2019-11-15T08:17:25-06:00 2018-12-31 KPMG LLP 60 SOUTH STREET BOSTON MA 02111 990 2018-01-01 160743214 VISITING NURSING ASSOCIATION OF WESTERN NEW YORK INC % DANIEL OWEN VISI 7166308000 650 Airborne Parkway Cheektowaga NY 14225 DANIEL OWEN DIRECTOR OF FINANCE 7166308000 2019-11-15 true AMYN GILLANI P01522152 6179881000 2019-11-14 167.68.102.5 14012520193195000004 2019-11-15 P 1D210D884DC4702CA0C83F60B1FF5F96292C00F6 8584CA4C8441E12A04203370CBD25B7D7B5DAE94 2018 2020-03-31 21:24:44Z X JUDY BAUMGARTNER 650 Airborne Parkway WILLIAMSVILLE NY 14221 100051151 false X WWW.VNAWNY.ORG X 1885 NY VNA OF WNY IS A CERTIFIED HOME HEALTH AGENCY PROVIDING SKILLED NURSING SERVICES, REHABILITATION SERVICES AND TELEHEALTH HOME MONITORING PRIMARILY TO MEDICARE AND MEDICAID PATIENTS 3 0 911 2 0 0 0 216000 95083755 96509985 3105478 3316618 17800 8548 98207033 100051151 0 0 0 0 70040227 71112686 0 0 0 12196275 11434491 82236502 82547177 15970531 17503974 69051070 60658089 16338890 16852003 52712180 43806086 X VNA OF WNY IS A CERTIFIED HOME HEALTH AGENCY PROVIDING SKILLED NURSING SERVICES, REHABILITATION SERVICES AND TELEHEALTH HOME MONITORING PRIMARILY TO MEDICARE AND MEDICAID PATIENTS. false false 65495479 96518533 THE VISITING NURSING ASSOCIATION OF WNY INC. (VNA) IS A CERTIFIED HOME HEALTH AGENCY THAT PROVIDES HOME HEALTH CARE. THE VNA PERFORMS SKILLED NURSING SERVICES, REHABILITATION SERVICES (PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, MEDICAL SOCIAL WORK AND NUTRITIONAL SERVICES). THESE SERVICES ARE PROVIDED TO PATIENTS OF ALL AGES AND BACKGROUNDS IN THE COMFORT OF THE PATIENTS HOME. IN ADDITION, THE VNA ALSO HAS A DEDICATED TEAM OF WOUND SPECIALISTS THAT ASSESS AND HELP MANAGE MILD TO ADVANCED WOUNDS. LASTLY, THE VNA PROVIDES TELEHEALTH HOME MONITORING THAT USES TELECOMMUNICATION DEVICES TO MONITOR PATIENTS DAILY TO FLAG OUTLIER READINGS TO KEEP THE PATIENT HEALTHY AND SAFELY IN THEIR HOME. 65495479 true true false false false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 45 0 true 911 true false false false false false false false false false false false false X 3 0 false false true false true true true true true false false true true true true true true true true true true NY X DANIEL OWEN 7166308000 650 AIRBORNE PARKWAY CHEEKTOWAGA NY 14225 DAVID PIERCE BOARD MEMBER 1.0 1.0 X 0 400370 21073 DONALD BOYD BOARD MEMBER 1.0 1.0 X 0 761316 24830 JUDY BAUMGARTNER BOARD CHAIR/PRESIDENT 31.0 9.0 X X 262033 80493 6150 LISA GRIESLER VICE PRESIDENT & COO 40.0 0.0 X 195501 0 19961 DANIEL OWEN SR DIR HOMECARE FIN 31.0 9.0 X 165406 50811 4899 FREDERICK PORDUM II DIR BUSINESS DEV & MARKETING 40.0 0.0 X 144716 0 3394 ROSEMARY SLAWICH HOME HEALTH NURSE 40.0 0.0 X 134905 0 8692 CHRISTI LYNCH HOME HEALTH NURSE 40.0 0.0 X 133620 0 23181 STEPHANIE CONWAY HOME HEALTH NURSE 40.0 0.0 X 131904 0 23284 BRETT LONG PHYSICAL THERAPIST 40.0 0.0 X 124772 0 23172 1292857 1292990 158636 52 false true false HOMECARE HOMEBASE LLC 6688 NORTH CENTRAL EXPRESSWAY SUIT DALLAS TX 75206 COMPUTER SERVICE 626432 FLC SPINDRIFT LLC 350 ESSJAY RD SUITE 101 WILLIAMSVILLE NY 14221 RENT 214871 VERIZON WIRELESS PO BOX 408 NEWARK NJ 07101 CELL PHONE SERVICE 344616 BFC PRINT NETWORK INC 455 COMMERCE DRIVE SUITE 6 AMHERST NY 14228 COMPUTER SERVICE 172052 4 216000 0 216000 PATIENT REVENUE 96509985 96509985 96509985 3316618 3316618 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SALE OF MEDICAL RECORDS 900099 8548 8548 8548 100051151 96518533 3316618 0 0 0 0 372112 204662 167450 0 53080161 42464129 10616032 2306784 1845427 461357 11372299 9097839 2274460 3981330 3185064 796266 0 0 0 0 0 0 3356465 2282396 1074069 107740 73263 34477 867623 589984 277639 0 0 864965 588176 276789 2427696 1650833 776863 0 0 0 0 521758 354795 166963 32869 22351 10518 MEDICAL SUPPLIES 1588480 1588480 BAD DEBT EXPENSE 1295597 1295597 OTHER EXPENSES 323969 220299 103670 MEMBERSHIP DUES 47329 32184 15145 82547177 65495479 17051698 0 9283329 11184197 0 0 0 0 13002286 11725179 0 0 0 0 0 0 31769 31769 251473 192505 6675779 5803251 1292022 872528 42515601 33858040 0 0 0 0 2674590 2793871 0 0 69051070 60658089 9130627 9938583 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7208263 6913420 16338890 16852003 X 52712180 43806086 0 0 0 0 52712180 43806086 69051070 60658089 X 17503974 -12710068 -13700000 X false true X true false X 236031 286134 166667 0 216000 904832 74438438 83642569 88838509 95083755 96509985 438513256 0 0 0 74674469 83928703 89005176 95083755 96725985 439418088 0 0 0 439418088 232000 350560 94000 2376872 3316618 6370050 0 232000 350560 94000 2376872 3316618 6370050 0 26505 35541 35053 17800 8548 123447 74932974 84314804 89134229 97478427 100051151 445911585 0.98544 0.99165 0.01429 0.00800 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1814853 1453726 361127 4860926 4349525 511401 872528 0 DUE TO AFFILIATES 427885 ESTIMATED SELF INSURANCE RESERVE 5994179 ESTIMATED THIRD PARTY RESERVE 491356 6913420 X Part X, Line 2 VNA, HCS, AND NWPA FOLLOW THE PROVISIONS OF ASC 740, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHEREBY HOME CARE AFFILIATES 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. X true true X X X X X X false true false false false true false false false DAVID PIERCE BOARD MEMBER 0 350000 0 45500 0 4870 0 4836 0 16237 0 421443 0 0 DONALD BOYD BOARD MEMBER 0 494146 0 142500 0 124670 0 8395 0 16435 0 786146 0 0 JUDY BAUMGARTNER BOARD CHAIR/PRESIDENT 214419 65867 46512 14288 1102 338 4208 1292 497 153 266738 81938 0 0 LISA GRIESLER VICE PRESIDENT & COO 172751 0 22750 0 0 0 3955 0 16006 0 215462 0 0 0 DANIEL OWEN SR DIR HOMECARE FIN 157693 48442 7713 2369 0 0 3304 1015 444 136 169154 51962 0 0 CHRISTI LYNCH HOME HEALTH NURSE 133620 0 0 0 0 0 0 0 23181 0 156801 0 0 0 STEPHANIE CONWAY HOME HEALTH NURSE 131904 0 0 0 0 0 0 0 23284 0 155188 0 0 0 HEALTH OR SOCIAL CLUB DUES SCHEDULE J, PART I, LINE 1A AS PART OF THEIR COMPENSATION PACKAGE CERTAIN DIRECTORS, 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. EXECUTIVE DEFERRED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B DURING THE YEAR, CERTAIN OFFICERS AND KEY EMPLOYEES LISTED ON FORM 990, PART VII, SECTION A PARTICIPATED IN AN EXECUTIVE DEFERRED RETIREMENT PLAN. AS REQUIRED, KALEIDA HAS REPORTED DISTRIBUTIONS MADE UNDER THIS PLAN TO THE PLAN PARTICIPANTS ON SCHEDULE J, PART II, COLUMN (B)(III). ALL DISTRIBUTIONS MADE ARE CALCULATED USING A COMBINATION OF INDIVIDUALIZED DEMOGRAPHIC INPUTS INCLUDING BOTH HISTORICAL COMPENSATION AS WELL AS THE INDIVIDUAL'S AGE. 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 CERTAIN OPERATING PERFORMANCE TARGETS OF THE ORGANIZATION, BOTH FINANCIAL AND NON-FINANCIAL. DURING 2017, CERTAIN FINANCIAL OPERATING TARGETS WHICH WERE SET BY THE COMPENSATION COMMITTEE OF KALEIDA HEALTH (A RELATED NOT-FOR-PROFIT ORGANIZATION), INCLUDING TOTAL NET OPERATING MARGIN WERE MET AND EXCEEDED RESULTING IN COMPENSATION UNDER THIS ARRANGEMENT AND PAID TO OFFICERS DURING 2018. SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS FORM 990, SECTION A, PART VI, QUESTION 4 THE ORGANIZATION MODIFIED ITS BYLAWS TO REDUCE THE NUMBER OF DIRECTORS FOR ITS BOARD. THE ORGANIZATION REDUCED THE NUMBER OF DIRECTORS IN LIGHT OF GREATER GOVERNANCE BEING EXERCISED OVER THE ORGANIZATION BY ITS SOLE MEMBER, KALEIDA HEALTH. DESCRIPTION OF CLASSES OF MEMBERS & MEMBER RIGHTS FORM 990, PART VI, QUESTION 6, 7A & 7B PART VI, SECTION A, QUESTION 6 THE ORGANIZATION IS A MEMBERSHIP (NOT A STOCK) CORPORATION UNDER NEW YORK STATE LAW. THE ORGANIZATIONS SOLE CORPORATE MEMBER IS KALEIDA HEALTH, A RELATED NOT-FOR-PROFIT ORGANIZATION. PART VI, SECTION A, QUESTION 7A IN ACCORDANCE WITH THE TERMS AND REQUIREMENTS OF ITS GOVERNING DOCUMENTS (I.E. BYLAWS), ON AN ANNUAL BASIS, THE ORGANIZATIONS CURRENT BOARD MEMBERS RECOMMEND THE LIST OF CANDIDATES FOR MEMBERSHIP TO THE GOVERNING BODY FOR THE SUBSEQUENT TERM TO THE EXECUTIVE COMMITTEE OF KALEIDA HEALTH. THE EXECUTIVE COMMITTEE OF KALEIDA HEALTH, AS THE REPRESENTATIVES OF THE ORGANIZATION'S SOLE CORPORATE MEMBER, APPROVES AND ELECTS THESE CANDIDATES TO SERVE AS THE ORGANIZATION'S BOARD OF DIRECTORS. PART VI, SECTION A, QUESTION 7B KALEIDA HEALTH, AS THE SOLE CORPORATE MEMBER, ALSO HAS THE RIGHT TO APPROVE OR RATIFY SIGNIFICANT DECISIONS OF THE ORGANIZATIONS GOVERNING BODY INCLUDING THE AMENDMENT OF BYLAWS AND CHARTERS, REMOVAL OF MEMBERS OF THE GOVERNING BODY, AND THE DECISION TO DISSOLVE THE ORGANIZATION. DESCRIPTION OF THE PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, SECTION B, QUESTION 11A THE FORM 990 IS REVIEWED BY THE ORGANIZATIONS MANAGEMENT IN CONSULTATION WITH THE ORGANIZATIONS TAX ADVISORS, KPMG. THIS FINANCIAL REVIEW IS BASED ON THE ORGANIZATIONS AUDITED FINANCIAL STATEMENTS FOR THE RELEVANT TIME PERIOD BEFORE THE FORM 990 IS FILED WITH THE INTERNAL REVENUE SERVICE. THE ORGANIZATIONS BOARD OF DIRECTORS ARE ALSO PROVIDED A COMPLETE COPY OF THE FORM 990 TO REVIEW PRIOR TO FILING. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, SECTION B, QUESTION 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 AN APPEARANCE, POTENTIAL OR ACTUAL, OF A CONFLICT OF INTEREST OR A QUESTION OF OBJECTIVITY. THE COMPLETED CONFLICT OF INTEREST AND DISCLOSURE FORMS FOR DIRECTORS ARE RETURNED TO THE ORGANIZATION. COMPENSATION APPROVAL PROCESS FORM 990, PART VI, QUESTION 15A & 15B ON AN ANNUAL BASIS, THE ORGANIZATIONS MANAGEMENT TEAM REVIEWS AND APPROVES THE COMPENSATION PACKAGE OF THE ORGANIZATIONS KEY EMPLOYEES. THIS PROCESS ALSO INCLUDES A 360 PEER REVIEW. THE ORGANIZATIONS OFFICER COMPENSATION ARRANGEMENTS ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF KALEIDA HEALTH, A RELATED NOT-FOR-PROFIT ORGANIZATION AND SOLE MEMBER OF THE ORGANIZATION. INFORMATION REVIEWED FOR THE OFFICERS INCLUDES COMPARABLE DATA FROM SIMILAR SIZE TAX-EXEMPT ORGANIZATIONS IN THE WESTERN NEW YORK COMMUNITY AS WELL AS THE COMPENSATION FOR THESE POSITIONS (AS DISCLOSED ON FORM 990) WITH OTHER ORGANIZATIONS IN THE HEALTH CARE INDUSTRY THAT ARE OF SIMILAR SIZE, DEMOGRAPHICS AND GEOGRAPHY. REVIEW AND APPROVAL OF THE COMPENSATION ARRANGEMENT BY THE COMPENSATION COMMITTEE IS DOCUMENTED. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY & FIN STMNTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE OFFICES OF KALEIDA HEALTH (A RELATED NOT-FOR-PROFIT ORGANIZATION) AT 726 EXCHANGE STREET, SUITE 200, BUFFALO, NY 14210. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED. OTHER CHANGES IN NET ASSETS PART XI, LINE 9: CASH TRANSFER TO PARENT $(13,700,000) Kaleida Health 726 Exchange Street Buffalo NY 14210 161533232 Hospital NY 501(c)(3) 3 KH false Millard Fillmore Ambulatory Surgery Ctr 726 Exchange Street Buffalo NY 14210 161307129 Support Org NY 501(c)(3) 12A KH false VNA Home Care Services 726 Exchange Street Buffalo NY 14210 161491203 Home Health NY 501(c)(3) 10 KH false Visk Inc 726 Exchange Street Buffalo NY 14210 222738425 Dormant NY 501(c)(3) 10 KH false Kaleida Health Foundation 726 Exchange Street Buffalo NY 14210 161579143 Fundraising NY 501(c)(3) 7 KH false Women & Childrens Hospital of Buff Fdn 726 Exchange Street Buffalo NY 14210 161332044 Fundraising NY 501(c)(3) 7 KH false Children's Health Home of WNY Inc 726 Exchange Street Buffalo NY 14210 814086046 Ped Home Heal NY 501(c)(3) 10 KH false Upper Allegheny Health System Inc 515 Main Street Olean NY 14760 271255425 Support Org NY 501(c)(3) 12A KH false BRADFORD REGIONAL MEDICAL CENTER 116 INTERSTATE PARKWAY BRADFORD PA 16701 250965270 HOSPITAL PA 501(C)(3) 3 UAHS false OLEAN GENERAL HOSPITAL 515 MAIN STREET OLEAN NY 14760 160743102 HOSPITAL NY 501(C)(3) 3 UAHS false BRADFORD REGIONAL MED SVCS 116 INTERSTATE PARKWAY BRADFORD PA 16701 232875157 PHYS. GROUP PA 501(C)(3) 3 BRMC false HEALTH SYSTEM PHYSICIAN PC 130 SOUTH UNION STREET OLEAN NY 14760 464304317 PHYS. GROUP NY 501(c)(3) 10 OGH false Harlem Road Leasing 3435 Main Street Buffalo NY 14214 205588135 Equipment Leasing NY NA Amton Imaging LLC 199 Park Club Lane Suite 300 Williamsville NY 14221 262925470 Health Care NY NA Site E LLC 726 Exchange Street Suite 200 Buffalo NY 14210 272124795 Real Estate Mgmt NY NA MFSC LLC 726 Exchange Street Suite 200 Buffalo NY 14210 261582864 Health Care NY NA Southtowns Imaging LLC 5959 Big Tree Road Suite 105 Orchard Park NY 14127 471123230 Image Equip NY NA Collaborative Care Ventures LLC 726 Exchange Street Suite 200 Buffalo NY 14210 472365690 Health Care NY NA Great Lakes Medical Billing Svcs LLC 199 Park Club Lane Suite 300 Williamsville NY 14221 Medical Billing NY NA Southtowns Surgery Center LLc 726 Exchange Street Suite 200 Buffalo NY 14210 Health Care NY NA Altus Management LLC 840 Aero Drive Suite 150 Cheektowaga NY 14225 Group Purch Org NY NA VNA OF NORTHWEST PA LLC 1223 EAST MAIN STREET SUITE 200 BRADFORD PA 16701 464830756 HEALTH CARE SVCS PA NA N/A Kaleida Properties Inc 726 Exchange Street Suite 200 Buffalo NY 14210 222738483 Property Mgmt Svc NY NA C Corp Westlink Corporation 726 Exchange Street Suite 200 Buffalo NY 14210 161354421 Med & Diag Svcs NY NA C Corp KHBC INC 726 EXCHANGE STREET SUITE 200 Buffalo NY 14210 462164089 Health Care NY NA C Corp Great Lakes Integrated Network Inc 726 Exchange Street Suite 200 Buffalo NY 14210 823184375 Health Care NY NA C Corp false false false false true false false false false false false false false false true false false false