KALEIDA HEALTH: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: KALEIDA HEALTH (EIN 16-1533232)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-14
IRS object ID: 202513189349300631
Schema version: 2024v5.2
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-14T13:02:01-06:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	161533232	EIN

Business Name BusinessName

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

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	726 EXCHANGE STREET 300	AddressLine1Txt
City	BUFFALO	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14210	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	HUGH CHISHOLM	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	7168598836	PhoneNum
Signature	2025-11-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	STEPHANIE LONCZAK	PreparerPersonNm
PTIN	P01880207	PTIN
Phone	5184274600	PhoneNum
Preparation	2025-11-12	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DONALD BOYD	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	$1,961,095,403	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.KALEIDAHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1998	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	KALEIDA HEALTH PROVIDES HEALTHCARE SERVICES FOR THE EIGHT COUNTIES OF WNY AT FOUR ACUTE CARE, TWO LT CARE, AND OTHER OUTPATIENT AND PRIMARY CARE SITES.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	10633	TotalEmployeeCnt
Total Volunteers	558	TotalVolunteersCnt
Total Gross UBI	$3,613,016	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$49,001	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$51,408,766	PYContributionsGrantsAmt
CY Contributions Grants	$56,470,515	CYContributionsGrantsAmt
PY Program Service Revenue	$1,589,875,326	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,745,377,936	CYProgramServiceRevenueAmt
PY Investment Income	-$331,751	PYInvestmentIncomeAmt
CY Investment Income	$1,552,919	CYInvestmentIncomeAmt
PY Other Revenue	$47,915,596	PYOtherRevenueAmt
CY Other Revenue	$145,478,539	CYOtherRevenueAmt
PY Total Revenue	$1,688,867,937	PYTotalRevenueAmt
CY Total Revenue	$1,948,879,909	CYTotalRevenueAmt
PY Grants And Similar Paid	$330,400	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$497,750	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$802,426,200	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$899,517,845	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$849,248,535	PYOtherExpensesAmt
CY Other Expenses	$925,657,811	CYOtherExpensesAmt
PY Total Expenses	$1,652,005,135	PYTotalExpensesAmt
CY Total Expenses	$1,825,673,406	CYTotalExpensesAmt
PY Revenues Less Expenses	$36,862,802	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$123,206,503	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,193,283,000	TotalAssetsBOYAmt
Total Assets EOY	$1,281,342,674	TotalAssetsEOYAmt
Total Liabilities BOY	$1,108,550,000	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,040,649,161	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$84,733,000	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$240,693,513	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	KALEIDA HEALTH IS THE LARGEST HEALTHCARE PROVIDER IN WNY, SERVING THE AREA'S EIGHT COUNTIES WITH COMPREHENSIVE SERVICES & PROGRAMS PROVIDED AT FOUR ACUTE CARE, TWO LONG TERM CARE, AS WELL AS OUTPATIENT & PRIMARY CARE SITES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,650,552,815	ExpenseAmt
Grant	$497,750	GrantAmt
Revenue	$1,747,103,746	RevenueAmt
Desc	SEE SCHEDULE OKALEIDA HEALTH IS A VOLUNTARY, NOT-FOR-PROFIT; NEW YORK STATE DEPARTMENT OF HEALTH ARTICLE 28 LICENSED HOSPITAL-BASED HEALTHCARE DELIVERY SYSTEM SERVICING THE COMMUNITIES OF WESTERN NEW YORK STATE AT VARIOUS LEVELS AND WITH FACILITIES IN MULTIPLE LOCATIONS THROUGHOUT THE REGION. KALEIDA HEALTH INCLUDES THE BUFFALO GENERAL MEDICAL CENTER (BUFFALO GENERAL), MILLARD FILLMORE SUBURBAN HOSPITAL (MILLARD SUBURBAN), JOHN R. OISHEI CHILDREN'S HOSPITAL (OISHEI CHILDREN'S HOSPITAL, FORMERLY THE WOMEN & CHILDREN'S HOSPITAL OF BUFFALO), AND DEGRAFF MEMORIAL HOSPITAL (DEGRAFF). IN ADDITION TO THE FOUR KALEIDA HEALTH (KALEIDA) HOSPITALS, KALEIDA OPERATES TWO SKILLED NURSING FACILITIES, AND NUMEROUS OUTPATIENT CLINICS. THE ABOVE FACILITIES OPERATE UNDER ONE TAX IDENTIFICATION NUMBER.OUR FAMILY OF HEALTH CARE ORGANIZATIONS IS BLENDED TOGETHER INTO ONE FRAMEWORK FOR LEADERSHIP, GOVERNANCE, SHARED SERVICES, FINANCIAL INFRASTRUCTURE AND INFORMATION TECHNOLOGY PLATFORMS. COLLECTIVELY, KALEIDA HEALTH'S MARKET SHARE IS 35.76% IN WESTERN NEW YORK, 44.15% IN ERIE COUNTY AND 38.09% IN NIAGARA COUNTY. KALEIDA HEALTH SYSTEM EMPLOYS APPROXIMATELY 14,130 STAFF AND HAS APPROXIMATELY 5,180 MEDICAL STAFF MEMBERS. DURING 2024, THERE WERE 53,399 INPATIENT DISCHARGES, OF WHICH 22% WERE MEDICAID AND MEDICAID MANAGED CARE, 41% MEDICARE AND MEDICARE MANAGED CARE, 36% COMMERCIAL, AND 1% UNINSURED.KALEIDA HEALTH'S MISSION IS TO ADVANCE THE HEALTH OF OUR COMMUNITY. OUR VISION IS TO PROVIDE COMPASSIONATE, HIGH-VALUE, QUALITY CARE, IMPROVING HEALTH IN WESTERN NEW YORK AND BEYOND, EDUCATING FUTURE HEALTH CARE LEADERS AND DISCOVERING INNOVATIVE WAYS TO ADVANCE MEDICINE. OUR VALUES CLEARLY STATE WHO WE ARE AND HOW WE PERFORM OUR WORK:CENTERED: REMAIN CENTERED AROUND THE PATIENT AND FAMILY.ACCOUNTABLE: BE ACCOUNTABLE TO PATIENTS AND EACH OTHER.RESPECT: SHOW RESPECT AND INTEGRITY.EXCELLENCE: PROVIDE EXCELLENCE IN ALL WE DO.KALEIDA HEALTH'S PROGRAMS AND AFFILIATES ARE LICENSED BY THE STATE OF NEW YORK DEPARTMENT OF HEALTH AND ACCREDITED BY DNV. KALEIDA IS CERTIFIED BY THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES FOR PARTICIPATION IN MEDICARE AND MEDICAID. THE ACCREDITATION COUNSEL FOR GRADUATE MEDICAL EDUCATION APPROVES ALL RESIDENCY PROGRAMS FOR PHYSICIANS, AND THE AMERICAN DENTAL ASSOCIATION APPROVES ITS DENTAL AND ORAL SURGERY PROGRAMS. KALEIDA IS ALSO A MEMBER OF THE COUNCIL OF TEACHING HOSPITALS, THE AMERICAN DENTAL ASSOCATION, THE AMERICAN MEDICAL ASSOCATION AND THE GREATER NEW YORK HOSPITAL ASSOCATION.OPERATION OF EMERGENCY ROOMS:KALEIDA HEALTH OPERATES FOUR EMERGENCY ROOMS, ONE IN EACH OF THE ACUTE CARE HOSPITALS, GENERATING A TOTAL OF 142,508 PATIENT VISITS DURING 2024. THE EMERGENCY DEPARTMENTS, WHICH OPERATE 24 HOURS A DAY, SEVEN DAYS EACH WEEK, ARE OPEN TO ANYONE, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES.BOARD OF DIRECTORS AND COMMUNITY GUIDANCE:KALEIDA HEALTH MAINTAINS COMMUNITY CONTROL OVER THE CORPORATION THROUGH ITS BOARD OF DIRECTORS, COMPRISED OF COMMUNITY AND FAITH LEADERS, AND LEADERS IN BUSINESS AND INDUSTRY, HEALTHCARE AND PHYSICIANS REPRESENTING THE MEDICAL STAFF OF KALEIDA HEALTH. THE MAJORITY OF THE DIRECTORS RESIDE IN WESTERN NEW YORK AND EACH DIRECTOR SERVES A THREE-YEAR TERM. OPEN MEDICAL STAFF:AS CONFERRED BY THE BOARD OF DIRECTORS, MEDICAL STAFF MEMBERSHIP IS OFFERED TO PROFESSIONALLY COMPETENT PHYSICIANS, DENTISTS, PODIATRISTS AND OTHER SPECIFIED INDIVIDUALS, WHO CONTINUOUSLY MEET THE QUALIFICATIONS, STANDARDS AND REQUIREMENTS OUTLINED IN THE BYLAWS, RULES AND REGULATIONS, POLICIES OF THE MEDICAL STAFF AND KALEIDA HEALTH, CONSISTENT WITH THE NEEDS OF KALEIDA HEALTH'S PATIENTS. STAFF MEMBERSHIP OR PARTICULAR CLINICAL PRIVILEGES SHALL NOT BE DENIED ON THE BASIS OF AGE, SEX, SEXUAL ORIENTATON, RACE, COLOR, CREED, NATIONAL ORIGIN, A DISABILITY UNRELATED TO THE ABILITY TO FULFILL PATIENT CARE AND MEDICAL STAFF RESPONSIBILITIES OR ANY OTHER CRITERION UNRELATED TO THE EFFICIENT DELIVERY OF QUALITY PATIENT CARE, TO PROFESSIONAL QUALIFICATIONS OR TO THE NEEDS OF THE COMMUNITY, OR TO THE PURPOSES, NEEDS AND CAPABILITIES OF KALEIDA HEALTH. EVERY MEMBER OF THE MEDICAL STAFF ASSISTS THE HOSPITALS IN FULFILLING OUR MISSION AND RESPONSIBILITY TO PROVIDE EMERGENCY AND UNCOMPENSATED CARE FOR THOSE IN NEED.USE OF SURPLUS FUNDS:SURPLUS FUNDS ARE USED TO FURTHER THE MISSION AND OPERATIONS OF KALEIDA HEALTH, SUCH AS REINVESTING IN COMMUNITY BENEFIT PROGRAMS, AND MAKING IMPROVEMENTS IN FACILITIES, PATIENT CARE, MEDICAL, NURSING AND ALLIED HEALTH TRAINING, EDUCATION AND RESEARCH IN SUPPORT OF THE HEALTH NEEDS OF THE COMMUNITY.COMMUNITY BENEFIT PROGRAMS AND SERVICES:KALEIDA HEALTH OFFERS NUMEROUS COMMUNITY BENEFIT PROGRAMS AND SERVICES IN RESPONSE TO THE COMMUNITY'S NEEDS, BY IMPROVING ACCESS TO CARE, IMPROVE PUBLIC HEALTH, ADVANCE KNOWLEDGE AND RELIEVE GOVERNMENT PROGRAMS. THESE PROGRAMS ARE CONDUCTED IN COMMUNITY-BASED SETTINGS SUCH AS SCHOOLS, CHURCHES, COMMUNITY CENTERS, SENIOR CENTERS AND PROGRAMS ARE ALSO OFFERED AT KALEIDA'S HOSPITAL CAMPUSES AND FACILITIES. COMMUNITY BENEFIT PROGRAMS AND SERVICES INCLUDE HEALTH FAIRS, HEALTH SCREENINGS, HEALTH EDUCATION LECTURES AND WORKSHOPS FOR COMMUNITY GROUPS AND THE GENERAL PUBLIC, SCHOOL HEALTH EDUCATION PROGRAMS, AND CONSUMER HEALTH INFORMATION IN THE KALEIDA HEALTH LIBRARIES. KALEIDA ALSO OFFERS A NUMBER OF SUBSIDIZED HEALTH SERVICES SUCH AS OUTPATIENT CLINICS, LONG-TERM CARE SERVICES, WOMEN'S HEALTH CENTERS, DIALYSIS SERVICES, BEHAVIORAL HEALTH SERVICES, SCHOOL-BASED HEALTH CENTERS, EARLY CHILDHOOD PROGRAM, EARLY INTERVENTION SERVICES, FAMILY PLANNING SERVICES, WESTERN NEW YORK CLINICAL INFORMATION EXCHANGE AND HEALTH-E-LINK AND DIAGNOSTIC, THERAPEUTIC AND REHABILITATION SERVICES FOR CHILDREN WITH SPECIAL NEEDS. KALEIDA'S HOSPITALS SERVE AS A MAJOR TEACHING AFFILIATE OF THE STATE UNIVERSITY OF NEW YORK AT BUFFALO'S SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES AND DENTAL MEDICINE, WITH TRAINING TO 400 MEDICAL AND DENTAL RESIDENTS EACH YEAR. KALEIDA IS INVOLVED IN AND SPONSORS RESEARCH PROJECTS, AND WE PROVIDE LOAN FORGIVENESS FOR PHYSICIANS TO ESTABLISH OR JOIN EXISTING PRACTICES THAT SERVE THE UNDERSERVED COMMUNITIES OF BUFFALO AND WESTERN NEW YORK. KALEIDA OFFERS CLINICAL TRAINING FACILITIES AND SUPPORT FOR NURSING AND A NUMBER OF ALLIED HEALTH PROFESSIONAL TRAINING PROGRAMS AT LOCAL COLLEGES AND UNIVERSITIES, AND OTHER PROFESSIONAL DEVELOPMENT/CONTINUING EDUCATION TRAINING PROGRAMS FOR COLLEAGUES FROM HEALTH CARE ORGANIZATIONS ACROSS THE REGION.	Desc
Total Program Service Expenses	$1,650,552,815	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	1270	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	10633	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HUGH CHISHOLM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
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

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	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DONALD BOYD
PRESIDENT AND CEO	40.00	2.50	Yes (X)	Yes (X)	$3,716,363	$0	$47,817
ABEER EDDIB MD
MEDICAL DIRECTOR MFS, BOD	3.00	0.00	Yes (X)		$23,282	$0	$31
TIMOTHY ADAMS MD
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
NICHOLAS J AQUINO MD
DIRECTOR (THRU 4/24)	1.00	0.00	Yes (X)		$0	$0	$0
THOMAS BEAUFORD
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
LORRIE A CLEMO PHD
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
GARY M CROSBY
CHAIRMAN	1.00	0.00	Yes (X)		$0	$0	$0
MUHAMMED JAVED MD
DIRECTOR	1.00	6.50	Yes (X)		$0	$99,333	$0
DANIEL MAGNUSZEWSKI
DIRECTOR (AS OF 4/24)	1.00	0.00	Yes (X)		$0	$0	$0
GEORGE E MATTHEWS MD
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
WILLIAM J MAGGIO JR
DIRECTOR (THRU 4/24)	1.00	0.00	Yes (X)		$0	$0	$0
MICHAEL MCMAHON
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
TIMOTHY G MCEVOY ESQ
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
PAUL O'LEARY
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
JOHN PERSONS
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
CHRISTOPHER ROSS
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
MARY LOU RUSIN RD EDD
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
CHERYL KLASS CHIEF NURSE
EXEC/COO/SVP UAHS (AS OF 9/24)	40.00	2.00		Yes (X)	$2,458,755	$0	$49,523
ALYSON SPAULDING
GENERAL COUNSEL	40.00	0.00		Yes (X)	$1,277,269	$0	$43,046
MATTHEW DRAKE
EVP STRATEGY AND PARTNERSHIPS	40.00	0.00		Yes (X)	$1,062,575	$0	$35,609
MICHAEL MINEO MD
EVP, CHIEF MED OFFICER	40.00	0.00		Yes (X)	$984,455	$0	$33,774
HUGH CHISHOLM
EVP CFO	40.00	0.00		Yes (X)	$726,931	$0	$29,584
IAN BARRETT
EVP, CHIEF HUMAN RES OFFIC	40.00	0.00		Yes (X)	$695,959	$0	$24,848
MARJORIE QUINT-BOUZID
EVP, CHIEF NURSE EXEC	40.00	0.00		Yes (X)	$535,201	$0	$17,905
COURTNEY STARNES
SVP, CHIEF INFO OFF	40.00	0.00		Yes (X)	$527,673	$0	$25,354
KELLY CORBI
EVP CHIEF OP. OFF. (AS OF 10/24)	40.00	0.00		Yes (X)	$246,343	$0	$3,028
BETH HUGHES
PRESIDENT BGMC AND GVI	40.00	0.00			$966,370	$0	$36,704	Yes (X)
JUDY BAUMGARTNER
SVP PRESIDENT MFS & DEGRAFF MEDICAL	40.00	0.00			$818,901	$0	$25,193	Yes (X)
STEPHEN TURKOVICH MD
SVP PRESIDENT OCH	40.00	0.00			$722,269	$0	$32,812	Yes (X)
MICHAEL HUGHES
CHIEF ADMIN. OFF (THRU 12/24)	40.00	0.00			$925,729	$0	$27,372		Yes (X)
CHRISTOPHER MALLAVARAPU MD
EMPLOYED PHYSICIAN	40.00	0.00			$866,656	$0	$63,589		Yes (X)
KAVEH VALI MD
EMPLOYED PHYSICIAN	40.00	0.00			$773,675	$0	$41,280		Yes (X)
VICTOR FILADORA II SVP PRES
GREAT LAKES CANCER CARE (THRU 2/24)	40.00	0.00			$769,338	$0	$16,407		Yes (X)
CARROLL HARMON MD
EMPLOYED PHYSICIAN	40.00	0.00			$700,897	$0	$23,402		Yes (X)
ROBERT NESSELBUSH
FORMER CEO	0.00	0.00			$1,431,648	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$20,230,289	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$99,333	TotReportableCompRltdOrgAmt
Total Other Compensation	$577,278	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2450	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PROLINK HEALTHCARE LLC
4600 MONTGOMERY ROAD SUITE 300	CINCINNATI	OH	45212	STAFFING SERVICES	$34,131,636
CERNER CORPORATION
PO BOX 959156	ST LOUIS	MO	63195	TECH CONSULTANT	$17,065,365
METZ CULINARY MANAGEMENT
TWO WOODLAND DR	DALLAS	PA	18612	DINING SERVICES	$12,334,115
SIEMENS MEDICAL SOLUTIONS USA
PO BOX 120733	DALLAS	TX	753120733	TECH CONSULTANT	$10,780,396
XENTEGRA LLC
PO BOX 1954	HUNTERSVILLE	NC	280701954	IT SERVICES	$2,907,359

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	124	CntrctRcvdGreaterThan100KCnt
Related Organizations	$5,073,156	RelatedOrganizationsAmt
Government Grants	$50,482,217	GovernmentGrantsAmt
All Other Contributions	$915,142	AllOtherContributionsAmt
Total Contributions	$56,470,515	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	$1,741,764,920	$1,741,764,920
LAB SERVICES	561000	$3,503,016		$3,503,016
MANAGEMENT FEES	621500	$110,000		$110,000

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,745,377,936	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,108,399	TotalRevenueColumnAmt
Exclusion	$3,108,399	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,332,584	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$223,372	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,109,212	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,109,212	TotalRevenueColumnAmt
Exclusion	$2,109,212	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$10,436,642	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$11,992,122	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$1,555,480	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,555,480	TotalRevenueColumnAmt
Exclusion	-$1,555,480	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
REBATE REVENUE	900099	$120,423,223	$120,423,223
MISCELLANEOUS INCOME	561000	$20,417,167	$20,417,167
MANAGEMENT & CONSULTING FEES	541610	$1,835,810	$110,000	$1,725,810

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$693,127	TotalRevenueColumnAmt
Exclusion	$693,127	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$143,369,327	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,948,879,909	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,743,490,730	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,613,016	UnrelatedBusinessRevenueAmt
Exclusion	$145,305,648	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$497,750	TotalAmt
Program Services	$497,750	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$17,412,054	TotalAmt
Management And General	$17,412,054	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$706,909,116	TotalAmt
Program Services	$681,655,889	ProgramServicesAmt
Management And General	$25,253,227	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$25,757,366	TotalAmt
Program Services	$7,383,088	ProgramServicesAmt
Management And General	$18,374,278	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$97,115,332	TotalAmt
Program Services	$77,469,291	ProgramServicesAmt
Management And General	$19,646,041	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$52,323,977	TotalAmt
Program Services	$49,389,188	ProgramServicesAmt
Management And General	$2,934,789	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,534,660	TotalAmt
Program Services	$1,239,478	ProgramServicesAmt
Management And General	$1,295,182	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$568,418	TotalAmt
Program Services	$37,852	ProgramServicesAmt
Management And General	$530,566	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$942,032	TotalAmt
Management And General	$942,032	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$245,550,308	TotalAmt
Program Services	$235,842,019	ProgramServicesAmt
Management And General	$9,708,289	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,510,694	TotalAmt
Program Services	$2,995,825	ProgramServicesAmt
Management And General	$514,869	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,565,025	TotalAmt
Program Services	$1,297,652	ProgramServicesAmt
Management And General	$267,373	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,334,527	TotalAmt
Program Services	$1,238,961	ProgramServicesAmt
Management And General	$95,566	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$747,826	TotalAmt
Program Services	$706,797	ProgramServicesAmt
Management And General	$41,029	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$13,683,018	TotalAmt
Program Services	$9,562,168	ProgramServicesAmt
Management And General	$4,120,850	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$73,801,716	TotalAmt
Program Services	$53,182,855	ProgramServicesAmt
Management And General	$20,618,861	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$20,648,195	TotalAmt
Program Services	$14,122,224	ProgramServicesAmt
Management And General	$6,525,971	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
HEALTH CARE SUPPLIES	$385,441,880	$388,686,882	-$3,245,002
SERVICE CONTRACTS	$61,483,636	$19,874,919	$41,608,717
EQUIPMENT RENTAL & MAIN	$53,980,697	$49,815,417	$4,165,280
FOOD	$8,754,238	$8,472,937	$281,301

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$51,110,941	TotalAmt
Program Services	$47,081,623	ProgramServicesAmt
Management And General	$4,029,318	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,825,673,406	TotalAmt
Program Services	$1,650,552,815	ProgramServicesAmt
Management And General	$175,120,591	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$11,667,646	BOYAmt
EOY	$55,582,503	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$167,570,021	BOYAmt
EOY	$244,569,945	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$48,603,378	BOYAmt
EOY	$48,663,940	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$12,857,271	BOYAmt
EOY	$11,708,078	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,173,615,022	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,630,348,371	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$565,437,405	BOYAmt
EOY	$543,266,651	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$95,804,174	BOYAmt
EOY	$98,586,800	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$35,663,063	BOYAmt
EOY	$71,363,999	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$255,680,042	BOYAmt
EOY	$207,600,758	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,193,283,000	BOYAmt
EOY	$1,281,342,674	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$283,762,348	BOYAmt
EOY	$287,417,164	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$247,145,220	BOYAmt
EOY	$256,862,291	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$577,642,432	BOYAmt
EOY	$496,369,706	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,108,550,000	BOYAmt
EOY	$1,040,649,161	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	$55,210,968	BOYAmt
EOY	$209,669,322	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$29,522,032	BOYAmt
EOY	$31,024,191	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$84,733,000	BOYAmt
EOY	$240,693,513	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,193,283,000	BOYAmt
EOY	$1,281,342,674	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$123,206,503	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,492,860	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$30,261,150	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	Yes (1)	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$942,032	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$942,032	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$23,385,601	BeginningYearBalanceAmt
Investment Earnings Or Losses	$818,071	InvestmentEarningsOrLossesAmt
Other Expenditures	$604,720	OtherExpendituresAmt
End Year Balance	$23,598,952	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,971,950	BeginningYearBalanceAmt
Contributions	$1,214,845	ContributionsAmt
Investment Earnings Or Losses	$1,238,603	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,039,797	OtherExpendituresAmt
End Year Balance	$23,385,601	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.43090	BoardDesignatedBalanceEOYPct
Term Endowment Balance EOY	0.56910	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,413,868	OtherCostOrOtherBasisAmt
Book Value	$7,413,868	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$869,561,424	OtherCostOrOtherBasisAmt
Depreciation	$587,636,449	DepreciationAmt
Book Value	$281,924,975	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,279,836,538	OtherCostOrOtherBasisAmt
Depreciation	$1,030,183,666	DepreciationAmt
Book Value	$249,652,872	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,803,192	OtherCostOrOtherBasisAmt
Depreciation	$12,528,256	DepreciationAmt
Book Value	$4,274,936	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$543,266,651	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	OTHER SECURITIES	Desc
Book Value	$71,363,999	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$71,363,999	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
OTHER RECEIVABLES	$91,123,787
OTHER ASSETS	$7,654,051
OPERATING LEASE RIGHT-USE ASSETS	$108,822,920

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$207,600,758	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTY PAYORS	$87,215,925
SELF INSURANCE LIABILITY	$179,442,505
OTHER LIABILITIES	$38,695,511
PENSION LIABILITY	$69,367,400
ASSET RETIREMENT OBLIGATIONS	$10,026,541
CAPITAL LEASE OBLIGATIONS	$111,621,824

Field	Value	IRS element (for citing)
Total Liability	$496,369,706	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

INTENDED USE OF ENDOWMENTS: THE FOLLOWING ARE THE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS: 1) CAPITAL EXPANSION AND IMPROVEMENT 2) ADVANCEMENT OF MEDICAL EDUCATION AND RESEARCH AND HEALTH CARE SERVICES 3) SUPPORT PEDIATRIC HEALTH CARE SERVICES

PART X, LINE 2:

KALEIDA AND SUBSTANTIALLY ALL OF ITS AFFILIATES HAVE BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE ORGANIZATIONS DESCRIBED IN INTERNAL REVENUE CODE (THE CODE) SECTION 501(C)(3) AND, THEREFORE, ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. KALEIDA RECOGNIZES INCOME TAX POSITIONS WHEN IT IS MORE-LIKELY THAN-NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT NEED TO BE RECORDED.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (3 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN	INVESTMENTS	$353,327,835
EUROPE (INCLUDING ICELAND AND GREENLAND)	INVESTMENTS	$21,678,529
SUB-SAHARAN AFRICA	INVESTMENTS	$5,246,076

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$380,252,440	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$380,252,440	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 3:	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 (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,406,714	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,206,411	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,200,303	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$466,647,017	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$341,421,816	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$125,225,201	NetCommunityBenefitExpnsAmt
Total Expense	0.06860	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$483,053,731	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$346,628,227	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$136,425,504	NetCommunityBenefitExpnsAmt
Total Expense	0.07470	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,115,577	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,115,577	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$64,612,104	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,423,740	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,188,364	NetCommunityBenefitExpnsAmt
Total Expense	0.01820	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$81,385,603	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,847,734	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,537,869	NetCommunityBenefitExpnsAmt
Total Expense	0.01840	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$148,113,284	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$79,271,474	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$68,841,810	NetCommunityBenefitExpnsAmt
Total Expense	0.03780	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$631,167,015	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$425,899,701	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$205,267,314	NetCommunityBenefitExpnsAmt
Total Expense	0.11250	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	40	ActivitiesOrProgramsCnt
Persons Served	10000	PersonsServedCnt
Total Community Benefit Expns	$90,926	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$90,926	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	40	ActivitiesOrProgramsCnt
Persons Served	10000	PersonsServedCnt
Total Community Benefit Expns	$90,926	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$90,926	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Reimbursed By Medicare	$182,799,296	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$201,870,460	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$19,071,164	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (6 entries)

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

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

Hospital Facilities HospitalFacilitiesGrp (4 entries)

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.KALEIDAHEALTH.ORG/COMMUNITY	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.KALEIDAHEALTH.ORG/COMMUNITY	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.KALEIDAHEALTH.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.KALEIDAHEALTH.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.KALEIDAHEALTH.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit Legal Judicial Process	Yes (X)	PermitLegalJudicialProcessInd
Collection Activities	0	CollectionActivitiesInd
None Made	Yes (X)	NoneMadeInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5	IN CONDUCTING ITS 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT-COMMUNITY SERVICE PLAN (CHNA-CSP), KALEIDA HEALTH TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY ITS HOSPITALS LOCATED IN ERIE AND NIAGARA COUNTIES, THE PRIMARY SERVICE AREA. FOR EACH COUNTY, KALEIDA HEALTH PARTICIPATED IN COLLABORATIVE WORK GROUPS LED BY THE ERIE COUNTY DEPARTMENT OF HEALTH AND THE NIAGARA COUNTY DEPARTMENT OF HEALTH AND COMPRISED OF REPRESENTATIVES FROM OTHER HOSPITALS, ORGANIZATIONS, AGENCIES, AND SCHOOLS; AND INCLUDED INPUT FROM THE COMMUNITY INCLUDING THE MEDICALLY UNDERSERVED.THE ERIE COUNTY WORK GROUP LAUNCHED THEIR EFFORTS ON DECEMBER 2, 2021 AND HELD REGULAR MEETINGS THROUGHOUT 2021-2022, BOTH VIRTUALLY AND IN-PERSON AT THE ERIE COUNTY FIRE TRAINING FACILITY. THE ERIE COUNTY WORK GROUP COLLABORATED TO CONDUCT A CONSUMER HEALTH SURVEY, COMMUNITY CONVERSATIONS, AND PROFESSIONAL STAKEHOLDER FOCUS GROUP SESSIONS TO SOLICIT INPUT FROM THE COMMUNITY ON THE HEALTH STATUS AND CHALLENGES OF ERIE COUNTY RESIDENTS.COUNTY-WIDE ASSESSMENT ACTIVITIES WERE CONDUCTED IN 2022 INCLUDING A CONSUMER SURVEY WITH 1,394 RESPONDENTS TO DETERMINE HEALTH STATUS AND COMMUNITY HEALTH NEEDS, HEALTH BEHAVIORS, BARRIERS TO HEALTH, HEALTHCARE ACCESS AND UTILIZATION, AND DEMOGRAPHIC INFORMATION. CONCENTRATED EFFORTS WERE MADE TO TARGET LOW-INCOME AND UNDERSERVED POPULATIONS AT SITES INCLUDING THE OFFICE OF THE ERIE COUNTY DEPARTMENT OF SOCIAL SERVICES, ST. LUKE'S MISSION OF MERCY, TOPS MARKETS/AMHERST ST., NIAGARA ST., SAVE-A-LOT/ABBOTT RD.-LACKAWANNA, ERIE COUNTY VACCINATION PODS, VARIOUS LOCATIONS, AMONG OTHERS. SURVEYS WERE DISSEMINATED VIRTUALLY TO ERIE COUNTY RESIDENTS THROUGH PUBLIC WEBSITES, EMPLOYEE/ASSOCIATES INTRANET, FACEBOOK, INSTAGRAM, TWITTER OF ERIE COUNTY DEPARTMENT OF HEALTH, CATHOLIC HEALTH SYSTEMS, AND KALEIDA HEALTH. THREE VIRTUAL COMMUNITY CONVERSATIONS AND FOUR IN-PERSON COMMUNITY CONVERSATIONS WERE HELD IN MARCH AND APRIL 2022 WITH 93 TOTAL PARTICIPANTS. IN ADDITION, 63 ADDITIONAL INDIVIDUAL CONVERSATIONS TOOK PLACE IN MARCH-JUNE 2022 UTILIZING THE SAME QUESTIONS POSED TO THE GROUPS. THESE SESSIONS WERE CONDUCTED TO CAPTURE COMMUNITY INPUT ON THE STATUS OF HEALTH AND HEALTHCARE NEEDS. SESSION LOCATIONS TARGETED A GEOGRAPHIC CROSS-SECTION OF SITES, AGES, AND INCOME LEVELS. WITH THE EXCEPTION OF ONE SUBURBAN LOCATION, THE LOCATIONS OF THE CONVERSATIONS WERE CHOSEN IN AN EFFORT TO INCREASE INPUT FROM POPULATIONS WHOSE VIEWS WERE UNDERREPRESENTED IN COMMUNITY SURVEY RESPONSE. IN FEBRUARY AND MARCH 2022, THE ERIE COUNTY DEPARTMENT OF HEALTH, KALEIDA HEALTH, AND CATHOLIC HEALTH SYSTEM HOSTED THREE PROFESSIONAL STAKEHOLDER FOCUS GROUP SESSIONS TO GATHER INFORMATION FOR THE 2022-2024 CHNA-CSP. PROFESSIONALS FROM HEALTH, MENTAL HEALTH, AND SOCIAL SERVICES ORGANIZATIONS PROVIDED INPUT ON THE COMMUNITY'S CURRENT HEALTH STATUS, NEEDS, AND ISSUES. THE SESSIONS WERE HELD VIA ZOOM ON FEBRUARY 28, 2022, MARCH 1, 2022, AND MARCH 4, 2022 AND INCLUDED 16 PARTICIPANTS PRIMARILY FROM COMMUNITY-BASED OUTPATIENT SITES OF CATHOLIC HEALTH SYSTEMS AND KALEIDA HEALTH. IN ADDITION TO THE REVIEW OF DATA FROM THE NYS PREVENTION AGENDA DASHBOARD AND OTHER RELIABLE SOURCES, THESE ACTIVITIES HELPED TO PRIORITIZE THE HEALTH CARE NEEDS OF THE COUNTY AND THE RESULTING IMPLEMENTATION STRATEGIES; AND ARE INCLUDED IN KALEIDA HEALTH'S 2022-2024 CHNA-CSP AND ALIGNED WITH THE ERIE COUNTY DEPARTMENT OF HEALTH, COMMUNITY HEALTH IMPROVEMENT PLAN.AFTER A DELAY RESULTING FROM COVID-19, THE NIAGARA COUNTY WORK GROUP LAUNCHED THEIR EFFORTS ON FEBRUARY 23, 2022 AND HELD REGULAR MEETINGS THROUGHOUT 2022, BOTH VIRTUALLY AND IN-PERSON AT VARIOUS PARTNER LOCATIONS. THE WORK GROUP COLLABORATED TO CONDUCT A CONSUMER HEALTH SURVEY, FOCUS GROUP SESSIONS, AND A COUNTY-WIDE COMMUNITY STAKEHOLDER EVENT TO SOLICIT INPUT FROM THE COMMUNITY, INCLUDING THE UNDERSERVED, ON THE HEALTH STATUS AND CHALLENGES OF NIAGARA COUNTY RESIDENTS. COUNTY-WIDE ASSESSMENT ACTIVITIES WERE CONDUCTED IN 2022 INCLUDING A CONSUMER SURVEY CONDUCTED IN MARCH-JUNE 2022 WITH 2,399 RESPONDENTS TO DETERMINE HEALTH STATUS AND COMMUNITY HEALTH NEEDS, HEALTH BEHAVIORS, BARRIERS TO HEALTH, HEALTHCARE ACCESS AND UTILIZATION, AND DEMOGRAPHIC INFORMATION. INPUT WAS RECEIVED FROM THE UNDERSERVED WITH CONCENTRATED EFFORTS MADE TO DISTRIBUTE SURVEYS TO LOW-INCOME RESPONDENTS. LINKS WERE PROVIDED ON THE NIAGARA COUNTY DEPARTMENT OF HEALTH'S WEBSITE AND SOCIAL MEDIA AND SHARED WITH THE PARTNERING HOSPITALS FOR ADDITIONAL ELECTRONIC AND PRINT DISSEMINATION. IN-PERSON SURVEY DISTRIBUTION WAS ALSO CONDUCTED BY VARIOUS NIAGARA COUNTY PUBLIC AGENCIES AND ORGANIZATIONS. KALEIDA HEALTH AND DEGRAFF MEDICAL PARK POSTED THE SURVEYS ON THE KALEIDA HEALTH PUBLIC WEBSITE, KALEIDA HEALTH EMPLOYEE WEBSITE, AND ON FACEBOOK AND TWITTER.FIVE FOCUS GROUP SESSIONS WERE CONDUCTED IN MAY 2022 AT NIAGARA COUNTY LOCATIONS INCLUDING HEALTHCARE CLINICS, SUBSIDIZED HOUSING FACILITIES, AND FAITH-BASED/COMMUNITY/SENIOR CENTERS AND INCLUDED THE UNDERSERVED. THE FOCUS GROUPS WERE FACILITATED BY THE NIAGARA COUNTY DEPARTMENT OF HEALTH AND HOSPITAL PARTNERS. THE QUESTIONS WERE CREATED BY POPULATION HEALTH COLLABORATIVE AND USED AT ALL FOCUS GROUPS TO MAINTAIN CONSISTENCY. ADDITIONALLY, A COUNTYWIDE KEY STAKEHOLDER MEETING WAS CONVENED ON SEPTEMBER 12, 2022 AT PUBLIC SAFETY TRAINING CENTER IN LOCKPORT, NY. THE WORK GROUP PARTNERS DEVELOPED THE SESSION AGENDA AND LOGISTICS IN COORDINATION WITH POPULATION HEALTH COLLABORATIVE SERVING AS FACILITATOR. THERE WERE 49 ATTENDEES IN TOTAL. IN ADDITION TO THE PARTNERS, PARTICIPATING ORGANIZATIONS INCLUDED AMS NUTRITION COUNSELING, MENTAL HEALTH ASSOCIATION OF NIAGARA COUNTY, MARCH OF DIMES, GENESEE COUNCIL ON ALCOHOLISM AND SUBSTANCE ABUSE, HIGHMARK HEALTH, FIDELIS CARE, MOBILE SAFETY NET TEAM OF WNY, HORIZON HEALTH SERVICES, NIAGARA COUNTY WIC, AMERICAN HEART ASSOCIATION, ROSWELL PARK CANCER INSTITUTE, NIAGARA PRIDE, NIAGARA COUNTY DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES, NIAGARA COUNTY OFFICE FOR THE AGING, NIAGARA UNIVERSITY, NIAGARA ORGANIZING ALLIANCE FOR HOPE, FAMILY RESIDENCY PROGRAM OF NIAGARA FALLS MEMORIAL MEDICAL CENTER, LEWISTON PORTER CENTRAL SCHOOL DISTRICT, LOCKPORT CITY SCHOOL DISTRICT, NEWFANE CENTRAL SCHOOL DISTRICT, NIAGARA WHEATFIELD CENTRAL SCHOOL DISTRICT, WNY INTEGRATED CARE COLLABORATIVE AND HEART LOVE AND SOUL. DURING THIS MEETING PARTICIPANTS LEARNED ABOUT NIAGARA COUNTY'S CHNA-CSA PROCESS AND INFORMATION AND DATA WAS SHARED FROM THE CONSUMER HEALTH SURVEYS, PROVIDER SURVEYS, AND FOCUS GROUP SESSIONS IMPLEMENTED BY THE WORK GROUP PARTNERS. THE 2019-2024 NYS PREVENTION AGENDA WAS DISCUSSED INCLUDING NIAGARA COUNTY'S PLANS TO FOCUS ON THE PREVENT CHRONIC DISEASE AND PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS PRIORITY AREAS. BREAKOUT SESSIONS WERE HELD AND EACH ORGANIZATION HAD THE OPPORTUNITY TO PROVIDE INPUT FOR THE DEVELOPMENT OF FOCUS AREAS AND INTERVENTIONS ACTIVITES AS A PART OF THE 2022-2024 NIAGARA COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN AND KALEIDA'S CHNA-CSP.THE KALEIDA HEALTH 2022-2024 CHNA-CSP WAS APPROVED BY THE KALEIDA HEALTH BOARD OF DIRECTORS ON DECEMBER 15, 2022. IT IS AVAILABLE TO THE PUBLIC IN THE COMMUNITY HEALTH SECTION OF THE KALEIDA HEALTH WEBSITE AT HTTPS://WWW.KALEIDAHEALTH.ORG/COMMUNITY/. A PAPER VERSION IS AVAILABLE UPON REQUEST AT NO CHARGE AT THE HOSPITALS. WRITTEN COMMENTS ON THE CHNA-CSP ARE INVITED FROM THE PUBLIC THROUGH A LINK ENTITLED "COMMENT ON PLAN" LOCATED NEXT TO THE DOCUMENT THROUGH THE ABOVE LINK. THIS INFORMATION IS DOCUMENTED IN THE CHNA-CSP IN THE DISSEMINATION TO THE PUBLIC SECTION. NO COMMENTS ON THE 2022-2024 CHNA-CSP WERE RECEIVED FROM THE PUBLIC IN 2023.
PART V, SECTION B, LINE 6A	KALEIDA HEALTH'S FOUR HOSPITALS ARE INCLUDED IN ITS 2022-2024 CHNA-CSP: BUFFALO GENERAL MEDICAL CENTER, MILLARD FILLMORE SUBURBAN HOSPITAL, AND OISHEI CHILDREN'S HOSPITAL, ALL LOCATED IN ERIE COUNTY AND DEGRAFF MEDICAL PARK LOCATED IN NIAGARA COUNTY.IN ERIE COUNTY, KALEIDA HEALTH COLLABORATED ON THE CHNA-CSP PROCESS THROUGH A PARTNERSHIP LED BY THE ERIE COUNTY DEPARTMENT OF HEALTH AND INCLUDED UNRELATED HOSPITAL FACILITIES OF CATHOLIC HEALTH SYSTEM.IN NIAGARA COUNTY, KALEIDA HEALTH COLLABORATED ON THE CHNA-CSP PROCESS THROUGH A PARTNERSHIP LED BY THE NIAGARA COUNTY DEPARTMENT OF HEALTH, AND INCLUDED THE FOLLOWING UNRELATED HOSPITAL FACILITIES: CATHOLIC HEALTH SYSTEM- MOUNT SAINT MARY'S HOSPITAL AND HEALTH CENTER, EASTERN NIAGARA HOSPITAL SYSTEM AND NIAGARA FALLS MEMORIAL MEDICAL CENTER.
PART V, SECTION B, LINE 6B	IN ERIE COUNTY, KALEIDA HEALTH COLLABORATED ON THE 2022-2024 CHNA-CSP PROCESS WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES: ERIE COUNTY DEPARTMENT OF HEALTH, BUFFALO STATE COLLEGE (SUNY), D'YOUVILLE UNIVERSITY, NEW YORK STATE PUBLIC HEALTH CORPS/CSSI, POPULATION HEALTH COLLABORATIVE OF WNY, UNITED WAY OF BUFFALO & ERIE COUNTY AND THE UNIVERSITY AT BUFFALO (SUNY) DEPARTMENT OF EPIDEMIOLOGY AND ENVIRONMENTAL HEALTH. IN NIAGARA COUNTY, KALEIDA HEALTH COLLABORATED ON THE 2022-2024 CHNA-CSP PROCESS WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES: NIAGARA COUNTY DEPARTMENT OF HEALTH, NIAGARA COUNTY DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES, AND THE POPULATION HEALTH COLLABORATIVE OF WNY.
PART V, SECTION B, LINE 11	WITH HOSPITALS IN BOTH ERIE AND NIAGARA COUNTIES, KALEIDA HEALTH WORKED COLLABORATIVELY WITH WORK GROUPS LED BY THE ERIE COUNTY DEPARTMENT OF HEALTH AND THE NIAGARA COUNTY DEPARTMENT OF HEALTH TO REVIEW HEALTH CARE DATA, DISSEMINATE CONSUMER SURVEYS AND CONDUCT FOCUS GROUP SESSIONS TO PRIORITIZE SIGNIFICANT HEALTH NEEDS AND IMPLEMENTATION STRATEGIES FOR EACH COUNTY. THE STRATEGIES FURTHER ALIGN WITH THE PRIORITY AREAS OF THE NEW YORK STATE PREVENTION AGENDA. KALEIDA HEALTH INCLUDED THESE COLLABORATIVE PRIORITY AREAS IN ITS 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT-COMMUNITY SERVICES PLAN (CHNA-CSP).ERIE COUNTY: PREVENT CHRONIC DISEASE, PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS, PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN (WHILE ONLY TWO PRIORITY AREAS ARE REQUIRED PER COUNTY, BASED ON COMMUNITY NEED, THE ERIE COUNTY DEPARTMENT OF HEALTH AND KALEIDA HEALTH ADDED THIS THIRD PRIORITY AREA).NIAGARA COUNTY: PREVENT CHRONIC DISEASE, PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS.HEALTH CARE NEEDS ADDRESSED IN KALEIDA HEALTH'S 2022-2024 CHNA-CSPHEART DISEASE IS THE NUMBER ONE CAUSE OF DEATH IN ERIE AND NIAGARA COUNTIES ACCOUNTING FOR 164.9 PER 100,000 POPULATION OF ALL DEATHS IN ERIE COUNTY AND 211.3 PER 100,000 IN NIAGARA COUNTY (2019 COUNTY HEALTH RANKINGS), AND THERE IS A HIGH INCIDENCE OF RISK FACTORS AMONG RESIDENTS INCLUDING HIGH BLOOD PRESSURE, DIABETES, OBESITY AND SMOKING. HEART DISEASE FURTHER AFFECTS MINORITY AND UNDERSERVED POPULATIONS DISPROPORTIONALLY. THE MORTALITY RATE FOR DISEASES OF THE HEART PER 100,000 POPULATION (AGE-ADJUSTED) FOR ERIE COUNTY IS 199.5 FOR NON-HISPANIC, AFRICAN AMERICANS, 168.4 FOR WHITES, AND 132.3 FORHISPANICS; AND IN NIAGARA COUNTY, THE MORTALITY RATES ARE 306.1 FOR NON-HISPANIC, AFRICAN AMERICANS, 201.2 FOR WHITES, AND 132 FOR HISPANICS (2017-2019, ERIE COUNTY AND NIAGARA COUNTY HEALTH INDICATORSBY RACE/ETHNICITY, NYS DEPARTMENT OF HEALTH). IN COLLABORATION WITH THE ERIE COUNTY DEPARTMENT OF HEALTH AND THE NIAGARA COUNTY DEPARTMENT OF HEALTH WORK GROUPS, KALEIDA HEALTH SELECTED "PREVENT CHRONIC DISEASE" AS ONE OF ITS NYS PREVENTION AGENDA PRIORITIES. KALEIDA HEALTH HOSPITALS IDENTIFIED THE FOLLOWING COMMUNITY HEALTH ACTIVITIES TO ADDRESS CHRONIC DISEASE IN ITS 2022-2024 CHNA-CSP:ERIE COUNTY- HEALTHY EATING AND FOOD SECURITY- COMMUNITY NUTRITION EDUCATION AND HEALTHY MOBILE FOOD MARKETS (DISPARITY-LOW INCOME POPULATION), WORKSITE NUTRITION AND WELLNESS PROGRAM- PREVENTIVE CARE AND MANAGEMENT - CARDIOVASCULAR EDUCATION AND SCREENING PROGRAM IN OB-GYN CENTERS (DISPARITY - FEMALE, MEDICAID POPULATION), CHRONIC DISEASE EDUCATION AND SCREENING PROGRAMS FOR THE COMMUNITYNIAGARA COUNTY- HEALTHY EATING AND FOOD SECURITY - LITTLE FREE PANTRY (DISPARITY - FOOD INSECURE POPULATION- PREVENTIVE CARE AND MANAGEMENT - CHRONIC DISEASE EDUCATION AND SCREENING PROGRAMS FOR THE COMMUNITYIN 2024, KALEIDA HEALTH HOSPITALS PROVIDED THE FOLLOWING CHRONIC DISEASE INTERVENTIONS:IN 2024, PROGRAM IMPLEMENTATION OF THE 2023-2024 GOALS OUTLINED IN THE CHNA-CSP CONTINUED. RESULTS AND PROGRESS TOWARDS GOALS IS HIGHLIGHTED BELOW.- A HEALTHY MOBILE FOOD MARKET WITH FRESH PRODUCE WAS SET UP AT AN OUTDOOR SITE ON THE MFSH CAMPUS IN JUNE - NOVEMBER 2024. COULTER FARMS WAS THE VENDOR AND ON SITE EACH FRIDAY THROUGH THE END OF OCTOBER. TO BEST MEET THE NEED OF CUSTOMERS, THE MOBILE MARKET OPTED TO ONLY BEING PRESENT ONE DAY A WEEK, BUT ADDING THE OPTION TO ORDER AHEAD OR PURCHASE FOOD BOXES ON SITE. NUTRITION EDUCATION WAS DISTRIBUTED AT THE MARKET. BUFFALO GENERAL MEDICAL CENTER [IN CLOSE PROXIMITY TO JOHN R. OISHEI HOSPITAL] PLANNED TO HOST BUFFALO-BASED URBAN FRUITS AND VEGGIES, AN OUTDOOR MARKET OF HEALTHY FRUITS AND VEGETABLES AND NUTRITIONAL EDUCATION SERVING THE CAMPUS AND ADJACENT LOW-INCOME FRUIT BELT NEIGHBORHOOD TWO DAYS PER MONTH FROM MAY-OCTOBER 2024. ADDITIONALLY, JOHN R. OISHEI CHILDREN'S HOSPITAL PARTNERED WITH A LOCAL URBAN FARM, MASSACHUSSETTS AVENUE PROJECT, TO BRING THEIR MOBILE FRESH FOOD MARKET TO OISHEI'S 1021 BROADWAY CLINIC AND TO 1028 MAIN STREET, HOME OF THE CHILDREN'S PSYCHIATRY CLINIC. THE MARKETS OFFERED FRESH FRUITS AND VEGETABLES TO PATIENTS AND RESIDENTS OF THE SURROUNDING EAST BUFFALO NEIGHBORHOOD. ADDITIONALLY, BUFFALO GO GREEN PROVIDED FOOD BOXES TO OISHEI'S NIAGARA STREET PEDIATRIC CLINIC.- IN 2024, THE PARTNERSHIP BETWEEN KALEIDA HEALTH AND ITS FOOD VENDOR METZ CULINARY MANAGEMENT AND THE BUFFALO NIAGARA MEDICAL CAMPUS CONTINUED TO HELP BRING MORE LOCALLY GROWN AND SOURCED PRODUCE, MEATS AND OTHER MENU ITEMS TO THE CAFETERIAS AT BUFFALO GENERAL MEDICAL CENTER, JOHN R. OISHEI CHILDREN'S HOSPITAL, AND HIGHPOINTE ON MICHIGAN. KALEIDA HEALTH EMPLOYEES, PATIENTS AND VISITORS WERE PROVIDED INFORMATION ON HEALTHY EATING AND NUTRITION, AND WERE INTRODUCED TO THE FARMERS BEHIND THE PRODUCTS. THE METZ CHEFS AND GENERAL MANAGERS VISITED LOCAL FARMS TO LEARN NEW AGRICULTURAL METHODS AND SUSTAINABLE PRACTICES. THROUGH THE METZ FARM TO HOSPITAL PARTNERSHIP, KALEIDA HEALTH PROVIDES EMAILS VIA CAMPUS E-NEWS TO EMPLOYEES OF PARTICIPATING FACILITIES, PROMOTING FACTS ON THE BENEFITS OF LOCAL FRUIT AND VEGETABLES, AS THEY ARE FRESHER AND SAFER THAN MANY STORE-BOUGHT OPTIONS.-WHILE NO NUTRITION TUNE UP DAYS WERE HELD IN 2024 DUE TO STAFF TURNOVER, EMPLOYEES WERE ABLE TO VISIT A KALEIDA HEALTH DIETICIAN AT VARIOUS TIMES AT BUFFALO GENERAL MEDICAL CENTER FOR NUTRITION/WELLNESS CONCERNS AND RECEIVED NUTRITION EDUCATION AND PRINT MATERIALS.- IN 2024, THERE WERE MANY WELLNESS ACTIVITIES FOR EMPLOYEES OF BUFFALO GENERAL MEDICAL CENTER AND JOHN R. OISHEI CHILDREN'S HOSPITAL IN COLLABORATION WITH THE BUFFALO NIAGARA MEDICAL CAMPUS (BNMC). WALKS ON WEDNESDAY PROGRAM DID SUCCESSFULLY CONTINUE IN 2024.- CARDIOVASCULAR EDUCATION AND SCREENING TARGETING LOW-INCOME PATIENTS WAS PROVIDED AT KALEIDA HEALTH'S OB-GYN CENTERS WHERE AN ESTIMATED 72% OF PATIENT VISITS ARE REIMBURSED THROUGH MEDICAID. IN 2024, OVER 2,000 CLINIC PATIENTS WERE SCREENED FOR CARDIOVASCULAR DISEASE AND PROVIDED COUNSELING AND EDUCATION. OVER 75% OF PATIENTS WERE SCREENED, WELL OVER THE 60% SCREENING TARGET SET FORTH IN THE CHNA-CSP.IN-PERSON CHRONIC DISEASE RISK FACTOR EDUCATION AND SCREENING EVENTS THROUGH KALEIDA HEALTH HOSPITALS IN ERIE AND NIAGARA COUNTIES WERE REPLACED WITH VIRTUAL PROGRAMS DURING THE COVID-19 PANDEMIC, AND THEIR SUCCESS LED TO THE CONTINUATION OF VIRTUAL EDUCATIONAL PROGRAMMING.- IN 2024, OVER 10,000 INDIVIDUALS PARTICIPATED IN VIRTUAL HEALTHY U PROGRAMS VIA FACEBOOK LIVE. KALEIDA HEALTH HOSTED 12 HEALTHY U CLASSES. TRAFFIC TO HEALTHY U CLASS VIDEOS INCREASED SIGNIFICANTLY DUE TO PAID SOCIAL MEDIA ADVERTISING FOR THE PROGRAM.- IN 2024, WEEKLY MEDICAL MINUTE VIDEOS WERE PRESENTED ON WIVB-TV, CH. 4 AND KALEIDA HEALTH SOCIAL MEDIA ON HEALTH RELATED TOPICS. ENGAGEMENT INCREASED YEAR OVER YEAR FROM 2023.- IN 2024, THE MEDICALLY SPEAKING INTERVIEW SERIES PROVIDED 15 COMMUNITY HEALTH EDUCATION VIDEOS ON VARIOUS HEALTH TOPICS TO OVER 20,000 VIEWERS ON KALEIDA HEALTH FACEBOOK AND AT WWW.KALEIDAHEALTH.ORG/MEDICALLY-SPEAKING.- IN 2024, THE LITTLE FREE PANTRY AT DEGRAFF MEDICAL PARK CONTINUED TO PROVIDE COMMUNITY ACCESS TO A FREE SOURCE OF FOOD AT AN ON-SITE, SELF-CONTAINED OUTDOOR PANTRY TO PROMOTE FOOD SECURITY AMONG UNDERSERVED POPULATIONS. DEGRAFF PROVIDES HEALTH EDUCATION LITERATURE AND EMPLOYEES AND COMMUNITY MEMBERS WORK TO KEEP THE PANTRY STOCKED WITH HEALTHY, NUTRITIONAL ITEMS.- IN 2024, KALEIDA HEALTH'S HERTEL-ELMWOOD INTERNAL MEDICINE CLINIC RECEIVED FUNDING FROM NEW YORK STATE DEPARTMENT OF HEALTH AND HEALTH RESEARCH INC. THROUGH THE COMPREHENSIVE CANCER CONTROL PROGRAM TO PROVIDE A COLORECTAL CANCER SCREENING-PROFESSIONAL EDUCATION PROGRAM FOR STAFF, PHYSICIANS, AND RESIDENTS; AND A LUNG CANCER SCREENING AND EDUCATION PROGRAM TARGETING THE CLINIC'S SURROUNDING LOW-INCOME COMMUNITY. PARTNERS INCLUDED UBMD, UNIVERSITY AT BUFFALO SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES, NYS ERIE COUNTY CANCER SERVICES, GREAK LAKES IMAGING, AMERICAN CANCER SOCIETY, AND AMERICAN LUNG ASSOCIATION.
PART V, SECTION B, LINE 11, CONTINUED	MENTAL AND SUBSTANCE USE DISORDERSKALEIDA HEALTH, IN COLLABORATION WITH THE ERIE COUNTY DEPARTMENT OF HEALTH AND THE NIAGARA COUNTY DEPARTMENT OF HEALTH IDENTIFIED THE RISING OPIOID ADDICTION PROBLEM AS A DIRE AREA OF CONCERN FOR THEIR COMMUNITIES. THE PROBLEM HAS BEEN ON THE RISE NATIONALLY AND BOTH COUNTIES HAVE BEEN SIGNIFICANTLY AFFECTED. IN 2015 AND 2016, OPIOID USE INCREASED DRAMATICALLY IN NEW YORK STATE (NYS) AND THE COUNTIES OF ERIE AND NIAGARA WERE LARGELY IMPACTED. IN 2016, THE OPIOID BURDEN (CRUDE RATE PER 100,000 POPULATION) WAS 352.2 IN ERIE COUNTY AND 416.5 IN NIAGARA COUNTY, SOME OF THE HIGHEST RATES IN NYS. IN ADDITION TO STATISTICAL DATA ON OPIOID USE, RESULTS FROM ERIE COUNTY AND NIAGARA COUNTY CONSUMER SURVEYS AND FOCUS GROUP SESSIONS INDICATED THE NEED TO ADDRESS THE PROBLEM. WHILE THE OPIOID BURDEN RATE DECREASED FROM 2016-2019, IT INCREASED AGAIN SHARPLY IN 2020 AND 2021 AS A RESULT OF THE COVID-19 PANDEMIC, AND IMPACTS INDIVIDUALS OF ALL RACES AND BACKGROUNDS, WHETHER THEY RESIDE IN URBAN, RURAL OR SUBURBAN AREAS. OPIOID USE INCLUDES BOTH SYNTHETICS AND HEROIN, AND THE PROBLEM HAS BECOME EXACERBATED BY THE LACING OF OPIOIDS WITH DEADLY ADDITIVES SUCH AS FENTANYL.KALEIDA HEALTH IDENTIFIED THE FOLLOWING COMMUNITY HEALTH ACTIVITIES IN ITS 2022-2024 CHNA-CSP TO ADDRESS THE OPIOID ADDICTION PROBLEM:ERIE COUNTY AND NIAGARA COUNTY- PREVENT OPIOID AND OTHER SUBSTANCE MISUSE AND DEATH MATTERS BUPRENORPHINE AND TREATMENT REFERRAL PROGRAM; AVAILABILITY, ACCESS, LINKAGE TO OPIOID OVERDOSE REVERSAL MEDICATIONS; MEDICATION AND SYRINGE DROP BOXES IN HOSPITAL EMERGENCY DEPARTMENTS AND DRUG TAKE-BACK DAYS (DISPARITY SUBSTANCE USE POPULATION)IN 2024, KALEIDA HEALTH HOSPITALS PROVIDED THE FOLLOWING SUBSTANCE USE DISORDER INTERVENTIONS:-IN 2024, KALEIDA HEALTH HOSPITALS PARTICIPATED IN NEW YORK MATTERS, A HOSPITAL-INITIATED BUPRENORPHINE AND TREATMENT REFERRAL PROGRAM. THIS ONLINE, REAL-TIME REFERRAL PROGRAM CONNECTS PATIENTS PRESENTING IN THE EMERGENCY ROOM WITH OPIATE USE DISORDERS TO A NETWORK OF 20 WESTERN NEW YORK TREATMENT AGENCIES. PATIENTS MAY BE REFERRED THROUGH EMERGENCY TELEMEDICINE EVALUATION, FROM THE ER OR INPATIENT SETTINGS, THROUGH EMS/POLICE/FIRE ALONG WITH A WIDE RANGE OF COMMUNITY ORGANIZATIONS. IN 2024, 20+ REFERRALS WERE MADE TO NEW YORK MATTERS AT KALEIDA HEALTH EMERGENCY DEPARTMENTS.-KALEIDA HEALTH EMERGENCY DEPARTMENTS AT BUFFALO GENERAL MEDICAL CENTER AND MILLARD FILLMORE SUBURBAN HOSPITAL AND DEGRAFF MEDICAL PARK PROVIDE PATIENT ACCESS TO OVERDOSE REVERSAL MEDICATION INCLUDE NALOXONE THROUGH THE KALEIDA HEALTH PHARMACY. IN 2024, 50+ NALOXONE KITS, AN OVERDOSE REVERSAL MEDICATION, WERE PROVIDED TO PATIENTS/FAMILIES IN KALEIDA HEALTH EMERGENCY DEPARTMENTS. IN 2021, FENTANYL TEST STRIPS WERE ADDED TO THE NARCAN KITS TO HELP TO DECREASE ACCIDENTAL OVERDOSE DUE TO FENTANYL-LACED PRODUCTS THIS CONTINUED IN 2024. IN AN EFFORT TO LESSON ADDICTION, PATIENTS ARE GIVEN A 72 HOUR SUPPLY OF BUEPHENORPHINE AND NUROFEN AND GIVEN ASSISTANCE IN ENROLLING IN A SUBSTANCE ABUSE PROGRAM. 20 MILLION+ TEST STRIPS HAVE BEEN DISTRIBUTED ACROSS NYS IN 2024.-IN PARTNERSHIP WITH THE ERIE COUNTY DEPARTMENT OF HEALTH, MEDICATION AND SYRINGE DROP BOXES ARE PROVIDED AT THE EMERGENCY DEPARTMENTS OF KALEIDA HEALTH HOSPITALS. HOWEVER, THE ERIE AND NIAGARA COUNTY SHERIFF'S OFFICES WERE NOT AUTHORIZED TO PICK UP AND TRANSPORT CONTENTS OF DROP BOXES ON A REGULAR BASIS FOR INCINERATION SO THE BOXES WERE TAKEN AWAY.-PRESCRIPTION DRUG TAKE BACK DAYS WERE HELD IN APRIL AND OCTOBER AT MILLARD FILLMORE SUBURBAN HOSPITAL IN ERIE COUNTIE AND AT DEGRAFF MEDICAL PARK IN NIAGARA COUNTY.PROMOTE HEALTHY WOMEN, INFANTS, AND CHILDRENTHE HEALTH OF WOMEN, INFANTS, CHILDREN AND THEIR FAMILIES IS FUNDAMENTAL TO POPULATION HEALTH AND IS A PRIORITY AREA FOR THE 2019-2024 NYS PREVENTION AGENDA. ERIE COUNTY AND NIAGARA COUNTY BOTH HAVE HIGH RATES OF INFANT AND MATERNAL MORTALITY, PREMATURE BIRTH, LOW BIRTHWEIGHT BABIES, AND TEEN PREGNANCY RATES. THESE RATES ARE AFFECTED BY MULTIPLE DISPARITIES INCLUDING RACE, POVERTY, AND LACK OF ACCESS TO QUALITY PRENATAL CARE, AS WELL AS OTHER SOCIAL DETERMINANTS OF HEALTH SUCH AS OBESITY, SMOKING, SUBSTANCE USE, AND MENTAL HEALTH DISORDERS. ERIE COUNTY AND NIAGARA COUNTY INFANT MORTALITY RATES ARE SIGNIFICANTLY HIGHER THAN NYS RATES PER 2014-2016 NYS VITAL STATISTICS DATA:-THE INFANT MORTALITY RATE PER 1,000 LIVE BIRTHS (<1 YEAR) FOR ERIE COUNTY IS 5.6, AND THE RATE FOR NIAGARA COUNTY IS 5.4 WHILE THE NYS RATE IS 4.4.-THE PERCENTAGE OF LOW BIRTHWEIGHT BIRTHS (<2.5 KG) IS 8.8% IN ERIE COUNTY, 6.6% IN NIAGARA COUNTY VERSUS THE NYS RATE OF 9.0% DISPARITIES EXIST AMONG MINORITY POPULATIONS GIVEN THAT THE PERCENTAGE OF LOW BIRTHWEIGHT BABIES IN ERIE COUNTY IS 6.7% AMONG THE WHITE POPULATION AND 13.8% AMONG THE AFRICAN AMERICAN/BLACK POPULATION.-WHILE THE HEALTH BENEFITS OF BREASTFEEDING ARE WELL DOCUMENTED AND PROMOTED AMONG NEW MOTHERS, THERE IS MORE WORK TO BE DONE TO INCREASE RATES THROUGHOUT ERIE AND NIAGARA COUNTIES. THE PERCENTAGE OF INFANTS FED ANY BREAST MILK IN A DELIVERY HOSPITAL IS 76% IN ERIE COUNTY, 70.9% IN NIAGARA COUNTY, MUCH LOWER THAN THE NYS RATE OF 88.6%.KALEIDA HEALTH'S DELIVERY HOSPITALS OF OISHEI CHILDREN'S HOSPITAL (OCH) AND MILLARD FILLMORE SUBURBAN HOSPITAL (MFS) ARE LOCATED IN ERIE COUNTY. THEREFORE, KALEIDA HEALTH SELECTED MATERNAL, INFANT, AND CHILD HEALTH AS ONE OF ITS NYS PREVENTION AGENDA PRIORITIES FOR ERIE COUNTY AND IDENTIFIED THE FOLLOWING COMMUNITY HEALTH ACTIVITIES TO ADDRESS IN ITS 2022-2024 CHNA-CSP:ERIE COUNTY-PERINATAL AND INFANT HEALTH SAFE SLEEP INITIATIVE, YOMINGO ONLINE PARENT EDUCATION, BREASTFEEDING PROMOTION AND EDUCATION PROGRAMIN 2024, KALEIDA HEALTH PROVIDED THE FOLLOWING MATERNAL, INFANT, CHILD HEALTH INTERVENTIONS:-THROUGH THE SAFE SLEEP INITIATIVE, IN 2024, OISHEI CHILDREN'S HOSPITAL (OCH) AND MILLARD FILLMORE SUBURBAN HOSPITAL (MFS) PROVIDED SAFE SLEEP EDUCATION AND THE HALO SLEEP SACK FOR ALL NEWBORNS; AND AT OCH FOR ADMITTED PEDIATRIC PATIENTS UP TO ONE YEAR OF AGE AS PROVIDED BY TOPS FRIENDLY MARKETS AND THE CHILDREN'S HOSPITAL OF BUFFALO FOUNDATION. IN SEPTEMBER 2022, OCH IMPLEMENTED EVIDENCE-BASED PRACTICE STRATEGIES AND ACHIEVED GOLD SAFE SLEEP CERTIFICATION THROUGH THE CRIBS FOR KIDS NATIONAL SAFE SLEEP HOSPITAL CERTIFICATION PROGRAM. MFS WAS AWARDED GOLD LEVEL SAFE SLEEP CERTIFICATION IN 2024. THROUGH THE SAFE SLEEP INITIATIVE, OCH AND MFS PROVIDE SAFE SLEEP EDUCATION FOR PARENTS/CAREGIVERS AND THE HALO SLEEP SACK FOR ALL NEWBORNS TO TAKE HOME TO REPLACE THE USE OF LOOSE BEDDING. THROUGH A PARTNERSHIP WITH THE CHILD ADVOCACY CENTER AND THE SAFE SLEEP AMBASSADOR, PER AN ASSESSMENT, OCH FAMILIES REQUIRING A SAFE SLEEP ENVIRONMENT FOR THEIR NEWBORN ARE PROVIDED A SAFE SLEEP PACK AND PLAY UPON DISCHARGE. -MILLARD FILLMORE SUBURBAN HOSPITAL OFFERED CHILDBIRTH EDUCATION TO PREGNANT WOMEN AND PARENTS WITH INFORMATION ON PRENATAL, PERINATAL, INFANT AND CHILD CARE THROUGH THE USE OF THE YOMINGO APP (WWW.MYYOMINGO.COM) TO IMPROVE MATERNAL AND INFANT HEALTH OUTCOMES. IN 2024, MILLARD FILLMORE SUBURBAN HOSPITAL ENROLLED 450 NEW USERS ON YOMINGO AND THE PROGRAM WAS PROMOTED THROUGH YOMINGO FLYERS DELIVERED TO 200+ PHYSICIANS/PROVIDERS THROUGHOUT THE COMMUNITY. -THROUGHOUT 2024, JOHN R. OISHEI CHILDREN'S HOSPITAL (OCH) AND MILLARD FILLMORE SUBURBAN HOSPITAL (MFS) CONTINUED THEIR BREASTFEEDING PROMOTION AND EDUCATION ACTIVITIES TO INCREASE INITIATION AND EXCLUSIVE BREASTFEEDING RATES. AT OCH, A HOSPITAL WITH 63.8% OF PATIENTS WITH MEDICAID, THE AVERAGE BREASTFEEDING RATES IN 2024 WERE 79% INITIATION AND 44% EXCLUSIVE.AT MFS, THE AVERAGE RATES IN 2024 WERE 85.0% INITIATION AND 48% EXCLUSIVE.IN 2024, THE BABY CAF WAS EXPANDED TO SPRINGVILLE ON JULY 18TH AND TO GERARD PLACE ON AUGUST 21.HEALTH CARE NEEDS NOT ADDRESSED IN KALEIDA HEALTH 2022-2024 CHNA-CSP
PART V, SECTION B, LINE 11, CONTINUED	CANCERWHILE CANCER IS THE NUMBER TWO CAUSE OF DEATH IN ERIE AND NIAGARA COUNTIES, THE COUNTY WORK GROUPS AGREED TO INSTEAD PRIORITIZE CARDIOVASCULAR DISEASE, THE NUMBER ONE CAUSE OF DEATH, IN THEIR 2022-2024 PLANS. THE IMPACT OF CANCER ON THE HEALTH OF RESIDENTS IS WELL RECOGNIZED AND ADDRESSED WITH SEVERAL ONGOING CANCER PREVENTION, EDUCATION, SCREENING AND TREATMENT INITIATIVES IN PLACE IN THE REGION. ROSWELL PARK COMPREHENSIVE CANCER CENTER, LOCATED IN BUFFALO, HOLDS THE NATIONAL CANCER INSTITUTE DESIGNATION AS A COMPREHENSIVE CANCER CENTER AND HAS A PROVEN MULTIDISCIPLINARY APPROACH. OISHEI CHILDREN'S HOSPITAL PARTNERS WITH ROSWELL ON THE ROSWELL PARK OISHEI CHILDREN'S CANCER AND BLOOD DISORDERS PROGRAM PROVIDING BOTH INPATIENT AND OUTPATIENT CARE AND A MULTIDISCIPLINARY APPROACH FOR CHILDREN AND ADOLESCENTS WITH CANCER AND HEMATOLOGIC DISORDERS. KALEIDA HEALTH'S MILLARD FILLMORE SUBURBAN HOSPITAL AND DEGRAFF MEDICAL PARK OFFER CANCER REHABILITATION AND RECOVERY THROUGH THE SURVIVOR STEPS PROGRAM. KALEIDA HEALTH PARTICIPATES IN THE GREAT LAKES CANCER CARE COLLABORATIVE, IN PARTNERSHIP WITH CANCER CARE OF WESTERN NEW YORK, ECMC, GASTROENTEROLOGY ASSOCIATES, LLP, GENERAL PHYSICIAN, PC, GREAT LAKES MEDICAL IMAGING, UBMD PHYSICIANS' GROUP, WESTERN NEW YORK UROLOGY ASSOCIATES, WINDSONG, AND THE VISITING NURSING ASSOCIATION OF WESTERN NEW YORK- WITH THE GOAL TO HARNESS THE REGION'S TOP TALENT AND MOST ADVANCED TECHNOLOGY IN A UNIQUE COLLABORATION TO DIAGNOSE, TREAT AND ELIMINATE CANCER.SMOKING AND E-CIGARETTESE-CIGARETTES HAVE BEEN THE MOST COMMONLY USED TOBACCO PRODUCE AMONG YOUTH SINCE 2014. MOST E-CIGARETTES CONTAIN NICOTINE - THE ADDICTIVE DRUG IN REGULAR CIGARETTES. TOBACCO CESSATION PROGRAMS ARE PROVIDED THROUGHOUT ERIE AND NIAGARA COUNTIES, AND KALEIDA HEALTH'S INPATIENT AND OUTPATIENT PROGRAMS CONTINUE TO PROVIDE PATIENT EDUCATION ON THE HEALTH BENEFITS OF NOT SMOKING AND WILL CONTINUE TO REFER PATIENTS TO THESE PROGRAMS.ENVIRONMENTAIR AND WATER QUALITY, FOOD SAFETY, BUILT ENVIRONMENTS TO PROMOTE PHYSICAL HEALTH, SUSTAINABILITY, HEALTHY HOME AND SCHOOL ENVIRONMENTS ARE ADDRESSED THROUGH FEDERAL, STATE AND LOCAL GOVERNMENTS AND NEIGHBORHOOD AND COMMUNITY-BASED ORGANIZATIONS. KALEIDA HEALTH'S OISHEI CHILDREN'S HOSPITAL PARTNERS WITH THE WNY ASTHMA COALITION TO IMPROVE AIR QUALITY IN THE HOME TO IMPROVE ADULT AND CHILDHOOD ASTHMA RATES. THE HOSPITAL FURTHER ADDRESSES HOME SAFETY THROUGH ITS LEAD POISONING PREVENTION PROGRAM AND AS AN OFFICIAL REGIONAL LEAD RESOURCE CENTER FOR WESTERN NEW YORK IN COLLABORATION WITH THE UNIVERSITY OF ROCHESTER.MENTAL HEALTHKALEIDA HEALTH PROVIDES INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES FOR CHILDREN THROUGH THE CHILDREN'S PSYCHIATRY CENTER OF OISHEI CHILDREN'S HOSPITAL. THE CENTER ALSO PARTNERS WITH OTHER COMMUNITY-BASED PROVIDERS TO ASSURE IMPROVED ACCESS TO THE MOST APPROPRIATE CARE FOR CHILDREN WITH MENTAL HEALTH CONDITIONS. KALEIDA HEALTH IS A PARTNER WITH ERIE COUNTY MEDICAL CENTER, HOME OF THE REGIONAL CENTER OF EXCELLENCE FOR BEHAVIORAL HEALTH OFFERING MENTAL HEALTH AND PSYCHIATRY SERVICES, AS WELL AS ALCOHOL AND DRUG ADDICTION DETOXIFICATION AND REHAB. IN 2024, THE CHILDREN'S PSYCHIATRY CLINIC AT OCH WAS AWARDED A CONNECTING YOUTH TO SUICIDE PREVENTION GRANT FROM THE OFFICE OF MENTAL HEALTH THAT ALLOWED THE CLINIC TO INCREASE SUICIDE PREVENTION SCREENING, COMMUNITY OUTREACH, AND CLINIC STAFF DEDICATED TO ADDRESSING THE MENTAL HEALTH CRISIS IN THE COMMUNITY.INJURY PREVENTION:KALEIDA HEALTH WORKS TO PREVENT INJURIES AMONG CHILDREN THROUGH ITS CAR PASSENGER SAFETY PROGRAM OF THE NYS GOVERNOR'S TRAFFIC SAFETY COMMITTEE. NYS FUNDING THROUGH THIS PROGRAM SUPPORTS CAR SEAT SAFETY CHECKS FOR THE COMMUNITY INCLUDING EDUCATION AND AWARENESS AS WELL AS THE PROVISION OF FREE CAR SEATS FOR THOSE WHO ARE OF LOW INCOME AND IN NEED. THE PROGRAM HAS BEEN PROVIDED SINCE 2020. KALEIDA HELD A BICYCLE HELMET SAFETY CHECK EVENT AT DEGRAFF MEDICAL PARK IN SPRING 2024. THESE PROGRAMS ALIGN WITH THE NYS PREVENTION AGENDA PRIORITY AREA TO PROMOTE A HEALTHY AND SAFE ENVIRONMENT.KALEIDA HEALTH'S OISHEI CHILDREN'S HOSPITAL PROVIDES THE FOLLOWING:- YOUTH LINK AND BE PREPARED PROGRAM - SUPPORTIVE SERVICES TO YOUTH AND YOUNG ADULTS, AGES 13-24, WHO IDENTIFY AS LGBTQ+, ARE LIVING WITH OR ARE AT RISK FOR HIV AND STIS, ARE EXPERIENCING HOMELESSNESS, SEXUAL ABUSE, SUBSTANCE USE AND/OR MENTAL HEALTH RELATED ISSUES.- THE FAMILY PLANNING CLINIC AND THE WOMEN'S HEALTH CENTERS ADDRESS STIS, HIV AND HCV.- KALEIDA HEALTH'S NIAGARA STREET PEDIATRICS IS HOME TO THE REGIONAL LEAD RESOURCE CENTER FOR WESTERN NEW YORKALL KALEIDA HEALTH HOSPITALS ASSURE AND ALSO PROVIDE COVID-19 TESTING AND VACCINES FOR ITS EMPLOYEES AND PATIENTS.
PART V, SECTION B, LINE 16J	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 PATIENTS THAT ONCE THEY SUBMIT A COMPLETED APPLICATION AND DOCUMENTATION, THEY MAY DISREGARD ANY BILLS UNTIL THE HOSPITAL HAS RENDERED A WRITTEN DECISION ON THE APPLICATION. THE HOSPITAL MAY NOT FORWARD ACCOUNTS TO COLLECTION WHILE AND APPLICATION IS PENDING.

Field	Value	IRS element (for citing)
Facility	20	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (20 entries)

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

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	KALEIDA HEALTH HAS IMPLEMENTED AND COMMUNICATES ITS FINANCIAL ASSISTANCE (CHARITY CARE) POLICY, WHICH ASSISTS LOW INCOME, UNINSURED OR UNDERINSURED INDIVIDUALS WHO LACK THE FINANCIAL RESOURCES TO PAY FOR MEDICAL SERVICES RENDERED. LEVELS OF DISCOUNTS ARE AWARDED BASED UPON INCOME AND ASSET VERIFICATION AND IN ACCORDANCE WITH THE FEDERAL POVERTY GUIDELINES AS PUBLISHED ANNUALLY BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. INDIVIDUALS ARE PROVIDED FINANCIAL ASSISTANCE CONTACT INFORMATION DURING INTAKE AND REGISTRATION. THE APPLICANT FOR FREE OR REDUCED PRICE CARE WORKS DIRECTLY WITH A MEMBER OF THE FINANCIAL COUNSELING OR CHARITY CARE TEAM FOR FINANCIAL SCREENING AND ENROLLMENT IN A GOVERNMENT-FUNDED PROGRAM, IF ELIGIBLE.AFTER REVIEW OF INCOME AND ASSETS, AN INDIVIDUAL MAY BE APPROVED FOR FREE CARE (100% DISCOUNT) OR A DISCOUNT LEVEL OF 50, 60, 75, OR 90%, FOR MEDICALLY NECESSARY SERVICES RENDERED AT A KALEIDA HEALTH FACILITY, AS FOLLOWS: LESS THAN 200% OF FEDERAL POVERTY GUIDELINE IS AWARDED 100% DISCOUNT200% - 249% OF FEDERAL POVERTY GUIDELINE IS AWARDED 90% DISCOUNT250% - 299% OF FEDERAL POVERTY GUIDELINE IS AWARDED 75% DISCOUNT300% - 349% OF FEDERAL POVERTY GUIDELINE IS AWARDED 60% DISCOUNT350% - 400% OF FEDERAL POVERTY GUIDELINE IS AWARDED 50% DISCOUNT
PART I, LINE 7:	THE AMOUNTS REPORTED IN THE TABLE UNDER PART 1, LINE 7 WERE DETERMINED USING THE HEALTH SYSTEM'S DECISION SUPPORT SOFTWARE PROGRAM AND REVENUE AND EXPENSES FROM THE GENERAL LEDGER. THE OVERALL REVENUE AND EXPENSES INCLUDED IN THE DECISION SUPPORT SOFTWARE PROGRAM WERE RECONCILED TO THE GENERAL LEDGER WHICH RECONCILES TO THE AUDITED FINANCIAL STATEMENTS. THE DECISION SUPPORT SOFTWARE PROGRAM ALLOCATES DIRECT COSTS TO EACH PATIENT ACCOUNT BASED ON THE RESOURCES USED BY THAT PATIENT WITHIN THE SPECIFIC COST CENTER. INDIRECT COSTS ARE ALLOCATED USING SIMILAR STEPDOWN METHODOLOGY USED BY CMS IN THE INSTITUTIONAL COST REPORT.
PART II, LINE 7	KALEIDA HEALTH'S COMMUNITY HEALTH SERVICES SUPPORTS A COMPREHENSIVE PROGRAM OF COMMUNITY HEALTH IMPROVEMENT ADVOCACY. OUTREACH IS CONDUCTED IN MULTIPLE WESTERN NEW YORK COMMUNITIES TARGETING VARIED POPULATIONS OF ALL AGES AND ETHNICITIES, INCLUDING THE MEDICALLY UNDERSERVED. PROGRAMS AND EVENTS PROMOTE THE REDUCTION OF HEALTH DISPARITIES, ACCESS TO CARE, AND PROMOTE OVERALL COMMUNITY HEALTH AND WELLNESS; AND INCLUDE HEALTH EDUCATION AND SCREENING, SPEAKERS ON HEALTH-RELATED TOPICS, CAREER BUILDING EVENTS AND COMMUNITY REFERRALS. TOPICS RANGE FROM DIABETES, STROKE, HEART DISEASE, MATERNAL AND CHILD HEALTH, AND HEALTH CAREER EXPLORATION.IN 2024, KALEIDA HEALTH PARTNERED WITH VARIOUS ORGANIZATIONS AND PARTICIPATED IN 40 IN-PERSON AND VIRTUAL EVENTS TO REACH 10,000 INDIVIDUALS WITH COMMUNITY SERVICE PROGRAMMING AND OVERALL AWARENESS OF HEALTHCARE. ALL OF THE OUTREACH PROGRAMS ARE FREE AND REACH A CROSS SECTION OF CULTURES, ETHNICITIES, ECONOMIC DEMOGRAPHICS, LANGUAGES, RELIGIONS AND ALL GENDERS INCLUDING LGBTQ+ COMMUNITY. MATERIALS PROVIDED TO THE COMMUNITY DURING OUTREACH EVENTS INCLUDED: INFORMATION ON FREE PSA SCREENINGS; BREAST, PROSTATE, COLON CANCER; STROKE PREVENTION; VASCULAR DISEASE PREVENTION; DIABETES PREVENTION; HEART DISEASE AND RISK FACTORS; CHILDREN'S HEALTH; BARIATRIC/OBESITY/BMI; FAMILY PLANNING; HPV/ STD/STI; CHILDREN'S MEDICAID HEALTH HOMES; NUTRITION; WOMEN'S HEALTH; MATERNITY INCLUDING BREASTFEEDING, JOB READINESS; WORKFORCE DEVELOPMENT; AND MATERNAL/INFANT MORTALITY.KALEIDA HEALTH COMMUNITY OUTREACH EXTENDED THROUGHOUT ITS SERVICE AREA AND PRIMARILY IN THE CITY OF BUFFALO, A CITY WITH A POVERTY RATE OF 28.3% AND A HIGH MINORITY POPULATION WITH 35.2 BLACK/AFRICAN AMERICAN AND 12.2% HISPANIC (US CENSUS 2020). BUFFALO HAS SEVERAL CENSUS TRACTS THAT ARE FEDERALLY DESIGNATED AS MEDICALLY UNDERSERVED AREAS AND HEALTH PROFESSIONAL SHORTAGE AREAS. IN-PERSON AND VIRTUAL OUTREACH IN THE BUFFALO AREA INCLUDED THE FOLLOWING:GREAT LAKES CANCER COLLABORATIVE CARE:KALEIDA HEALTH'S COMMUNITY OUTREACH SPECIALIST SERVED AS A COMMUNITY LIAISON FOR GREAT LAKES CANCER CARE (GLCC) TO ASSIST WITH ACCREDITATION REQUIREMENTS. WORKING CLOSELY WITH CONSULTANTS FROM ONCOLOGY SOLUTIONS, THE COMMUNITY OUTREACH SPECIALIST LEAD GLCC WITH THE FOLLOWING INITIATIVES:CANCER PREVENTION: IN 2024, WORKING CLOSELY WITH WNY UROLOGY ASSOCIATES, KALEIDA HEALTH FAMILY PLANNING, THE COMMUNITY LIAISON TRACKED CENSUS DATA TO DETERMINE COMMUNITIES WITH THE GREATEST HEALTHCARE NEEDS AND HEALTHCARE DISPARITIES IN BUFFALO. USING THIS DATA AND EXISTING ZIP CODES DEETERMINED BY THE COMMISSION ON CANCER/BGMC/MSF CANCER COMMITTEE, THE LIAISON RESEARCHED AND ORGANIZED THE LOGISTICS FOR OUTREACH OPPORTUNITIES AND EVENTS FOR WNY UROLOGY ASSOCIATES, KALEIDA HEALTH FAMILY PLANNING, AND GLCC.-CANCER SCREENINGS: BASED ON ERIE COUNTY DATA, LOCATIONS WERE IDENTIFIED BASED ON NEED (USING DATA OUTLINED ABOVE). THE LIASION THEN IDENTIFIED COLLABORATING ORGANIZATIONS FOR CANCER SCREENINGS. CANCER SCREENINGS WERE HELD IN AREAS OF HIGH NEED FOR PROSTATE CANCER, ORAL CANCER (WITH ECMC DENTAL TEAM), AND HPV.-GREAT LAKES HEALTH RADIO: KALEIDA'S COMMUNITY LIAISON CREATED AND PRODUCED VIRTUAL INTERVIEWS FOR EMPLOYEES OF GLCC, GPPC, GLN, ECMC, WNY UROLOGY, AND KALEIDA HEALTH COMMUNITIES DISCUSS HEALTH TOPICS THAT HAVE A DISPROPORTIONATE IMPACT ON THE LIVES OF PERSONS OF COLOR OR PERSONS RESIDING IN LOW-INCOME COMMUNITIES. THE PROGRAM WAS RECORDED AND POSTED ON THE KALEIDA HEALTH WEBSITE. IT AIRED 2 TIMES A MONTH IN 2024 ON WUFO 1080 AM AND POWER 96.5 FM. IT FEATURES 2 30 MINUTE INTERVIEWS WITH GUEST SPEAKERS, INCLUDING PHYSICIANS, NURSES AND OTHER HEALTH PROFESSIONALS. A SENIOR MOMENT PROGRAM ALSO AIRED AND FEATURED 30 MINUTE INTERVIEWS WITH GUEST SPEAKERS ON HEALTH AND WELLNESS TOPICS FOR AGES 60+. THESE PROGRAMS REACH A PREDOMINANTLY URBAN POPULATION OF ALL AGES RACES AND SEXUAL ORIENTATIONS.-EXECUTIVE DIRECTOR OF NEAR EAST AND WEST SIDE TASK FORCE (NEWS TF)- THE COMMUNITY OUTREACH SPECIALIST ORGANIZED OUTREACH PROGRAMS WITH KALEIDA HEALTH AND COMMUNITY PARTNER ORGANIZATIONS. PROGRAMS AND OUTREACH WERE HELD IN LOW-INCOME NEIGHBORHOODS IN BUFFALO WHERE UNDERSERVED POPULATIONS RESIDE. KALEIDA HEALTH WAS PRESENT AT 40 COMMUNITY OUTREACH EVENTS REPRESENTING EITHER KALEIDA HEALTH, GLCC, GPPC WNY UROLOGY, OR ECMC.KALEIDA'S COMMUNITY OUTREACH SPECIALIST ATTENDED 12 EVENTS REPRESENTING KALEIDA HEALTH. 10,000 MEMBERS OF THE COMMUNITY WERE REACHED THROUGH OUTREACH PROGRAMS. THIS DOES NOT INCLUDE GREAT LAKES RADIO, SENIOR MOMENT, OR NAACP SPEAKS RADIO PROGRAMS, WHERE KALEIDA'S COMMUNITY OUTREACH SPECIALIST SERVES AS HOST OR IS OFTEN A GUEST-HOST. THROUGH EMAIL, HUNDREDS OF COMMUNICATIONS ARE SHARED WITH THE COMMUNITY THROUGH KALEIDA HEALTH.-KALEIDA HEALTH'S COMMUNITY OUTREACH SPECIALIST COORDINATED SPONSORSHIP OUTREACH FOR THE FOLLOWING EVENTS:-SUSAN J. KOMEN WALK-MAKING STRIDES AGAINST BREAST CANCER-NAACP ANNUAL DINNER-JUNETEENTH FESTIVAL-BLACK ACHIEVERS-HISPANIC WOMEN'S LEAGUE-TAKING IT TO THE STREETS-HISPANIC HERITAGE BREAKFAST-BUFFALO URBAN LEAGUE-LGBTQ PARADE-HISPANIC DAY PARADE-HISPANIC FLAG RAISING CEREMONY-AAPI CONFERERNCE-VETERANS FLAG RAISING CEREMONY-HOSPITAL TOURS AND SPEAKING ENGAGEMENTS:KALEIDA'S COMMUNITY OUTREACH SPECIALIST/MANAGER OF WORKFORCE DEVELOPMENT HAD 14 SPEAKING ENGAGEMENTS, EITHER IN PERSON OR VIRTUAL, WITH KH COLLEAGUES FOR COMMUNITY GROUPS, FAITH BASED ORGANIZATIONS, THE CITY OF BUFFALO, AND CITY OF BUFFALO SCHOOLS. SHE LED 7 TOURS OF FLINT ROAD LABS AND BUFFALO GENERAL MEDICAL CENTER.ADDITIONALLY, KALEIDA HEALTH'S COMMUNITY RELATIONS SPECIALIST/MANAGER OF WORKFORCE DEVELOPMENT ACTIVELY PARTICIPATES IN THE FOLLOWING COMMUNITY ORGANIZATIONS:-BNMC EDUCATIONAL DIRECTOR'S CONSORTIUM-NEAR EAST AND WEST SIDE TASK FORCE - EXECUTIVE DIRECTOR-CRISIS SERVICES- OUTREACH, MEMBERSHIP-WNED - COMMUNITY ADVISORY COMMITTEE-UB MINI MEDICAL SCHOOL - COMMUNITY COMMITTEE MEMBER-NAACP - BOARD OF DIRECTORS 2ND VP, BUFFALO; CHAIR HEALTH COMMITTEE, BUFFALO AND NEW YORK STATE-LEADERSHIP BUFFALO - CLASS CHAIR-HISPANIC WOMEN'S LEAGUE- MEMBERSHIP CHAIR AND SPECIAL PROJECTS-ALBRIGHT-KNOX ART GALLERY - ADVANCEMENT COMMITTEE-ST. JOHN BAPTIST CHURCH - CHAIR, HEALTH COMMITTEE AND OUTREACH-BUFFALO NIAGARA MEDICAL CAMPUS - NEIGHBORHOOD ENGAGEMENT & GOVERNMENT AFFAIRS COUNCIL-UB MEDICAL SCHOOL CURRICULUM REVISION COMMITTEE - COMMUNITY ADVISORY-HEALTH SCIENCES CHARTER SCHOOL - BOARD OF DIRECTORSKALEIDA HEALTH'S COMMUNITY RELATIONS SPECIALIST WAS RECOGNIZED AS A BUFFALO BUSINESS FIRST WOMEN OF INFLUENCE RECIPIENT AND FEATURED IN HEALTHY LIVING MAGAZINE'S AUGUST EDITION.PART III, SECTION A, LINE 2 BAD DEBT EXPENSEDUE TO THE ADOPTION OF ASU NO. 2014-09 - REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606) BAD DEBT EXPENSE IS NO LONGER REPORTED ON THE AUDITED FINANCIAL STATEMENT. RATHER IT IS TREATED AS A PRICE CONCESSION. PLEASE SEE THE FOLLOWING 2024 AUDITED FINANCIAL STATEMENT FOOTNOTE WHICH DESCRIBES THIS.KALEIDA ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A PATIENT'S CARE MAY BE CLASSIFIED AS CHARITY CARE IN ACCORDANCE WITH CERTAIN ESTABLISHED POLICIES OF KALEIDA. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED.TO ENHANCE AND ACCELERATE THE CHARITY CARE QUALIFICATION PROCESS, KALEIDA UTILIZES A PRESUMPTIVE CHARITY SCORING SYSTEM IN ORDER TO DETERMINE CHARITY CARE ELIGIBILITY. THE SYSTEM USES DEMOGRAPHIC AND PUBLIC FINANCIAL INFORMATION TO QUALIFY PATIENT ACCOUNTS FOR CHARITY CARE. IN ADDITION, KALEIDA MAKES AND RECEIVES PAYMENTS TO AND FROM A STATEWIDE POOL TO SUPPORT THE DELIVERY OF CHARITY CARE TO PATIENTS THROUGHOUT NEW YORK. THESE NET PAYMENTS ARE REPORTED AS A COMPONENT OF PATIENT SERVICE REVENUE IN THE CONSOLIDATED FINANCIAL STATEMENTS.
PART III, LINE 8:	KALEIDA HEALTH PROVIDES CARE TO OUR PATIENTS AND COMMUNITY THAT DOES NOT DIFFER BASED UPON THE TYPE OF INSURANCE COVERAGE A PATIENT HAS IN CARING FOR OUR PATIENTS AND PROMOTING THE HEALTH OF OUR COMMUNITY. BECAUSE MEDICARE IS A GOVERNMENT PROGRAM, WE DON'T HAVE THE ABILITY TO NEGOTIATE REIMBURSEMENT RATES AND MUST ACCEPT WHAT MEDICARE SETS AS REIMBURSEMENT RATES, EVEN WHEN THOSE RATES ARE BELOW OUR COSTS. KALEIDA HEALTH THEREFORE VIEWS MEDICARE SHORTFALLS AS A COMMUNITY BENEFIT BECAUSE WE ARE COVERING COSTS THAT WOULD OTHERWISE BE THE BURDEN OF THE GOVERNMENT BY PROVIDING CARE FOR A PUBLIC PAYER.THE COSTING METHOD USED TO DETERMINE THE MEDICARE SHORTFALL WAS BASED ON THE 2024 FILED MEDICARE COST REPORT FOR 2024. FOR MEDICARE COSTS REPORTED ON WORKSHEET D-1 FOR INPATIENT AND ON WORKSHEET E FOR OUTPATIENT WERE USED. FOR MEDICARE INPATIENT PAYMENTS REPORTED ON WORKSHEET E, PART A EXCLUDING MEDICARE ADVANTAGE IME AND MEDICARE GME PAYMENTS AND WORKSHEET E, PART B FOR OUTPATIENT AND WORKSHEET E-2 FOR INPATIENT REHAB WERE USED AS TOTAL MEDICARE PAYMENTS. MEDICARE ADVANTAGE PLAN PAYMENTS AND COSTS ARE EXCLUDED FROM THIS CALCULATION.
PART III, LINE 9B:	ONCE PATIENT LIABILITY HAS BEEN DETERMINED FOLLOWING PROCESSING OF APPLICATIONS FOR GOVERNMENT ASSISTANCE, CHARITY CARE, AND/OR INSURANCE CARRIER REMITTANCE, THE PATIENT STATEMENT IS MAILED FOR PAYMENT RECOVERY. KALEIDA HEALTH HAS A PRE-COLLECTION PROCESS FOR ACCOUNTS WITH A POSITIVE PATIENT BALANCE GREATER THAN $4.99 AND A FIRST BILL DATE OLDER THAN 60 DAYS, BUT NOT PREVIOUSLY PAID IN FULL BY THE PATIENT (EXCLUDING ACCOUNTS FOR PATIENTS THAT HAVE SUBMITTED A COMPLETED APPLICATION FOR CHARITY CARE, MEDICAID, OR CHILD HEALTH PLUS, AND AN ELIGIBILITY DETERMINATION IS PENDING).UPON A PATIENT EXPRESSING FINANCIAL CONCERN, THE PATIENT WILL BE OFFERED THE OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE (CHARITY CARE). ONCE THE PATIENT SUBMITS THE COMPLETED APPLICATION, THE ACCOUNT IS PLACED ON HOLD AND ALL COLLECTION ACTIVITIES ARE SUSPENDED UNTIL AN ELIGIBILITY DETERMINATION IS MADE. IF THE PATIENT IS ELIGIBLE FOR CHARITY CARE, THEN THE PATIENT IS NOTIFIED OF THE LEVEL OF CHARITY CARE AWARDED. IF 100% CHARITY CARE IS AWARDED, THEN NO BILL IS SENT TO THE PATIENT. IF LESS THAN 100% CHARITY CARE IS AWARDED, THEN THE PATIENT WILL RECEIVE A BILL PURSUANT TO THE PRIVATE PAY COLLECTION POLICY.
PART VI, LINE 2:	KALEIDA HEALTH ASSESSES THE NEEDS OF THE COMMUNITY THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT-COMMUNITY SERVICE PLAN (CHNA-CSP) WITH ITS MOST RECENT PLAN COMPLETED IN 2022.THE 2022-2024 CHNA-CSP IS AVAILABLE TO THE PUBLIC ON THE KALEIDA HEALTH WEBSITE AT HTTPS://WWW.KALEIDAHEALTH.ORG/COMMUNITY/ AND A PRINTED COPY IS AVAILABLE UPON REQUEST AT NO CHARGE. WRITTEN COMMENTS ON THE 2022-2024 CHNA-CSP ARE INVITED FROM THE PUBLIC THROUGH A LINK ENTITLED "COMMENT ON PLAN", LOCATED NEXT TO THE DOCUMENT THROUGH THE ABOVE LINK.IN ADDITION TO THE 2022-2024 CHNA-CSP (AS REPORTED IN PART V, SECTION B), KALEIDA HEALTH STAFF ENGAGE IN OTHER METHODS TO ASSESS THE NEEDS OF THE COMMUNITY. POVERTY TRENDS, COMMUNITY HEALTH RESEARCH, AND LOCAL COMMUNITY HEALTH NEEDS ARE REVIEWED ON A REGULAR BASIS WHILE PLANNING SERVICES AND PROGRAMS. RESPONSIVE TO COMMUNITY PRIORITIES, PROGRAM DEVELOPMENT AND SERVICES FILL IDENTIFIED GAPS OR SUPPLEMENT EXISTING PROGRAMS.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE KALEIDA HEALTH INFORMS INDIVIDUALS OF FINANCIAL ASSISTANCE MADE AVAILABLE AT THE TIME OF REGISTRATION INTO THE INPATIENT, OUTPATIENT, EMERGENCY DEPARTMENT, AND LONG-TERM CARE FACILITY. POSTERS INFORMING THE PATIENT/FAMILY OF ASSISTANCE ARE AVAILABLE THROUGHOUT THE KALEIDA LOCATIONS. BROCHURES AND PAMPHLETS INFORMING THE COMMUNITY ARE WIDELY DISTRIBUTED IN THE COMMUNITY AT HEALTH FAIRS, CHURCHES, SCHOOLS AND OTHER PUBLIC LOCATIONS. INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AS WELL AS APPLICATION IS ALSO MADE AVAILABLE THROUGH KALEIDA HEALTH'S WEBSITE. KALEIDA HEALTH OFFERS ASSISTANCE TO INDIVIDUALS IN OUR COMMUNITY FOR ACCESSING AFFORDABLE HEALTH CARE, INCLUDING:- FACILITATED ENROLLMENT: ASSISTS ELIGIBLE INDIVIDUALS WITH HEALTH INSURANCE ENROLLMENT BY OFFERING EDUCATION AND APPLICATION ASSISTANCE FOR MEDICAID, CHILD HEALTH PLUS, ESSENTIAL PLANS, STATE AID PROGRAM FOR CHILDREN WITH SPECIAL NEEDS AND ALL QUALIFIED HEALTH PLANS MADE AVAILABLE THROUGH THE NEW YORK STATE OF HEALTH, HEALTH PLAN MARKETPLACE. A DEDICATED TELEPHONE NUMBER IS AVAILABLE AND INFORMATION IS PUBLISHED IN BROCHURES AT KALEIDA SITES AND AT VARIOUS LOCATIONS THROUGHOUT THE COMMUNITY. - FINANCIAL ASSISTANCE PROGRAM: AS DESCRIBED ABOVE, THE KALEIDA FINANCIAL ASSISTANCE PROGRAM IF ELIGIBLE PROVIDES FREE OR REDUCED-PRICES FOR PATIENTS TREATED AT KALEIDA HEALTH HOSPITALS OR LONG-TERM CARE FACILITIES. DISCOUNTS ARE AWARDED BASED UPON INCOME AND ASSET VERIFICATION. - PRESUMPTIVE ELIGIBILITY: KALEIDA HEALTH HAS SHOWN A WILLINGNESS TO EXTEND FINANCIAL ASSISTANCE TO NEEDY PATIENTS WITH OUTSTANDING BILLS WHO HAVE NOT COMPLETED THE CHARITY APPLICATION PROCESS. THIS IS ACHIEVED THROUGH AN AUTOMATED PARO SCORING PROCESS USING PUBLIC RECORDS, REGIONAL COST OF LIVING, ESTIMATED HOUSEHOLD INCOME THRESHOLDS, COMMUNITY DEMOGRAPHICS TO DERIVE AN ESTIMATED FINANCIAL POSITION FOR EACH PATIENT. THOSE PATIENTS SCREENED THROUGH THIS AUTOMATED PROCESS AND DEEMED ELIGIBLE ARE ADJUSTED OFF TO CHARITY CARE IN LIEU OF BAD DEBT.
PART VI, LINE 4:	KALEIDA HEALTH SERVES WESTERN NEW YORK'S EIGHT COUNTIES OF ALLEGANY, CATTARAUGUS, CHAUTAUQUA, ERIE, GENESEE, NIAGARA, ORLEANS, AND WYOMING. THE POPULATION FOR THE REGION IS APPROXIMATELY 1.5 MILLION WITH ERIE COUNTY AND NIAGARA COUNTY COMPRISING AN ESTIMATED 1.1 MILLION OF THIS TOTAL. THREE KALEIDA HEALTH HOSPITALS INCLUDING BUFFALO GENERAL MEDICAL CENTER, MILLARD FILLMORE SUBURBAN HOSPITAL, AND OISHEI CHILDREN'S HOSPITAL ARE LOCATED IN ERIE COUNTY, THE HOSPITALS' PRIMARY SERVICE AREA. DEGRAFF MEDICAL PARK IS LOCATED IN NIAGARA COUNTY, ITS PRIMARY SERVICE AREA. DEGRAFF ALSO SERVES A NUMBER OF ERIE COUNTY RESIDENTS GIVEN ITS LOCATION LESS THAN ONE MILE FROM THE ERIE COUNTY BORDER. EACH FACILITY'S PRIMARY SERVICE AREA IS DEFINED AS THE COUNTY WITH THE HIGHEST PERCENTAGE OF ALL WNY COUNTIES FOR INPATIENT DISCHARGES, EMERGENCY DEPARTMENT VISITS, AND OUTPATIENT VISITS AS IDENTIFIED IN THE 2022-2024 CHNA-CSP.ERIE COUNTYERIE COUNTY IS LOCATED IN THE WESTERN PORTION OF NEW YORK STATE BORDERING LAKE ERIE, AND ALSO LIES ON THE INTERNATIONAL BORDER BETWEEN THE UNITED STATES AND CANADA. THE FOLLOWING DEMOGRAPHIC STATISTICS FOR ERIE COUNTY ARE FROM THE US CENSUS, QUICK FACTS, POPULATION ESTIMATES, APRIL 1, 2020 AS INDICATED IN KALEIDA HEALTH'S 2022-2024 CHNA-CSP. THE COUNTY'S TOTAL POPULATION IS 954,236 AND IS COMPRISED OF URBAN, SUBURBAN, AND RURAL CITIES, TOWNS, AND VILLAGES. ERIE COUNTY'S MEDIAN HOUSEHOLD INCOME IS $59,464. ITS POVERTY RATE IS 13.2%, AND 18.4% OF ITS POPULATION IS 65 YEARS AND OVER. ITS LARGEST CITY AND COUNTY SEAT IS BUFFALO WITH A POPULATION OF 278,349. THE CITY HAS A 28.3% POVERTY RATE THE MEDIAN HOUSEHOLD INCOME IN BUFFALO IS $39,677 WHILE THE MEDIAN HOUSEHOLD INCOME IN ERIE COUNTY IS $59,464 AND IN NEW YORK STATE, $71,117. BUFFALO HAS THE FOURTH HIGHEST YOUTH POVERTY RATE IN THE COUNTRY. OF THE 58,618 BUFFALO RESIDENTS UNDER 18 YEARS OF AGE, 27,678 OR 47% OF THOSE CHILDREN LIVE BELOW THE FEDERAL POVERTY LEVEL. THE ERIE COUNTY YOUTH POVERTY RATE IS 19.8% AND THE NYS RATE IS 20.8%. ONLY DETROIT, ROCHESTER AND CLEVELAND HAVE WORSE YOUTH POVERTY RATES (BUFFALO BUSINESS FIRST, 1-15-19). BUFFALO ALSO HAS A HIGH MINORITY POPULATION WITH 35.2% OF ITS RESIDENTS BEING BLACK NON-HISPANIC AND 12.2% HISPANIC AS COMPARED TO 14% BLACK NON-HISPANIC AND 5.8% HISPANIC FOR ALL OF ERIE COUNTY. PERSONS UNDER 65 WITHOUT HEALTH INSURANCE COMPRISE 4.1% OF ERIE COUNTY'S POPULATION AND 4.9% OF BUFFALO'S POPULATION. BUFFALO GENERAL MEDICAL CENTER AND OISHEI CHILDREN'S HOSPITAL ARE LOCATED IN THE CITY OF BUFFALO AND SERVE A HIGH PERCENTAGE OF BUFFALO'S POOR AND UNDERSERVED POPULATION. MOST CENSUS TRACTS IN BUFFALO ARE FEDERALLY DESIGNATED AS MEDICALLY UNDERSERVED AREAS. THE TOWN OF AMHERST IS ONE OF THE COUNTY'S LARGEST SUBURBS WITH A POPULATION OF 129,595 AND IS HOME TO MILLARD FILLMORE SUBURBAN HOSPITAL. IN CONTRAST TO BUFFALO, THE TOWN OF AMHERST HAS A POVERTY RATE OF 9.8% AND THE MEDIAN HOUSEHOLD INCOME IN 2020 IS $76,781. AMHERST'S POPULATION IS 78.6% WHITE NON-HISPANIC. THE TOWN ALSO HAS 8.9% ASIAN POPULATION, COMPARABLE TO THE NYS RATE OF 10.2% WHILE THE ERIE COUNTY RATE IS 3.8%.THE TOWN HAS A SIGNIFICANT SENIOR POPULATION WITH 20.9% OF RESIDENTS 65 YEARS AND OVER, AND MILLARD FILLMORE SUBURBAN HOSPITAL SERVES A HIGH PERCENTAGE OF THE TOWN'S AGING POPULATION.NIAGARA COUNTYNIAGARA COUNTY IS LOCATED IN THE WESTERN PORTION OF NEW YORK STATE, JUST NORTH OF BUFFALO (ERIE COUNTY) AND ADJACENT TO LAKE ONTARIO ON ITS NORTHERN BORDER AND THE NIAGARA RIVER AND CANADA ON ITS WESTERN BORDER. THE FOLLOWING DEMOGRAPHIC STATISTICS FOR NIAGARA COUNTY ARE FROM THE US CENSUS, QUICK FACTS, POPULATION ESTIMATES, APRIL 1, 2020 AS INDICATED IN KALEIDA HEALTH'S 2022-2024 CHNA-CSP. THE COUNTY'S TOTAL POPULATION IS 212,666 AND IS COMPRISED OF URBAN, SUBURBAN, AND RURAL CITIES, TOWNS, AND VILLAGES. NIAGARA COUNTY'S MEDIAN HOUSEHOLD INCOME IN 2020 IS $57,252. ITS POVERTY RATE IS 11.7% AND 19.5% OF ITS POPULATION IS 65 YEARS AND OVER. ITS CITIES INCLUDE NIAGARA FALLS, POPULATION 48,671; NORTH TONAWANDA, POPULATION 30,496; AND ITS COUNTY SEAT OF LOCKPORT, POPULATION 20,876. THESE CITIES INCLUDE A HIGH PROPORTION OF THE COUNTY'S LOW INCOME AND UNDERSERVED POPULATION. 20% OF NIAGARA FALLS RESIDENTS ARE BLACK/AFRICAN AMERICAN AND THE CITY HAS A 23.5% POVERTY RATE. ADDITIONALLY, NIAGARA FALLS IS FEDERALLY DESIGNATED AS AN AREA WITH A MEDICALLY UNDERSERVED POPULATION. THE POVERTY RATE FOR NORTH TONAWANDA IS 10.2%, AND 14.2% FOR LOCKPORT. THE PERCENTAGE OF RESIDENTS UNDER 65 YEARS WITHOUT HEALTH INSURANCE RANGES FROM 4.3% IN NIAGARA FALLS AND 2.8% IN NORTH TONAWANDA AND 5.9% IN LOCKPORT. NIAGARA COUNTY IS ALSO HOME TO THE TUSCARORA RESERVATION WITH A POPULATION OF 1,167, A POVERTY RATE OF 39.9% AND A MEDIAN INCOME OF $14,323, MUCH LOWER THAN THAT OF NIAGARA COUNTY. NORTH TONAWANDA IS HOME TO DEGRAFF MEDICAL PARK, AND, A COMMUNITY HOSPITAL A WITH A RECENTLY EXPANDED, NEW STATE-OF-THE ART EMERGENCY ROOM TO BETTER SERVE THE GROWING EMERGENCY CARE NEEDS OF THE COMMUNITY.DURING 2024, THERE WERE 53,399 INPATIENT DISCHARGES, OF WHICH 22% WERE MEDICAID AND MEDICAID MANAGED CARE, 41% MEDICARE AND MEDICARE MANAGED CARE, 36% COMMERCIAL, AND 1% UNINSURED.IN ADDITION TO KALEIDA HEALTH'S 3 HOSPITALS IN ERIE COUNTY AND 1 HOSPITAL IN NIAGARA COUNTY, THERE ARE 9 OTHER HOSPITALS IN ERIE COUNTY AND 3 OTHER HOSPITALS IN NIAGARA COUNTY SERVING WESTERN NEW YORK PER THE NEW YORK STATE DEPARTMENT OF HEALTH WEBSITE.MORE INFORMATION IS AVAILABLE IN THE KALEIDA HEALTH 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT-COMMUNITY SERVICE PLAN (CHNA-CSP). THE DOCUMENT WAS COMPLETED IN FALL 2022, AND CAN BE FOUND ON THE KALEIDA HEALTH WEBSITE AT HTTPS://WWW.KALEIDAHEALTH.ORG/COMMUNITY/. PRINTED COPIES AVAILABLE UPON REQUEST AT NO CHARGE AT KALEIDA HEALTH HOSPITALS. WRITTEN COMMENTS ON THE 2022-2024 CHNA-CSP ARE INVITED AND A "COMMENT LINK" IS PROVIDED NEXT TO THE PLAN FOUND ON THE KALEIDA HEALTH WEBSITE.
PART VI, LINE 7, REPORTS FILED WITH STATES	NY
PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTHKALEIDA HEALTH'S MISSION IS TO "ADVANCE THE HEALTH OF ITS COMMUNITY AND ITS VISION IS TO "PROVIDE COMPASSIONATE, HIGH-VALUE, QUALITY CARE, IMPROVING HEALTH IN WESTERN NEW YORK AND BEYOND, EDUCATING FUTURE HEALTH CARE LEADERS AND DISCOVERING INNOVATIVE WAYS TO ADVANCE MEDICINE."KALEIDA HEALTH BOARD OF DIRECTORSKALEIDA HEALTH MAINTAINS CONTROL OVER THE CORPORATION THROUGH ITS SELF-PERPETUATING, 15 MEMBER GOVERNING BOARD OF DIRECTORS. A MAJORITY OF THE BOARD OF DIRECTORS RESIDES IN KALEIDA HEALTH'S PRIMARY SERVICE AREA OF ERIE AND NIAGARA COUNTIES AND IS NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF KALEIDA HEALTH, NOR FAMILY MEMBERS THEREOF. THE BOARD OF DIRECTORS IS COMPRISED OF COMMUNITY LEADERS FROM THE BUSINESS, INDUSTRY, AND HEALTHCARE SECTORS, INCLUDING PHYSICIANS WHO ARE ON THE MEDICAL STAFF. EACH DIRECTOR SIGNS A CONFLICT OF INTEREST STATEMENT AND SERVES A THREE-YEAR TERM. THE BOARD OF DIRECTORS WAS CHAIRED BY GARY M. CROSBY AND DONALD BOYD SERVED AS PRESIDENT AND CEO OF KALEIDA HEALTH.USE OF SURPLUS FUNDSSURPLUS FUNDS ARE USED TO FURTHER THE MISSION AND OPERATIONS OF KALEIDA HEALTH, SUCH AS REINVESTING IN COMMUNITY BENEFIT PROGRAMS, AND MAKING IMPROVEMENTS IN FACILITIES, PATIENT CARE, MEDICAL, NURSING AND ALLIED HEALTH TRAINING, EDUCATION AND RESEARCH IN SUPPORT OF THE HEALTH NEEDS OF THE COMMUNITY. IN ADDITION TO THE COMMUNITY SERVICE PROGRAMS ADDRESSED IN THE SECTION VI, PART II COMMUNITY BUILDING SECTION, KALEIDA HEALTH PROVIDES A NUMBER OF ADDITIONAL PROGRAMS AND COLLABORATIONS. KALEIDA HEALTH IS COMMITTED TO EDUCATION AND RESEARCH AS IT SERVES AS A MAJOR CLINICAL TEACHING AFFILIATE OF THE UNIVERSITY AT BUFFALO, JACOBS SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES. THROUGH AFFILIATIONS WITH A NUMBER OF EDUCATIONAL INSTITUTIONS, KALEIDA HEALTH ALSO PROVIDES A CLINICAL EXPERIENCE FOR HEALTH CARE PROFESSIONALS IN TRAINING IN THE FIELDS OF PHARMACY, NURSING, PHYSICIAN ASSISTANTS, SOCIAL WORK, AND REHABILITATION SERVICES.AS CONFERRED BY THE BOARD OF DIRECTORS, MEDICAL STAFF MEMBERSHIP IS OFFERED TO PROFESSIONALLY COMPETENT PHYSICIANS, DENTISTS, PODIATRISTS AND OTHER SPECIFIED INDIVIDUALS, WHO CONTINUOUSLY MEET THE QUALIFICATIONS, STANDARDS AND REQUIREMENTS OUTLINED IN THE BYLAWS, RULES AND REGULATIONS, POLICIES OF THE MEDICAL STAFF AND KALEIDA HEALTH, CONSISTENT WITH THE NEEDS OF KALEIDA HEALTH'S PATIENTS. STAFF MEMBERSHIP OR PARTICULAR CLINICAL PRIVILEGES SHALL NOT BE DENIED ON THE BASIS OF AGE, SEX, SEXUAL ORIENTATION, RACE, COLOR, CREED, NATIONAL ORIGIN, A DISABILITY UNRELATED TO THE ABILITY TO FULFILL PATIENT CARE AND MEDICAL STAFF RESPONSIBILITIES OR ANY OTHER CRITERION UNRELATED TO THE EFFICIENT DELIVERY OF QUALITY PATIENT CARE, TO PROFESSIONAL QUALIFICATIONS OR TO THE NEEDS OF THE COMMUNITY, OR TO THE PURPOSES, NEEDS, AND CAPABILITIES OF KALEIDA HEALTH. EVERY MEMBER OF THE MEDICAL STAFF ASSISTS THE HOSPITALS IN FULFILLING KALEIDA HEALTH'S MISSION AND RESPONSIBILITY TO PROVIDE EMERGENCY AND UNCOMPENSATED CARE FOR THOSE IN NEED.KALEIDA HEALTH IS COMMITTED TO PROVIDING HEALTH CARE FOR THE UNINSURED AND UNDERINSURED, OFFERS PROGRAMS AND SERVICES IN COMMUNITY-BASED SETTINGS AND IN ITS CAMPUSES AND FACILITIES, AND WORKS WITH PARTNERING ORGANIZATIONS TO FURTHER MEET THE COMMUNITY'S HEALTH AND SOCIAL NEEDS. PROGRAMS AND EVENTS TARGET ALL AGES AND BACKGROUNDS, INCLUDING THE MEDICALLY UNDERSERVED; AND FOCUS ON THE REDUCTION OF HEALTH DISPARITIES, IMPROVED ACCESS TO CARE, EFFECTIVE USE OF HEALTH SERVICES, AND THE PROMOTION OF OVERALL COMMUNITY HEALTH AND WELLNESS.IN 2019, THE MED-LAW PARTNERSHIP OF WESTERN NEW YORK OPENED AT BUFFALO GENERAL MEDICAL CENTER/GATES VASCULAR INSTITUTE OFFERING PATIENTS LEGAL EXPERTISE AND SERVICES AT NO CHARGE TO ADDRESS PATIENTS' HEALTH-RELATED SOCIAL NEEDS.IN 2024, KALEIDA HEALTH CONTINUED ITS PARTNERSHIPS WITH CHARTER SCHOOLS LOCATED IN UNDERSERVED COMMUNITIES IN THE CITY OF BUFFALO. IN 2021, KALEIDA HEALTH BECAME A MEMBER OF THE HEALTH SCIENCES CHARTER SCHOOL AND A KALEIDA HEALTH STAFF MEMBER BEGAN SERVING ON THE SCHOOL'S BOARD OF DIRECTORS. IN 2024, KALEIDA CONTINUED TO SUPPORT AND SERVE ON THE BOARD OF DIRECTORS AT HEALTH SCIENCES CHARTER SCHOOL. IN 2024, KALEIDA HEALTH'S PLANNED ACTIVITIES INCLUDED VENDOR TABLES WITH FAMILY PLANNING INFORMATION, SPEAKERS, AND HOSPITAL TOURS WITH KALEIDA HEALTH'S COMMUNITY OUTREACH SPECIALIST.A NYS MEDICAID HEALTH HOME SERVING CHILDREN WAS ESTABLISHED IN 2016 THROUGH OISHEI CHILDREN'S HOSPITAL TO PROVIDE CARE MANAGEMENT TO WNY CHILDREN WITH MEDICAID WHO HAVE COMPLEX PHYSICAL AND/OR BEHAVIORAL HEALTH CONDITIONS. THE HOSPITAL ALSO OPERATES SEVEN SCHOOL BASED HEALTH CENTERS IN BUFFALO PUBLIC SCHOOLS, A SCHOOL DISTRICT WITH 82% OF STUDENTS ECONOMICALLY DISADVANTAGED (2019-2020 DATA.NYSED.GOV).OISHEI CHILDREN'S HOSPITAL IS KNOWN FOR ITS COMMUNITY COLLABORATIONS TO ADDRESS PUBLIC HEALTH CONCERNS AND ASSURE ACCESS TO CARE FOR WOMEN AND CHILDREN, MANY OF WHOM ARE MEDICALLY UNDERSERVED. IN ADDITION TO ITS WIDE RANGE OF SPECIALIZED PEDIATRIC AND MATERNAL SERVICES, THE HOSPITAL SERVES THE REGION AS A NEW YORK STATE REGIONAL PERINATAL CENTER, NYS DESIGNATED EBOLA PREPARED CENTER, AND THE PEDIATRIC & ADOLESCENT AIDS DESIGNATED CETNER OF WNY. IT HAS A LEVEL IV NEONATAL INTENSIVE CARE UNIT, LEVEL I PEDIATRIC TRAUMA UNIT, AND PEDIATRIC INTENSIVE CARE UNIT AND IS HOME TO THE ROBERT WARNER CENTER FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS, CHILDREN'S GUILD FOUNDATION AUTISM SPECTRUM DISORDER CENTER, REGIONAL LEVEL IV EPILEPSY MONITORING CENTER OF WNY, SAFE BABIES NEW YORK PROGRAM, LEAD POISONING PREVENTION RESOURCE CENTER OF WESTERN NEW YORK, SICKLE CELL & HEMOGLOBINOPATHY CENTER OF WESTERN NEW YORK, ROSWELL PARK AND OISHEI CHILDREN'S CANDER AND BLOOD DISORDER CENTER AND CYSTIC FIBROSIS CENTER OF WNY, AMONG OTHERS.INCREASING BREASTFEEDING RATES IS A PUBLIC HEALTH PRIORITY OF THE NEW YORK STATE PREVENTION AGENDA. AS DELIVERY HOSPITALS, BOTH OISHEI CHILDREN'S HOSPITAL AND MILLARD FILLMORE SUBURBAN HOSPITAL ARE ENGAGED IN SEVERAL EDUCATIONAL AND CLINICAL INITIATIVES TO IMPROVE EXCLUSIVE BREASTFEEDING RATES THROUGH NEW YORK STATE DEPARTMENT OF HEALTH GUIDELINES. IN 2019, ADDITIONALLY, KALEIDA HEALTH'S OB-GYN CENTERS HAVE ALL ACHIEVED NEW YORK STATE BABY-FRIENDLY PRACTICE DESIGNATION. IN 2018, OISHEI CHILDREN'S OPENED A BABY CAFE TO PROVIDE FREE BREASTFEEDING SUPPORT AND GUIDANCE TO PREGNANT AND BREASTFEEDING MOMS. EVIDENCE BASED PATIENT EDUCATION MATERIALS IN ENGLISH AND SPANISH WERE PROVIDED FOR LABOR AND DELIVERY PATIENTS AT OCH AND MFSM AND FOR OB PATIENTS AT OCH'S OB-GYN CENTERS. CLINICAL EDUCATORS PROVIDED BREAST FEEDING EDUCATION.CARDIOVASCULAR DISEASE IS THE NUMBER ONE CAUSE OF DEATH IN BOTH ERIE AND NIAGARA COUNTIES AND KALEIDA HEALTH SUPPORTS SEVERAL CARDIOVASCULAR INITIATIVES. CARDIAC AND STROKE CARE IS A MAJOR SERVICE LINE FOR KALEIDA HEALTH AND THE GATES VASCULAR INSTITUTE OF BUFFALO GENERAL MEDICAL CENTER SERVES AS A REGIONAL SPECIALTY CARE AND RESEARCH FACILITY FOCUSING ON THE HEART, NEUROLOGICAL, AND RELATED VASCULAR SYSTEM. IN 2022, 9 LIVE SEMINARS OCCURRED WITH 10,000 INDIVIDUALS PARTIPATING IN HEALTHY U PROGRAMS VIA FACEBOOK.ADDITIONALLY, 52 MEDICAL MINUTE VIDEOS ON HEALTH TOPICS AIRED ON WIVB-TV AND KALEIDA SOCIAL MEDIA AND THE MEDICALLY SPEAKING INTERVIEW SERIES AIRED 12 VIDEOS VIA FACEBOOK AND THE KALEIDA WEBSITE. A TARGETED CARDIOVASCULAR EDUCATION AND SCREENING PROGRAM IS PROVIDED TO MEDICALLY UNDERSERVED FEMALES AT THE OB-GYN CENTERS OF OISHEI CHILDREN'S HOSPITAL, WHERE A MAJORITY OF PATIENT VISITS ARE REIMBURSED THROUGH MEDICAID.COLLABORATION AND ACCESS TO CARE ACROSS ALL OF WESTERN NEW YORK IS A PRIORTY FOR KALEIDA HEALTH. TO ADDRESS THE NEED FOR CARDIAC CATHETERIZATION SERVICES IN NIAGARA COUNTY, KALEIDA HEALTH COLLABORATED WITH NIAGARA FALLS MEMORIAL MEDICAL CENTER (NFMMC), CATHOLIC HEALTH SYSTEM, AND ERIE COUNTY MEDICAL CENTER TO MAKE THIS LIFESAVING CARE READILY ACCESSIBLE TO RESIDENTS THROUGHOUT THE NIAGARA REGION. A NEW CARDIAC CATHETERIZATION LABORATORY OPENED IN 2017 AT THE HEART CENTER OF NIAGARA ON THE NFMMC'S DOWNTOWN NIAGARA FALLS CAMPUS.
PART VI, LINE 5 - CONTINUED	MILLARD FILLMORE SUBURBAN HOSPITAL SERVES THE WESTERN NEW YORK COMMUNITY WITH A COMPREHENSIVE CANCER REHAB PROGRAM. THE HOSPITAL FURTHER PROVIDES CHRONIC DISEASE EDUCATION AND SCREENING PROGRAMS AND PARTICIPATES IN COMMUNITY EVENTS INCLUDING NATIONAL PRESCRIPTION DRUG TAKE-BACK DAYS.KALEIDA HEALTH'S DEGRAFF MEDICAL PARK PARTICIPATES IN SEVERAL COMMUNITY EVENTS TO PROVIDE CHRONIC DISEASE EDUCATION AND SCREENING PROGRAMS, AND SERVES AS A SITE FOR NATIONAL PRESCRIPTION DRUG TAKE-BACK DAYS. DEGRAFF MEDICAL PARK PROVIDES CANCER REHABILITATION AND RECOVERY SERVICES, CARDIAC REHABILITATION SERVICES, OCCUPATIONAL, PHYSICAL, AND SPEECH THERAPY.KALEIDA HEALTH HOSPITALS ARE RESPONDING TO THE COMMUNITY'S OPIATE PROBLEM THROUGH THE NEW YORK MATTERS BUPRENORPHINE TREATMENT PROGRAM IN THE EMERGENCY DEPARTMENTS WITH IMMEDIATE BUPRENORHINE TREATMENT AND PATIENT REFERRAL TO COMMUNITY TREATMENT AGENCIES. ADDITIONALLY, MEDICATION AND SYRINGE DROP BOXES ARE ON-SITE AT EACH HOSPITAL.KALEIDA HEALTH'S HUMAN RESOURCES DEPARTMENT PARTNERS WITH THE BUFFALO AND ERIE COUNTY WORKFORCE DEVELOPMENT COUNCIL AND THE BUFFALO EDUCATION AND TRAINING CENTER ON DIFFERENT WORKFORCE DEVELOPMENT INITIATIVES AND EVENTS, INCLUDING THOSE TARGETING THE UNDERSERVED. ADDITIONALLY, KALEIDA HEALTH NURSE RECRUITERS PARTNER WITH LOCAL SCHOOLS AND COLLEGES TO ADVANCE RECRUITMENT EFFORTS.INFORMATION REGARDING THE AVAILABILITY OF COMMUNITY HEALTH PROGRAMS, ASSISTANCE WITH HEALTH INSURANCE ENROLLMENT AND FINANCIAL ASSISTANCE PROGRAMS IS PROMOTED TO THE PUBLIC THROUGH MULTIPLE COMMUNITY OUTREACH ACTIVITIES AND EVENTS, ON THE KALEIDA HEALTH WEBSITE WWW.KALEIDAHEALTH.ORG, ON FACEBOOK AND TWITTER; AND AS INCLUDED IN THE 2022-2024 CHNA-CSP. THE CHNA-CSP IS AVAILABLE ON THE KALEIDA HEALTH WEBSITE AT HTTPS://WWW.KALEIDAHEALTH.ORG/COMMUNITY OR IN PRINT FORMAT UPON REQUEST. WRITTEN COMMENTS ON THE 2022-2024 CHNA-CSP ARE INVITED AND A COMMENT LINK IS PROVIDED NEXT TO THE PLAN FOUND ON THE KALEIDA HEALTH WEBSITE.PART VI, LINE 6AFFILIATED HEALTH CARE SYSTEMKALEIDA HEALTH IS PART OF AN AFFILIATED HEALTH CARE SYSTEM WHOSE MEMBERS INCLUDE: THE UPPER ALLEGHENY HEALTH SYSTEM, KALEIDA HEALTH FOUNDATION, VISITING NURSING ASSOCIATION OF WNY, INC., VNA HOMECARE SERVICE, INC., AND OISHEI CHILDREN'S HOSPITAL OF BUFFALO FOUNDATION.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt
KALEIDA FOUNDATION
1028 MAIN ST 4TH FLOOR	BUFFALO	NY	14202	161579143	501(C)(3)	$100,000	$0	FMV	CONTRIBUTION
HEALTHELINK INC
2475 GEORGE URBAN BLVD	DEPEW	NY	14043	364594483	501(C)(3)	$100,000	$0	FMV	SPONSORSHIP
THE CHILDREN'S HOSPITAL OF BUFFALO FOUNDATION
1028 MAIN ST 4TH FLOOR	BUFFALO	NY	142021102	161332044	501(C)(3)	$85,500	$0	FMV	CONTRIBUTION
SENECA DIABETES FOUNDATION
C/O TRAVER COLLINS CO	BUFFALO	NY	14210	203214056	501(C)(3)	$50,000	$0	FMV	SPONSORSHIP
INDEPENDENT HEALTH ASSOC
PO BOX 8000	BUFFALO	NY	14267	161080163	501(C)(3)	$30,000	$0	FMV	SPONSORSHIP
BUFFALO MARATHON
PO BOX 845	AMHERST	NY	14226	161597919	501(C)(3)	$25,000	$0	FMV	SPONSORSHIP
UNITED WAY OF BFLO & ERIE COUN
742 DELAWARE AVE	BUFFALO	NY	14209	160743969	501(C)(3)	$20,000	$0	FMV	SPONSORSHIP
WNY HEALTHENET
2475 GEORGE URBAN BLVD	DEPEW	NY	14043	043726634	N/A	$19,000	$0	FMV	SPONSORSHIP
MERCY FLIGHT INC
455 DELAWARE AVE	BUFFALO	NY	14202	222560963	501(C)(3)	$14,500	$0	FMV	SPONSORSHIP
BUFFALO PRENATAL PERINATAL
NETWORK INC	BUFFALO	NY	14202	161302764	501(C)(3)	$12,500	$0	FMV	SPONSORSHIP
BURCHFIELD PENNEY ART CENTER
ATTN JIM WYMAN DIR DEVELOPMENT	BUFFALO	NY	14222	161596245	501(C)(3)	$10,000	$0	FMV	SPONSORSHIP
ORLANDO HEALTH FOUNDATION INC
3160 SOUTHGATE COMMERCE BLVD	ORLANDO	FL	32806	592244943	501(C)(3)	$10,000	$0	FMV	SPONSORSHIP
HOPE TOTES INC
5055 HIDDEN VALLEY COURT	CALRENCE	NY	14031	850499870	501(C)(3)	$6,250	$0	FMV	SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	12	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DONALD BOYD
PRESIDENT AND CEO	$1,393,496	$0	$840,000	$0	$1,482,867	$0	$27,463	$0	$20,354	$0	$3,764,180	$0	$0	$0
CHERYL KLASS CHIEF NURSE
EXEC/COO/SVP UAHS (AS OF 9/24)	$821,017	$0	$395,040	$0	$1,242,698	$0	$41,607	$0	$7,916	$0	$2,508,278	$0	$0	$0
ROBERT NESSELBUSH
FORMER CEO	$0	$0	$0	$0	$1,431,648	$0	$0	$0	$0	$0	$1,431,648	$0	$0	$0
ALYSON SPAULDING
GENERAL COUNSEL	$532,496	$0	$226,380	$0	$518,393	$0	$23,829	$0	$19,217	$0	$1,320,315	$0	$0	$0
MATTHEW DRAKE
EVP STRATEGY AND PARTNERSHIPS	$694,696	$0	$337,440	$0	$30,439	$0	$16,175	$0	$19,434	$0	$1,098,184	$0	$0	$0
MICHAEL MINEO MD
EVP, CHIEF MED OFFICER	$642,684	$0	$311,040	$0	$30,731	$0	$14,413	$0	$19,361	$0	$1,018,229	$0	$0	$0
BETH HUGHES
PRESIDENT BGMC AND GVI	$654,684	$0	$277,200	$0	$34,486	$0	$17,327	$0	$19,377	$0	$1,003,074	$0	$0	$0
MICHAEL HUGHES
CHIEF ADMIN. OFF (THRU 12/24)	$477,812	$0	$201,180	$0	$246,737	$0	$26,708	$0	$664	$0	$953,101	$0	$0	$0
CHRISTOPHER MALLAVARAPU MD
EMPLOYED PHYSICIAN	$861,706	$0	$0	$0	$4,950	$0	$44,192	$0	$19,397	$0	$930,245	$0	$0	$0
JUDY BAUMGARTNER
SVP PRESIDENT MFS & DEGRAFF MEDICAL	$553,000	$0	$232,260	$0	$33,641	$0	$24,432	$0	$761	$0	$844,094	$0	$0	$0
KAVEH VALI MD
EMPLOYED PHYSICIAN	$773,058	$0	$0	$0	$617	$0	$40,504	$0	$776	$0	$814,955	$0	$0	$0
VICTOR FILADORA II SVP PRES
GREAT LAKES CANCER CARE (THRU 2/24)	$117,762	$0	$238,140	$0	$413,436	$0	$16,275	$0	$132	$0	$785,745	$0	$0	$0
HUGH CHISHOLM
EVP CFO	$696,496	$0	$0	$0	$30,435	$0	$10,150	$0	$19,434	$0	$756,515	$0	$0	$0
STEPHEN TURKOVICH MD
SVP PRESIDENT OCH	$485,684	$0	$206,220	$0	$30,365	$0	$14,588	$0	$18,224	$0	$755,081	$0	$0	$0
CARROLL HARMON MD
EMPLOYED PHYSICIAN	$694,710	$0	$0	$0	$6,187	$0	$22,769	$0	$633	$0	$724,299	$0	$0	$0
IAN BARRETT
EVP, CHIEF HUMAN RES OFFIC	$447,647	$0	$216,000	$0	$32,312	$0	$16,697	$0	$8,151	$0	$720,807	$0	$0	$0
MARJORIE QUINT-BOUZID
EVP, CHIEF NURSE EXEC	$405,647	$0	$97,920	$0	$31,634	$0	$9,281	$0	$8,624	$0	$553,106	$0	$0	$0
COURTNEY STARNES
SVP, CHIEF INFO OFF	$497,496	$0	$0	$0	$30,177	$0	$6,183	$0	$19,171	$0	$553,027	$0	$0	$0
KELLY CORBI
EVP CHIEF OP. OFF. (AS OF 10/24)	$207,634	$0	$0	$0	$38,709	$0	$1,385	$0	$1,643	$0	$249,371	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	HEALTH OR SOCIAL CLUB DUES AS PART OF THEIR COMPENSATION PACKAGE, OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION ARE ENTITLED TO CHOOSE AS AN EXECUTIVE PERK THE BENEFIT OF BUSINESS RELATED SOCIAL DUES OR INITIATION FEES.
PART I, LINE 4A	THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS. THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). - ROBERT NESSELBUSH - $1,353,123 - VICTOR FILADORA II - $387,092
PART I, LINE 7	CERTAIN INDIVIDUALS QUALIFIED TO RECEIVE BONUS/INCENTIVE COMPENSATION PAYMENTS BASED ON CERTAIN PERFORMANCE METRICS BEING MET. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN(B)(II).

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	REVIEW PROCESS FOR FORM 990 ORGANIZATION'S MANAGEMENT, IN CONSULTATION WITH THE ORGANIZATION'S TAX ADVISORS, KPMG, REVIEW THE FORM 990. THE FINANCIAL REVIEW IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOR THE RELEVANT TIME PERIOD. BEFORE THE FORM 990 IS FILED WITH THE IRS, THE FINANCE COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS THE FORM 990 AND PROVIDES A COPY OF THE SAME TO THE ORGANIZATION'S FULL BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY UPON EMPLOYMENT AND ANNUALLY THEREAFTER EACH KEY EMPLOYEE, OFFICER OR DIRECTOR OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, PROVIDING SUFFICIENT INFORMATION ABOUT HIS/HER PERSONAL INTERESTS AND RELATIONSHIPS SO THE ORGANZATION CAN (1) DETERMINE WHETHER ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST MAY EXIST, AND (2) MONITOR WORK OR SERVICE ASSIGNMENTS TO AVOID PLACING THE KEY EMPLOYEE, OFFICER OR DIRECTOR IN A POSITION WHERE THERE MAY BE POTENTIAL, ACTUAL, OR EVEN APPEARANCE, OF A CONFLICT OF INTEREST OR A QUESTION OF OBJECTIVITY. THE COMPLETED CONFLICTS OF INTEREST AND DISCLOSURE FORMS FOR DIRECTORS ARE RETURNED TO THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION APPROVAL PROCESS ON A REGULAR BASIS, THE ORGANIZATION PROVIDES DOCUMENTATION TO THE COMPENSATION COMMITTEE OF THE BOARD WITH RESPECT TO THE COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES FOR REVIEW AND APPROVAL. SUCH INFORMATION IS COMPILED BY AN INDEPENDENT COMPENSATION CONSULTANT AND INCLUDES COMPARABLE DATA FROM SIMILAR SIZE TAX-EXEMPT ORGANIZATIONS IN THE WESTERN NEW YORK COMMUNITY AS WELL AS COMPENSATION FOR THESE POSITIONS (AS DISCLOSED ON FORM 990) WITH OTHER ORGANIZATIONS IN THE HEALTH CARE INDUSTRY THAT ARE OF SIMILAR SIZE, DEMOGRAPHICS AND GEOGRAPHY. REVIEW AND APPROVAL OF THE COMPENSATION ARRANGEMENT BY THE COMPENSATION COMMITTEE IS DOCUMENTED.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT ITS OFFICE AT 726 EXCHANGE STREET, SUITE 200, BUFFALO, NY 14210. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED.
FORM 990, PART IX, LINE 11G	PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 122,926,950. MANAGEMENT AND GENERAL EXPENSES 1,361,033. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 124,287,983. INTERNS & RESIDENTS FEES: PROGRAM SERVICE EXPENSES 36,288,332. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,288,332. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 31,275,132. MANAGEMENT AND GENERAL EXPENSES 3,661,723. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,936,855. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 13,203,116. MANAGEMENT AND GENERAL EXPENSES 4,789,583. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,992,699. EMPLOYMENT AGENCY FEES: PROGRAM SERVICE EXPENSES 32,148,489. MANAGEMENT AND GENERAL EXPENSES -104,050. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,044,439.
FORM 990, PART XI, LINE 9:	MINORITY INTEREST IN SUBSIDIARY -19,303,709. NET ACTUARIAL GAIN ON PENSION PLAN 48,167,000. OTHER TRANSFERS, NET 1,398,547. MISCELLANEOUS ADJUSTMENT -688.

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	$923,569	$7,400,664	KH
KALEIDA SERVICES LLC
2100 WEHRLE DRIVE	WILLIAMSVILLE	NY	14221	472284036	ADULT DAYCARE	NY	$18,900	$62,999	KH
MFSC LLC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	261582864	HEALTH CARE	NY	-$388,726	$2,317,781	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 (1)
VNA HOME CARE SERVICES
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161491203	HOME HLTH CAR	NY	501(C)(3)	10	KH	Yes (1)
VNA OF WESTERN NEW YORK
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	160743214	HOME HLTH CAR	NY	501(C)(3)	10	KH	Yes (1)
VISK
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	222738425	SUPPORT ORG	NY	501(C)(3)	10	KH	Yes (1)
KALEIDA HEALTH FOUNDATION
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161579143	FUNDRAISING	NY	501(C)(3)	7	KH	Yes (1)
THE CHILDREN'S HOSPITAL OF BUFFALO FOUNDATION
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161332044	FUNDRAISING	NY	501(C)(3)	7	KH	Yes (1)
CHILDREN'S HEALTH HOME OF WNY INC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	814086046	PED HOME HLTH	NY	501(C)(3)	10	KH	Yes (1)
UPPER ALLEGHENY HEALTH SYSTEM INC
515 MAIN STREET	OLEAN	NY	14760	271255425	SUPPORT ORG	NY	501(C)(3)	12A	KH	Yes (1)
OLEAN GENERAL HOSPITAL
515 MAIN STREET	OLEAN	NY	14760	160743102	HOSPITAL	NY	501(C)(3)	3	UAHS	Yes (1)
BRADFORD REGIONAL MED SERVICES
116 INTERSTATE PARKWAY	BRADFORD	PA	16701	232875157	PHYS. GROUP	NY	501(C)(3)	3	OGH	Yes (1)
HEALTH SYSTEM PHYSICIAN PC
130 SOUTH UNION STREET	OLEAN	NY	14760	464304317	PHYS. GROUP	NY	501(C)(3)	10	OGH	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
HARLEM ROAD LEASING LLC
3435 MAIN STREET	BUFFALO	NY	14214	205588135	EQUIPMENT LEASING	NY	KALEIDA HEALTH	UNRELATED	-$27,763	$28,268	0	Yes (1)	0.50000
AMTON IMAGING LLC
199 PARK CLUB LANE SUITE 300	WILLIAMSVILLE	NY	14221	262925470	HEALTH CARE	NY	KALEIDA WNYI	RELATED	$519,213	$2,886,562	0	Yes (1)	0.50000
SITE E LLC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	272124795	REAL ESTATE MGMT	NY	KPI	EXCLUDED	$90,466	$1,630,740	0	0	0.50140
SOUTHTOWNS IMAGING LLC
5959 BIG TREE ROAD SUITE 105	ORCHARD PARK	NY	14127	471123230	EQUIPMENT LEASING	NY	KALEIDA WNYI	UNRELATED	$245,763	$4,421,047	0	Yes (1)	0.70000
COLLABORATIVE CARE VENTURES LLC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	472365690	HEALTH CARE	NY	KALEIDA HEALTH	EXCLUDED	-$789	$1,295,273	0	0	0.60000
GREAT LAKES MEDICAL BILLING SVCS LLC
199 PARK CLUB LANE SUITE 300	WILLIAMSVILLE	NY	14221	461668448	MEDICAL BILLING	NY	KALEIDA WNYI	UNRELATED	$158,593	$229,680	0	0	0.50000
SOUTHTOWNS SURGERY CENTER LLC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	464742028	HEALTH CARE	NY	KALEIDA HEALTH	EXCLUDED	$860,881	$2,211,696	0	Yes (1)	0.63170

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 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	$109,419	$3,560,486	1.00000	Yes (1)
WESTLINK CORPORATION
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161354421	MED & DIAGN SVCS	NY	KALEIDA HEALTH	C	-$25		1.00000	Yes (1)
GREAT LAKES INTEGRATED NETWORK INC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	823184375	HEALTH CARE	NY	KALEIDA HEALTH	C	-$1,132,476	$10,057,486	0.50000	0
KHBC INC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	823184375	HEALTH CARE	NY	KALEIDA HEALTH	C	-$10,108,028	$5,079,821	0.50000	0
OLEAN MEDICAL PRACTICE PLLC
726 EXCHANGE STREET SUITE 515	BUFFALO	NY	14210	881324896	HEALTH CARE	NY	KALEIDA HEALTH	C	-$4,682,479	$3,187,357	1.00000	Yes (1)

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

Transactions Related Org TransactionsRelatedOrgGrp (38 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MILLARD FILLMORE AMBULATORY SURGERY CENTER
C	$539,156	ACTUAL COST
VNA HOME CARE SERVICES
O	$89,075	ACTUAL COST
VNA HOME CARE SERVICES
Q	$1,475,873	ACTUAL COST
VNA HOME CARE SERVICES
E	$12,114	ACTUAL COST
VNA OF WESTERN NEW YORK
O	$481,377	ACTUAL COST
VNA OF WESTERN NEW YORK
Q	$18,203,054	ACTUAL COST
VNA OF WESTERN NEW YORK
D	$320,113	ACTUAL COST
KALEIDA PROPERTIES INC
Q	$1,034,269	ACTUAL COST
KALEIDA PROPERTIES INC
D	$544,005	ACTUAL COST
VISK
Q	$250	ACTUAL COST
VISK
D	$301,550	ACTUAL COST
THE CHILDREN'S HOSPITAL OF BUFFALO FOUNDATION
C	$4,500,000	ACTUAL COST
THE CHILDREN'S HOSPITAL OF BUFFALO FOUNDATION
S	$9,498,579	ACTUAL COST
THE CHILDREN'S HOSPITAL OF BUFFALO FOUNDATION
E	$8,265,971	ACTUAL COST
KALEIDA HEALTH FOUNDATION
S	$1,408,389	ACTUAL COST
KALEIDA HEALTH FOUNDATION
E	$8,967,320	ACTUAL COST
SOUTHTOWNS IMAGING LLC
D	$4,845,312	ACTUAL COST
SOUTHTOWNS IMAGING LLC
J	$248,294	ACTUAL COST
SOUTHTOWNS IMAGING LLC
Q	$207,309	ACTUAL COST
SOUTHTOWNS SURGERY CENTER LLC
L	$510,600	ACTUAL COST
SOUTHTOWNS SURGERY CENTER LLC
J	$890,472	ACTUAL COST
SOUTHTOWNS SURGERY CENTER LLC
R	$301,755	ACTUAL COST
SOUTHTOWNS SURGERY CENTER LLC
D	$727	ACTUAL COST
CHILDREN'S HOME HEALTH OF WNY INC
O	$44,043	ACTUAL COST
CHILDREN'S HOME HEALTH OF WNY INC
Q	$195,969	ACTUAL COST
CHILDREN'S HOME HEALTH OF WNY INC
E	$390,911	ACTUAL COST
UAHS
O	$4,348,721	ACTUAL COST
UAHS
Q	$659,361	ACTUAL COST
UAHS
D	$15,390,868	ACTUAL COST
HEALTH SYSTEM PHYSICIANS PC
O	$452,126	ACTUAL COST
HEALTH SYSTEM PHYSICIANS PC
Q	$3,929	ACTUAL COST
HEALTH SYSTEM PHYSICIANS PC
D	$12,004,701	ACTUAL COST
BRADFORD REGIONAL MEDICAL SERVICES PC
O	$4,099,880	ACTUAL COST
BRADFORD REGIONAL MEDICAL SERVICES PC
Q	$39,105	ACTUAL COST
BRADFORD REGIONAL MEDICAL SERVICES PC
D	$4,138,985	ACTUAL COST
OLEAN MEDICAL PRACTICE PLLC
Q	$9,169	ACTUAL COST
OLEAN MEDICAL PRACTICE PLLC
D	$12,054,169	ACTUAL COST
OLEAN GENERAL HOSPITAL
D	$609,465	ACTUAL COST