KALEIDA HEALTH: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: KALEIDA HEALTH (EIN 16-1533232)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-12
IRS object ID: 202013179349304431
Schema version: 2019v5.1
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 L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-12T12:19:32-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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	2019-01-01	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)
In Care Of	% ROBERT NESSELBUSH	InCareOfNm
Business Name Control	KALE	BusinessNameControlTxt
Phone	7168598836	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	726 EXCHANGE STREET Suite 200	AddressLine1Txt
City	BUFFALO	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14210	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ROBERT NESSELBUSH	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	7168598836	PhoneNum
Signature	2020-11-11	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Todd Teresco	PreparerPersonNm
PTIN	P00247720	PTIN
Phone	5184274600	PhoneNum
Preparation	2020-11-09	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	199.207.253.96	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	14012520203175000006	FederalOriginalSubmissionId
Federal Original Submission Id	2020-11-12	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	5313285F0E1D25F59368B523AF2DDFEB3B5C8477	AtSubmissionCreationDeviceId
At Submission Filing Device Id	F26B49596AC89D4E9AE12AF0FD2744B8161BFB9F	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JODY LOMEO	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	$1,701,078,323	GrossReceiptsAmt
Group Return For Affiliates	false	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	16	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	9486	TotalEmployeeCnt
Total Volunteers	1340	TotalVolunteersCnt
Total Gross UBI	$8,333,497	TotalGrossUBIAmt
PY Contributions Grants	$20,329,042	PYContributionsGrantsAmt
CY Contributions Grants	$19,266,035	CYContributionsGrantsAmt
PY Program Service Revenue	$1,329,383,884	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,315,666,707	CYProgramServiceRevenueAmt
PY Investment Income	-$2,087,622	PYInvestmentIncomeAmt
CY Investment Income	-$3,370,927	CYInvestmentIncomeAmt
PY Other Revenue	$16,307,589	PYOtherRevenueAmt
CY Other Revenue	$15,904,389	CYOtherRevenueAmt
PY Total Revenue	$1,363,932,893	PYTotalRevenueAmt
CY Total Revenue	$1,347,466,204	CYTotalRevenueAmt
PY Grants And Similar Paid	$612,375	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$724,777	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$722,374,625	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$729,688,368	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$620,737,477	PYOtherExpensesAmt
CY Other Expenses	$635,111,206	CYOtherExpensesAmt
PY Total Expenses	$1,343,724,477	PYTotalExpensesAmt
CY Total Expenses	$1,365,524,351	CYTotalExpensesAmt
PY Revenues Less Expenses	$20,208,416	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$18,058,147	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,433,260,601	TotalAssetsBOYAmt
Total Assets EOY	$1,415,407,913	TotalAssetsEOYAmt
Total Liabilities BOY	$1,102,863,164	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,159,457,210	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$330,397,437	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$255,950,703	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	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,218,080,604	ExpenseAmt
Grant	$724,777	GrantAmt
Revenue	$2,627,171,858	RevenueAmt
Desc	KALEIDA 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 32.8% IN WESTERN NEW YORK, 40.7% IN ERIE COUNTY AND 31.31% 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 2019, THERE WERE 56,441 INPATIENT DISCHARGES, OF WHICH 27% WERE MEDICAID, 42% MEDICARE, 1% UNINSURED, 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 2019. 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	$1,218,080,604	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (true)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	564	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	9486	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	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

Field	Value	IRS element (for citing)
Person	ROBERT NESSELBUSH	PersonNm
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 (35 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd
JODY LOMEO
PRES/CEO EX-OFFICIO W/VOTE	40.0	0.5	Yes (X)	Yes (X)	$2,237,209	$0	$46,524
ALYSON SPAULDING
GENERAL COUNSEL	40.0	0.0		Yes (X)	$1,302,368	$0	$74,397
CHRISTOPHER MALLAVARAP
EMPLOYED PHYSICIAN	40.0	0.0			$963,244	$0	$40,254	Yes (X)
DAVID HUGHES MD
EVP, CMO	40.0	1.0		Yes (X)	$958,489	$0	$44,851
DONALD BOYD
EVP BUSINESS DEVELOPMENT	40.0	1.0		Yes (X)	$882,758	$0	$99,876
JONATHAN SWIATKOWSKI
EVP, CFO (THRU MAY 2019)	40.0	0.5		Yes (X)	$884,713	$0	$91,732
CHERYL KLASS
EVP, CHIEF NURSE EXECUTIVE	40.0	0.0			$865,776	$0	$31,074		Yes (X)
CARROLL HARMON MD
EMPLOYED PHYSICIAN	40.0	0.0			$704,097	$0	$14,662	Yes (X)
CHRISTOPHER LANE
SVP OPERATIONS BGMC	40.0	0.0			$622,923	$0	$88,334		Yes (X)
KAVEH VALI MD
EMPLOYED PHYSICIAN	40.0	0.0			$652,115	$0	$37,241	Yes (X)
AARON HOFFMAN MD
EMPLOYED PHYSICIAN	40.0	0.0			$588,286	$0	$50,023	Yes (X)
ALLEGRA JAROS
SVP OPERATIONS WCHOB	40.0	0.0			$523,027	$0	$95,679		Yes (X)
KATHRYN BASS MD
EMPLOYED PHYSICIAN	40.0	0.0			$593,718	$0	$24,723	Yes (X)
DARCY CRAVEN
SVP OPERATIONS MFS, DMH	40.0	0.0			$578,245	$0	$35,107		Yes (X)
MICHAEL HUGHES
SVP, PUBLIC AFFAIRS MARKETING	40.0	0.0			$533,099	$0	$63,327		Yes (X)
ROBERT NESSELBUSH
CHIEF FINANCIAL OFFICER	40.0	0.0		Yes (X)	$551,829	$0	$12,861
JERRY VENABLE
EVP, CHIEF HR OFCR (THRU OCT)	40.0	0.0		Yes (X)	$493,493	$0	$22,129
STEPHEN HARDY
VP FINANCE	40.0	0.0			$262,550	$0	$4,734		Yes (X)
GEORGE E MATTHEWS MD
DIRECTOR/CHIEF OF SERVICE	1.0	0.0	Yes (X)		$160,170	$0	$31,233
NICHOLAS J AQUINO MD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
LORRIE A CLEMO PHD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
GARY M CROSBY
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
FRANK CURCI
CHAIRMAN	1.0	0.0	Yes (X)		$0	$0	$0
ABEER EDDIB MD
DIRECTOR (BEG. APRIL 2019)	1.0	0.0	Yes (X)		$0	$0	$0
WILLIAM J HOCHUL JR
DIRECTOR (BEG. OCTOBER 2019)	1.0	0.0	Yes (X)		$0	$0	$0
MUHAMMED JAVED MD
DIRECTOR (BEG. OCTOBER 2019)	1.0	0.0	Yes (X)		$0	$0	$0
WILLIAM J MAGGIO JR
VICE CHAIR	1.0	0.0	Yes (X)		$0	$0	$0
TIMOTHY G MCEVOY ESQ
DIRECTOR (BEG. APRIL 2019)	1.0	0.0	Yes (X)		$0	$0	$0
PAUL O'LEARY
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
CHRISTOPHER ROSS
TREASURER	1.0	0.0	Yes (X)		$0	$0	$0
MARY LOU RUSIN RN EDD
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
FRANCISCO VASQUEZ PH
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
DR DAVID MILLING
SECRETARY	1.0	0.0	Yes (X)		$0	$0	$0
CHRISTOPHER T GREENE
DIRECTOR (THRU APRIL 2019)	1.0	0.0	Yes (X)		$0	$0	$0
DARREN J KING
DIRECTOR (THRU APRIL 2019)	1.0	0.0	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$14,358,109	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$908,761	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	870	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (true)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SODEXO MANAGEMENT INC
PO BOX 81049	WOBURN	MA	018131049	CLEANING & LAUNDRY	$4,437,921
WNY RADIOLOGY LLC
PO BOX 4029	BUFFALO	NY	14240	RADIOLOGY SVCS	$4,848,219
HURON CONSULTING SERVICES
3005 MOMENTUM PLACE	CHICAGO	IL	606895330	CONSULTING SERVICES	$5,098,802
ENSEMBLE RCM LLC
9713 NORTHCROSS CENTER CT	HUNTERSVILLE	NC	28078	CONSULTING SERVICES	$1,835,126
XANITOS INC
3809 WEST CHESTER PIKE SUITE 210	NEWTON SQUARE	PA	19073	CLEANING & LAUNDRY	$1,667,107

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	69	CntrctRcvdGreaterThan100KCnt
Related Organizations	$8,484,961	RelatedOrganizationsAmt
Government Grants	$5,782,123	GovernmentGrantsAmt
All Other Contributions	$4,998,951	AllOtherContributionsAmt
Noncash Contributions	$7,966,551	NoncashContributionsAmt
Total Contributions	$19,266,035	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	$1,308,932,501	$1,308,932,501
MANAGEMENT FEES	561000	$72,900		$72,900
LAB SERVICES	621500	$6,661,306		$6,661,306

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,315,666,707	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,383,405	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,279,129	UnrelatedBusinessRevenueAmt
Exclusion	$4,104,276	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,325,492	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,325,492	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,325,492	TotalRevenueColumnAmt
Unrelated Business Revenue	$148,077	UnrelatedBusinessRevenueAmt
Exclusion	$2,177,415	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$344,763,521	SecuritiesAmt
Other	$94,266	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$353,612,119	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$8,848,598	SecuritiesAmt
Other	$94,266	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$8,754,332	TotalRevenueColumnAmt
Exclusion	-$8,754,332	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
REBATE REVENUE	900099	$5,815,256	$5,815,256
MISCELLANEOUS INCOME	561000	$3,919,219	$3,919,219
MANAGEMENT & CONSULTING FEES	541610	$1,769,897		$1,769,897

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,074,525	TotalRevenueColumnAmt
Related Or Exempt Func Income	$802,753	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$172,085	UnrelatedBusinessRevenueAmt
Exclusion	$1,099,687	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$13,578,897	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,347,466,204	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,311,505,151	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$8,333,497	UnrelatedBusinessRevenueAmt
Exclusion	$8,361,521	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$724,777	TotalAmt
Program Services	$724,777	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$9,940,438	TotalAmt
Management And General	$9,940,438	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$554,572,191	TotalAmt
Program Services	$521,205,055	ProgramServicesAmt
Management And General	$33,367,136	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$33,918,351	TotalAmt
Program Services	$28,369,341	ProgramServicesAmt
Management And General	$5,549,010	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$90,319,654	TotalAmt
Program Services	$81,925,587	ProgramServicesAmt
Management And General	$8,394,067	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$40,937,734	TotalAmt
Program Services	$38,249,597	ProgramServicesAmt
Management And General	$2,688,137	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,325,297	TotalAmt
Program Services	$1,116,590	ProgramServicesAmt
Management And General	$1,208,707	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$516,250	TotalAmt
Program Services	$41,250	ProgramServicesAmt
Management And General	$475,000	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$352,119	TotalAmt
Management And General	$352,119	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$149,031,423	TotalAmt
Program Services	$136,312,558	ProgramServicesAmt
Management And General	$12,718,865	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,552,980	TotalAmt
Program Services	$2,591,643	ProgramServicesAmt
Management And General	$961,337	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,838,822	TotalAmt
Program Services	$1,401,922	ProgramServicesAmt
Management And General	$436,900	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$23,679,174	TotalAmt
Program Services	$7,302,861	ProgramServicesAmt
Management And General	$16,376,313	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,112,216	TotalAmt
Program Services	$912,242	ProgramServicesAmt
Management And General	$199,974	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$18,473,950	TotalAmt
Program Services	$14,779,160	ProgramServicesAmt
Management And General	$3,694,790	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$66,180,176	TotalAmt
Program Services	$49,259,019	ProgramServicesAmt
Management And General	$16,921,157	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$15,985,339	TotalAmt
Program Services	$12,031,842	ProgramServicesAmt
Management And General	$3,953,497	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
HEALTHCARE SUPPLIES	$258,889,888	$258,858,949	$30,939
EQUIPMENT RENTAL & MAINTENANCE	$39,163,369	$17,278,548	$21,884,821
SERVICE CONTRACTS	$15,208,323	$13,147,551	$2,060,772
UTILITIES	$7,574,315	$5,379,886	$2,194,429

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$31,227,565	TotalAmt
Program Services	$27,192,226	ProgramServicesAmt
Management And General	$4,035,339	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,365,524,351	TotalAmt
Program Services	$1,218,080,604	ProgramServicesAmt
Management And General	$147,443,747	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$23,249,584	BOYAmt
EOY	$5,893,604	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$14,411,282	BOYAmt
EOY	$7,435,108	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$226,821,972	BOYAmt
EOY	$199,511,134	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	$35,985,553	BOYAmt
EOY	$40,819,247	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,813,625	BOYAmt
EOY	$14,521,394	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,009,152,913	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,326,360,457	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$668,793,829	BOYAmt
EOY	$682,792,456	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$103,249,212	BOYAmt
EOY	$93,488,370	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$43,405,115	BOYAmt
EOY	$43,521,168	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	$307,530,429	BOYAmt
EOY	$327,425,432	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,433,260,601	BOYAmt
EOY	$1,415,407,913	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$187,001,957	BOYAmt
EOY	$193,921,837	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	$9,804,851	BOYAmt
EOY	$7,707,376	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	$338,425,223	BOYAmt
EOY	$318,429,450	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	$567,631,133	BOYAmt
EOY	$639,398,547	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,102,863,164	BOYAmt
EOY	$1,159,457,210	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	$203,277,286	BOYAmt
EOY	$122,051,415	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$127,120,151	BOYAmt
EOY	$133,899,288	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$330,397,437	BOYAmt
EOY	$255,950,703	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,433,260,601	BOYAmt
EOY	$1,415,407,913	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$18,058,147	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$9,078,343	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	-$28,282,956	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$37,183,974	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	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 (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	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)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	Yes (true)	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$200,188	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$151,931	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$352,119	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	GRANTS TO OTHER ORGANIZATIONS & DIRECT CONTACT WITH LEGISLATIVE BODY	FormAndLineReferenceDesc
Explanation	SCHEDULE C, PART II-B, QUESTIONS 1F AND 1G THE AMOUNT REFLECTED FOR PART II-B, QUESTION 1F REPRESENTS THE PORTION OF THE DUES PAID TO THE GREATER NEW YORK HOSPITAL ASSOCIATION AND THE HEALTHCARE ASSOCIATION OF NEW YORK STATE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE AMOUNT REFLECTED FOR PART II-B, QUESTION 1G 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

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$26,993,388	BeginningYearBalanceAmt
Contributions	$2,231,957	ContributionsAmt
Investment Earnings Or Losses	$1,328,801	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,597,860	OtherExpendituresAmt
End Year Balance	$27,956,286	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$30,738,989	BeginningYearBalanceAmt
Contributions	$1,435,796	ContributionsAmt
Investment Earnings Or Losses	-$1,046,152	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,306,974	OtherExpendituresAmt
End Year Balance	$29,821,659	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.63940	BoardDesignatedBalanceEOYPct
Term Endowment Balance EOY	0.36060	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	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	$838,829,336	OtherCostOrOtherBasisAmt
Depreciation	$438,826,612	DepreciationAmt
Book Value	$400,002,724	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,147,053,575	OtherCostOrOtherBasisAmt
Depreciation	$876,284,844	DepreciationAmt
Book Value	$270,768,731	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,556,135	OtherCostOrOtherBasisAmt
Depreciation	$11,249,001	DepreciationAmt
Book Value	$5,307,134	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$682,792,456	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
DEFERRED FINANCING	$8,683,481
INTEREST IN NET ASSETS OF FDNS	$118,697,000
OTHER RECEIVABLES	$66,134,284
OTHER ASSETS	$14,365,644
ESTIMATED 3RD PARTY PAYOR REC	$33,145,023
INTEREST IN NET ASSETS OF UAHS	$86,400,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$327,425,432	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTY PAYORS	$6,052,690
SELF INSURANCE LIABILITY	$144,721,290
OTHER LIABILITIES	$12,690,371
PENSION LIABILITY	$327,275,328
ASSET RETIREMENT OBLIGATIONS	$8,446,172
CAPITAL LEASE OBLIGATIONS	$95,158,975
LINE OF CREDIT	$45,053,721

Field	Value	IRS element (for citing)
Total Liability	$639,398,547	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

INTENDED USE OF ENDOWMENTS:

SCHEDULE D, PART V, QUESTION 4 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

FIN 48 FOOTNOTE:

SCHEDULE D, PART X, QUESTION 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

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$48,719,607	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$48,719,607	SubtotalSpentAmt
Total Spent	$48,719,607	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE F, PART I, LINE 3, COLUMN F	FormAndLineReferenceDesc
Explanation	INVESTMENT AMOUNTS REPORTED ARE DERIVED FROM KALEIDA'S BOOKS AND RECORDS WHICH ARE MAINTAINED ON AN ACCRUAL BASIS.	ExplanationTxt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,306,130	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,457,886	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,848,244	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$396,045,575	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$277,711,674	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$118,333,901	NetCommunityBenefitExpnsAmt
Total Expense	0.08670	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$410,351,705	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$287,169,560	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$123,182,145	NetCommunityBenefitExpnsAmt
Total Expense	0.09030	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,515,467	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,515,647	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$54,540,814	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,756,257	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,784,557	NetCommunityBenefitExpnsAmt
Total Expense	0.02030	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,928,299	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,630,258	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,298,041	NetCommunityBenefitExpnsAmt
Total Expense	0.01710	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$96,984,580	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$41,386,515	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$55,598,245	NetCommunityBenefitExpnsAmt
Total Expense	0.04070	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$507,336,285	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$328,556,075	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$178,780,390	NetCommunityBenefitExpnsAmt
Total Expense	0.13100	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	153	ActivitiesOrProgramsCnt
Persons Served	26448	PersonsServedCnt
Total Community Benefit Expns	$129,031	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$129,031	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	153	ActivitiesOrProgramsCnt
Persons Served	26448	PersonsServedCnt
Total Community Benefit Expns	$129,031	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$129,031	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Reimbursed By Medicare	$183,404,063	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$174,636,891	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$8,767,172	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 (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (6 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
HARLEM ROAD LEASING
MRI EQUIPMENT LEASING	0.5	0.5
AMTON IMAGING LLC
HEALTH CARE SERVICES	0.5	0.5
SITE E LLC
REAL ESTATE LEASING CO	0.5014	0.4986
SOUTHTOWNS IMAGING
IMAGING EQUIPMENT LEASING	0.7	0.3
GL MEDICAL BILLING
MEDICAL BILLING	0.5	0.5
SOUTHTOWNS SURG CTR
PHYSICIAN SERVICES	0.63954	0.36046

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)
Facility	4	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	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 (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	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 (true)	FAPActionsOnNonpaymentInd
Permit Legal Judicial Process	Yes (X)	PermitLegalJudicialProcessInd
Collection Activities	false	CollectionActivitiesInd
None Made	Yes (X)	NoneMadeInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5	GROUP A In 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 communitys 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 Healths 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 Healths 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. Marys 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 Healths 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://kaleidahealth.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 CHNA-CSP were received in 2019.
Part V, Section B, Line 6A	GROUP A 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 THE 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 6B	GROUP A IN 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 AND 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, Lines 7 and 10	WWW.KALEIDAHEALTH.ORG/COMMUNITY/PUBLICATIONS.ASP PART V, SECTION B, LINE 11 GROUP A WITH HOSPITALS LOCATED IN BOTH ERIE AND NIAGARA COUNTIES, KALEIDA HEALTH WORKED COLLABORATIVELY WITH WORK GROUPS LED BY THE ERIE COUNTRY 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 IN ITS 2019-2021 CHNA-CSP. Health Care Needs Addressed in Kaleida Healths 2019-2021 CHNA-CSP: Chronic Disease Heart 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 Community In 2019, Kaleida Health hospitals provided the following: - 14 chronic disease education and screening events reaching an estimated 4,500 individuals including the underserved. - Chronic disease education through a physician-featured Medically Speaking Program resulting in a range of 193 to 781 social media views depending on the specific presentation. - Dietician-led nutrition education sessions focusing on chronic disease including diabetes and pre-diabetes were provided to the underserved at three community locations to increase skills and knowledge for healthy eating and decrease high rates of chronic disease among high-risk populations. - Three Nutrition Tune-Up Days were held providing Kaleida Health employees with one-on-one consults with a dietician focusing on healthy eating and wellness. - Cardiovascular education and screening targeting low-income women was provided in the clinical setting for patients of Kaleida Healths OB-GYN Centers where an estimated 81.5% (2018) of patient visits are reimbursed through Medicaid. In 2019, 366 clinic patients presenting for their annual gynecological appointment were screened for cardiovascular disease and provided education on the disease and its risk factors. - A Little Free Pantry was set up at DeGraff Memorial Hospital to meet the communitys food security needs. - DeGraff clinicians/volunteers provided health education through a Teddy Bear Clinic held October 30, 2019 for 60 local school children ages 3-8 focusing on hand hygiene, triage, nutrition, and exercise. Mental and Substance Use Disorders Kaleida 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 Days In 2019, Kaleida Health hospitals provided the following: - 22 referrals to the newly launched Buffalo MATTERS program were made for patients in Kaleida Health emergency departments including Buffalo General Medical Center (six referrals), DeGraff Memorial Hospital (13 referrals), and Millard Fillmore Suburban Hospital (three referrals) to increase access to the Buprenorphine-based opiate use disorder treatment and to immediately refer patients to treatment. The online, real-time referral program provided directly in the emergency department connects patients with a network of 20 Western New York treatment agencies. - In 2019, 9 Nalaxone Kits were provided to patients/families in Kaleida Health emergency departments through the Kaleida Health Pharmacy - In partnership with the Erie County Department of Health, Medication and Syringe Drop Boxes are provided at the emergency departments of Buffalo General Medical Center/Gates Vascular Institute, John R. Oishei Childrens Hospital, and Millard Fillmore Suburban Hospital in Erie County and DeGraff Memorial Hospital in Niagara County. Erie County and Niagara County Sheriffs Offices pick up and transport contents of drop boxes on a regular basis to Covanta Energy for incineration. - Two Prescription Drug Take Back Days were held in 2019 at Millard Fillmore Suburban Hospital in Erie County and two were held in 2019 at DeGraff Memorial Hospital in Niagara County. Maternal, Infant, and Child Health The 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 Healths delivery hospitals of Oishei Childrens Hospital and Millard Fillmore Suburban Hospital 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 Womens Health Centering Pregnancy Program (Disparity Medicaid population) - Perinatal and Infant Health Safe Sleep Initiative, Yomingo Online Parent Education - Breastfeeding Promotion and Education Program In 2019, Kaleida Health provided the following: - A
PART V, SECTION B, LINE 16J	GROUP A INFORMATION 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 THE 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 AN 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
HIGHPOINTE ON MICHIGAN
1031 MICHIGAN AVE	BUFFALO	NY	14203	INPATIENT SKILLED NURSING FACILITY
CENTER FOR LABORATORY MEDICINE
115 FLINT ROAD	AMHERST	NY	14226	HOSPITAL BASED LAB SERVICES FACILITY
DEGRAFF SKILLED NURSING FACILITY
445 TREMONT STREET	NORTH TONAWANDA	NY	14120	INPATIENT SKILLED NURSING FACILITY
MILLARD FILLMORE SURGERY CENTER
215 KLEIN ROAD	WILLIAMSVILLE	NY	14221	AMBULATORY SURGERY CENTER
MAPLE WEST MEDICAL COMPLEX
705 MAPLE ROAD	AMHERST	NY	14221	MEDICAL SERVICES - OTHER MEDICAL SPECIALTIES
NORTH BUFFALO MEDICAL PARK
900 HERTEL AVE	BUFFALO	NY	14207	MEDICAL SERVICES - PRIMARY CARE, RADIOLOGY OUTPATIENT, OUTPATIENT THERAPY SERVICES
KALEIDA HEALTH FAMILY PLANNING CENTER
1313 MAIN STREET	BUFFALO	NY	14209	MEDICAL SERVICES - PRIMARY CARE
TOWNE GARDEN PEDIATRICS
461 WILLIAM STREET	BUFFALO	NY	14204	MEDICAL SERVICES - PRIMARY CARE
SOUTHTOWNS SURGERY CENTER
5959 BIG TREE ROAD SUITE 100	ORCHARD PARK	NY	14217	AMBULATORY SURGERY CENTER
WCHOB WOMEN'S OBGYN HEALTH CENTER
462 GRIDER STREET	BUFFALO	NY	14215	MEDICAL SERVICES - PRIMARY CARE
WCHOB MCKINLEY OBGYN
3860 MCKINLEY PARKWAY	HAMBURG	NY	14219	MEDICAL SERVICES - PRIMARY CARE
WCHOB CHILD PROTECTION CENTER
556 FRANKLIN STREET	BUFFALO	NY	14202	MEDICAL SERVICES - PRIMARY CARE
STANLEY MAKOWSKI SBHC
1095 JEFFERSON AVE	BUFFALO	NY	14214	SCHOOL BASED PRIMARY CARE SERVICES
HILLERY PARK #27 SBHC
72 PAWNEE PARKWAY	BUFFALO	NY	14210	SCHOOL BASED PRIMARY CARE SERVICES
WESTMINSTER #86 SBHC
24 WESTMINSTER AVE	BUFFALO	NY	14215	SCHOOL BASED PRIMARY CARE SERVICES
DR LYDIA WRIGHT #89 SBHC
106 APPENHEIMER STREET	BUFFALO	NY	14214	SCHOOL BASED PRIMARY CARE SERVICES
BUILD ACADEMY #91 SBHC
340 FOUGERON STREET	BUFFALO	NY	14211	SCHOOL BASED PRIMARY CARE SERVICES
BUFFALO SCHOOL OF TECHNOLOGY SBHC
414 SOUTH DIVISION STREET	BUFFALO	NY	14204	SCHOOL BASED PRIMARY CARE SERVICES
HERMAN BADILLO #76 SBHC
315 CAROLINE STREET	BUFFALO	NY	14201	SCHOOL BASED PRIMARY CARE SERVICES
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, FINANCIAL ASSISTANT - 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 FACILITY, AS FOLLOWS: LESS THAN 200% OF FEDERAL POVERTY GUIDELINE IS AWARDED 100% DISCOUNT 200% - 249% OF FEDERAL POVERTY GUIDELINE IS AWARDED 90% DISCOUNT 250% - 299% OF FEDERAL POVERTY GUIDELINE IS AWARDED 75% DISCOUNT 300% - 349% OF FEDERAL POVERTY GUIDELINE IS AWARDED 60% DISCOUNT 350% - 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 Healths 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 2019, Kaleida Health partnered with several organizations and participated in 153 events to reach 26,448 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 LBGQ 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; Childrens Health; Bariatric / Obesity / BMI; Family Planning; HPV/ STD/STI; Childrens Medicaid Health Homes; Nutrition; Womens Health; Maternity including breast feeding; Kaleida Health Wellness Series / Healthy You. While multiple events were held in various communities across Western New York, the following took place in Buffalo, with several census tracts federally designated as Medically Underserved Areas: - Near East Side and West Side Task Force 10th Annual, Passport to Wellness, an outreach/wellness/medical screening outreach program was held at, local Tops grocery markets targeting mostly Latino and African American communities; and the Broadway Market on Buffalos east side, a medically underserved population where over 36 languages are spoken. - Buffalo East High School - Speaker series with Kaleida Health employees sharing knowledge about their careers with high school students who are preparing for careers as Certified Nursing Assistants, and college preparation. East High school is located in African American community, 14215 zip code, with high rates of health disparities, unemployment, underemployment and is a food desert. In addition, students tour Buffalo General Medical Center, Gates Vascular Institute and Kaleida Labs. - Buffalo Public Library Located in downtown Buffalo, two community wellness events sponsored by Hispanic Heritage Council and the Erie County Public Library. - True Bethel Baptist Church, St. John Baptist Church, Friendship Baptist Church, Linwood God of Christ, Greater Emmanuel Church of Christ, Shiloh Baptist Church, Lincoln Methodist Church, Trinity Baptist Church, St. Lukes AME Church Family Wellness Programs targeting congregations and surrounding underserved community. - Juneteenth Festival Health and wellness education provided underneath the Health Pavilion. Festival is located on Buffalos east side, attracts thousands of people of all age, races, religions, and ethnicities and genders. - Pride Village Following Pride Parade, hundreds of walkers visit Pride Village. Pride Village for health and wellness information. Target audience for this event are LGBTQ. - Komen Walk- Komen Walk takes place in Buffalo, and open to survivors of Breast Cancer, and everyone interested in finding cure for Breast Cancer. - In 2019, Kaleida Health conducted two mens prostate cancer outreach and screening events targeting Buffalos African American and Hispanic population at the Rich Products and True Bethel Baptist Church. Kaleida Health collaborated with WNY Urology and Cancer Care of WNY; and with community and faith based organizations to promote the events including Buffalo Municipal Housing Authority, Buffalo Branch NAACP, Buffalo United Front, Inc., Hispanic Heritage Council of WNY, Hispanic Pastors Association of WNY, Buffalo Block Clubs, local fraternities, Masonic groups, Buffalo Peacemakers, and Stop the Violence groups. The programs are supported by Kaleida Healths pledge to help decrease PSA cancer. - 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. The WUFO listenership is predominately urban, all ages, races, sexual orientations, and ethnic groups in WNY. Listeners reached 81,600. - Buffalo Board of Block Clubs, Buffalo Public Schools and not-for-profit organizations partner with Kaleida Health to provide health and wellness outreach and education at multiple locations. - Second year collaborating with the Buffalo Bills and the Belle Community Center which mostly serves Latino Community. During this event, several departments from Kaleida Health offered wellness, free lab screenings adults and wellness information for all ages. - Kaleida Health partnered with four senior citizen wellness programs and luncheons at the following locations: William Emslie YMCA, Shiller Park Community Center, Canisius College and St. John Tower. - Worked along with several Peace Maker organizations by providing, outreach and literature.
PART III, SECTION A, LINE 2	BAD DEBT EXPENSE DUE 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 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 ARE NO MEDICARE SHORTFALLS INCLUDED IN THE CALCULATION OF COMMUNITY BENEFIT. COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORT, AS REFLECTED IN PART III, LINE 6: KALEIDA HEALTH USED THE FILED, BUT UNAUDITED 2019 CMS MEDICARE COST REPORT TO DETERMINE THE AMOUNTS REPORTED ON THESE LINES.
PART III, SECTION C, 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. COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS KALEIDA HEALTH ASSESSES THE NEEDS OF THE COMMUNITY THROUGH A 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 EXSITING 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: NEW YORK STATE OF HEALTH, HEALTH PLAN MARKETPLACE: ASSISTS WITH NAVIGATING, EDUCATING AND ENROLLMENT IN THE NY STATE OF HEALTH OFFERINGS. DEDICATED AND STATE-TRAINED STAFF IS AVAILABLE TO ASSIST INDIVIDUALS IN PERSON OR VIA THE PHONE. KALEIDA HEALTH OFFERS IN-PERSON APPOINTMENTS AT (4) FOUR DIFFERENT SITE LOCATIONS. FACILITATED ENROLLMENT: ASSISTS ELIGIBLE INDIVIDUALS WITH HEALTH INSURANCE ENROLLMENT BY OFFERING EDUCATION AND APPLICATION ASSISTANCE FOR MEDICAID, CHILD HEALTH PLUS, ESSENTIAL PLANS, STATE AID PROGRAM FOR CHILDREN WITH SPECIAL NEEDS AND ALL QUALIFIED HEALTH PLANS MADE AVAILABLE THROUGH THE NEW YORK STATE OF HEALTH, HEALTH PLAN MARKETPLACE. A DEDICATED TELEPHONE NUMBER IS AVAILABLE AND INFORMATION IS PUBLISHED IN BROCHURES AT KALEIDA SITES AND AT VARIOUS LOCATIONS THROUGHOUT THE COMMUNITY. FINANCIAL ASSISTANCE PROGRAM: AS DESCRIBED ABOVE, THE KALEIDA FINANCIAL ASSISTANCE PROGRAM, IF ELIGIBLE, PROVIDES FREE OR REDUCED-PRICES FOR PATIENTS TREATED AT KALEIDA HEALTH HOSPITALS OR LONG-TERM CARE FACILITIES. DISCOUNTS ARE AWARDED BASED UPON INCOME AND ASSET VERIFICATION. PRESUMPTIVE ELIGIBILITY: KALEIDA HEALTH HAS SHOWN A WILLINGNESS TO EXTEND FINANCIAL ASSISTANCE TO NEEDY PATIENTS WITH OUTSTANDING BILLS WHO HAVE NOT COMPLETED THE CHARITY APPLICATION PROCESS. THIS IS ACHIEVED THROUGH AN AUTOMATED PARO SCORING PROCESS USING PUBLIC RECORDS, REGIONAL COST OF LIVING, ESTIMATED HOUSEHOLD INCOME THRESHOLDS, AND 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 Yorks 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 Childrens Hospital are located in Erie County, the hospitals primary service area. DeGraff Memorial Hospital 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 hospitals 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 County Erie 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 Healths 2019-2021 CHNA-CSP. The countys total population is 919,719 and is comprised of urban, suburban, and rural cities, towns, and villages. Erie Countys 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 Countys population and 10.7% of Buffalos population. Buffalo General Medical Center and Oishei Childrens Hospital are located in the city of Buffalo and serve a high percentage of Buffalos poor and underserved population. Most census tracts in Buffalo are federally designated as Medically Underserved Areas. The town of Amherst is one of the countys 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. Amhersts 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 towns aging population. Niagara County Niagara 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 Healths 2019-2021 CHNA-CSP. The countys total population is 210,433 and is comprised of urban, suburban, and rural cities, towns, and villages. Niagara Countys 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 countys 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. During 2019, there were 56,441 inpatient discharges, of which 27% were Medicaid, 42% Medicaid, 1% were uninsured, and 30% were other. In addition to Kaleida Healths 3 hospitals in Erie County and 1 hospital in Niagara County, there are 9 other hospitals in Erie County and 3 other hospitals in Niagara County serving Western New York per the New York State Department of Health website. More information is available in the Kaleida Health 2019-2021 Community Health Needs Assessment-Community Service Plan (CHNA-CSP). The document was completed in fall 2019, and can be found on the Kaleida Health website at www.kaleidahealth.org/community/publications.asp. Printed copies available upon request at no charge at Kaleida Health Hospitals. Written comments on the 2019-2021 CHNA-CSP are invited and a comment link is provided next to the plan found on the Kaleida Health website. PROMOTION OF COMMUNITY HEALTH KALEIDA HEALTH'S MISSION IS TO "ADVANCE THE HEALTH OF THE COMMUNITYITS VISION IS TO "PROVIDE COMPASSIONATE, HIGH-VALUE, QUALITY CARE, IMPROVING HEALTH IN WESTERN NEW YORK AND BEYOND, EDUCATING FUTURE HEALTH CARE LEADERS AND DISCOVERING INNOVATIVE WAYS TO ADVANCE MEDICINE". KALEIDA HEALTH BOARD OF DIRECTORS KALEIDA HEALTH MAINTAINS CONTROL OVER THE CORPORATION THROUGH ITS SELF-PERPETUATING, 16 MEMBER GOVERNING BOARD OF DIRECTORS. A MAJORITY OF THE BOARD OF DIRECTORS RESIDES IN KALEIDA HEALTH'S PRIMARY SERVICE AREA OF ERIE AND NIAGARA COUNTIES AND IS NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF KALEIDA HEALTH, NOR FAMILY MEMBERS THEREOF. THE BOARD OF DIRECTORS IS COMPRISED OF COMMUNITY LEADERS FROM THE BUSINESS, INDUSTRY, AND HEALTHCARE SECTORS, INCLUDING PHYSICIANS WHO ARE ON THE MEDICAL STAFF. EACH DIRECTOR SIGNS A CONFLICT OF INTEREST STATEMENT AND SERVES A THREE-YEAR TERM. JODEY LOMEO, PRESIDENT AND CEO OF KALEIDA HEALTH SERVES AS AN EX-OFFICIO DIRECTOR WITH VOTING RIGHTS. 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. IN ADDITION TO THE COMMUNITY SERVICE PROGRAMS ADDRESSED IN SECTION VI, PART II COMMUNITY BUILDING SECTION: KALEIDA HEALTH PROVIDES A NUMBER OF ADDITIONAL PROGRAMS AND COLLABORATIONS. KALEIDA HEALTH IS COMMITTED TO EDUCATION AND RESEARCH AS IT SERVES AS A MAJOR CLINICAL TEACHING AFFILIATE OF THE UNIVERSITY AT BUFFALO, JACOBS SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES. THROUGH AFFILIATIONS WITH A NUMBER OF EDUCATIONAL INSTITUTIONS, KALEIDA HEALTH ALSO PROVIDES A CLINICAL EXPERIENCE FOR HEALTH CARE PROFESSIONALS IN TRAINING IN THE FIELDS OF PHARMACY, NURSING, PHYSICIAN ASSISTANTS, SOCIAL WORK, AND REHABILITATION SERVICES. IN 2019, KALEIDA HEALTH PRESENTED ITS SIXTH ANNUAL GATES VASCULAR INSTITUTE SYMPOSIUM: UPDATES IN CARDIAC, VASCULAR, AND NEUROENDOVASCULAR MEDICINE FOR MEDICAL PROFESSIONALS AND STUDENTS. 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 MEDIC

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (18 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	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	N/A	$150,000	FMV	SPONSORSHIP CONTRIBUTION CONTRIBUTION SPONSORSHIP SPONSORSHIP SPONSORSHIP SPONSORSHIP SPONSORSHIP
JACOBS INSTITUTION INC
875 ELLICOTT ST 5TH FL		BUFFALO	NY	14203	263085485	501(C)(3)	$200,000	FMV	SPONSORSHIP CONTRIBUTION
WNY HEALTHENET
2745 GEORGE URBAN BLVD	SUITE 202	DEPEW	NY	14043	043726634	N/A	$106,000	FMV	CONTRIBUTION SPONSORSHIP SPONSORSHIP SPONSORSHIP
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVE		DALLAS	TX	75231	135613797	501(C)(3)	$15,000	FMV	SPONSORSHIP SPONSORSHIP SPONSORSHIP SPONSORSHIP
CONNECTLIFE
4444 BRYAN AND STRATTON WAY		WILLIAMSVILLE	NY	14221	161172453	501(C)(3)	$15,000	FMV	SPONSORSHIP SPONSORSHIP SPONSORSHIP SPONSORSHIP
MERCY FLIGHT
100 AMHERST VILLA ROAD		BUFFALO	NY	14225	222560963	N/A	$10,000	FMV	SPONSORSHIP SPONSORSHIP SPONSORSHIP SPONSORSHIP
KEVIN GUEST HOUSE
782 ELLICOTT STREET		BUFFALO	NY	14203	237218160	501(C)(3)	$12,000	FMV	SPONSORSHIP SPONSORSHIP SPONSORSHIP SPONSORSHIP
UB FOUNDATION
916 KIMBALL TOWER		BUFFALO	NY	14214	161372561	501(C)(3)	$129,000	FMV	SPONSORSHIP SPONSORSHIP SPONSORSHIP SPONSORSHIP
MAKE A WISH FOUNDATION OF WNY
1000 SYLVAN PARKWAY		AMHERST	NY	14228	112645641	501(C)(3)	$11,000	FMV	SPONSORSHIP SPONSORSHIP SPONSORSHIP CONTRIBUTION
AMERICAN CANCER SOCIETY
101 JOHN JAMES AUDUBON PKWY		AMHERST	NY	14228	160743902	501(C)(3)	$10,000	FMV	SPONSORSHIP SPONSORSHIP
ERIE COUNTY MEDICAL CENTER
462 GRIDER STREET		BUFFALO	NY	14215	830382654	501(C)(3)	$10,000	FMV	SPONSORSHIP SPONSORSHIP
NORTH TONAWANDA BOTANCIAL GRADEN
134 MAIN STREET		N TONAWANDA	NY	14120	825234556	501(C)(3)	$10,000	FMV	SPONSORSHIP CONTRIBUTION
ST JOSEPH COLLEGIATE INSTITUTION
845 KENMORE AVENUE		BUFFALO	NY	14223	223137812	N/A	$10,000	FMV	SPONSORSHIP SPONSORSHIP
ST BONAVENTURE UNIVERSITY
PO BOX G		ST BONAVENTURE	NY	14778	160643150	501(C)(3)	$10,000	FMV	SPONSORSHIP SPONSORSHIP
CHILD & FAMILY SERVICES
844 DELAWARE AVENUE		BUFFALO	NY	14209	161004825	501(C)(3)	$7,500	FMV	SPONSORSHIP SPONSORSHIP
PROFESSIONAL NURSES ASSOCIATION
4511 MAIN STREET REAR		SNYDER	NY	14226	160743301	501(C)(3)	$7,500	FMV	SPONSORSHIP SPONSORSHIP
ECMC LIFELINE FOUNDATION
462 GRIDER STREET		BUFFALO	NY	14215	223283946	501(C)(3)	$6,577	FMV	SPONSORSHIP SPONSORSHIP
DAEMEN COLLEGE
4380 MAIN STREET		AMHERST	NY	14226	160759798	501(C)(3)	$5,200	FMV	SPONSORSHIP SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	14	Total501c3OrgCnt
Total Other Org	4	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Form 990, Schedule I:	FormAndLineReferenceDesc
Explanation	PART I, LINE 2 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 (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	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 (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
JODY LOMEO
PRES/CEO EX-OFFICIO W/VOTE	$1,171,572	$237,950	$827,687	$26,933	$19,591	$2,283,733	$604,982
ALYSON SPAULDING
GENERAL COUNSEL	$470,078	$52,375	$779,915	$57,717	$16,680	$1,376,765	$77,780
DAVID HUGHES MD
EVP, CMO	$574,467	$72,800	$311,222	$28,038	$16,813	$1,003,340	$220,210
JONATHAN SWIATKOWSKI
EVP, CFO (THRU MAY 2019)	$434,689	$19,675	$430,349	$74,868	$16,864	$976,445	$179,518
DONALD BOYD
EVP BUSINESS DEVELOPMENT	$639,769	$75,000	$167,989	$83,090	$16,786	$982,634	$0
CHRISTOPHER LANE
SVP OPERATIONS BGMC	$545,117	$51,200	$26,606	$71,532	$16,802	$711,257	$0
CHERYL KLASS
EVP, CHIEF NURSE EXECUTIVE	$548,136	$66,000	$251,640	$23,443	$7,631	$896,850	$0
ALLEGRA JAROS
SVP OPERATIONS WCHOB	$454,078	$43,000	$25,949	$78,985	$16,694	$618,706	$0
MICHAEL HUGHES
SVP, PUBLIC AFFAIRS MARKETING	$356,944	$41,250	$134,905	$62,614	$713	$596,426	$82,508
DARCY CRAVEN
SVP OPERATIONS MFS, DMH	$507,056	$44,700	$26,489	$18,391	$16,716	$613,352	$0
AARON HOFFMAN MD
EMPLOYED PHYSICIAN	$587,325	$0	$961	$33,124	$16,899	$638,309	$0
CHRISTOPHER MALLAVARAPU MD
EMPLOYED PHYSICIAN	$960,535	$0	$2,709	$23,369	$16,885	$1,003,498	$0
CARROLL HARMON MD
EMPLOYED PHYSICIAN	$699,000	$0	$5,097	$13,467	$1,195	$718,759	$0
KAVEH VALI MD
EMPLOYED PHYSICIAN	$651,597		$518	$36,264	$977	$689,356	$0
JERRY VENABLE
EVP, CHIEF HR OFCR (THRU OCT)	$309,450	$46,200	$137,843	$5,600	$16,529	$515,622	$0
KATHRYN BASS MD
EMPLOYED PHYSICIAN	$591,004		$2,714	$23,685	$1,038	$618,441	$0
ROBERT NESSELBUSH
CHIEF FINANCIAL OFFICER	$532,202	$0	$19,627	$5,600	$7,261	$564,690	$0
STEPHEN HARDY
VP FINANCE	$260,195		$2,355	$0	$4,734	$267,284	$0
GEORGE E MATTHEWS MD
DIRECTOR/CHIEF OF SERVICE	$160,170				$31,233	$191,403	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
HEALTH OR SOCIAL CLUB DUES	SCHEDULE J, PART I, LINE 1A 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. SCHEDULE J, PART I, LINE 4A JERRY VENABLE RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $106,876. THIS AMOUNT IS INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III).
EXECUTIVE DEFERRED RETIREMENT PLAN	SCHEDULE J, PART I, LINE 4B DURING THE YEAR, CERTAIN OFFICERS AND KEY EMPLOYEES LISTED ON FORM 990, PART VII, SECTION A PARTICIPATED IN AN EXECUTIVE DEFERRED RETIREMENT PLAN. AS REQUIRED, KALEIDA HAS REPORTED DISTRIBUTIONS MADE UNDER THIS PLAN TO THE PLAN PARTICIPANTS ON SCHEDULE J, PART II, COLUMN (B)(III). ALL DISTRIBUTIONS MADE ARE CALCULATED USING A COMBINATION OF INDIVIDUALIZED DEMOGRAPHIC INPUTS INCLUDING BOTH HISTORICAL COMPENSATION AS WELL AS THE INDIVIDUALS AGE. ADDITIONALLY, DEFERRED RETIREMENT BENEFITS NOT YET PAID HAVE BEEN REPORTED ON SCHEDULE J, PART II, COLUMN (C). THE FOLLOWING OFFICERS AND KEY EMPLOYEES ACHIEVED CERTAIN VESTING MILESTONES DURING 2019 AND AS SUCH RECEIVED DISTRIBUTIONS (SHOWN BELOW) UNDER THE TERMS OF AN EXECUTIVE DEFERRED RETIREMENT PLAN. A PORTION OF THESE DISTRIBUTIONS FOR EACH OF THESE INDIVIDUALS HAVE BEEN PREVIOUSLY REPORTED ON SCHEDULE J, COLUMN(C) IN PRIOR YEAR IRS FORM 990S, WHICH ARE REPORTED IN COLUMN (F) ON THE 2019 SCHEDULE J. DAVID HUGHES, MD $277,570 MICHAEL HUGHES $101,911 JODY LOMEO $780,162 ALYSON SPAULDING $352,088 JONATHAN SWIATKOWSKI $225,830
COMPENSATION FROM UNRELATED ORGANIZATIONS:	DR. GEORGE MATTHEWS, A CURRENT BOARD MEMBER, IS COMPENSATED FOR HIS SERVICES AS CHIEF OF SERVICE FOR KALEIDA HEALTH.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd
A	$3,312,051	$0	$7,650,258	$0	$0	$0	$104,266	$0	$0	$7,545,992	$0	$0	false	false	false
B	$3,181,948	$0	$7,349,742	$0	$0	$0	$0	$0	$0	$6,748,676	$0	$601,066	false	false	false

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	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct
A	false	false	Yes (true)	Yes (true)	false	0	false	false	false	false
B	false	false	Yes (true)	Yes (true)	false	0.00000	false	false	false	false	0.00000	0.00000	0.00000

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	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	Yes (true)	false	false	false	false	false	0	false	false
0
B	false	Yes (true)	false	false	false	false	false	0	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART III, LINE 9, PART IV, LINE 7 AND PART V	FormAndLineReferenceDesc
Explanation	KALEIDA HEALTH DOES NOT CURRENTLY HAVE WRITTEN POLICIES AND PROCEDURES IN PLACE BUT MANAGEMENT REGULARLY REVIEWS POST-ISSUANCE COMPLIANCE OBLIGATIONS TO ENSURE THERE ARE NO VIOLATIONS OF FEDERAL TAX REQUIREMENTS. KALEIDA HEALTH IS CURRENTLY IN THE PROCESS OF ADOPTING WRITTEN POLICIES AND PROCEDURES.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	TOPS MARKETS LLC	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SEE PART V	RelationshipDescriptionTxt
Transaction	$274,876	TransactionAmt
Transaction	SEE PART V	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	FormAndLineReferenceDesc
Explanation	SCHEDULE L, PART IV TOPS MARKETS LLC: FRANK CURCI IS THE CHAIRMAN OF THE BOARD AND A GREATER THAN 35% OWNER OF TOPS MARKETS LLC, WHICH HAD A PHARMACY DISPENSING CONTRACT WITH THE ORGANIZATION DURING THE YEAR.	ExplanationTxt

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp
Securities Publicly Traded		SecuritiesPubliclyTradedGrp
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	VARIOUS MEDICAL EQUIPMENT	Desc
Contribution	3	ContributionCnt
Noncash Contributions Rpt F990	$7,966,551	NoncashContributionsRptF990Amt
Method Of Determining Revenues	REPLACEMENT COST	MethodOfDeterminingRevenuesTxt

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
REVIEW PROCESS FOR FORM 990	Form 990, Part VI, Line 11b 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.
CONFLICT OF INTEREST POLICY	Form 990, Part VI, Section B, Line 12c 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.
COMPENSATION APPROVAL PROCESS	Form 990, PART VI, SECTION B, QUESTIONS 15A & 15B 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.
ACCESS TO ORGANIZATIONAL DOCUMENTS	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 XI, LINE 8 DURING 2019, KALEIDA ADOPTED ASU NO. 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). UPON ADOPTION, KALEIDA ENHANCED ITS METHODOLOGY TO RECOGNIZE REVENUE TO CONFORM TO THE STANDARD. THE PRIOR PERIOD ADJUSTMENT REPORTED ON PART XI, LINE 8 IS DUE TO THIS ADOPTION.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCES MINORITY INTEREST IN SUBSIDIARY 16,409,166 DECREASE IN PENSION LIABILITY (55,584,000) OTHER TRANSFERS NET (3,654,140) CHANGE IN VALUE OF FOUNDATIONS 1,142,000 CHANGE IN VALUE OF UAHS 4,503,000 ------------ TOTAL (37,183,974)
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN AND PURCHASED SVCS TOTAL FEES:XXX-XX-XXXX

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	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
KALEIDA MCO LLC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161570311	DORMANT	NY	$0	$0	KH
KALEIDA IPA LLC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161570380	DORMANT	NY	$0	$0	KH
KALEIDA WNYI LLC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	453189404	HEALTH CARE	NY	-$1,479,027	-$880,096	KH
KALEIDA SERVICES LLC
2100 WEHRLE DRIVE	WILLIAMSVILLE	NY	14221	472284036	ADULT DAYCARE	NY	$127,715	$555,114	KH
MFSC LLC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	261582864	HEALTH CARE	NY	$77,078	$3,662,960	KH

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 (true)
VNA HOME CARE SERVICES
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161491203	HOME HLTHCARE	NY	501(C)(3)	10	KH	Yes (true)
VNA OF WESTERN NEW YORK
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	160743214	HOME HLTHCARE	NY	501(C)(3)	10	KH	Yes (true)
VISK
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	222738425	SUPPORT ORG	NY	501(C)(3)	10	KH	Yes (true)
KALEIDA HEALTH FOUNDATION
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161579143	FUNDRAISING	NY	501(C)(3)	7	KH	Yes (true)
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 (true)
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 (true)
UPPER ALLEGHENY HEALTH SYSTEM INC
515 MAIN STREET	OLEAN	NY	14760	271255425	SUPPORT ORG	NY	501(C)(3)	12A	KH	Yes (true)
OLEAN GENERAL HOSPITAL
515 MAIN STREET	OLEAN	NY	14760	160743102	HOSPITAL	NY	501(C)(3)	3	BRMC	Yes (true)
BRADFORD REGIONAL MED SVCS
116 INTERSTATE PARKWAY	BRADFORD	PA	16701	232875157	PHYS. GROUP	NY	501(C)(3)	3	BRMC	Yes (true)
HEALTH SYSTEM PHYSICIAN PC
130 SOUTH UNION STREET	OLEAN	NY	14760	464304317	PHYS. GROUP	NY	501(C)(3)	10	OGH	Yes (true)

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	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
HARLEM ROAD LEASING LLC
3435 MAIN STREET	BUFFALO	NY	14214	205588135	EQUIPMENT LEASING	NY	KALEIDA HEALTH	UNRELATED	$68,779	$187,435	false	$0	Yes (true)	0.50000
AMTON IMAGING LLC
199 PARK CLUB LANE SUITE 300	WILLIAMSVILLE	NY	14221	262925470	HEALTH CARE	NY	KALEIDA WNYI	RELATED	-$1,101,734	-$5,154,538	false	$0	Yes (true)	0.50000
SITE E LLC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	272124795	REAL ESTATE MGMT	NY	KPI	EXCLUDED	$112,735	$1,630,004	false		false	0.50148
SOUTHTOWNS IMAGING LLC
5959 BIG TREE ROAD SUITE 105	ORCHARD PARK	NY	14127	471123230	EQUIPMENT LEASING	NY	KALEIDA WNYI	UNRELATED	-$390,522	$1,661,024	false	$0	Yes (true)	0.70000
COLLABORATIVE CARE VENTURES LLC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	472365690	HEALTH CARE	NY	KALEIDA HEALTH	EXCLUDED	-$1,067,351	$4,511,279	false	$0	false	0.60000
GREAT LAKES MEDICAL BILLING SVCS LLC
199 PARK CLUB LANE SUITE 300	WILLIAMSVILLE	NY	14221	461668448	MEDICAL BILLING	NY	KALEIDA WNYI	EXCLUDED	-$67,771	-$386,582	false	$0	false	0.50000
ALTUS MANAGEMENT LLC
840 AERO DRIVE SUITE 150	CHEEKTOWAGA	NY	14225	900149133	GROUP PURCHASING	NY	KALEIDA HEALTH	EXCLUDED	$259,656	$2,293,315	false	$0	false	0.59193
SOUTHTOWNS SURGERY CENTER LLC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	464742028	HEALTH CARE	NY	KALEIDA HEALTH	EXCLUDED	$123,094	$4,934,537	false	$0	Yes (true)	0.63171

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 Corp	$1,080,306	$11,274,638	0.10000	Yes (true)
WESTLINK CORPORATION
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161354421	MED & DIAGN SVCS	NY	KALEIDA HEALTH	C Corp	-$25	$100,456	0.10000	Yes (true)
GREAT LAKES INTEGRATED NETWORK INC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	823184375	HEALTH CARE	NY	KALEIDA HEALTH	C Corp	-$2,224	$4,448,250	0.50000	false
KHBC INC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	823184375	HEALTH CARE	NY	GREAT LAKES INT	C CORP	-$5,007,677	$442,141	0.50000	false

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

Transactions Related Org TransactionsRelatedOrgGrp (43 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MILLARD FILLMORE AMBULATORY SURGERY CENTER
c	$520,410	ACTUAL COST
VNA HOME CARE SERVICES
o	$215,782	ACTUAL COST
VNA HOME CARE SERVICES
q	$2,589,324	ACTUAL COST
VNA HOME CARE SERVICES
e	$186,932	ACTUAL COST
VNA OF WESTERN NEW YORK
o	$849,840	ACTUAL COST
VNA OF WESTERN NEW YORK
l	$358,004	ACTUAL COST
VNA OF WESTERN NEW YORK
q	$17,968,573	ACTUAL COST
VNA OF WESTERN NEW YORK
d	$204,469	ACTUAL COST
KALEIDA PROPERTIES INC
q	$116,255	ACTUAL COST
KALEIDA PROPERTIES INC
d	$793,369	ACTUAL COST
SITE E LLC
k	$233,450	ACTUAL COST
VISK
d	$300,450	ACTUAL COST
WOMEN AND CHILDREN'S HOSPITAL FOUNDATION
c	$4,511,419	ACTUAL COST
WOMEN AND CHILDREN'S HOSPITAL FOUNDATION
s	$2,266,926	ACTUAL COST
WOMEN AND CHILDREN'S HOSPITAL FOUNDATION
d	$2,491,779	ACTUAL COST
KALEIDA HEALTH FOUNDATION
c	$3,450,616	ACTUAL COST
KALEIDA HEALTH FOUNDATION
s	$6,316,202	ACTUAL COST
KALEIDA HEALTH FOUNDATION
d	$1,047,756	ACTUAL COST
NORTHTOWN VENTURES LLC
d	$684	ACTUAL COST
SOUTHTOWNS IMAGING LLC
d	$1,760,809	ACTUAL COST
SOUTHTOWNS IMAGING LLC
j	$274,699	ACTUAL COST
SOUTHTOWNS IMAGING LLC
q	$211,534	ACTUAL COST
SOUTHTOWNS IMAGING LLC
l	$17,466	ACTUAL COST
SOUTHTOWNS SURGERY CENTER LLC
l	$950,898	ACTUAL COST
SOUTHTOWNS SURGERY CENTER LLC
j	$818,031	ACTUAL COST
SOUTHTOWNS SURGERY CENTER LLC
r	$221,773	ACTUAL COST
SOUTHTOWNS SURGERY CENTER LLC
d	$4,590,414	ACTUAL COST
COLLABORATIVE CARE VENTURES LLC
q	$92,127	ACTUAL COST
COLLABORATIVE CARE VENTURES LLC
d	$2,383,658	ACTUAL COST
CHILDREN'S HOME HEALTH OF WNY INC
o	$47,375	ACTUAL COST
CHILDREN'S HOME HEALTH OF WNY INC
q	$62,507	ACTUAL COST
CHILDREN'S HOME HEALTH OF WNY INC
e	$141,143	ACTUAL COST
OLEAN GENERAL HOSPITAL
l	$896,017	ACTUAL COST
UAHS
o	$1,125,826	ACTUAL COST
UAHS
q	$4,916,372	ACTUAL COST
UAHS
d	$2,047,191	ACTUAL COST
HEALTH SYSTEM PHYSICIANS PC
o	$468,400	ACTUAL COST
HEALTH SYSTEM PHYSICIANS PC
q	$84,783	ACTUAL COST
HEALTH SYSTEM PHYSICIANS PC
d	$2,755,382	ACTUAL COST
BRADFORD REGIONAL MEDICAL SERVICES PC
o	$155,672	ACTUAL COST
BRADFORD REGIONAL MEDICAL SERVICES PC
q	$159,728	ACTUAL COST
BRADFORD REGIONAL MEDICAL SERVICES PC
d	$813,414	ACTUAL COST
GREAT LAKES INTEGRATED NETWORK INC
d	$2,378,802	ACTUAL COST