About St. Joseph's
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Leslie Paul Luke
President and Chief Executive Officer

Leslie Paul Luke serves as the 14th President and Chief Executive Officer of St. Joseph’s Health, a non-profit regional health care system that encompasses a 16-county service area across Upstate New York. Mr. Luke joined St. Joseph’s in February 2017. Prior to joining St. Joseph’s, Les served as Regional CEO of Tennova Healthcare, a six hospital system in Knoxville, TN with net revenues of $650 million. He also held the role of CEO at Physicians Regional Medical Center, Tennova’s flagship hospital. 

Les was born in St. Louis, MO but raised in Hawaii where his parents are from.  His father was a general surgeon who did his training in Syracuse.  In 1991 he got his first CEO role at a 50-bed, not for profit hospital in Kentucky.  Les then went to Erlanger Medical Center in Tennessee, an 850-bed tertiary medical center where he was responsible for quality improvement and marketing.  He developed QIP teams and became agile in facilitation of quality improvement efforts while learning how to impact change through influence.  Since then he served as CEO of three other hospitals, and in 2006, he joined Community Health Systems where he held several key leadership roles. 

Mr. Luke holds a bachelor's degree in Sociology and a master’s degree in Health Administration from Brigham Young University in Provo, UT. 


Jennifer Reschke Bolster
Vice President, Chief Integrity & Compliance Officer

Jennifer Reschke Bolster is Vice President, Chief Integrity and Compliance Officer, and Privacy Officer for St. Joseph’s Health. Ms. Bolster oversees the monitoring and reporting of all regulatory compliance programs within the St. Joseph’s Health system of care and provides strategic guidance to the Board of Trustees and senior leadership team. Bolster serves as the subject matter expert on all policies and procedures associated with the general operation of a formal compliance program – including regulations associated with physician financial arrangements, coding and billing, Clinical Integration Networks and Accountable Care Organizations – and she advises and consults with St. Joseph’s Health’s president, senior leaders and physicians throughout the system to help St. Joseph’s Health and Trinity Health maintain compliance across the full continuum of care.

Bolster most recently served as the Chief Compliance Officer and Chief Policy and Government Affairs Officer at Syracuse Community Health Center. Prior to this, Bolster was engaged in private legal practice at Hancock & Estabrook in the area of health care law for more than 12 years. Her law practice focused on advising hospital systems and other health care facilities regarding compliance issues, development and implementation of compliance programs, complex transactions involving physician agreements, joint ventures, recruitment arrangements, third party payor contracts, vendor agreements, medical staff issues related to governance and corrective actions, patient treatment, privacy and confidentiality and accreditation standards.

Bolster holds a Bachelor of Arts degree in Criminal Justice & Psychology from the State University of New York at Albany, and a Juris Doctor degree from Boston College Law School.

AnneMarie W. Czyz, RN, Ed.D., NEA-BC
Chief Operating Officer/Chief Nursing Officer 

AnneMarie Walker-Czyz, RN, Ed. D., NEA-BC, has been employed at St. Joseph’s Hospital Health Center since 1997. In 2014, she assumed her current position as Senior Vice President for Operations, Chief Operating Officer and Chief Nursing Officer. Since that time, she has led a nationally-recognized team of nurses and health care colleagues in the day-to-day delivery of compassionate patient care to Central New York.

Under her guidance, St. Joseph’s received the designation of a Magnet Hospital for Excellence in Nursing by the American Nurses Credentialing Center. In addition, St. Joseph’s has received numerous awards for exceptional patient care outcomes.

Czyz’s previous leadership role at St. Joseph’s was as the Vice President of Clinical and Education Services and Chief Nursing Officer.  She has also worked as the Director of Critical Care and Cardiac Services, a nurse manager, staff educator, and a staff nurse on one of the cardiac care units.

Czyz earned her nursing degree from the St. Joseph’s College of Nursing and completed her Bachelor of Science degree in nursing from the State University of New York Upstate Medical University. She also holds a Master of Science and Clinical Nurse Specialist degree from Upstate Medical University. She is a member of Sigma Theta Tau and is certified as a medical surgical nurse.  In 2015, Czyz graduated from St. John Fisher College earning an Education Doctorate degree in Executive Leadership.  Research areas of interest have been in the impact of innovation adoption on quality and cost in nursing care.  Czyz is also certified as a Nurse Executive from the ANCC.

Her passions lie in the promotion of Shared Governance and promoting Nursing Leadership at the point of care delivery, and transforming acute care services to be consistent with the overall strategy for health care reform.

Erika Duncan
Vice President for Human Resources

As Vice President of Human Resources, Ms. Duncan is responsible for defining and implementing the key initiatives consistent with St. Joseph’s Health goals. Ms. Duncan’s focus will be primarily on a proactive approach to recruitment, retention, leadership development, diversity, benefit design and workforce planning, in addition to leading the department’s integration with Trinity Health. 

Ms. Duncan is a professional with more than 20 years of leadership and operational experience. She recently served as vice president of human resources for Metro Health, an integrated healthcare system based in Grand Rapids, Michigan.  Duncan is an advocate for the employees, credited with guiding the development and implementation of initiatives that resulted in improvement of the system’s recruiting, retention and engagement initiatives. She is passionate about workforce analytics and strategic human capital planning.  Previous to Metro Health, Duncan served as senior director of human resources/talent management for Spectrum Health, a Grand Rapids multi-hospital health system for eight years.  She has also held positions at Johnson Controls and AMI Doduco.    

Ms. Duncan holds a Masters of Management in organizational development from Aquinas College, and a Bachelor’s degree in public relations, advertising and applied communication from Grand Valley State University.

Charles J. Fennell

Charles J. Fennell
Vice President for Information Technology and Chief Information Officer   

Charles Fennell has more than 27 years’ experience in information technology serving the health care community. He joined St. Joseph’s in 2001 as Vice President and Chief Information Officer. During his tenure, he has led strategic IT initiatives that have enabled St. Joseph’s to strengthen its operational performance, improve clinical outcomes and patient safety, as well as enhance physician satisfaction. Prior to St. Joseph’s, Fennell held a variety of software engineering, management and administrative positions at Heath Care Data Systems in Syracuse.

Vincent J. Kuss, MBA, MS
Vice President for Development

Vincent J. Kuss serves as Vice President of Development for the St. Joseph’s Health Foundation. In this role, Kuss leads all activities of the hospital’s Foundation, including the strategy, direction and execution of the hospital’s fund-raising goals. Kuss brings to the role more than 16 years of healthcare and higher education development experience.

A graduate of the State University of New York at Cortland, he holds a Bachelor’s degree in Sociology. He also earned his Master of Science in Higher Education Administration from Syracuse University and a Master of Business Administration from Le Moyne College. Previously, Kuss has held development positions at two major universities including where he served as Executive Director for the College of Medicine Alumni Foundation at SUNY Upstate Medical University.

During his time at St. Joseph’s, Kuss has been engaged with several committees, including the St. Joseph’s Hospital Leadership Council, the Council of Advisors, the Wellness Committee, and the Employee Engagement Task Force, among others. He is also a member of nearly a dozen community and national organizations, including the Association for Healthcare Philanthropy, the Association of Fundraising Professionals of Central New York, the Council for Advancement and Support of Education, and the Fayetteville-Manlius Little League Board of Directors. Kuss resides in Manlius with his wife and three children.

  Regina McGraw, RN, JD
General Counsel

Regina McGraw, RN, JD, serves as General Counsel for St. Joseph’s Health.  Prior to joining St. Joseph’s, she practiced as a health care attorney representing hospitals, health systems and other providers and in the area of medical malpractice defense. She also has a clinical background as a registered nurse. 

McGraw holds a Juris Doctor degree from Delaware Law School in Wilmington, DE, a Bachelor of Science degree in Nursing from LaSalle University in Philadelphia, PA, and a Nursing Diploma from Chestnut Hill Hospital School of Nursing in Philadelphia, PA.  She is an attorney admitted to practice law in New York, Pennsylvania and New Jersey and a Registered Nurse licensed to practice in New York and Pennsylvania.  She is also a member of the American Health Lawyers Association and the New York Bar Association.

Mark E. Murphy

Mark E. Murphy, RN, NP
Chief Strategy Officer

Mark Murphy is Senior Vice President for System Development and Ambulatory Care Administration at St. Joseph’s. Murphy has worked for St. Joseph’s since 1989. Murphy’s responsibilities related to System Development include system-wide Strategy Planning, Regional Development/Affiliations, Government Relations/Advocacy, and Continuum of Care/Community Based Care.  Under Ambulatory Care Administration, Murphy oversees home and community-based services, outpatient mental health, hospital based clinics, care management and dialysis programs, and the regional for-profit management and durable medical equipment company.  

Murphy holds a Bachelor’s degree in Nursing from SUNY Plattsburg, a Master of Science in Nursing from Boston College and completed post graduate classwork at both Le Moyne College and Syracuse University.

Meredith Price

Meredith Price
Chief Financial Officer 

Meredith Price joined St. Joseph's in 2013 with more than 18 years of varying health care experience. Under a national consulting group, she served in several hospitals as strategic planner, project manager, and interim Chief Financial Officer and other financial positions. Previous to this experience Price worked as a hospital’s director of finance and as a consultant for an international accounting firm. Most recently, she served as Chief Administrative Officer for Upstate University Hospital’s Community Campus. 

A graduate of Siena College, she holds a Bachelor’s degree in Business Administration, is a Certified Public Accountant in New York State and is a Certified Healthcare Financial Professional by the Healthcare Financial Management Association. She is on the board of the March of Dimes Central New York Division.


Joseph W. Spinale, DO, MBA
Chief Medical Officer

As Chief Medical Officer (CMO), Joseph W. Spinale, DO, MBA, is responsible for guiding the organization’s efforts to ensure that all services provided across the continuum of care are of high quality and value, maintaining clinician alignment and satisfaction, and leading evidence-based programs, practices and activities. As CMO Dr. Spinale also provides direction to system-wide improvements in patient safety, quality management, accreditation and medical staff services. He brings a wealth of experience in business and medicine to the role of CMO. In his previous leadership capacity he worked at Kent Hospital in Warwick, Rhode Island, where he was a senior vice president for medical affairs and chief medical officer responsible for oversight of a medical staff with over 700 clinicians as well as ACGME and AOA graduate medical education programs and quality, risk management and indemnity programs. Spinale was employed at Kent Hospital for nearly a decade where he also served as director of medical education and chief of cardiology.

Spinale earned his Doctor of Osteopathic Medicine from Ohio University in Athens, Ohio and his Master of Business Administration from University of Massachusetts Amherst in Amherst, Massachusetts. His certifications include: the American Board of Internal Medicine, cardiovascular disease, American Board of Quality Assurance and Utilization Review Physicians, National Association for Healthcare Quality, Certification Board for Professionals in Patient Safety, Certification Board Nuclear Cardiology, Just Culture Champion, and Lean Six Sigma Black Belt.  Dr. Spinale has served as an examiner for the Malcolm Baldrige National Quality Award through the National Institute of Standards and Technology since 2014.  Additionally he is a Fellow of the following organizations: American College of Cardiology, American College of Physicians, American Society of Nuclear Cardiology, American College of Healthcare Executives, and the American Association for Physician Leadership. 


Deborah Welch
Vice President for Mission Integration

Deborah Welch is responsible providing leadership in the design, development and implementation of programs and activities related to mission, core values, leadership formation, ethics, spiritual care, patient/family experience, palliative care and community benefit. A 37-year employee at St. Joseph’s, Welch has been responsible for the overall operation, administration and management of mental health services for 22 years. Under her leadership, St. Joseph’s mental health services has grown exponentially and has led the way in providing mental health services to those most in need in the Central New York community. 

In this role, she has been applying her knowledge of Baldrige principles and quality and employee development to help advance the organization’s readiness to meet the challenges of tomorrow.

A resident of Skaneateles, Welch holds a Bachelor’s degree in psychology from Le Moyne College and is an alumnus of Leadership Greater Syracuse, Class of 2003. She also is a member of the boards of directors for Catholic Charities of Onondaga County and the Le Moyne College Board of Regents.