KALEIDA HEALTH: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: KALEIDA HEALTH (EIN 16-1533232)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-15
IRS object ID: 201143199349302619
Schema version: 2010v3.4
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 H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-15T10:28:25-05:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	515 Broadway 4th Floor	AddressLine1
City	Albany	City
State	NY	State
ZIP Code	122072974	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	161533232	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	KALE	NameControl
Phone	7168598501	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	726 EXCHANGE STREET	AddressLine1
City	BUFFALO	City
State	NY	State
ZIP Code	14210	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Joseph M Kessler	Name
Title	EVP and CFO	Title
Date Signed	2011-11-14	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	5184274600	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JAMES KASKIE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	726 Exchange Street Suite 200	AddressLine1
City	BUFFALO	City
State	NY	State
ZIP Code	14210	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1286257827	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.KALEIDAHEALTH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1998	YearFormation
State Legal Domicile	NY	StateLegalDomicile
Activity Or Mission Description	KALEIDA HEALTH IS THE LARGEST HEALTHCARE PROVIDER IN WNY, SERVING THE AREA'S 8 COUNTIES WITH COMPREHENSIVE SERVICES & PROGRAMS PROVIDED AT 5 ACUTE CARE, 3 LT CARE, AS WELL AS OUTPATIENT & PRIMARY CARE SITES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	10023	TotalNbrEmployees
Total Nbr Volunteers	1570	TotalNbrVolunteers
Total Gross UBI	3517509	TotalGrossUBI
Contributions Grants Prior Year	86704225	ContributionsGrantsPriorYear
Contributions Grants Current Year	33453390	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1057084879	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1083912619	ProgramServiceRevenueCY
Investment Income Prior Year	917155	InvestmentIncomePriorYear
Investment Income Current Year	5115295	InvestmentIncomeCurrentYear
Other Revenue Prior Year	11010157	OtherRevenuePriorYear
Other Revenue Current Year	9240906	OtherRevenueCurrentYear
Total Revenue Prior Year	1155716416	TotalRevenuePriorYear
Total Revenue Current Year	1131722210	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	179570	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	240200	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	577605218	SalariesEtcPriorYear
Salaries Etc Current Year	605535584	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	502544574	OtherExpensePriorYear
Other Expenses Current Year	490988871	OtherExpensesCurrentYear
Total Expenses Prior Year	1080329362	TotalExpensesPriorYear
Total Expenses Current Year	1096764655	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	75387054	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	34957555	RevenuesLessExpensesCY
Total Assets BOY	933611492	TotalAssetsBOY
Total Assets EOY	1029678448	TotalAssetsEOY
Total Liabilities BOY	700737788	TotalLiabilitiesBOY
Total Liabilities EOY	770656008	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	232873704	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	259022440	NetAssetsOrFundBalancesEOY
Mission Description	Kaleida Health is a voluntary, not-for-profit; New York State Department of Health Article 28 licensed hospital-based healthcare delivery system serving the communities of Western New York State at various levels and with facilities in multiple locations throughout the region. Kaleida Health is a product of the 1998 merger of Buffalo General Hospital (Buffalo General), Millard Fillmore Gates Circle Hospital (Millard Gates), Millard Fillmore Suburban Hospital (Millard Suburban), Women and Children's Hospital of Buffalo (Women & Children's), and DeGraff Memorial Hospital (Degraff). In addition to the five Kaleida Health (Kaleida) hospitals, Kaleida operates three skilled nursing facilities, and numerous outpatient clinics. The above facilities operate under one tax identification number. Our family of health care organizations is bonded together into one framework for leadership, governance, shared services, financial infrastructure and information technology platforms. Collectively, Kal	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	935978325	Expense
Grants	240200	Grants
Revenue	1086654223	Revenue
Description	See Attachment 1.	Description
Total Program Service Expense	935978325	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	555	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	10023	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	true	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	NY	StatesWhereCopyOfReturnIsFiled
Own Website	X	OwnWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	JON SWIATKOWSKI	NamePerson
Telephone Number	7168598501	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	726 EXCHANGE STREET	AddressLine1
City	BUFFALO	City
State	NY	State
ZIP Code	14210	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
ROBERT M ZAK
TREASURER	1.0	X	X	0	0	0
MATTHEW L BROWN
DIRECTOR	1.0	X		0	0	0
EVAN EVANS MD
DIRECTOR	1.0	X		50000	0	0
ROBERT HALONEN PhD
DIRECTOR	1.0	X
MURIEL HOWARD PhD
DIRECTOR	1.0	X
JAMES KASKIE
PRES/CEO EX-OFFICIO WITH VOTE	38.0	X	X	2364860	0	43482	X
JOYCE P KORZEN RN
DIRECTOR	1.0	X
JOHN R KOELMEL
CHAIR	1.0	X	X
DAVID A MILLING MD
DIRECTOR	1.0	X
HERMAN S MOGAVERO Jr MD
DIRECTOR	1.0	X
DALE N SCHUMACHER MD
DIRECTOR	1.0	X
FRANCISCO M VASQUEZ PhD
DIRECTOR	1.0	X
AMY L CLIFTON
DIRECTOR	1.0	X		0	0	0
KATHLEEN GRIMM MD
EX-OFFICIO WITHOUT VOTE	1.0	X		0	0	0
CHRISTOPHER T GREENE ESQ
DIRECTOR	1.0	X		0	0	0
ROBERT NOLAN
GENERAL COUNSEL	38.0		X	725993	0	39755	X
CONNIE VARI
COO	38.0		X	1145164	0	48815	X
JOSEPH KESSLER
CFO	38.0		X	580337	0	201985	X
MARGARET PAROSKI MD
CMO	38.0		X	1235509	0	0	X
D ERIC POGUE
CHIEF HUMAN RESOURCE OFFICER	38.0		X	410041	0	118928	X
CHERYL KLASS
PRESIDENT-WCHOB	38.0			522679	0	43760	X
LAWRENCE ZIELINSKI
PRESIDENT-BGH	38.0			538484	0	33749	X
DONALD BOYD
SVP BUSINESS DEVELOPMENT	38.0			461950	0	51460	X
CHRISTOPHER LANE
PRESIDENT-MFS	38.0			390338	0	46389	X
TAMARA OWEN
PRESIDENT-MILLARD GATES	38.0			344324	0	47567	X
JAMES FOSTER MD
CMO-WCHOB	38.0			363701	0	15672		X
FRANCIS MEYER Jr
VP INFO SYSTEMS TECHNOLOGY	38.0			365634	0	27063		X
ANDRAS VARI MD
CMO-MFG	38.0			356501	0	27169		X
STEPHANIE MANN MD
EMPLOYED PHYSICIAN	38.0			415389	0	9350		X
LUCY CAMPBELL MD
EMPLOYED PHYSICIAN	38.0			381817	0	20253		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	10652721	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	775397	TotalOtherCompensation
Number Individuals GT100 K	355	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
UNIVERSITY PEDIATRIC ASSOCIATES
239 BRYANT STREET	BUFFALO	NY	14222	MEDICAL SERVICES	4063031
WNY RADIOLOGY LLC
PO BOX 4029	BUFFALO	NY	14240	RADIOLOGY SERVICES	3792036
UNIVERSITY NEUROLOGY INC
100 HIGH STREET	BUFFALO	NY	14260	MEDICAL SERVICES	3155640
SODEXHO MANAGEMENT INC
PO BOXES 81049	WOBURN	NY	018131049	CLEANING & LAUNDRY	3663144
ACADEMIC MEDICINE SERVICES
4498 MAIN ST SUITE 23	AMHERST	NY	14226	MEDICAL SERVICES	3000393

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	88	NumberOfContractorsGT100K
Related Organizations	10549601	RelatedOrganizations
Government Grants	17606096	GovernmentGrants
All Other Contributions	5297693	AllOtherContributions
Noncash Contributions	10278618	NoncashContributions
Total Contributions	33453390	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
SERVICE REVENUE	623990	1080471367	1080471367
MANAGEMENT FEES	561000	151967		151967
LABORATORY SERV	621500	3289285		3289285

Field	Value	IRS element (for citing)
Total Program Service Revenue	1083912619	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	5268916	TotalRevenueColumn
Related Or Exempt Function Income	101182	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	17774	UnrelatedBusinessRevenue
Exclusion	$5,149,960	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2803544	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	2803544	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	2803554	TotalRevenueColumn
Unrelated Business Revenue	58483	UnrelatedBusinessRevenue
Exclusion	$2,745,071	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	154349596	Securities
Other	32400	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	154484635	Securities
Other	50982	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-135039	Securities
Other	-18582	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-153621	TotalRevenueColumn
Exclusion	-$153,621	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
VENDOR REBATES	900099	1443656	1443656
UNIVERSITY LEASE INCOME	531120	1259889		$1,259,889
CAFETERIA	722210	1122282		$1,122,282

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2611525	TotalRevenueColumn
Related Or Exempt Function Income	1196766	RelatedOrExemptFunctionIncome
Exclusion	$1,414,759	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	6437352	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1131722210	TotalRevenueColumn
Related Or Exempt Function Income	1083212971	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	3517509	UnrelatedBusinessRevenue
Exclusion	$11,538,340	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	240200	Total
Program Services	240200	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	8719679	Total
Management And General	8719679	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	457686023	Total
Program Services	416419391	ProgramServices
Management And General	41266632	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	104831251	Total
Program Services	58698549	ProgramServices
Management And General	46132702	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	34298631	Total
Program Services	31141189	ProgramServices
Management And General	3157442	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1533598	Total
Program Services	768568	ProgramServices
Management And General	765030	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	559696	Total
Management And General	559696	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	253163	Total
Management And General	253163	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	105761996	Total
Program Services	96473480	ProgramServices
Management And General	9288516	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	3274853	Total
Program Services	1621999	ProgramServices
Management And General	1652854	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3858633	Total
Program Services	2723116	ProgramServices
Management And General	1135517	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	5962639	Total
Program Services	3530821	ProgramServices
Management And General	2431818	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	909231	Total
Program Services	549976	ProgramServices
Management And General	359255	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	12258345	Total
Program Services	9811376	ProgramServices
Management And General	2446969	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	50363598	Total
Program Services	40290878	ProgramServices
Management And General	10072720	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	17601461	Total
Program Services	13140473	ProgramServices
Management And General	4460988	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
HEALTH CARE SUPPLIES	186537389	186420872	116517
BAD DEBT EXPENSE	16869876	16869876
EQUIPMENTAL RENTAL & MAINT	25918839	13021667	12897172
UTILITIES	11144923	8933168	2211755
SERVICE CONTRACTS	7941439	6206926	1734513

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	40239192	Total
Program Services	29115800	ProgramServices
Management And General	11123392	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1096764655	Total
Program Services	935978325	ProgramServices
Management And General	160786330	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	800500	BOY
EOY	534416	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	118038961	BOY
EOY	96742771	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	103737857	BOY
EOY	135996337	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	21836253	BOY
EOY	21909693	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	8216142	BOY
EOY	9924277	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1346909733	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1010811558	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	266166517	BOY
EOY	336098175	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	205347461	BOY
EOY	215985857	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	209467801	BOY
EOY	212486922	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	933611492	BOY
EOY	1029678448	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	119211939	BOY
EOY	137940657	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	208745213	BOY
EOY	188175482	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	8152568	BOY
EOY	35624187	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	364628068	BOY
EOY	408915682	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	700737788	BOY
EOY	770656008	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	98116607	BOY
EOY	130649199	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	115208207	BOY
EOY	112973024	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	19548890	BOY
EOY	15400217	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	232873704	BOY
EOY	259022440	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	933611492	BOY
EOY	1029678448	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	34957555	ReconcilationRevenueExpenses
Reconcilation Other Changes	-8808819	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	true	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$38,595	GrantsOtherOrganizationsAmount
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$214,568	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	253163	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	GRANTS TO OTHER ORGANIZATIONS & DIRECT CONTACT WITH LEGISLATIVE BODY	Identifier
Return Reference	SCHEDULE C, PART II-B, QUESTIONS 1F AND 1G	ReturnReference
Explanation	THE AMOUNT REFLECTED FOR PART II-B, QUESTION 1F REPRESENTS THE PORTION OF THE DUES PAID TO THE GREATER NEW YORK HOSPITAL ASSOCIATION ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE AMOUNT REFLECTED FOR PART II-B, QUESTION 1G REPRESENTS PAYMENTS MADE TO ORGANIZATIONS IN AN EFFORT TO ADVOCATE ON THE ORGANIZATION'S BEHALF AT THE NEW YORK STATE AND FEDERAL LEVELS AS IT SPECIFICALLY RELATES TO HEALTH CARE LEGISLATION AND REGULATORY ISSUES.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	79899854	BeginningOfYearBalance
Contributions	14188339	Contributions
Investment Earnings Or Losses	2153889	InvestmentEarningsOrLosses
Other Expenditures	23654903	OtherExpenditures
End Of Year Balance	72587179	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	23068508	BeginningOfYearBalance
Contributions	71865683	Contributions
Investment Earnings Or Losses	3656737	InvestmentEarningsOrLosses
Other Expenditures	18691074	OtherExpenditures
End Of Year Balance	79899854	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	28374857	BeginningOfYearBalance
Contributions	4858154	Contributions
Investment Earnings Or Losses	-5863675	InvestmentEarningsOrLosses
Other Expenditures	4300728	OtherExpenditures
End Of Year Balance	23068608	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.25030	BoardDesignatedEOYBalance
Term Endowment EOY Balance	0.74970	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	8712769	OtherCostOrOtherBasis
Book Value	8712769	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	317001729	OtherCostOrOtherBasis
Depreciation	296148859	Depreciation
Book Value	20852870	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1008604995	OtherCostOrOtherBasis
Depreciation	706357472	Depreciation
Book Value	302247523	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	12590240	OtherCostOrOtherBasis
Depreciation	8305227	Depreciation
Book Value	4285013	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	336098175	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities (20 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
VAR PUBL TRADED SECURITIES	105527492	F
BRANDES INTERNATIONAL EQUITY	17976120	F
INTECH RISK-MANAGED L CAP FUND	7177099	F
FEDERAL ST ASSOC OFFSHORE FUND	6584840	F
ARDEN ENDOWMENT ADVISORS CL G	6372605	F
MCM CF GLOBAL ALPHA I FUND	8677613	F
WTC CTF RESEAR VALUE PUR 4/06	6974648	F
BENCHMARK PLUS INST PART L CAP	7076874	F
WTC CIF OPPORTUNISTIC FUND	10030641	F
CHARITABLE TEMPORARY INVEST FD	7	F
KALEIDA MIT COMMON FUND LP	213535	F
COMMON CAP VENTURE PTNRS VI	261618	F
COMMON FND CAP PRIVATE EQ P V	392230	F
KALEIDA MIT REALITY LP	868419	F
KALEIDA SI REALITY LP	1360650	F
DWS GLOBAL COMMODITIES	9979839	F
ROBECO GLOBAL EMERGING MARKETS	7789343	F
AQR GLOBAL RISK	6999094	F
PANAGORA RISK PARITY TOTAL RET	6388377	F
AAM HIGH YIELD TOTAL RET FUND	5334813	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	215985857	TotalOfBookValueSecurities

Other Assets OtherAssets (6 entries)

DescriptionDescription	Book ValueBookValue
DEFERRED FINANCING	12909723
EQUITY IN UNCONSOLIDATED AFFIL	117137445
OTHER RECEIVABLES	16348261
OTHER ASSETS	11139832
INSURANCE RECOVERIES REC.	7808908
LONG TERM GRANT FROM HEAL NY	47142753

Field	Value	IRS element (for citing)
Total Book Value Other Assets	212486922	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescription	AmountAmount
DUE TO THIRD PARTY PAYORS	$25,970,991
SELF INSURANCE LIABILITY	$154,188,753
LINE OF CREDIT	$10,000,000
OTHER LIABILITIES	$6,389,973
PENSION LIABILITY	$176,506,508
ASSET RETIREMENT OBLIGATIONS	$10,684,572
CAPITAL LEASE OBLIGATIONS	$13,479,261
CONSTRUCTIONS PAYABLE	$11,695,624

Field	Value	IRS element (for citing)
Total Of Amounts	408915682	TotalOfAmounts
Total Revenue	1131722210	TotalRevenue
Total Expenses	1096764655	TotalExpenses
Excess Or Deficit For Year	34957555	ExcessOrDeficitForYear
Net Unrealized GL On Investments	17070392	NetUnrealizedGLOnInvestments
Other	-$20,468,843	OtherAmount
Total Adjustments	-3398451	TotalAdjustments
Excess Or Deficit Per FS	31559104	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	1123120438	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	17070392	NetUnrealizedGainsInvestments
Other Revenues	-836318	OtherRevenues
Revenue Not Rptd F990	16234074	RevenueNotRptdF990
Revenue Subtotal	1106886364	RevenueSubtotal
Other Revenues Not Included	24835846	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	24835846	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	1131722210	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	1091561334	TotExpensesEtcAuditedFinclStmt
Losses Reported	896255	LossesReported
Expenses Not Rptd F990	896255	ExpensesNotRptdF990
Expenses Subtotal	1090665079	ExpensesSubtotal
Other Expenses Not Included	6099576	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	6099576	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	1096764655	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FIN 48 FOOTNOTE	SCHEDULE D, PART X, QUESTION 2	THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DO NOT REPORT ANY LIABILITY OR HAVE ANY FOOTNOTE REPORTING THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48.
INTENDED USE OF ENDOWMENT FUNDS	SCHEDULE D, PART V, QUESTION 4	THE FOLLOWING ARE THE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS 1) CAPITAL EXPANSION AND IMPROVEMENT 2) ADVANCEMENT OF MEDICAL EDUCATION AND RESEARCH AND HEALTH CARE SERVICES 3) SUPPORT PEDIATRIC HEALTH CARE SERVICES
SCH. D, PART XI, LINE 8		RECONCILIATION OF CHANGE IN NET ASSETS FROM EARNINGS TO AUDITED FINANCIAL STATEMENTS - LESS: MINORITY INTEREST IN SUB <836,318> LESS: CONTRIBUTIONS FOR CAPITAL ACQUIS <11,354,327> LESS: RESTRICTED CONTRIBUTIONS <14,188,339> LESS: RESTRICTED INVESTMENT INCOME <189,435> PLUS: NET ASSETS RELEASED FROM RESTRICTION 6,099,576 TOTAL: <20,468,843>
SCH D, PART XII, LINE 2D		OTHER REVENUE INCLUDED ON BOOKS BUT NOT ON RETURN: MINORITY INTEREST IN SUBSIDIARY <836,318>
SCH D, PART XII, LINE 4B		OTHER REVENUE ON RETURN BUT NOT ON BOOKS: RESTRICTED CONTRIBUTIONS 14,188,339 RESTRICTED INVESTMENT INCOME 189,435 CONTRIBUTIONS FOR CAPITAL ACQUISITIONS 11,354,327 ASSETS RELEASED FROM RESTRICTIONS <896,255> TOTAL: 24,835,846
SCH D, PART XIII, LINE 2C		OTHER EXPENSES ON BOOKS BUT NOT ON RETURN - NET REALIZED LOSS ON SALE OF INVESTMENTS: 896,255
SCH D, PART XIII, LINE 4B		OTHER EXPENSES ON RETURN, NOT ON BOOKS: NET ASSETS RELEASED FROM RESTRICTION FOR OPERATIONS: 6,099,576

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	14834463	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2982619	DirectOffsettingRevenue
Net Community Benefit Expense	11851844	NetCommunityBenefitExpense
Percent Of Total Expense	0.01080	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	261065556	TotalCommunityBenefitExpense
Direct Offsetting Revenue	190518284	DirectOffsettingRevenue
Net Community Benefit Expense	70547272	NetCommunityBenefitExpense
Percent Of Total Expense	0.06430	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	275900019	TotalCommunityBenefitExpense
Direct Offsetting Revenue	193500903	DirectOffsettingRevenue
Net Community Benefit Expense	82399116	NetCommunityBenefitExpense
Percent Of Total Expense	0.07510	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5737822	TotalCommunityBenefitExpense
Net Community Benefit Expense	5737822	NetCommunityBenefitExpense
Percent Of Total Expense	0.00520	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	50123254	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21471250	DirectOffsettingRevenue
Net Community Benefit Expense	28652004	NetCommunityBenefitExpense
Percent Of Total Expense	0.02610	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	40200314	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13757212	DirectOffsettingRevenue
Net Community Benefit Expense	26443102	NetCommunityBenefitExpense
Percent Of Total Expense	0.02410	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	114915	TotalCommunityBenefitExpense
Net Community Benefit Expense	114915	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	96176305	TotalCommunityBenefitExpense
Direct Offsetting Revenue	35228462	DirectOffsettingRevenue
Net Community Benefit Expense	60947843	NetCommunityBenefitExpense
Percent Of Total Expense	0.05550	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	372076324	TotalCommunityBenefitExpense
Direct Offsetting Revenue	228729365	DirectOffsettingRevenue
Net Community Benefit Expense	143346959	NetCommunityBenefitExpense
Percent Of Total Expense	0.13060	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$11,284,147	BadDebtExpenseAmount
Amount Attributable To	862614	AmountAttributableTo
Amount Reimbursed By Medicare	177579298	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	169660750	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	7918548	MedicareSurplusOrShortfall
Costing Methodology Used		CostingMethodologyUsed
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (10 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
MFSC LLC
PHYSICIAN SERVICES	0.50162	0.49838
COMMUNITY MEDICAL PC
PHYSICIAN SERVICES		1.00000
GENERAL PHYSICIANS P
PHYSICIAN SERVICES		1.00000
HARLEM ROAD LEASING
MRI EQUIPMENT LEASING	0.50000
AMTON IMAGING LLC
HEALTH CARE SERVICES	0.40000
PARK CLUB LANE LLC
HEALTH CARE SERVICES	0.30000
WNY HEALTHENET LLC
HEALTH CARE SERVICES	0.14286
CHILD HEALTH INV I
HEALTH CARE SERVICES	0.02972
CHILD HEALTH INV II
HEALTH CARE SERVICES	0.01107
SITE E LLC
REAL ESTATE LEASING CO.	0.50100

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	5	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (5 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours	Childrens HospitalChildrensHospital
BUFFALO GENERAL HOSPITAL
1	100 HIGH STREET	BUFFALO	NY	14203	X	X	X	X
Women & Children's Hospital of Buffalo
2	219 Bryant Street	Buffalo	NY	14222	X	X	X	X	X
Millard Fillmore Suburban Hospital
3	1540 Maple Road	Williamsville	NY	14221	X	X		X
Millard Fillmore Gates Circle Hospital
4	3 Gates Circle	Buffalo	NY	14209	X	X	X	X
Degraff Memorial Hospital
5	445 Tremont Avenue	North Tonawanda	NY	14120	X	X		X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (5 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Insurance StatusInsuranceStatus	Uninsured DiscountUninsuredDiscount	Medicaid MedicareMedicaidMedicare	State RegulationStateRegulation	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Permit LawsuitPermitLawsuit	Permit Lien On ResidencePermitLienOnResidence	Permit Other ActionsPermitOtherActions	Collection ActivitiesCollectionActivities	LawsuitLawsuit	Lien On ResidenceLienOnResidence	Other ActionsOtherActions	Notify Upon AdmissionNotifyUponAdmission	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Other Actions TakenOtherActionsTaken	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
BUFFALO GENERAL HOSPITAL
1	true	true	200.	true	400.	true	X	X	X	X	X	X	true	true	X	X	true	X	X	X	true	X	X	X	X	X	X	X	true	X	false	false
Women & Children's Hospital of Buffalo
2	true	true	200.	true	400.	true	X	X	X	X	X	X	true	true	X	X	true	X	X	X	true	X	X	X	X	X	X	X	true	X	false	false
Millard Fillmore Suburban Hospital
3	true	true	200.	true	400.	true	X	X	X	X	X	X	true	true	X	X	true	X	X	X	true	X	X	X	X	X	X	X	true	X	false	false
Millard Fillmore Gates Circle Hospital
4	true	true	200.	true	400.	true	X	X	X	X	X	X	true	true	X	X	true	X	X	X		X	X	X	X	X	X	X	true	X	false	false
Degraff Memorial Hospital
5	true	true	200.	true	400.	true	X	X	X	X	X	X	true	true	X	X	true	X	X	X		X	X	X	X	X	X	X	true	X	false	false

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	28	NumberOfOtherFacilities

Other Facilities OtherFacilities (28 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Deaconess Skilled Nursing Facility
1001 Humboldt Parkway	Buffalo	NY	14208	Inpatient Skilled Nursing Facility
Center for Laboratory Medicine
115 Flint Road	Amherst	NY	14226	Hospital based lab services
MFSC LLC Ambulatory Surgery Center
215 Klein Road	Williamsville	NY	14221	Freestanding surgery Center
Community Mental Health Center
1010 Main Street	Buffalo	NY	14203	Hospital based outpatient behavorial health services
WCHOB Women's Health Center
239 Bryant Street	Buffalo	NY	14222	Hospital based outpatient primary care services
JS Mattina Health Center
300 Niagara Street	Buffalo	NY	14201	Hospital based outpatient primary care services
Amherst General
4955 North Bailey Avenue Suite 207	Amherst	NY	14226	Hospital based outpatient diagnostic services
North Buffalo Medical Park
900 Hertel Avenue	Buffalo	NY	14207	hospital based outpatient primary care services
Deaconess Family Planning Center
1011 Humboldt Parkway	Buffalo	NY	14208	Family planning services
WCHOB Specialty Clinics
140 Hodge Street	Buffalo	NY	14222	Hospital based outpatient primary care services
Buffalo Therapy Services
115 Flint Road	Amherst	NY	14226	Hospital based outpatient therapy services
WCHOB Hodge Pediatrics
125 Hodge Street	Buffalo	NY	14222	Hospital based outpatient primary care services
Towne Garden Pediatrics
461 William Street	Buffalo	NY	14204	Hospital based outpatient primary care services
Sterling Medical Park
200 Sterling Drive	Orchard Park	NY	14127	Hospital based outpatient primary care services
Lancaster Addictions Clinic
11 West Main Street	Lancaster	NY	14086	Hospital Based outpatient behavorial health services
Dr M L King SBHC
487 High Street	Buffalo	NY	14211	school based primary care services
Hillery Park SBHC
72 Pawnee Parkway	Buffalo	NY	14210	School based primary care services
South Park High SBHC
150 Southside Parkway	Buffalo	NY	14220	School based primary care services
Buffalo Elem School of Technology
414 S Division Street	Buffalo	NY	14204	School based primary care services
Futures Academy SBHC
295 Carlton Street	Buffalo	NY	14204	School Based primary care services
Bennett High SBHC
2885 Main Street	Buffalo	NY	14214	School based primary care services
Herman Badillo SBHC
315 Carolina Street	Buffalo	NY	14201	School based primary care services
Westminster Community SBHC
24 Westminster Avenue	Buffalo	NY	14215	School based primary care services
Stanley Makowski SBHC
1095 Jefferson Avenue	Buffalo	NY	14214	School based primary care services
Dr Lydia Wright SBHC
106 Appenheimer Street	Buffalo	NY	14214	school based primary care services
BUILD Academy SBHC
340 Fougeron Street	Buffalo	NY	14211	School based primary care services
Grover Cleveland High SBHC
110 Fourteenth Street	Buffalo	NY	14213	School based primary care services
WCHOB Early Childhood Direction Center
3131 Sheridan Avenue	Amherst	NY	14226	school based primary care services

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

IdentifierIdentifier	ExplanationExplanation
Part I, Line 3C	Kaleida Health (Kaleida) has developed, 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 notified during intake and registration of Kaleida's Charity Care program. 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 inpatient, outpatient, emergency room or nursing home services rendered at a Kaleida facility, as follows: Less than 200% of Federal Poverty Guideline is awarded 100% discount 200% - 249% of Federal Poverty Guideline is awarded 90% discount 250% - 299% of Federal Poverty Guideline is awarded 75% discount 300% - 349% of Federal Poverty Guideline is awarded 60% discount 350% - 400% of Federal Poverty Guideline is awarded 50% discount The applicant for free or reduce price care is contacted by a facilitated enroller for financial screening and enrollment in a government-funded program, if eligible.
PART I, LINE 6	Kaleida Health's 2010 Community Benefit Report is a separate report prepared by the organization.
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. Costs attributable to a physician clinic: There are no costs attributable to a physician clinic included in Subsidized Health Services. Bad debt expense included on Form 990, but subtracted for purposes of calculating the percentage of total expense: Total Bad Debt expense subtracted from total expenses in the determination of calculating the percentage of Total Expense is $17,526,163.
PART II - COMMUNITY BUILDING ACTIVITIES	Kaleida Health is actively engaged in protecting our community through emergency preparedness. Kaleida Health has taken the lead with community and international partners to increase the Western New York region's level of readiness for any crisis that may occur, including organizing and conducting internal and external emergency drills. Community partners include local law enforcement and fire departments, the United States Postal Service, Erie County Department of Health, Niagara County Department of Health, Erie County Hazmat Organization, local universities and the International Joint Commission [for Emergency Response] involving Erie County, Niagara County and the Niagara Province of Ontario, Canada, among other organizations. Kaleida Health's Emergency Management Department provides leadership training and programmatic services for other healthcare organizations throughout the region. The Department assisted with creation of a Regional Mutual-Aid Agreement between 26 healthcare organizations in Western New York. The Mutual-Aid Agreement makes it possible for the healthcare organizations to share resources with one another during a disaster. Kaleida Health's emergency management activities promote the health of the communities we serve by ensuring that citizens, businesses and non-profit organizations are well prepared for all hazards. Kaleida Health conducts physician workforce planning and actively recruit physicians to medical shortage/underserved areas. A medical staff development plan is established based on community need in our service area. Community need is based on the total number of physicians providing medial services to the area, not only those physicians to staff our hospitals.
PART III, Lines 2 and 3	Bad Debt Expense is recorded using the valuation method as outlined in Healthcare Financial Management Association Statement 15, which requires bad debt expense to be recorded at the amount that the payer is expected to pay. In order to report the costs associated with bad debt expense, the reported bad debt expense needs to be adjusted so that the amount expected to be paid reflects gross charges, prior to the application of an RCC. Kaleida Health adjusts bad debt expense prior to the application of an RCC so that the reported bad debt expense at cost, on Part III, line 2 of IRS Form 990, Schedule H reflects the true cost of the bad debts. The organization has a Charity Care Policy, and any write-offs as a result of this policy are recorded as Charity Care Allowances and are a reduction of the New Patient Revenue. Individuals who may quality for Charity Care assistance under the policy, but do not volunteer to complete the application process would not be granted Charity Care assistance. Beginning on April 1, 2010, Kaleida Health implemented a presumptive eligibility process, whereby, each charity care applicant is credit scored and based on this score, and charity care may be awarded. Kaleida Health, in implementing the presumptive eligibility process, determined that 38% of self-pay bad debt expense in 2010 would have been eligible for charity care assistance. Therefore, we believe that the level of charity care included in bad debt expense to be approximately $822,614. We estimated this amount by using the 2010 calculated presumptive eligibility percentage on bad debt write-off's amounts over $500 (27%), and applied this percentage to those bad debt write-off's amounts under $500, to determine the bad debt write-off's that would have been eligible, if they were scored using the presumptive eligibility process.
PART III, LINE 4	Charity Care and Bad Debt Expense "Kaleida provides care to patients who meet certain criteria under its charity care policies without charge or at amounts less than their established rates. Because Kaleida does not anticipate collection of amounts determined to quality as charity care, they are not reported as revenue. Kaleida grants credit without collateral to patients, most of whom are local residents and are insured under third-party arrangements. Additions to the estimated allowance for doubtful accounts are made by means of the provision for bad debts. Accounts written off as uncollectible are deducted from the allowance and subsequent recoveries are added. The amount of the provision for bad debts is based upon management's assessment of historical and expected net collections, business and economic conditions, trends in Federal and State governmental healthcare coverage, and other collection indicators." Method used to determine the amount that reasonably could be attributable to patients who would likely qualify for financial assistance under the financial assistance policy, if sufficient information had been available to make a determination of their eligibility: Kaleida recognizes that, as a benefit to the Communities that they serve, that some patients are unable to or unwilling to ask for financial assistance due to barriers to applying for assistance such as educational level and literacy, documentation limitations, fear of application processes and general apathy. Kaleida is willing to extend benefits to those patients that face these barriers based on the best information that can be gathered about the guarantor. Kaleida intends to process patient accounts for presumptive charity scoring at the completion of the revenue cycle and after eligibility efforts for alternative funding or public assistance have been exhausted. The PARO model utilizes public record data and returns information that is utilized to determine characteristics for the consumer. PARO is designed to identify patients likely to qualify for financial assistance based on a predictive model and other financial and asset estimates for the patient derived from public record sources. In the absence of additional information from the patient, this rule set is applied to all patients exiting the revenue to determine which patients would have likely qualified for financial assistance. Based on the analysis of historical data from Kaleida, PARO derived the following rules to define guarantor eligibility for presumptive charity: 1) PARO Score - The PARO charity score is a predictive model that defines the likely socio-economic conditions for the patient. This score is based on public record data for the consumer. AND 2) Estimated Federal Poverty Level - This is an estimate of the ratio of the patient household against the Federal Poverty Level as defined by HHS. This is derived from estimated household size and estimated household income. This ratio for Kaleida was adjusted to represent local cost of living and historical approvals. AND 3) The 3rd party data which is gathered must not indicate that the patient is a homeowner or probable homeowner. Although the traditional charity policy may not consider homeownership as an excluding factor to charity qualification, the application of presumptive charity typically excludes homeownership status for approval in the absence of additional information from the patient. All three factors must be met in order for the patient to qualify for presumptive charity. If a patient does not qualify under these rules, the patient may engage in the traditional charity policy in order to be considered for charity care. Rationale for including any portion of bad debt as community benefit (if any): Bad debt is not included as community benefit.
PART III, LINE 8	There are no Medicare shortfalls included in the calculation of community benefit. Costing methodology used to determine the Medicare allowable costs reported in the Medicare Cost Report, as reflected in Part III, line 6: Kaleida Health used the filed, but unaudited 2010 CMS Medicare Cost Report to determine the amounts reported on these lines.
PART III, LINE 9A	Only after patient's liability has been determined following processing of applications for government assistance, charity care, and/or insurance carrier remittance will the patient statement be mailed for payment recovery. Kaleida Health has implemented a pre-collection process for accounts with an insurance balance of zero, 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, Family Health Plus or Child Health Plus, and an eligibility determination is pending).
PART III, LINE 9B	AT THE TIME THAT A PATIENT EXPRESSES A FINANCIAL CONCERN, THE PATIENT WILL BE OFFERED THE OPPORTUNITY TO APPLY FOR CHARITY CARE. ONCE THE PATIENT SUBMITS THE COMPLETED CHARITY CARE 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, THAN THE PATIENT IS NOTIFIED OF THE LEVEL OF CHARITY CARE AWARDED. IF 100% CHARITY CARE AWARDED, THEN NO BILL IS SENT TO THE PATIENT. IF LESS THAN 100% CHARITY CARE IS AWARDED, THAN THE PATIENT WILL RECEIVE A BILL PURSUANT TO THE PRIVATE PAY COLLECTION POLICY.
Part V, Line 13g	FINANCIAL AID INFORMATION INCLUDED ON BILLS AND STATEMENTS - INFORMATION THAT EXPLAINS HOW QUALIFIED PATIENTS CAN ACCESS FINANCIAL ASSISTANCE THROUGH THE HOSPITAL ARE 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. HOSPITAL MAY NOT FORWARD ACCOUNTS TO COLLECTION WHILE AN APPLICATION IS PENDING. Part V, Line 15e Upon verification of employment wages will be garnished. Part V, Line 16e Upon verification of employment the agency will garnish wages on Kaleida Health's behalf. Part V, Line 17e Notification through Kaleida Health website and brochures. Part V, Line 19d The amounts billed are calculated using the Medicare rate, Medicaid rate or highest volume commercial payor rate.
PART V, LINE 21	Uninsured patients who are eligible for a our charity care program will be offered our self-pay rate in accordance with Public Health Law section 2807-k(9-a). The patient will be responsible for the established rate or total charges (whichever is less) minus the charity care award. If 100% charity care is awarded, then no bill is sent to the patient.
Community Health Needs Assessment Process	Kaleida Health assesses the health of the communities we serve through a variety of means, including but not limited to consideration of the following community health needs assessments: - Kaleida Health: Community and Provider Health Care Assessment (January 2008): Kaleida sponsored and published a population-based, cross-sectional house-to-house community health needs assessment of 2,000 heads of households in medically underserved City of Buffalo neighborhoods. Of these households, 1,658 community residents participated in the survey. The purpose was to gather data from community residents on health care, provide information on how health care may be improved to best serve the community's needs, and identify what works well and what does not in the local health care environment for these residents, from their perspective. Additional data was gathered from community-based primary care providers to identify opportunities for collaboration on disease prevention for patients under their care. - Erie County Department of Health's Community Health Assessment (March 2010): Includes demographic and health status information for the population, including disease prevalence, incidence, health resources and service utilization, profiles of community resources, behavioral risk factors, unmet need for services, local health priorities, and opportunities for action in Erie County. - Niagara County Department of Health's Community Health Assessment (September 2009): Includes demographics, description of populations at risk, disease prevalence, incidence, access to care, problems and issues in the community, local health priorities, accomplishments and opportunities for action in Niagara County. - Project CODA: Creating Options for Dignified Aging in Erie and Niagara Counties (June 2009): A locally driven elderly-centered strategy based upon in-depth research on the demographics and specific needs and wants of elders, caregivers and service providers. The assessment provides an overview of the existing long-term care system in Erie and Niagara counties, forecasts the future of long-term care, and identifies models to project future economic and demographic trends, likely shifts in public policies and projections of future changes in consumer preferences and demand for aging services. - Western New York Health Care Safety-Net Assessment (February 2008): An assessment of access, consumer experience and health information technology. The assessment offers a description of the primary care safety-net in the region, assesses access and the safety-net's overall capacity and strength, assesses consumer's experience with their primary care, and determines the information technology capacity of the primary care safety net. - Reaching for Excellence: Community Vision and Voices for WNY Health Care (July 2009): A community health assessment that incorporates the perspective of the community and users of the health care system in current health care strategy development. More than 1700 Western New Yorkers were engaged in a series of community conversations about what consumers want for the future of health care in the region. The conversations resulted in 5 health care priorities, reflecting the top concerns of the region across race, ethnicity, age, income and geography. Secondary level quantitative data include local surveys, U.S. census, U.S. Department of Health and Human Services' Community Health Status Indicators Report for NY (including Erie and Niagara Counties), among other assessments. Kaleida's team use data from community health assessments, such as those above, to shape strategy for prioritizing its efforts and identifying areas of focus for the community benefit interventions. Many of the interventions adopted by Kaleida Health focus on populations with Disproportionate Unmet Health Needs (DUHN), including the elderly, low-income individuals and families, children and youth, and persons with special needs. The goals selected for each intervention are in support of local collaborative planning efforts when possible, and engage the breadth of Kaleida's community benefit programs.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	Kaleida Health informs individuals of available free or reduced price services 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 is also available through Kaleida'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, Family Health Plus, Prenatal Care Assistance Program, and State Aid for Children with Special Needs. A dedicated telephone number is available and information is published in pamphlets at Kaleida sites and at various locations throughout the community. Financial Assistance Program: As described above, the Kaleida Financial Assistance Program offers free or reduced-prices for patients treated at Kaleida Health hospitals, outpatient, emergency room, or long-term care facilities. Discounts are awarded based upon income and asset verification. Individuals who do not quality for Medicaid, Child Health Plus, Family Health Plus, Prenatal Care Assistance Program, and/or State Aid for Children with Special Needs are considered for financial assistance (charity care).
COMMUNITY INFORMATION	Kaleida serves the eight counties of Western New York State, with primary service areas in Erie and Niagara Counties. The service area has a combined population of approximately 1.5 million people. The eight county service areas includes: Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Orleans, Niagara and Wyoming Counties. The region is diverse in character, ranging form rural areas and small towns of the southeastern counties, to the denser areas of Erie and Niagara counties. Kaleida Health (Kaleida) is headquartered in the City of Buffalo, (Erie County) New York. There are several federally designated Medically Underserved Areas, Medically Underserved Populations, and Health Professional Shortage Areas in Kaleida's service area. Demographic Information, Erie County, NY: Erie County is the largest metropolitan county in upstate New York. According to the U.S. Census 2010 estimates, the population of Erie County including the City of Buffalo is 919,040. Buffalo serves as the County seat. Buffalo has a population of 276,059. The City of Buffalo is the largest city in the region and the second largest city in New York State. Buffalo is ranked as the third poorest city in the nation. Erie County is home to 3 cities, 16 villages, 25 towns, and two Native American Indian reservations. Erie County is largely a metropolitan urban County with the majority of the population living within the cities and surrounding communities. There is a significant rural population that resides outside the first and second ring suburban areas. The population of Erie County has been declining over the past decade. In the year 2000, the population of Erie County was 950,265. This represents an approximately 3.3% decrease in population between the years 2000 and 2010. According to the 2009 U.S. Census, 5.4% of the Erie County population are under the age of five, 21.5% are under age 18, and 15.8% are age 65 and over. Compared to New York State and National age distributions, Erie County has a slightly lower percentage of young people and a higher percentage of people age 65 and older. However, the City of Buffalo population distribution is quite different from Erie County. In Buffalo, 26.3% of residents are under age 18, which is higher than both New York State (24.7%) and the USA (24.3%). The percent of persons age 65 and over residing in the City of Buffalo is lower than in Erie County as a whole and equal to the New York State percentage of 13.4%. In Erie County, 51.8% of the population is female and 48.2% male. This distribution is similar to the New York State distribution, however the national distribution is closer to 50%. In the City of Buffalo there is a high percentage of females (53%) and lower percentage of males (47%). According to the 2010 US Census, 82.18% of the Erie County population is non-Hispanic Whites, 13% non-Hispanic African-Americans, 3.27% Hispanic, 0.6% Native Americans, and 1.46% Asian/Pacific Islanders. As per the 2005-2009 American Community Survey, the City of Buffalo is characterized by a much higher percentage of African Americans (39.8%), and Hispanics (8.3%). The West Side of Buffalo is home to a large immigrant and refugee population where there are 28 ethnicities and a minimum of 31 languages and dialects spoken. Lackawanna, New York, located just south of the City of Buffalo is home to a large Arab community, many of whom do not speak English as their first language. Nearly 9% of the Erie County population speaks a language other than English in their homes. The median household income in Erie County is $46,739. The median earnings for male full-time workers is $38,703. The median earnings for female full-time workers is $26,510. For all families in Erie County, 9.20% are below the federal poverty level. For families with children under 18 years of age, 17.30% are below the federal poverty level. The likelihood of families living below the poverty level is compounded for female headed families that do not have a husband present. 13.7% percent of families in Erie County have a female head of household with no husband present and 30.4% of these families are below the poverty level. For those families with children under 18 years of age, 42.5% are below the poverty level and 53.4% of these families with children under age 5 are below the poverty level. Erie County's per capita income in 2009 was $26,256. In the City of Buffalo where poverty is more prevalent, the median household hold income is $24,536, which is more than $20,000 less than the County as a whole; and the per capita income in Buffalo is $14,991, almost $11,000 less than the County. The median household income nationally in 2009 is $50,221, and $54,554 for New York State. In Erie County, 13.9% of all residents live below the federal poverty level, which is very similar to the percent for New York State. In the City of Buffalo, 26.6% of residents are living below the federal poverty level. According to the New York State Department of Health, at the end of 2008, 6.1% of Erie County residents did not have health insurance and 8.1% of Erie County residents were unemployed in 2009. Erie County has a higher high school graduation rate (87.9%) than New York State (84.2%), however the City of Buffalo's high school graduation rate is lower (74.6%). Similarly, the City of Buffalo's college graduation rate (18.3%) is significantly lower than Erie County (28.5%) and New York State (31.8%). (2010 US Census) Demographic Information, Niagara County New York: Niagara County is located just north of Erie County. Niagara County consists of 26 cities, towns and villages along with the Tuscarora Indian Reservation, which is located approximately in the middle of the county. The City of Niagara Falls is the most populated city in Niagara County, followed by North Tonawanda. According to the 2010 U.S. Census, Niagara County has a total population of 216,469, which has been declining in recent years. Niagara County demographics reveal that 88.5% of residents are Caucasian, 6.9% are African-American, 1.1% are Native American, and 0.8% Asian/Pacific Islander. The median household income for Niagara County is $42,580. Approximately 14% (13.9%) of county residents lives in poverty and 9% of families and 33.8% of female headed households with no spouse had incomes below the federal poverty level. According to the New York State Department of Health, nearly 9% of people in Niagara County had no health insurance at the end of 2008. English is the primary language for 94.1% of Niagara County residents and the second language spoken is Spanish. There is also a small population of recent immigrants from Russia that resides in North Tonawanda, many of whom speak very little English. Niagara Falls is the largest city in Niagara County with 51,712 residents. The population of the City of Niagara Falls is 76.2% Caucasian, 18.7% African-American, 1.6% Native American, 2.4% Hispanic, and 0.7% Asian/Pacific Islander. There are 27,299 females and 24,413 males residing in Niagara Falls. The median income in Niagara Falls is $31,336. According to Business First, the unemployment rate in Niagara Falls in January 2011 was one of the highest in the Western New York region at nearly 11.1%. The poverty rates in Niagara Falls from 2005-2007 indicated that an overall 20.9% of residents live in poverty. Within this group, 27.7% of related children under age 18 live below the federal poverty level. In addition, 33.8% of female headed households had income below the federal poverty level. In Niagara Falls, 83.7% of adults graduated from high school, 12.4% earned college degrees, however 18% did not complete high school. North Tonawanda is the second largest city in Niagara County, with a total population of 31,362. There are 14,593 males and 15,869 females residing in North Tonawanda. The majority of residents (97.6%) are Caucasian, 0.7% African-American and 1% are Asian/Pacific Islanders. The median income in North Tonawanda is $46,457. According to Business First, the unemployment rate in 2009 was 8.9%. An 8.3% poverty level was identified, including 5.8% of families residing in North Tonawanda and 24.2% of female headed households with no spouse. 89.6% of adults graduated from high school and 20.7% hold a college degree. Twelve percent (12%) of North Tonawanda residents dropped out of high school. (Niagara County Department of Health Community Health Assessment)
PROMOTION OF COMMUNITY HEALTH	Kaleida Health's mission is "to advance the health of the community." Our vision is to be the "regional health care system providing exceptional quality services, with a commitment to education and research, accessible to all". Our values clearly state who we are and how we perform our work: Patient-Centered: We put patients and families first Excellence: As a team, we pursue exceptional performance with passion Accountability: We take personal responsibility for delivering results Integrity: We demonstrate honesty in everything we do. Promoting community health is how we carry out the mission of Kaleida Health: "to advance the health of our community." Much of our community benefit work is focused on the needs of low income, medically underserved populations. Poverty trends, community health research and local community health needs assessments are reviewed on a regular basis while planning services and programs. Kaleida Health representatives are actively engaged in various community health collaborations with the local health departments, state health department, and local not-for-profit health and human service agencies. We are responsive to community priorities and develop programs and services that fill a gap or supplement an existing program. Most Kaleida Health community health outreach programs are offered in partnership with other community organizations or governmental agencies, in order to leverage resources to meet community needs. Information regarding the availability of community health programs, assistance with health insurance enrollment and financial assistance for medical care received at Kaleida Health hospitals, emergency departments, outpatient departments or long-term care facilities is disseminated to the public in electronic (website) form in the annual Community Benefit Report and triennual Community Services Plan. Print form of these documents are available upon request. The Visiting Nursing Association of Western New York, Inc. is the Kaleida Health home care affiliate. The Visiting Nursing Association of Western New York promotes the health of the community by educating chronic care patients on self-management and personal care in areas such as rehabilitation services, nutrition education and therapy, infection control, falls risk assessment and intervention, and health education related to improved lifestyle choices for individuals and families in their homes and the community. Community-based prevention programs are offered through the Visiting Nursing Association, such as the annual community influenza immunization program. The Visiting Nursing Association of Western New York offers one of the largest annual influenza immunization programs in the region.
KALEIDA HEALTH BOARD OF DIRECTORS	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 members of the Board of Directors reside in Western New York and are neither employees, independent contractors, nor family members thereof. Each Director serves a three-year term. Open medical staff As conferred by the Board of Directors, medical staff membership is offered to professionally competent physicians, dentists, podiatrists and other specified individuals, who continuously meet the qualifications, standards and requirements outlined in the Bylaws, Rules and Regulations, Policies of the Medical Staff and Kaleida Health, consistent with the needs of Kaleida Health's patients. Staff membership or particular clinical privileges shall not be denied on the basis of age, sex, sexual orientation, race, color, creed, national origin, a disability unrelated to the ability to fulfill patient care and medical staff responsibilities or any other criterion unrelated to the efficient delivery of quality patient care, to professional qualifications or to the needs of the community, or to the purposes, needs, and capabilities of Kaleida Health. Every member of the Medical Staff assists the hospitals in fulfilling our mission and responsibility to provide emergency and uncompensated care for those in need. Use of surplus funds: Surplus funds are used to further the mission of Kaleida Health, such as reinvesting in community benefit programs and making improvements in facilities, patient care, medical, nursing and allied health training and education in support of the health needs of the community.
STATE FILING OF community benefit report:	NEW YORK

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1	Address Line2AddressUS/AddressLine2	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
AMERICAN HEART ASSOCIATION
20 NORTHPOINTE PKWY	SUITE 130	AMHERST	NY	14228	135613797	501(C)(3)	30000	LUNCH SPONSORSHIP
BUFFALO URBAN LEAGUE INC
15 EAST GENESEE STREET		BUFFALO	NY	14203	160743940	501(C)(3)	10000	GALA SPONSOR
ECMC LIFELINE FOUNDATION
462 GRIDER STREET		BUFFALO	NY	14215	223283946	501(C)(3)	15000	GOLF TOURNAMENT SPONSOR
NIAGARA FALLS MEMORIAL MEDICAL CENTER
621 TENTH STREET		NIAGARA FALLS	NY	14302	160743094	501(C)(3)	6000	GOLF TOURNAMENT SPONSORSHIP
UB FOUNDATION
3435 MAIN STREET		BUFFALO	NY	14231	160865182	501(C)(3)	77500	ABS PROGRAM
WNY CLINICAL INFO EXCHANGE
2568 WALDEN AVE	SUITE 107	CHEEKTOWAGA	NY	14225	364594483	501(C)(3)	101700	CONTRIBUTION

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	5	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Schedule I, Part 1, question 2	Identifier
Explanation	DESCRIPTON OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS - KALEIDA HEALTH MAKES CONTRIBUTIONS TO ORGANIZATIONS IN WESTERN NEW YORK THAT ALSO HAVE HEALTH CARE RELATED ACTIVITIES. ALL CONTRIBUTIONS MUST BE APPROVED BY THE GOVERNING BODY BEFORE THE MONEY IS DISTRIBUTED.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	true	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg
JAMES KASKIE
906574	0	1091850	0	366436	0	31230	0	47204	0	2443294	0	0
ROBERT NOLAN
343936	0	256922	0	125135	0	27503	0	17225	0	770721	0	0
CONNIE VARI
528238	0	382184	0	234742	0	43551	0	12661	0	1201376	0	0
JOSEPH KESSLER
470756	0	101081	0	8500	0	189733	0	18731	0	788801	0	0
MARGARET PAROSKI MD
413846	0	97840	0	723823	0		0		0	1235509	0	0	698823
D ERIC POGUE
319161	0	82380	0	8500	0	113664	0	9864	0	533569	0	0
JAMES FOSTER MD
326268	0	37433	0		0	15672	0	588	0	379961	0	0
FRANCIS MEYER Jr
295509	0	70125	0		0	27063	0	4163	0	396860	0	0
ANDRAS VARI MD
278876	0	77625	0		0	21905	0	8110	0	386516	0	0
STEPHANIE MANN MD
415389	0		0		0	4086	0	5972	0	425447	0	0
LUCY CAMPBELL MD
381817	0		0		0	20253	0	650	0	402720	0	0
CHERYL KLASS
401054	0	118125	0	3500	0	31508	0	17894	0	572081	0	0
LAWRENCE ZIELINSKI
330600	0	71250	0	136634	0	21497	0	16998	0	576979	0	0
DONALD BOYD
322580	0	87600	0	51770	0	39208	0	16949	0	518107	0	0
CHRISTOPHER LANE
299525	0	87313	0	3500	0	34137	0	16598	0	441073	0	0
TAMARA OWEN
281449	0	59375	0	3500	0	42303	0	9135	0	395762	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
HEALTH OR SOCIAL CLUB DUES	SCHEDULE J, PART I, LINE 1A	AS PART OF THEIR COMPENSATION PACKAGE OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION ARE ENTITLED TO CHOOSE AS AN EXECUTIVE PERK THE BENEFIT OF BUSINESS RELATED SOCIAL DUES OR INITIATION FEES.
HOURS DEVOTED TO RELATED ORGANIZATIONS	FORM 990, SCHEDULE J-2, PART I	THE FOLLOWING INDIVIDUALS LISTED ON SCHEDULE J-2, PART I, COLUMN A EACH DEVOTED 4 HOURS IN TOTAL TO RELATED ORGANIZATIONS: CONNIE VARI, JOSEPH KESSLER, LAWRENCE ZIELINSKI.
EXECUTIVE DEFERRED RETIREMENT PLAN	SCHEDULE J, PART I, LINE 4B	DURING THE YEAR, THE FOLLOWING OFFICERS AND KEY EMPLOYEES LISTED ON FORM 990, PART VII, SECTION A PARTICIPATED IN THE EXECUTIVE DEFERRED RETIREMENT PLAN: ROBERT NOLAN, CONNIE VARI, JOSEPH KESSLER, JAMES KASKIE, LARRY ZIELINSKI, DONALD BOYD, MARGARET PAROSKI AND D. ERIC POGUE. EMPLOYER AND EMPLOYEE CONTRIBUTIONS DURING THE YEAR TO THIS PLAN HAVE BEEN REPORTED, AS REQUIRED, ON SCHEDULE J, PART II COLUMNS (B)(III) AND (C). DURING 2010, THE FOLLOWING OFFICERS RECEIVED PAYMENTS UNDER AN EXECUTIVE DEFERRED RETIREMENT PLAN: CONNIE VARI $226,242 LARRY ZIELINSKI $116,634 JAMES KASKIE $329,397 ROBERT NOLAN $116,635 DONALD BOYD $43,270
COMPENSATION ARRANGEMENT CONTINGENT ON NET EARNINGS OF THE ORGANIZATION	SCHEDULE J, PART I, QUESTION 6A	THE ORGANIZATION PLACES A CERTAIN PORTION OF AN EXECUTIVES TOTAL AVAILABLE COMPENSATION AT RISK ANNUALLY AND A PROPORTION OF THAT AT-RISK AMOUNT IS DEPENDENT UPON THE CONSOLIDATED HEALTH SYSTEM ATTAINING CERTAIN OPERATING PERFORMANCE TARGETS BOTH FINANCIAL AND NON-FINANCIAL DURING 2009, CERTAIN FINANCIAL OPERATING TARGETS WHICH WERE SET BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, INCLUDING TOTAL NET 0PERATLNG MARGIN WERE MET AND EXCEEDED RESULTING IN COMPENSATION UNDER THIS ARRANGEMENT PAID TO OFFICERS AND KEY EMPLOYEES DURING 2010

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
Dormitory Authority - State of New York
146000293	64983TQT3	2004-05-20	97405000	REFINANCE BUF GENERAL HOSP MOR	false	false	false
DORMITORY AUTHORITY - STATE OF NEW YORK
146000293	64983Q429	2006-09-21	81810000	RENOVATIONS TO FACILITIES	false	false	false
Dormitory Authority - State of New York
146000293		2006-09-28	16485005	EQUIPMENT PURCHASE	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Capitalized InterestCapitalizedInterest	Credit EnhancementCreditEnhancement	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures
21405000	97405000	30724942	1867994	88672006	1987	true	false	true	true
4740000	86265656	24518390	1213231		2008	false	false	true	true	5074243	1836365	2067415	69802989
9398845	16894022		83005		2007	false	false	true	true				16811017

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	true	0.00000	0.00000	0.00000	true
false	false	true	false	true				true
false	false	false	false	true				true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
BAYERISCHE LANDESBAN
false	false	false	true	11.5	true	true	true
MBIA INC
false	false	false	true		true	true	false
(no name)
false	false	false	false			false	false

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

IdentifierIdentifier	ExplanationExplanation
Part II, Line 3	The total proceeds do not agree to the issue price in Part I, Column (e) due to investment earnings
Part IV, Column A, Line 4b	Bayerische Landesbank
Part IV, Column B, Line 4c	Construction Fund - 2.5 years, Reserve Fund - 4.4 years

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (9 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
BUFFALO NIAGARA MEDICAL CAMPUS
SEE PART V	118581	SEE PART V	false
GREATER NEW YORK HOSPITAL ASSOCIATI
SEE PART V	15000	SEE PART V	false
JOCELYN VARI
SEE PART V	77374	SEE PART V	false
DAVID VARI
SEE PART V	44970	SEE PART V	false
BONNIE PLEUTHNER
SEE PART V	72578	SEE PART V	false
SUSAN EVANS
SEE PART V	71398	SEE PART V	false
Dr ANDRAS VARI
SEE PART V	356501	SEE PART V	false
GENERAL PHYSICIANS PC
SEE PART V	3557367	SEE PART V	false
Damon and Morey LLP
See Part V	1128006	See Part V	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	Identifier
Return Reference	SCHEDULE L, PART IV	ReturnReference
Explanation	BUFFALO NIAGARA MEDICAL CAMPUS, COLUMN B - RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: THE PAST BOARD CHAIRMAN OF THE FILING ORGANIZATION (KALEIDA HEALTH), EDWARD F. WALSH, JR., WAS ALSO SERVING AS A BOARD MEMBER OF THE BUFFALO NIAGARA MEDICAL CAMPUS AT THE TIME OF THE TRANSACTION. COLUMN D - DESCRIPTION OF THE TRANSACTION; DURING 2010, THE ORGANIZATION PAID THE INTERESTED PERSON (BUFFALO NIAGARA MEDICAL CAMPUS) PARTICIPATION DUES AND FOR SERVICES IN THE NORMAL COURSE OF BUSINESS. GREATER NEW YORK HOSPITAL ASSOCATION, COLUMN B - RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: THE CURRENT PRESIDENT/CEO OF THE FILING ORGANIZATION (KALEIDA HEALTH), JAMES KASKIE, WAS ALSO SERVING AS A BOARD MEMBER OF THE GREATER NEW YORK HOSPITAL ASSOCATION AT THE TIME OF THE TRANSACTION. COLUMN D - DESCRIPTION OF THE TRANSACTION: DURING 2010, THE ORGANIZATION PAID THE INTERESTED PERSON (GREATER NEW YORK HOSPITAL ASSOCIATION) PARTICIPATION DUES. JOCELYN VARI, COLUMN B - RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: JOCELYN VARI IS A FAMILY MEMBER OF A CURRENT OFFICER OF THE ORGANIZATION, CONNIE VARI, WHO RECEIVED COMPENSATION FROM THE ORGANIZATION IN EXCESS OF $10,000. COLUMN D - DESCRIPTION OF THE TRANSACTION: DURING 2010, THE ORGANIZATION PAID THE INTERESTED PERSON (JOCELYN VARI) IN THE NORMAL COURSE OF BUSINESS TO FURNISH SERVICES AS PERFORMANCE IMPROVEMENT PROJECT COORDINATOR. DAVID VARI, COLUMN B - RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DAVID VARI IS A FAMILY MEMBER OF A CURRENT OFFICER OF THE ORGANIZATION, CONNIE VARI, WHO RECEIVED COMPENSATION FROM THE ORGANIZATION IN EXCESS OF $10,000. COLUMN D - DESCRIPTION OF THE TRANSACTION: DURING 2010, THE ORGANIZATION PAID THE INTERESTED PERSON (DAVID VARI) IN THE NORMAL COURSE OF BUSINESS FOR PERFORMANCE OF SERVICES AS AN EMPLOYEE RELATIONS SPECIALIST. BONNIE PLEUTHNER, COLUMN B - RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BONNIE PLEUTHNER IS A FAMILY MEMBER OF A CURRENT OFFICER OF THE ORGANIZATION, CONNIE VARI, WHO RECEIVED COMPENSATION FROM THE ORGANIZATION IN EXCESS OF $10,000. COLUMN D - DESCRIPTION OF THE TRANSACTION: DURING 2010, THE ORGANIZATION PAID THE INTERESTED PERSON (BONNIE PLEUTHNER) IN THE NORMAL COURSE OF BUSINESS FOR PERFORMANCE OF SERVICES AS A REGISTERED NURSE. SUSAN EVANS, COLUMN B - RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SUSAN EVANS IS A FAMILY MEMBER OF A CURRENT OFFICER OF THE ORGANIZATION, EVAN EVANS, MD, WHO RECEIVED COMPENSATION FROM THE ORGANIZATION IN EXCESS OF $10,000. COLUMN D - DESCRIPTION OF THE TRANSACTION: DURING 2010, THE ORGANIZATION PAID THE INTERESTED PERSON (SUSAN EVANS) IN THE NORMAL COURSE OF BUSINESS FOR PERFORMANCE OF SERVICES AS A DISCHARGE PLANNER. DR. ANDRAS VARI, COLUMN B - RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DR. ANDRAS VARI IS THE HUSBAND OF A CURRENT OFFICER OF THE ORGANIZATION, CONNIE VARI, WHO RECEIVED COMPENSATION FROM THE ORGANIZATION IN EXCESS OF $10,000. COLUMN D - DESCRIPTION OF THE TRANSACTION: DURING 2010, THE ORGANIZATION PAID THE INTERESTED PERSON (DR. ANDRAS VARI) IN THE NORMAL COURSE OF BUSINESS FOR PERFORMANCE OF PHYSICIAN SERVICES. General Physicians, P.C. (GPPC) COLUMN B - RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: Dr. Andras Vari, AN interested person to Kaleida Health, IS 100% owner of GPPC. COLUMN D - DESCRIPTION OF THE TRANSACTION: During 2010, Kaleida Health loaned General Physicians P.C. money to re-activate the physician practice that has been dormant since 2002. The loan was made to assist General Physicians P.C. to pay for costs of acquiring and employing physicians and staff as well as ongoing operating costs of the practice and will be repaid to Kaleida once GPPC has re-established its patient base and has the ability to repay. DAMON AND MOREY, LLP, COLUMN B - RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DAMON AND MOREY, LLP IS AN ENTITY IN WHICH A CURRENT BOARD MEMBER OF THE ORGANIZATION, CHRISTOPHER GREENE, ESQ, ALSO HAS A PARTNERSHIP INTEREST AT THE TIME OF THE TRANSACTION. COLUMN D - DESCRIPTION OF THE TRANSACTION: DURING 2010, THE ORGANIZATION PAID THE INTERESTED PERSON (DAMON AND MOREY, LLP) IN THE NORMAL COURSE OF BUSINESS.	Explanation

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArt
Art Historical Treasures		ArtHistoricalTreasures
Art Fractional Interest		ArtFractionalInterest
Books And Publications		BooksAndPublications
Clothing And Household Goods		ClothingAndHouseholdGoods
Cars And Other Vehicles		CarsAndOtherVehicles
Boats And Planes		BoatsAndPlanes
Intellectual Property		IntellectualProperty
Securities Publicly Traded		SecuritiesPubliclyTraded
Securities Closely Held Stock		SecuritiesCloselyHeldStock
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential
Real Estate Commercial		RealEstateCommercial
Real Estate Other		RealEstateOther
Collectibles		Collectibles
Food Inventory		FoodInventory
Drugs And Medical Supplies		DrugsAndMedicalSupplies
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Description	Various Medical equipment	Description
Number Of Contributions	14	NumberOfContributions
Noncash Contribs Rptd F990	10278618	NoncashContribsRptdF990
Method Of Determining Revenues	Replacement cost	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	true	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DELEGATION OF CMO DUTIES	FORM 990, PART VI, SECTION A, LINE 3	DURING 2010, THE ORGANIZATION CONTRACTED WITH UNIVERSITY NEUROLOGY FOR THE SERVICES OF MARGARET PAROSKI IN HER CAPACITY AS CHIEF MEDICAL OFFICER (CMO) OF THE ORGANIZATION. PART OF HER ROLE AS CMO IS CONTROL OVER CERTAIN MANAGEMENT DUTIES WITH RESPECT TO EMPLOYED PHYSICIANS THAT CUSTOMARILY ARE PERFORMED BY OR UNDER THE DIRECT SUPERVISION OF OFFICERS OR KEY EMPLOYEES.
REVIEW PROCESS FOR FORM 990	FORM 990, PART VI, SECTION B, QUESTION 11B	ORGANIZATION'S MANAGEMENT (A TEAM COMPRISED OF REPRESENTATIVES OF THE FINANCE, HUMAN RESOURCES, AND LEGAL DEPARTMENTS) IN CONSULTATION WITH THE ORGANIZATION'S TAX ADVISORS, KPMG REVIEW THE FORM 990. THE FINANCIAL REVIEW IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOR THE RELEVANT TIME PERIOD BEFORE THE FORM 990 IS FILED WITH THE IRS THE FINANCE COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS THE FORM 990 AND PROVIDES A COPY OF THE SAME TO THE ORGANIZATION'S FULL BOARD OF DIRECTORS.
CONFLICT OF INTEREST POLICY	FORM 990, PART VI, SECTION B, LINE 12C	UPON EMPLOYMENT AND ANNUALLY THEREAFTER EACH KEY EMPLOYEE AND OFFICER OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, PROVIDING SUFFICIENT INFORMATION ABOUT HIS/HER PERSONAL INTERESTS AND RELATIONSHIPS SO THE ORGANIZATION 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 A POTENTIAL, ACTUAL, OR EVEN APPEARANCE, OF A CONFLICT OF INTEREST OR A QUESTION 0F OBJECTIVITY. THE COMPLETED CONFLICTS OF INTEREST AND DISCLOSURE FORMS FOR DIRECTORS ARE RETURNED TO THE ORGANIZATION.
COMPENSATION APPROVAL PROCESS	FORM 990,PART VI, SECTION B, QUESTION 15A AND B	ON A REGULAR BASIS, THE 0RGANIZATION 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 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 OFFICERS/EXECUTIVE COMMITTEE IS DOCUMENTED.
PROCEDURE TO EVALUATE JOINT VENTURE ARRANGEMENT	FORM 990, PART VI, SECTION B, QUESTION 16B	The Organization has not adopted a formal written policy or procedure requiring the Organization to evaluate its' participation in joint venture arrangements. However, the normal due diligence process undertaken in conjunction with the organization's external legal counsel, accountants and other business advisors does include a review to determine the following: 1) the impact of the arrangement under applicable federal and state law 2) whether the arrangement will jeopardize the organization's exempt status as a section 501 (c) (3) charitable organization - hospital 3) whether the arrangement will result in any unrelated business taxable income 4) the impact of the arrangement on any existing contractual agreements or other business relationships and 5) whether the arrangement will result in any conflicts of interest. If there are concerns with respect to any of the above matters, the organization will take appropriate steps before the joint venture is pursued, to ensure that the arrangement will be in compliance with applicable federal and state laws and to safeguard the organizations' tax-exempt status. The Organization is in the process of formalizing the written policy.
ACCESS TO ORGANIZATIONAL DOCUMENTS	FORM 990, PART VI, SECTION C, QUESTION 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.
OTHER CHANGES IN NET ASSETS OR FUND BALANCES	FORM 990, PART XI, LINE 5	UNREALIZED GAIN ON INVESTMENTS, UNRESTRICTED: 17,070,392 MINORITY INTEREST IN SUB: <836,318> UNREALIZED GAIN IN INV. AFFILIATES: 2,133,436 INCREASE IN PENSION LIABILITY: <32,528,878> OTHER TRANSFERS, NET: <978,666> UNREALIZED GAINS, TEMP. RESTRICTED: 148,075 UNREALIZED GAINS, PERM. RESTRICTED: 1,343,919 CHANGE IN VALUE OF FOUNDATIONS: 4,839,231 TOTAL: <8,808,809>
SUPPLEMENTAL DISCLOSURE REGARDING TAX EXEMPT BONDS	SCHEDULE K - PARTS I, II AND IV	PART I, LINE B, COLUMN F - DESCRIPTION OF PURPOSE OF 2006 TAX EXEMPT BOND ISSUE FROM DORMITORY AUTHORITY OF THE STATE OF NEW YORK: RENOVATE AND EXPAND PATIENT CARE AREAS AT MILLARD FILLMORE SUBURBAN AND TO RENOVATE AND EXPAND THE CARDIAC PROCEDURE LABORATORIES AT BUFFALO GENERAL HOSPITAL AND MILLARD FILLMORE GATES HOSPITAL. PART II, LINE 5, COLUMN B - DETAIL OF ISSUANCE COSTS FROM PROCEEDS FROM 2006 ISSUE FROM DORMITORY AUTHORITY OF THE STATE OF NEW YORK: ISSUANCE COSTS - $1,213,231 AND CREDIT ENHANCEMENT FEE - $1,836,365 PART IV, LINE 4B - NAME OF PROVIDER FOR GUARANTEED INSURANCE CONTRACTS: COLUMN A - 2004 ISSUE FROM DORMITORY AUTHORITY OF THE STATE OF NEW YORK: BAYERISCHE LANDESBANK COLUMN B - 2006 ISSUE FROM DORMITORY AUTHORITY OF THE STATE OF NEW YORK: CONSTRUCTION FUND - MBIA, INC. RESERVE FUND - MBIA, INC. PART IV, LINE 4C - TERM OF GUARANTEED INSURANCE CONTRACT FOR 2006 ISSUE FROM DORMITORY AUTHORITY OF THE STATE OF NEW YORK: CONSTRUCTION FUND - 2.5 YEARS RESERVE FUND - 4.4 YEARS

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
KALEIDA HEALTH 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 WNY I LLC
726 EXCHANGE STREET	BUFFALO	NY	14210		HEALTH CARE	NY	-144167	1531140	KH

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
MILLARD FILLMORE AMBULATORY SURGERY CTR
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161307129	SUPPORT ORG	NY	501(C)(3)	11A	KH
WATERFRONT HEALTH CARE CENTER
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161396236	HEALTH CARE	NY	501(C)(3)	9	KH
VNA HOME CARE SERVICES
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161491203	HOME HLTH CAR	NY	501(C)(3)	9	KH
VNA OF WESTERN NEW YORK
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	160743214	HOME HLTH CAR	NY	501(C)(3)	9	KH
GENERAL HOME CARE (GHC)
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	222738425	DORMANT	NY	501(C)(3)	9	KH
KALEIDA HEALTH FOUNDATION
726 EXCHANGE STREET	BUFFALO	NY	14210	161579143	FUNDRAISING	NY	501(C)(3)	7	KH
THE WOMEN & CHILDREN'S HOSP OF BFLO FDN
726 EXCHANGE STREET	BUFFALO	NY	14210	161332044	FUNDRAISING	NY	501(C)(3)	7	KH

Form990 Schedule R Part III Form990ScheduleRPartIII (9 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership	Code VCodeVAmount
MFSC LLC
100 HIGH STREET	BUFFALO	NY	14203	261582864	HEALTH CARE	NY	KH	EXCLUDED	895084	1824462	false	false	0.50951
HARLEM ROAD LEASING LLC
3435 MAIN STREET	BUFFALO	NY	14214	205588135	EQUIPMENT LEASING	NY	KH	UNRELATED	17774	118358	false	true	0.50000	$17,774
AMTON IMAGING LLC
PO BOX 1368	WILLIAMSVILLE	NY	14231	262925470	HEALTH CARE	NY	KALEIDAWNYI LLC	RELATED	-136702	1296514	false	true	0.40000
PARK CLUB LANE LLC
2828 SHERIDAN DRIVE	TONAWANDA	NY	14150	271516155	HEALTH CARE	NY	KALEIDAWNYI LLC	EXCLUDED	-7465	234626	false	true	0.30000
HIGH ST MEDICAL DEVELOP ASSOCIATES LLC
350 ESSJAY ROAD SUITE 101	WILLIAMSVILLE	NY	14221	161422533	HEALTH CARE	NY	GHC	EXCLUDED	32779	759683	false	false	0.59051
SITE E LLC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	272124795	REAL ESTATE MGMT	NY	KPI	EXCLUDED	94884	1660000	false	false	0.51607
Prime Link LLC
726 Exchange Street Suite 200	Buffalo	NY	14210	161499404	Dormant	NY	NA	Excluded	0	0	false	false	0.12500
Health Link LLC
100 High Street	Buffalo	NY	14203	161510524	Dormant	NY	NA	Excluded	0	0	false	false	0.14290
Westlink IPA LLC
726 Exchange Street Suite 200	Buffalo	NY	14210	161538764	Health Services	NY	NA	Excluded	0	4358	false	false	0.20000

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
KALEIDA PROPERTIES INC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	222738483	PROP MGMT SERVICE	NY	KH	C Corp	742781	11146327	1.00000
WESTLINK CORPORATION
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161354421	MED & DIAG SERV	NY	KH	C Corp	-344	102167	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	true	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (20 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
MILLARD FILLMORE AMBULATORY SURGICAL CENTER
e	55861
MILLARD FILLMORE AMBULATORY SURGICAL CENTER
c	388566
WATERFRONT HEALTH CARE CENTER
p	2497073
WATERFRONT HEALTH CARE CENTER
d	4211691
VNA HOME CARE SERVICES
p	741422
VNA HOME CARE SERVICES
d	211044
VNA OF WESTERN NEW YORK
p	782059
VNA OF WESTERN NEW YORK
d	153653
MFSC LLC
o	551602
MFSC LLC
i	555332
KALEIDA PROPERTIES
n	55701
KALEIDA PROPERTIES
p	177596
KALEIDA PROPERTIES
d	3428579
KALEIDA HEALTH FOUNDATION
c	8179628
KALEIDA HEALTH FOUNDATION
r	1068627
KALEIDA HEALTH FOUNDATION
D	1093272
Womens and Childrens Hospital of Buffalo FDN
r	308199
Womens and Childrens Hospital of Buffalo fdn
d	56327
Womens and Childrens Hospital of Buffalo fdn
c	1881496
Site E LLC
j	190149

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Identifier	TRANSACTIONS WITH RELATED ORGANIZATIONS	Identifier
Return Reference	SCHEDULE R, PART V, TRANSACTION TYPE C	ReturnReference
Explanation	There is a variance between the amount reflected on Part VIII, Line 1D (and Schedule B) - gifts, grants and contributions from the following related organizations and the amount included on Schedule R, Part V as a result of the variance in timing of the recording of the transfer between the two organizations. Kaleida Health Foundation recorded grants paid to the filing organization in the amount of $8,179,628 (see Schedule R, Part V) versus the $8,247,672 recorded by the filing organization as grants received (see Part VIII, Line 1D and Schedule B). The Women & Children's Hospital of Buffalo Foundation recorded grants paid to the filing organization in the amount of $1,881,496 (see Schedule R, Part V) versus the $1,913,363 recorded by the filing organization as grants received (see Part VIII, Line 1D and Schedule B). DESCRIPTION OF NYS DOH HEAL GRANT IN 2009, THE NEW YORK STATE DEPARTMENT OF HEALTH AWARDED KALEIDA HEALTH A $65 MILLION GRANT TO BE UTILIZED TOWARDS THE CLOSURE OF MILLARD FILLMORE GATES CIRCLE HOSPITAL AND THE RELOCATION OF ESSENTIAL SERVICES TO A NEWLY CREATED COMPREHENSIVE HEART AND VASCULAR INSTITUTE IN A BUILDING ADJACENT TO BUFFALO GENERAL HOSPITAL (ONE OF THE HOSPITALS INCLUDED IN THIS FILING ORGANIZATION'S HEALTH SYSTEM). DURING 2009 AND 2010 NEW YORK STATE REMITTED APPROXIMATELY $28 MILLION OF THIS GRANT TO KALEIDA HEALTH BASED ON EXPENSES THE FILING ORGANIZATION HAS INCURRED TO DATE ON THIS PROJECT. IN 2010 THE NEW YORK STATE DEPARTMENT OF HEALTH AWARDED KALEIDA HEALTH A $12.4 MILLION GRANT TO SUPPORT THE CONSTRUCTION OF A NEW SKILLED NURSING FACILITY.	Explanation