entities that file a 990. Reviewed with the Audit Committee: 1. Core Form Part IV: Checklist of required schedules 2. Core Form Part VI: Governance, Management and Disclosure 3. Core Form Part VII: Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees and Independent Contractors 4. Schedule H: Hospitals 5. Schedule K: Supplemental information on Tax Exempt Bonds 6. Schedule J: Compensation Information 7. Schedule L: Transactions with Interested Persons 8. Schedule R: Related Organizations and Unrelated Partnerships 9. Process for which remaining Core Form was completed, utilizing audited financial information Form 990, Part VI, Section B, line 12c All officers, directors, and key employees complete a Conflict of Interest Disclosure Statement (COIDS) in order to fulfill the annual requirements. COIDS are distributed to all parties, as per applicable policy, and once complete are followed up with as follows: 1. Associate and Physician completed COIDS are reviewed and signed off by the manager. If a disclosure is noted, it is discussed with the manager, and the document is forwarded to the Compliance officer who reviews and follows up as appropriate. Once review/follow up is completed the Compliance Officer will sign the COIDS, maintain a copy in the compliance office and return the original to HR for filing in the Personnel file. 2. All board member COIDS are returned to Compliance Officer for review and follow up as warranted. The compliance officer will sign each COIDS and retain on file in the compliance office in a confidential manner. Form 990, Part VI, Section B, line 15 CHS, in determining the compensation for the CEO, utilizes a process of review and approval, governed by the Board of Directors, that includes an outside nationally recognized independent compensation consultant experienced in compensation and benefit matters for non-profit healthcare organizations, and comparability data. In 2024, the Catholic Health System utilized a Compensation Committee of the Board of Directors to monitor the Executive Compensation as per the Executive Compensation Philosophy and Strategy for the CHS CEO and top Senior Executives. Form 990, Part VI, Section C, line 19 We make our form 990 open for public inspection upon request. Our website includes an annual report which includes selected financial information. Our financial statements, governing documents and conflict of interest policy are provided upon request according to applicable federal and state laws. Form 990, Part XI, line 9: Pension Liability 11,364,928. Miscellaneous -20,413. MERCY HOSPITAL OF BUFFALO 565 ABBOTT ROAD BUFFALO NY 14220 160756336 ACUTE CARE HOSPITAL NY 501(c)(3) Line 3 CATHOLIC HEALTH SYSTEM INC 0 SISTERS OF CHARITY HOSPITAL 2157 MAIN STREET BUFFALO NY 14214 160743187 ACUTE CARE HOSPITAL NY 501(c)(3) Line 3 CATHOLIC HEALTH SYSTEM INC 0 KENMORE MERCY HOSPITAL 2950 ELMWOOD AVENUE KENMORE NY 14217 160762843 ACUTE CARE HOSPITAL NY 501(c)(3) Line 3 CATHOLIC HEALTH SYSTEM INC 0 NAZARETH HOME OF THE FRANCISCAN SISTERS 291 NORTH STREET BUFFALO NY 14201 160813142 SKILLED NURSING FACILITY NY 501(c)(3) Line 10 CATHOLIC HEALTH SYSTEM INC 0 ST ELIZABETH HOME FOR THE AGED 5539 BROADWAY LANCASTER NY 14086 160743154 ADULT HOME NY 501(c)(3) Line 10 CATHOLIC HEALTH SYSTEM INC 0 ST FRANCIS HOME OF WILLIAMSVILLE 147 REIST STREET WILLIAMSVILLE NY 14221 160743153 SKILLED NURSING FACILITY NY 501(c)(3) Line 10 CATHOLIC HEALTH SYSTEM INC 0 ST FRANCIS OF BUFFALO INC 34 BENWOOD AVENUE BUFFALO NY 14214 161523535 SKILLED NURSING FACILITY NY 501(c)(3) Line 10 CATHOLIC HEALTH SYSTEM INC 0 ST VINCENT MANOR 319 WASHINGTON AVENUE DUNKIRK NY 14048 160743167 ADULT HOME NY 501(c)(3) Line 10 CATHOLIC HEALTH SYSTEM INC 0 WNY CATHOLIC LONG TERM CARE INC 6400 POWERS ROAD ORCHARD PARK NY 14127 161434368 SKILLED NURSING FACILITY NY 501(c)(3) Line 10 CATHOLIC HEALTH SYSTEM INC 0 NIAGARA HOMEMAKER SERVICES (MERCY HOME CARE) 144 GENESEE STREET BUFFALO NY 14203 161317960 HOMECARE PROVIDER NY 501(c)(3) Line 10 CATHOLIC HEALTH SYSTEM INC 0 MCAULEY SETON HOME CARE 144 GENESEE STREET BUFFALO NY 14203 161310062 HOMECARE PROVIDER NY 501(c)(3) Line 10 CATHOLIC HEALTH SYSTEM INC 0 CATHOLIC HEALTH SYSTEM INFUSION PHARMACY INC 6350 TRANSIT ROAD DEPEW NY 14043 200198518 HOMECARE INFUSION SERVICES NY 501(c)(3) Line 10 CATHOLIC HEALTH SYSTEM INC 0 OLV RENAISSANCE CORPORATION 144 GENESEE STREET BUFFALO NY 14203 200167745 REAL ESTATE HOLDING COMPANY NY 501(c)(3) Line 10 CATHOLIC HEALTH SYSTEM INC 0 OLV COMMUNITY HOUSING (CHODO) 144 GENESEE STREET BUFFALO NY 14203 200372194 COMMUNITY HOUSING DEVELOPMENT (CHODO) NY 501(c)(3) Line 12a, I CATHOLIC HEALTH SYSTEM INC 0 CHS PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY INC 55 MELROY AVENUE LACKAWANNA NY 14218 261252884 ALL-INCLUSIVE CARE FOR THE ELDERLY NY 501(c)(3) Line 10 CATHOLIC HEALTH SYSTEM INC 0 TRINITY MEDICAL WNY PC 144 GENESEE STREET BUFFALO NY 14203 272576645 PRIMARY CARE PROVIDER NY 501(c)(3) Line 12a, I CATHOLIC HEALTH SYSTEM INC 0 CATHOLIC HEALTH SYSTEM CONTINUING CARE FOUNDATION 144 GENESEE STREET BUFFALO NY 14203 200947831 FOUNDATION NY 501(c)(3) Line 7 CATHOLIC HEALTH SYSTEM INC 0 KMH HOMES INC 144 GENESEE STREET BUFFALO NY 14203 161387890 REAL ESTATE HOLDING COMPANY NY 501(c)(3) Line 10 CATHOLIC HEALTH SYSTEM INC 0 MOUNT ST MARY'S HOSPITAL OF NIAGARA FALLS 5300 MILITARY ROAD LEWISTON NY 14092 161523353 ACUTE CARE HOSPITAL NY 501(c)(3) Line 3 CATHOLIC HEALTH SYSTEM INC 0 THE FOUNDATION OF CATHOLIC HEALTH 144 GENESEE STREET BUFFALO NY 14203 991027626 FOUNDATION NY 501(c)(3) Line 7 CATHOLIC HEALTH SYSTEM INC 0 SOUTHTOWNS CATHOLIC MRI INC 3669 SOUTHWESTERN BLVD ORCHARD PARK NY 14127 161554081 IMAGING NY 501(c)(3) Line 10 CATHOLIC HEALTH SYSTEM INC 0 CH Emmaus Inc 144 Genesee Street Buffalo NY 14203 821852345 General Purpose NY Related -11400991 -13483855 0 0 1.00000 0 0 1 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1