Civic Intelligence

Catholic Health System

EIN 22-2565278 • 501(c)3 • Buffalo, NY

Profile

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 2023 Community Service Plan can be found at https://www.chsbuffalo.org/about-us/community.

144 Genesee StBuffalo, NY 14203

www.chsbuffalo.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

81st percentile

0.75x

Higher debt load relative to assets than 81% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Liabilities / Revenue

86th percentile

2.16x

Higher debt load relative to revenue than 86% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Net Margin

28th percentile

-1.5%

Higher net margin than 28% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

43rd percentile

4.0%

Faster asset growth than 43% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Revenue Growth

46th percentile

6.1%

Faster revenue growth than 46% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2023 to 2024

Assets

Up

$602,177,294

Up $23,337,664 (+4.0%) from 2023

Liabilities

Up

$453,700,319

Up $15,048,808 (+3.4%) from 2023

Net Assets

Up

$148,476,975

Up $8,288,856 (+5.9%) from 2023

Revenue

Up

$210,097,611

Up $12,010,045 (+6.1%) from 2023

Expenses

Up

$213,153,270

Up $14,981,604 (+7.6%) from 2023

Net Income

Down

-$3,055,659

Down $2,971,559 (-3533%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$800M$600M$400M$200M$0-$200MAssets 2010: $63,587,294Liabilities 2010: $76,314,893Net Assets 2010: -$12,727,5992010Assets 2011: $84,019,304Liabilities 2011: $92,724,172Net Assets 2011: -$8,704,8682011Assets 2012: $99,537,969Liabilities 2012: $103,533,592Net Assets 2012: -$3,995,6232012Assets 2013: $112,223,659Liabilities 2013: $92,159,810Net Assets 2013: $20,063,8492013Assets 2014: $190,071,792Liabilities 2014: $166,558,179Net Assets 2014: $23,513,6132014Assets 2015: $300,714,094Liabilities 2015: $237,249,210Net Assets 2015: $63,464,8842015Assets 2016: $273,046,853Liabilities 2016: $182,890,481Net Assets 2016: $90,156,3722016Assets 2017: $293,661,372Liabilities 2017: $184,020,977Net Assets 2017: $109,640,3952017Assets 2018: $294,187,862Liabilities 2018: $178,821,204Net Assets 2018: $115,366,6582018Assets 2019: $400,353,180Liabilities 2019: $290,948,389Net Assets 2019: $109,404,7912019Assets 2020: $410,380,173Liabilities 2020: $297,308,768Net Assets 2020: $113,071,4052020Assets 2021: $560,744,041Liabilities 2021: $426,474,269Net Assets 2021: $134,269,7722021Assets 2022: $542,054,979Liabilities 2022: $397,686,691Net Assets 2022: $144,368,2882022Assets 2023: $578,839,630Liabilities 2023: $438,651,511Net Assets 2023: $140,188,1192023Assets 2024: $602,177,294Liabilities 2024: $453,700,319Net Assets 2024: $148,476,9752024

Highlighted filing

2024

Assets$602,177,294
Liabilities$453,700,319
Net Assets$148,476,975

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$300M$200M$100M$0-$100MExpenses 2010: $93,068,0942010Expenses 2011: $104,090,9862011Expenses 2012: $118,107,2552012Revenue 2013: $123,604,348Expenses 2013: $123,604,348Net Income 2013: $02013Revenue 2014: $128,271,200Expenses 2014: $127,617,225Net Income 2014: $653,9752014Revenue 2015: $153,668,454Expenses 2015: $140,199,728Net Income 2015: $13,468,7262015Revenue 2016: $152,915,642Expenses 2016: $152,915,642Net Income 2016: $02016Revenue 2017: $153,145,914Expenses 2017: $153,360,730Net Income 2017: -$214,8162017Revenue 2018: $153,582,409Expenses 2018: $153,582,408Net Income 2018: $12018Revenue 2019: $181,097,796Expenses 2019: $181,097,795Net Income 2019: $12019Revenue 2020: $186,329,869Expenses 2020: $186,791,960Net Income 2020: -$462,0912020Revenue 2021: $189,273,233Expenses 2021: $189,273,233Net Income 2021: $02021Revenue 2022: $190,955,369Expenses 2022: $200,509,421Net Income 2022: -$9,554,0522022Revenue 2023: $198,087,566Expenses 2023: $198,171,666Net Income 2023: -$84,1002023Revenue 2024: $210,097,611Expenses 2024: $213,153,270Net Income 2024: -$3,055,6592024

Highlighted filing

2024

Revenue$210,097,611
Expenses$213,153,270
Net Income-$3,055,659

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$602$454$148$210$213$3.06
2023Detailed filing. Detailed filing data is available for this year.$579$439$140$198$198$0.08
2022Detailed filing. Detailed filing data is available for this year.$542$398$144$191$201$9.55
2021Detailed filing. Detailed filing data is available for this year.$561$426$134$189$189$0.00
2020Detailed filing. Detailed filing data is available for this year.$410$297$113$186$187$0.46
2019Detailed filing. Detailed filing data is available for this year.$400$291$109$181$181$0.00
2018Detailed filing. Detailed filing data is available for this year.$294$179$115$154$154$0.00
2017Detailed filing. Detailed filing data is available for this year.$294$184$110$153$153$0.21
2016Detailed filing. Detailed filing data is available for this year.$273$183$90.2$153$153$0.00
2015Detailed filing. Detailed filing data is available for this year.$301$237$63.5$154$140$13.5
2014Detailed filing. Detailed filing data is available for this year.$190$167$23.5$128$128$0.65
2013Detailed filing. Detailed filing data is available for this year.$112$92.2$20.1$124$124$0.00
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$99.5$104$4.00$118
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$84.0$92.7$8.70$104
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$63.6$76.3$12.7$93.1
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 12, 2025
Return Version
2024v5.2
Gross Receipts
$210,097,611
Mission and Program Overview

Mission

The Mission of the Catholic Health System, as part of the Catholic Health System (CHS) in Western New York, is to provide quality healthcare services in a (an) (acute care, long term care, home care) setting. Committed to a common mission, the providers of the Catholic Health System continue the healing ministry of Jesus, seeking to improve the health of individuals and communities. We provide high quality service that has reverence, compassion, justice, and excellence. The 2021 Community Service Plan can be found at https://www.chsbuffalo.org/about-us/community.

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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$114,609,244$100,157,664▼ $14,451,580
Savings and Temporary Cash Investments$23,505,026$73,865,780▲ $50,360,754
Prepaid Expenses and Deferred Charges$10,577,106$12,569,538▲ $1,992,432
Cash and Non-Interest-Bearing Accounts$-15,298,393$-16,159,773▼ $861,380
Total Assets$578,839,630$602,177,294▲ $23,337,664
Other Assets Total$445,446,647$431,744,085▼ $13,702,562
Liabilities
Other Liabilities$251,354,231$261,195,788▲ $9,841,557
Tax Exempt Bond Liabilities$124,480,204$119,563,470▼ $4,916,734
Accounts Payable and Accrued Expenses$60,284,910$70,770,948▲ $10,486,038
Mortgage Notes Payable Secured by Investment Property$2,511,607$2,100,665▼ $410,942
Deferred Revenue$20,559$69,448▲ $48,889
Total Liabilities$438,651,511$453,700,319▲ $15,048,808
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$136,729,201$145,018,057▲ $8,288,856
Net Assets With Donor Restrictions$3,458,918$3,458,918→ $0
Total Net Assets Fund Balance$140,188,119$148,476,975▲ $8,288,856
Total Liabilities and Net Assets / Fund Balance$578,839,630$602,177,294▲ $23,337,664

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$65,818,027$118,913,599$184,731,626
Buildings$27,519,652$21,849,417$49,369,069
Leasehold Improvements$3,444,560$7,386,656$10,831,216
Other Land Buildings$3,375,425$301,611$3,677,036
Other Assets Org$328,666--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Joyce MarkiewiczPresident & Chief Executive Officer AdministrationFT$1,851,882$60,318$1,912,200
Joyce MarkiewiczPresident & Chief Executive Officer-$1,167,389$744,811$1,912,200
Mark SullivanFormer President CHS-$23,881$1,840,658$1,864,539
Dr Brian D' ArcyDirector Clinical and Graduate Medical EducationFT$1,131,528$126,070$1,257,598
Dr Brian D' ArcyDirector Clinical and Graduate Medic-$323,976$933,622$1,257,598
James M GarveyExecutive VP, Chief Operating OfficerFT$993,464$44,425$1,037,889
James M GarveyExecutive VP, Chief Operating Office-$749,131$288,758$1,037,889
David MacholzChief Finance OfficerFT$659,506$238,505$898,011
Martin BoryszakSenior VP of Acute Care & President Mercy HospitalFT$796,697$30,697$827,394
Martin BoryszakSenior VP of Acute Care & President-$611,486$215,908$827,394
Dr Michael GalangSenior VP & Chief Information OfficerFT$660,017$46,689$706,706
Dr Michael GalangSenior VP & Chief Information Office-$496,435$210,271$706,706
Charles UrlaubSenior VP Strategic Growth & PartnershipsFT$608,916$53,386$662,302
Charles UrlaubSenior VP Strategic Growth & Partner-$472,358$189,944$662,302
Laura CianfloneSenior VP Human ResourcesFT$429,844$175,177$605,021
Leonardo Sette-CamaraGeneral CounselFT$354,360$120,160$474,520
Lisa CilanoSenior VP Finance, RMC & Business AdvisoryFT$444,768$15,686$460,454
Lisa CilanoSenior VP Finance, RMC & Business Ad-$184,412$276,042$460,454
Thomas GleasonSenior VP Home and Community Based CareFT$420,621$37,238$457,859
Thomas GleasonSenior VP Home and Community Based C-$324,272$133,587$457,859
Bartholomew RodriguesExecutive VP - Chief Mission and Ethics OfficerFT$397,474$59,780$457,254
Bartholomew RodriguesExecutive VP - Chief Mission and Eth-$292,830$164,424$457,254
Clayton C OsborneVP Strategic Growth & System Portfolio ManagementFT$333,218$42,361$375,579
Clayton C OsborneVP Strategic Growth & System Portfol-$284,579$91,000$375,579
Craig ChaseVP Revenue CycleFT$263,548$79,119$342,667
Rebecca McCormick BoyleChief Integration OfficerFT$133,034$187,718$320,752
Christine KukelkaVP Human ResourcesFT$253,913$66,223$320,136
Brian HackfordVP Supply Chain ManagementFT$245,042$52,427$297,469
Laurie Ricciardi-MerlettiFormer President Physician Enterprise-$268,652$13,988$282,640
Laurie Ricciardi-MerlettiFormer President Physician Enterpris-$47,396$235,244$282,640
Hans CassagnolChief Physician ExecutiveFT$106,191$143,836$250,027
Victor FiladoraChief Physician ExecutiveFT$179,984$28,416$208,400
Catherine MohrChief Nursing OfficerFT$166,631$36,432$203,063

Highest Paid Contractors

ContractorServicesLocationCompensation
Epic Systems CorporationTechnology Services1979 Milky Way, Verona, WI 53593$18,134,543
Claro Healthcare LLCBusiness Management Consultant433 W Van Buren St Suite 330, Chicago, IL 60607$3,771,671
Trellis RX LLCPharmacy Services1180 W Peachtree St NE 22nd Floor, Atlanta, GA 30309$2,776,612
Siemens Medical Solutions USAMedical Equipment Services40 Liberty Boulevard, Malvern, PA 19355$1,913,285
Experian Health IncTechnology Services720 Cool Springs Blvd Suite 200, Franklin, TN 37067$1,523,646
Revenue and Support

Revenue Composition

Contributions and Grants
$1,493,873
Program Service Revenue
$204,979,347
Investment Income
$1,075,895
Other Revenue
$2,548,496
Change in Net Assets
$-3,055,659

Audited Revenue Reconciliation

Revenue per Audited Statements
$210,097,611
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$210,097,611
Total Revenue per Form 990
$210,097,611
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$119,991,266
Other Expenses$93,162,004
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$98,172,128--$98,172,128
Information Technology$41,771,037--$41,771,037
Other Employee Benefits$9,809,308--$9,809,308
Payroll Taxes$8,326,738--$8,326,738
Fees for Services Other$6,784,016$608,330-$7,392,346
Depreciation Depletion$7,105,213--$7,105,213
Interest$4,754,909--$4,754,909
Pension Plan Contributions$3,683,092--$3,683,092
Fees for Services Legal$230,856$2,656,998-$2,887,854
Insurance$2,421,390--$2,421,390
Occupancy$1,590,505$27,871-$1,618,376
Advertising$1,417,557$6,245-$1,423,802
Other Expenses$1,132,161$3,688,676-$1,132,161
Fees for Services Accounting$708,895--$708,895
Travel$285,811$18,523-$304,334
All Other Expenses$231,661$3,148-$234,809
Office Expenses$145,610$675-$146,285
Conferences and Meetings$18,003$99,741-$117,744
Fees for Services Lobbying$97,647--$97,647
Total Functional Expenses$204,218,384$8,934,886$0$213,153,270

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$213,153,270
Total Expenses per Audited Statements$213,153,270
Total Expenses per Form 990$213,153,270
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Diana SeditaSister of Key Employee, Laura CianfloneDirector Marketing & CommunicationsNo$150,070
Carrie Sette-CamaraWife of Key Employee, Leonardo Sette-CamaraDirector Public and Media RelationsNo$123,606
Rachel MarkiewiczDaughter in Law of President & CEO Joyce MarkiewiczSocial Worker, MSWNo$73,083
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$209,028,832
Accrued Pension$39,148,994
Operating Lease Liabilities$7,718,180
L/T General Liab/Worker Comp IBNR$7,025,345
Debt Issuance Costs$-1,725,563

Bond Issues

BondIssuerIssuedIssue PricePurpose
ABuffalo and Erie County Industrial Land Development Corporation2015-04-30$83,525,337See Part VI
BDormitory Authority of the State of New York2019-04-25$68,994,640See Part VI

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$83,525,337-$26,900,000$2,434,210
B$70,455,589--$760,121

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
Yes
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
Yes
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

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.

Filing and Contact Details

Filer

Filer Name
Catholic Health System
EIN
22-2565278
Phone
7169232968
Address
144 GENESEE ST, BUFFALO, NY 14203

Signing Officer

Name
Russell Edwards
Title
VP Finance, Corp Controller
Phone
7169232968
Signed
2025-11-12

Organization Details

Principal Officer
Joyce Markiewicz
Formed
1998
Legal Domicile
Ny
Voting Board Members
24
Independent Board Members
23
Employees
1,974
Volunteers
1
Supplemental Narrative

Additional Explanations

Form 990, Part XI, line 9:

Pension Liability 11,364,928. Miscellaneous -20,413.

Financial Statement Notes

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.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0The 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.
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