BRADFORD REGIONAL MEDICAL SERVICES: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- BRADFORD REGIONAL MEDICAL SERVICES (EIN 23-2875157)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-15
- IRS object ID
- 202343199349301849
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-15T07:34:04-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 515 BROADWAY 4TH FLOOR | AddressLine1Txt |
| City | ALBANY | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 122072974 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232875157 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRADFORD REGIONAL MEDICAL SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BRAD | BusinessNameControlTxt |
| Phone | 7163756190 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 515 MAIN STREET | AddressLine1Txt |
| City | OLEAN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14760 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DR JILL OWENS | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 7163756190 | PhoneNum |
| Signature | 2023-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DR | PersonFirstNm |
| Person Last | JILL OWENS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | STEPHANIE LONCZAK | PreparerPersonNm |
| PTIN | P01880207 | PTIN |
| Phone | 5184274600 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DR JILL OWENS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 515 MAIN STREET | AddressLine1Txt |
| City | OLEAN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14670 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,728,358 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE ORGANIZED TO SERVE PATIENTS IN BRADFORD, PA, AND THE SURROUNDING AREA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 45 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $87,320 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,189,636 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,651,352 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $13,101 | PYOtherRevenueAmt |
| CY Other Revenue | $77,006 | CYOtherRevenueAmt |
| PY Total Revenue | $3,290,057 | PYTotalRevenueAmt |
| CY Total Revenue | $3,728,358 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,904,389 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,673,465 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $778,559 | PYOtherExpensesAmt |
| CY Other Expenses | $1,088,726 | CYOtherExpensesAmt |
| PY Total Expenses | $4,682,948 | PYTotalExpensesAmt |
| CY Total Expenses | $5,762,191 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,392,891 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,033,833 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,969,519 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,851,254 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,894,313 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,809,881 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$2,924,794 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$4,958,627 | NetAssetsOrFundBalancesEOYAmt |
| Mission | MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE ORGANIZED TO SERVE PATIENTS IN BRADFORD, PA, AND THE SURROUNDING AREA. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,581,224 | ExpenseAmt |
| Revenue | $3,651,352 | RevenueAmt |
| Desc | MULTI-SPECIALTY PHYSICIAN GROUP PRACTICE ORGANIZED TO SERVE PATIENTS IN BRADFORD, PA, AND THE SURROUNDING AREA. | Desc |
| Total Program Service Expenses | $4,581,224 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 7 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 45 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TANNYAH M CHAPMAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7163757426 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 515 MAIN STREET | AddressLine1Txt |
| City | OLEAN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14760 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| JEFF BELT | |||||||||
| BOARD CHAIRMAN | 1.00 | 5.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SHABIR BHAYANI MD | |||||||||
| DIRECTOR | 40.00 | 5.50 | Yes (X) | $63,975 | $0 | $0 | |||
| MARC BOUTILLETTE | |||||||||
| DIRECTOR | 1.00 | 5.50 | Yes (X) | $0 | $0 | $0 | |||
| DANIEL DEROSE | |||||||||
| DIRECTOR | 1.00 | 5.50 | Yes (X) | $0 | $0 | $0 | |||
| LISELLE ESPOSITO | |||||||||
| DIRECTOR (AS OF 06/2022) | 1.00 | 5.50 | Yes (X) | $0 | $0 | $0 | |||
| DAVID FERGUSON | |||||||||
| DIRECTOR | 1.00 | 5.50 | Yes (X) | $0 | $0 | $0 | |||
| LISA FIORENTINO PHDRN | |||||||||
| BOARD SECRETARY | 1.00 | 5.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MUHAMMED JAVED MD | |||||||||
| BOARD VICE CHAIRMAN | 1.00 | 5.50 | Yes (X) | Yes (X) | $0 | $147,167 | $0 | ||
| JULIE MARASCO | |||||||||
| DIRECTOR | 1.00 | 5.50 | Yes (X) | $0 | $0 | $0 | |||
| ZAFAR MIRZA MD | |||||||||
| DIRECTOR AND PHYSICIAN | 1.00 | 40.00 | Yes (X) | $0 | $1,926,246 | $0 | |||
| DOUGLAS PISANO PHD | |||||||||
| DIRECTOR | 1.00 | 5.50 | Yes (X) | $0 | $0 | $0 | |||
| ANIL PRADHAN MD | |||||||||
| DIRECTOR | 1.00 | 5.50 | Yes (X) | $0 | $0 | $0 | |||
| DAVID PRINCE | |||||||||
| DIRECTOR | 1.00 | 5.50 | Yes (X) | $0 | $0 | $0 | |||
| PAUL RIDLEY | |||||||||
| BOARD TREASURER | 1.00 | 5.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GILBERT WITTE MD | |||||||||
| DIRECTOR | 1.00 | 5.50 | Yes (X) | $0 | $0 | $0 | |||
| MELISSA SCHOLL OSF | |||||||||
| DIRECTOR (THRU 04/2022) | 1.00 | 5.50 | Yes (X) | $0 | $0 | $0 | |||
| JEANNINE SCHOENECKER | |||||||||
| SECRETARY (THRU 04/2022) | 1.00 | 5.50 | Yes (X) | $0 | $0 | $0 | |||
| MARY LAROWE | |||||||||
| INTERIM PRES AND CEO (THRU 04/2022) | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LUIS GONZALEZ MD | |||||||||
| MEDICAL STAFF PRES (AS OF 01/2022) | 40.00 | 5.50 | Yes (X) | $763,809 | $0 | $119,594 | |||
| RICHARD G BRAUN JR | |||||||||
| CHIEF OPERATING OFFICER (UNTIL 5/22) | 1.00 | 40.00 | Yes (X) | $0 | $287,440 | $30,975 | |||
| JILL OWENS | |||||||||
| PRESIDENT & CEO | 1.00 | 40.00 | Yes (X) | $0 | $327,987 | $3,229 | |||
| DAVID MONROE | |||||||||
| CHIEF ADMIN OFFICER (AS OF 6/22) | 1.00 | 40.00 | Yes (X) | $0 | $151,435 | $40,595 | |||
| P HENRI LAMOTHE | |||||||||
| VP - MEDICAL AFFAIRS (AS OF 5/22) | 1.00 | 40.00 | Yes (X) | $0 | $154,349 | $13,280 | |||
| WILLIAM F MILLS | |||||||||
| VP - MEDICAL AFFAIRS (UNTIL 1/22) | 1.00 | 40.00 | Yes (X) | $0 | $139,233 | $26,949 | |||
| GAIL A BAGAZZOLI | |||||||||
| VP - QUALITY & CNO (UNTIL 8/22) | 1.00 | 40.00 | Yes (X) | $0 | $126,764 | $39,375 | |||
| LAURIE DUNN | |||||||||
| CNO (AS OF 7/22) | 1.00 | 40.00 | Yes (X) | $0 | $70,232 | $7,078 | |||
| MELISSA SULLIVAN | |||||||||
| VP - CLINICAL & SUPPORT (UNTIL 1/22) | 1.00 | 40.00 | Yes (X) | $0 | $14,142 | $10,666 | |||
| PAUL B KIRSCH | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $250,000 | $0 | $49,318 | Yes (X) | |||
| DANIELLE P GREGOIRE | |||||||||
| PHYSICIAN ASSISTANT | 40.00 | 0.00 | $134,808 | $0 | $23,190 | Yes (X) | |||
| STEPHANIE L MARTUCCIO | |||||||||
| NURSE PRACTITIONER | 40.00 | 0.00 | $126,992 | $0 | $7,528 | Yes (X) | |||
| JEFFREY S ZEWE | |||||||||
| FORMER PRESIDENT & CEO | 0.00 | 0.00 | $0 | $184,025 | $20,799 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,339,584 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,529,020 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $392,576 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHANGE HEALTHCARE LLC | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 742526 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30374 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | BILLING SERVICES | ServicesDesc |
| Compensation | $126,644 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENU | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $3,651,352 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,651,352 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,651,352 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,000 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,000 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,000 | TotalRevenueColumnAmt |
| Exclusion | $4,000 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $73,006 | TotalRevenueColumnAmt |
| Exclusion | $73,006 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $73,006 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,728,358 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,651,352 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $77,006 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $827,784 | TotalAmt |
| Program Services | $827,784 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,225,843 | TotalAmt |
| Program Services | $2,280,486 | ProgramServicesAmt |
| Management And General | $945,357 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $504,242 | TotalAmt |
| Program Services | $363,054 | ProgramServicesAmt |
| Management And General | $141,188 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,596 | TotalAmt |
| Program Services | $83,229 | ProgramServicesAmt |
| Management And General | $32,367 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $352,822 | TotalAmt |
| Program Services | $327,150 | ProgramServicesAmt |
| Management And General | $25,672 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,556 | TotalAmt |
| Program Services | $188,556 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,000 | TotalAmt |
| Program Services | $8,000 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,718 | TotalAmt |
| Program Services | $9,718 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,842 | TotalAmt |
| Program Services | $59,842 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $216,761 | TotalAmt |
| Program Services | $216,761 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $225,683 | $216,644 | $9,039 |
| OTHER | $27,344 | $27,344 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,762,191 | TotalAmt |
| Program Services | $4,581,224 | ProgramServicesAmt |
| Management And General | $1,180,967 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $313,989 | BOYAmt |
| EOY | $632,502 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $427,279 | BOYAmt |
| EOY | $181,269 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $150,000 | BOYAmt |
| EOY | $83,333 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,140 | BOYAmt |
| EOY | $41,564 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,016,819 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $339,233 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $737,111 | BOYAmt |
| EOY | $677,586 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $235,000 | BOYAmt |
| EOY | $235,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,969,519 | BOYAmt |
| EOY | $1,851,254 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $499,194 | BOYAmt |
| EOY | $591,250 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $252,149 | BOYAmt |
| EOY | $147,491 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,142,970 | BOYAmt |
| EOY | $6,071,140 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,894,313 | BOYAmt |
| EOY | $6,809,881 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,924,794 | BOYAmt |
| EOY | -$4,958,627 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,924,794 | BOYAmt |
| EOY | -$4,958,627 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,969,519 | BOYAmt |
| EOY | $1,851,254 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$2,033,833 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $850,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $242,412 | DepreciationAmt |
| Book Value | $607,588 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $166,819 | OtherCostOrOtherBasisAmt |
| Depreciation | $96,821 | DepreciationAmt |
| Book Value | $69,998 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $677,586 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | GOODWILL | Desc |
| Book Value | $235,000 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $235,000 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFFILIATES | Desc |
| Amt | $6,071,140 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,071,140 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | FIN 48 FOOTNOTE FORM 990 KALEIDA AND SUBSTANTIALLY ALL OF ITS AFFILIATES HAVE BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE ORGANIZATIONS DESCRIBED IN INTERNAL REVENUE CODE (THE CODE) SECTION 501(C)(3) AND, THEREFORE, ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. KALEIDA RECOGNIZES INCOME TAX POSITIONS WHEN IT IS MORE-LIKELY THAN-NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT NEED TO BE RECORDED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ZAFAR MIRZA MD | ||||||||||||||
| DIRECTOR AND PHYSICIAN | $0 | $1,926,246 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1,926,246 | $0 | $0 |
| LUIS GONZALEZ MD | ||||||||||||||
| MEDICAL STAFF PRES (AS OF 01/2022) | $763,809 | $0 | $0 | $0 | $0 | $0 | $20,500 | $0 | $99,094 | $0 | $883,403 | $0 | $0 | $0 |
| JILL OWENS | ||||||||||||||
| PRESIDENT & CEO | $0 | $324,773 | $0 | $0 | $0 | $3,214 | $0 | $0 | $0 | $3,229 | $0 | $331,216 | $0 | $0 |
| RICHARD G BRAUN JR | ||||||||||||||
| CHIEF OPERATING OFFICER (UNTIL 5/22) | $0 | $108,979 | $0 | $0 | $0 | $178,461 | $0 | $11,493 | $0 | $19,482 | $0 | $318,415 | $0 | $0 |
| PAUL B KIRSCH | ||||||||||||||
| PHYSICIAN | $250,000 | $0 | $0 | $0 | $0 | $0 | $13,000 | $0 | $36,318 | $0 | $299,318 | $0 | $0 | $0 |
| JEFFREY S ZEWE | ||||||||||||||
| FORMER PRESIDENT & CEO | $0 | $0 | $0 | $0 | $0 | $184,025 | $0 | $9,017 | $0 | $11,782 | $0 | $204,824 | $0 | $0 |
| DAVID MONROE | ||||||||||||||
| CHIEF ADMIN OFFICER (AS OF 6/22) | $0 | $151,435 | $0 | $0 | $0 | $0 | $0 | $5,356 | $0 | $35,239 | $0 | $192,030 | $0 | $0 |
| P HENRI LAMOTHE | ||||||||||||||
| VP - MEDICAL AFFAIRS (AS OF 5/22) | $0 | $154,349 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $13,280 | $0 | $167,629 | $0 | $0 |
| WILLIAM F MILLS | ||||||||||||||
| VP - MEDICAL AFFAIRS (UNTIL 1/22) | $0 | $56,996 | $0 | $0 | $0 | $82,237 | $0 | $13,010 | $0 | $13,939 | $0 | $166,182 | $0 | $0 |
| GAIL A BAGAZZOLI | ||||||||||||||
| VP - QUALITY & CNO (UNTIL 8/22) | $0 | $126,764 | $0 | $0 | $0 | $0 | $0 | $14,045 | $0 | $25,330 | $0 | $166,139 | $0 | $0 |
| DANIELLE P GREGOIRE | ||||||||||||||
| PHYSICIAN ASSISTANT | $134,808 | $0 | $0 | $0 | $0 | $0 | $2,600 | $0 | $20,590 | $0 | $157,998 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4A | FormAndLineReferenceDesc |
| Explanation | THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (III). - RICHARD G. BRAUN, JR. - $178,461 - WILLIAM F. MILLS - $82,237 - JEFFREY ZEWE - $184,025 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | ARTICLE III OF THE BRADFORD REGIONAL MEDICAL SERVICES (BRMS) BYLAWS DISCUSSES THE ORGANIZATION'S BOARD OF DIRECTORS. OLEAN GENERAL HOSPITAL BECAME THE MEMBER OF BRMS WHEN BRMC, ITS FORMER SOLE MEMBER, WAS MERGED INTO OGH ON JANUARY 12, 2018. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD SHALL CONSIST OF VOTING DIRECTORS APPOINTED BY OLEAN GENERAL HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7B | ALL POWERS OF THE CORPORATION SHALL BE EXERCISED BY AND UNDER THE AUTHORITY OF THE BOARD OF DIRECTORS, HEREINAFTER REFERRED TO AS THE "BOARD AND THE BUSINESS, PROPERTY AND AFFAIRS OF THE CORPORATION SHALL BE MANAGED UNDER THE BOARD'S DIRECTION. PROVIDED, HOWEVER, THAT THE BOARD SHALL OBTAIN THE APPROVAL OF OLEAN GENERAL HOSPITAL (OGH) BEFORE ACTION ON ANY OF THE FOLLOWING MATTERS BECOMES FINAL AND EFFECTIVE: 1, AMENDMENT OF THE ARTICLES OF INCORPORATION OF THIS CORPORATION OR THESE BYLAWS; 2. THE SALE, LEASE OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL THE PROPERTY OR ASSETS OF THIS CORPORATION; 3. MERGER OR CONSOLIDATION WITH ANY OTHER CORPORATION; 4. DISSOLUTION OF THIS CORPORATION; 5. APPROVAL OF AN ANNUAL BUDGET FOR THIS CORPORATION; 6. ANY TRANSFER OF FUNDS BY GRANT, GIFT, OR LOAN FROM THIS CORPORATION; 7. ANY OTHER MATTER THAT BY LAW WOULD REQUIRE THE APPROVAL OF BRMC. |
| FORM 990, PART VI, SECTION B, LINE 11B | A DRAFT COPY OF THE FORM 990 IS REVIEWED FOR ACCURACY AND COMPLETENESS BY THE UAHS CHIEF FINANCIAL OFFICER AND OTHER SENIOR MANAGEMENT OF THE UPPER ALLEGHENY HEALTH SYSTEM. A DRAFT COPY OF THE FORM 990 IS THEN PROVIDED TO MEMBERS OF THE BOARD OF DIRECTORS TO REVIEW AND COMMENT PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY IS PERIODICALLY REVIEWED, AND EACH MEMBER OF THE BOARD COMPLETES A DISCLOSURE FORM. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS ANNUALLY REVIEWS AND APPROVES COMPENSATION PACKAGES PROVIDED TO THE PRESIDENT AND OTHER ORGANIZATION VICE PRESIDENTS. COMPARABILITY DATA FROM THE HOSPITAL COUNCIL OF WESTERN PA MANAGEMENT COMPENSATION SURVEY IS USED DURING THE REVIEW. |
| FORM 990, PART VI, SECTION C, LINE 19 | BRADFORD REGIONAL MEDICAL SERVICES' FORM 990, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST, FOR A LEGITIMATE BUSINESS PURPOSE (AS DETERMINED BY TOP MANAGEMENT), DOCUMENTS MAY BE VIEWED AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. |
| FORM 990, PART XII, LINE 2C: | THE AUDIT AND COMPLIANCE COMMITTEE ASSUMES RESPONSIBILITY FOR THE CONSOLIDATED AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| KALEIDA HEALTH | |||||||||||
| 726 EXCHANGE STREET SUITE 200 | BUFFALO | NY | 14210 | 161533232 | HOSPITAL | NY | 501(C)(3) | 3 | N/A | 0 | |
| MILLARD FILLMORE AMBULATORY SURG CENTER | |||||||||||
| 726 EXCHANGE STREET SUITE 200 | BUFFALO | NY | 12410 | 161307129 | SUPPORT ORG | NY | 501(C)(3) | 12A | 0 | KH | |
| VNA HOME CARE SERVICES | |||||||||||
| 726 EXCHANGE STREET SUITE 200 | BUFFALO | NY | 14210 | 161491203 | HOME HLTHCARE | NY | 501(C)(3) | 10 | 0 | KH | |
| VNA OF WESTERN NEW YORK | |||||||||||
| 726 EXCHANGE STREET SUITE 200 | BUFFALO | NY | 14210 | 160743214 | HOME HLTHCARE | NY | 501(C)(3) | 10 | 0 | KH | |
| VISK INC | |||||||||||
| 726 EXCHANGE STREET SUITE 200 | BUFFALO | NY | 14210 | 222738425 | SUPPORT ORG | NY | 501(C)(3) | 10 | 0 | KH | |
| THE CHILDREN'S HOSPITAL OF BUFFALO FOUNDATION | |||||||||||
| 726 EXCHANGE STREET SUITE 200 | BUFFALO | NY | 14210 | 161332044 | FUNDRAISING | NY | 501(C)(3) | 7 | 0 | KH | |
| KALEIDA HEALTH FOUNDATION | |||||||||||
| 726 EXCHANGE STREET SUITE 200 | BUFFALO | NY | 14210 | 161579143 | FUNDRAISING | NY | 501(C)(3) | 7 | 0 | KH | |
| UPPER ALLEGHENY HEALTH SYSTEM INC | |||||||||||
| 515 MAIN STREET | OLEAN | NY | 14760 | 271255425 | SUPPORT ORG | NY | 501(C)(3) | 12A | 0 | KH | |
| OLEAN GENERAL HOSPITAL | |||||||||||
| 515 MAIN STREET | OLEAN | NY | 14760 | 160743102 | HOSPITAL | NY | 501(C)(3) | 3 | 0 | UAHS | |
| HEALTH SYSTEM PHYSICIAN PC | |||||||||||
| 130 SOUTH UNION ST | OLEAN | NY | 14760 | 232875157 | PHYS. GROUP | NY | 501(C)(3) | 10 | 0 | OGH | |
| CHILDREN'S HEALTH HOME OF WNY INC | |||||||||||
| 726 EXCHANGE STREET SUITE 200 | BUFFALO | NY | 14210 | 814086046 | PED HOME HEALTH | NY | 501(C)(3) | 10 | 0 | KH | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| HARLEM ROAD LEASING LLC | |||||||||
| 3435 MAIN STREET | BUFFALO | NY | 14214 | 205588135 | EQUIPMENT LEASING | NY | KALEIDA HEALTH | 0 | 0 |
| AMTON IMAGING LLC | |||||||||
| 199 PARK CLUB LANE SUITE 300 | WILLIAMSVILLE | NY | 14221 | 262925470 | HEALTH CARE | NY | KALEIDA WNYI | 0 | 0 |
| SITE E LLC | |||||||||
| 726 EXCHANGE STREET SUITE 200 | BUFFALO | NY | 14210 | 272124795 | REAL ESTATE MGMT | NY | KPI | 0 | 0 |
| SOUTHTOWNS IMAGING LLC | |||||||||
| 5959 BIG TREE ROAD SUITE 105 | ORCHARD PARK | NY | 14127 | 471123230 | EQUIPMENT LEASING | NY | KALEIDA WNYI | 0 | 0 |
| COLLABORATIVE CARE VENTURES L | |||||||||
| 726 EXCHANGE STREET SUITE 200 | BUFFALO | NY | 14210 | 472365690 | HEALTH CARE | NY | KALEIDA HEALTH | 0 | 0 |
| GREAT LAKES MED BILLING SVCS | |||||||||
| 199 PARK CLUB LANE | WILLIAMSVILLE | NY | 14221 | 461668448 | MEDICAL BILLING | NY | KALEIDA WNYI | 0 | 0 |
| ALTUS MANAGEMENT LLC | |||||||||
| 840 AERO DRIVE | CHEEKTOWAGA | NY | 14225 | 900149184 | GROUP PURCH ORG | NY | KALEIDA HEALTH | 0 | 0 |
| SOUTHTOWNS SURGERY CENTER LLC | |||||||||
| 726 EXCHANGE STREET SUITE 200 | BUFFALO | NY | 14210 | 464742028 | HEALTH CARE | NY | KALEIDA HEALTH | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|
| BRADFORD HEALTH ENTERPRISES | ||||||||||
| 116-156 INTERSTATE PARKWAY | BRADFORD | PA | 16701 | 251591420 | INVESTMENTS | PA | OLEAN GENERAL HOSPITAL | C | 0 | |
| KALEIDA PROPERTIES INC | ||||||||||
| 726 EXCHANGE STREET SUITE 200 | BUFFALO | NY | 14210 | 222738483 | PROP MGMT SER | NY | C | 0 | N/A | |
| WESTLINK CORPORATION | ||||||||||
| 726 EXCHANGE STREET SUITE 200 | BUFFALO | NY | 14210 | 161354421 | MED & DIAG SV | NY | C | 0 | N/A | |
| KHBC INC | ||||||||||
| 726 EXCHANGE STREET SUITE 200 | BUFFALO | NY | 14210 | 462164089 | HEALTH CARE | NY | C | 0 | N/A | |
| GREAT LAKES INTEGRATED NETWORK INC | ||||||||||
| 726 EXCHANGE STREET SUITE 200 | BUFFALO | NY | 14210 | 823184375 | HEALTH CARE | NY | C | 0 | N/A | |
| OLEAN MEDICAL PRACTICE PLLC | ||||||||||
| 726 EXCHANGE STREET SUITE 515 | BUFFALO | NY | 14210 | 881324896 | HEALTH CARE | NY | C | 0 | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |