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KALEIDA HEALTH: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
KALEIDA HEALTH (EIN 16-1533232)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-14
IRS object ID
202343189349305969
Schema version
2022v5.0
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)
Return2023-11-14T11:54:22-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1515 BROADWAY 4TH FLAddressLine1Txt
CityALBANYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP122072974ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN161533232EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KALEIDA HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlKALEBusinessNameControlTxt
Phone7168598836PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1726 EXCHANGE STREET 200AddressLine1Txt
CityBUFFALOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14210ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonHUGH CHISHOLMPersonNm
Person TitleCFOPersonTitleTxt
Phone7168598836PhoneNum
Signature2023-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstHUGHPersonFirstNm
Person LastCHISHOLMPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSTEPHANIE LONCZAKPreparerPersonNm
PTINP01880207PTIN
Phone5184274600PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDONALD BOYDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 HIGH STREETAddressLine1Txt
CityBUFFALOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14203ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,508,797,698GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.KALEIDAHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionKALEIDA HEALTH PROVIDES HEALTHCARE SERVICES FOR THE EIGHT COUNTIES OF WNY AT FOUR ACUTE CARE, TWO LT CARE, AND OTHER OUTPATIENT AND PRIMARY CARE SITES.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee9140TotalEmployeeCnt
Total Volunteers1170TotalVolunteersCnt
Total Gross UBI$7,596,654TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$200,832NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$13,902,955PYContributionsGrantsAmt
CY Contributions Grants$41,185,625CYContributionsGrantsAmt
PY Program Service Revenue$1,376,606,865PYProgramServiceRevenueAmt
CY Program Service Revenue$1,437,808,000CYProgramServiceRevenueAmt
PY Investment Income$4,049,446PYInvestmentIncomeAmt
CY Investment Income$956,274CYInvestmentIncomeAmt
PY Other Revenue$27,897,019PYOtherRevenueAmt
CY Other Revenue$22,465,987CYOtherRevenueAmt
PY Total Revenue$1,422,456,285PYTotalRevenueAmt
CY Total Revenue$1,502,415,886CYTotalRevenueAmt
PY Grants And Similar Paid$599,550PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$326,927CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$719,279,567PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$746,273,761CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$694,657,051PYOtherExpensesAmt
CY Other Expenses$764,843,936CYOtherExpensesAmt
PY Total Expenses$1,414,536,168PYTotalExpensesAmt
CY Total Expenses$1,511,444,624CYTotalExpensesAmt
PY Revenues Less Expenses$7,920,117PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$9,028,738CYRevenuesLessExpensesAmt
Total Assets BOY$1,193,308,740TotalAssetsBOYAmt
Total Assets EOY$1,204,818,970TotalAssetsEOYAmt
Total Liabilities BOY$1,131,944,176TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,098,748,588TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$61,364,564NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$106,070,382NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionKALEIDA HEALTH IS THE LARGEST HEALTHCARE PROVIDER IN WNY, SERVING THE AREA'S EIGHT COUNTIES WITH COMPREHENSIVE SERVICES & PROGRAMS PROVIDED AT FOUR ACUTE CARE, TWO LONG TERM CARE, AS WELL AS OUTPATIENT & PRIMARY CARE SITES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,310,266,823ExpenseAmt
Grant$326,927GrantAmt
Revenue$1,439,624,604RevenueAmt
DescSEE SCHEDULE OKALEIDA HEALTH IS A VOLUNTARY, NOT-FOR-PROFIT; NEW YORK STATE DEPARTMENT OF HEALTH ARTICLE 28 LICENSED HOSPITAL-BASED HEALTHCARE DELIVERY SYSTEM SERVICING THE COMMUNITIES OF WESTERN NEW YORK STATE AT VARIOUS LEVELS AND WITH FACILITIES IN MULTIPLE LOCATIONS THROUGHOUT THE REGION. KALEIDA HEALTH INCLUDES THE BUFFALO GENERAL MEDICAL CENTER (BUFFALO GENERAL), MILLARD FILLMORE SUBURBAN HOSPITAL (MILLARD SUBURBAN), JOHN R. OISHEI CHILDREN'S HOSPITAL (OISHEI CHILDREN'S HOSPITAL, FORMERLY THE WOMEN & CHILDREN'S HOSPITAL OF BUFFALO), AND DEGRAFF MEMORIAL HOSPITAL (DEGRAFF). IN ADDITION TO THE FOUR KALEIDA HEALTH (KALEIDA) HOSPITALS, KALEIDA OPERATES TWO SKILLED NURSING FACILITIES, AND NUMEROUS OUTPATIENT CLINICS. THE ABOVE FACILITIES OPERATE UNDER ONE TAX IDENTIFICATION NUMBER.OUR FAMILY OF HEALTH CARE ORGANIZATIONS IS BLENDED TOGETHER INTO ONE FRAMEWORK FOR LEADERSHIP, GOVERNANCE, SHARED SERVICES, FINANCIAL INFRASTRUCTURE AND INFORMATION TECHNOLOGY PLATFORMS. COLLECTIVELY, KALEIDA HEALTH'S MARKET SHARE IS 32.9% IN WESTERN NEW YORK, 41.39% IN ERIE COUNTY AND 34.37% IN NIAGARA COUNTY. ANNUALLY $1.2 MILLION COMBINED INPATIENT, EMERGENCY DEPARTMENT AND OUTPATIENT VISITS OCCUR AT THE HEALTH CARE FACILITIES IN THE KALEIDA HEALTH SYSTEM, WHICH EMPLOYS APPROXIMATELY 8,500 STAFF AND HAVE APPROXIMATELY 2,300 MEDICAL STAFF MEMBERS. DURING 2022, THERE WERE 53,569 INPATIENT DISCHARGES, OF WHICH 27% WERE MEDICAID AND MEDICAID MANAGED, 41% MEDICARE AND MEDICARE MANAGED CARE, 1% WERE UNINSURED, AND 36% WERE OTHER. KALEIDA HEALTH'S MISSION IS TO ADVANCE THE HEALTH OF OUR COMMUNITY. OUR VISION IS TO PROVIDE COMPASSIONATE, HIGH-VALUE, QUALITY CARE, IMPROVING HEALTH IN WESTERN NEW YORK AND BEYOND, EDUCATING FUTURE HEALTH CARE LEADERS AND DISCOVERING INNOVATIVE WAYS TO ADVANCE MEDICINE. OUR VALUES CLEARLY STATE WHO WE ARE AND HOW WE PERFORM OUR WORK:CENTERED: REMAIN CENTERED AROUND THE PATIENT AND FAMILY.ACCOUNTABLE: BE ACCOUNTABLE TO PATIENTS AND EACH OTHER.RESPECT: SHOW RESPECT AND INTEGRITY.EXCELLENCE: PROVIDE EXCELLENCE IN ALL WE DO.KALEIDA HEALTH'S PROGRAMS AND AFFILIATES ARE LICENSED BY THE STATE OF NEW YORK DEPARTMENT OF HEALTH AND ACCREDITED BY DNV. KALEIDA IS CERTIFIED BY THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES FOR PARTICIPATION IN MEDICARE AND MEDICAID. THE ACCREDITATION COUNSEL FOR GRADUATE MEDICAL EDUCATION APPROVES ALL RESIDENCY PROGRAMS FOR PHYSICIANS, AND THE AMERICAN DENTAL ASSOCIATION APPROVES ITS DENTAL AND ORAL SURGERY PROGRAMS. KALEIDA IS ALSO A MEMBER OF THE COUNCIL OF TEACHING HOSPITALS, THE AMERICAN DENTAL ASSOCATION, THE AMERICAN MEDICAL ASSOCATION AND THE GREATER NEW YORK HOSPITAL ASSOCATION.OPERATION OF EMERGENCY ROOMS:KALEIDA HEALTH OPERATES FOUR EMERGENCY ROOMS, ONE IN EACH OF THE ACUTE CARE HOSPITALS, GENERATING A TOTAL OF 162,635 PATIENT VISITS DURING 2022. THE EMERGENCY DEPARTMENTS, WHICH OPERATE 24 HOURS A DAY, SEVEN DAYS EACH WEEK, ARE OPEN TO ANYONE, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES.BOARD OF DIRECTORS AND COMMUNITY GUIDANCE:KALEIDA HEALTH MAINTAINS COMMUNITY CONTROL OVER THE CORPORATION THROUGH ITS BOARD OF DIRECTORS, COMPRISED OF COMMUNITY AND FAITH LEADERS, AND LEADERS IN BUSINESS AND INDUSTRY, HEALTHCARE AND PHYSICIANS REPRESENTING THE MEDICAL STAFF OF KALEIDA HEALTH. THE MAJORITY OF THE DIRECTORS RESIDE IN WESTERN NEW YORK AND EACH DIRECTOR SERVES A THREE-YEAR TERM. OPEN MEDICAL STAFF:AS CONFERRED BY THE BOARD OF DIRECTORS, MEDICAL STAFF MEMBERSHIP IS OFFERED TO PROFESSIONALLY COMPETENT PHYSICIANS, DENTISTS, PODIATRISTS AND OTHER SPECIFIED INDIVIDUALS, WHO CONTINUOUSLY MEET THE QUALIFICATIONS, STANDARDS AND REQUIREMENTS OUTLINED IN THE BYLAWS, RULES AND REGULATIONS, POLICIES OF THE MEDICAL STAFF AND KALEIDA HEALTH, CONSISTENT WITH THE NEEDS OF KALEIDA HEALTH'S PATIENTS. STAFF MEMBERSHIP OR PARTICULAR CLINICAL PRIVILEGES SHALL NOT BE DENIED ON THE BASIS OF AGE, SEX, SEXUAL ORIENTATON, RACE, COLOR, CREED, NATIONAL ORIGIN, A DISABILITY UNRELATED TO THE ABILITY TO FULFILL PATIENT CARE AND MEDICAL STAFF RESPONSIBILITIES OR ANY OTHER CRITERION UNRELATED TO THE EFFICIENT DELIVERY OF QUALITY PATIENT CARE, TO PROFESSIONAL QUALIFICATIONS OR TO THE NEEDS OF THE COMMUNITY, OR TO THE PURPOSES, NEEDS AND CAPABILITIES OF KALEIDA HEALTH. EVERY MEMBER OF THE MEDICAL STAFF ASSISTS THE HOSPITALS IN FULFILLING OUR MISSION AND RESPONSIBILITY TO PROVIDE EMERGENCY AND UNCOMPENSATED CARE FOR THOSE IN NEED.USE OF SURPLUS FUNDS:SURPLUS FUNDS ARE USED TO FURTHER THE MISSION AND OPERATIONS OF KALEIDA HEALTH, SUCH AS REINVESTING IN COMMUNITY BENEFIT PROGRAMS, AND MAKING IMPROVEMENTS IN FACILITIES, PATIENT CARE, MEDICAL, NURSING AND ALLIED HEALTH TRAINING, EDUCATION AND RESEARCH IN SUPPORT OF THE HEALTH NEEDS OF THE COMMUNITY.COMMUNITY BENEFIT PROGRAMS AND SERVICES:KALEIDA HEALTH OFFERS NUMEROUS COMMUNITY BENEFIT PROGRAMS AND SERVICES IN RESPONSE TO THE COMMUNITY'S NEEDS, BY IMPROVING ACCESS TO CARE, IMPROVE PUBLIC HEALTH, ADVANCE KNOWLEDGE AND RELIEVE GOVERNMENT PROGRAMS. THESE PROGRAMS ARE CONDUCTED IN COMMUNITY-BASED SETTINGS SUCH AS SCHOOLS, CHURCHES, COMMUNITY CENTERS, SENIOR CENTERS AND PROGRAMS ARE ALSO OFFERED AT KALEIDA'S HOSPITAL CAMPUSES AND FACILITIES. COMMUNITY BENEFIT PROGRAMS AND SERVICES INCLUDE HEALTH FAIRS, HEALTH SCREENINGS, HEALTH EDUCATION LECTURES AND WORKSHOPS FOR COMMUNITY GROUPS AND THE GENERAL PUBLIC, SCHOOL HEALTH EDUCATION PROGRAMS, AND CONSUMER HEALTH INFORMATION IN THE KALEIDA HEALTH LIBRARIES. KALEIDA ALSO OFFERS A NUMBER OF SUBSIDIZED HEALTH SERVICES SUCH AS OUTPATIENT CLINICS, LONG-TERM CARE SERVICES, WOMEN'S HEALTH CENTERS, DIALYSIS SERVICES, BEHAVIORAL HEALTH SERVICES, SCHOOL-BASED HEALTH CENTERS, EARLY CHILDHOOD PROGRAM, EARLY INTERVENTION SERVICES, FAMILY PLANNING SERVICES, WESTERN NEW YORK CLINICAL INFORMATION EXCHANGE AND HEALTH-E-LINK AND DIAGNOSTIC, THERAPEUTIC AND REHABILITATION SERVICES FOR CHILDREN WITH SPECIAL NEEDS. KALEIDA'S HOSPITALS SERVE AS A MAJOR TEACHING AFFILIATE OF THE STATE UNIVERSITY OF NEW YORK AT BUFFALO'S SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES AND DENTAL MEDICINE, WITH TRAINING TO 400 MEDICAL AND DENTAL RESIDENTS EACH YEAR. KALEIDA IS INVOLVED IN AND SPONSORS RESEARCH PROJECTS, AND WE PROVIDE LOAN FORGIVENESS FOR PHYSICIANS TO ESTABLISH OR JOIN EXISTING PRACTICES THAT SERVE THE UNDERSERVED COMMUNITIES OF BUFFALO AND WESTERN NEW YORK. KALEIDA OFFERS CLINICAL TRAINING FACILITIES AND SUPPORT FOR NURSING AND A NUMBER OF ALLIED HEALTH PROFESSIONAL TRAINING PROGRAMS AT LOCAL COLLEGES AND UNIVERSITIES, AND OTHER PROFESSIONAL DEVELOPMENT/CONTINUING EDUCATION TRAINING PROGRAMS FOR COLLEAGUES FROM HEALTH CARE ORGANIZATIONS ACROSS THE REGION.Desc
Total Program Service Expenses$1,310,266,823TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
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 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
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 OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1044IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee9140EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
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
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
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
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HUGH CHISHOLMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7168598836PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1726 EXCHANGE STREET SUITE 200AddressLine1Txt
CityBUFFALOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14210ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ROBERT NESSELBUSH
CHIEF EXECUTIVE OFFICER (UNTIL 9/22)40.00Yes (X)Yes (X)$3,694,133$0$11,541
DONALD BOYD
PRESIDENT AND CEO (AS OF 7/22)40.00Yes (X)Yes (X)$2,075,977$0-$29,0391.00
NICHOLAS J AQUINO MD
DIRECTOR1.00Yes (X)$0$0$0
THOMAS BEAUFORD
DIRECTOR (AS OF 5/22)1.00Yes (X)$0$0$0
LORRIE A CLEMO PHD
DIRECTOR1.00Yes (X)$0$0$0
GARY M CROSBY
CHAIRMAN (AS OF 5/22)1.00Yes (X)$0$0$0
ABEER EDDIB MD
DIRECTOR1.00Yes (X)$23,282$0$315
MUHAMMED JAVED MD
DIRECTOR1.00Yes (X)$0$147,167$0
WILLIAM J MAGGIO JR
DIRECTOR1.00Yes (X)$0$0$0
GEORGE E MATTHEWS MD
DIRECTOR1.00Yes (X)$0$181,839$0
TIMOTHY G MCEVOY ESQ
DIRECTOR1.00Yes (X)$0$0$0
PAUL O'LEARY
DIRECTOR1.00Yes (X)$0$0$0
JOHN PERSONS
DIRECTOR (AS OF 5/22)1.00Yes (X)$0$0$0
CHRISTOPHER ROSS
DIRECTOR1.00Yes (X)$0$0$0
MARY LOU RUSIN RD EDD
DIRECTOR1.00Yes (X)$0$0$0
FRANK CURCI
CHAIRMAN (UNTIL 5/22)1.00Yes (X)$0$0$0
DAVID HUGHES MD
EVP, CMO (UNTIL 5/22)40.00Yes (X)$515,677$0$6,4321.00
CHERYL KLASS
EVP, CHIEF NURSE EXECUTIVE40.00Yes (X)$749,148$0-$452
ALYSON SPAULDING
GENERAL COUNSEL40.00Yes (X)$838,665$0$11,980
THOMAS HULL
SVP, CHIEF INFO OFFICER (AS OF 1/22)40.00Yes (X)$508,118$0$13,581
MICHAEL MINEO MD
EVP, CHIEF MED OFFICER (AS OF 7/22)40.00Yes (X)$640,616$0$21,873
IAN BARRET AS OF 1022
EVP, CHIEF HUMAN RES OFF40.00Yes (X)$203,263$0$1,625
MATTHEW DRAKE
EVP, CHIEF FIN OFFICER (AS OF 4/22)40.00Yes (X)$662,608$0$13,139
CHRISTOPHER LANE
PRESIDENT BGMC AND GVI (UNTIL 3/22)40.00$295,020$0-$35,939Yes (X)
ALLEGRA JAROS
PRESIDENT WCHOB40.00$625,737$0-$26,4841.00Yes (X)
MICHAEL HUGHES
CHIEF ADMINISTRATIVE OFFICER40.00$659,493$0-$26,686Yes (X)
JUDY BAUMGARTNER
PRESIDENT MFS AND DEGRAFF40.00$594,391$0$5,953Yes (X)
STEPHEN HARDY
VP FINANCE40.00$366,909$0$24,364Yes (X)
BETH HUGHES
PRESIDENT BGMC AND GVI (AS OF 10/22)40.00$244,372$0$4,344Yes (X)
CHRISTOPHER MALLAVARAPU MD
EMPLOYED PHYSICIAN40.00$834,888$0$31,681Yes (X)
KAVEH VALI MD
EMPLOYED PHYSICIAN40.00$781,370$0-$15,621Yes (X)
CARROLL HARMON MD
EMPLOYED PHYSICIAN40.00$714,793$0$7,503Yes (X)
LUCY CAMPBELL MD
EMPLOYED PHYSICIAN40.00$500,226$0-$10,536Yes (X)
VICTOR FILADORA II
PRESIDENT GREAT LAKES CANCER CARE40.00$678,876$0$6,663Yes (X)
JODY LOMEO
FMR PRES/CEO0.00$1,258,511$0-$11,285Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$17,466,073TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$329,006TotReportableCompRltdOrgAmt
Total Other Compensation$4,952TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K927IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PROLINK HEALTHCARE
4700 ROCKSIDE RD 640INDEPENDENCEOH44131STAFFING SERVICES$66,506,541
CERNER CORPORATION
PO BOX 959156ST LOUISMO63195TECH CONSULTANT$20,897,892
RESEARCH FOUNDATION FOR SUNY
PO BOX 9ALBANYNY12201EDUCATIONAL SERVICES$19,051,910
METZ CULINARY MANAGEMENT
TWO WOODLAND DRIVEDALLASPA18612DINING SERVICES$9,156,805
WNY RADIOLOGY LLC
PO BOX 4029BUFFALONY14240RADIOLOGY SERVICES$7,429,016
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K113CntrctRcvdGreaterThan100KCnt
Related Organizations$2,241,782RelatedOrganizationsAmt
Government Grants$36,059,533GovernmentGrantsAmt
All Other Contributions$2,884,310AllOtherContributionsAmt
Noncash Contributions$1,702,626NoncashContributionsAmt
Total Contributions$41,185,625TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE623990$1,432,396,107$1,432,396,107
LAB SERVICES621500$5,301,893$5,301,893
MANAGEMENT FEES561000$110,000$110,000
FieldValueIRS element (for citing)
Total Program Service Revenue$1,437,808,000TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,671,469TotalRevenueColumnAmt
Unrelated Business Revenue$2,007,571UnrelatedBusinessRevenueAmt
Exclusion$3,663,898ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,959,034RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$581,812RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,377,222RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,377,222TotalRevenueColumnAmt
Exclusion$2,377,222ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,084,805SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$5,800,000SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$4,715,195SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,715,195TotalRevenueColumnAmt
Exclusion-$4,715,195ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MANAGEMENT & CONSULTING FEES541610$11,698,162$11,698,162
REBATE REVENUE900099$5,190,334$5,190,334
ALL OTHER REVENUE900099$1,861,020$1,206,475$654,545

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,339,249TotalRevenueColumnAmt
Related Or Exempt Func Income$1,162,059RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$177,190UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$20,088,765OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,502,415,886TotalRevenueColumnAmt
Related Or Exempt Func Income$1,434,212,711RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$7,596,654UnrelatedBusinessRevenueAmt
Exclusion$19,420,896ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$326,927TotalAmt
Program Services$326,927ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$12,674,129TotalAmt
Management And General$12,674,129ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$552,558,164TotalAmt
Program Services$516,319,933ProgramServicesAmt
Management And General$36,238,231ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$42,045,673TotalAmt
Program Services$5,641,994ProgramServicesAmt
Management And General$36,403,679ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$99,168,676TotalAmt
Program Services$78,984,384ProgramServicesAmt
Management And General$20,184,292ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$39,827,119TotalAmt
Program Services$37,973,810ProgramServicesAmt
Management And General$1,853,309ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,532,824TotalAmt
Program Services$1,033,763ProgramServicesAmt
Management And General$1,499,061ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$566,844TotalAmt
Program Services$30,456ProgramServicesAmt
Management And General$536,388ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$307,978TotalAmt
Management And General$307,978ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$239,746,579TotalAmt
Program Services$229,189,314ProgramServicesAmt
Management And General$10,557,265ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,338,154TotalAmt
Program Services$2,655,069ProgramServicesAmt
Management And General$683,085ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,444,022TotalAmt
Program Services$1,172,249ProgramServicesAmt
Management And General$271,773ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$21,519,927TotalAmt
Program Services$6,016,218ProgramServicesAmt
Management And General$15,503,709ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$825,636TotalAmt
Program Services$785,336ProgramServicesAmt
Management And General$40,300ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$15,406,931TotalAmt
Program Services$12,325,539ProgramServicesAmt
Management And General$3,081,392ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$72,213,686TotalAmt
Program Services$51,090,595ProgramServicesAmt
Management And General$21,123,091ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$15,892,344TotalAmt
Program Services$11,385,450ProgramServicesAmt
Management And General$4,506,894ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
HEALTH CARE SUPPLIES$275,214,063$275,952,053-$737,990
EQUIPMENT RENTAL & MAIN$44,366,755$15,249,393$29,117,362
OTHER$29,404,192$32,025,017-$2,620,825
SERVICE CONTRACTS$22,938,241$16,777,782$6,160,459

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$19,125,760TotalAmt
Program Services$15,331,541ProgramServicesAmt
Management And General$3,794,219ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,511,444,624TotalAmt
Program Services$1,310,266,823ProgramServicesAmt
Management And General$201,177,801ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$13,128,710BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$9,566,264BOYAmt
EOY$47,844,949EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$925,000BOYAmt
EOY$925,000EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$122,508,432BOYAmt
EOY$118,637,658EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$44,619,757BOYAmt
EOY$44,933,961EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$14,273,658BOYAmt
EOY$14,636,718EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,124,653,130LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,534,040,341LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$621,989,564BOYAmt
EOY$590,612,789EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$89,191,534BOYAmt
EOY$92,274,118EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$42,044,127BOYAmt
EOY$35,318,997EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$235,061,694BOYAmt
EOY$259,634,780EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,193,308,740BOYAmt
EOY$1,204,818,970EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$208,178,968BOYAmt
EOY$227,702,546EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,038,878BOYAmt
EOY$1,912,031EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$282,668,611BOYAmt
EOY$264,392,229EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$637,057,719BOYAmt
EOY$604,741,782EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,131,944,176BOYAmt
EOY$1,098,748,588EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$30,996,000BOYAmt
EOY$76,962,000EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$30,368,564BOYAmt
EOY$29,108,382EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$61,364,564BOYAmt
EOY$106,070,382EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,193,308,740BOYAmt
EOY$1,204,818,970EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$9,028,738ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$35,178,000NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$88,912,556OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit Performed0FederalGrantAuditPerformedInd

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersYes (1)VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$307,978GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$307,978TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationGRANTS TO OTHER ORGANIZATIONS THE AMOUNT REFLECTED FOR PART II-B, QUESTION 1F REPRESENTS PAYMENTS MADE TO ORGANIZATIONS IN AN EFFORT TO ADVOCATE ON THE ORGANIZATION'S BEHALF AT THE NEW YORK STATE AND FEDERAL LEVELS AS IT SPECIFICALLY RELATES TO HEALTH CARE LEGISLATION AND REGULATORY ISSUES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$22,489,715BeginningYearBalanceAmt
Contributions$1,245,004ContributionsAmt
Investment Earnings Or Losses$394,138InvestmentEarningsOrLossesAmt
Other Expenditures$1,156,907OtherExpendituresAmt
End Year Balance$22,971,950EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$23,437,656BeginningYearBalanceAmt
Contributions$2,424,618ContributionsAmt
Investment Earnings Or Losses-$879,004InvestmentEarningsOrLossesAmt
Other Expenditures$2,493,555OtherExpendituresAmt
End Year Balance$22,489,715EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$24,333,765BeginningYearBalanceAmt
Contributions$2,424,618ContributionsAmt
Investment Earnings Or Losses-$827,172InvestmentEarningsOrLossesAmt
Other Expenditures$2,493,555OtherExpendituresAmt
End Year Balance$23,437,656EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$26,993,388BeginningYearBalanceAmt
Contributions$2,231,957ContributionsAmt
Investment Earnings Or Losses-$2,293,720InvestmentEarningsOrLossesAmt
Other Expenditures$2,597,860OtherExpendituresAmt
End Year Balance$24,333,765EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$27,593,062BeginningYearBalanceAmt
Contributions$2,596,681ContributionsAmt
Investment Earnings Or Losses-$995,040InvestmentEarningsOrLossesAmt
Other Expenditures$2,201,315OtherExpendituresAmt
End Year Balance$26,993,388EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.48460BoardDesignatedBalanceEOYPct
Term Endowment Balance EOY0.51540TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,713,867OtherCostOrOtherBasisAmt
Book Value$6,713,867BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$854,449,052OtherCostOrOtherBasisAmt
Depreciation$526,181,185DepreciationAmt
Book Value$328,267,867BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,246,299,392OtherCostOrOtherBasisAmt
Depreciation$995,596,316DepreciationAmt
Book Value$250,703,076BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,190,819OtherCostOrOtherBasisAmt
Depreciation$12,262,840DepreciationAmt
Book Value$4,927,979BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$590,612,789TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$92,195,395
OTHER ASSETS$9,188,420
ESTIMATED 3RD PARTY PAYOR REC$19,829,000
OPERATING LEASE RIGHT-USE ASSETS$138,421,965
FieldValueIRS element (for citing)
Total Book Value Other Assets$259,634,780TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
DUE TO THIRD PARTY PAYORS$42,137,362
SELF INSURANCE LIABILITY$180,505,651
OTHER LIABILITIES$32,771,864
PENSION LIABILITY$132,836,000
ASSET RETIREMENT OBLIGATIONS$9,385,836
CAPITAL LEASE OBLIGATIONS$207,105,069
FieldValueIRS element (for citing)
Total Liability$604,741,782TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:INTENDED USE OF ENDOWMENTS: THE FOLLOWING ARE THE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS: 1) CAPITAL EXPANSION AND IMPROVEMENT 2) ADVANCEMENT OF MEDICAL EDUCATION AND RESEARCH AND HEALTH CARE SERVICES 3) SUPPORT PEDIATRIC HEALTH CARE SERVICES
PART X, LINE 2:KALEIDA AND SUBSTANTIALLY ALL OF ITS AFFILIATES HAVE BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE ORGANIZATIONS DESCRIBED IN INTERNAL REVENUE CODE (THE CODE) SECTION 501(C)(3) AND, THEREFORE, ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. KALEIDA RECOGNIZES INCOME TAX POSITIONS WHEN IT IS MORE-LIKELY THAN-NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT NEED TO BE RECORDED.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (3 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEANINVESTMENTS$319,539,563
EUROPE (INCLUDING ICELAND AND GREENLAND)INVESTMENTS$20,474,453
SUB-SAHARAN AFRICAINVESTMENTS$2,351,498
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$342,365,514SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$342,365,514TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign PartnershipYes (1)ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3:INVESTMENT AMOUNTS REPORTED ARE DERIVED FROM KALEIDA'S BOOKS AND RECORDS WHICH ARE MAINTAINED ON AN ACCRUAL BASIS.
PART III ACCOUNTING METHOD:

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
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,148,386TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,168,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,980,386NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$452,090,980TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$273,424,125DirectOffsettingRevenueAmt
Net Community Benefit Expns$178,666,855NetCommunityBenefitExpnsAmt
Total Expense0.11820TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$463,239,366TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$279,592,125DirectOffsettingRevenueAmt
Net Community Benefit Expns$183,647,241NetCommunityBenefitExpnsAmt
Total Expense0.12150TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,711,786TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,711,786NetCommunityBenefitExpnsAmt
Total Expense0.00440TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,981,850TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,234,894DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,746,956NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$47,776,742TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,565,558DirectOffsettingRevenueAmt
Net Community Benefit Expns$26,211,184NetCommunityBenefitExpnsAmt
Total Expense0.01730TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$85,470,378TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$49,800,452DirectOffsettingRevenueAmt
Net Community Benefit Expns$35,669,926NetCommunityBenefitExpnsAmt
Total Expense0.02350TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$548,709,744TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$329,392,577DirectOffsettingRevenueAmt
Net Community Benefit Expns$219,317,167NetCommunityBenefitExpnsAmt
Total Expense0.14500TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs145ActivitiesOrProgramsCnt
Persons Served14075PersonsServedCnt
Total Community Benefit Expns$75,233TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$75,233NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs145ActivitiesOrProgramsCnt
Persons Served14075PersonsServedCnt
Total Community Benefit Expns$75,233TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$75,233NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Reimbursed By Medicare$192,008,463ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$180,060,526CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$11,947,937MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (6 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 HARLEM ROAD LEASING
MRI EQUIPMENT LEASING0.500000.50000
2 AMTON IMAGING LLC
HEALTH CARE SERVICES0.500000.50000
3 SITE E LLC
REAL ESTATE LEASING CO0.501400.49860
4 SOUTHTOWNS IMAGING
IMAGING EQUIPMENT LEASING0.700000.30000
5 GL MEDICAL BILLING
MEDICAL BILLING0.500000.50000
6 SOUTHTOWNS SURG CTR
PHYSICIAN SERVICES0.639500.36040
FieldValueIRS element (for citing)
Hospital Facilities4HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdChildrens HospitalChildrensHospitalInd
BUFFALO GENERAL MEDICAL CENTER
1100 HIGH STREETBUFFALONY14203WWW.KALEIDAHEALTH.ORG1401014HYes (X)Yes (X)Yes (X)Yes (X)A
OISHEI CHILDREN'S HOSPITAL
2818 ELLICOTT STREETBUFFALONY14203WWW.KALEIDAHEALTH.ORG1401014HYes (X)Yes (X)Yes (X)Yes (X)AYes (X)
MILLARD FILLMORE SUBURBAN HOSPITAL
31540 MAPLE ROADWILLIAMSVILLENY14221WWW.KALEIDAHEALTH.ORG1401014HYes (X)Yes (X)Yes (X)Yes (X)A
DEGRAFF MEMORIAL HOSPITAL
4445 TREMONT STREETNORTH TONAWANDANY14120WWW.KALEIDAHEALTH.ORG1401014HYes (X)Yes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

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FieldValueIRS element (for citing)
Business Name Line1GROUP ABusinessNameLine1Txt
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First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
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
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.KALEIDAHEALTH.ORG/COMMUNITYOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.KALEIDAHEALTH.ORG/COMMUNITYStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.KALEIDAHEALTH.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.KALEIDAHEALTH.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.KALEIDAHEALTH.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit Legal Judicial ProcessYes (X)PermitLegalJudicialProcessInd
Collection Activities0CollectionActivitiesInd
None MadeYes (X)NoneMadeInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINE 5IN CONDUCTING ITS 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT-COMMUNITY SERVICE PLAN (CHNA-CSP), KALEIDA HEALTH TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY ITS HOSPITALS LOCATED IN ERIE AND NIAGARA COUNTIES, THE PRIMARY SERVICE AREA. FOR EACH COUNTY, KALEIDA HEALTH PARTICIPATED IN COLLABORATIVE WORK GROUPS LED BY THE ERIE COUNTY DEPARTMENT OF HEALTH AND THE NIAGARA COUNTY DEPARTMENT OF HEALTH AND COMPRISED OF REPRESENTATIVES FROM OTHER HOSPITALS, ORGANIZATIONS, AGENCIES, AND SCHOOLS; AND INCLUDED INPUT FROM THE COMMUNITY INCLUDING THE MEDICALLY UNDERSERVED.THE ERIE COUNTY WORK GROUP LAUNCHED THEIR EFFORTS ON DECEMBER 2, 2021 AND HELD REGULAR MEETINGS THROUGHOUT 2021-2022, BOTH VIRTUALLY AND IN-PERSON AT THE ERIE COUNTY FIRE TRAINING FACILITY. THE ERIE COUNTY WORK GROUP COLLABORATED TO CONDUCT A CONSUMER HEALTH SURVEY, COMMUNITY CONVERSATIONS, AND PROFESSIONAL STAKEHOLDER FOCUS GROUP SESSIONS TO SOLICIT INPUT FROM THE COMMUNITY ON THE HEALTH STATUS AND CHALLENGES OF ERIE COUNTY RESIDENTS.COUNTY-WIDE ASSESSMENT ACTIVITIES WERE CONDUCTED IN 2022 INCLUDING A CONSUMER SURVEY WITH 1,394 RESPONDENTS TO DETERMINE HEALTH STATUS AND COMMUNITY HEALTH NEEDS, HEALTH BEHAVIORS, BARRIERS TO HEALTH, HEALTHCARE ACCESS AND UTILIZATION, AND DEMOGRAPHIC INFORMATION. CONCENTRATED EFFORTS WERE MADE TO TARGET LOW-INCOME AND UNDERSERVED POPULATIONS AT SITES INCLUDING THE OFFICE OF THE ERIE COUNTY DEPARTMENT OF SOCIAL SERVICES, ST. LUKE'S MISSION OF MERCY, TOPS MARKETS/AMHERST ST., NIAGARA ST., SAVE-A-LOT/ABBOTT RD.-LACKAWANNA, ERIE COUNTY VACCINATION PODS, VARIOUS LOCATIONS, AMONG OTHERS. SURVEYS WERE DISSEMINATED VIRTUALLY TO ERIE COUNTY RESIDENTS THROUGH PUBLIC WEBSITES, EMPLOYEE/ASSOCIATES INTRANET, FACEBOOK, INSTAGRAM, TWITTER OF ERIE COUNTY DEPARTMENT OF HEALTH, CATHOLIC HEALTH SYSTEMS, AND KALEIDA HEALTH. THREE VIRTUAL COMMUNITY CONVERSATIONS AND FOUR IN-PERSON COMMUNITY CONVERSATIONS WERE HELD IN MARCH AND APRIL 2022 WITH 93 TOTAL PARTICIPANTS. IN ADDITION, 63 ADDITIONAL INDIVIDUAL CONVERSATIONS TOOK PLACE IN MARCH-JUNE 2022 UTILIZING THE SAME QUESTIONS POSED TO THE GROUPS. THESE SESSIONS WERE CONDUCTED TO CAPTURE COMMUNITY INPUT ON THE STATUS OF HEALTH AND HEALTHCARE NEEDS. SESSION LOCATIONS TARGETED A GEOGRAPHIC CROSS-SECTION OF SITES, AGES, AND INCOME LEVELS. WITH THE EXCEPTION OF ONE SUBURBAN LOCATION, THE LOCATIONS OF THE CONVERSATIONS WERE CHOSEN IN AN EFFORT TO INCREASE INPUT FROM POPULATIONS WHOSE VIEWS WERE UNDERREPRESENTED IN COMMUNITY SURVEY RESPONSE. IN FEBRUARY AND MARCH 2022, THE ERIE COUNTY DEPARTMENT OF HEALTH, KALEIDA HEALTH, AND CATHOLIC HEALTH SYSTEM HOSTED THREE PROFESSIONAL STAKEHOLDER FOCUS GROUP SESSIONS TO GATHER INFORMATION FOR THE 2022-2024 CHNA-CSP. PROFESSIONALS FROM HEALTH, MENTAL HEALTH, AND SOCIAL SERVICES ORGANIZATIONS PROVIDED INPUT ON THE COMMUNITY'S CURRENT HEALTH STATUS, NEEDS, AND ISSUES. THE SESSIONS WERE HELD VIA ZOOM ON FEBRUARY 28, 2022, MARCH 1, 2022, AND MARCH 4, 2022 AND INCLUDED 16 PARTICIPANTS PRIMARILY FROM COMMUNITY-BASED OUTPATIENT SITES OF CATHOLIC HEALTH SYSTEMS AND KALEIDA HEALTH. IN ADDITION TO THE REVIEW OF DATA FROM THE NYS PREVENTION AGENDA DASHBOARD AND OTHER RELIABLE SOURCES, THESE ACTIVITIES HELPED TO PRIORITIZE THE HEALTH CARE NEEDS OF THE COUNTY AND THE RESULTING IMPLEMENTATION STRATEGIES; AND ARE INCLUDED IN KALEIDA HEALTH'S 2022-2024 CHNA-CSP AND ALIGNED WITH THE ERIE COUNTY DEPARTMENT OF HEALTH, COMMUNITY HEALTH IMPROVEMENT PLAN.AFTER A DELAY RESULTING FROM COVID-19, THE NIAGARA COUNTY WORK GROUP LAUNCHED THEIR EFFORTS ON FEBRUARY 23, 2022 AND HELD REGULAR MEETINGS THROUGHOUT 2022, BOTH VIRTUALLY AND IN-PERSON AT VARIOUS PARTNER LOCATIONS. THE WORK GROUP COLLABORATED TO CONDUCT A CONSUMER HEALTH SURVEY, FOCUS GROUP SESSIONS, AND A COUNTY-WIDE COMMUNITY STAKEHOLDER EVENT TO SOLICIT INPUT FROM THE COMMUNITY, INCLUDING THE UNDERSERVED, ON THE HEALTH STATUS AND CHALLENGES OF NIAGARA COUNTY RESIDENTS. COUNTY-WIDE ASSESSMENT ACTIVITIES WERE CONDUCTED IN 2022 INCLUDING A CONSUMER SURVEY CONDUCTED IN MARCH-JUNE 2022 WITH 2,399 RESPONDENTS TO DETERMINE HEALTH STATUS AND COMMUNITY HEALTH NEEDS, HEALTH BEHAVIORS, BARRIERS TO HEALTH, HEALTHCARE ACCESS AND UTILIZATION, AND DEMOGRAPHIC INFORMATION. INPUT WAS RECEIVED FROM THE UNDERSERVED WITH CONCENTRATED EFFORTS MADE TO DISTRIBUTE SURVEYS TO LOW-INCOME RESPONDENTS. LINKS WERE PROVIDED ON THE NIAGARA COUNTY DEPARTMENT OF HEALTH'S WEBSITE AND SOCIAL MEDIA AND SHARED WITH THE PARTNERING HOSPITALS FOR ADDITIONAL ELECTRONIC AND PRINT DISSEMINATION. IN-PERSON SURVEY DISTRIBUTION WAS ALSO CONDUCTED BY VARIOUS NIAGARA COUNTY PUBLIC AGENCIES AND ORGANIZATIONS. KALEIDA HEALTH AND DEGRAFF MEDICAL PARK POSTED THE SURVEYS ON THE KALEIDA HEALTH PUBLIC WEBSITE, KALEIDA HEALTH EMPLOYEE WEBSITE, AND ON FACEBOOK AND TWITTER. FIVE FOCUS GROUP SESSIONS WERE CONDUCTED IN MAY 2022 AT NIAGARA COUNTY LOCATIONS INCLUDING HEALTHCARE CLINICS, SUBSIDIZED HOUSING FACILITIES, AND FAITH-BASED/COMMUNITY/SENIOR CENTERS AND INCLUDED THE UNDERSERVED. THE FOCUS GROUPS WERE FACILITATED BY THE NIAGARA COUNTY DEPARTMENT OF HEALTH AND HOSPITAL PARTNERS. THE QUESTIONS WERE CREATED BY POPULATION HEALTH COLLABORATIVE AND USED AT ALL FOCUS GROUPS TO MAINTAIN CONSISTENCY. ADDITIONALLY, A COUNTYWIDE KEY STAKEHOLDER MEETING WAS CONVENED ON SEPTEMBER 12, 2022 AT PUBLIC SAFETY TRAINING CENTER IN LOCKPORT, NY. THE WORK GROUP PARTNERS DEVELOPED THE SESSION AGENDA AND LOGISTICS IN COORDINATION WITH POPULATION HEALTH COLLABORATIVE SERVING AS FACILITATOR. THERE WERE 49 ATTENDEES IN TOTAL. IN ADDITION TO THE PARTNERS, PARTICIPATING ORGANIZATIONS INCLUDED AMS NUTRITION COUNSELING, MENTAL HEALTH ASSOCIATION OF NIAGARA COUNTY, MARCH OF DIMES, GENESEE COUNCIL ON ALCOHOLISM AND SUBSTANCE ABUSE, HIGHMARK HEALTH, FIDELIS CARE, MOBILE SAFETY NET TEAM OF WNY, HORIZON HEALTH SERVICES, NIAGARA COUNTY WIC, AMERICAN HEART ASSOCIATION, ROSWELL PARK CANCER INSTITUTE, NIAGARA PRIDE, NIAGARA COUNTY DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES, NIAGARA COUNTY OFFICE FOR THE AGING, NIAGARA UNIVERSITY, NIAGARA ORGANIZING ALLIANCE FOR HOPE, FAMILY RESIDENCY PROGRAM OF NIAGARA FALLS MEMORIAL MEDICAL CENTER, LEWISTON PORTER CENTRAL SCHOOL DISTRICT, LOCKPORT CITY SCHOOL DISTRICT, NEWFANE CENTRAL SCHOOL DISTRICT, NIAGARA WHEATFIELD CENTRAL SCHOOL DISTRICT, WNY INTEGRATED CARE COLLABORATIVE AND HEART LOVE AND SOUL. DURING THIS MEETING PARTICIPANTS LEARNED ABOUT NIAGARA COUNTY'S CHNA-CSA PROCESS AND INFORMATION AND DATA WAS SHARED FROM THE CONSUMER HEALTH SURVEYS, PROVIDER SURVEYS, AND FOCUS GROUP SESSIONS IMPLEMENTED BY THE WORK GROUP PARTNERS. THE 2019-2024 NYS PREVENTION AGENDA WAS DISCUSSED INCLUDING NIAGARA COUNTY'S PLANS TO FOCUS ON THE PREVENT CHRONIC DISEASE AND PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS PRIORITY AREAS. BREAKOUT SESSIONS WERE HELD AND EACH ORGANIZATION HAD THE OPPORTUNITY TO PROVIDE INPUT FOR THE DEVELOPMENT OF FOCUS AREAS AND INTERVENTIONS ACTIVITES AS A PART OF THE 2022-2024 NIAGARA COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN AND KALEIDA'S CHNA-CSP.THE KALEIDA HEALTH 2022-2024 CHNA-CSP WAS APPROVED BY THE KALEIDA HEALTH BOARD OF DIRECTORS ON DECEMBER 15, 2022. IT IS AVAILABLE TO THE PUBLIC IN THE COMMUNITY HEALTH SECTION OF THE KALEIDA HEALTH WEBSITE AT HTTPS://WWW.KALEIDAHEALTH.ORG/COMMUNITY/. A PAPER VERSION IS AVAILABLE UPON REQUEST AT NO CHARGE AT THE HOSPITALS. WRITTEN COMMENTS ON THE CHNA-CSP ARE INVITED FROM THE PUBLIC THROUGH A LINK ENTITLED "COMMENT ON PLAN" LOCATED NEXT TO THE DOCUMENT THROUGH THE ABOVE LINK. THIS INFORMATION IS DOCUMENTED IN THE CHNA-CSP IN THE DISSEMINATION TO THE PUBLIC SECTION. NO COMMENTS ON THE 2022-2024 CHNA-CSP WERE RECEIVED FROM THE PUBLIC IN 2022.
PART V, SECTION B, LINE 6AKALEIDA HEALTH'S FOUR HOSPITALS ARE INCLUDED IN ITS 2022-2024 CHNA-CSP: BUFFALO GENERAL MEDICAL CENTER, MILLARD FILLMORE SUBURBAN HOSPITAL, AND OISHEI CHILDREN'S HOSPITAL, ALL LOCATED IN ERIE COUNTY AND DEGRAFF MEDICAL PARK LOCATED IN NIAGARA COUNTY.IN ERIE COUNTY, KALEIDA HEALTH COLLABORATED ON THE CHNA-CSP PROCESS THROUGH A PARTNERSHIP LED BY THE ERIE COUNTY DEPARTMENT OF HEALTH AND INCLUDED UNRELATED HOSPITAL FACILITIES OF CATHOLIC HEALTH SYSTEM.IN NIAGARA COUNTY, KALEIDA HEALTH COLLABORATED ON THE CHNA-CSP PROCESS THROUGH A PARTNERSHIP LED BY THE NIAGARA COUNTY DEPARTMENT OF HEALTH, AND INCLUDED THE FOLLOWING UNRELATED HOSPITAL FACILITIES: CATHOLIC HEALTH SYSTEM- MOUNT SAINT MARY'S HOSPITAL AND HEALTH CENTER, EASTERN NIAGARA HOSPITAL SYSTEM AND NIAGARA FALLS MEMORIAL MEDICAL CENTER.
PART V, SECTION B, LINE 6BIN ERIE COUNTY, KALEIDA HEALTH COLLABORATED ON THE 2022-2024 CHNA-CSP PROCESS WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES: ERIE COUNTY DEPARTMENT OF HEALTH, BUFFALO STATE COLLEGE (SUNY), D'YOUVILLE UNIVERSITY, NEW YORK STATE PUBLIC HEALTH CORPS/CSSI, POPULATION HEALTH COLLABORATIVE OF WNY, UNITED WAY OF BUFFALO & ERIE COUNTY AND THE UNIVERSITY AT BUFFALO (SUNY)DEPARTMENT OF EPIDEMIOLOGY AND ENVIRONMENTAL HEALTH. IN NIAGARA COUNTY, KALEIDA HEALTH COLLABORATED ON THE 2022-2024 CHNA-CSP PROCESS WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES: NIAGARA COUNTY DEPARTMENT OF HEALTH, NIAGARA COUNTY DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES, AND THE POPULATION HEALTH COLLABORATIVE OF WNY.
PART V, SECTION B, LINE 11WITH HOSPITALS IN BOTH ERIE AND NIAGARA COUNTIES, KALEIDA HEALTH WORKED COLLABORATIVELY WITH WORK GROUPS LED BY THE ERIE COUNTY DEPARTMENT OF HEALTH AND THE NIAGARA COUNTY DEPARTMENT OF HEALTH TO REVIEW HEALTH CARE DATA, DISSEMINATE CONSUMER SURVEYS AND CONDUCT FOCUS GROUP SESSIONS TO PRIORITIZE SIGNIFICANT HEALTH NEEDS AND IMPLEMENTATION STRATEGIES FOR EACH COUNTY. THE STRATEGIES FURTHER ALIGN WITH THE PRIORITY AREAS OF THE NEW YORK STATE PREVENTION AGENDA. KALEIDA HEALTH INCLUDED THESE COLLABORATIVE PRIORITY AREAS ITS 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT-COMMUNITY SERVICES PLAN (CHNA-CSP).ERIE COUNTY:PREVENT CHRONIC DISEASE, PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS, PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN (WHILE ONLY TWO PRIORITY AREAS ARE REQUIRED PER COUNTY, BASED ON COMMUNITY NEED, THE ERIE COUNTY DEPARTMENT OF HEALTH AND KALEIDA HEALTH ADDED THIS THIRD PRIORITY AREA).NIAGARA COUNTY: PREVENT CHRONIC DISEASE, PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS.HEALTH CARE NEEDS ADDRESSED IN KALEIDA HEALTH'S 2022-2024 CHNA-CSPHEART DISEASE IS THE NUMBER ONE CAUSE OF DEATH IN ERIE AND NIAGARA COUNTIES ACCOUNTING FOR 164.9 PER 100,000 POPULATION OF ALL DEATHS IN ERIE COUNTY AND 211.3 PER 100,000 IN NIAGARA COUNTY (2019 COUNTY HEALTH RANKINGS), AND THERE IS A HIGH INCIDENCE OF RISK FACTORS AMONG RESIDENTS INCLUDING HIGH BLOOD PRESSURE, DIABETES, OBESITY AND SMOKING. HEART DISEASE FURTHER AFFECTS MINORITY AND UNDERSERVED POPULATIONS DISPROPORTIONALLY. THE MORTALITY RATE FOR DISEASES OF THE HEART PER 100,000 POPULATION (AGE-ADJUSTED) FOR ERIE COUNTY IS 199.5 FOR NON-HISPANIC, AFRICAN AMERICANS, 168.4 FOR WHITES, AND 132.3 FOR HISPANICS; AND IN NIAGARA COUNTY, THE MORTALITY RATES ARE 306.1 FOR NON-HISPANIC, AFRICAN AMERICANS, 201.2 FOR WHITES, AND 132 FOR HISPANICS (2017-2019, ERIE COUNTY AND NIAGARA COUNTY HEALTH INDICATORS BY RACE/ETHNICITY, NYS DEPARTMENT OF HEALTH). IN COLLABORATION WITH THE ERIE COUNTY DEPARTMENT OF HEALTH AND THE NIAGARA COUNTY DEPARTMENT OF HEALTH WORK GROUPS, KALEIDA HEALTH SELECTED "PREVENT CHRONIC DISEASE" AS ONE OF ITS NYS PREVENTION AGENDA PRIORITIES. KALEIDA HEALTH HOSPITALS IDENTIFIED THE FOLLOWING COMMUNITY HEALTH ACTIVITIES TO ADDRESS CHRONIC DISEASE IN ITS 2022-2024 CHNA-CSP:ERIE COUNTY- HEALTHY EATING AND FOOD SECURITY - COMMUNITY NUTRITION EDUCATION AND HEALTHY MOBILE FOOD MARKETS (DISPARITY-LOW INCOME POPULATION), WORKSITE NUTRITION AND WELLNESS PROGRAM - PREVENTIVE CARE AND MANAGEMENT - CARDIOVASCULAR EDUCATION AND SCREENING PROGRAM IN OB-GYN CENTERS (DISPARITY - FEMALE, MEDICAID POPULATION), CHRONIC DISEASE EDUCATION AND SCREENING PROGRAMS FOR THE COMMUNITYNIAGARA COUNTY- HEALTHY EATING AND FOOD SECURITY - LITTLE FREE PANTRY (DISPARITY - FOOD INSECURE POPULATION- PREVENTIVE CARE AND MANAGEMENT - CHRONIC DISEASE EDUCATION AND SCREENING PROGRAMS FOR THE COMMUNITYIN 2022, KALEIDA HEALTH HOSPITALS PROVIDED THE FOLLOWING CHRONIC DISEASE INTERVENTIONS:- A HEALTHY MOBILE FOOD MARKET WITH FRESH PRODUCE WAS SET UP AT AN OUTDOOR SITE ON THE MFSH CAMPUS IN JUNE - NOVEMBER 2022. COULTER FARMS WAS THE VENDOR AND WAS ON SITE TUESDAYS AND FRIDAYS EACH WEEK FROM 11 AM - 4 PM. NUTRITION EDUCATION WAS DISTRIBUTED AT THE MARKET. BUFFALO GENERAL MEDICAL CENTER [IN CLOSE PROXIMITY TO JOHN R. OISHEI HOSPITAL] PLANNED TO HOST BUFFALO-BASED URBAN FRUITS AND VEGGIES, AN OUTDOOR MARKET OF HEALTHY FRUITS AND VEGETABLES AND NUTRITIONAL EDUCATION SERVING THE CAMPUS AND ADJACENT LOW-INCOME FRUIT BELT NEIGHBORHOOD. IN 2022, PROGRAM IMPLEMENTATION PLANNING FOR THE 2023-2024 GOALS OUTLINED IN THE CHNA-CSP OCCURRED. ADDITIONALLY, JOHN R. OISHEI CHILDREN'S HOSPITAL PARTNERED WITH A LOCAL URBAN FARM, MASSACHUSSETTS AVENUE PROJECT, TO BRING THEIR MOBILE FRESH FOOD MARKET TO OISHEI'S 1021 BROADWAY CLINIC. THE MARKET OFFERED FRESH FRUITS AND VEGETABLES TO PATIENTS AND RESIDENTS OF THE SURROUNDING EAST BUFFALO NEIGHBORHOOD.- IN 2022, THE PARTNERSHIP BETWEEN KALEIDA HEALTH AND ITS FOOD VENDOR METZ CULINARY MANAGEMENT AND THE BUFFALO NIAGARA MEDICAL CAMPUS CONTINUED TO HELP BRING MORE LOCALLY GROWN AND SOURCED PRODUCE, MEATS AND OTHER MENU ITEMS TO THE CAFETERIAS AT BUFFALO GENERAL MEDICAL CENTER, JOHN R. OISHEI CHILDREN'S HOSPITAL, AND HIGHPOINTE ON MICHIGAN. KALEIDA HEALTH EMPLOYEES, PATIENTS AND VISITORS WERE PROVIDED INFORMATION ON HEALTHY EATING AND NUTRITION, AND WERE INTRODUCED TO THE FARMERS BEHIND THE PRODUCTS. THE METZ CHEFS AND GENERAL MANAGERS VISITED LOCAL FARMS TO LEARN NEW AGRICULTURAL METHODS AND SUSTAINABLE PRACTICES. THROUGH THE METZ FARM TO HOSPITAL PARTNERSHIP, KALEIDA HEALTH PROVIDES EMAILS VIA CAMPUS E-NEWS TO EMPLOYEES OF PARTICIPATING FACILITIES, PROMOTING FACTS ON THE BENEFITS OF LOCAL FRUIT AND VEGETABLES, AS THEY ARE FRESHER AND SAFER THAN MANY STORE-BOUGHT OPTIONS.- NUTRITION TUNE-UP DAYS FOR EMPLOYEES WERE NOT HELD IN 2021 AND 2022 DUE TO COVID-19 RESTRICTIONS. IN THE ABSENCE OF THE NUTRITION TUNE-UP DAYS, EMPLOYEES VISITED A KALEIDA HEALTH DIETICIAN AT VARIOUS TIMES AT BUFFALO GENERAL MEDICAL CENTER FOR NUTRITION/WELLNESS CONCERNS AND RECEIVED NUTRITION EDUCATION AND PRINT MATERIALS.- IN 2022, WELLNESS ACTIVITIES FOR EMPLOYEES OF BUFFALO GENERAL MEDICAL CENTER AND JOHN R. OISHEI CHILDREN'S HOSPITAL IN COLLABORATION WITH THE BUFFALO NIAGARA MEDICAL CAMPUS (BNMC) WERE PRIMARILY ON HOLD DUE TO COVID-19 RESTRICTIONS. HOWEVER, THE WALKS ON WEDNESDAY PROGRAM DID SUCCESSFULLY RESUME IN 2021, AND CONTINUED ON IN 2022.-CARDIOVASCULAR EDUCATION AND SCREENING TARGETING LOW-INCOME PATIENTS WAS PROVIDED AT KALEIDA HEALTH'S OB-GYN CENTERS WHERE AN ESTIMATED 72% (2022) OF PATIENT VISITS ARE REIMBURSED THROUGH MEDICAID. IN 2022, 205 CLINIC PATIENTS WERE SCREENED FOR CARDIOVASCULAR DISEASE AND PROVIDED COUNSELING AND EDUCATION.-DUE TO COVID 19 RESTRICTIONS AND THE NEED FOR COMMUNITY SAFETY FROM THE VIRUS, IN-PERSON CHRONIC DISEASE RISK FACTOR EDUCATION AND SCREENING EVENTS THROUGH KALEIDA HEALTH HOSPITALS IN ERIE AND NIAGARA COUNTIES WERE REPLACED WITH VIRTUAL PROGRAMS.- IN 2022, 9,348 INDIVIDUALS PARTICIPATED IN VIRTUAL HEALTHY U PROGRAMS VIA FACEBOOK LIVE AND 120 INDIVIDUALS ENGAGED WITH THE SPEAKER OR RESPONDED TO THE PRESENTATION.- IN 2022, 39 WEEKLY MEDICAL MINUTE VIDEOS REACHING 37,415 INDIVIDUALS WERE PRESENTED ON WIVB-TV, CH. 4 AND KALEIDA HEALTH SOCIAL MEDIA ON HEALTH RELATED TOPICS.- IN 2022, THE MEDICALLY SPEAKING INTERVIEW SERIES PROVIDED 12 COMMUNITY HEALTH EDUCATION VIDEOS ON VARIOUS HEALTH TOPICS INCLUDING THE COVID-19 PANDEMIC TO 18,173 VIEWERS ON KALEIDA HEALTH FACEBOOK AND AT WWW.KALEIDAHEALTH.ORG/MEDICALLY-SPEAKING. 462 INDIVIDUALS FURTHER ENGAGED WITH THE SPEAKER OR RESPONDED TO THE PRESENTATION.- IN 2022, THE LITTLE FREE PANTRY AT DEGRAFF MEDICAL PARK CONTINUED TO PROVIDE COMMUNITY ACCESS TO A FREE SOURCE OF FOOD AT AN ON-SITE,SELF-CONTAINED OUTDOOR PANTRY TO PROMOTE FOOD SECURITY AMONG UNDERSERVED POPULATIONS. DEGRAFF PROVIDES HEALTH EDUCATION LITERATURE AND EMPLOYEES AND COMMUNITY MEMBERS WORK TO KEEP THE PANTRY STOCKED WITH HEALTHY, NUTRITIONAL ITEMS. - IN 2022, KALEIDA HEALTH'S HERTEL-ELMWOOD INTERNAL MEDICINE CLINIC RECEIVED FUNDING FROM NEW YORK STATE DEPARTMENT OF HEALTH AND HEALTH RESEARCH INC. THROUGH THE COMPREHENSIVE CANCER CONTROL PROGRAM TO PROVIDE A COLORECTAL CANCER SCREENING-PROFESSIONAL EDUCATION PROGRAM FOR STAFF, PHYSICIANS, AND RESIDENTS; AND A LUNG CANCER SCREENING AND EDUCATION PROGRAM TARGETING THE CLINIC'S SURROUNDING LOW-INCOME COMMUNITY. PARTNERS INCLUDED UBMD, UNIVERSITY AT BUFFALO SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES, NYS ERIE COUNTY CANCER SERVICES, GREAK LAKES IMAGING, AMERICAN CANCER SOCIETY, AND AMERICAN LUNG ASSOCIATION.
PART V, SECTION B, LINE 11, CONTINUEDMENTAL AND SUBSTANCE USE DISORDERSKALEIDA HEALTH, IN COLLABORATION WITH THE ERIE COUNTY DEPARTMENT OF HEALTH AND THE NIAGARA COUNTY DEPARTMENT OF HEALTH IDENTIFIED THE RISING OPIOID ADDICTION PROBLEM AS A DIRE AREA OF CONCERN FOR THEIR COMMUNITIES. THE PROBLEM HAS BEEN ON THE RISE NATIONALLY AND BOTH COUNTIES HAVE BEEN SIGNIFICANTLY AFFECTED. IN 2015 AND 2016, OPIOID USE INCREASED DRAMATICALLY IN NEW YORK STATE (NYS) AND THE COUNTIES OF ERIE AND NIAGARA WERE LARGELY IMPACTED. IN 2016, THE OPIOID BURDEN (CRUDE RATE PER 100,000 POPULATION) WAS 352.2 IN ERIE COUNTY AND 416.5 IN NIAGARA COUNTY, SOME OF THE HIGHEST RATES IN NYS. IN ADDITION TO STATISTICAL DATA ON OPIOID USE, RESULTS FROM ERIE COUNTY AND NIAGARA COUNTY CONSUMER SURVEYS AND FOCUS GROUP SESSIONS INDICATED THE NEED TO ADDRESS THE PROBLEM. WHILE THE OPIOID BURDEN RATE DECREASED FROM 2016-2019, IT INCREASED AGAIN SHARPLY IN 2020 AND 2021 AS A RESULT OF THE COVID-19 PANDEMIC, AND IMPACTS INDIVIDUALS OF ALL RACES AND BACKGROUNDS, WHETHER THEY RESIDE IN URBAN, RURAL OR SUBURBAN AREAS. OPIOID USE INCLUDES BOTH SYNTHEITCS AND HEROIN, AND THE PROBLEM HAS BECOME EXACERBATED BY THE LACING OF OPIOIDS WITH DEADLY ADDITIVES SUCH AS FENTANYL.KALEIDA HEALTH IDENTIFIED THE FOLLOWING COMMUNITY HEALTH ACTIVITIES IN ITS 2022-2024 CHNA-CSP TO ADDRESS THE OPIOID ADDICTION PROBLEM:ERIE COUNTY AND NIAGARA COUNTY- PREVENT OPIOID AND OTHER SUBSTANCE MISUSE AND DEATH MATTERS BUPRENORPHINE AND TREATMENT REFERRAL PROGRAM; AVAILABILITY, ACCESS, LINKAGE TO OPIOID OVERDOSE REVERSAL MEDICATIONS; MEDICATION AND SYRINGE DROP BOXES IN HOSPITAL EMERGENCY DEPARTMENTS AND DRUG TAKE-BACK DAYS (DISPARITY SUBSTANCE USE POPULATION)IN 2022, KALEIDA HEALTH HOSPITALS PROVIDED THE FOLLOWING SUBSTANCE USE DISORDER INTERVENTIONS:-IN 2022, KALEIDA HEALTH HOSPITALS PARTICIPATED IN NEW YORK MATTERS, A HOSPITAL-INITIATED BUPRENORPHINE AND TREATMENT REFERRAL PROGRAM. THIS ONLINE, REAL-TIME REFERRAL PROGRAM CONNECTS PATIENTS PRESENTING IN THE EMERGENCY ROOM WITH OPIATE USE DISORDERS TO A NETWORK OF 20 WESTERN NEW YORK TREATMENT AGENCIES. IN 2021, 18 REFERRALS WERE MADE TO NEW YORK MATTERS AT KALEIDA HEALTH EMERGENCY DEPARTMENTS.-KALEIDA HEALTH EMERGENCY DEPARTMENTS AT BUFFALO GENERAL MEDICAL CENTER AND MILLARD FILLMORE SUBURBAN HOSPITAL AND DEGRAFF MEDICAL PARK PROVIDE PATIENT ACCESS TO OVERDOSE REVERSAL MEDICATION INCLUDE NALOXONE THROUGH THE KALEIDA HEALTH PHARMACY. IN 2022, 44 NALOXONE KITS, AN OVERDOSE REVERSAL MEDICATION, WERE PROVIDED TO PATIENTS/FAMILIES IN KALEIDA HEALTH EMERGENCY DEPARTMENTS. IN 2021, FENTANYL TEST STRIPS WERE ADDED TO THE NARCAN KITS TO HELP TO DECREASE ACCIDENTAL OVERDOSE DUE TO FENTANYL-LACED PRODUCTS THIS CONTINUED IN 2022.-IN PARTNERSHIP WITH THE ERIE COUNTY DEPARTMENT OF HEALTH, MEDICATION AND SYRINGE DROP BOXES ARE PROVIDED AT THE EMERGENCY DEPARTMENTS OF KALEIDA HEALTH HOSPITALS. NIAGARA COUNTY SHERIFF'S OFFICES PICK UP AND TRANSPORT CONTENTS OF DROP BOXES ON A REGULAR BASIS FOR INCINERATION.-PRESCRIPTION DRUG TAKE BACK DAYS WERE HELD ON APRIL 30, 2022 AND OCTOBER 29, 2022 AT MILLARD FILLMORE SUBURBAN HOSPITAL IN ERIE COUNTY AND AT DEGRAFF MEDICAL PARK IN NIAGARA COUNTY.PROMOTE HEALTHY WOMEN, INFANTS, AND CHILDRENTHE HEALTH OF WOMEN, INFANTS, CHILDREN AND THEIR FAMILIES IS FUNDAMENTAL TO POPULATION HEALTH AND IS A PRIORITY AREA FOR THE 2019-2024 NYS PREVENTION AGENDA. ERIE COUNTY AND NIAGARA COUNTY BOTH HAVE HIGH RATES OF INFANT AND MATERNAL MORTALITY, PREMATURE BIRTH, LOW BIRTHWEIGHT BABIES, AND TEEN PREGNANCY RATES. THESE RATES ARE AFFECTED BY MULTIPLE DISPARITIES INCLUDING RACE, POVERTY, AND LACK OF ACCESS TO QUALITY PRENATAL CARE, AS WELL AS OTHER SOCIAL DETERMINANTS OF HEALTH SUCH AS OBESITY, SMOKING, SUBSTANCE USE, AND MENTAL HEALTH DISORDERS. ERIE COUNTY AND NIAGARA COUNTY INFANT MORTALITY RATES ARE SIGNIFICANTLY HIGHER THAN NYS RATES PER 2014-2016 NYS VITAL STATISTICS DATA:-THE INFANT MORTALITY RATE PER 1,000 LIVE BIRTHS (<1 YEAR) FOR ERIE COUNTY IS 5.6, AND THE RATE FOR NIAGARA COUNTY IS 5.4 WHILE THE NYS RATE IS 4.4.-THE PERCENTAGE OF LOW BIRTHWEIGHT BIRTHS (<2.5 KG) IS 8.8% IN ERIE COUNTY, 6.6% IN NIAGARA COUNTY VERSUS THE NYS RATE OF 9.0% DISPARITIES EXIST AMONG MINORITY POPULATIONS GIVEN THAT THE PERCENTAGE OF LOW BIRTHWEIGHT BABIES IN ERIE COUNTY IS 6.7% AMONG THE WHITE POPULATION AND 13.8% AMONG THE AFRICAN AMERICAN/BLACK POPULATION.-WHILE THE HEALTH BENEFITS OF BREASTFEEDING ARE WELL DOCUMENTED AND PROMOTED AMONG NEW MOTHERS, THERE IS MORE WORK TO BE DONE TO INCREASE RATES THROUGHOUT ERIE AND NIAGARA COUNTIES. THE PERCENTAGE OF INFANTS FED ANY BREAST MILK IN A DELIVERY HOSPITAL IS 76% IN ERIE COUNTY, 70.9% IN NIAGARA COUNTY, MUCH LOWER THAN THE NYS RATE OF 88.6%.KALEIDA HEALTH'S DELIVERY HOSPITALS OF OISHEI CHILDREN'S HOSPITAL (OCH) AND MILLARD FILLMORE SUBURBAN HOSPITAL (MFS) ARE LOCATED IN ERIE COUNTY. THEREFORE, KALEIDA HEALTH SELECTED MATERNAL, INFANT, AND CHILD HEALTH AS ONE OF ITS NYS PREVENTION AGENDA PRIORITIES FOR ERIE COUNTY AND IDENTIFIED THE FOLLOWING COMMUNITY HEALTH ACTIVITIES TO ADDRESS IN ITS 2022-2024 CHNA-CSP:ERIE COUNTY-PERINATAL AND INFANT HEALTH SAFE SLEEP INITIATIVE, YOMINGO ONLINE PARENT EDUCATION, BREASTFEEDING PROMOTION AND EDUCATION PROGRAMIN 2022, KALEIDA HEALTH PROVIDED THE FOLLOWING MATERNAL, INFANT, CHILD HEALTH INTERVENTIONS:-THROUGH THE SAFE SLEEP INITIATIVE, IN 2022, OISHEI CHILDREN'S HOSPITAL (OCH) AND MILLARD FILLMORE SUBURBAN HOSPITAL (MFS) PROVIDED SAFE SLEEP EDUCATION AND THE HALO SLEEP SACK FOR ALL NEWBORNS; AND AT OCH FOR ADMITTED PEDIATRIC PATIENTS UP TO ONE YEAR OF AGE AS PROVIDED BY TOPS FRIENDLY MARKETS AND THE CHILDREN'S HOSPITAL OF BUFFALO FOUNDATION. IN SEPTEMBER 2022, OCH IMPLEMENTED EVIDENCE-BASED PRACTICE STRATEGIES AND ACHIEVED GOLD SAFE SLEEP CERTIFICATION THROUGH THE CRIBS FOR KIDS NATIONAL SAFE SLEEP HOSPITAL CERTIFICATION PROGRAM. MFS WILL BE MODELING SIMILAR PRACTICES TO ACHIEVE A SILVER OR GOLD CERTIFICATION. THROUGH A SAFE SLEEP INITIATIVE, OCH AND MFS WILL PROVIDE SAFE SLEEP EDUCATION FOR PARENTS/CAREGIVERS AND THE HALO SLEEP SACK FOR ALL NEWBORNS TO TAKE HOME TO REPLACE THE USE OF LOOSE BEDDING. THROUGH A PARTNERSHIP WITH THE CHILD ADVOCACY CENTER AND THE SAFE SLEEP AMBASSADOR, PER AN ASSESSMENT, OCH FAMILIES REQUIRING A SAFE SLEEP ENVIRONMENT FOR THEIR NEWBORN ARE PROVIDED A SAFE SLEEP PACK AND PLAY UPON DISCHARGE. -MILLARD FILLMORE SUBURBAN HOSPITAL OFFERED CHILDBIRTH EDUCATION TO PREGNANT WOMEN AND PARENTS WITH INFORMATION ON PRENATAL, PERINATAL, INFANT AND CHILD CARE THROUGH THE USE OF THE YOMINGO APP (WWW.MYYOMINGO.COM) TO IMPROVE MATERNAL AND INFANT HEALTH OUTCOMES. IN 2022, MILLARD FILLMORE SUBURBAN HOSPITAL RECORDED 235 ACTIVE USERS ON YOMINGO AND THE PROGRAM WAS PROMOTED THROUGH YOMINGO FLYERS DELIVERED TO 250 PHYSICIANS/PROVIDERS THROUGHOUT THE COMMUNITY.-THROUGHOUT 2022, JOHN R. OISHEI CHILDREN'S HOSPITAL (OCH) AND MILLARD FILLMORE SUBURBAN HOSPITAL (MFS) CONTINUED THEIR BREASTFEEDING PROMOTION AND EDUCATION ACTIVITIES TO INCREASE INITIATION AND EXCLUSIVE BREASTFEEDING RATES. AT OCH, A HOSPITAL WITH 63.8% OF PATIENTS WITH MEDICAID, THE AVERAGE BREASTFEEDING RATES IN 2022 WERE 71.3% INITIATION AND 36.2% EXCLUSIVE (3,715 BIRTHS). AT MFS, THE AVERAGE RATES IN 2021 WERE 72.0% INITIATION AND 53.0% EXCLUSIVE (2,768 BIRTHS).THE CENTERING PREGNANCY PROGRAM WAS NOT PROVIDED AT KALEIDA HEALTH OB-GYN CLINICS IN 2022 DUE TO COVID-19 RESTRICTIONS. PLANNING IS UNDERWAY TO CONTINUE THE PROGRAM WHEN RESTRICTIONS ARE LIFTED.HEALTH CARE NEEDS NOT ADDRESSED IN KALEIDA HEALTH 2022-2024 CHNA-CSP
PART V, SECTION B, LINE 11, CONTINUEDCANCERWHILE CANCER IS THE NUMBER TWO CAUSE OF DEATH IN ERIE AND NIAGARA COUNTIES, THE COUNTY WORK GROUPS AGREED TO INSTEAD PRIORITIZE CARDIOVASCULAR DISEASE, THE NUMBER ONE CAUSE OF DEATH, IN THEIR 2022-2024 PLANS. THE IMPACT OF CANCER ON THE HEALTH OF RESIDENTS IS WELL RECOGNIZED AND ADDRESSED WITH SEVERAL ONGOING CANCER PREVENTION, EDUCATION, SCREENING AND TREATMENT INITIATIVES IN PLACE IN THE REGION. ROSWELL PARK COMPREHENSIVE CANCER CENTER, LOCATED IN BUFFALO, HOLDS THE NATIONAL CANCER INSTITUTE DESIGNATION AS A COMPREHENSIVE CANCER CENTER AND HAS A PROVEN MULTIDISCIPLINARY APPROACH. OISHEI CHILDREN'S HOSPITAL PARTNERS WITH ROSWELL ON THE ROSWELL PARK OISHEI CHILDREN'S CANCER AND BLOOD DISORDERS PROGRAM PROVIDING BOTH INPATIENT AND OUTPATIENT CARE AND A MULTIDISCIPLINARY APPROACH FOR CHILDREN AND ADOLESCENTS WITH CANCER AND HEMATOLOGIC DISORDERS. KALEIDA HEALTH'S MILLARD FILLMORE SUBURBAN HOSPITAL AND DEGRAFF MEDICAL PARK OFFER CANCER REHABILITATION AND RECOVERY THROUGH THE SURVIVOR STEPS PROGRAM. KALEIDA HEALTH PARTICIPATES IN THE GREAT LAKES CANCER CARE COLLABORATIVE, IN PARTNERSHIP WITH CANCER CARE OF WESTERN NEW YORK, ECMC, GASTROENTEROLOGY ASSOCIATES, LLP, GENERAL PHYSICIAN, PC, GREAT LAKES MEDICAL IMAGING, UBMD PHYSICIANS' GROUP, WESTERN NEW YORK UROLOGY ASSOCIATES, WINDSONG, AND THE VISITING NURSING ASSOCIATION OF WESTERN NEW YORK- WITH THE GOAL TO HARNESS THE REGION'S TOP TALENT AND MOST ADVANCED TECHNOLOGY IN A UNIQUE COLLABORATION TO DIAGNOSE, TREAT AND ELIMINATE CANCER.SMOKING AND E-CIGARETTESE-CIGARETTES HAVE BEEN THE MOST COMMONLY USED TOBACCO PRODUCE AMONG YOUTH SINCE 2014. MOST E-CIGARETTES CONTAIN NICOTINE - THE ADDICTIVE DRUG IN REGULAR CIGARETTES. TOBACCO CESSATION PROGRAMS ARE PROVIDED THROUGHOUT ERIE AND NIAGARA COUNTIES, AND KALEIDA HEALTH'S INPATIENT AND OUTPATIENT PROGRAMS CONTINUE TO PROVIDE PATIENT EDUCATION ON THE HEALTH BENEFITS OF NOT SMOKING AND WILL CONTINUE TO REFER PATIENTS TO THESE PROGRAMS.ENVIRONMENTAIR AND WATER QUALITY, FOOD SAFETY, BUILT ENVIRONMENTS TO PROMOTE PHYSICAL HEALTH, SUSTAINABILITY, HEALTHY HOME AND SCHOOL ENVIRONMENTS ARE ADDRESSED THROUGH FEDERAL, STATE AND LOCAL GOVERNMENTS AND NEIGHBORHOOD AND COMMUNITY-BASED ORGANIZATIONS. KALEIDA HEALTH'S OISHEI CHILDREN'S HOSPITAL PARTNERS WITH THE WNY ASTHMA COALITION TO IMPROVE AIR QUALITY IN THE HOME TO IMPROVE ADULT AND CHILDHOOD ASTHMA RATES. THE HOSPITAL FURTHER ADDRESSES HOME SAFETY THROUGH ITS LEAD POISONING PREVENTION PROGRAM.MENTAL HEALTHKALEIDA HEALTH PROVIDES INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES FOR CHILDREN THROUGH THE CHILDREN'S PSYCHIATRY CENTER OF OISHEI CHILDREN'S HOSPITAL. THE CENTER ALSO PARTNERS WITH OTHER COMMUNITY-BASED PROVIDERS TO ASSURE IMPROVED ACCESS TO THE MOST APPROPRIATE CARE FOR CHILDREN WITH MENTAL HEALTH CONDITIONS. KALEIDA HEALTH IS A PARTNER WITH ERIE COUNTY MEDICAL CENTER, HOME OF THE REGIONAL CENTER OF EXCELLENCE FOR BEHAVIORAL HEALTH OFFERING MENTAL HEALTH AND PSYCHIATRY SERVICES, AS WELL AS ALCOHOL AND DRUG ADDICTION DETOXIFICATION AND REHAB.INJURY PREVENTION:KALEIDA HEALTH WORKS TO PREVENT INJURIES AMONG CHILDREN THROUGH ITS CAR PASSENGER SAFETY PROGRAM OF THE NYS GOVERNOR'S TRAFFIC SAFETY COMMITTEE. NYS FUNDING THROUGH THIS PROGRAM SUPPORTS CAR SEAT SAFETY CHECKS FOR THE COMMUNITY INCLUDING EDUCATION AND AWARENESS AS WELL AS THE PROVISION OF FREE CAR SEATS FOR THOSE WHO ARE OF LOW INCOME AND IN NEED. THE PROGRAM HAS BEEN PROVIDED SINCE 2020. PLANS ARE ALSO UNDERWAY FOR A BICYCLE HELMET SAFETY CHECK EVENT AT DEGRAFF MEDICAL PARK IN SPRING 2023. THESE PROGRAMS ALIGN WITH THE NYS PREVENTION AGENDA PRIORITY AREA TO PROMOTE A HEALTHY AND SAFE ENVIRONMENT.KALEIDA HEALTH'S OISHEI CHILDREN'S HOSPITAL PROVIDES THE FOLLOWING:- YOUTH LINK AND BE PREPARED PROGRAM - SUPPORTIVE SERVICES TO YOUTH AND YOUNG ADULTS, AGES 13-24, WHO IDENTIFY AS LGBTQ+, ARE LIVING WITH OR ARE AT RISK FOR HIV AND STIS, ARE EXPERIENCING HOMELESSNESS, SEXUAL ABUSE, SUBSTANCE USE AND/OR MENTAL HEALTH RELATED ISSUES.- THE FAMILY PLANNING CLINIC AND THE WOMEN'S HEALTH CENTERS ADDRESS STIS, HIV AND HCV.ALL KALEIDA HEALTH HOSPITALS ASSURE AND ALSO PROVIDE COVID-19 TESTING AND VACCINES FOR ITS EMPLOYEES AND PATIENTS.
PART V, SECTION B, LINE 16JINFORMATION THAT EXPLAINS HOW QUALIFIED PATIENTS CAN ACCESS FINANCIAL ASSISTANCE THROUGH THE HOSPITAL IS INCLUDED ON BILLS AND STATEMENTS TO PATIENTS.APPLICATION MATERIALS INCLUDE A NOTICE TO PATIENTS THAT ONCE THEY SUBMIT A COMPLETED APPLICATION AND DOCUMENTATION, THEY MAY DISREGARD ANY BILLS UNTIL THE HOSPITAL HAS RENDERED A WRITTEN DECISION ON THE APPLICATION. THE HOSPITAL MAY NOT FORWARD ACCOUNTS TO COLLECTION WHILE AND APPLICATION IS PENDING.
FieldValueIRS element (for citing)
Facility20FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (20 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - HIGHPOINTE ON MICHIGAN
1031 MICHIGAN AVEBUFFALONY14203INPATIENT SKILLED NURSING FACILITY
2 - CENTER FOR LABORATORY MEDICINE
115 FLINT ROADAMHERSTNY14226HOSPITAL BASED LAB SERVICES
3 - DEGRAFF SKILLED NURSING FACILITY
445 TREMONT STREETNORTH TONAWANDANY14120INPATIENT SKILLED NURSING FACILITY
4 - MILLARD FILLMORE SURGERY CENTER
215 KLEIN ROADWILLIAMSVILLENY14221AMBULATORY SURGERY CENTER
5 - MAPLE WEST MEDICAL COMPLEX
705 MAPLE ROADAMHERSTNY14221MEDICAL SERVICES - OTHER MEDICAL SPECIALTIES
6 - NORTH BUFFALO MEDICAL PARK
900 HERTEL AVEBUFFALONY14207MEDICAL SERVICES - PRIMARY CARE, RADIOLOGY OUTPATIENT, OUTPATIENT THERAPY
7 - KALEIDA HEALTH FAMILY PLANNING CENTER
1313 MAIN STREETBUFFALONY14209OUTPATIENT FAMILY PLANNING
8 - TOWNE GARDEN PEDIATRICS
461 WILLIAM STREETBUFFALONY14204MEDICAL SERVICES - PRIMARY CARE
9 - SOUTHTOWNS SURGERY CENTER
5959 BIG TREE ROAD SUITE 100ORCHARD PARKNY14217AMBULATORY SURGERY CENTER
10 - WCHOB WOMEN'S OBGYN HEALTH CENTER
462 GRIDER STREETBUFFALONY14215MEDICAL SERVICES - PRIMARY CARE
11 - WCHOB MCKINLEY OBGYN
3860 MCKINLEY PARKWAYHAMBURGNY14219MEDICAL SERVICES - PRIMARY CARE
12 - WCHOB CHILD PROTECTION CENTER
556 FRANKLIN STREETBUFFALONY14202MEDICAL SERVICES - PRIMARY CARE
13 - STANLEY MAKOWSKI SBHC
1095 JEFFERSON AVEBUFFALONY14214SCHOOL BASED PRIMARY CARE SERVICES
14 - HILLERY PARK #27 SBHC
72 PAWNEE PARKWAYBUFFALONY14210SCHOOL BASED PRIMARY CARE SERVICES
15 - WESTMINSTER #86 SBHC
24 WESTMINSTER AVEBUFFALONY14215SCHOOL BASED PRIMARY CARE SERVICES
16 - DR LYDIA WRIGHT #89 SBHC
106 APPENHEIMER STREETBUFFALONY14214SCHOOL BASED PRIMARY CARE SERVICES
17 - BUILD ACADEMY #91 SBHC
340 FOUGERON STREETBUFFALONY14211SCHOOL BASED PRIMARY CARE SERVICES
18 - BUFFALO SCHOOL OF TECHNOLOGY SBHC
414 SOUTH DIVISION STREETBUFFALONY14204SCHOOL BASED PRIMARY CARE SERVICES
19 - HERMAN BADILLO #76 SBHC
315 CAROLINE STREETBUFFALONY14201SCHOOL BASED PRIMARY CARE SERVICES
20 - SOUTHTOWNS CLINIC
4535 SOUTHWESTERN BLVDHAMBURGNY14075MEDICAL SERVICES PRIMARY CARE

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:KALEIDA HEALTH HAS IMPLEMENTED AND COMMUNICATES ITS FINANCIAL ASSISTANCE (CHARITY CARE) POLICY, WHICH ASSISTS LOW INCOME, UNINSURED OR UNDERINSURED INDIVIDUALS WHO LACK THE FINANCIAL RESOURCES TO PAY FOR MEDICAL SERVICES RENDERED. LEVELS OF DISCOUNTS ARE AWARDED BASED UPON INCOME AND ASSET VERIFICATION AND IN ACCORDANCE WITH THE FEDERAL POVERTY GUIDELINES AS PUBLISHED ANNUALLY BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. INDIVIDUALS ARE PROVIDED FINANCIAL ASSISTANCE CONTACT INFORMATION DURING INTAKE AND REGISTRATION. THE APPLICANT FOR FREE OR REDUCED PRICE CARE WORKS DIRECTLY WITH A MEMBER OF THE FINANCIAL COUNSELING OR CHARITY CARE TEAM FOR FINANCIAL SCREENING AND ENROLLMENT IN A GOVERNMENT-FUNDED PROGRAM, IF ELIGIBLE.AFTER REVIEW OF INCOME AND ASSETS, AN INDIVIDUAL MAY BE APPROVED FOR FREE CARE (100% DISCOUNT) OR A DISCOUNT LEVEL OF 50, 60, 75, OR 90%, FOR MEDICALLY NECESSARY SERVICES RENDERED AT A KALEIDA HEALTH FACILITY, AS FOLLOWS: LESS THAN 200% OF FEDERAL POVERTY GUIDELINE IS AWARDED 100% DISCOUNT200% - 249% OF FEDERAL POVERTY GUIDELINE IS AWARDED 90% DISCOUNT250% - 299% OF FEDERAL POVERTY GUIDELINE IS AWARDED 75% DISCOUNT300% - 349% OF FEDERAL POVERTY GUIDELINE IS AWARDED 60% DISCOUNT350% - 400% OF FEDERAL POVERTY GUIDELINE IS AWARDED 50% DISCOUNT
PART I, LINE 7:THE AMOUNTS REPORTED IN THE TABLE UNDER PART 1, LINE 7 WERE DETERMINED USING THE HEALTH SYSTEM'S DECISION SUPPORT SOFTWARE PROGRAM AND REVENUE AND EXPENSES FROM THE GENERAL LEDGER. THE OVERALL REVENUE AND EXPENSES INCLUDED IN THE DECISION SUPPORT SOFTWARE PROGRAM WERE RECONCILED TO THE GENERAL LEDGER WHICH RECONCILES TO THE AUDITED FINANCIAL STATEMENTS. THE DECISION SUPPORT SOFTWARE PROGRAM ALLOCATES DIRECT COSTS TO EACH PATIENT ACCOUNT BASED ON THE RESOURCES USED BY THAT PATIENT WITHIN THE SPECIFIC COST CENTER. INDIRECT COSTS ARE ALLOCATED USING SIMILAR STEPDOWN METHODOLOGY USED BY CMS IN THE INSTITUTIONAL COST REPORT.
PART II, LINE 7KALEIDA HEALTH'S COMMUNITY HEALTH SERVICES SUPPORTS A COMPREHENSIVE PROGRAM OF COMMUNITY HEALTH IMPROVEMENT ADVOCACY. OUTREACH IS CONDUCTED IN MULTIPLE WESTERN NEW YORK COMMUNITIES TARGETING VARIED POPULATIONS OF ALL AGES AND ETHNICITIES, INCLUDING THE MEDICALLY UNDERSERVED. PROGRAMS AND EVENTS PROMOTE THE REDUCTION OF HEALTH DISPARITIES, ACCESS TO CARE, AND PROMOTE OVERALL COMMUNITY HEALTH AND WELLNESS; AND INCLUDE HEALTH EDUCATION AND SCREENING, SPEAKERS ON HEALTH-RELATED TOPICS, AND COMMUNITY REFERRALS. TOPICS RANGE FROM HEALTH INSURANCE ENROLLMENT TO DIABETES, STROKE, HEART DISEASE, MATERNAL AND CHILD HEALTH, AND HEALTH CAREER EXPLORATION.IN 2022, COVID-19 RESTRICTIONS CONTINUED, ALTHOUGH MANY WERE EASED, AND SOMEWHAT LIMITED KALEIDA HEALTH'S ABILITY TO PROVIDE THE SAME COMPREHENSIVE PROGRAM OF COMMUNITY OUTREACH AND EDUCATION IT HAS IN PREVIOUS YEARS. HOWEVER, WORKING AROUND THE EASING RESTRICTIONS, KALEIDA HEALTH PARTNERED WITH VARIOUS ORGANIZATIONS AND PARTICIPATED IN 113 IN-PERSON AND VIRTUAL EVENTS TO REACH 14,075 INDIVIDUALS WITH COMMUNITY SERVICE PROGRAMMING. ALL OF THE OUTREACH PROGRAMS ARE FREE AND REACH A CROSS SECTION OF CULTURES, ETHNICITIES, ECONOMIC DEMOGRAPHICS, LANGUAGES, RELIGIONS AND ALL GENDERS INCLUDING LGBTQ+ COMMUNITY. MATERIALS PROVIDED TO THE COMMUNITY DURING OUTREACH EVENTS INCLUDED: INFORMATION ON FREE PSA SCREENINGS; BREAST, PROSTATE, COLON CANCER; STROKE PREVENTION; DIABETES PREVENTION; HEART DISEASE AND RISK FACTORS; CHILDREN'S HEALTH; BARIATRIC /OBESITY/ BMI; FAMILY PLANNING; HPV/ STD/STI; CHILDREN'S MEDICAID HEALTH HOMES; NUTRITION; WOMEN'S HEALTH; MATERNITY INCLUDING BREASTFEEDING; KALEIDA HEALTH WELLNESS SERIES/ "HEALTHY YOU".KALEIDA HEALTH COMMUNITY OUTREACH EXTENDED THROUGHOUT ITS SERVICE AREA AND PRIMARILY IN THE CITY OF BUFFALO, A CITY WITH A POVERTY RATE OF 28.3% AND A HIGH MINORITY POPULATION WITH 35.2% BLACK/AFRICAN AMERICAN AND 12.2% HISPANIC (US CENSUS 2020). BUFFALO HAS SEVERAL CENSUS TRACTS THAT ARE FEDERALLY DESIGNATED AS MEDICALLY UNDERSERVED AREAS AND HEALTH PROFESSIONAL SHORTAGE AREAS. IN-PERSON AND VIRTUAL OUTREACH IN THE BUFFALO AREA INCLUDED THE FOLLOWING:GREAT LAKES CANCER COLLABORATIVE CARE:KALEIDA HEALTH'S COMMUNITY OUTREACH SPECIALIST SERVED AS A COMMUNITY LIAISON FOR GREAT LAKES CANCER CARE (GLCC) TO ASSIST WITH ACCREDITATION REQUIREMENTS. WORKING CLOSELY WITH CONSULTANTS FROM ONCOLOGY SOLUTIONS, THE COMMUNITY OUTREACH SPECIALIST LEAD GLCC WITH THE FOLLOWING INITIATIVES:-CANCER PREVENTION: IN 2022, WORKING CLOSELY WITH WNY UROLOGY ASSOCIATES, KALEIDA HEALTH FAMILY PLANNING, GLCC,THE COMMUNITY LIAISON TRACKED CENSUS DATA TO DETERMINE COMMUNITIES WITH THE GREATEST HEALTHCARE NEEDS AND HEALTHCARE DISPARITIES IN BUFFALO. USING THIS DATA AND EXISTING ZIP CODES DEETERMINED BY THE COMMISSION ON CANCER/BGMC/MSF CANCER COMMITTEE, THE LIAISON RESEARCHED AND ORGANIZED THE LOGISTICS FOR OUTREACH OPPORTUNITIES AND EVENTS FOR WNY UROLOGY ASSOCIATES, KALEIDA HEALTH FAMILY PLANNING, AND GLCC.-CANCER SCREENINGS: BASED ON ERIE COUNTY DATA, LOCATIONS WERE IDENTIFIED BASED ON NEED (USING DATA OUTLINED ABOVE). THE LIASION THEN IDENTIFIED COLLABORATING ORGANIZATIONS FOR CANCER SCREENINGS. CANCER SCREENINGS WERE HELD IN AREAS OF HIGH NEED FOR PROSTATE CANCER, ORAL CANCER (WITH ECMC DENTAL TEAM), AND HPV. -GREAT LAKES HEALTH RADIO: KALEIDA'S COMMUNITY LIAISON CREATED AND PRODUCED VIRTUAL INTERVIEWS FOR EMPLOYEES OF GLCC, ECMC, WNY UROLOGY, AND KALEIDA HEALTH COMMUNITIES DISCUSS HEALTH TOPICS THAT HAVE A DISPROPORTIONATE IMPACT ON THE LIVES OF PERSONS OF COLOR OR PERSONS RESIDING IN LOW-INCOME COMMUNITIES. THE PROGRAM WAS RECORDED AND POSTED ON THE KALEIDA HEALTH WEBSITE. IT AIRED 2 TIMES A MONTH IN 2022 ON WUFO 1080 AM AND POWER 96.5 FM. IT FEATURES 30 MINUTE INTERVIEWS WITH GUEST SPEAKERS, INCLUDING PHYSICIANS, NURSES AND OTHER HEALTH PROFESSIONALS. A SENIOR MOMENT PROGRAM ALSO AIRED AND FEATURED 30 MINUTE INTERVIEWS WITH GUEST SPEAKERS ON HEALTH AND WELLNESS TOPICS FOR AGES 60+. THESE PROGRAMS REACH A PREDOMINANTLY URBAN POPULATION OF ALL AGES RACES AND SEXUAL ORIENTATIONS.-EXECUTIVE DIRECTOR OF NEAR EAST AND WEST SIDE TASK FORCE (NEWS TF)- THE COMMUNITY OUTREACH SPECIALIST ORGANIZED OUTREACH PROGRAMS WITH KALEIDA HEALTH AND COMMUNITY PARTNER ORGANIZATIONS. PROGRAMS AND OUTREACH WERE HELD IN LOW-INCOME NEIGHBORHOODS IN BUFFALO WHERE UNDERSERVED POPULATIONS RESIDE. AS NYS BEGAN TO LIFT COVID RESTRAINTS IN 2022, COMMUNITY OUTREACH RESUMED INDOORS AND OUTDOORS, AND CONTINUED TO BE HELD VIRTUALLY.KALEIDA HEALTH WAS PRESENT AT 83 COMMUNITY OUTREACH EVENTS REPRESENTING EITHER KALEIDA HEALTH, GLCC, WNY UROLOGY, OR ECMC. KALEIDA'S COMMUNITY OUTREACH SPECIALIST ATTENDED 30 EVENTS REPRESENTING KALEIDA HEALTH.14,075 MEMBERS OF THE COMMUNITY WERE REACHED THROUGH OUTREACH PROGRAMS. THIS DOES NOT INCLUDE GREAT LAKES RADIO, SENIOR MOMENT, OR NAACP SPEAKS RADIO PROGRAMS, WHERE KALEIDA'S COMMUNITY OUTRACH SPECIALIST SERVES AS HOST OR IS OFTEN A GUEST-HOST. THROUGH EMAIL, HUNDREDS OF COMMUNICATIONS ARE SHARED WITH THE COMMUNITY THROUGH KALEIDA HEALTH.-KALEIDA HEALTH'S COMMUNITY OUTREACH SPECIALIST COORDINATED SPONSORSHIP OUTREACH FOR THE FOLLOWING EVENTS:-SUSAN J. KOMEN WALK-MAKING STRIDES AGAINST BREAST CANCER-NAACP ANNUAL DINNER-JUNETEENTH FESTIVAL-BLACK ACHIEVERS-HISPANIC WOMEN'S LEAGUE-TAKING IT TO THE STREETS-HOSPITAL TOURS AND SPEAKING ENGAGEMENTS: KALEIDA'S COMMUNITY OUTREACH SPECIALIST HAD 8 SPEAKING ENGAGEMENTS, EITHER IN PERSON OR VIRTUAL, WITH KH COLLEAGUES FOR COMMUNITY GROUPS, FAITH BASED ORGANIZATIONS, THE CITY OF BUFFALO, AND CITY OF BUFFALO SCHOOLS. SHE LED FOUR TOURS OF LABS AND BUFFALO GENERAL MEDICAL CENTER.ADDITIONALLY, KALEIDA HEALTH'S COMMUNITY RELATIONS SPECIALIST ACTIVELY PARTICIPATES IN THE FOLLOWING COMMUNITY ORGANIZATIONS:-NEAR EAST AND WEST SIDE TASK FORCE - EXECUTIVE DIRECTOR-CRISIS SERVICES- OUTREACH, MEMBERSHIP-WNED - COMMUNITY ADVISORY COMMITTEE-UB MINI MEDICAL SCHOOL - COMMUNITY COMMITTEE MEMBER-NAACP - BOARD OF DIRECTORS 2ND VP, BUFFALO; CHAIR HEALTH COMMITTEE, BUFFALO AND NEW YORK STATE-LEADERSHIP BUFFALO -CLASS CHAIR-HISPANIC WOMEN'S LEAGUE- MEMBERSHIP CHAIR AND SPECIAL PROJECTS-ALBRIGHT-KNOX ART GALLERY - ADVANCEMENT COMMITTEE-ST. JOHN BAPTIST CHURCH - CHAIR, HEALTH COMMITTEE AND OUTREACH-BUFFALO NIAGARA MEDICAL CAMPUS - NEIGHBORHOOD ENGAGEMENT & GOVERNMENT AFFAIRS COUNCIL-UB MEDICAL SCHOOL CURRICULUM REVISION COMMITTEE - COMMUNITY ADVISORY-HEALTH SCIENCES CHARTER SCHOOL - BOARD OF DIRECTORSKALEIDA HEALTH'S COMMUNITY RELATIONS SPECIALIST WAS RECOGNIZED AS A BUFFALO BUSINESS FIRST WOMEN OF INFLUENCE RECIPIENT AND FEATURED IN HEALTHY LIVING MAGAZINE'S AUGUST EDITION.PART III, SECTION A, LINE 2BAD DEBT EXPENSEDUE TO THE ADOPTION OF ASU NO. 2014-09 - REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606) BAD DEBT EXPENSE IS NO LONGER REPORTED ON THE AUDITED FINANCIAL STATEMENT. RATHER IT IS TREATED AS A PRICE CONCESSION. PLEASE SEE THE FOLLOWING 2022 AUDITED FINANCIAL STATEMENT FOOTNOTE WHICH DESCRIBES THIS.KALEIDA ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A PATIENT'S CARE MAY BE CLASSIFIED AS CHARITY CARE IN ACCORDANCE WITH CERTAIN ESTABLISHED POLICIES OF KALEIDA. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED.TO ENHANCE AND ACCELERATE THE CHARITY CARE QUALIFICATION PROCESS, KALEIDA UTILIZES A PRESUMPTIVE CHARITY SCORING SYSTEM IN ORDER TO DETERMINE CHARITY CARE ELIGIBILITY. THE SYSTEM USES DEMOGRAPHIC AND PUBLIC FINANCIAL INFORMATION TO QUALIFY PATIENT ACCOUNTS FOR CHARITY CARE. IN ADDITION, KALEIDA MAKES AND RECEIVES PAYMENTS TO AND FROM A STATEWIDE POOL TO SUPPORT THE DELIVERY OF CHARITY CARE TO PATIENTS THROUGHOUT NEW YORK. THESE NET PAYMENTS ARE REPORTED AS A COMPONENT OF PATIENT SERVICE REVENUE IN THE CONSOLIDATED FINANCIAL STATEMENTS.
PART III, LINE 8:THERE ARE NO MEDICARE SHORTFALLS INCLUDED IN THE CALCULATION OF COMMUNITY BENEFIT.COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORT, AS REFLECTED IN PART III, LINE 6: KALEIDA HEALTH USED THE FILED, BUT UNAUDITED 2022 CMS MEDICARE COST REPORT TO DETERMINE THE AMOUNTS REPORTED ON THESE LINES.
PART III, LINE 9B:ONCE PATIENT LIABILITY HAS BEEN DETERMINED FOLLOWING PROCESSING OF APPLICATIONS FOR GOVERNMENT ASSISTANCE, CHARITY CARE, AND/OR INSURANCE CARRIER REMITTANCE, THE PATIENT STATEMENT IS MAILED FOR PAYMENT RECOVERY. KALEIDA HEALTH HAS A PRE-COLLECTION PROCESS FOR ACCOUNTS WITH A POSITIVE PATIENT BALANCE GREATER THAN $4.99 AND A FIRST BILL DATE OLDER THAN 60 DAYS, BUT NOT PREVIOUSLY PAID IN FULL BY THE PATIENT (EXCLUDING ACCOUNTS FOR PATIENTS THAT HAVE SUBMITTED A COMPLETED APPLICATION FOR CHARITY CARE, MEDICAID, OR CHILD HEALTH PLUS, AND AN ELIGIBILITY DETERMINATION IS PENDING).UPON A PATIENT EXPRESSING FINANCIAL CONCERN, THE PATIENT WILL BE OFFERED THE OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE (CHARITY CARE). ONCE THE PATIENT SUBMITS THE COMPLETED APPLICATION, THE ACCOUNT IS PLACED ON HOLD AND ALL COLLECTION ACTIVITIES ARE SUSPENDED UNTIL AN ELIGIBILITY DETERMINATION IS MADE. IF THE PATIENT IS ELIGIBLE FOR CHARITY CARE, THEN THE PATIENT IS NOTIFIED OF THE LEVEL OF CHARITY CARE AWARDED. IF 100% CHARITY CARE IS AWARDED, THEN NO BILL IS SENT TO THE PATIENT. IF LESS THAN 100% CHARITY CARE IS AWARDED, THEN THE PATIENT WILL RECEIVE A BILL PURSUANT TO THE PRIVATE PAY COLLECTION POLICY.
PART VI, LINE 2:KALEIDA HEALTH ASSESSES THE NEEDS OF THE COMMUNITY THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT-COMMUNITY SERVICE PLAN (CHNA-CSP) WITH ITS MOST RECENT PLAN COMPLETED IN 2022.THE 2022-2024 CHNA-CSP IS AVAILABLE TO THE PUBLIC ON THE KALEIDA HEALTH WEBSITE AT HTTPS://WWW.KALEIDAHEALTH.ORG/COMMUNITY/ AND A PRINTED COPY IS AVAILABLE UPON REQUEST AT NO CHARGE. WRITTEN COMMENTS ON THE 2022-2024 CHNA-CSP ARE INVITED FROM THE PUBLIC THROUGH A LINK ENTITLED "COMMENT ON PLAN", LOCATED NEXT TO THE DOCUMENT THROUGH THE ABOVE LINK.IN ADDITION TO THE 2022-2024 CHNA-CSP (AS REPORTED IN PART V, SECTION B), KALEIDA HEALTH STAFF ENGAGE IN OTHER METHODS TO ASSESS THE NEEDS OF THE COMMUNITY. POVERTY TRENDS, COMMUNITY HEALTH RESEARCH, AND LOCAL COMMUNITY HEALTH NEEDS ARE REVIEWED ON A REGULAR BASIS WHILE PLANNING SERVICES AND PROGRAMS. RESPONSIVE TO COMMUNITY PRIORITIES, PROGRAM DEVELOPMENT AND SERVICES FILL IDENTIFIED GAPS OR SUPPLEMENT EXISTING PROGRAMS.
PART VI, LINE 3:PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE KALEIDA HEALTH INFORMS INDIVIDUALS OF FINANCIAL ASSISTANCE MADE AVAILABLE AT THE TIME OF REGISTRATION INTO THE INPATIENT, OUTPATIENT, EMERGENCY DEPARTMENT, AND LONG-TERM CARE FACILITY. POSTERS INFORMING THE PATIENT/FAMILY OF ASSISTANCE ARE AVAILABLE THROUGHOUT THE KALEIDA LOCATIONS. BROCHURES AND PAMPHLETS INFORMING THE COMMUNITY ARE WIDELY DISTRIBUTED IN THE COMMUNITY AT HEALTH FAIRS, CHURCHES, SCHOOLS AND OTHER PUBLIC LOCATIONS. INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AS WELL AS APPLICATION IS ALSO MADE AVAILABLE THROUGH KALEIDA HEALTH'S WEBSITE. KALEIDA HEALTH OFFERS ASSISTANCE TO INDIVIDUALS IN OUR COMMUNITY FOR ACCESSING AFFORDABLE HEALTH CARE, INCLUDING:- FACILITATED ENROLLMENT: ASSISTS ELIGIBLE INDIVIDUALS WITH HEALTH INSURANCE ENROLLMENT BY OFFERING EDUCATION AND APPLICATION ASSISTANCE FOR MEDICAID, CHILD HEALTH PLUS, ESSENTIAL PLANS, STATE AID PROGRAM FOR CHILDREN WITH SPECIAL NEEDS AND ALL QUALIFIED HEALTH PLANS MADE AVAILABLE THROUGH THE NEW YORK STATE OF HEALTH, HEALTH PLAN MARKETPLACE. A DEDICATED TELEPHONE NUMBER IS AVAILABLE AND INFORMATION IS PUBLISHED IN BROCHURES AT KALEIDA SITES AND AT VARIOUS LOCATIONS THROUGHOUT THE COMMUNITY. - FINANCIAL ASSISTANCE PROGRAM: AS DESCRIBED ABOVE, THE KALEIDA FINANCIAL ASSISTANCE PROGRAM IF ELIGIBLE PROVIDES FREE OR REDUCED-PRICES FOR PATIENTS TREATED AT KALEIDA HEALTH HOSPITALS OR LONG-TERM CARE FACILITIES. DISCOUNTS ARE AWARDED BASED UPON INCOME AND ASSET VERIFICATION. - PRESUMPTIVE ELIGIBILITY: KALEIDA HEALTH HAS SHOWN A WILLINGNESS TO EXTEND FINANCIAL ASSISTANCE TO NEEDY PATIENTS WITH OUTSTANDING BILLS WHO HAVE NOT COMPLETED THE CHARITY APPLICATION PROCESS. THIS IS ACHIEVED THROUGH AN AUTOMATED PARO SCORING PROCESS USING PUBLIC RECORDS, REGIONAL COST OF LIVING, ESTIMATED HOUSEHOLD INCOME THRESHOLDS, COMMUNITY DEMOGRAPHICS TO DERIVE AN ESTIMATED FINANCIAL POSITION FOR EACH PATIENT. THOSE PATIENTS SCREENED THROUGH THIS AUTOMATED PROCESS AND DEEMED ELIGIBLE ARE ADJUSTED OFF TO CHARITY CARE IN LIEU OF BAD DEBT.
PART VI, LINE 4:KALEIDA HEALTH SERVES WESTERN NEW YORK'S EIGHT COUNTIES OF ALLEGANY, CATTARAUGUS, CHAUTAUQUA, ERIE, GENESEE, NIAGARA, ORLEANS, AND WYOMING. THE POPULATION FOR THE REGION IS APPROXIMATELY 1.5 MILLION WITH ERIE COUNTY AND NIAGARA COUNTY COMPRISING AN ESTIMATED 1.1 MILLION OF THIS TOTAL. THREE KALEIDA HEALTH HOSPITALS INCLUDING BUFFALO GENERAL MEDICAL CENTER, MILLARD FILLMORE SUBURBAN HOSPITAL, AND OISHEI CHILDREN'S HOSPITAL ARE LOCATED IN ERIE COUNTY, THE HOSPITALS' PRIMARY SERVICE AREA. DEGRAFF MEDICAL PARK IS LOCATED IN NIAGARA COUNTY, ITS PRIMARY SERVICE AREA. DEGRAFF ALSO SERVES A NUMBER OF ERIE COUNTY RESIDENTS GIVEN ITS LOCATION LESS THAN ONE MILE FROM THE ERIE COUNTY BORDER. EACH FACILITY'S PRIMARY SERVICE AREA IS DEFINED AS THE COUNTY WITH THE HIGHEST PERCENTAGE OF ALL WNY COUNTIES FOR INPATIENT DISCHARGES, EMERGENCY DEPARTMENT VISITS, AND OUTPATIENT VISITS AS IDENTIFIED IN THE 2022-2024 CHNA-CSP.ERIE COUNTYERIE COUNTY IS LOCATED IN THE WESTERN PORTION OF NEW YORK STATE BORDERING LAKE ERIE, AND ALSO LIES ON THE INTERNATIONAL BORDER BETWEEN THE UNITED STATES AND CANADA. THE FOLLOWING DEMOGRAPHIC STATISTICS FOR ERIE COUNTY ARE FROM THE US CENSUS, QUICK FACTS, POPULATION ESTIMATES, APRIL 1, 2020 AS INDICATED IN KALEIDA HEALTH'S 2022-2024 CHNA-CSP. THE COUNTY'S TOTAL POPULATION IS 954,236 AND IS COMPRISED OF URBAN, SUBURBAN, AND RURAL CITIES, TOWNS, AND VILLAGES. ERIE COUNTY'S MEDIAN HOUSEHOLD INCOME IS $59,464. ITS POVERTY RATE IS 13.2%, AND 18.4% OF ITS POPULATION IS 65 YEARS AND OVER. ITS LARGEST CITY AND COUNTY SEAT IS BUFFALO WITH A POPULATION OF 278,349. THE CITY HAS A 28.3% POVERTY RATE THE MEDIAN HOUSEHOLD INCOME IN BUFFALO IS $39,677 WHILE THE MEDIAN HOUSEHOLD INCOME IN ERIE COUNTY IS $59,464 AND IN NEW YORK STATE, $71,117. BUFFALO HAS THE FOURTH HIGHEST YOUTH POVERTY RATE IN THE COUNTRY. OF THE 58,618 BUFFALO RESIDENTS UNDER 18 YEARS OF AGE, 27,678 OR 47% OF THOSE CHILDREN LIVE BELOW THE FEDERAL POVERTY LEVEL. THE ERIE COUNTY YOUTH POVERTY RATE IS 19.8% AND THE NYS RATE IS 20.8%. ONLY DETROIT, ROCHESTER AND CLEVELAND HAVE WORSE YOUTH POVERTY RATES (BUFFALO BUSINESS FIRST, 1-15-19). BUFFALO ALSO HAS A HIGH MINORITY POPULATION WITH 35.2% OF ITS RESIDENTS BEING BLACK NON-HISPANIC AND 12.2% HISPANIC AS COMPARED TO 14% BLACK NON-HISPANIC AND 5.8% HISPANIC FOR ALL OF ERIE COUNTY. PERSONS UNDER 65 WITHOUT HEALTH INSURANCE COMPRISE 4.1% OF ERIE COUNTY'S POPULATION AND 4.9% OF BUFFALO'S POPULATION. BUFFALO GENERAL MEDICAL CENTER AND OISHEI CHILDREN'S HOSPITAL ARE LOCATED IN THE CITY OF BUFFALO AND SERVE A HIGH PERCENTAGE OF BUFFALO'S POOR AND UNDERSERVED POPULATION. MOST CENSUS TRACTS IN BUFFALO ARE FEDERALLY DESIGNATED AS MEDICALLY UNDERSERVED AREAS. THE TOWN OF AMHERST IS ONE OF THE COUNTY'S LARGEST SUBURBS WITH A POPULATION OF 129,595 AND IS HOME TO MILLARD FILLMORE SUBURBAN HOSPITAL. IN CONTRAST TO BUFFALO, THE TOWN OF AMHERST HAS A POVERTY RATE OF 9.8% AND THE MEDIAN HOUSEHOLD INCOME IN 2020 IS $76,781. AMHERST'S POPULATION IS 78.6% WHITE NON-HISPANIC. THE TOWN ALSO HAS 8.9% ASIAN POPULATION, COMPARABLE TO THE NYS RATE OF 10.2% WHILE THE ERIE COUNTY RATE IS 3.8%.THE TOWN HAS A SIGNIFICANT SENIOR POPULATION WITH 20.9% OF RESIDENTS 65 YEARS AND OVER, AND MILLARD FILLMORE SUBURBAN HOSPITAL SERVES A HIGH PERCENTAGE OF THE TOWN'S AGING POPULATION.NIAGARA COUNTYNIAGARA COUNTY IS LOCATED IN THE WESTERN PORTION OF NEW YORK STATE, JUST NORTH OF BUFFALO (ERIE COUNTY) AND ADJACENT TO LAKE ONTARIO ON ITS NORTHERN BORDER AND THE NIAGARA RIVER AND CANADA ON ITS WESTERN BORDER. THE FOLLOWING DEMOGRAPHIC STATISTICS FOR NIAGARA COUNTY ARE FROM THE US CENSUS, QUICK FACTS, POPULATION ESTIMATES, APRIL 1, 2020 AS INDICATED IN KALEIDA HEALTH'S 2022-2024 CHNA-CSP. THE COUNTY'S TOTAL POPULATION IS 212,666 AND IS COMPRISED OF URBAN, SUBURBAN, AND RURAL CITIES, TOWNS, AND VILLAGES. NIAGARA COUNTY'S MEDIAN HOUSEHOLD INCOME IN 2020 IS $57,252. ITS POVERTY RATE IS 11.7% AND 19.5% OF ITS POPULATION IS 65 YEARS AND OVER. ITS CITIES INCLUDE NIAGARA FALLS, POPULATION 48,671; NORTH TONAWANDA, POPULATION 30,496; AND ITS COUNTY SEAT OF LOCKPORT, POPULATION 20,876. THESE CITIES INCLUDE A HIGH PROPORTION OF THE COUNTY'S LOW INCOME AND UNDERSERVED POPULATION. 20% OF NIAGARA FALLS RESIDENTS ARE BLACK/AFRICAN AMERICAN AND THE CITY HAS A 23.5% POVERTY RATE. ADDITIONALLY, NIAGARA FALLS IS FEDERALLY DESIGNATED AS AN AREA WITH A MEDICALLY UNDERSERVED POPULATION. THE POVERTY RATE FOR NORTH TONAWANDA IS 10.2%, AND 14.2% FOR LOCKPORT. THE PERCENTAGE OF RESIDENTS UNDER 65 YEARS WITHOUT HEALTH INSURANCE RANGES FROM 4.3% IN NIAGARA FALLS AND 2.8% IN NORTH TONAWANDA AND 5.9% IN LOCKPORT. NIAGARA COUNTY IS ALSO HOME TO THE TUSCARORA RESERVATION WITH A POPULATION OF 1,167, A POVERTY RATE OF 39.9% AND A MEDIAN INCOME OF $14,323, MUCH LOWER THAN THAT OF NIAGARA COUNTY. NORTH TONAWANDA IS HOME TO DEGRAFF MEDICAL PARK, AND, A COMMUNITY HOSPITAL A WITH A RECENTLY EXPANDED, NEW STATE-OF-THE ART EMERGENCY ROOM TO BETTER SERVE THE GROWING EMERGENCY CARE NEEDS OF THE COMMUNITY.DURING 2022, THERE WERE 53,569 INPATIENT DISCHARGES, OF WHICH 27% WERE MEDICAID AND MEDICAID MANAGED CARE, 41% MEDICARE AND MEDICARE MANAGED CARE, 1% WERE UNINSURED, AND 31% WERE OTHER.IN ADDITION TO KALEIDA HEALTH'S 3 HOSPITALS IN ERIE COUNTY AND 1 HOSPITAL IN NIAGARA COUNTY, THERE ARE 9 OTHER HOSPITALS IN ERIE COUNTY AND 3 OTHER HOSPITALS IN NIAGARA COUNTY SERVING WESTERN NEW YORK PER THE NEW YORK STATE DEPARTMENT OF HEALTH WEBSITE.MORE INFORMATION IS AVAILABLE IN THE KALEIDA HEALTH 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT-COMMUNITY SERVICE PLAN (CHNA-CSP). THE DOCUMENT WAS COMPLETED IN FALL 2021, AND CAN BE FOUND ON THE KALEIDA HEALTH WEBSITE AT HTTPS://WWW.KALEIDAHEALTH.ORG/COMMUNITY/. PRINTED COPIES AVAILABLE UPON REQUEST AT NO CHARGE AT KALEIDA HEALTH HOSPITALS. WRITTEN COMMENTS ON THE 2022-2024 CHNA-CSP ARE INVITED AND A "COMMENT LINK" IS PROVIDED NEXT TO THE PLAN FOUND ON THE KALEIDA HEALTH WEBSITE.
PART VI, LINE 7, REPORTS FILED WITH STATESNY
PART VI, LINE 5PROMOTION OF COMMUNITY HEALTHKALEIDA HEALTH'S MISSION IS TO "ADVANCE THE HEALTH OF ITS COMMUNITY AND ITS VISION IS TO "PROVIDE COMPASSIONATE, HIGH-VALUE, QUALITY CARE, IMPROVING HEALTH IN WESTERN NEW YORK AND BEYOND, EDUCATING FUTURE HEALTH CARE LEADERS AND DISCOVERING INNOVATIVE WAYS TO ADVANCE MEDICINE."KALEIDA HEALTH BOARD OF DIRECTORSKALEIDA HEALTH MAINTAINS CONTROL OVER THE CORPORATION THROUGH ITS SELF-PERPETUATING,15 MEMBER GOVERNING BOARD OF DIRECTORS. A MAJORITY OF THE BOARD OF DIRECTORS RESIDES IN KALEIDA HEALTH'S PRIMARY SERVICE AREA OF ERIE AND NIAGARA COUNTIES AND IS NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF KALEIDA HEALTH, NOR FAMILY MEMBERS THEREOF. THE BOARD OF DIRECTORS IS COMPRISED OF COMMUNITY LEADERS FROM THE BUSINESS, INDUSTRY, AND HEALTHCARE SECTORS, INCLUDING PHYSICIANS WHO ARE ON THE MEDICAL STAFF. EACH DIRECTOR SIGNS A CONFLICT OF INTEREST STATEMENT AND SERVES A THREE-YEAR TERM. ROBERT NESSELBUSH (JAN 1-JULY 12, 2022) AND DONALD BOYD (JULY 13-DEC 31, 2022), SERVED AS PRESIDENT AND CEO OF KALEIDA HEALTH, AND SERVED AS AN EX-OFFICIO DIRECTOR WITH VOTING RIGHTS.USE OF SURPLUS FUNDSSURPLUS FUNDS ARE USED TO FURTHER THE MISSION AND OPERATIONS OF KALEIDA HEALTH, SUCH AS REINVESTING IN COMMUNITY BENEFIT PROGRAMS, AND MAKING IMPROVEMENTS IN FACILITIES, PATIENT CARE, MEDICAL, NURSING AND ALLIED HEALTH TRAINING, EDUCATION AND RESEARCH IN SUPPORT OF THE HEALTH NEEDS OF THE COMMUNITY. IN ADDITION TO THE COMMUNITY SERVICE PROGRAMS ADDRESSED IN THE SECTION VI, PART II COMMUNITY BUILDING SECTION, KALEIDA HEALTH PROVIDES A NUMBER OF ADDITIONAL PROGRAMS AND COLLABORATIONS.KALEIDA HEALTH IS COMMITTED TO EDUCATION AND RESEARCH AS IT SERVES AS A MAJOR CLINICAL TEACHING AFFILIATE OF THE UNIVERSITY AT BUFFALO, JACOBS SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES. THROUGH AFFILIATIONS WITH A NUMBER OF EDUCATIONAL INSTITUTIONS , KALEIDA HEALTH ALSO PROVIDES A CLINICAL EXPERIENCE FOR HEALTH CARE PROFESSIONALS IN TRAINING IN THE FIELDS OF PHARMACY, NURSING, PHYSICIAN ASSISTANTS, SOCIAL WORK, AND REHABILITATION SERVICES.AS CONFERRED BY THE BOARD OF DIRECTORS, MEDICAL STAFF MEMBERSHIP IS OFFERED TO PROFESSIONALLY COMPETENT PHYSICIANS, DENTISTS, PODIATRISTS AND OTHER SPECIFIED INDIVIDUALS, WHO CONTINUOUSLY MEET THE QUALIFICATIONS, STANDARDS AND REQUIREMENTS OUTLINED IN THE BYLAWS, RULES AND REGULATIONS, POLICIES OF THE MEDICAL STAFF AND KALEIDA HEALTH, CONSISTENT WITH THE NEEDS OF KALEIDA HEALTH'S PATIENTS. STAFF MEMBERSHIP OR PARTICULAR CLINICAL PRIVILEGES SHALL NOT BE DENIED ON THE BASIS OF AGE, SEX, SEXUAL ORIENTATION, RACE, COLOR, CREED, NATIONAL ORIGIN, A DISABILITY UNRELATED TO THE ABILITY TO FULFILL PATIENT CARE AND MEDICAL STAFF RESPONSIBILITIES OR ANY OTHER CRITERION UNRELATED TO THE EFFICIENT DELIVERY OF QUALITY PATIENT CARE, TO PROFESSIONAL QUALIFICATIONS OR TO THE NEEDS OF THE COMMUNITY, OR TO THE PURPOSES, NEEDS, AND CAPABILITIES OF KALEIDA HEALTH. EVERY MEMBER OF THE MEDICAL STAFF ASSISTS THE HOSPITALS IN FULFILLING KALEIDA HEALTH'S MISSION AND RESPONSIBILITY TO PROVIDE EMERGENCY AND UNCOMPENSATED CARE FOR THOSE IN NEED.KALEIDA HEALTH IS COMMITTED TO PROVIDING HEALTH CARE FOR THE UNINSURED AND UNDERINSURED, OFFERS PROGRAMS AND SERVICES IN COMMUNITY-BASED SETTINGS AND IN ITS CAMPUSES AND FACILITIES, AND WORKS WITH PARTNERING ORGANIZATIONS TO FURTHER MEET THE COMMUNITY'S HEALTH AND SOCIAL NEEDS. PROGRAMS AND EVENTS TARGET ALL AGES AND BACKGROUNDS, INCLUDING THE MEDICALLY UNDERSERVED; AND FOCUS ON THE REDUCTION OF HEALTH DISPARITIES, IMPROVED ACCESS TO CARE, EFFECTIVE USE OF HEALTH SERVICES, AND THE PROMOTION OF OVERALL COMMUNITY HEALTH AND WELLNESS.IN 2019, THE MED-LAW PARTNERSHIP OF WESTERN NEW YORK OPENED AT BUFFALO GENERAL MEDICAL CENTER/GATES VASCULAR INSTITUTE OFFERING PATIENTS LEGAL EXPERTISE AND SERVICES AT NO CHARGE TO ADDRESS PATIENTS' HEALTH-RELATED SOCIAL NEEDS.IN 2022, KALEIDA HEALTH CONTINUED ITS PARTNERSHIPS WITH CHARTER SCHOOLS LOCATED IN UNDERSERVED COMMUNITIES IN THE CITY OF BUFFALO. IN 2021, KALEIDA HEALTH BECAME A MEMBER OF THE HEALTH SCIENCES CHARTER SCHOOL AND A KALEIDA HEALTH STAFF MEMBER BEGAN SERVING ON THE SCHOOL'S BOARD OF DIRECTORS. IN 2022, KALEIDA CONTINUED TO SUPPORT AND SERVE ON THE BOARD OF DIRECTORS AT HEALTH SCIENCES CHARTER SCHOOL. IN 2022, KALEIDA HEALTH'S PLANNED ACTIVITIES RESUMED FOLLOWING EASING PANDEMIC RESTRICTIONS AND INCLUDED VENDOR TABLES WITH FAMILY PLANNING INFORMATION, SPEAKERS, AND HOSPITAL TOURS WITH KALEIDA HEALTH'S COMMUNITY OUTREACH SPECIALIST.A NYS MEDICAID HEALTH HOME SERVING CHILDREN WAS ESTABLISHED IN 2016 THROUGH OISHEI CHILDREN'S HOSPITAL TO PROVIDE CARE MANAGEMENT TO WNY CHILDREN WITH MEDICAID WHO HAVE COMPLEX PHYSICAL AND/OR BEHAVIORAL HEALTH CONDITIONS. THE HOSPITAL ALSO OPERATES SEVEN SCHOOL BASED HEALTH CENTERS IN BUFFALO PUBLIC SCHOOLS, A SCHOOL DISTRICT WITH 82% OF STUDENTS ECONOMICALLY DISADVANTED (2019-2020 DATA.NYSED.GOV).OISHEI CHILDREN'S HOSPITAL IS KNOWN FOR ITS COMMUNITY COLLABORATIONS TO ADDRESS PUBLIC HEALTH CONCERNS AND ASSURE ACCESS TO CARE FOR WOMEN AND CHILDREN, MANY OF WHOM ARE MEDICALY UNDERSERVED. IN ADDITION TO ITS WIDE RANGE OF SPECIALIZED PEDIATRIC AND MATERNAL SERVICES, THE HOSPITAL SERVES THE REGION AS A NEW YORK STATE REGIONAL PERINATAL CENTER, NYS DESIGNATED EBOLA PREPARED CENTER, AND THE PEDIATRIC & ADOLESCENT AIDS DESIGNATED CETNER OF WNY. IT HAS A LEVEL IV NEONATAL INTENSIVE CARE UNIT, LEVEL I PEDIATRIC TRAUMA UNIT, AND PEDIATRIC INTENSIVE CARE UNIT AND IS HOME TO THE ROBERT WARNER CENTER FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS, CHILDREN'S GUILD FOUNDATION AUTISM SPECTRUM DISORDER CENTER, REGIONAL LEVEL IV EPILEPSY MONITORING CENTER OF WNY, SAFE BABIES NEW YORK PROGRAM, LEAD POISONING PREVENTION RESOURCE CENTER OF WESTERN NEW YORK, SICKLE CELL & HEMOGLOBINOPATHY CENTER OF WESTERN NEW YORK, ROSWELL PARK AND OISHEI CHILDREN'S CANDER AND BLOOD DISORDER CENTER AND CYSTIC FIBROSIS CENTER OF WNY, AMONG OTHERS.INCREASING BREASTFEEDING RATES IS A PUBLIC HEALTH PRIORITY OF THE NEW YORK STATE PREVENTION AGENDA. AS DELIVERY HOSPITALS, BOTH OISHEI CHILDREN'S HOSPITAL AND MILLARD FILLMORE SUBURBAN HOSPITAL ARE ENGAGED IN SEVERAL EDUCATIONAL AND CLINICAL INITIATIVES TO IMPROVE EXCLUSIVE BREASTFEEDING RATES THROUGH NEW YORK STATE DEPARTMENT OF HEALTH GUIDELINES. IN 2019, ADDITIONALLY, KALEIDA HEALTH'S OB-GYN CENTERS HAVE ALL ACHIEVED NEW YORK STATE BABY-FRIENDLY PRACTICE DESIGNATION. IN 2018, OISHEI CHILDREN'S OPENED A BABY CAFE TO PROVIDE FREE BREASTFEEDING SUPPORT AND GUIDANCE TO PREGNANT AND BREASTFEEDING MOMS. EVIDENCE BASED PATIENT EDUCATION MATERIALS IN ENGLISH AND SPANISH WERE PROVIDED FOR LABOR AND DELIVERY PATIENTS AT OCH AND MFSM AND FOR OB PATIENTS AT OCH'S OB-GYN CENTERS. CLINICAL EDUCATORS PROVIDED BREAST FEEDING EDUCATION TO STAFF AND OFFER AN ONLINE PROVIDER EDUCATION MODEL ON BREASTFEEDING PRACTICES TO PROVIDERS. BY THE END OF 2022, A LACTATION CONSULTANT INCREASED THE NUMBER OF NICU PARENTS WHO STARTED BREAST PUMPING WITHIN 2 HOURS AFTER DELIVERY OF INFANT. BY THE END OF 2024 THERE WILL BE A BREAST FEEDING "LOUNGE" WHERE THE BREAST FEEDING CLIENT CAN RECEIVE ADDITIONAL SUPPORT AND EDUCATION FROM THE LACTATION NURSE AS WELL AS OTHER BREAST FEEDING PARENTS. OCH SUPPORTED BREASTFEEDING PATIENTS BY PERFORMING FOLLOW UP PHONE CALLS AFTER DISCHARGE AND OFFERING LACTATION ASSISTANCE. CARDIOVASCULAR DISEASE IS THE NUMBER ONE CAUSE OF DEATH IN BOTH ERIE AND NIAGARA COUNTIES AND KALEIDA HEALTH SUPPORTS SEVERAL CARDIOVASCULAR INITIATIVES. CARDIAC AND STROKE CARE IS A MAJOR SERVICE LINE FOR KALEIDA HEALTH AND THE GATES VASCULAR INISTITUTE OF BUFFALO GENERAL MEDICAL CENTER SERVES AS A REGIONAL SPECIALTY CARE AND RESEARCH FACILITY FOCUSING ON THE HEART, NEUROLOGICAL, AND RELATED VASCULAR SYSTEM. IN 2022, 6 LIVE SEMINARS OCCURRED WITH 9,348 INDIVIDUALS PARTIPATING IN HEALTHY U PROGRAMS VIA FACEBOOK.ADDITIONALLY, 39 MEDICAL MINUTE VIDEOS ON HEALTH TOPICS AIRED ON WIVB-TV AND KALEIDA SOCIAL MEDIA REACHING 37,415 AND THE MEDICALLY SPEAKING INTERVIEW SERIES AIRED 12 VIDEOS AND REACHED 18,173 VIA FACEBOOK AND THE KALEIDA WEBSITE. A TARGETED CARDIOVASCULAR EDUCATION AND SCREENING PROGRAM IS PROVIDED TO MEDICALLY UNDERSERVED FEMALES AT THE OB-GYN CENTERS OF OISHEI CHILDREN'S HOSPITAL, WHERE A MAJORITY OF PATIENT VISITS ARE REIMBURSED THROUGH MEDICAID.COLLABORATION AND ACCESS TO CARE ACROSS ALL OF WESTERN NEW YORK IS A PRIORTY FOR KALEIDA HEALTH. TO ADDRESS THE NEED FOR CARDIAC CATHETERIZATION SERVICES IN NIAGARA COUNTY, KALEIDA HEALTH COLLABORATED WITH NIAGARA FALLS MEMORIAL MEDICAL CENTER (NFMMC), CATHOLIC HEALTH SYSTEM, AND ERIE COUNTY MEDICAL CENTER TO MAKE THIS LIFESAVING CARE READILY ACCESSIBLE TO RESIDENTS THROUGHOUT THE NIAGARA REGION. A NEW CARDIAC CATHETERIZATION LABORATORY OPENED IN 2017 AT THE HEART CENTER OF NIAGARA ON THE NFMMC'S DOWNTOWN NIAGARA FALLS CAMPUS.
PART VI, LINE 5 - CONTINUEDMILLARD FILLMORE SUBURBAN HOSPITAL SERVES THE WESTERN NEW YORK COMMUNITY WITH A COMPREHENSIVE CANCER REHAB PROGRAM. THE HOSPITAL FURTHER PROVIDES CHRONIC DISEASE EDUCATION AND SCREENING PROGRAMS AND PARTICIPATES IN COMMUNITY EVENTS INCLUDING NATIONAL PRESCRIPTION DRUG TAKE-BACK DAYS.KALEIDA HEALTH'S DEGRAFF MEDICAL PARK PARTICIPATES IN SEVERAL COMMUNITY EVENTS TO PROVIDE CHRONIC DISEASE EDUCATION AND SCREENING PROGRAMS, AND SERVES AS A SITE FOR NATIONAL PRESCRIPTION DRUG TAKE-BACK DAYS. DEGRAFF MEDICAL PARK PROVIDES CANCER REHABILITATION AND RECOVERY SERVICES, CARDIAC REHABILITATION SERVICES, OCCUPATIONAL, PHYSICAL, AND SPEECH THERAPY.KALEIDA HEALTH HOSPITALS ARE RESPONDING TO THE COMMUNITY'S OPIATE PROBLEM THROUGH THE NEW YORK MATTERS BUPRENORPHINE TREATMENT PROGRAM IN THE EMERGENCY DEPARTMENTS WITH IMMEDIATE BUPRENORHINE TREATMENT AND PATIENT REFERRAL TO COMMUNITY TREATMENT AGENCIES. ADDITIONALLY, MEDICATION AND SYRINGE DROP BOXES ARE ON-SITE AT EACH HOSPITAL.KALEIDA HEALTH'S HUMAN RESOURCES DEPARTMENT PARTNERS WITH THE BUFFALO AND ERIE COUNTY WORKFORCE DEVELOPMENT COUNCIL AND THE BUFFALO EDUCATION AND TRAINING CENTER ON DIFFERENT WORKFORCE DEVELOPMENT INITIATIVES AND EVENTS, INCLUDING THOSE TARGETING THE UNDERSERVED. ADDITIONALLY, KALEIDA HEALTH NURSE RECRUITERS PARTNER WITH LOCAL SCHOOLS AND COLLEGES TO ADVANCE RECRUITMENT EFFORTS.INFORMATION REGARDING THE AVAILABILITY OF COMMUNITY HEALTH PROGRAMS, ASSISTANCE WITH HEALTH INSURANCE ENROLLMENT AND FINANCIAL ASSISTANCE PROGRAMS IS PROMOTED TO THE PUBLIC THROUGH MULTIPLE COMMUNITY OUTREACH ACTIVITIES AND EVENTS, ON THE KALEIDA HEALTH WEBSITE WWW.KALEIDAHEALTH.ORG, ON FACEBOOK AND TWITTER; AND AS INCLUDED IN THE 2022-2024 CHNA-CSP. THE CHNA-CSP IS AVAILABLE ON THE KALEIDA HEALTH WEBSITE AT HTTPS://WWW.KALEIDAHEALTH.ORG/COMMUNITY OR IN PRINT FORMAT UPON REQUEST. WRITTEN COMMENTS ON THE 2022-2024 CHNA-CSP ARE INVITED AND A COMMENT LINK IS PROVIDED NEXT TO THE PLAN FOUND ON THE KALEIDA HEALTH WEBSITE.PART VI, LINE 6AFFILIATED HEALTH CARE SYSTEMKALEIDA HEALTH IS PART OF AN AFFILIATED HEALTH CARE SYSTEM WHOSE MEMBERS INCLUDE: THE UPPER ALLEGHENY HEALTH SYSTEM, KALEIDA HEALTH FOUNDATION, VISITING NURSING ASSOCIATION OF WNY, INC., VNA HOMECARE SERVICE, INC., AND OISHEI CHILDREN'S HOSPITAL OF BUFFALO FOUNDATION.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescPurpose Of GrantPurposeOfGrantTxt
UNIVERSITY ORTHOPEDIC SERVICE
5500 MAIN STREETBUFFALONY14221161406947N/A$0$100,000FMVSPONSORSHIP
WNY CLINICAL INFO EXCHANGE
2475 GEORGE URBAN BLVDBUFFALONY14043364594483N/A$0$90,000FMVCONTRIBUTION
WNY HEALTHENET
2475 GEORGE URBAN BLVDDEPEWNY14043043726634N/A$0$36,000FMVSPONSORSHIP
AMHERST CHAMBER OF COMMERCE
400 ESSJAY RDWILLIAMSVILLENY14221160959485N/A$0$12,000FMVSPONSORSHIP
UB FOUNDATION
3435 MAIN ST 704 KIMBALL TOWEBUFFALONY142310590161372561501(C)(3)$0$35,500FMVCONTRIBUTION
NIAGARA UNIVERSITY
PO BOX 2002NIAGARANY14109160755807501(C)(3)$0$6,495FMVCONTRIBUTION
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org4TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationDESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS: KALEIDA HEALTH MAKES CONTRIBUTIONS TO ORGANIZATONS IN WESTERN NEW YORK THAT ALSO HAVE HEALTH CARE RELATED ACTIVITIES. ALL CONTRIBUTIONS MUST BE APPROVED BY THE GOVERNING BODY BEFORE MONEY IS DISTRIBUTED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
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 Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 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
ROBERT NESSELBUSH
CHIEF EXECUTIVE OFFICER (UNTIL 9/22)$933,192$0$927,083$0$1,833,858$0$11,045$0$496$0$3,705,674$0$0$0
DONALD BOYD
PRESIDENT AND CEO (AS OF 7/22)$1,002,946$0$280,000$0$793,031$0-$47,000$0$17,961$0$2,046,938$0$0$0
JODY LOMEO
FMR PRES/CEO$0$0$0$0$1,258,511$0-$11,600$0$315$0$1,247,226$0$0$0
CHRISTOPHER MALLAVARAPU MD
EMPLOYED PHYSICIAN$830,413$0$0$0$4,475$0$14,227$0$17,454$0$866,569$0$0$0
ALYSON SPAULDING
GENERAL COUNSEL$486,300$0$148,200$0$204,165$0-$5,315$0$17,295$0$850,645$0$0$0
KAVEH VALI MD
EMPLOYED PHYSICIAN$755,755$0$25,000$0$615$0-$16,680$0$1,059$0$765,749$0$0$0
CHERYL KLASS
EVP, CHIEF NURSE EXECUTIVE$526,897$0$192,500$0$29,751$0-$5,161$0$4,709$0$748,696$0$0$0
CARROLL HARMON MD
EMPLOYED PHYSICIAN$681,475$0$25,000$0$8,318$0$6,389$0$1,114$0$722,296$0$0$0
VICTOR FILADORA II
PRESIDENT GREAT LAKES CANCER CARE$522,732$0$130,683$0$25,461$0$5,658$0$1,005$0$685,539$0$0$0
MATTHEW DRAKE
EVP, CHIEF FIN OFFICER (AS OF 4/22)$489,991$0$148,750$0$23,867$0$5,420$0$7,719$0$675,747$0$0$0
MICHAEL MINEO MD
EVP, CHIEF MED OFFICER (AS OF 7/22)$518,202$0$93,000$0$29,414$0$4,540$0$17,333$0$662,489$0$0$0
MICHAEL HUGHES
CHIEF ADMINISTRATIVE OFFICER$413,812$0$103,750$0$141,931$0-$27,549$0$863$0$632,807$0$0$0
JUDY BAUMGARTNER
PRESIDENT MFS AND DEGRAFF$456,923$0$110,000$0$27,468$0$5,638$0$315$0$600,344$0$0$0
ALLEGRA JAROS
PRESIDENT WCHOB$481,877$0$117,500$0$26,360$0-$43,768$0$17,284$0$599,253$0$0$0
DAVID HUGHES MD
EVP, CMO (UNTIL 5/22)$260,316$0$224,588$0$30,773$0$5,800$0$632$0$522,109$0$0$0
THOMAS HULL
SVP, CHIEF INFO OFFICER (AS OF 1/22)$375,516$0$103,125$0$29,477$0$5,304$0$8,277$0$521,699$0$0$0
LUCY CAMPBELL MD
EMPLOYED PHYSICIAN$495,883$0$0$0$4,343$0-$27,621$0$17,085$0$489,690$0$0$0
STEPHEN HARDY
VP FINANCE$301,842$0$61,200$0$3,867$0$7,013$0$17,351$0$391,273$0$0$0
CHRISTOPHER LANE
PRESIDENT BGMC AND GVI (UNTIL 3/22)$130,747$0$143,000$0$21,273$0-$36,442$0$503$0$259,081$0$0$0
BETH HUGHES
PRESIDENT BGMC AND GVI (AS OF 10/22)$208,266$0$35,000$0$1,106$0$2,669$0$1,675$0$248,716$0$0$0
IAN BARRET AS OF 1022
EVP, CHIEF HUMAN RES OFF$77,543$0$125,000$0$720$0$692$0$933$0$204,888$0$0$0
GEORGE E MATTHEWS MD
DIRECTOR$0$181,839$0$0$0$0$0$0$0$0$0$181,839$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AHEALTH OR SOCIAL CLUB DUES AS PART OF THEIR COMPENSATION PACKAGE, OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION ARE ENTITLED TO CHOOSE AS AN EXECUTIVE PERK THE BENEFIT OF BUSINESS RELATED SOCIAL DUES OR INITIATION FEES.
PART I, LINE 4ATHE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS. THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). - JODY LOMEO - $1,258,511 - ROBERT NESSELBUSH - $498,519
PART I, LINE 7CERTAIN INDIVIDUALS QUALIFIED TO RECEIVE BONUS/INCENTIVE COMPENSATION PAYMENTS BASED ON CERTAIN PERFORMANCE METRICS BEING MET. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN(B)(II).

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
DORMITORY AUTHORITY - STATE OF NEW YORK
A1460002930000000002016-09-30$7,650,258LEASE OF EQUIPMENT000
DORMITORY AUTHORITY - STATE OF NEW YORK
B1460002930000000002016-09-30$7,349,742LEASE OF EQUIPMENT000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtCapitalized InterestCapitalizedInterestAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndOther Spent ProceedsOtherSpentProceedsAmt
A$6,664,997$7,650,424$197,725$104,266$7,348,433201700Yes (1)Yes (1)
B$6,403,183$7,350,549$525,560$6,748,676201700Yes (1)Yes (1)$76,312

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00Yes (1)Yes (1)0000
B00Yes (1)Yes (1)0000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)000Yes (1)Yes (1)
B000Yes (1)000Yes (1)Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART II, LINE 3THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS AND MARKET VALUE FLUCTUATIONS.
SCHEDULE K, PART IV, ARBITRAGE, LINE 2C(A) ISSUER NAME: DORMITORY AUTHORITY - STATE OF NEW YORK. DATE OF REBATE COMPUTATION PERFORMED: 09/30/2020. (B) ISSUER NAME: DORMITORY AUTHORITY - STATE OF NEW YORK. DATE OF REBATE COMPUTATION PERFORMED: 05/31/2021. NOTE REGARDING THE REBATE COMPUTATIONS ON 9/30/20 & 5/31/21: SINCE THE BOND PROCEEDS HAVE BEEN SPENT AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASES, NO FURTHER REBATE CALCULATIONS ARE NECESSARY.

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescMEDICAL EQUIPMENTDesc
Contribution2ContributionCnt
Noncash Contributions Rpt F990$1,702,626NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BREVIEW PROCESS FOR FORM 990 ORGANIZATION'S MANAGEMENT, IN CONSULTATION WITH THE ORGANIZATION'S TAX ADVISORS, KPMG, REVIEW THE FORM 990. THE FINANCIAL REVIEW IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOR THE RELEVANT TIME PERIOD. BEFORE THE FORM 990 IS FILED WITH THE IRS, THE FINANCE COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS THE FORM 990 AND PROVIDES A COPY OF THE SAME TO THE ORGANIZATION'S FULL BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST POLICY UPON EMPLOYMENT AND ANNUALLY THEREAFTER EACH KEY EMPLOYEE, OFFICER OR DIRECTOR OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, PROVIDING SUFFICIENT INFORMATION ABOUT HIS/HER PERSONAL INTERESTS AND RELATIONSHIPS SO THE ORGANZATION CAN (1) DETERMINE WHETHER ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST MAY EXIST, AND (2) MONITOR WORK OR SERVICE ASSIGNMENTS TO AVOID PLACING THE KEY EMPLOYEE, OFFICER OR DIRECTOR IN A POSITION WHERE THERE MAY BE POTENTIAL, ACTUAL, OR EVEN APPEARANCE, OF A CONFLICT OF INTEREST OR A QUESTION OF OBJECTIVITY. THE COMPLETED CONFLICTS OF INTEREST AND DISCLOSURE FORMS FOR DIRECTORS ARE RETURNED TO THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION APPROVAL PROCESS ON A REGULAR BASIS, THE ORGANIZATION PROVIDES DOCUMENTATION TO THE COMPENSATION COMMITTEE OF THE BOARD WITH RESPECT TO THE COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES FOR REVIEW AND APPROVAL. SUCH INFORMATION IS COMPILED BY AN INDEPENDENT COMPENSATION CONSULTANT AND INCLUDES COMPARABLE DATA FROM SIMILAR SIZE TAX-EXEMPT ORGANIZATIONS IN THE WESTERN NEW YORK COMMUNITY AS WELL AS COMPENSATION FOR THESE POSITIONS (AS DISCLOSED ON FORM 990) WITH OTHER ORGANIZATIONS IN THE HEALTH CARE INDUSTRY THAT ARE OF SIMILAR SIZE, DEMOGRAPHICS AND GEOGRAPHY. REVIEW AND APPROVAL OF THE COMPENSATION ARRANGEMENT BY THE COMPENSATION COMMITTEE IS DOCUMENTED.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT ITS OFFICE AT 726 EXCHANGE STREET, SUITE 200, BUFFALO, NY 14210. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED.
FORM 990, PART IX, LINE 11GPHYSICIAN FEES: PROGRAM SERVICE EXPENSES 84,618,174. MANAGEMENT AND GENERAL EXPENSES 3,259,512. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 87,877,686. INTERNS & RESIDENTS FEES: PROGRAM SERVICE EXPENSES 30,657,583. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,657,583. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 28,018,679. MANAGEMENT AND GENERAL EXPENSES 4,028,675. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,047,354. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 990,681. MANAGEMENT AND GENERAL EXPENSES 2,930,682. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,921,363. EMPLOYMENT AGENCY FEES: PROGRAM SERVICE EXPENSES 84,904,197. MANAGEMENT AND GENERAL EXPENSES 338,396. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 85,242,593.
FORM 990, PART XI, LINE 9:MINORITY INTEREST IN SUBSIDIARY -29,180,000. NET ACTUARIAL GAIN ON PENSION PLAN 120,299,000. OTHER TRANSFERS, NET -2,206,444.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
KALEIDA MCO LLC
726 EXCHANGE STREET SUITE 200BUFFALONY14210161570311DORMANTNY$0$0KH
KALEIDA IPA LLC
726 EXCHANGE STREET SUITE 200BUFFALONY14210161570380DORMANTNY$0$0KH
KALEIDA WNYI LLC
726 EXCHANGE STREET SUITE 200BUFFALONY14210453189404HEALTH CARENY$1,505,208$616,339KH
KALEIDA SERVICES LLC
2100 WEHRLE DRIVEWILLIAMSVILLENY14221472284036ADULT DAYCARENY-$82,006$167,622KH
MFSC LLC
726 EXCHANGE STREET SUITE 200BUFFALONY14210261582864HEALTH CARENY$103,702$3,662,960KH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
MILLARD FILLMORE AMBULATORY SURGER CTR
726 EXCHANGE STREET SUITE 200BUFFALONY14210161307129SUPPORT ORGNY501(C)(3)12AKHYes (1)
VNA HOME CARE SERVICES
726 EXCHANGE STREET SUITE 200BUFFALONY14210161491203HOME HLTH CARNY501(C)(3)10KHYes (1)
VNA OF WESTERN NEW YORK
726 EXCHANGE STREET SUITE 200BUFFALONY14210160743214HOME HLTH CARNY501(C)(3)10KHYes (1)
VISK
726 EXCHANGE STREET SUITE 200BUFFALONY14210222738425SUPPORT ORGNY501(C)(3)10KHYes (1)
KALEIDA HEALTH FOUNDATION
726 EXCHANGE STREET SUITE 200BUFFALONY14210161579143FUNDRAISINGNY501(C)(3)7KHYes (1)
THE CHILDREN'S HOSPITAL OF BUFFALO FOUNDATION
726 EXCHANGE STREET SUITE 200BUFFALONY14210161332044FUNDRAISINGNY501(C)(3)7KHYes (1)
CHILDREN'S HEALTH HOME OF WNY INC
726 EXCHANGE STREET SUITE 200BUFFALONY14210814086046PED HOME HLTHNY501(C)(3)10KHYes (1)
UPPER ALLEGHENY HEALTH SYSTEM INC
515 MAIN STREETOLEANNY14760271255425SUPPORT ORGNY501(C)(3)12AKHYes (1)
OLEAN GENERAL HOSPITAL
515 MAIN STREETOLEANNY14760160743102HOSPITALNY501(C)(3)3UAHSYes (1)
BRADFORD REGIONAL MED SERVICES
116 INTERSTATE PARKWAYBRADFORDPA16701232875157PHYS. GROUPNY501(C)(3)3BRMCYes (1)
HEALTH SYSTEM PHYSICIAN PC
130 SOUTH UNION STREETOLEANNY14760464304317PHYS. GROUPNY501(C)(3)10OGHYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
HARLEM ROAD LEASING LLC
3435 MAIN STREETBUFFALONY14214205588135EQUIPMENT LEASINGNYKALEIDA HEALTHUNRELATED$18,512$239,7410Yes (1)0.50000
AMTON IMAGING LLC
199 PARK CLUB LANE SUITE 300WILLIAMSVILLENY14221262925470HEALTH CARENYKALEIDA WNYIRELATED$950,014-$2,814,0690Yes (1)0.50000
SITE E LLC
726 EXCHANGE STREET SUITE 200BUFFALONY14210272124795REAL ESTATE MGMTNYKPIEXCLUDED$90,945$1,687,488000.50150
SOUTHTOWNS IMAGING LLC
5959 BIG TREE ROAD SUITE 105ORCHARD PARKNY14127471123230EQUIPMENT LEASINGNYKALEIDA WNYIUNRELATED$416,126$3,243,6390Yes (1)0.70000
COLLABORATIVE CARE VENTURES LLC
726 EXCHANGE STREET SUITE 200BUFFALONY14210472365690HEALTH CARENYKALEIDA HEALTHEXCLUDED-$2,356-$221,538000.60000
GREAT LAKES MEDICAL BILLING SVCS LLC
199 PARK CLUB LANE SUITE 300WILLIAMSVILLENY14221461668448MEDICAL BILLINGNYKALEIDA WNYIUNRELATED$139,068$186,769000.50000
ALTUS MANAGEMENT LLC
840 AERO DRIVE SUITE 150CHEEKTOWAGANY14225900149133GROUP PURCHASINGNYKALEIDA HEALTHEXCLUDED$180,271$3,116,017000.59190
SOUTHTOWNS SURGERY CENTER LLC
726 EXCHANGE STREET SUITE 200BUFFALONY14210464742028HEALTH CARENYKALEIDA HEALTHEXCLUDED$660,631$2,777,2270Yes (1)0.63170

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
KALEIDA PROPERTIES INC
726 EXCHANGE STREET SUITE 200BUFFALONY14210222738483PROP MGMT SVCSNYKALEIDA HEALTHC-$685,923$4,758,5031.00000Yes (1)
WESTLINK CORPORATION
726 EXCHANGE STREET SUITE 200BUFFALONY14210161354421MED & DIAGN SVCSNYKALEIDA HEALTHC-$251.00000Yes (1)
GREAT LAKES INTEGRATED NETWORK INC
726 EXCHANGE STREET SUITE 200BUFFALONY14210823184375HEALTH CARENYKALEIDA HEALTHC-$9,717,972$536,5630.500000
KHBC INC
726 EXCHANGE STREET SUITE 200BUFFALONY14210823184375HEALTH CARENYKALEIDA HEALTHC-$597,430$14,185,8890.500000
OLEAN MEDICAL PRACTICE PLLC
726 EXCHANGE STREET SUITE 515BUFFALONY14210881324896HEALTH CARENYKALEIDA HEALTHC-$3,149,276$1,967,9411.00000Yes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (37 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MILLARD FILLMORE AMBULATORY SURGERY CENTER
C$539,156ACTUAL COST
VNA HOME CARE SERVICES
O$8,609ACTUAL COST
VNA HOME CARE SERVICES
Q$3,291,074ACTUAL COST
VNA HOME CARE SERVICES
E$213,182ACTUAL COST
VNA OF WESTERN NEW YORK
O$90,711ACTUAL COST
VNA OF WESTERN NEW YORK
L$358,004ACTUAL COST
VNA OF WESTERN NEW YORK
Q$15,452,469ACTUAL COST
VNA OF WESTERN NEW YORK
D$597,117ACTUAL COST
KALEIDA PROPERTIES INC
Q$44,669ACTUAL COST
KALEIDA PROPERTIES INC
D$342,025ACTUAL COST
VISK
D$300,700ACTUAL COST
THE CHILDREN'S HOSPITAL OF BUFFALO FOUNDATION
C$114,987ACTUAL COST
THE CHILDREN'S HOSPITAL OF BUFFALO FOUNDATION
S$15,169,271ACTUAL COST
THE CHILDREN'S HOSPITAL OF BUFFALO FOUNDATION
D$14,527,405ACTUAL COST
KALEIDA HEALTH FOUNDATION
C$1,587,639ACTUAL COST
KALEIDA HEALTH FOUNDATION
S$5,378,015ACTUAL COST
KALEIDA HEALTH FOUNDATION
D$16,280,958ACTUAL COST
SOUTHTOWNS IMAGING LLC
D$3,909,379ACTUAL COST
SOUTHTOWNS IMAGING LLC
J$242,651ACTUAL COST
SOUTHTOWNS IMAGING LLC
Q$206,903ACTUAL COST
SOUTHTOWNS SURGERY CENTER LLC
L$510,600ACTUAL COST
SOUTHTOWNS SURGERY CENTER LLC
J$864,958ACTUAL COST
SOUTHTOWNS SURGERY CENTER LLC
R$297,674ACTUAL COST
SOUTHTOWNS SURGERY CENTER LLC
D$4,812,542ACTUAL COST
COLLABORATIVE CARE VENTURES LLC
D$395,294ACTUAL COST
CHILDREN'S HOME HEALTH OF WNY INC
O$33,970ACTUAL COST
CHILDREN'S HOME HEALTH OF WNY INC
Q$138,840ACTUAL COST
CHILDREN'S HOME HEALTH OF WNY INC
E$238,836ACTUAL COST
UAHS
O$186,087ACTUAL COST
UAHS
Q$6,092,213ACTUAL COST
UAHS
D$8,036,341ACTUAL COST
HEALTH SYSTEM PHYSICIANS PC
O$19,460ACTUAL COST
HEALTH SYSTEM PHYSICIANS PC
Q$1,472,762ACTUAL COST
HEALTH SYSTEM PHYSICIANS PC
D$1,491,601ACTUAL COST
BRADFORD REGIONAL MEDICAL SERVICES PC
Q$1,926,113ACTUAL COST
BRADFORD REGIONAL MEDICAL SERVICES PC
D$5,724,543ACTUAL COST
OLEAN MEDICAL PRACTICE PLLC
D$3,275,000ACTUAL COST