2024-11-11T13:16:04-06:00 2023-12-31 990 2023-01-01 200198518 Catholic Health System Infusion Pharmacy Inc CATH 7168282974 144 Genesee Street Buffalo NY 14203 Russell Edwards VP Finance Corp Controller CHS 7169232968 2024-11-11 0 2023 2024-10-15 13:58:12Z Joyce Markiewicz 144 GENESEE STREET BUFFALO NY 14203 31783769 0 X www.chsbuffalo.org X 2003 NY The Mission of Catholic Health System Infusion Phamacy, as part of the Catholic Health System (CHS) in Western New York, is to provide quality healthcare services in a home care setting. Committed to a common mission, the providers of Catholic Health System Infusion Pharmacy 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 14 9 53 0 80090 85893 4564 2280 20141002 31700087 0 1312 65093 80090 20210659 31783769 0 0 0 0 4170902 4483595 0 0 0 16783720 24518640 20954622 29002235 -743963 2781534 9505462 12385574 3631327 3837836 5874135 8547738 X The Mission of Catholic Health System Infusion Phamacy, as part of the Catholic Health System (CHS) in Western New York, is to provide quality healthcare services in a home care setting. Committed to a common mission, the providers of Catholic Health System Infusion Pharmacy 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 0 0 23752360 31700087 Catholic Health system Infusion Pharmacy provides home health infusion care and supportive services to individuals throughout Western New York as well as pharmaceutical needs to Catholic Health System long term care facilities. Committed to a common mission, Western New York's Catholic Health providers continue the healing mission of Jesus. Seeking to improve the health of individuals and communities, we provide high quality service that is holistic, compassionate, and respectful of human dignity. Central to this endeavor is the service of persons who are poor and disadvantaged. For more detailed information, the 2023 Catholic Health Community Service report can be found at www.chsbuffalo.org. 23752360 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 6 0 1 53 1 1 1 0 0 0 0 0 0 0 0 0 X 14 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NY X X Russell Edwards 7169232968 144 Genesee Street Buffalo NY 14203 Mark Sullivan President and CEO 1.00 55.00 X X 0 1635876 104188 Walter Ludwig Director 1.00 55.00 X 0 370404 61647 Russell Edwards VP of Finance, Corp Contro 1.00 55.00 X 0 231584 20105 Charles Urlaub Director 1.00 55.00 X 0 486698 75182 Aaron Chang President and CEO, SOC 1.00 55.00 X 0 265331 23590 Carol Heckman Esq Director-Chair 0.00 8.00 X 0 0 0 Douglas Bean Director 0.00 4.00 X 0 0 0 Monsignor Robert E Zapfel Director - Vice Chair 0.00 4.00 X 0 0 0 Anthony Burgio Director 0.00 4.00 X 0 0 0 Alexis Agnello Director 0.00 4.00 X 0 0 0 Sister Marcia Ann Fluko Director 0.00 4.00 X 0 0 0 Nelson J Grimm PhD Director 0.00 4.00 X 0 0 0 Emily H Jerge MS RN CHSE Director 0.00 4.00 X 0 0 0 Toni Murphy DO Director 0.00 4.00 X 0 0 0 Thomas Gleason President and CEO HCBC 1.00 55.00 X X 0 308852 53293 Adam Dean Director 0.00 4.00 X 0 0 0 Joyce Markiewicz Chief Business Development, Pres & CEO 1.00 55.00 X 0 1086472 81890 David Macholz Chief Financial Officer 1.00 55.00 X 0 672043 80342 Dr Michael Galang Senior VP, Chief Informati 1.00 55.00 X 0 513743 72873 Dr Hans Cassagnol Executive VP, Chief Physic 1.00 55.00 X 0 655794 62247 William Pryor Executive VP, Chief Admin 1.00 55.00 X 0 524095 68469 Bartholomew Rodrigues Chief Mission Officer 1.00 55.00 X 0 277358 62942 James Garvey Executive VP, Chief Operat 1.00 55.00 X 0 773675 66683 Rebecca McCormick Boyle Chief Integration Officer 1.00 55.00 X 0 256911 27612 Leonardo Sette-Camara General Cousel-Secretary 1.00 55.00 X 0 340468 46568 Lisa Cilano Senior VP, RMC & Business 1.00 55.00 X 0 352866 114286 Martin Boryszak Senior VP, Acute Care 1.00 55.00 X 0 597531 56537 Edward Dybala Pharmacy Supervisor 55.00 X 167520 0 20112 Josephine Rothenberger Pharmacist 55.00 X 168094 0 23192 Robert Wojton Directory of Pharmacy HCBC 55.00 X 181436 0 14539 Daniel M Janish Supervising Pharmacist CHIP HC 55.00 X 156437 0 24459 Jamie DePronio Pharmacist Clinical Home Care 55.00 X 144928 0 18464 818415 9349701 1179220 13 0 1 0 Trellis Rx LLC 1180 W Peachtree St NE 22nd Floor Atlanta GA 30309 Pharmacy Services 1773087 1 2280 2280 Specialty Pharmacy Services 900099 17966625 17966625 Home Care Infusion Services 621610 6853933 6853933 Oral Pharmacy Services 621610 5924726 5924726 Retail Pharmacy Services 900099 954803 954803 31700087 1312 1312 Gift Shop Revenue 900099 77871 77871 CHS Shared Revenue 900099 8268 8268 Net Periodic Pension Cost 900099 -6049 -6049 80090 31783769 31700087 80090 1312 X 3593604 2335843 1257761 106251 69063 37188 542792 352816 189976 240948 156616 84332 3302342 3302342 20660457 20478724 181733 217138 217138 76784 59573 17211 4790 4790 82893 68075 14818 Outside Services 130939 130939 Dues and Subscriptions 22870 22870 20427 14512 5915 29002235 23752360 5249875 0 3009084 5504633 2339632 2886364 1709701 1584267 13078 18494 1391203 621397 812996 769806 140000 140000 1480971 1482010 9505462 12385574 2710750 2923887 920577 913949 3631327 3837836 X 0 0 0 0 5874135 8547738 5874135 8547738 9505462 12385574 X 2781534 -107931 X 0 1 X 1 0 X 227149 8881 4564 2280 242874 12629669 12542229 12991126 20203124 31777958 90144106 12629669 12769378 13000007 20207688 31780238 90386980 0 0 0 90386980 -11358 -21261 -1922 2971 3531 -28039 -11358 -21261 -1922 2971 3531 -28039 12618311 12748117 12998085 20210659 31783769 90358941 1.00000 1.00000 0.00000 X 1391203 621397 769806 769806 Prof Liab Recovery 20088 WC LT Recovery 21074 Joint Venture 604753 ROU Asset-Operating Leases 836095 1482010 Professional Liab LT IBNR 31225 Workers Comp LT IBNR 172011 LT Portion of Operating Lease 707293 Professional Liab LT Funding 3420 913949 X X X X X X 1 0 0 0 0 0 0 0 0 Mark Sullivan President and CEO 0 926960 0 0 0 708916 0 86783 0 17405 0 1740064 0 0 Joyce Markiewicz Chief Business Development, Pres & C 0 970344 0 25 0 116103 0 64816 0 17074 0 1168362 0 0 James Garvey Executive VP, Chief Operat 0 747189 0 0 0 26486 0 49548 0 17135 0 840358 0 0 David Macholz Chief Financial Officer 0 654116 0 0 0 17927 0 63292 0 17050 0 752385 0 0 Dr Hans Cassagnol Executive VP, Chief Physic 0 637924 0 0 0 17870 0 38637 0 23610 0 718041 0 0 Martin Boryszak Senior VP, Acute Care 0 580304 0 0 0 17227 0 32978 0 23559 0 654068 0 0 William Pryor Executive VP, Chief Admin 0 488143 0 0 0 35952 0 50299 0 18170 0 592564 0 0 Dr Michael Galang Senior VP, Chief Informati 0 494029 0 0 0 19714 0 64188 0 8685 0 586616 0 0 Charles Urlaub Director 0 464188 0 0 0 22510 0 66520 0 8662 0 561880 0 0 Lisa Cilano Senior VP, RMC & Business 0 335091 0 0 0 17775 0 105738 0 8548 0 467152 0 0 Walter Ludwig Director 0 349597 0 0 0 20807 0 44872 0 16775 0 432051 0 0 Leonardo Sette-Camara General Cousel-Secretary 0 339934 0 0 0 534 0 23225 0 23343 0 387036 0 0 Thomas Gleason President and CEO HCBC 0 291937 0 0 0 16915 0 30015 0 23278 0 362145 0 0 Bartholomew Rodrigues Chief Mission Officer 0 259345 0 0 0 18013 0 39675 0 23267 0 340300 0 0 Aaron Chang President and CEO, SOC 0 252549 0 0 0 12782 0 4765 0 18825 0 288921 0 0 Rebecca McCormick Boyle Chief Integration Officer 0 246815 0 0 0 10096 0 27371 0 241 0 284523 0 0 Russell Edwards VP of Finance, Corp Contro 0 231363 0 0 0 221 0 11655 0 8450 0 251689 0 0 Robert Wojton Directory of Pharmacy HCBC 180725 0 25 0 686 0 14357 0 182 0 195975 0 0 0 Josephine Rothenberger Pharmacist 163443 0 25 0 4626 0 6612 0 16580 0 191286 0 0 0 Edward Dybala Pharmacy Supervisor 166618 0 0 0 902 0 19945 0 167 0 187632 0 0 0 Daniel M Janish Supervising Pharmacist CHIP HC 156087 0 25 0 325 0 6246 0 18213 0 180896 0 0 0 Jamie DePronio Pharmacist Clinical Home Care 140416 0 1600 0 2912 0 1905 0 16559 0 163392 0 0 0 Part I, Line 4a Severance Payments/Change of Control Payments were made to: Mark Sullivan: $330,113.29 Susan Urlaub Wife of Mercy CEO, C.J. Urlaub 107134 Clinical Document Specialist, SCH,SJC 0 Rachel Markiewicz Daughter in Law of Chief Business Development Officer, Joyce Markiewicz 68928 Social Worker, MSW 0 Carrie Sette-Camara Wife of Key Employee, Leonardo Sette-Camara 94614 Public Relations Manager, Sisters 0 Diana Sedita Sister of Key Employee, Laura Cianflone 144571 Director of Marketing & Communications 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, 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 2023, the Catholic Health System utilized a Compensation Committee of the corporation 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 IX, line 11g Professional Fees: Program service expenses 0. Management and general expenses 3,302,342. Fundraising expenses 0. Total expenses 3,302,342. Form 990, Part XI, line 9: Minimum Pension Liability Adjustment -98,593. Lawson Suspense Accounts -9,338. Catholic Health System Inc 144 Genesee Street Buffalo NY 14203 222565278 Health Care Delivery System NY 501 c 3 Schedule A line 10 0 Trinity Medical WNY PC 2625 Harlem Road Cheektowaga NY 14225 272576645 Primary Care Provider NY 501 c 3 Schedule A line 12 Catholic Health System Inc 0 CHS Program of All-Inclusive Care for the Elderly 55 Melroy Avenue Lackawanna NY 14218 261252884 All Inclusive Care for the Elderly NY 501 c 3 Schedule A line 3 Catholic Health System Inc 0 OLV Renaissance Corporation 144 Genesee Street Buffalo NY 14203 200167745 Real Estate Holding Company NY 501 c 3 Schedule A line 10 Catholic Health System Inc 0 CHS Continuing Care Foundation 144 Genesee Street Buffalo NY 14203 200947831 Foundation NY 501 c 3 Schedule A line 7 Catholic Health System Inc 0 McAuley Seton Home Care 144 Genesee Street Buffalo NY 14203 161310062 Home Care Provider NY 501 c 3 Schedule A line 10 Catholic Health System Inc 0 Niagara Homemaker Services (Mercy Home Care) 144 Genesee Street Buffalo NY 14203 161317960 Home Care Provider NY 501 c 3 Schedule A 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 Schedule A line 10 Catholic Health System Inc 0 St Vincent Manor 319 Washington Street Dunkirk NY 14048 160743167 Adult Home NY 501 c 3 Schedule A line 10 Catholic Health System Inc 0 St Francis Home of Buffalo 34 Benwood Avenue Buffalo NY 14214 161523535 Skilled Nursing Facility NY 501 c 3 Schedule A 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 Schedule A 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 Schedule A line 10 Catholic Health System Inc 0 Nazareth Home of the Fransican Sisters 291 North Street Buffalo NY 14201 160813142 Skilled Nursing Facility NY 501 c 3 Schedule A line 10 Catholic Health System Inc 0 Kenmore Mercy Hospital 2950 Elmwood Avenue Kenmore NY 14217 160762843 Acute Care Hospital NY 501 c 3 schedule A 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 Schedule A line 3 Catholic Health System Inc 0 Mercy Hospital of Buffalo 565 Abbott Road Buffalo NY 14220 160756336 Acute Care Hospital NY 501 c 3 Schedule A line 3 Catholic Health System Inc 0 KMH Homes Inc 144 Genesee Street Buffalo NY 14203 161387890 Real Estate Holding Company NY 501 c 3 Schedule A line 10 Catholic Health System Inc 0 Mount St Marys Hospital of Niagara Falls 5300 Military Road Lewiston NY 14092 161523353 Acute Care Hospital NY 501 c 3 Schedule A line 3 Catholic Health System Inc 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1