KALEIDA HEALTH: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: KALEIDA HEALTH (EIN 16-1533232)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-10
IRS object ID: 202103149349303065
Schema version: 2020v4.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-10T10:38:15-06:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135565207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	515 BROADWAY 4TH FLOOR	AddressLine1Txt
City	ALBANY	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	122072974	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	161533232	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KALEIDA HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	KALE	BusinessNameControlTxt
Phone	7168598836	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	726 EXCHANGE STREET NO 200	AddressLine1Txt
City	BUFFALO	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14210	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PAUL BELTER	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	7168598836	PhoneNum
Signature	2021-11-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	PAUL	PersonFirstNm
Person Last	BELTER	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	STEPHANIE LONCZAK	PreparerPersonNm
PTIN	P01880207	PTIN
Phone	5184274600	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ROBERT NESSELBUSH	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 HIGH STREET	AddressLine1Txt
City	BUFFALO	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14203	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,334,725,711	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.KALEIDAHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1998	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	KALEIDA 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 Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	9310	TotalEmployeeCnt
Total Volunteers	1150	TotalVolunteersCnt
Total Gross UBI	$10,058,556	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$19,266,035	PYContributionsGrantsAmt
CY Contributions Grants	$92,997,486	CYContributionsGrantsAmt
PY Program Service Revenue	$1,315,666,707	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,209,418,242	CYProgramServiceRevenueAmt
PY Investment Income	-$3,370,927	PYInvestmentIncomeAmt
CY Investment Income	$1,605,023	CYInvestmentIncomeAmt
PY Other Revenue	$15,904,389	PYOtherRevenueAmt
CY Other Revenue	$26,045,136	CYOtherRevenueAmt
PY Total Revenue	$1,347,466,204	PYTotalRevenueAmt
CY Total Revenue	$1,330,065,887	CYTotalRevenueAmt
PY Grants And Similar Paid	$724,777	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$537,250	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$729,688,368	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$724,664,804	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$635,111,206	PYOtherExpensesAmt
CY Other Expenses	$665,677,999	CYOtherExpensesAmt
PY Total Expenses	$1,365,524,351	PYTotalExpensesAmt
CY Total Expenses	$1,390,880,053	CYTotalExpensesAmt
PY Revenues Less Expenses	-$18,058,147	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$60,814,166	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,415,407,913	TotalAssetsBOYAmt
Total Assets EOY	$1,227,951,462	TotalAssetsEOYAmt
Total Liabilities BOY	$1,159,457,210	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,324,141,945	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$255,950,703	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$96,190,483	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	KALEIDA 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 Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,210,665,461	ExpenseAmt
Grant	$537,250	GrantAmt
Revenue	$1,211,733,866	RevenueAmt
Desc	SEE 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), OISHEI CHILDREN'S HOSPITAL (FORMERLY THE WOMEN & CHILDREN'S HOSPITAL OF BUFFALO), AND DEGRAFF MEMORIAL HOSPITAL (DEGRAFF). THE ABOVE OPERATE UNDER ONE TAX IDENTIFICATION NUMBER. IN ADDITION TO THE FOUR KALEIDA HEALTH (KALEIDA) HOSPITALS, KALEIDA OPERATES UPPER ALLEGHENY HEALTH SYSTEM, A SUBSIDIARY HEALTH SYSTEM WITH TWO HOSPITAL FACILITIES, TWO SKILLED NURSING FACILITIES, AND NUMEROUS OUTPATIENT CLINICS. UPPER ALLEGHENY HEALTH SYSTEM FILES A SEPARATE IRS FORM 990 AND THEREFORE IS NOT INCLUDED WITHIN THIS FILING. 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, 41.3% IN ERIE COUNTY AND 34.37% IN NIAGARA COUNTY. ANNUALLY ONE MILLION COMBINED INPATIENT, EMERGENCY DEPARTMENT AND OUTPATIENT VISITS OCCUR AT THE HEALTH CARE FACILITIES IN THE KALEIDA HEALTH SYSTEM, WHICH EMPLOYS APPROXIMATELY 9,400 STAFF AND HAVE APPROXIMATELY 2,400 MEDICAL STAFF MEMBERS. DURING 2020, THERE WERE 50,256 INPATIENT DISCHARGES, OF WHICH 27% WERE MEDICAID AND MEDICAID MANAGED CARE, 42% MEDICARE AND MEDICARE MANAGED CARE, 1% SELF PAY, AND 30% 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 ASSOCIATION, THE AMERICAN MEDICAL ASSOCIATION AND THE GREATER NEW YORK HOSPITAL ASSOCIATION.OPERATION OF EMERGENCY ROOMS:KALEIDA HEALTH OPERATES FOUR EMERGENCY ROOMS, ONE IN EACH OF THE ACUTE CARE HOSPITALS, GENERATING A TOTAL OF 170,459 PATIENT VISITS DURING 2020. 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 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 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	$1,210,665,461	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	309	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	9310	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PAUL BELTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7168598836	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 HIGH STREET FLOOR 11	AddressLine1Txt
City	BUFFALO	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14203	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JODY LOMEO
PRES/CEO EX-OFFICIO W/VOTE	40.00	Yes (X)	Yes (X)	$1,146,486	$0	$46,587
NICHOLAS J AQUINO MD
DIRECTOR	1.00	Yes (X)		$0	$0	$0
LORRIE A CLEMO PHD
DIRECTOR	1.00	Yes (X)		$0	$0	$0
GARY M CROSBY
DIRECTOR	1.00	Yes (X)		$0	$0	$0
FRANK CURCI
CHAIRMAN	1.00	Yes (X)		$0	$0	$0
ABEER EDDIB MD
DIRECTOR	1.00	Yes (X)		$0	$0	$0
WILLIAM J HOCHUL JR
DIRECTOR	1.00	Yes (X)		$0	$0	$0
MUHAMMED JAVED MD
DIRECTOR	1.00	Yes (X)		$0	$0	$0
WILLIAM J MAGGIO JR
DIRECTOR	1.00	Yes (X)		$0	$0	$0
TIMOTHY G MCEVOY ESQ
DIRECTOR	1.00	Yes (X)		$0	$0	$0
PAUL O'LEARY
DIRECTOR	1.00	Yes (X)		$0	$0	$0
CHRISTOPHER ROSS
DIRECTOR	1.00	Yes (X)		$0	$0	$0
MARY LOU RUSIN RD EDD
DIRECTOR	1.00	Yes (X)		$0	$0	$0
DR DAVID MILLING
DIRECTOR (THRU APRIL 2020)	1.00	Yes (X)		$0	$0	$0
FRANCISCO VASQUEZ PHD
DIRECTOR (THRU APRIL 2020)	1.00	Yes (X)		$0	$0	$0
GEORGE E MATTHEWS MD
DIRECTOR	1.00	Yes (X)		$0	$0	$0
PAUL BELTER HIRED 12720
EVP, CHIEF FINANCIAL OFFICER	40.00		Yes (X)	$22,500	$0	$313
JONATHAN SWIATKOWSKI TERM 1320
EVP, CFO	40.00		Yes (X)	$14,181	$0	$39,361	0.50
ALYSON SPAULDING
GENERAL COUNSEL	40.00		Yes (X)	$534,740	$0	$72,313
DAVID HUGHES MD
EVP, CMO	40.00		Yes (X)	$628,279	$0	$43,902	1.00
ROBERT NESSELBUSH
CEO(BEG 12/6/20),CFO (UNTIL 12/6/20)	40.00		Yes (X)	$708,498	$0	$31,771
DONALD BOYD
PRESIDENT, COO	40.00		Yes (X)	$737,600	$0	$83,442	1.00
STEPHEN HARDY
VP FINANCE	40.00			$295,396	$0	$15,694		Yes (X)
DARCY CRAVEN TERMED 81420
PRESIDENT - DEGRAFF	40.00			$339,143	$0	$31,264		Yes (X)
MICHAEL HUGHES
CHIEF ADMINISTRATIVE OFFICER	40.00			$400,364	$0	$53,408		Yes (X)
ALLEGRA JAROS
PRESIDENT WCHOB	40.00			$520,043	$0	$82,093		Yes (X)
CHRISTOPHER LANE
PRESIDENT BGMC AND GVI	40.00			$618,597	$0	$75,698		Yes (X)
CHERYL KLASS
EVP, CHIEF NURSE EXECUTIVE	40.00			$755,343	$0	$49,479		Yes (X)
LUCY CAMPBELL MD
EMPLOYED PHYSCIAN	40.00			$545,717	$0	$48,359			Yes (X)
KATHRYN BASS MD
EMPLOYED PHYSICIAN	40.00			$572,402	$0	$27,263			Yes (X)
KAVEH VALI MD
EMPLOYED PHYSICIAN	40.00			$667,330	$0	$40,212			Yes (X)
CARROLL HARMON MD
EMPLOYED PHYSICIAN	40.00			$673,904	$0	$15,127			Yes (X)
CHRISTOPHER MALLAVARAPU MD
EMPLOYED PHYSICIAN	40.00			$934,554	$0	$42,252			Yes (X)
JERRY VENABLE
FORMER EVP, CHIEF HR OFFICER	0.00			$479,100	$0	$313				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,594,177	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$798,851	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	638	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CERNER CORPORATION
PO BOX 959156	ST LOUIS	MO	63195	CLEANING & LAUNDRY	$6,974,323
WNY RADIOLOGY LLC
PO BOX 4029	BUFFALO	NY	14240	RADIOLOGY SERVICES	$6,212,608
XANITOS INC
3809 WEST CHESTER PIKE SUITE 210	NEWTON SQUARE	PA	19073	CLEANING & LAUNDRY	$4,224,663
ASPIRE TECHNOLOGY
25 JAMES WAY	EATONWAY	NJ	07724	TECHNOLOGY CONSULTANT	$1,216,397
METZ CULINARY MANAGEMENT
TWO WOODLAND DRIVE	DALLAS	PA	18612	DINING SERVICES	$749,464

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	63	CntrctRcvdGreaterThan100KCnt
Related Organizations	$3,342,864	RelatedOrganizationsAmt
Government Grants	$86,735,262	GovernmentGrantsAmt
All Other Contributions	$2,919,360	AllOtherContributionsAmt
Noncash Contributions	$2,807,881	NoncashContributionsAmt
Total Contributions	$92,997,486	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	623990	$1,198,393,647	$1,198,393,647
LAB SERVICES	621500	$10,849,129		$10,849,129
MANAGEMENT FEES	561000	$175,466		$175,466

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,209,418,242	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,467,751	TotalRevenueColumnAmt
Unrelated Business Revenue	-$1,237,905	UnrelatedBusinessRevenueAmt
Exclusion	$5,705,656	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,460,065	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$568,983	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,891,082	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,891,082	TotalRevenueColumnAmt
Unrelated Business Revenue	$148,077	UnrelatedBusinessRevenueAmt
Exclusion	$1,743,005	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,228,113	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$4,090,841	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$2,862,728	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,862,728	TotalRevenueColumnAmt
Exclusion	-$2,862,728	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
REBATE REVENUE	900099	$10,562,725	$10,562,725
MISCELLANEOUS INCOME	561000	$10,301,513	$10,296,261	$5,252
MANAGEMENT & CONSULTING FEES	541610	$1,550,986			$1,550,986

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,738,830	TotalRevenueColumnAmt
Related Or Exempt Func Income	$764,638	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$118,537	UnrelatedBusinessRevenueAmt
Exclusion	$855,655	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$24,154,054	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,330,065,887	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,200,709,271	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$10,058,556	UnrelatedBusinessRevenueAmt
Exclusion	$26,300,574	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$537,250	TotalAmt
Program Services	$537,250	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$9,271,238	TotalAmt
Management And General	$9,271,238	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$532,585,415	TotalAmt
Program Services	$499,459,671	ProgramServicesAmt
Management And General	$33,125,744	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$25,999,785	TotalAmt
Program Services	$3,118	ProgramServicesAmt
Management And General	$25,996,667	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$117,951,551	TotalAmt
Program Services	$94,667,506	ProgramServicesAmt
Management And General	$23,284,045	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$38,856,815	TotalAmt
Program Services	$36,412,424	ProgramServicesAmt
Management And General	$2,444,391	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,058,397	TotalAmt
Program Services	$924,026	ProgramServicesAmt
Management And General	$1,134,371	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$573,236	TotalAmt
Program Services	$33,236	ProgramServicesAmt
Management And General	$540,000	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$165,839	TotalAmt
Management And General	$165,839	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$143,533,867	TotalAmt
Program Services	$136,044,168	ProgramServicesAmt
Management And General	$7,489,699	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,462,145	TotalAmt
Program Services	$2,289,167	ProgramServicesAmt
Management And General	$172,978	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,508,575	TotalAmt
Program Services	$1,140,694	ProgramServicesAmt
Management And General	$367,881	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$22,072,805	TotalAmt
Program Services	$6,455,779	ProgramServicesAmt
Management And General	$15,617,026	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$954,495	TotalAmt
Program Services	$880,602	ProgramServicesAmt
Management And General	$73,893	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$17,687,836	TotalAmt
Program Services	$14,155,450	ProgramServicesAmt
Management And General	$3,532,386	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$68,814,268	TotalAmt
Program Services	$48,042,662	ProgramServicesAmt
Management And General	$20,771,606	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$22,792,417	TotalAmt
Program Services	$17,498,705	ProgramServicesAmt
Management And General	$5,293,712	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
HEALTH CARE SUPPLIES	$275,878,785	$275,830,611	$48,174
EQUIPMENT RENTAL & MAIN	$44,484,985	$19,166,978	$25,318,007
OTHER	$30,812,692	$31,296,786	-$484,094
SERVICE CONTRACTS	$18,297,773	$15,005,660	$3,292,113

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,579,884	TotalAmt
Program Services	$10,820,968	ProgramServicesAmt
Management And General	$2,758,916	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,390,880,053	TotalAmt
Program Services	$1,210,665,461	ProgramServicesAmt
Management And General	$180,214,592	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,893,604	BOYAmt
EOY	$45,429,798	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$7,435,108	BOYAmt
EOY	$6,374,720	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$1,804,000	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$199,511,134	BOYAmt
EOY	$149,584,235	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$40,819,247	BOYAmt
EOY	$46,496,356	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$14,521,394	BOYAmt
EOY	$13,534,168	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,040,427,404	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,391,113,227	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$682,792,456	BOYAmt
EOY	$649,314,177	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$93,488,370	BOYAmt
EOY	$26,201,767	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$43,521,168	BOYAmt
EOY	$96,628,673	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$327,425,432	BOYAmt
EOY	$192,583,568	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,415,407,913	BOYAmt
EOY	$1,227,951,462	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$193,921,837	BOYAmt
EOY	$221,523,065	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$7,707,376	BOYAmt
EOY	$5,740,920	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$318,429,450	BOYAmt
EOY	$300,241,359	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$639,398,547	BOYAmt
EOY	$796,636,601	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,159,457,210	BOYAmt
EOY	$1,324,141,945	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$122,051,415	BOYAmt
EOY	-$124,794,839	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$133,899,288	BOYAmt
EOY	$28,604,356	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$255,950,703	BOYAmt
EOY	-$96,190,483	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,415,407,913	BOYAmt
EOY	$1,227,951,462	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$60,814,166	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$3,499,583	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$294,826,603	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	Yes (1)	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$165,839	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$165,839	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	GRANTS 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

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$27,593,062	BeginningYearBalanceAmt
Contributions	$2,596,681	ContributionsAmt
Investment Earnings Or Losses	-$995,040	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,201,315	OtherExpendituresAmt
End Year Balance	$26,993,388	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$25,527,409	BeginningYearBalanceAmt
Contributions	$1,623,254	ContributionsAmt
Investment Earnings Or Losses	$2,762,723	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,320,324	OtherExpendituresAmt
End Year Balance	$27,593,062	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$29,821,659	BeginningYearBalanceAmt
Contributions	$1,770,884	ContributionsAmt
Investment Earnings Or Losses	-$3,706,203	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,358,931	OtherExpendituresAmt
End Year Balance	$25,527,409	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.55840	BoardDesignatedBalanceEOYPct
Term Endowment Balance EOY	0.44160	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$846,060,772	OtherCostOrOtherBasisAmt
Depreciation	$467,672,674	DepreciationAmt
Book Value	$378,388,098	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,171,204,901	OtherCostOrOtherBasisAmt
Depreciation	$911,916,055	DepreciationAmt
Book Value	$259,288,846	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,447,864	OtherCostOrOtherBasisAmt
Depreciation	$11,524,498	DepreciationAmt
Book Value	$4,923,366	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$649,314,177	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
COMMON COLLECTIVE EQUITY FUNDS	$11,523,604	F
LIMITED PARTNERSHIP INVESTMENTS	$85,105,069	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$96,628,673	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
DEFERRED FINANCING	-$2,003
OTHER RECEIVABLES	$67,041,775
ASSETS LIMITED IN USE	$102,478,443
ESTIMATED 3RD PARTY PAYOR REC	$23,065,353

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$192,583,568	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTY PAYORS	$5,848,172
SELF INSURANCE LIABILITY	$157,774,325
OTHER LIABILITIES	$147,793,163
PENSION LIABILITY	$354,256,610
ASSET RETIREMENT OBLIGATIONS	$8,840,611
CAPITAL LEASE OBLIGATIONS	$77,069,999
LINE OF CREDIT	$45,053,721

Field	Value	IRS element (for citing)
Total Liability	$796,636,601	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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 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)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN	INVESTMENTS	$366,186,095
EUROPE (INCLUDING ICELAND & GREENLAND)	INVESTMENTS	$48,948,814
SUB-SAHARAN AFRICA	INVESTMENTS	$991,412

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$416,126,321	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$416,126,321	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,037,188	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,202,104	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,835,084	NetCommunityBenefitExpnsAmt
Total Expense	0.00490	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$395,021,343	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$277,132,619	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$117,888,724	NetCommunityBenefitExpnsAmt
Total Expense	0.08480	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$409,058,531	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$284,334,723	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$124,723,808	NetCommunityBenefitExpnsAmt
Total Expense	0.08970	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,684,221	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,684,221	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,778,578	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,988,453	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,790,125	NetCommunityBenefitExpnsAmt
Total Expense	0.02000	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$71,491,555	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,291,470	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,200,085	NetCommunityBenefitExpnsAmt
Total Expense	0.01600	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$127,954,354	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$75,279,923	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,674,431	NetCommunityBenefitExpnsAmt
Total Expense	0.03790	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$537,012,885	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$359,614,646	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$177,398,239	NetCommunityBenefitExpnsAmt
Total Expense	0.12760	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	66	ActivitiesOrProgramsCnt
Persons Served	11539	PersonsServedCnt
Total Community Benefit Expns	$129,250	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$129,250	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	66	ActivitiesOrProgramsCnt
Persons Served	11539	PersonsServedCnt
Total Community Benefit Expns	$129,250	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$129,250	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Reimbursed By Medicare	$175,817,676	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$177,290,157	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,472,481	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (6 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
2 HARLEM ROAD LEASING
MRI EQUIPMENT LEASING	0.50000	0.50000
3 AMTON IMAGING LLC
HEALTH CARE SERVICES	0.50000	0.50000
4 SITE E LLC
REAL ESTATE LEASING CO	0.50140	0.49860
5 SOUTHTOWNS IMAGING
IMAGING EQUIP LEASING	0.70000	0.30000
6 GL MEDICAL BILLING
MEDICAL BILLING	0.50000	0.50000
7 SOUTHTOWNS SURG CTR
PHYSICIAN SERVICES	0.63950	0.36040

Field	Value	IRS element (for citing)
Hospital Facilities	4	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Childrens HospitalChildrensHospitalInd
BUFFALO GENERAL MEDICAL CENTER
1	100 HIGH STREET	BUFFALO	NY	14203	WWW.KALEIDAHEALTH.ORG	1401014H	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
OISHEI CHILDREN'S HOSPITAL
2	818 ELLICOTT STREET	BUFFALO	NY	14203	WWW.KALEIDAHEALTH.ORG	1401014H	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A	Yes (X)
MILLARD FILLMORE SUBURBAN HOSPITAL
3	1540 MAPLE ROAD	WILLIAMSVILLE	NY	14221	WWW.KALEIDAHEALTH.ORG	1401014H	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
DEGRAFF MEMORIAL HOSPITAL
4	445 TREMONT STREET	NORTH TONAWANDA	NY	14120	WWW.KALEIDAHEALTH.ORG	1401014H	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	GROUP A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.KALEIDAHEALTH.ORG/COMMUNITY/PUBLICATIONS.ASP	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.KALEIDAHEALTH.ORG/COMMUNITY/PUBLICATIONS.ASP	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.KALEIDAHEALTH.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.KALEIDAHEALTH.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.KALEIDAHEALTH.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit Legal Judicial Process	Yes (X)	PermitLegalJudicialProcessInd
Collection Activities	0	CollectionActivitiesInd
None Made	Yes (X)	NoneMadeInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5	GROUP AIN CONDUCTING ITS 2019-2021 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 MAY 17, 2018 AND HELD REGULAR MEETINGS THROUGHOUT 2018-2019. COUNTY-WIDE ASSESSMENT ACTIVITIES WERE CONDUCTED IN 2019 INCLUDING A CONSUMER SURVEY WITH 1,725 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 16% OF RESPONDENTS HAVING INCOMES OF LESS THAN $25,000 AND 22% HAVING INCOMES OF $25,000-$50,000. THERE WERE SEVERAL DISTRIBUTION SITES TARGETING THE LOW INCOME AND UNDERSERVED. KALEIDA HEALTH POSTED THE SURVEY ON THE KALEIDA HEALTH PUBLIC WEBSITE, KALEIDA HEALTH EMPLOYEE WEBSITE, AND ON FACEBOOK AND TWITTER. THROUGHOUT MARCH TO MAY 2019, SIX FOCUS GROUP 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. IN FEBRUARY AND MARCH 2019, KALEIDA HEALTH COLLABORATED WITH CATHOLIC HEALTH SYSTEM AND THE POPULATION HEALTH COLLABORATIVE TO HOST THREE COMMUNITY STAKEHOLDER SESSIONS WITH PROFESSIONALS FROM HEALTH, MENTAL HEALTH AND SOCIAL SERVICES ORGANIZATIONS AND OBTAINED INPUT ON THE COMMUNITY'S CURRENT HEALTH STATUS, NEEDS AND ISSUES. 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 2019-2021 CHNA-CSP AND ALIGNED WITH THE ERIE COUNTY DEPARTMENT OF HEALTH, COMMUNITY HEALTH IMPROVEMENT PLAN.THE NIAGARA COUNTY WORK GROUP LAUNCHED THEIR EFFORTS ON SEPTEMBER 17, 2018 AND HELD REGULAR MEETINGS THROUGHOUT 2018-2019. COUNTY-WIDE ASSESSMENT ACTIVITIES WERE CONDUCTED IN 2019 INCLUDING A CONSUMER SURVEY WITH 1,492 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 11.11% OF RESPONDENTS HAVING INCOMES OF $10,000-$15,000, 9.01% HAVING INCOMES OF $25,000-$35,000, AND 15.77% HAVING INCOMES OF $35,000-$50,000. SURVEY LINKS WERE PROVIDED ON THE NIAGARA COUNTY DEPARTMENT OF HEALTH'S WEBSITE AND FACEBOOK PAGE 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 MEMORIAL HOSPITAL POSTED THE SURVEYS ON THE KALEIDA HEALTH PUBLIC WEBSITE, KALEIDA HEALTH EMPLOYEE WEBSITE, AND ON FACEBOOK AND TWITTER. DEGRAFF ALSO DISTRIBUTED PAPER COPIES THROUGHOUT ITS FACILITIES AND AT VARIOUS COMMUNITY LOCATIONS. SIX FOCUS GROUP SESSIONS WERE CONDUCTED IN FEBRUARY- MARCH 2019 AT FIVE NIAGARA COUNTY LOCATIONS INCLUDING HOSPITALS, SUBSIDIZED HOUSING FACILITIES AND COMMUNITY/SENIOR CENTERS. THE FOCUS GROUPS WERE FACILITATED BY EASTERN NIAGARA HOSPITAL, DEGRAFF MEMORIAL HOSPITAL, MOUNT ST. MARY'S HOSPITAL AND THE NIAGARA COUNTY DEPARTMENT OF HEALTH. ADDITIONALLY, A COUNTYWIDE KEY STAKEHOLDER MEETING WAS CONVENED ON AUGUST 6, 2019 WITH REPRESENTATION FROM AREA HEALTH, MENTAL HEALTH, AND HUMAN SERVICE AGENCIES. INFORMATION AND DATA WAS SHARED FROM THE CONSUMER HEALTH SURVEYS AND COMMUNITY FOCUS GROUP SESSIONS AND EACH ORGANIZATION HAD AN OPPORTUNITY TO SHARE THEIR EXPERIENCES AND PROVIDE INPUT ON COUNTY-WIDE HEALTH PRIORITIES. 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 INCLUDED IN KALEIDA HEALTH'S CHNA-CSP AND ALIGNED WITH THE NIAGARA COUNTY DEPARTMENT OF HEALTH, COMMUNITY HEALTH IMPROVEMENT PLAN.THE KALEIDA HEALTH 2019-2021 CHNA-CSP WAS APPROVED BY THE KALEIDA HEALTH BOARD OF DIRECTORS ON DECEMBER 2, 2019. IT IS AVAILABLE TO THE PUBLIC IN THE COMMUNITY HEALTH SECTION OF THE KALEIDA HEALTH WEBSITE AT WWW.KALEIDAHEALTH.ORG AND SPECIFICALLY AT HTTP://KALEIDAHELATH.ORG/COMMUNITY/PUBLICATIONS.ASP. 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 2019-2021 CHNA-CSP WERE RECEIVED FROM THE PUBLIC IN 2020.
PART V, SECTION B, LINE 6A	KALEIDA HEALTH'S FOUR HOSPITALS ARE INCLUDED IN ITS 2019-2021 CHNA-CSP: BUFFALO GENERAL MEDICAL CENTER, MILLARD FILLMORE SUBURBAN HOSPITAL, AND OISHEI CHILDREN'S HOSPITAL, ALL LOCATED IN ERIE COUNTY AND DEGRAFF MEMORIAL HOSPITAL 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 AND BERTRAND CHAFFEE HOSPITAL. 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: NIAGARA FALLS MEMORIAL MEDICAL CENTER, MOUNT ST. MARY HOSPITAL, AND EASTERN NIAGARA HOSPITAL SYSTEM.PART V, SECTION B, LINE 6BGROUP AIN ERIE COUNTY, KALEIDA HEALTH COLLABORATED ON THE 2019-2021 CHNA-CSP PROCESS WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES: ERIE COUNTY DEPARTMENT OF HEALTH, UNITED WAY OF BUFFALO & ERIE COUNTY, BUFFALO STATE COLLEGE, D'YOUVILLE COLLEGE, STATE UNIVERSITY OF NEW YORK AT BUFFALO, AMERICAN HEART ASSOCIATION, AND THE POPULATION HEALTH COLLABORATIVE.IN NIAGARA COUNTY, KALEIDA HEALTH COLLABORATED ON THE 2019-2021 CHNA-CSP PROCESS WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES: NIAGARA COUNTY DEPARTMENT OF HEALTH, NIAGARA COUNTY DEPARTMENT OF MENTAL HEALTH, AND THE POPULATION HEALTH COLLABORATIVE.
PART V, SECTION B, LINE 11	GROUP AWITH 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 2019-2021 COMMUNITY HEALTH NEEDS ASSESSMENT-COMMUNITY SERVICES PLAN (CHNA-CSP).THROUGHOUT 2020, KALEIDA HEALTH MADE PROGRESS IMPLEMENTING THE INTERVENTIONS OUTLINED IN ITS CHNA-CSP AND AS ALIGNED WITH THE NYS PREVENTION AGENDA, AND ADDRESSING THE NEEDS OF THE UNDERSERVED. HOWEVER, THE COVID 19 PANDEMIC PRESENTED SOME IMPLEMENTATION CHALLENGES. DURING 2020, KALEIDA HEALTH HOSPITALS EXPERIENCED AN INFLUX OF PATIENTS AFFECTED BY THE CORONAVIRUS IN BOTH INPATIENT AND OUTPATIENT CARE. IT WAS CRITICAL FOR EMPLOYEES TO HAVE APPROPRIATE PPE AND BE PROVIDED THE MOST UP TO DATE INFORMATION RELATED TO THE CARE AND TREATMENT OF THE DISEASE. ALL EMPLOYEE AND CORPORATE EFFORTS TO EDUCATE, SCREEN AND TEST EMPLOYEES, PATIENTS AND THE COMMUNITY WAS A TOP PRIORITY AND CONTINUES TO BE SO IN 2021. OUTPATIENT CARE AND ELECTIVE SURGERIES AT KALEIDA HEALTH HOSPITALS WERE CUT BACK DUE TO NYS MANDATES AND KALEIDA HEALTH OUTPATIENT CLINICS ENLISTED TELEHEALTH PROGRAMS TO HELP MEET PATIENT CARE NEEDS. THROUGHOUT THE PANDEMIC, KALEIDA HEALTH CONTINUED TO IMPLEMENT THE COMMUNITY INTERVENTIONS THAT WERE NOT HAMPERED BY PANDEMIC RESTRICTIONS; AND CONTINUES TO WORK TO RE-ASSESS THE IMPACT OF COVID 19 ON OTHER INTERVENTIONS AND IN THE ADVANCEMENT OF ITS NYS PREVENTION AGENDA PRIORITY AREAS. COMMUNITY NEED AND INTERVENTION PROGRESS IN 2020 AND ANY RESULTING IMPACTS DUE TO COVID 19 ARE OUTLINED BELOW. HEALTH CARE NEEDS ADDRESSED IN KALEIDA HEALTH'S 2019-2021 CHNA-CSP:CHRONIC DISEASEHEART DISEASE IS THE NUMBER ONE CAUSE OF DEATH IN ERIE AND NIAGARA COUNTIES ACCOUNTING FOR 183.2 PER 100,000 POPULATION OF ALL DEATHS IN ERIE COUNTY AND 232.4 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 217.5 FOR NON-HISPANIC, AFRICAN AMERICANS, 174.5 FOR WHITES, AND 135.2 FOR HISPANICS; AND IN NIAGARA COUNTY, THE MORTALITY RATES ARE 293.4 FOR NON-HISPANIC, AFRICAN AMERICANS, 220.9 FOR WHITES, AND 197.7 FOR HISPANICS (2014-2016, 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 2019-2021 CHNA-CSP: ERIE COUNTY -HEALTHY EATING AND FOOD SECURITY - COMMUNITY DIABETES AND PRE-DIABETES NUTRITION EDUCATION AND MOBILE FOOD MARKET (DISPARITY- LOW INCOME POPULATION), WORKSITE NUTRITION AND PHYSICAL ACTIVITY PROGRAMS-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 COMMUNITY, HEALTH LITERACY TASK FORCE (COLLABORATIVE COUNTY PROJECT)NIAGARA COUNTY -HEALTHY EATING AND FOOD SECURITY -HEALTH EDUCATION FOR CHILDREN, LITTLE FREE PANTRY (DISPARITY -FOOD INSECURE POPULATION), NUTRITION AND HEALTHY COOKING EDUCATION-PREVENTIVE CARE AND MANAGEMENT -CHRONIC DISEASE EDUCATION AND SCREENING PROGRAMS FOR THE COMMUNITYIN 2020, KALEIDA HEALTH HOSPITALS PROVIDED THE FOLLOWING CHRONIC DISEASE INTERVENTIONS:-BUFFALO GENERAL MEDICAL CENTER HOSTED ALEX WRIGHT'S AFRICAN HERITAGE MOBILE FOOD CO-OP, AN OUTDOOR MARKET OF HEALTHY FRUITS AND VEGETABLES AND NUTRITIONAL EDUCATION SERVING THE CAMPUS AND ADJACENT LOW- INCOME FRUIT BELT NEIGHBORHOOD. TO BETTER SERVE LOW-INCOME INDIVIDUALS, EVERY THIRD THURSDAY DURING COVID WAS DESIGNATED AS "PAY AS YOU CAN". -IN 2020, A PARTNERSHIP BETWEEN KALEIDA HEALTH AND ITS FOOD VENDOR METZ CULINARY MANAGEMENT AND THE BUFFALO NIAGARA MEDICAL CAMPUS WAS INITIATED 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.-CARDIOVASCULAR EDUCATION AND SCREENING TARGETING LOW-INCOME PATIENTS WAS PROVIDED AT KALEIDA HEALTH'S OB-GYN CENTERS WHERE AN ESTIMATED 81.5% (2018) OF PATIENT VISITS ARE REIMBURSED THROUGH MEDICAID. IN 2020, 566 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 WERE REPLACED WITH VIRTUAL PROGRAMS. DURING 2020, 4,525 INDIVIDUALS PARTICIPATED IN VIRTUAL HEALTHY U PROGRAMS VIA FACEBOOK.- IN 2020, 52 WEEKLY MEDICAL MINUTE VIDEOS REACHING 15,746 INDIVIDUALS WERE PRESENTED ON WIVB-TV, CH. 4 AND KALEIDA HEALTH SOCIAL MEDIA ON HEALTH RELATED TOPICS. - IN 2020, THE MEDICALLY SPEAKING INTERVIEW SERIES PROVIDED 53 COMMUNITY HEALTH EDUCATION VIDEOS ON VARIOUS HEALTH TOPICS INCLUDING THE COVID-19 PANDEMIC TO 294,011 VIEWERS ON KALEIDA HEALTH FACEBOOK AND AT WWW.KALEIDAHEALTH.ORG/MEDICALLY-SPEAKING . -IN 2020, THE LITTLE FREE PANTRY AT DEGRAFF MEMORIAL HOSPITAL (DEGRAFF MEDICAL PARK) PROVIDED COMMUNITY ACCESS TO A FREE SOURCE OF FOOD AT A 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.DUE TO COVID-19 RESTRICTIONS, NUTRITION TUNE-UP DAYS FOR EMPLOYEES, BNMC WELLNESS ACTIVITIES FOR EMPLOYEES AND THE COMMUNITY, COMMUNITY NUTRITION EDUCATION PRESENTATIONS AT DEGRAFF AND DEGRAFF'S TEDDY BEAR CLINICS IN SCHOOLS WERE NOT HELD. PLANNING IS UNDERWAY TO CONTINUE THESE PROGRAMS POST-COVID.MENTAL 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.KALEIDA HEALTH IDENTIFIED THE FOLLOWING COMMUNITY HEALTH ACTIVITIES IN ITS 2019-2021 CHNA-CSP TO ADDRESS THE OPIOID ADDICTION PROBLEM:ERIE COUNTY AND NIAGARA COUNTY - BUFFALO MATTERS BUPRENORPHINE AND TREATMENT REFERRAL PROGRAM- AVAILABILITY AND ACCESS AND LINKAGE TO OPIOID OVERDOSE REVERSAL MEDICATIONS- MEDICATION AND SYRINGE DROP BOXES IN HOSPITAL EMERGENCY DEPARTMENTS - DRUG TAKE-BACK DAYSIN 2020, KALEIDA HEALTH HOSPITALS PROVIDED THE FOLLOWING SUBSTANCE USE DISORDER INTERVENTIONS: -IN 2020, 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 2020, 21 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 (PREVIOUSLY DEGRAFF MEMORIAL HOSPITAL) PROVIDE PATIENT ACCESS TO OVERDOSE REVERSAL MEDICATION INCLUDE NALOXONE THROUGH THE KALEIDA HEALTH PHARMACY. IN 2020, 10 NALOXONE KITS, AN OVERDOSE REVERSAL MEDICATIONS, WERE PROVIDED TO PATIENTS/FAMILIES IN KALEIDA HEALTH EMERGENCY DEPARTMENTS. THE "NARCAN SAVES LIVES" FLYER WAS DISTRIBUTED THROUGHOUT KALEIDA HEALTH AND THE COMMUNITY.
PART V, SECTION B, LINE 11 - CONTINUED	- 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 IN FALL 2020 AT MILLARD FILLMORE SUBURBAN HOSPITAL IN ERIE COUNTY AND AT DEGRAFF MEMORIAL HOSPITAL IN NIAGARA COUNTY. THE PLANNED SPRING 2020 EVENTS WERE NOT HELD DUE TO COVID-19 RESTRICTIONS.MATERNAL, INFANT, AND CHILD HEALTHTHE 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:- THE INFANT MORTALITY RATE PER 1,000 LIVE BIRTHS (<1 YEAR) FOR ERIE COUNTY IS 7.3, AND THE RATE FOR NIAGARA COUNTY IS 6.8 WHILE THE NYS RATE IS 4.5. - THE PERCENTAGE OF LOW BIRTHWEIGHT BIRTHS (<2.5 KG) IS 8.6% IN ERIE COUNTY, 7.5% IN NIAGARA COUNTY VERSUS THE NYS RATE OF 7.8%. DISPARITIES EXIST AMONG MINORITY POPULATIONS GIVEN THAT THE PERCENTAGE OF LOW BIRTHWEIGHT BABIES IN ERIE COUNTY IS 7.0% AMONG THE WHITE POPULATION AND 13.7% 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 75.2% IN ERIE COUNTY, 69.3% IN NIAGARA COUNTY, MUCH LOWER THAN THE NYS RATE OF 87.3%.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 2019-2021 CHNA-CSP:ERIE COUNTY -MATERNAL AND WOMEN'S HEALTH - CENTERING PREGNANCY PROGRAM (DISPARITY-MEDICAID POPULATION) -PERINATAL AND INFANT HEALTH- SAFE SLEEP INITIATIVE, YOMINGO ONLINE PARENT EDUCATION -BREASTFEEDING PROMOTION AND EDUCATION PROGRAMIN 2020, KALEIDA HEALTH PROVIDED THE FOLLOWING MATERNAL, INFANT, CHILD HEALTH INTERVENTIONS: - THROUGH THE SAFE SLEEP INITIATIVE, IN 2020, 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 CORPORATE PARTNERS: PEGULA SPORTS + ENTERTAINMENT, THE BUFFALO BILLS AND THE CHILDREN'S HOSPITAL OF BUFFALO FOUNDATION. IN 2020, AT OCH, 3,224 NEWBORN CAREGIVERS WERE PROVIDED SAFE SLEEP EDUCATION AND AT MFS 2,733 RECEIVED SAFE SLEEP EDUCATION. ADDITIONALLY, AT OCH, 1,180 NEWBORN SWADDLES AND 800 SMALL SLEEP SACKS WERE DISTRIBUTED AND AT MFS, 1,170 NEWBORN SWADDLES WERE DISTRIBUTED.- 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 2020, MILLARD FILLMORE SUBURBAN HOSPITAL RECORDED 377 ACTIVE USERS ON YOMINGO AND THE PROGRAM WAS PROMOTED THROUGH 1,250 YOMINGO PROMOTIONAL CARDS DELIVERED TO PHYSICIANS/PROVIDERS THROUGHOUT THE COMMUNITY. -THROUGHOUT 2020, 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 65% OF PATIENTS WITH MEDICAID, THE AVERAGE BREASTFEEDING RATES IN 2020 WERE 72% INITIATION AND 41% EXCLUSIVE. AT MFS, THE AVERAGE RATES IN 2020 WERE 82.4% INITIATION AND 49.5% EXCLUSIVE.THE CENTERING PREGNANCY PROGRAM WAS NOT PROVIDED AT KALEIDA HEALTH OB-GYN CLINICS IN 2020 DUE TO COVID-19 RESTRICTIONS. PLANNING IS UNDERWAY TO CONTINUE THE PROGRAM POST-COVID.HEALTH CARE NEEDS NOT ADDRESSED IN KALEIDA HEALTH 2019-2021 CHNA-CSP:CANCERWHILE 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 2019-2021 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 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. TOBACCOTOBACCO 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.COMMUNICABLE DISEASEBOTH ERIE COUNTY AND NIAGARA COUNTY PROVIDE PUBLIC AWARENESS AND EDUCATION ON COMMUNICABLE DISEASES INCLUDING HIV, SEXUALLY TRANSMITTED DISEASES, HEPATITIS C VIRUS AS WELL AS THE IMPORTANCE OF VACCINES, AND THE IMPROVEMENT OF INFECTION CONTROL IN HEALTHCARE FACILITIES. ALL OF THESE AREAS ARE PRIORITIES FOR KALEIDA HEALTH AND ITS HOSPITALS ADHERE TO ALL NEW YORK STATE REQUIREMENTS FOR COMMUNICABLE DISEASES INCLUDING INFECTION CONTROL AND FLU VACCINES FOR EMPLOYEES. 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.
PART V, SECTION B, LINE 16J	GROUP AINFORMATION 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.

Field	Value	IRS element (for citing)
Facility	20	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (20 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - HIGHPOINTE ON MICHIGAN
1031 MICHIGAN AVE	BUFFALO	NY	14203	INPATIENT SKILLED NURSING FACILITY
2 - CENTER FOR LABORATORY MEDICINE
115 FLINT ROAD	AMHERST	NY	14226	HOSPITAL BASED LAB SERVICES
3 - DEGRAFF SKILLED NURSING FACILITY
445 TREMONT STREET	NORTH TONAWANDA	NY	14120	INPATIENT SKILLED NURSING FACILITY
4 - MILLARD FILLMORE SURGERY CENTER
215 KLEIN ROAD	WILLIAMSVILLE	NY	14221	AMBULATORY SURGERY CENTER
5 - MAPLE WEST MEDICAL COMPLEX
705 MAPLE ROAD	AMHERST	NY	14221	MEDICAL SERVICES - OTHER MEDICAL SPECIALTIES
6 - NORTH BUFFALO MEDICAL PARK
900 HERTEL AVE	BUFFALO	NY	14207	MEDICAL SERVICES - PRIMARY CARE, RADIOLOGY OUTPATIENT, OUTPATIENT THERAPY
7 - KALEIDA HEALTH FAMILY PLANNING CENTER
1313 MAIN STREET	BUFFALO	NY	14209	OUTPATIENT FAMILY PLANNING
8 - TOWNE GARDEN PEDIATRICS
461 WILLIAM STREET	BUFFALO	NY	14204	MEDICAL SERVICES - PRIMARY CARE
9 - SOUTHTOWNS SURGERY CENTER
5959 BIG TREE ROAD SUITE 100	ORCHARD PARK	NY	14217	AMBULATORY SURGERY CENTER
10 - WCHOB WOMEN'S OBGYN HEALTH CENTER
462 GRIDER STREET	BUFFALO	NY	14215	MEDICAL SERVICES - PRIMARY CARE
11 - WCHOB MCKINLEY OBGYN
3860 MCKINLEY PARKWAY	HAMBURG	NY	14219	MEDICAL SERVICES - PRIMARY CARE
12 - WCHOB CHILD PROTECTION CENTER
556 FRANKLIN STREET	BUFFALO	NY	14202	MEDICAL SERVICES - PRIMARY CARE
13 - STANLEY MAKOWSKI SBHC
1095 JEFFERSON AVE	BUFFALO	NY	14214	SCHOOL BASED PRIMARY CARE SERVICES
14 - HILLERY PARK #27 SBHC
72 PAWNEE PARKWAY	BUFFALO	NY	14210	SCHOOL BASED PRIMARY CARE SERVICES
15 - WESTMINSTER #86 SBHC
24 WESTMINSTER AVE	BUFFALO	NY	14215	SCHOOL BASED PRIMARY CARE SERVICES
16 - DR LYDIA WRIGHT #89 SBHC
106 APPENHEIMER STREET	BUFFALO	NY	14214	SCHOOL BASED PRIMARY CARE SERVICES
17 - BUILD ACADEMY #91 SBHC
340 FOUGERON STREET	BUFFALO	NY	14211	SCHOOL BASED PRIMARY CARE SERVICES
18 - BUFFALO SCHOOL OF TECHNOLOGY SBHC
414 SOUTH DIVISION STREET	BUFFALO	NY	14204	SCHOOL BASED PRIMARY CARE SERVICES
19 - HERMAN BADILLO #76 SBHC
315 CAROLINE STREET	BUFFALO	NY	14201	SCHOOL BASED PRIMARY CARE SERVICES
20 - SOUTHTOWNS CLINIC
4535 SOUTHWESTERN BLVD	HAMBURG	NY	14075	MEDICAL SERVICES PRIMARY CARE

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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	KALEIDA 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 2020, COVID-19 RESTRICTIONS HAMPERED KALEIDA HEALTH'S ABILITY TO PROVIDE THE SAME COMPREHENSIVE PROGRAM OF COMMUNITY OUTREACH AND EDUCATION IT HAD IN PREVIOUS YEARS. HOWEVER, WORKING AROUND THE PANDEMIC SURGE, KALEIDA HEALTH PARTNERED WITH VARIOUS ORGANIZATIONS AND PARTICIPATED IN 66 IN-PERSON EVENTS TO REACH 6,539 INDIVIDUALS WITH COMMUNITY SERVICE PROGRAMMING. ALL OF THE OUTREACH PROGRAMS ARE FREE AND REACH CROSS SECTION OF CULTURES, ETHNICITIES, ECONOMIC DEMOGRAPHICS, LANGUAGES, RELIGIONS AND ALL GENDERS INCLUDING LGBTQ+ COMMUNITY. MATERIALS PROVIDED TO COMMUNITY DURING OUTREACH EVENTS INCLUDE: 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 ALSO IMPLEMENTED VIRTUAL MEANS TO PROVIDE HEALTH AND WELLNESS INFORMATION TO THE COMMUNITY. BEGINNING IN MARCH 2020, COVID-19 COMMUNICATIONS FROM KALEIDA HEALTH WERE EMAILED TO A COMMUNITY NETWORK WITH OUTREACH TO OVER 5,000 DIVERSE INDIVIDUALS PER MONTH. IN LIGHT OF THE COVID-19 PANDEMIC, THE FOLLOWING COMMUNITY OUTREACH AND EDUCATIONS EVENTS TOOK PLACE IN BUFFALO, A CITY WITH A POVERTY RATE OF 30.1% AND IN NIAGARA FALLS WITH A POVERTY RATE OF 28.2%. THESE URBAN CENTERS HAVE HIGH MINORITY POPULATIONS AND HAVE SEVERAL CENSUS TRACTS FEDERALLY DESIGNATED AS MEDICALLY UNDERSERVED AREAS. -KALEIDA HEALTH ORGANIZED THE WELLNESS SEGMENT FOR THE F.A.T.H.E.R.S SUMMER EVENT HELD AT JOHNNIE B. WILEY CENTER OVER 1,000 PARTICIPANTS ATTENDED THIS OUTDOOR EVENT.-KALEIDA HEALTH AND TEAM ORGANIZED THE HIGH SCHOOL VASCULAR PROGRAM FOR BIOLOGY/VASCULAR HANDS-ON CLASSES IN LOCAL SCHOOLS. BUFFALO AND SWEET HOME PLANNED BUT CANCELLED DUE TO CLOSED SCHOOLS. PRESENTED PROGRAM AT TWO SCHOOLS IN NIAGARA FALLS, NY. HOWEVER, THE PROGRAM WAS SUSPENDED EARLY DUE TO COVID-19 SCHOOL CLOSING RESTRICTIONS.-BUFFALO PUBLIC SCHOOL, MATH SCIENCE TECHNOLOGY (MST) HIGH SCHOOL SPEAKER SERIES WAS HELD VIRTUALLY AND IN-PERSON AS ALLOWED DURING COVID-19. KALEIDA HEALTH EMPLOYEES SHARED THEIR KNOWLEDGE AND EXPERIENCES ON THEIR CAREERS WITH HIGH SCHOOL STUDENTS PREPARING FOR COLLEGE AND CAREERS AS CERTIFIED NURSING ASSISTANTS (CNAS). MST IS LOCATED IN A PRIMARILY AFRICAN AMERICAN COMMUNITY IN ZIP CODE 14215, A NEIGHBORHOOD WITH HIGH RATES OF HEALTH DISPARITIES, UNEMPLOYMENT, AND UNDEREMPLOYMENT AND IS A FOOD DESERT. IN 2020, 18 KALEIDA HEALTH SPEAKER PRESENTATIONS, IN PERSON AND VIRTUAL WERE CONDUCTED FOR THE MST CNA PROGRAM.-WUFO 1080 AM / POWER 96.5 FM AIRING EVERY 2ND AND 4TH MONDAY, THE GREAT LAKES HEALTH RADIO PROGRAM, HOSTED BY KALEIDA HEALTH FEATURES INTERVIEWS WITH GUEST SPEAKERS FROM KALEIDA HEALTH FOR HOUR ON A VARIETY OF HEALTH AND WELLNESS TOPICS. A SENIOR MOMENT RADIO PROGRAM ALSO AIRED ON POWER 96.5 FM FEATURING GUEST SPEAKERS ON WELLNESS TOPICS. IN 2020, LISTENERSHIP WAS 81,600 FOR THESE PROGRAMS REACHING A PREDOMINATELY URBAN POPULATION OF, ALL AGES, RACES, SEXUAL ORIENTATIONS, AND ETHNIC GROUPS IN WNY.ADDITIONALLY, KALEIDA HEALTH'S COMMUNITY RELATIONS SPECIALIST ACTIVELY PARTICIPATES IN THE FOLLOWING COMMUNITY ORGANIZATIONS:-UNITED WAY OF BUFFALO AND ERIE COUNTY: SERIES ON EQUITY AND POVERTY IN THE PANDEMIC: COMMUNITY SOLUTIONS TO THE -DIGITAL DIVIDE AND RACIAL EQUITABLE PRACTICE IN INFANT AND MATERNAL HEALTH;-LIVING WELL ERIE: OLDER WORKING GROUP, INCLUDES HEALTH-NAACP- CHAIR HEALTH COMMITTEE, BUFFALO AND NYS-ST. JOHN BAPTIST CHURCH FORMER CHAIR HEALTH COMMITTEE AND OUTREACH-BUFFALO NIAGARA MEDICAL CAMPUS NEIGHBORHOOD ENGAGEMENT & GOVERNMENT AFFAIRS COUNCIL-UB MEDICAL SCHOOL CURRICULUM REVISION COMMITTEE COMMUNITY ADVISORY COMMITTEE-NYS U-ALBANY COVID-19 MHD INITIATIVE ORGANIZED THREE TEAMS OF COMMUNITY MEMBERS TO PARTICIPATE WITH GOVERNOR CUOMO'S MINORITY HEALTH DIVERSITY INITIATIVE-MEMBER, BOARD OF DIRECTORS OF HEALTH SCIENCES CHARTER SCHOOLPART 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 2019 AUDITED FINANCIAL STATEMENT FOOTNOTE WHICH DESCRIBES THIS PRONOUNCEMENT.RECENT ACCOUNTING PRONOUNCEMENTS - FOOTNOTE 2(T)(I) FROM THE AUDITED FINANCIAL STATEMENTS(I) UPON ADOPTION, THE MAJORITY OF WHAT WAS CURRENTLY CLASSIFIED AS PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND PRESENTED AS A REDUCTION TO NET PATIENT SERVICE REVENUE ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS IS TREATED AS A PRICE CONCESSION THAT REDUCES THE TRNASACTION PRICE, WHICH IS REPORTED AS NET PATIENT SERVICE REVENUE.
PART III, LINE 8:	THERE WAS A SHORTFALL IN 2020 DUE TO THE EFFECTS OF THE COVID-19 PANDEMIC WITH CASES BEING DOWN IN THE ORGANIZATION, BUT COSTS WERE NOT DECREASED IN THE SAME PROPORTION. THE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT AS KALEIDA HEALTH CHOSE TO STAFF AT HIGHER LEVELS AND INCREASED PP&E STOCK AS A RESULT OF THE COVID-19 PANDEMIC.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 2020 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 7, REPORTS FILED WITH STATES	NY
PART VI, LINE 2 - CONTINUED	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 2019. THE 2019-2021 CHNA-CSP IS AVAILABLE TO THE PUBLIC ON THE KALEIDA HEALTH WEBSITE AT WWW.KALEIDAHEALTH.ORG/COMMUNITY/PUBLICATIONS.ASP AND A PRINTED COPY IS AVAILABLE UPON REQUEST AT NO CHARGE. WRITTEN COMMENTS ON THE 2019-2021 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 2019-2021 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. 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 (KT AGAIN DEFER TO FACILITATED ENROLLMENT). 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. COMMUNITY INFORMATION 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 HOSPITAL'S PRIMARY SERVICE AREA IS DEFINED AS THE COUNTY WITH THE HIGHEST PERCENTAGE OF ALL WNY COUNTIES FOR 2019 INPATIENT DISCHARGES, EMERGENCY DEPARTMENT VISITS, AND OUTPATIENT VISITS AS IDENTIFIED IN THE 2019-2021 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, JULY 1, 2018 AS INDICATED IN KALEIDA HEALTH'S 2019-2021 CHNA-CSP. THE COUNTY'S TOTAL POPULATION IS 919,719 AND IS COMPRISED OF URBAN, SUBURBAN, AND RURAL CITIES, TOWNS, AND VILLAGES. ERIE COUNTY'S MEDIAN HOUSEHOLD INCOME IS $54,006, ITS POVERTY RATE IS 14.5%, AND 17.5% OF ITS POPULATION IS 65 YEARS AND OVER. ITS LARGEST CITY AND COUNTY SEAT IS BUFFALO WITH A POPULATION OF 256,304. THE CITY HAS A 30.9% POVERTY RATE THE MEDIAN HOUSEHOLD INCOME IN BUFFALO IS $34,268 WHILE THE MEDIAN HOUSEHOLD INCOME IN ERIE COUNTY IS $54,006 AND IN NEW YORK STATE, $62,765. 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 35.7% OF ITS RESIDENTS BEING BLACK NON-HISPANIC AND 11.7% HISPANIC AS COMPARED TO 13% BLACK NON-HISPANIC AND 5.3% HISPANIC FOR ALL OF ERIE COUNTY. PERSONS UNDER 65 WITHOUT HEALTH INSURANCE COMPRISE 6.9% OF ERIE COUNTY'S POPULATION AND 10.7% 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 125,659 AND IS HOME TO MILLARD FILLMORE SUBURBAN HOSPITAL. IN CONTRAST TO BUFFALO, THE TOWN OF AMHERST HAS A POVERTY RATE OF 10.8% AND THE MEDIAN HOUSEHOLD INCOME (IN 2017 DOLLARS) 2013-2017 IS $72,459. AMHERST'S POPULATION IS 80.7% WHITE NON-HISPANIC. THE TOWN ALSO HAS 8.9% ASIAN POPULATION, COMPARABLE TO THE NYS RATE OF 9.1% WHILE THE ERIE COUNTY RATE IS 3.1%. THE TOWN HAS A SIGNIFICANT SENIOR POPULATION WITH 19.2% 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 ERIE COUNTY ARE FROM THE US CENSUS, QUICK FACTS, POPULATION ESTIMATES, JULY 1, 2018 AS INDICATED IN KALEIDA HEALTH'S 2019-2021 CHNA-CSP. THE COUNTY'S TOTAL POPULATION IS 210,433 AND IS COMPRISED OF URBAN, SUBURBAN, AND RURAL CITIES, TOWNS, AND VILLAGES. NIAGARA COUNTY'S MEDIAN HOUSEHOLD INCOME (IN 2017 DOLLARS) 2013-2017 IS $51,656, ITS POVERTY RATE IS 12.4%, AND 18.5% OF ITS POPULATION IS 65 YEARS AND OVER. ITS CITIES INCLUDE NIAGARA FALLS, POPULATION 48,148; NORTH TONAWANDA, POPULATION 30,372; AND ITS COUNTY SEAT OF LOCKPORT, POPULATION 20,434. THESE CITIES INCLUDE A HIGH PROPORTION OF THE COUNTY'S LOW INCOME AND UNDERSERVED POPULATION. 22.3% OF NIAGARA FALLS RESIDENTS IS BLACK/AFRICAN AMERICAN AND THE CITY HAS A 27.5% POVERTY RATE. ADDITIONALLY, NIAGARA FALLS IS FEDERALLY DESIGNATED AS AN AREA WITH A MEDICALLY UNDERSERVED POPULATION. THE POVERTY RATE FOR NORTH TONAWANDA IS 8.8%, AND 15.4% FOR LOCKPORT. THE PERCENTAGE OF RESIDENTS UNDER 65 YEARS WITHOUT HEALTH INSURANCE RANGES FROM 6.4% IN NIAGARA FALLS AND 5.1% IN NORTH TONAWANDA AND LOCKPORT. NIAGARA COUNTY IS ALSO HOME TO THE TUSCARORA RESERVATION WITH A POPULATION OF 1,288, A POVERTY RATE OF 13% AND A MEDIAN INCOME OF $32,500, MUCH LOWER THAN THAT OF NIAGARA COUNTY. (WIKIPEDIA, US CENSUS 2000) NORTH TONAWANDA IS HOME TO DEGRAFF MEMORIAL HOSPITAL AND, A COMMUNITY HOSPITAL WITH A RECENTLY EXPANDED, NEW STATE-OF-THE ART EMERGENCY ROOM TO BETTER SERVE THE GROWING EMERGENCY CARE NEEDS OF THE COMMUNITY.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt
UNIVERSITY ORTHOPEDIC SERVICE
5500 MAIN STREET SUITE 107	BUFFALO	NY	14221	161406947	501(C)(3)	$50,000	FMV	SPONSORSHIP
WNY CLINICAL INFO EXCHANGE
2475 GEORGE URBAN BLVD SUITE 202	BUFFALO	NY	14043	364594483	N/A	$120,750	FMV	CONTRIBUTION
WNY HEALTHENET
2475 GEORGE URBAN BLVD SUITE 2020	DEPEW	NY	14043	043726634	N/A	$99,000	FMV	SPONSORSHIP
CONNECTLIFE
4444 BRYAN AND STRATTON WAY	WILLIAMSVILLE	NY	14221	161172453	501(C)(3)	$15,000	FMV	SPONSORSHIP
HABITAT FOR HUMANITY BUFFALO
1675 SOUTH PARK	BUFFALO	NY	14220	222746890	501(C)(3)	$80,000	FMV	SPONSORSHIP
BUFFALO ERIE MARATHON ASSOC
PO BOX 845	AMHERST	NY	14226	161597919	501(C)(3)	$25,000	FMV	SPONSORSHIP
AMHERST CHAMBER OF COMMERCE
400 ESSJAY RD SUITE 150	WILLIAMSVILLE	NY	14221	160959485	N/A	$12,500	FMV	SPONSORSHIP
TROCAIRE COLLEGE
360 CHOATE AVE	BUFFALO	NY	14220	160909446	501(C)(3)	$7,500	FMV	CONTRIBUTION
NORTH TONAWANDA BOTANCIAL GRADEN
134 MAIN STREET	N TONAWANDA	NY	14120	825234556	501(C)(3)	$10,000	FMV	CONTRIBUTION
ST BONAVENTURE UNIVERSITY
PO BOX G	ST BONAVENTURE	NY	14778	160743150	501(C)(3)	$10,000	FMV	SPONSORSHIP
CHILD & FAMILY SERVICES
844 DELAWARE AVENUE	BUFFALO	NY	14209	161004825	501(C)(3)	$7,500	FMV	SPONSORSHIP
KALEIDA HEALTH FOUNDATION
726 EXCHANGE STREET	BUFFALO	NY	14210	161579143	501(C)(3)	$95,000	FMV	SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	9	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	DESCRIPTION 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

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JODY LOMEO
PRES/CEO EX-OFFICIO W/VOTE	$1,092,211	$0	$0	$0	$54,275	$0	$26,643	$0	$19,944	$0	$1,193,073	$0	$0	$0
CHRISTOPHER MALLAVARAPU MD
EMPLOYED PHYSICIAN	$931,823	$0	$0	$0	$2,731	$0	$24,961	$0	$17,291	$0	$976,806	$0	$0	$0
DONALD BOYD
PRESIDENT, COO	$629,836	$0	$0	$0	$107,764	$0	$66,075	$0	$17,367	$0	$821,042	$0	$0	$0
CHERYL KLASS
EVP, CHIEF NURSE EXECUTIVE	$518,446	$0	$0	$0	$236,897	$0	$41,680	$0	$7,799	$0	$804,822	$0	$0	$0
ROBERT NESSELBUSH
CEO(BEG 12/6/20),CFO (UNTIL 12/6/20)	$669,480	$0	$0	$0	$39,018	$0	$14,381	$0	$17,390	$0	$740,269	$0	$0	$0
KAVEH VALI MD
EMPLOYED PHYSICIAN	$666,797	$0	$0	$0	$533	$0	$39,201	$0	$1,011	$0	$707,542	$0	$0	$0
CHRISTOPHER LANE
PRESIDENT BGMC AND GVI	$522,827	$0	$69,120	$0	$26,650	$0	$58,493	$0	$17,205	$0	$694,295	$0	$0	$0
CARROLL HARMON MD
EMPLOYED PHYSICIAN	$669,261	$0	$0	$0	$4,643	$0	$13,913	$0	$1,214	$0	$689,031	$0	$0	$0
DAVID HUGHES MD
EVP, CMO	$543,050	$0	$0	$0	$85,229	$0	$26,655	$0	$17,247	$0	$672,181	$0	$0	$0
ALYSON SPAULDING
GENERAL COUNSEL	$443,412	$0	$0	$0	$91,328	$0	$55,203	$0	$17,110	$0	$607,053	$0	$0	$0
ALLEGRA JAROS
PRESIDENT WCHOB	$435,273	$0	$58,050	$0	$26,720	$0	$65,007	$0	$17,086	$0	$602,136	$0	$0	$0
KATHRYN BASS MD
EMPLOYED PHYSICIAN	$568,546	$0	$0	$0	$3,856	$0	$26,192	$0	$1,071	$0	$599,665	$0	$0	$0
LUCY CAMPBELL MD
EMPLOYED PHYSCIAN	$542,417	$0	$0	$0	$3,300	$0	$31,227	$0	$17,132	$0	$594,076	$0	$0	$0
JERRY VENABLE
FORMER EVP, CHIEF HR OFFICER	$0	$0	$0	$0	$479,100	$0	$0	$0	$313	$0	$479,413	$0	$0	$0
MICHAEL HUGHES
CHIEF ADMINISTRATIVE OFFICER	$347,272	$0	$0	$0	$53,092	$0	$52,616	$0	$792	$0	$453,772	$0	$0	$0
DARCY CRAVEN TERMED 81420
PRESIDENT - DEGRAFF	$315,201	$0	$0	$0	$23,942	$0	$19,716	$0	$11,548	$0	$370,407	$0	$0	$0
STEPHEN HARDY
VP FINANCE	$291,260	$0	$0	$0	$4,136	$0	$8,225	$0	$7,469	$0	$311,090	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	HEALTH 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 4A	JERRY VENABLE RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $479,100. THIS AMOUNT IS INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III).

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
DORMITORY AUTHORITY - STATE OF NEW YORK
A	146000293	000000000	2016-09-30	$7,650,258	LEASE OF EQUIPMENT	0	0	0
DORMITORY AUTHORITY - STATE OF NEW YORK
B	146000293	000000000	2016-09-30	$7,349,742	LEASE OF EQUIPMENT	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	UnspentUnspentAmt
A	$4,500,383	$7,650,258	$104,266	$7,545,992	2017	0	0	Yes (1)	Yes (1)
B	$4,323,600	$7,349,742		$6,748,676	2017	0	0	0	Yes (1)	$601,066

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	Yes (1)	Yes (1)	0	0	0	0
B	0	0	Yes (1)	Yes (1)	0	0	0	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	0	Yes (1)	0	0	0	Yes (1)	Yes (1)
B	0	Yes (1)	0	0	0	0	0	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART IV, ARBITRAGE, LINE 2C	FormAndLineReferenceDesc
Explanation	(A) ISSUER NAME: DORMITORY AUTHORITY - STATE OF NEW YORK, DATE THE REBATE COMPUTATION WAS PERFORMED: 9/30/2020	ExplanationTxt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	VARIOUS MEDICAL EQUIPMENT	Desc
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$2,807,881	NoncashContributionsRptF990Amt
Method Of Determining Revenues	REPLACEMENT COST	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	REVIEW 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 12C	CONFLICT OF INTEREST POLICY UPON EMPLOYMENT AND ANNUALLY THEREAFTER EACH KEY EMPLOYEE AND OFFICER 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 15	COMPENSATION 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 19	THE 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 11G	PHYSICIAN AND PURCHASE SERVICES: PROGRAM SERVICE EXPENSES 136,044,168. MANAGEMENT AND GENERAL EXPENSES 7,489,699. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 143,533,867.
FORM 990, PART XI, LINE 9:	MINORITY INTEREST IN SUBSIDIARY -2,753,290. OTHER TRANSFERS, NET -20,306,313. INCREASE IN PENSION LIABILITY -66,669,000. CHANGE IN VALUE OF FOUNDATIONS -118,698,000. CHANGE IN VALUE OF UAHS -86,400,000.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt
KALEIDA MCO LLC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161570311	DORMANT	NY	KH
KALEIDA IPA LLC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161570380	DORMANT	NY	KH
KALEIDA WNYI LLC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	453189404	HEALTH CARE	NY	KH	-$2,552,159	-$931,258
KALEIDA SERVICES LLC
2100 WEHRLE DRIVE	WILLIAMSVILLE	NY	14221	472284036	ADULT DAYCARE	NY	KH	-$230,926	$324,188
MFSC LLC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	261582864	HEALTH CARE	NY	KH	$103,702	$3,662,960

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
MILLARD FILLMORE AMBULATORY SURGER CTR
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161307129	SUPPORT ORG	NY	501(C)(3)	12A	KH	Yes (1)
VNA HOME CARE SERVICES
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161491203	HOME HLTH CARE	NY	501(C)(3)	10	KH	Yes (1)
VNA OF WESTERN NEW YORK
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	160743214	HOME HLTH CARE	NY	501(C)(3)	10	KH	Yes (1)
VISK
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	222738425	SUPPORT ORG	NY	501(C)(3)	10	KH	Yes (1)
KALEIDA HEALTH FOUNDATION
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161579143	FUNDRAISING	NY	501(C)(3)	7	KH	Yes (1)
THE WOMEN & CHILDREN'S HOSP OF BFLO FDN
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161332044	FUNDRAISING	NY	501(C)(3)	7	KH	Yes (1)
CHILDREN'S HEALTH HOME OF WNY INC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	814086046	PED HOME HLTH	NY	501(C)(3)	10	KH	Yes (1)
UPPER ALLEGHENY HEALTH SYSTEM INC
515 MAIN STREET	OLEAN	NY	14760	271255425	SUPPORT ORG	NY	501(C)(3)	12A	KH	Yes (1)
OLEAN GENERAL HOSPITAL
515 MAIN STREET	OLEAN	NY	14760	160743102	HOSPITAL	NY	501(C)(3)	3	BRMC	Yes (1)
BRADFORD REGIONAL MED SVCS
116 INTERSTATE PARKWAY	BRADFORD	PA	16701	232875157	PHYS. GROUP	NY	501(C)(3)	3	BRMC	Yes (1)
HEALTH SYSTEM PHYSICIAN PC
130 SOUTH UNION STREET	OLEAN	NY	14760	464304317	PHYS. GROUP	NY	501(C)(3)	10	OGH	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
HARLEM ROAD LEASING LLC
3435 MAIN STREET	BUFFALO	NY	14214	205588135	EQUIPMENT LEASING	NY	KALEIDA HEALTH	UNRELATED	$19,302	$206,737	0	Yes (1)	0.50000
AMTON IMAGING LLC
199 PARK CLUB LANE SUITE 300	WILLIAMSVILLE	NY	14221	262925470	HEALTH CARE	NY	KALEIDA WNYI	RELATED	-$2,492,369	-$2,691,459	0	Yes (1)	0.50000
SITE E LLC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	272124795	REAL ESTATE MGMT	NY	KPI	EXCLUDED	$106,765	$1,736,769	0	0	0.50120
SOUTHTOWNS IMAGING LLC
5959 BIG TREE ROAD SUITE 105	ORCHARD PARK	NY	14127	471123230	EQUIPMENT LEASING	NY	KALEIDA WNYI	UNRELATED	$67,004	$2,370,306	0	Yes (1)	0.70000
COLLABORATIVE CARE VENTURES LLC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	472365690	HEALTH CARE	NY	KALEIDA HEALTH	EXCLUDED	-$3,206	$2,144,545	0	0	0.60000
GREAT LAKES MEDICAL BILLING SVCS LLC
199 PARK CLUB LANE SUITE 300	WILLIAMSVILLE	NY	14221	461668448	MEDICAL BILLING	NY	KALEIDA WNYI	UNRELATED	-$126,794	$257,751	0	0	0.50000
ALTUS MANAGEMENT LLC
840 AERO DRIVE SUITE 150	CHEEKTOWAGA	NY	14225	900149133	GROUP PURCHASING	NY	KALEIDA HEALTH	EXCLUDED	$223,959	$2,560,405	0	0	0.59190
SOUTHTOWNS SURGERY CENTER LLC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	464742028	HEALTH CARE	NY	KALEIDA HEALTH	EXCLUDED	$303,707	$5,229,335	0	Yes (1)	0.64490

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
KALEIDA PROPERTIES INC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	222738483	PROP MGMT SVCS	NY	KALEIDA HEALTH	C	$2,882,083	$12,399,684	1.00000	Yes (1)
WESTLINK CORPORATION
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161354421	MED & DIAGN SVCS	NY	KALEIDA HEALTH	C		$100,456	1.00000	Yes (1)
GREAT LAKES INTEGRATED NETWORK INC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	823184375	HEALTH CARE	NY	KALEIDA HEALTH	C	$2,606,688	$5,804,778	0.50000	0
KHBC INC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	823184375	HEALTH CARE	NY	GREAT LAKES INT	C		$47,231	0.50000	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (40 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MILLARD FILLMORE AMBULATORY SURGERY CENTER
C	$534,983	ACTUAL COST
VNA HOME CARE SERVICES
O	$64,511	ACTUAL COST
VNA HOME CARE SERVICES
Q	$1,394,740	ACTUAL COST
VNA HOME CARE SERVICES
E	$99,500	ACTUAL COST
VNA OF WESTERN NEW YORK
O	$172,649	ACTUAL COST
VNA OF WESTERN NEW YORK
L	$358,004	ACTUAL COST
VNA OF WESTERN NEW YORK
Q	$17,062,029	ACTUAL COST
VNA OF WESTERN NEW YORK
D	$124,756	ACTUAL COST
KALEIDA PROPERTIES INC
Q	$912,537	ACTUAL COST
KALEIDA PROPERTIES INC
D	$1,517,615	ACTUAL COST
SITE E LLC
K	$106,339	ACTUAL COST
VISK
E	$301,050	ACTUAL COST
WOMEN AND CHILDREN'S HOSPITAL FOUNDATION
C	$1,709,307	ACTUAL COST
WOMEN AND CHILDREN'S HOSPITAL FOUNDATION
S	$10,778,390	ACTUAL COST
WOMEN AND CHILDREN'S HOSPITAL FOUNDATION
D	$6,812,823	ACTUAL COST
KALEIDA HEALTH FOUNDATION
C	$1,098,574	ACTUAL COST
KALEIDA HEALTH FOUNDATION
S	$7,027,093	ACTUAL COST
KALEIDA HEALTH FOUNDATION
D	$4,646,841	ACTUAL COST
SOUTHTOWNS IMAGING LLC
D	$2,251,838	ACTUAL COST
SOUTHTOWNS IMAGING LLC
J	$284,614	ACTUAL COST
SOUTHTOWNS IMAGING LLC
Q	$130,159	ACTUAL COST
SOUTHTOWNS IMAGING LLC
L	$1,256	ACTUAL COST
SOUTHTOWNS SURGERY CENTER LLC
L	$784,699	ACTUAL COST
SOUTHTOWNS SURGERY CENTER LLC
J	$837,207	ACTUAL COST
SOUTHTOWNS SURGERY CENTER LLC
R	$117,416	ACTUAL COST
SOUTHTOWNS SURGERY CENTER LLC
D	$5,879,736	ACTUAL COST
COLLABORATIVE CARE VENTURES LLC
Q	$6,504	ACTUAL COST
COLLABORATIVE CARE VENTURES LLC
D	$2,390,162	ACTUAL COST
CHILDREN'S HOME HEALTH OF WNY INC
O	$35,738	ACTUAL COST
CHILDREN'S HOME HEALTH OF WNY INC
Q	$88,111	ACTUAL COST
CHILDREN'S HOME HEALTH OF WNY INC
E	$17,294	ACTUAL COST
UAHS
O	$607,761	ACTUAL COST
UAHS
Q	$8,413,497	ACTUAL COST
UAHS
D	$1,751,285	ACTUAL COST
HEALTH SYSTEM PHYSICIANS PC
O	$166,906	ACTUAL COST
HEALTH SYSTEM PHYSICIANS PC
Q	$58,495	ACTUAL COST
HEALTH SYSTEM PHYSICIANS PC
D	$5,470,783	ACTUAL COST
BRADFORD REGIONAL MEDICAL SERVICES PC
O	$91,921	ACTUAL COST
BRADFORD REGIONAL MEDICAL SERVICES PC
Q	$941,716	ACTUAL COST
BRADFORD REGIONAL MEDICAL SERVICES PC
D	$1,847,052	ACTUAL COST