2019-11-15T07:49:25-06:00 2018-12-31 KPMG LLP 60 SOUTH STREET BOSTON MA 02111 990 2018-01-01 161533232 KALEIDA HEALTH % ROBERT NESSELBUSH KALE 7168598528 726 EXCHANGE STREET Suite 200 BUFFALO NY 14210 ROBERT NESSELBUSH CFO 7168598836 2019-11-14 true AMYN GILLANI P01522152 5184274600 2019-11-13 167.68.102.5 14012520193195000005 2019-11-15 P 1D210D884DC4702CA0C83F60B1FF5F96292C00F6 8584CA4C8441E12A04203370CBD25B7D7B5DAE94 2018 2020-03-31 21:24:44Z JODY LOMEO 100 HIGH STREET BUFFALO NY 14203 1588641255 false X WWW.KALEIDAHEALTH.ORG X 1998 NY KALEIDA HEALTH PROVIDES HEALTHCARE SERVICES FOR THE EIGHT COUNTIES OF WNY AT FOUR ACUTE CARE, TWO LT CARE, AND OTHER OUTPATIENT AND PRIMARY CARE SITES. 15 12 9525 1434 7554852 1386368 43232834 20329042 1262832279 1329383884 6657323 -2087622 18473068 16307589 1331195504 1363932893 448949 612375 0 0 697358570 722374625 0 0 0 572965029 620737477 1270772548 1343724477 60422956 20208416 1417694523 1433260601 1109884345 1102863164 307810178 330397437 X KALEIDA HEALTH IS THE LARGEST HEALTHCARE PROVIDER IN WNY, SERVING THE AREA'S EIGHT COUNTIES WITH COMPREHENSIVE SERVICES & PROGRAMS PROVIDED AT FOUR ACUTE CARE, TWO LONG TERM CARE, AS WELL AS OUTPATIENT & PRIMARY CARE SITES. false false 1208549787 612375 1331981873 KALEIDA HEALTH IS A VOLUNTARY, NOT-FOR-PROFIT; NEW YORK STATE DEPARTMENT OF HEALTH ARTICLE 28 LICENSED HOSPITAL-BASED HEALTHCARE DELIVERY SYSTEM SERVICING THE COMMUNITIES OF WESTERN NEW YORK STATE AT VARIOUS LEVELS AND WITH FACILITIES IN MULTIPLE LOCATIONS THROUGHOUT THE REGION. KALEIDA HEALTH INCLUDES THE BUFFALO GENERAL MEDICAL CENTER (BUFFALO GENERAL), MILLARD FILLMORE SUBURBAN HOSPITAL (MILLARD SUBURBAN), OISHEI CHILDREN'S HOSPITAL (FORMERLY THE WOMEN & CHILDREN'S HOSPITAL OF BUFFALO), AND DEGRAFF MEMORIAL HOSPITAL (DEGRAFF). THE ABOVE OPERATE UNDER ONE TAX IDENTIFICATION NUMBER. IN ADDITION TO THE FOUR KALEIDA HEALTH (KALEIDA) HOSPITALS, KALEIDA OPERATES UPPER ALLEGHENY HEALTH SYSTEM, A SUBSIDIARY HEALTH SYSTEM WITH TWO HOSPITAL FACILITIES, TWO SKILLED NURSING FACILITIES, AND NUMEROUS OUTPATIENT CLINICS. UPPER ALLEGHENY HEALTH SYSTEM FILES A SEPARATE IRS FORM 990 AND THEREFORE IS NOT INCLUDED WITHIN THIS FILING. OUR FAMILY OF HEALTH CARE ORGANIZATIONS IS BLENDED TOGETHER INTO ONE FRAMEWORK FOR LEADERSHIP, GOVERNANCE, SHARED SERVICES, FINANCIAL INFRASTRUCTURE AND INFORMATION TECHNOLOGY PLATFORMS. COLLECTIVELY, KALEIDA HEALTH'S MARKET SHARE IS 32.8% IN WESTERN NEW YORK, 40.7% IN ERIE COUNTY AND 31.31% IN NIAGARA COUNTY. ANNUALLY ONE MILLION COMBINED INPATIENT, EMERGENCY DEPARTMENT AND OUTPATIENT VISITS OCCUR AT THE HEALTH CARE FACILITIES IN THE KALEIDA HEALTH SYSTEM, WHICH EMPLOYS APPROXIMATELY 9,400 STAFF AND HAVE APPROXIMATELY 2,400 MEDICAL STAFF MEMBERS. DURING 2018, THERE WERE 56,441 INPATIENT DISCHARGES, OF WHICH 26% WERE MEDICAID AND MEDICAID MANAGED CARE, 1% SELF PAY, AND 31% WERE OTHER. KALEIDA HEALTH'S MISSION IS TO ADVANCE THE HEALTH OF OUR COMMUNITY. OUR VISION IS TO PROVIDE COMPASSIONATE, HIGH-VALUE, QUALITY CARE, IMPROVING HEALTH IN WESTERN NEW YORK AND BEYOND, EDUCATING FUTURE HEALTH CARE LEADERS AND DISCOVERING INNOVATIVE WAYS TO ADVANCE MEDICINE. OUR VALUES CLEARLY STATE WHO WE ARE AND HOW WE PERFORM OUR WORK: CENTERED: REMAIN CENTERED AROUND THE PATIENT AND FAMILY. ACCOUNTABLE: BE ACCOUNTABLE TO PATIENTS AND EACH OTHER. RESPECT: SHOW RESPECT AND INTEGRITY. EXCELLENCE: PROVIDE EXCELLENCE IN ALL WE DO. KALEIDA HEALTH'S PROGRAMS AND AFFILIATES ARE LICENSED BY THE STATE OF NEW YORK DEPARTMENT OF HEALTH AND ACCREDITED BY DNV. KALEIDA IS CERTIFIED BY THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES FOR PARTICIPATION IN MEDICARE AND MEDICAID. THE ACCREDITATION COUNSEL FOR GRADUATE MEDICAL EDUCATION APPROVES ALL RESIDENCY PROGRAMS FOR PHYSICIANS, AND THE AMERICAN DENTAL ASSOCIATION APPROVES ITS DENTAL AND ORAL SURGERY PROGRAMS. KALEIDA IS ALSO A MEMBER OF THE COUNCIL OF TEACHING HOSPITALS, THE AMERICAN DENTAL ASSOCIATION, THE AMERICAN MEDICAL ASSOCIATION AND THE GREATER NEW YORK HOSPITAL ASSOCIATION. OPERATION OF EMERGENCY ROOMS: KALEIDA HEALTH OPERATES FOUR EMERGENCY ROOMS, ONE IN EACH OF THE ACUTE CARE HOSPITALS, GENERATING A TOTAL OF 168,794 PATIENT VISITS DURING 2018. THE EMERGENCY DEPARTMENTS, WHICH OPERATE 24 HOURS A DAY, SEVEN DAYS EACH WEEK, ARE OPEN TO ANYONE, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. BOARD OF DIRECTORS AND COMMUNITY GUIDANCE: KALEIDA HEALTH MAINTAINS COMMUNITY CONTROL OVER THE CORPORATION THROUGH ITS BOARD OF DIRECTORS, COMPRISED OF COMMUNITY AND FAITH LEADERS, AND LEADERS IN BUSINESS AND INDUSTRY, HEALTHCARE AND PHYSICIANS REPRESENTING THE MEDICAL STAFF OF KALEIDA HEALTH. THE MAJORITY OF THE DIRECTORS RESIDE IN WESTERN NEW YORK AND EACH DIRECTOR SERVES A THREE-YEAR TERM. OPEN MEDICAL STAFF: AS CONFERRED BY THE BOARD OF DIRECTORS, MEDICAL STAFF MEMBERSHIP IS OFFERED TO PROFESSIONALLY COMPETENT PHYSICIANS, DENTISTS, PODIATRISTS AND OTHER SPECIFIED INDIVIDUALS, WHO CONTINUOUSLY MEET THE QUALIFICATIONS, STANDARDS AND REQUIREMENTS OUTLINED IN THE BYLAWS, RULES AND REGULATIONS, POLICIES OF THE MEDICAL STAFF AND KALEIDA HEALTH, CONSISTENT WITH THE NEEDS OF KALEIDA HEALTH'S PATIENTS. STAFF MEMBERSHIP OR PARTICULAR CLINICAL PRIVILEGES SHALL NOT BE DENIED ON THE BASIS OF AGE, SEX, SEXUAL ORIENTATION, RACE, COLOR, CREED, NATIONAL ORIGIN, A DISABILITY UNRELATED TO THE ABILITY TO FULFILL PATIENT CARE AND MEDICAL STAFF RESPONSIBILITIES OR ANY OTHER CRITERION UNRELATED TO THE EFFICIENT DELIVERY OF QUALITY PATIENT CARE, TO PROFESSIONAL QUALIFICATIONS OR TO THE NEEDS OF THE COMMUNITY, OR TO THE PURPOSES, NEEDS AND CAPABILITIES OF KALEIDA HEALTH. EVERY MEMBER OF THE MEDICAL STAFF ASSISTS THE HOSPITALS IN FULFILLING OUR MISSION AND RESPONSIBILITY TO PROVIDE EMERGENCY AND UNCOMPENSATED CARE FOR THOSE IN NEED. USE OF SURPLUS FUNDS: SURPLUS FUNDS ARE USED TO FURTHER THE MISSION AND OPERATIONS OF KALEIDA HEALTH, SUCH AS REINVESTING IN COMMUNITY BENEFIT PROGRAMS, AND MAKING IMPROVEMENTS IN FACILITIES, PATIENT CARE, MEDICAL, NURSING AND ALLIED HEALTH TRAINING, EDUCATION AND RESEARCH IN SUPPORT OF THE HEALTH NEEDS OF THE COMMUNITY. COMMUNITY BENEFIT PROGRAMS AND SERVICES: KALEIDA HEALTH OFFERS NUMEROUS COMMUNITY BENEFIT PROGRAMS AND SERVICES IN RESPONSE TO THE COMMUNITY'S NEEDS, BY IMPROVING ACCESS TO CARE, IMPROVE PUBLIC HEALTH, ADVANCE KNOWLEDGE AND RELIEVE GOVERNMENT PROGRAMS. THESE PROGRAMS ARE CONDUCTED IN COMMUNITY-BASED SETTINGS SUCH AS SCHOOLS, CHURCHES, COMMUNITY CENTERS, SENIOR CENTERS AND PROGRAMS ARE ALSO OFFERED AT KALEIDA'S HOSPITAL CAMPUSES AND FACILITIES. COMMUNITY BENEFIT PROGRAMS AND SERVICES INCLUDE HEALTH FAIRS, HEALTH SCREENINGS, HEALTH EDUCATION LECTURES AND WORKSHOPS FOR COMMUNITY GROUPS AND THE GENERAL PUBLIC, SCHOOL HEALTH EDUCATION PROGRAMS, AND CONSUMER HEALTH INFORMATION IN THE KALEIDA HEALTH LIBRARIES. KALEIDA ALSO OFFERS A NUMBER OF SUBSIDIZED HEALTH SERVICES SUCH AS OUTPATIENT CLINICS, LONG-TERM CARE SERVICES, WOMEN'S HEALTH CENTERS, DIALYSIS SERVICES, BEHAVIORAL HEALTH SERVICES, SCHOOL-BASED HEALTH CENTERS, EARLY CHILDHOOD PROGRAM, EARLY INTERVENTION SERVICES, FAMILY PLANNING SERVICES, WESTERN NEW YORK CLINICAL INFORMATION EXCHANGE AND HEALTH-E-LINK AND DIAGNOSTIC, THERAPEUTIC AND REHABILITATION SERVICES FOR CHILDREN WITH SPECIAL NEEDS. KALEIDA'S HOSPITALS SERVE AS A MAJOR TEACHING AFFILIATE OF THE STATE UNIVERSITY OF NEW YORK AT BUFFALO'S SCHOOL OF MEDICINE AND BIOMEDICAL SCIENCES AND DENTAL MEDICINE, WITH TRAINING TO 400 MEDICAL AND DENTAL RESIDENTS EACH YEAR. KALEIDA IS INVOLVED IN AND SPONSORS RESEARCH PROJECTS, AND WE PROVIDE LOAN FORGIVENESS FOR PHYSICIANS TO ESTABLISH OR JOIN EXISTING PRACTICES THAT SERVE THE UNDERSERVED COMMUNITIES OF BUFFALO AND WESTERN NEW YORK. KALEIDA OFFERS CLINICAL TRAINING FACILITIES AND SUPPORT FOR NURSING AND A NUMBER OF ALLIED HEALTH PROFESSIONAL TRAINING PROGRAMS AT LOCAL COLLEGES AND UNIVERSITIES, AND OTHER PROFESSIONAL DEVELOPMENT/CONTINUING EDUCATION TRAINING PROGRAMS FOR COLLEAGUES FROM HEALTH CARE ORGANIZATIONS ACROSS THE REGION. 1208549787 true true false true false false false false false true true false false true true true false true false false true false false false false false true true true false true true false false false false false false false false false true true false false false true true true true false false true 525 0 true 9525 true true true false false false false false false false false false true false X 15 12 false false false false false false false true true false false true true true true true true true true true true NY X X ROBERT NESSELBUSH 7168598836 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 JODY LOMEO PRES/CEO EX-OFFICIO W/VOTE 40.0 0.5 X X 2305353 0 176516 NICHOLAS J AQUINO MD DIRECTOR 1.0 0.0 X 0 0 0 LORRIE CLEMO PHD DIRECTOR 1.0 0.0 X 0 0 0 GARY CROSBY DIRECTOR 1.0 0.0 X 0 0 0 FRANK CURCI CHAIRMAN 1.0 0.0 X 0 0 0 CHRISTOPHER T GREENE ESQ DIRECTOR 1.0 0.0 X 0 0 0 DARREN J KING DIRECTOR 1.0 0.0 X 0 0 0 WILLIAM I MAGGIO VICE CHAIR 1.0 0.0 X 0 0 0 GEORGE MATTHEWS MD DIRECTOR/CHIEF OF SERVICE 1.0 0.0 X 160170 0 31233 BRENDA MCGEE DIRECTOR 1.0 0.0 X 0 0 0 DAVID A MILLING MD SECRETARY 1.0 0.0 X 0 0 0 PAUL O'LEARY DIRECTOR 1.0 0.0 X 0 0 0 CHRISTOPHER C ROSS TREASURER 1.0 0.0 X 0 0 0 MARY LOU RUSIN EDD RN DIRECTOR 1.0 0.0 X 0 0 0 FRANCISCO VASQUEZ PHD DIRECTOR 1.0 0.0 X 0 0 0 ALYSON SPAULDING GENERAL COUNSEL 40.0 0.0 X 883630 0 96734 DAVID HUGHES MD EVP, CMO 40.0 1.0 X 990056 0 51653 JONATHAN SWIATKOWSKI EVP, CFO 40.0 0.5 X 921023 0 67190 DONALD BOYD EVP BUSINESS DEVELOPMENT 40.0 1.0 X 761316 0 24830 JERRY VENABLE EVP, CHIEF HR OFFICER 40.0 0.0 X 511356 0 47070 CHRISTOPHER LANE SVP OPERATIONS BGMC 40.0 0.0 X 649020 0 31189 CHERYL KLASS EVP, CHIEF NURSE EXECUTIVE 40.0 0.0 X 1233220 0 48261 ALLEGRA JAROS SVP OPERATIONS WCHOB 40.0 0.0 X 546842 0 27003 MICHAEL HUGHES SVP, PUBLIC AFFAIRS MARKETING 40.0 0.0 X 527917 0 38098 DARCY CRAVEN SVP OPERATIONS MFS, DMH 40.0 0.0 X 569277 0 48413 AARON HOFFMAN MD EMPLOYED PHYSICIAN 40.0 0.0 X 708289 0 46150 CHRISTOPHER MALLAVARAPU MD EMPLOYED PHYSICIAN 40.0 0.0 X 900992 0 47248 CARROLL HARMON MD EMPLOYED PHYSICIAN 40.0 0.0 X 683479 0 9320 KAVEH VALI MD EMPLOYED PHYSICIAN 40.0 0.0 X 624820 0 28616 KATHRYN BASS MD EMPLOYED PHYSICIAN 40.0 0.0 X 585615 0 34919 13562375 0 854443 760 false true true SODEXO MANAGEMENT INC PO BOX 81049 WOBURN MA 018131049 CLEANING & LAUNDRY 3512715 WNY RADIOLOGY LLC PO BOX 4029 BUFFALO NY 14240 RADIOLOGY SVCS 5151112 FREED MAXICK CPAS 424 MAIN ST LIBERTY BLDG SUITE 80 BUFFALO NY 14202 CONSULTING SERVICES 1596695 HURON CONSULTING SERVICES 3005 MOMENTUM PLACE CHICAGO IL 60689 CONSULTING SERVICES 1896466 XANITOS INC 3809 WEST CHESTER PIKE SUITE 210 NEWTON SQUARE PA 19073 CLEANING & LAUNDRY 2491450 79 6899942 12995797 433303 4125332 20329042 NET PATIENT SERVICE REVENUE 623990 1322113493 1322113493 MANAGEMENT FEES 561000 72900 72900 LAB SERVICES 621500 7197491 7197491 1329383884 12018931 -94789 12113720 0 0 1771646 1771646 0 1771646 155507 1616139 210476763 125046 224708362 -14231599 125046 -14106553 -14106553 0 0 0 0 0 0 0 0 0 REBATE REVENUE 900099 6994577 6994577 UNIVERSITY LEASE INCOME 531120 173020 173020 MANAGEMENT CONSULTING FEES 541610 1623426 1623426 5744920 801543 223743 4719634 14535943 1363932893 1324711482 7554852 11337517 612375 612375 0 0 0 9899009 9899009 87614 87614 526782703 499470339 27312364 43945615 39049982 4895633 102006776 94536723 7470053 39652908 36861437 2791471 0 2802212 1377498 1424714 496484 39440 457044 350522 350522 0 0 155650507 140459471 15191036 2772895 2298920 473975 2047255 1592387 454868 0 0 20859522 6355600 14503922 1231882 946722 285160 0 0 17139021 13711217 3427804 0 63767974 46166800 17601174 14013785 10455972 3557813 HEALTH CARE SUPPLIES 253589329 253530224 59105 EQUIPMENT RENTAL & MAINTENANCE 32555193 11669477 20885716 UTILITIES 7902017 5677161 2224856 DUES AND SUBSCRIPTIONS 1574918 411466 1163452 43983961 43326576 657385 1343724477 1208549787 135174690 0 6667646 23249584 9948594 14411282 0 0 191386814 226821972 0 0 0 0 0 0 32400450 35985553 16205756 9813625 1931080039 1262286210 649022691 668793829 115857645 103249212 52537898 43405115 0 0 0 0 343667029 307530429 1417694523 1433260601 170923760 187001957 0 0 0 0 11858725 9804851 0 0 0 0 357857785 338425223 0 0 569244075 567631133 1109884345 1102863164 X 161296327 203277286 101550807 81623883 44963044 45496268 307810178 330397437 1417694523 1433260601 X 20208416 -14654431 17033274 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false true 200207 true 150315 false false 350522 false false GRANTS TO OTHER ORGANIZATIONS & DIRECT CONTACT WITH LEGISLATIVE BODY SCHEDULE C, PART II-B, QUESTIONS 1F AND 1G THE AMOUNT REFLECTED FOR PART II-B, QUESTION 1F REPRESENTS THE PORTION OF THE DUES PAID TO THE GREATER NEW YORK HOSPITAL ASSOCIATION AND THE HEALTHCARE ASSOCIATION OF NEW YORK STATE ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE AMOUNT REFLECTED FOR PART II-B, QUESTION 1G REPRESENTS PAYMENTS MADE TO ORGANIZATIONS IN AN EFFORT TO ADVOCATE ON THE ORGANIZATION'S BEHALF AT THE NEW YORK STATE AND FEDERAL LEVELS AS IT SPECIFICALLY RELATES TO HEALTH CARE LEGISLATION AND REGULATORY ISSUES. 27593062 2596681 -995040 2201315 26993388 25527409 1623254 2762723 2320324 27593062 29821659 1770884 -3706203 2358931 25527409 30738989 1435796 -1046152 1306974 29821659 30087437 1656821 850732 1856001 30738989 0.66230 0.33770 false true true 6713867 6713867 819529600 408462380 411067220 1088545618 842996473 245549145 16290954 10827357 5463597 668793829 DEFERRED FINANCING 9656989 INTEREST IN NET ASSETS OF FDNS 117555597 OTHER RECEIVABLES 65337891 OTHER ASSETS 13149187 ESTIMATED 3RD PARTY PAYOR REC 19933635 INTEREST IN NET ASSETS OF UAHS 81897130 307530429 0 DUE TO THIRD PARTY PAYORS 9502339 SELF INSURANCE LIABILITY 150058651 OTHER LIABILITIES 3984444 PENSION LIABILITY 290252723 ASSET RETIREMENT OBLIGATIONS 8066172 CAPITAL LEASE OBLIGATIONS 65713083 LINE OF CREDIT 40053721 567631133 X INTENDED USE OF ENDOWMENTS: SCHEDULE D, PART V, QUESTION 4 THE FOLLOWING ARE THE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS: 1) CAPITAL EXPANSION AND IMPROVEMENT 2) ADVANCEMENT OF MEDICAL EDUCATION AND RESEARCH AND HEALTH CARE SERVICES 3) SUPPORT PEDIATRIC HEALTH CARE SERVICES FIN 48 FOOTNOTE: SCHEDULE D, PART X, QUESTION 2 KALEIDA 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. Central America and the Caribbean Investments 42464374 42464374 42464374 true false true true true false SCHEDULE F, PART I, LINE 3, COLUMN F INVESTMENT AMOUNTS REPORTED ARE DERIVED FROM KALEIDA'S BOOKS AND RECORDS WHICH ARE MAINTAINED ON AN ACCRUAL BASIS. true true X true X true X true true true false false 12777158 3769000 9008158 0.00670 368855995 264272886 104583109 0.07790 381633153 268041886 113591267 0.08460 4843838 4843838 0.00360 52657979 23764070 28893909 0.02150 34019103 13078030 20941073 0.01560 91520920 36842100 54678820 0.04070 473154073 304883986 168270087 0.12530 168 46483 124675 124675 168 46483 124675 124675 true 11993601 734608 186420460 175561703 10858757 X true true MFSC LLC PHYSICIAN SERVICES 0.6747 0.3253 HARLEM ROAD LEASING MRI EQUIPMENT LEASING 0.5 0.5 AMTON IMAGING LLC HEALTH CARE SERVICES 0.5 0.5 SITE E LLC REAL ESTATE LEASING CO 0.5014 0.4986 SOUTHTOWNS IMAGING IMAGING EQUIPMENT LEASING 0.7 0.3 GL MEDICAL BILLING MEDICAL BILLING 0.5 0.5 SOUTHTOWNS SURG CTR PHYSICIAN SERVICES 0.63954 0.36046 4 1 BUFFALO GENERAL MEDICAL CENTER 100 HIGH STREET BUFFALO NY 14203 WWW.KALEIDAHEALTH.ORG 1401014H X X X X A 2 OISHEI CHILDREN'S HOSPITAL 818 ELLICOTT STREET BUFFALO NY 14203 WWW.KALEIDAHEALTH.ORG 1401014H X X X X X A 3 MILLARD FILLMORE SUBURBAN HOSPITAL 1540 MAPLE ROAD WILLIAMSVILLE NY 14221 WWW.KALEIDAHEALTH.ORG 1401014H X X X X A 4 DEGRAFF MEMORIAL HOSPITAL 445 TREMONT STREET NORTH TONAWANDA NY 14120 WWW.KALEIDAHEALTH.ORG 1401014H X X X X A GROUP A 14 false false true X X X X X X X X X 16 true true true true X SEE PART V X true 16 true SEE PART V false true X 200. 400. X X X true true X X X true X WWW.KALEIDAHEALTH.ORG X WWW.KALEIDAHEALTH.ORG X WWW.KALEIDAHEALTH.ORG X X X X X X X true X false X true X false false PART V, SECTION B, LINE 5 GROUP A IN CONDUCTING ITS 2016-2018 COMMUNITY HEALTH NEEDS ASSESSMENT - COMMUNITY SERVICE PLAN (CHNA-CSP), KALEIDA HEALTH TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY ITS HOSPITALS LOCATED IN ERIE AND NIAGARA COUNTIES, THE PRIMARY SERVICE AREA. FOR EACH COUNTY, KALEIDA HEALTH PARTICIPATED IN COLLABORATIVE WORK GROUPS LED BY THE ERIE COUNTY DEPARTMENT OF HEALTH AND THE NIAGARA COUNTY DEPARTMENT OF HEALTH AND COMPRISED OF REPRESENTATIVES FROM OTHER HOSPITALS, ORGANIZATIONS, AGENCIES, AND SCHOOLS; AND INCLUDED INPUT FROM THE COMMUNITY INCLUDING THE MEDICALLY UNDERSERVED. FROM MARCH THROUGH AUGUST 2016, THE ERIE COUNTY WORK GROUP CONDUCTED COUNTY-WIDE ASSESSMENT ACTIVITIES INCLUDING A CONSUMER SURVEY WITH 1,839 RESPONSES AND FIVE COMMUNITY FOCUS GROUP SESSIONS. THERE WERE SEVERAL SURVEY DISTRIBUTION SITES ACROSS THE COUNTY AND OF THE 1,839 SURVEY RESPONSES, 21.3% WERE FROM RESPONDENTS INDICATING AN INCOME BELOW $35,000. KALEIDA HEALTH DISTRIBUTED THE SURVEY IN ITS PRIMARY CARE CLINICS OF WHICH A SIGNIFICANT NUMBER OF PATIENTS ARE INSURED THROUGH MEDICAID. FOCUS GROUP SESSIONS WERE HELD AT A GEOGRAPHIC CROSS-SECTION OF SITES INCLUDING THE CAZENOVIA LIBRARY, UNITED WAY, AND MERRIWEATHER LIBRARY IN BUFFALO; SPRINGVILLE FIRE HALL IN SPRINGVILLE, AND THE ERIE COUNTY FIRE TRAINING ACADEMY IN CHEEKTOWAGA. KALEIDA HEALTH PROMOTED THE MERRIWEATHER LIBRARY EVENT LOCATED ON BUFFALO'S EAST SIDE, A LOW INCOME AND MEDICALLY UNDERSERVED COMMUNITY, THROUGH A PROMOTIONAL EMAIL TO THE MEMBERS OF THE NEAR EAST SIDE AND WEST SIDE TASK FORCE. KALEIDA HEALTH PROVIDED LINKS TO THE CONSUMER SURVEY AND PROMOTED THE FOCUS GROUP SESSIONS ON ITS PUBLIC WEBSITE, EMPLOYEE WEBSITE, AND ON FACEBOOK. IN ADDITION TO THE REVIEW OF DATA FROM THE NYS PREVENTION AGENDA DASHBOARD AND OTHER RELIABLE SOURCES, THESE ACTIVITIES HELPED TO PRIORITIZE THE HEALTH CARE NEEDS OF THE COUNTY AND THE RESULTING IMPLEMENTATION STRATEGIES; AND ARE INCLUDED IN KALEIDA HEALTH'S 2016-2018 CHNA-CSP AND ALIGNED WITH THE ERIE COUNTY DEPARTMENT OF HEALTH, COMMUNITY HEALTH IMPROVEMENT PLAN. FROM MARCH THROUGH AUGUST 2016, THE NIAGARA COUNTY WORK GROUP CONDUCTED COUNTY-WIDE ASSESSMENT ACTIVITIES INCLUDING A CONSUMER SURVEY WITH 2,111 RESPONSES AND NINE COMMUNITY FOCUS GROUP SESSIONS. THERE WERE SEVERAL SURVEY DISTRIBUTION SITES AND OF THE 1,655 SURVEY RESPONDENTS WHO ANSWERED THE QUESTION ON ANNUAL HOUSEHOLD INCOME, 26.7% HAD AN INCOME OF LESS THAN $35,000. KALEIDA HEALTH'S DEGRAFF MEMORIAL HOSPITAL DISTRIBUTED THE SURVEY IN HOSPITAL WAITING AREAS, FRONT DESK, SWITCHBOARD, PHYSICIAN OFFICES, OB/GYN CLINICS, AND THE DEGRAFF MCLAUGHLIN CENTER FOR SENIOR WELLNESS. COMMUNITY FOCUS GROUP SESSIONS WERE HELD AT A GEOGRAPHIC CROSS-SECTION OF SITES INCLUDING THOSE LOCATED IN MEDICALLY UNDERSERVED COMMUNITIES. SITES INCLUDED THE NEIGHBORHOOD HEALTH CENTER AND BETHANY BAPTIST CHURCH IN NIAGARA FALLS, WOODLANDS SENIOR VILLAGE AND DEGRAFF COMMUNITY CENTER IN NORTH TONAWANDA; HARTLAND BIBLE CHURCH IN GASPORT; OLCOTT UNITED METHODIST CHURCH AND NEWFANE FOOD PANTRY IN NEWFANE; EASTERN NIAGARA HOSPITAL IN LOCKPORT; AND MOUNT ST. MARY'S HOSPITAL IN LEWISTON. A COUNTY-WIDE FOCUS GROUP SESSION WAS ALSO HELD TO GET INPUT FROM SEVERAL COMMUNITY-BASED HEALTH, MENTAL HEALTH, AND SOCIAL SERVICE ORGANIZATIONS ACROSS THE COUNTY. KALEIDA HEALTH PROVIDED LINKS TO THE CONSUMER SURVEY AND PROMOTED THE FOCUS GROUP SESSIONS ON ITS PUBLIC WEBSITE, EMPLOYEE WEBSITE, AND ON FACEBOOK. IN ADDITION TO THE REVIEW OF DATA FROM THE NYS PREVENTION AGENDA DASHBOARD AND OTHER RELIABLE SOURCES, THESE ACTIVITIES HELPED TO PRIORITIZE THE HEALTH CARE NEEDS OF THE COUNTY AND THE RESULTING IMPLEMENTATION STRATEGIES INCLUDED IN KALEIDA HEALTH'S CHNA-CSP AND ALIGNED WITH THE NIAGARA COUNTY DEPARTMENT OF HEALTH, COMMUNITY HEALTH IMPROVEMENT PLAN. THE KALEIDA HEALTH 2016-2018 CHNA-CSP IS AVAILABLE TO THE PUBLIC IN THE COMMUNITY HEALTH SECTION OF THE KALEIDA HEALTH WEBSITE AT WWW.KALEIDAHEALTH.ORG AND SPECIFICALLY AT HTTP://KALEIDAHEALTH.ORG/COMMUNITY/PUBLICATIONS.ASP. A PAPER VERSION IS AVAILABLE UPON REQUEST AT NO CHARGE. WRITTEN COMMENTS ON THE CHNA-CSP ARE INVITED FROM THE PUBLIC THROUGH A LINK ENTITLED "COMMENT ON PLAN" LOCATED NEXT TO THE DOCUMENT THROUGH THE ABOVE LINK. THIS INFORMATION IS DOCUMENTED IN THE CHNA-CSP IN THE DISSEMINATION TO THE PUBLIC SECTION. NO COMMENTS ON THE CHNA-CSP WERE RECEIVED IN 2018. PART V, SECTION B, LINE 6A GROUP A KALEIDA HEALTH'S FOUR HOSPITALS ARE INCLUDED IN ITS 2016-2018 CHNA-CSP: BUFFALO GENERAL MEDICAL CENTER, MILLARD FILLMORE SUBURBAN HOSPITAL, AND OISHEI CHILDREN'S HOSPITAL, ALL LOCATED IN ERIE COUNTY, AND DEGRAFF MEMORIAL HOSPITAL LOCATED IN NIAGARA COUNTY. (IN NOVEMBER 2017, WOMEN & CHILDREN'S HOSPITAL OF BUFFALO CLOSED AND REOPENED IN A NEW FACILITY AS OISHEI CHILDREN'S HOSPITAL.) IN ERIE COUNTY, KALEIDA HEALTH COLLABORATED ON THE CHNA-CSP PROCESS THROUGH A PARTNERSHIP LED BY THE ERIE COUNTY DEPARTMENT OF HEALTH AND INCLUDED UNRELATED HOSPITAL FACILITIES OF THE CATHOLIC HEALTH SYSTEM. IN NIAGARA COUNTY, KALEIDA HEALTH COLLABORATED ON THE CHNA-CSP PROCESS THROUGH A PARTNERSHIP LED BY THE NIAGARA COUNTY DEPARTMENT OF HEALTH, AND INCLUDED THE FOLLOWING UNRELATED HOSPITAL FACILITIES: NIAGARA FALLS MEMORIAL MEDICAL CENTER, MOUNT ST MARY HOSPITAL, AND EASTERN NIAGARA HOSPITAL SYSTEM. PART V, SECTION B, LINE 6B GROUP A IN ERIE COUNTY, KALEIDA HEALTH COLLABORATED ON THE 2016-2018 CHNA-CSP PROCESS WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES: ERIE COUNTY DEPARTMENT OF HEALTH, UNITED WAY OF BUFFALO AND ERIE COUNTY, P2 COLLABORATIVE OF WNY, BUFFALO STATE COLLEGE, UB SCHOOL OF PUBLIC HEALTH, UB FAMILY MEDICINE PRIMARY CARE RESEARCH CENTER, DAEMEN COLLEGE, AND D'YOUVILLE COLLEGE. IN NIAGARA COUNTY, KALEIDA HEALTH COLLABORATED ON THE 2016-2018 CHNA-CSP PROCESS WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES: NIAGARA COUNTY DEPARTMENT OF HEALTH, NIAGARA COUNTY DEPARTMENT OF MENTAL HEALTH, AND THE P2 COLLABORATIVE OF WNY. PART V, SECTION B, LINES 7 AND 10 WWW.KALEIDAHEALTH.ORG/COMMUNITY/PUBLICATIONS.ASP PART V, SECTION B, LINE 11 GROUP A WITH HOSPITALS LOCATED IN BOTH ERIE AND NIAGARA COUNTIES, KALEIDA HEALTH WORKED COLLABORATIVELY WITH WORK GROUPS LED BY THE ERIE COUNTY DEPARTMENT OF HEALTH AND THE NIAGARA COUNTY DEPARTMENT OF HEALTH TO REVIEW HEALTH CARE DATA, DISSEMINATE CONSUMER SURVEYS AND CONDUCT FOCUS GROUP SESSIONS TO PRIORITIZE SIGNIFICANT HEALTH NEEDS AND IMPLEMENTATION STRATEGIES FOR EACH COUNTY. THE STRATEGIES FURTHER ALIGN WITH THE PRIORITY AREAS OF THE NEW YORK STATE PREVENTION AGENDA. KALEIDA HEALTH INCLUDED THESE COLLABORATIVE PRIORITY AREAS IN ITS 2016-2018 CHNA-CSP. HEALTH CARE NEEDS ADDRESSED IN KALEIDA HEALTH'S 2016-2018 CHNA-CSP: IN ERIE COUNTY AND NIAGARA COUNTY, CARDIOVASCULAR DISEASE IS THE NUMBER ONE CAUSE OF DEATH (2014, NYS VIRAL STATISTICS), AND THERE IS A HIGH INCIDENCE OF RISK FACTORS AMONG RESIDENTS INCLUDING HIGH BLOOD PRESSURE, DIABETES, OBESITY, AND SMOKING. OUTREACH THROUGH PUBLIC EDUCATION EVENTS HOSTED BY KALEIDA HEALTH HOSPITALS HAVE BEEN HELD IN COLLABORATION WITH NUMEROUS ORGANIZATIONS INCLUDING THOSE REPRESENTING THE MEDICALLY UNDERSERVED. IN 2018, KALEIDA HEALTH PROVIDED 22 CHRONIC DISEASE EDUCATION AND SCREENING TO 3,837 INDIVIDUALS. ADDITIONALY, 17 STROKE EDUCATION OFFERINGS WERE PROVIDED REACHING AN ESTIMATED 3,000 INDIVIDUALS. A STRIKE OUT STROKE EVENT WAS HELD IN JULY 2018 IN COORDINATION WITH THE BUFFALO BISON'S BASEBALL TEAM WITH INFORMATION PROVIDED ON STROKE PREVENTION AND RECOGNITION OF SIGNS/SYMPTOMS AND TREATMENT TO AN ESTIMATED 8,000 ATTENDEES. ADDITIONALLY, CARDIOVASCULAR EDUCATION AND SCREENING TARGETING LOW INCOME WOMEN IS ADDRESSED IN THE CLINICAL SETTING THROUGH A PROGRAM FOR PATIENTS OF KALEIDA HEALTH'S OB-GYN CENTERS, WHERE AN ESTIMATED 73% OF PATIENT VISITS ARE REIMBURSED THROUGH MEDICAID. THIS STRATEGY ALIGNS WITH THE NYS PREVENTION AGENDA PRIORITY TO PREVENT CHRONIC DISEASE AND TO INCREASE ACCESS TO HIGH QUALITY CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT IN CLINICAL AND COMMUNITY SETTINGS. IN 2018, 497 CLINIC PATIENTS PRESENTING FOR THEIR ANNUAL GYNECOLOGICAL APPOINTMENT WERE SCREENED FOR CARDIOVASCULAR DISEASE AND PROVIDED EDUCATION ON THE DISEASE AND ITS RISK FACTORS. THE HEALTH BENEFITS OF BREASTFEEDING FOR BOTH INFANT AND MOTHER ARE WELL DOCUMENTED AND THE NEW YORK STATE PREVENTION AGENDA SUPPORTS THE PROMOTION OF BREASTFEEDING TO INCREASE THE PROPORTION OF NEW YORK STATE BABIES WHO ARE BREASTFED. IN ERIE COUNTY, THE PERCENT OF INFANTS FED ANY BREAST MILK IN A DELIVERY HOSPITAL WAS 72.1% AND EXCLUSIVELY FED BREAST MILK WAS 51.1% (2012-2014, NYS VITAL STATISTICS). KALEIDA HEALTH IS WORKING TO INCREASE BREASTFEEDING RATES AT ITS DELIVERY HOSPITALS THROUGH EVIDENCE-BASED PROMOTION AND EDUCATION INITIATIVES. IN 2018, AT OISHEI CHILDREN'S HOSPITAL, THE BREASTFEEDING INITIATION RATE WAS 71.9% AND THE EXCLUSIVE RATES WAS 37% AND AT MILLARD FILLMORE SUBURBAN HOSPITAL, THE INITIATION RATE WAS 85.1% AND THE EXCLUSIVE RATE WAS 57.1%. THE NEEDS OF THE MEDICALLY UNDERSERVED ARE ADDRESSED GIVEN THAT 68.85% OF INPATIENT DISCHARGES, ED VISITS AND OUTPATIENT VISITS AT OISHEI CHILDREN'S HOSPITAL AND 11.8% AT MILLARD FILLMORE SUBURBAN HOSPITAL ARE REIMBURSED BY MEDICAID. HIGH RATES OF POOR MENTAL HEALTH, DRUG ADDICTION, AND BINGE DRINKING IN NIAGARA COUNTY; IN ADDITION TO A SUICIDE DEATH RATE OF 16% VS THE NEW YORK STATE RATE OF 7.9% (2012-2014, NYS PREVENTION AGENDA DASHBOARD) INDICATE A DIRE NEED TO ADDRESS MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES IN THE COUNTY. ACCESS TO ADEQUATE MENTAL HEALTH CARE AND RESOURCES IS AN ADDED CHALLENGE. IN RESPONSE, KALEIDA HEALTH'S DEGRAFF MEMORIAL HOSPITAL PROMOTES BOTH PROVIDER AND PUBLIC AWARENESS AND KNOWLEDGE OF MENTAL HEALTH CONDITIONS AND SUBSTANCE ABUSE; AND THE AVAILABLE RESOURCES. THIS PROJECT ADDRESSES THE NEEDS OF THE MENTAL HEALTH POPULATION AS A MEDICALLY UNDERSERVED DISPARITY POPULATION. IT ALSO ALIGNS WITH THE NYS PREVENTION AGENDA PRIORITY TO PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE. THE CHILDREN'S PSYCHIATRY CLINIC OF KALEIDA HEALTH'S OISHEI CHILDREN'S HOSPITAL IN NEIGHBORING ERIE COUNTY, PROVIDES AN ADDED RESOURCE FOR PEDIATRIC MENTAL HEALTH SERVICES FOR NIAGARA COUNTY RESIDENTS AND ALL OF WESTERN NEW YORK. THE RISING OPIOID ADDICTION PROBLEM IS AN EMERGING AREA OF CONCERN IN BOTH ERIE AND NIAGARA COUNTIES. THE ERIE COUNTY DEPARTMENT OF HEALTH INCLUDED IT IN ITS COMMUNITY HEALTH IMPROVEMENT PLAN AND IN THE 2016-2018 CHNA-CSP, KALEIDA HEALTH STATED ITS COMMITMENT TO WORKING WITH ITS ERIE COUNTY PARTNERS TO ADDRESS THE PROBLEM. IN 2016, THROUGH A PARTNERSHIP WITH THE ERIE COUNTY DEPARTMENT OF HEALTH, KALEIDA HEALTH HOSPITALS INCLUDING BUFFALO GENERAL MEDICAL CENTER, MILLARD FILLMORE SUBURBAN HOSPITAL, DEGRAFF MEMORIAL HOSPITAL, AND OISHEI CHILDREN'S HOSPITAL EMERGENCY DEPARTMENTS BEGAN TO DISPENSE THE NARCAN OPIOID OVERDOSE KITS TO PATIENTS AND CAREGIVERS FOR PATIENTS WITH AN OPIOID OVERDOSE OR IS AT RISK FOR AN OPIOID OVERDOSE. THE COUNTY SUPPLIED THE KITS AND EMERGENCY DEPARTMENT PHYSICIANS PROVIDED THE PATIENT/CAREGIVER EDUCATION ON THE USE OF NARCAN. IN 2018, AN ADDICTION CLINIC NETWORK OF 20 WNY CLINIC LOCATIONS WAS ESTABLISHED AT ALL KALEIDA HEALTH HOSPITAL EMERGENCY DEPARTMENTS. STAFF ARE ABLE TO CALL A CENTRAL REFERRAL NUMBER TO REFER PATIENTS, WHO ARE PRESENTING WITH AN OPIOID OVERDOSE OR EXPERIENCING OPIATE WITHDRAWAL SYMPTOMS, TO THE CLINIC OF THEIR CHOOSING FOR FOLLOW-UP CARE WITHIN 48 HOURS. THE NIAGARA COUNTY DEPARTMENT OF HEALTH IS ADDRESSING THE OPIOID PROBLEM AS IT ADDRESSES MENTAL HEALTH AND SUBSTANCE ABUSE IN ITS COMMUNITY HEALTH IMPROVEMENT PLAN. KALEIDA HEALTH IS A PARTNER IN THIS NIAGARA COUNTY PRIORITY AREA THROUGH ITS DEGRAFF MEMORIAL HOSPITAL AS IDENTIFIED ABOVE AND IN THE WORK PLAN SECTION OF KALEIDA HEALTH'S 2016-2018 CHNA-CSP. KALEIDA HEALTH WILL CONTINUE TO PARTNER WITH THE COUNTIES AND OTHERS TO ADDRESS THIS SIGNIFICANT HEALTH CARE PROBLEM. Health Care Needs Not Addressed in Kaleida Health 2016-2018 CHNA-CSP: FALLS PREVENTION AMONG NIAGARA COUNTY'S SENIOR POPULATION WAS ADDRESSED THROUGH IMPLEMENTATION STRATEGIES INCLUDED IN KALEIDA HEALTH'S LAST CHNA CONDUCTED IN 2013. THE STEP UP TO STOP FALLS PROGRAM WAS HIGHLY SUCCESSFUL AND ACHIEVED POSITIVE, SUSTAINABLE OUTCOMES. HOWEVER, THE NIAGARA COUNTY COLLABORATIVE WORK GROUP DECIDED TO PRIORITIZE OTHER COMMUNITY HEALTH NEEDS FOR 2016-2018. WHILE CANCER IS IDENTIFIED AS THE NUMBER TWO CAUSE OF DEATH IN ERIE AND NIAGARA COUNTIES AND IS A PUBLIC HEALTH CONCERN, IT IS NOT ADDRESSED AS A FOCUS AREA IN THE COUNTY COMMUNITY HEALTH IMPROVEMENT PLANS OR IN KALEIDA HEALTH'S CHNA-CSP FOR 2016-2018; AS THE COUNTY WORK GROUPS DECIDED TO PRIORITIZE OTHER AREAS OF CONCERN. HOWEVER, CANCER IS ADDRESSED BY KALEIDA HEALTH AND SEVERAL HOSPITAL AND COMMUNITY BASED PREVENTION, EDUCATION, AND TREATMENT INITIATIVES THROUGHOUT THE REGION. KALEIDA HEALTH PROVIDES ONCOLOGY SERVICES THROUGH ITS MILLARD FILLMORE SUBURBAN HOSPITAL AND THE HOSPITAL ALSO HAS A CANCER REHABILITATION PROGRAM FOR CANCER SURVIVORS. IN 2015, KALEIDA HEALTH ACQUIRED CANCER CARE OF WESTERN NEW YORK, AN ONCOLOGY TREATMENT PRACTICE. IN 2018, KALEIDA HEALTH HELD TWO MEN'S PROSTATE CANCER OUTREACH AND SCREENING EVENTS TARGETING BUFFALO'S AFRICAN AMERICAN AND HISPANIC POPULATIONS IN COLLABORATION WITH WNY UROLOGY AND CANCER CARE OF WNY. IN 2018, KALEIDA HEALTH PARTNERED WITH SEVEN OTHER HEALTH CARE PROVIDERS TO LAUNCH GREAT LAKES HEALTH CANCER CARE. THIS COLLABORATIVE INITIATIVE IS A COMPREHENSIVE AND INTEGRATED APPROACH TO CANCER CARE FOR DIAGNOSIS AND TREATMENT, AND INCLUDES RESEARCH TO FIND CURES FOR CANCER. WESTERN NEW YORK IS ALSO HOME TO ROSWELL PARK CANCER INSTITUTE WHICH HOLDS THE NATIONAL CANCER INSTITUTE DESIGNATION AS A COMPREHENSIVE CANCER CENTER AND HAS A PROVEN MULTIDISCIPLINARY APPROACH. ITS RESEARCH PROGRAMS ARE MAKING GREAT STRIDES IN THE CARE AND TREATMENT OF CANCER, BENEFITING THE RESIDENTS OF WESTERN NEW YORK AND BEYOND. PART V, SECTION B, LINE 16J GROUP A INFORMATION THAT EXPLAINS HOW QUALIFIED PATIENTS CAN ACCESS FINANCIAL ASSISTANCE THROUGH THE HOSPITAL IS INCLUDED ON BILLS AND STATEMENTS TO PATIENTS. APPLICATION MATERIALS INCLUDE A NOTICE TO THE PATIENTS THAT ONCE THEY SUBMIT A COMPLETED APPLICATION AND DOCUMENTATION, THEY MAY DISREGARD ANY BILLS UNTIL THE HOSPITAL HAS RENDERED A WRITTEN DECISION ON THE APPLICATION. THE HOSPITAL MAY NOT FORWARD ACCOUNTS TO COLLECTION WHILE AN APPLICATION IS PENDING. 23 HIGHPOINTE ON MICHIGAN 1031 MICHIGAN AVE BUFFALO NY 14203 INPATIENT SKILLED NURSING FACILITY DEGRAFF SKILLED NURSING FACILITY 445 TREMONT STREET NORTH TONAWANDA NY 14120 INPATIENT SKILLED NURSING FACILITY MILLARD FILLMORE SURGERY CENTER 215 KLEIN ROAD WILLIAMSVILLE NY 14221 AMBULATORY SURGERY CENTER FACILITY NIAGARA STREET PEDIATRICS 564 NIAGARA STREET BUFFALO NY 14201 MEDICAL SERVICES - PRIMARY CARE, PRENATAL OUTPATIENT MAPLE WEST MEDICAL COMPLEX 705 MAPLE ROAD AMHERST NY 14221 MEDICAL SERVICES - PRIMARY CARE, OTHER SPECIALTIES NORTH BUFFALO MEDICAL PARK 900 HERTEL AVE BUFFALO NY 14207 MEDICAL SERVICES - PRIMARY CARE, RADIOLOGY OUTPATIENT, OUTPATIENT THERAPY SERVICES KALEIDA HEALTH FAMILY PLANNING CENTER 1313 MAIN STREET BUFFALO NY 14209 OUTPATIENT FAMILY PLANNING NIAGARA STREET PEDIATRICS 1050 NIAGARA STREET BUFFALO NY 14213 HOSPITAL BASED OUTPATIENT PRIMARY CARE SERVICES TOWNE GARDEN PEDIATRICS 461 WILLIAM STREET BUFFALO NY 14204 HOSPITAL BASED OUTPATIENT PRIMARY CARE SERVICES SOUTHTOWNS SURGERY CENTER 5959 BIG TREE ROAD SUITE 100 ORCHARD PARK NY 14217 AMBULATORY SURGERY CENTER PRIMARY CARE SERVICES KENSINGTON OBGYN 462 GRIDER STREET BUFFALO NY 14215 HOSPITAL BASED OUTPATIENT PRIMARY CARE SERVICES WCHOB MCKINLEY OBGYN 3860 MCKINLEY PARKWAY HAMBURG NY 14219 MEDICAL SERVICES - PRIMARY CARE, PRENATAL OUTPATIENT WCHOB CHILD PROTECTION CENTER 556 FRANKLIN STREET BUFFALO NY 14202 MEDICAL SERVICES - PRIMARY CARE STANLEY MAKOWSKI SBHC 1095 JEFFERSON AVE BUFFALO NY 14214 SCHOOL BASED PRIMARY CARE SERVICES HILLERY PARK #27 SBHC 72 PAWNEE PARKWAY BUFFALO NY 14210 SCHOOL BASED PRIMARY CARE SERVICES WESTMINSTER #68 SBHC 24 WESTMINSTER AVE BUFFALO NY 14215 SCHOOL BASED PRIMARY CARE SERVICES DR LYDIA WRIGHT #89 SBHC 106 APPENHEIMER STREET BUFFALO NY 14214 SCHOOL BASED PRIMARY CARE SERVICES BUILD ACADEMY #91 SBHC 340 FOUGERON STREET BUFFALO NY 14211 SCHOOL BASED PRIMARY CARE SERVICES BUFFALO SCHOOL OF TECHNOLOGY SBHC 414 SOUTH DIVISION STREET BUFFALO NY 14204 SCHOOL BASED PRIMARY CARE SERVICES HERMAN BADILLO #76 SBHC 315 CAROLINE STREET BUFFALO NY 14201 SCHOOL BASED PRIMARY CARE SERVICES THE CHILDREN'S PSYCHIATRY CLINIC 1404 SWEET HOME ROAD AMHERST NY 14228 CERTIFIED MENTAL HEALTH SVCS O/P COMMUNITY MENTAL HEALTH CENTER 1028 MAIN STREET BUFFALO NY 14203 HOSPITAL BASED OUTPATIENT BEHAVIORAL HEALTH SERVICES ENDOSCOPY CENTER OF NIAGARA 6933 ELAINE DRIVE NIAGARA FALLS NY 14304 AMBULATORY SURGERY - SINGLE SPECIALTY - GASTROENTEROLOGY PART I, FINANCIAL ASSISTANCE - LINE 3C KALEIDA HEALTH HAS IMPLEMENTED AND COMMUNICATES ITS FINANCIAL ASSISTANCE (CHARITY CARE) POLICY, WHICH ASSISTS LOW INCOME, UNINSURED OR UNDERINSURED INDIVIDUALS WHO LACK THE FINANCIAL RESOURCES TO PAY FOR MEDICAL SERVICES RENDERED. LEVELS OF DISCOUNTS ARE AWARDED BASED UPON INCOME AND ASSET VERIFICATION AND IN ACCORDANCE WITH THE FEDERAL POVERTY GUIDELINES AS PUBLISHED ANNUALLY BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. INDIVIDUALS ARE PROVIDED FINANCIAL ASSISTANCE CONTACT INFORMATION DURING INTAKE AND REGISTRATION. THE APPLICANT FOR FREE OR REDUCED PRICE CARE WORKS DIRECTLY WITH A MEMBER OF THE FINANCIAL COUNSELING OR CHARITY CARE TEAM FOR FINANCIAL SCREENING AND ENROLLMENT IN A GOVERNMENT-FUNDED PROGRAM, IF ELIGIBLE. AFTER REVIEW OF INCOME AND ASSETS, AN INDIVIDUAL MAY BE APPROVED FOR FREE CARE (100% DISCOUNT) OR A DISCOUNT LEVEL OF 50, 60, 75, OR 90%, FOR MEDICALLY NECESSARY SERVICES RENDERED AT A KALEIDA FACILITY, AS FOLLOWS: LESS THAN 200% OF FEDERAL POVERTY GUIDELINE IS AWARDED 100% DISCOUNT 200% - 249% OF FEDERAL POVERTY GUIDELINE IS AWARDED 90% DISCOUNT 250% - 299% OF FEDERAL POVERTY GUIDELINE IS AWARDED 75% DISCOUNT 300% - 349% OF FEDERAL POVERTY GUIDELINE IS AWARDED 60% DISCOUNT 350% - 400% OF FEDERAL POVERTY GUIDELINE IS AWARDED 50% DISCOUNT PART I, LINE 7 THE AMOUNTS REPORTED IN THE TABLE UNDER PART 1, LINE 7 WERE DETERMINED USING THE HEALTH SYSTEM'S DECISION SUPPORT SOFTWARE PROGRAM AND REVENUE AND EXPENSES FROM THE GENERAL LEDGER. THE OVERALL REVENUE AND EXPENSES INCLUDED IN THE DECISION SUPPORT SOFTWARE PROGRAM WERE RECONCILED TO THE GENERAL LEDGER WHICH RECONCILES TO THE AUDITED FINANCIAL STATEMENTS. THE DECISION SUPPORT SOFTWARE PROGRAM ALLOCATES DIRECT COSTS TO EACH PATIENT ACCOUNT BASED ON THE RESOURCES USED BY THAT PATIENT WITHIN THE SPECIFIC COST CENTER. INDIRECT COSTS ARE ALLOCATED USING SIMILAR STEPDOWN METHODOLOGY USED BY CMS IN THE INSTITUTIONAL COST REPORT. PART II KALEIDA HEALTH'S COMMUNITY HEALTH SERVICES SUPPORTS A COMPREHENSIVE PROGRAM OF COMMUNITY HEALTH IMPROVEMENT ADVOCACY. OUTREACH IS CONDUCTED IN MULTIPLE WESTERN NEW YORK COMMUNITIES TARGETING VARIED POPULATIONS OF ALL AGES AND ETHNICITIES, INCLUDING THE MEDICALLY UNDERSERVED. PROGRAMS AND EVENTS PROMOTE THE REDUCTION OF HEALTH DISPARITIES, ACCESS TO CARE, AND PROMOTE OVERALL COMMUNITY HEALTH AND WELLNESS; AND INCLUDE HEALTH EDUCATION AND SCREENING, SPEAKERS ON HEALTH-RELATED TOPICS, AND COMMUNITY REFERRALS. TOPICS RANGE FROM HEALTH INSURANCE ENROLLMENT TO DIABETES, STROKE, HEART DISEASE, MATERNAL AND CHILD HEALTH, AND HEALTH CAREER EXPLORATION. In 2018, Kaleida Health partnered with several organizations and participated in 174 events to reach 46,483 individuals with community service programming. All of the outreach programs are free and reach cross section of cultures, ethnicities, languages, religions and all genders including LBGQ community. Kaleida Health participates in multiple events in various communities across Western New York, including Buffalo, a city with a poverty rate of 30.9% and several census tracts federally designated as Medically Underserved Areas. The following Kaleida Health health and wellness programs were provided in Buffalo: - NEAR EAST SIDE AND WEST SIDE TASK FORCE - PASSPORT TO WELLNESS, AN OUTREACH/WELLNESS/MEDICAL SCREENING PROGRAM AT LOCAL TOPS GROCERY MARKETS TARGETING MOSTLY LATINO AND AFRICAN AMERICAN COMMUNITIES; AND THE BROADWAY MARKET ON BUFFALO'S EAST SIDE, DIVERSE COMMUNITY WHERE OVER 30 LANGUAGES ARE SPOKEN. - BUFFALO EAST HIGH SCHOOL - SPEAKER SERIES WITH KALEIDA HEALTH EMPLOYEES SHARING KNOWLEDGE ABOUT THEIR CAREERS WITH HIGH SCHOOL STUDENTS WHO ARE PREPARING FOR COLLEGE AND CAREERS AS CERTIFIED NURSING ASSISTANTS. EAST HIGH SCHOOL IS LOCATED IN AN AFRICAN AMERICAN COMMUNITY IN THE 14211 ZIP CODE WITH RATES OF HEALTH DISPARITIES, UNEMPLOYMENT, UNDEREMPLOYMENT AND IS KNOWN AS A FOOD DESERT. - BUFFALO PUBLIC LIBRARY -LOCATED IN DOWNTOWN BUFFALO, TWO COMMUNITY WELLNESS EVENTS, SPONSORED BY HISPANIC HERITAGE COUNSEL AND THE LIBRARY. -TRUE BETHEL BAPTIST CHURCH, ST JOHN BAPTIST CHURCH, FRIENDSHIP BAPTIST CHURCH, LINWOOD GOD OF CHRIST, GREATER EMMANUEL CHURCH OF CHRIST, SHILOH BAPTIST CHURCH, LINCOLN METHODIST CHURCH, TRINITY BAPTIST CHURCH, MIRACLE MISSIONS FULL GOSPEL, ST LUKE'S AME CHURCH - FAMILY WELLNESS PROGRAMS TARGETING MEMBERS OF CONGREGATION ALONG WITH THE SURROUNDING UNDERSERVED COMMUNITY. - JUNETEENTH FESTIVAL - HEALTH AND WELLNESS EDUCATION PROVIDED UNDER THE HEALTH PAVILION. THIS FESTIVAL, LOCATED ON BUFFALO'S EAST SIDE ATTRACTS THOUSANDS OF PEOPLE OF ALL AGES, RACES, RELIGIONS, ETHNICITIES AND GENDERS. -PRIDE VILLAGE- FOLLOWING BUFFALO'S PRIDE PARADE, HUNDREDS VISIT PRIDE VILLAGE, HOME TO APPROXIMATELY 50 PLUS ORGANIZATIONS PROVIDING SERVICES FOR THE LGBTQ COMMUNITY. KALEIDA HEALTH WAS AMONG THE ORGANIZATIONS PROVIDING HEALTH AND WELLNESS EDUCATION. -KOMEN WALK-THE BUFFALO KOMEN WALK IS OPEN TO SURVIVORS OF BREAST CANCER, EVERYONE INTERESTED IN FINDING A CURE FOR BREAST CANCER. KALEIDA HEALTH WAS AMONG THE ORGANIZATIONS PROVIDING HEALTH AND WELLNESS EDUCATION. - IN 2018, KALEIDA HEALTH CONDUCTED TWO MEN'S PROSTATE CANCER OUTREACH AND SCREENING EVENTS TARGETING BUFFALO'S AFRICAN AMERICAN AND HISPANIC POPULATION AT RICH PRODUCTS AND TRUE BETHEL BAPTIST CHURCH. KALEIDA HEALTH COLLABORATED WITH WNY UROLOGY AND CANCER CARE OF WNY; AND WITH COMMUNITY AND FAITH BASED ORGANIZATIONS TO PROMOTE THE EVENTS INCLUDING BUFFALO MUNICIPAL HOUSING AUTHORITY, BUFFALO BRANCH NAACP, BUFFALO UNITED FRONT, INC., HISPANIC HERITAGE COUNCIL OF WNY, HISPANIC PASTORS ASSOCIATION OF WNY, AREA FRATERNITIES, MASONIC GROUPS AND BUFFALO PEACEMAKERS. THE PROGRAMS ARE SUPPORTING KALEIDA HEALTH'S PLEDGE TO HELP TO DECREASE PSA CANCER. IN ADDITION, KALEIDA HELD ONE MEDICAL LECTURE ON THE IMPORTANCE OF COLORECTAL SCREENING. COLON CANCER RATES ARE HIGHER IN URBAN COMMUNITIES OF COLOR. THIS DATA IS SUPPORTED BY THE AMERICA CANCER SOCIETY (ACS), THE CENTER FOR DISEASE CONTROL AND PREVENTION (CDC) AND THE NATIONAL COLORECTAL CANCER ROUNDTABLE (AN ORGANIZATION CO-FOUNDED BY ACS AND CDC). COLORECTAL CANCER IS ONE OF THE MOST COMMON CANCERS IN BOTH MEN AND WOMEN AND IS ONE OF THE MOST PREVENTABLE AND TREATABLE WHEN DETECTED EARLY. PROSTATE CANCER IS NUMBER ONE KILLER AND PREVENTABLE DISEASE OF AFRICAN AMERICAN MEN. - WUFO 1080 AM / POWER 96.5 FM - AIRING EVERY 2ND AND 4TH MONDAY, THE GREAT LAKES HEALTH RADIO PROGRAM, HOSTED BY KALEIDA HEALTH, INTERVIEWS GUESTS FROM KALEIDA HEALTH FOR 1/2 HOUR ON A VARIETY OF HEALTH AND WELLNESS TOPICS. THE WUFO LISTENERSHIP PREDOMINATELY URBAN, ALL AGES, RACES, SEXUAL ORIENTATIONS AND ETHNIC GROUPS IN WNY. - A NUMBER OF BLOCK CLUBS, PUBLIC SCHOOLS AND NOT-FOR PROFIT ORGANIZATIONS ALSO PARTNER WITH KALEIDA HEALTH TO PROVIDE HEALTH AND WELLNESS OUTREACH AND EDUCATION AT MULTIPLE LOCATIONS. -COLLABORATING WITH THE BUFFALO BILLS AND THE BELLE CENTER, A COMMUNITY CENTER SERVES LATINO COMMUNITY, SEVERAL DEPARTMENTS FROM KALEIDA HEALTH OFFERED WELNESS SERVICES TO CHILDREN AND FAMILIES. -KALEIDA HEALTH PARTNERED WITH FOUR SENIOR CITIZEN WELLNESS PROGRAMS AND LUNCHEONS AT THE FOLLOWING LOCATIONS: WILLIAM EMSLIE YMCA, SHILLER PARK COMMUNITY CENTER, CANISIUS COLLEGE AND ST JOHN TOWER. -KALEIDA HEALTH WORKED ALONG WITH SEVERAL PEACE MAKER ORGANIZATIONS BY PROVIDING OUTREACH AND LITERATURE. 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 A RATIO OF COSTS TO CHARGES (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 NET PATIENT REVENUE. INDIVIDUALS WHO MAY QUALIFY FOR CHARITY CARE ASSISTANCE UNDER THE POLICY, BUT DO NOT VOLUNTEER TO COMPLETE THE APPLICATION PROCESS WOULD NOT BE GRANTED CHARITY CARE ASSISTANCE. KALEIDA USES A PRESUMPTIVE CHARITY CARE PROCESS, WHICH HAS DETERMINED THAT 25% OF SELF-PAY BAD DEBT EXPENSE IN 2018 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 $734,608. WE ESTIMATED THIS AMOUNT BY USING THE 2018 CALCULATED PRESUMPTIVE ELIGIBILITY PERCENTAGE ON BAD DEBT WRITE-OFF AMOUNTS OVER $500 (24.5%), AND APPLIED THIS PERCENTAGE TO THOSE BAD DEBT WRITE-OFF AMOUNTS UNDER $500, TO DETERMINE THE BAD DEBT WRITE-OFFS THAT WOULD BE ELIGIBLE, IF THEY WERE SCORED USING THE PRESUMPTIVE ELIGIBILITY PROCESS. BAD DEBT IS NOT INCLUDED AS A COMMUNITY BENEFIT. Part III, LINE 4 (PAGE 9 OF ATTACHED AUDITED FINANCIAL STATEMENTS) 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 COLLECTIONS OF AMOUNTS DETERMINED TO QUALIFY 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 BY COMMERCIAL AND GOVERNMENT INSURANCE PLANS. ADDITIONS TO THE ESTIMATED ALLOWANCE FOR DOUBTFUL ACCOUNTS ARE MADE BY MEANS OF THE PROVISION OF BAD DEBTS. THE PROVISION FOR BAD DEBTS PRIMARILY RELATES TO PATIENTS WITHOUT INSURANCE AND TO THOSE THAT ARE EITHER UNDERINSURED OR WITHOUT THE NECESSARY RESOURCES TO PAY COINSURANCE AND DEDUCTIBLE BALANCES. 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 DEBT COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS. 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 2018 CMS MEDICARE COST REPORT TO DETERMINE THE AMOUNTS REPORTED ON THESE LINES. PART III, SECTION C, LINE 9B ONCE PATIENT LIABILITY HAS BEEN DETERMINED FOLLOWING PROCESSING OF APPLICATIONS FOR GOVERNMENT ASSISTANCE, CHARITY CARE, AND/OR INSURANCE CARRIER REMITTANCE, THE PATIENT STATEMENT IS MAILED FOR PAYMENT RECOVERY. KALEIDA HEALTH HAS A PRE-COLLECTION PROCESS FOR ACCOUNTS WITH A POSITIVE PATIENT BALANCE GREATER THAN $4.99 AND A FIRST BILL DATE OLDER THAN 60 DAYS, BUT NOT PREVIOUSLY PAID IN FULL BY THE PATIENT (EXCLUDING ACCOUNTS FOR PATIENTS THAT HAVE SUBMITTED A COMPLETED APPLICATION FOR CHARITY CARE, MEDICAID, OR CHILD HEALTH PLUS, AND AN ELIGIBILITY DETERMINATION IS PENDING). UPON A PATIENT EXPRESSING FINANCIAL CONCERN, THE PATIENT WILL BE OFFERED THE OPPORTUNITY TO APPLY FOR FINANCIAL ASSISTANCE (CHARITY CARE). ONCE THE PATIENT SUBMITS THE COMPLETED APPLICATION, THE ACCOUNT IS PLACED ON HOLD AND ALL COLLECTION ACTIVITIES ARE SUSPENDED UNTIL AN ELIGIBILITY DETERMINATION IS MADE. IF THE PATIENT IS ELIGIBLE FOR CHARITY CARE, THEN THE PATIENT IS NOTIFIED OF THE LEVEL OF CHARITY CARE AWARDED. IF 100% CHARITY CARE IS AWARDED, THEN NO BILL IS SENT TO THE PATIENT. IF LESS THAN 100% CHARITY CARE IS AWARDED, THEN THE PATIENT WILL RECEIVE A BILL PURSUANT TO THE PRIVATE PAY COLLECTION POLICY. COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS KALEIDA HEALTH ASSESSES THE NEEDS OF THE COMMUNITY THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT-COMMUNITY SERVICE PLAN (CHNA-CSP) WITH ITS MOST RECENT PLAN COMPLETED IN 2016. THE 2016-2018 CHNA-CSP IS AVAILABLE TO THE PUBLIC ON THE KALEIDA HEALTH WEBSITE AT WWW.KALEIDAHEALTH.ORG/COMMUNITY/PUBLICATIONS.ASP AND A PRINTED COPY IS AVAILABLE UPON REQUEST AT NO CHARGE. WRITTEN COMMENTS ON THE 2016-2018 CHNA-CSP ARE INVITED FROM THE PUBLIC THROUGH A LINK ENTITLED "COMMENT ON PLAN," LOCATED NEXT TO THE DOCUMENT THROUGH THE ABOVE LINK. IN ADDITION TO THE 2016-2018 CHNA-CSP (AS REPORTED IN PART V, SECTION B), KALEIDA HEALTH STAFF ENGAGE IN OTHER METHODS TO ASSESS THE NEEDS OF THE COMMUNITY. POVERTY TRENDS, COMMUNITY HEALTH RESEARCH, AND LOCAL COMMUNITY HEALTH NEEDS ARE REVIEWED ON A REGULAR BASIS WHILE PLANNING SERVICES AND PROGRAMS. RESPONSIVE TO COMMUNITY PRIORITIES, PROGRAM DEVELOPMENT AND SERVICES FILL IDENTIFIED GAPS OR SUPPLEMENT EXSITING PROGRAMS. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE KALEIDA HEALTH INFORMS INDIVIDUALS OF FINANCIAL ASSISTANCE MADE AVAILABLE AT THE TIME OF REGISTRATION INTO THE INPATIENT, OUTPATIENT, EMERGENCY DEPARTMENT AND LONG-TERM CARE FACILITY. POSTERS INFORMING THE PATIENT/FAMILY OF ASSISTANCE ARE AVAILABLE THROUGHOUT THE KALEIDA LOCATIONS. BROCHURES AND PAMPHLETS INFORMING THE COMMUNITY ARE WIDELY DISTRIBUTED IN THE COMMUNITY AT HEALTH FAIRS, CHURCHES, SCHOOLS AND OTHER PUBLIC LOCATIONS. INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AS WELL AS APPLICATION IS ALSO MADE AVAILABLE THROUGH KALEIDA HEALTH'S WEBSITE. KALEIDA HEALTH OFFERS ASSISTANCE TO INDIVIDUALS IN OUR COMMUNITY FOR ACCESSING AFFORDABLE HEALTH CARE, INCLUDING: *NEW YORK STATE OF HEALTH, HEALTH PLAN MARKETPLACE: ASSISTS WITH NAVIGATING, EDUCATING AND ENROLLMENT IN THE NY STATE OF HEALTH OFFERINGS. DEDICATED AND STATE-TRAINED STAFF IS AVAILABLE TO ASSIST INDIVIDUALS IN PERSON OR VIA THE PHONE. KALEIDA HEALTH OFFERS IN-PERSON APPOINTMENTS AT (4) FOUR DIFFERENT SITE LOCATIONS. *FACILITATED ENROLLMENT: ASSISTS ELIGIBLE INDIVIDUALS WITH HEALTH INSURANCE ENROLLMENT BY OFFERING EDUCATION AND APPLICATION ASSISTANCE FOR MEDICAID, CHILD HEALTH PLUS, ESSENTIAL PLANS, STATE AID PROGRAM FOR CHILDREN WITH SPECIAL NEEDS AND ALL QUALIFIED HEALTH PLANS MADE AVAILABLE THROUGH THE NEW YORK STATE OF HEALTH, HEALTH PLAN MARKETPLACE. A DEDICATED TELEPHONE NUMBER IS AVAILABLE AND INFORMATION IS PUBLISHED IN BROCHURES AT KALEIDA SITES AND AT VARIOUS LOCATIONS THROUGHOUT THE COMMUNITY. *FINANCIAL ASSISTANCE PROGRAM: AS DESCRIBED ABOVE, THE KALEIDA FINANCIAL ASSISTANCE PROGRAM, IF ELIGIBLE, PROVIDES FREE OR REDUCED-PRICES FOR PATIENTS TREATED AT KALEIDA HEALTH HOSPITALS OR LONG-TERM CARE FACILITIES. DISCOUNTS ARE AWARDED BASED UPON INCOME AND ASSET VERIFICATION. *PRESUMPTIVE ELIGIBILITY: KALEIDA HEALTH HAS SHOWN A WILLINGNESS TO EXTEND FINANCIAL ASSISTANCE TO NEEDY PATIENTS WITH OUTSTANDING BILLS WHO HAVE NOT COMPLETED THE CHARITY APPLICATION PROCESS. THIS IS ACHIEVED THROUGH AN AUTOMATED PARO SCORING PROCESS USING PUBLIC RECORDS, REGIONAL COST OF LIVING, ESTIMATED HOUSEHOLD INCOME THRESHOLDS, AND COMMUNITY DEMOGRAPHICS TO DERIVE AN ESTIMATED FINANCIAL POSITION FOR EACH PATIENT. THOSE PATIENTS SCREENED THROUGH THIS AUTOMATED PROCESS AND DEEMED ELIGIBLE ARE ADJUSTED OFF TO CHARITY CARE IN LIEU OF BAD DEBT. COMMUNITY INFORMATION KALEIDA HEALTH SERVES WESTERN NEW YORK'S EIGHT COUNTIES OF ALLEGANY, CATTARAUGUS, CHAUTAUQUA, ERIE, GENESEE, NIAGARA, ORLEANS, AND WYOMING. THE POPULATION FOR THE REGION IS APPROXIMATELY 1.5 MILLION WITH ERIE COUNTY AND NIAGARA COUNTY COMPRISING AN ESTIMATED 1.1 MILLION OF THIS TOTAL. THREE KALEIDA HEALTH HOSPITALS INCLUDING BUFFALO GENERAL MEDICAL CENTER, MILLARD FILLMORE SUBURBAN HOSPITAL, AND OISHEI CHILDREN'S HOSPITAL ARE LOCATED IN ERIE COUNTY, THE HOSPITALS' PRIMARY SERVICE AREA. DEGRAFF MEMORIAL HOSPITAL IS LOCATED IN NIAGARA COUNTY, ITS PRIMARY SERVICE AREA. DEGRAFF ALSO SERVES A NUMBER OF ERIE COUNTY RESIDENTS GIVEN ITS LOCATION IS LESS THAN ONE MILE FROM THE ERIE COUNTY BORDER. EACH HOSPITAL'S PRIMARY SERVICE AREA IS DEFINED AS THE COUNTY WITH THE HIGHEST PERCENTAGE OF ALL WNY COUNTIES FOR 2015 INPATIENT DISCHARGES, EMERGENCY DEPARTMENT VISITS, AND OUTPATIENT VISITS AS IDENTIFIED IN THE 2016-2018 CHNA-CSP. ERIE COUNTY ERIE COUNTY IS LOCATED IN THE WESTERN PORTION OF NEW YORK STATE BORDERING LAKE ERIE, AND ALSO LIES ON THE INTERNATIONAL BORDER BETWEEN THE UNITED STATES AND CANADA. THE FOLLOWING DEMOGRAPHIC STATISTICS FOR ERIE COUNTY ARE FROM MEDSTAT MARKET EXPERT, 2016 AND THE US CENSUS: QUICK FACTS, 2014 AMERICAN COMMUNITY SURVEY, AND 2015 POPULATION ESTIMATES AS INDICATED IN KALEIDA HEALTH'S 2016-2018 CHNA-CSP. THE COUNTY'S TOTAL POPULATION IS 930,801 AND IS COMPRISED OF URBAN, SUBURBAN, AND RURAL CITIES, TOWNS, AND VILLAGES. ERIE COUNTY'S MEDIAN HOUSEHOLD INCOME IS $51,050, ITS POVERTY RATE IS 15.2%, AND 17.4% OF ITS POPULATION IS OVER 65 YEARS. ITS LARGEST CITY AND COUNTY SEAT IS BUFFALO WITH A POPULATION OF 277,181. tHE 2014 AMERICAN COMMUNITY SURVEY RANKED BUFFALO AS THE FOURTH POOREST CITY IN THE NATION. THE CITY HAS A 30.9% POVERTY RATE (INCOME BELOW THE FEDERAL POVERTY LEVEL PER US CENSUS) AND 38.6% OF HOUSEHOLDS HAVE AN AVERAGE INCOME LESS THAN $25,000. BUFFALO ALSO HAS A HIGH MINORTY POPULATION WITH 35.7% OF ITS RESIDENTS BEING BLACK NON-HISPANIC AND 11.7% HISPANIC AS COMPARED TO 13% BLACK NON-HISPANIC AND 5.3% HISPANIC FOR ALL OF ERIE COUNTY. PERSONS UNDER 65 WITHOUT HEALTH INSURANCE COMPRISE 6.9% OF ERIE COUNTY'S POPULATION AND 10.7% OF BUFFALO'S POPULATION. BUFFALO GENERAL MEDICAL CENTER AND OISHEI CHILDREN'S HOSPITAL ARE LOCATED IN THE CITY OF BUFFALO AND SERVE A HIGH PERCENTAGE OF BUFFALO'S POOR AND UNDERSERVED POPULATION. MOST CENSUS TRACTS IN BUFFALO ARE FEDERALLY DESIGNATED AS MEDICALLY UNDERSERVED AREAS. THE TOWN OF AMHERST IS ONE OF THE COUNTY'S LARGEST SUBURBS WITH A POPULATION OF 139,363 AND IS HOME TO MILLARD FILLMORE SUBURBAN HOSPITAL. IN CONTRAST TO BUFFALO, THE TOWN OF AMHERST HAS A POVERTY RATE OF 9.4% AND 33.9% OF HOUSEHOLDS HAVE AN AVERAGE INCOME OVER $100,000. AMHERST'S POPULATION IS 80.7% WHITE NON-HISPANIC. THE TOWN ALSO HAS 8.8% ASIAN-PACIFIC ISLANDER POPULATION, COMPARABLE TO THE NYS RATE OF 8.6% WHILE THE ERIE COUNTY RATE IS 3.1%. THE TOWN HAS A SIGNIFICANT SENIOR POPULATION WITH 19.4% OF RESIDENTS 65 YEARS AND OVER, AND MILLARD FILLMORE SUBURBAN HOSPITAL SERVES A HIGH PERCENTAGE OF THE TOWN'S AGING POPULATION. NIAGARA COUNTY NIAGARA COUNTY IS LOCATED IN THE WESTERN PORTION OF NEW YORK STATE, JUST NORTH OF BUFFALO (ERIE COUNTY) AND ADJACENT TO LAKE ONTARIO ON ITS NORTHERN BORDER AND THE NIAGARA RIVER AND CANADA ON ITS WESTERN BORDER. THE FOLLOWING DEMOGRAPHIC STATISTICS FOR NIARAGA COUNTY ARE FROM MEDSTAT MARKET EXPERT AND THE US CENSUS: QUICK FACTS, 2014 AMERICAN COMMUNITY SURVEY, AND 2015 POPULATION ESTIMATES AS INDICATED IN KALEIDA HEALTH'S 2016-2018 CHNA-CSP. THE COUNTY'S TOTAL POPULATION IS 212,170 AND IS COMPRISED OF URBAN, SUBURBAN, AND RURAL CITIES, TOWNS, AND VILLAGES. NIAGARA COUNTY'S MEDIAN HOUSEHOLD INCOME IS $49,091, ITS POVERTY RATE IS 13.4% (INCOME BELOW THE FEDERAL POVERTY LEVEL PER US CENSUS), AND 18.2% OF ITS POPULATION IS OVER 65 YEARS. ITS CITIES INCLUDE NIAGARA FALLS, POPULATION 63,520; NORTH TONAWANDA, POPULATION 45,253; AND ITS COUNTY SEAT OF LOCKPORT, POPULATION 58,397. THESE CITIES INCLUDE A HIGH PROPORTION OF THE COUNTY'S LOW INCOME AND UNDERSERVED POPULATION. 17.2% OF NIAGARA FALLS RESIDENTS ARE BLACK NON-HISPANIC AND THE CITY HAS A 25.3% POVERTY RATE. ADDITIONALLY, NIAGARA FALLS IS FEDERALLY DESIGNATED AS AN AREA WITH A MEDICALLY UNDERSERVED POPULATION. THE POVERTY RATE FOR NORTH TONAWANDA IS 10.6% AND 18.9% FOR LOCKPORT. FURTHERMORE, true UNIVERSITY ORTHOPEDIC SERVICE 5500 MAIN STREET SUITE 107 BUFFALO NY 14221 161406947 N/A 50000 FMV CONTRIBUTION CONTRIBUTION CONTRIBUTION SPONSORSHIP SPONSORSHIP SPONSORSHIP SPONSORSHIP SPONSORSHIP JACOBS INSTITUTION INC 875 ELLICOTT ST 5TH FL BUFFALO NY 14203 263085485 501(c)(3) 200000 FMV SPONSORSHIP CONTRIBUTION WNY HEALTHENET 2745 GEORGE URBAN BLVD SUITE 202 DEPEW NY 14043 043726634 N/A 80000 FMV CONTRIBUTION SPONSORSHIP SPONSORSHIP SPONSORSHIP AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 15000 FMV SPONSORSHIP SPONSORSHIP SPONSORSHIP SPONSORSHIP BUFFALO CENTER FOR ARTS 1221 MAIN STREET BUFFALO NY 14203 455213027 501(c)(3) 12500 FMV SPONSORSHIP SPONSORSHIP SPONSORSHIP MERCY FLIGHT 100 AMHERST VILLA ROAD BUFFALO NY 14225 222560963 501(c)(3) 40000 FMV SPONSORSHIP SPONSORSHIP SPONSORSHIP HABITAT FOR HUMANITY 1675 SOUTH PARK AVE BUFFALO NY 14220 222746890 501(C)(3) 40000 FMV SPONSORSHIP SPONSORSHIP SPONSORSHIP UB FOUNDATION 916 KIMBALL TOWER BUFFALO NY 14214 161372532 501(c)(3) 32000 FMV SPONSORSHIP SPONSORSHIP SPONSORSHIP UPSTATE NY TRANSPLANT INC 110 BROADWAY BUFFALO NY 14203 161172453 501(c)(3) 25000 FMV SPONSORSHIP SPONSORSHIP SPONSORSHIP MAKE A WISH FOUNDATION OF WNY 1000 SYLVAN PARKWAY AMHERST NY 14228 112645641 501(C)(3) 11000 FMV SPONSORSHIP AMHERST POLICE FOUNDATION 1955 WEHRLE DRIVE WILLIAMSVILLE NY 14221 161612376 501(C)(3) 10000 FMV SPONSORSHIP ARTPARK & COMPANY 450 SOUTH FOURTH ST LEWISTON NY 14092 237086200 501(C)(3) 8500 FMV SPONSORSHIP THE HOSPICE FOUNDATION 225 COMO PARK BLVD BUFFALO NY 14227 223137812 501(C)(3) 7500 FMV SPONSORSHIP AMERICAN CANCER SOCIETY 101 JJ AUDUBON PKWY AMHERST NY 14228 160743902 501(C)(3) 7500 FMV SPONSORSHIP BUFFALO RENNAISSANCE FOUNDATION PO BOX 322 BUFFALO NY 14205 133204330 501(c)(3) 6500 FMV SPONSORSHIP BROOKS MEMORIAL HOSPITAL 529 CENTRAL AVENUE DUNKIRK NY 14048 160743301 501(C)(3) 5500 FMV SPONSORSHIP 14 2 FORM 990, SCHEDULE I: PART I, LINE 2 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS: KALEIDA HEALTH MAKES CONTRIBUTIONS TO ORGANIZATONS IN WESTERN NEW YORK THAT ALSO HAVE HEALTH CARE RELATED ACTIVITIES. ALL CONTRIBUTIONS MUST BE APPROVED BY THE GOVERNING BODY BEFORE MONEY IS DISTRIBUTED. X true true X X X X X X false true false false false false false true false JODY LOMEO PRES/CEO EX-OFFICIO W/VOTE 1051275 452002 802076 157276 0 19240 0 2481869 0 508843 0 ALYSON SPAULDING GENERAL COUNSEL 410596 99512 373522 80406 0 16328 0 980364 0 235851 0 DAVID HUGHES MD EVP, CMO 515214 172900 301942 35192 0 16461 0 1041709 0 213333 0 JONATHAN SWIATKOWSKI EVP, CFO 551846 117390 251787 50677 0 16513 0 988213 0 141805 0 DONALD BOYD EVP BUSINESS DEVELOPMENT 494146 142500 124670 8395 0 16435 0 786146 0 0 0 CHRISTOPHER LANE SVP OPERATIONS BGMC 507214 115200 26606 14739 0 16450 0 680209 0 0 0 CHERYL KLASS EVP, CHIEF NURSE EXECUTIVE 549282 156750 527188 40757 0 7504 0 1281481 0 0 0 ALLEGRA JAROS SVP OPERATIONS WCHOB 424146 96750 25946 10661 0 16342 0 573845 0 0 0 MICHAEL HUGHES SVP, PUBLIC AFFAIRS MARKETING 328932 67500 131485 37390 0 708 0 566015 0 62430 0 DARCY CRAVEN SVP OPERATIONS MFS, DMH 442214 100575 26488 32048 0 16365 0 617690 0 0 0 AARON HOFFMAN MD EMPLOYED PHYSICIAN 707386 903 29649 0 16501 0 754439 0 0 0 CHRISTOPHER MALLAVARAPU MD EMPLOYED PHYSICIAN 898283 2709 30714 0 16534 0 948240 0 0 0 CARROLL HARMON MD EMPLOYED PHYSICIAN 678846 4633 8170 0 1150 0 692799 0 0 0 KAVEH VALI MD EMPLOYED PHYSICIAN 624325 495 27633 0 983 0 653436 0 0 0 JERRY VENABLE EVP, CHIEF HR OFFICER 478584 32772 30787 0 16283 0 558426 0 0 0 KATHRYN BASS MD EMPLOYED PHYSICIAN 582901 2714 33847 0 1072 0 620534 0 0 0 GEORGE MATTHEWS MD DIRECTOR/CHIEF OF SERVICE 160170 0 0 0 0 0 0 0 31233 0 191403 0 0 0 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. EXECUTIVE DEFERRED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B DURING THE YEAR, CERTAIN OFFICERS AND KEY EMPLOYEES LISTED ON FORM 990, PART VII, SECTION A PARTICIPATED IN AN EXECUTIVE DEFERRED RETIREMENT PLAN. AS REQUIRED, KALEIDA HAS REPORTED DISTRIBUTIONS MADE UNDER THIS PLAN TO THE PLAN PARTICIPANTS ON SCHEDULE J, PART II, COLUMN (B)(III). ALL DISTRIBUTIONS MADE ARE CALCULATED USING A COMBINATION OF INDIVIDUALIZED DEMOGRAPHIC INPUTS INCLUDING BOTH HISTORICAL COMPENSATION AS WELL AS THE INDIVIDUALS AGE. ADDITIONALLY, DEFERRED RETIREMENT BENEFITS NOT YET PAID HAVE BEEN REPORTED ON SCHEDULE J, PART II, COLUMN (C). THE FOLLOWING OFFICERS AND KEY EMPLOYEES ACHIEVED CERTAIN VESTING MILESTONES DURING 2018 AND AS SUCH RECEIVED DISTRIBUTIONS (SHOWN BELOW) UNDER THE TERMS OF AN EXECUTIVE DEFERRED RETIREMENT PLAN. A PORTION OF THESE DISTRIBUTIONS FOR EACH OF THESE INDIVIDUALS HAVE BEEN PREVIOUSLY REPORTED ON SCHEDULE J, COLUMN(C) IN PRIOR YEAR IRS FORM 990S, WHICH ARE REPORTED IN COLUMN (F) ON THE 2018 SCHEDULE J. DAVID HUGHES, MD $268,833 MICHAEL HUGHES $98,703 JODY LOMEO $755,604 ALYSON SPAULDING $341,005 JONATHAN SWIATKOWSKI $218,721 COMPENSATION FROM UNRELATED ORGANIZATIONS: DR. GEORGE MATTHEWS, A CURRENT BOARD MEMBER, IS COMPENSATED FOR HIS SERVICES AS CHIEF OF SERVICE FOR KALEIDA HEALTH. A DORMITORY AUTHORITY - STATE OF NEW YORK (SCH 1) 146000293 2016-09-30 7650258 LEASE OF EQUIPMENT false false false B DORMITORY AUTHORITY - STATE OF NEW YORK (SCH 2) 146000293 2016-09-30 7349742 LEASE OF EQUIPMENT false false false A 2240541 0 7650258 0 0 0 104266 0 0 7348433 0 197559 false false false B 2152528 0 7349742 0 0 0 0 0 0 6748676 0 601066 false false false A false false true true false 0 false false false false B false false true true false 0 false false false false A false true false false false false 0 false 0 false false B false true false false false false 0 false 0 false false A true B true SCHEDULE K, PART III, LINE 9, PART IV, LINE 7 AND PART V KALEIDA HEALTH DOES NOT CURRENTLY HAVE WRITTEN POLICIES AND PROCEDURES IN PLACE BUT MANAGEMENT REGULARLY REVIEWS POST-ISSUANCE COMPLIANCE OBLIGATIONS TO ENSURE THERE ARE NO VIOLATIONS OF FEDERAL TAX REQUIREMENTS. KALEIDA HEALTH IS CURRENTLY IN THE PROCESS OF ADOPTING WRITTEN POLICIES AND PROCEDURES. TOPS MARKETS LLC SEE PART V 218772 SEE PART V false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV TOPS MARKETS LLC: FRANK CURCI IS THE CHAIRMAN OF THE BOARD AND A GREATER THAN 35% OWNER OF TOPS MARKETS LLC, WHICH HAD A PHARMACY DISPENSING CONTRACT WITH THE ORGANIZATION DURING THE YEAR. X VARIOUS MEDICAL EQUIPMENT 3 4125332 REPLACEMENT COST false true false REVIEW PROCESS FOR FORM 990 Form 990, Part VI, Line 11b ORGANIZATION'S MANAGEMENT, IN CONSULTATION WITH THE ORGANIZATION'S TAX ADVISORS, KPMG, REVIEW THE FORM 990. THE FINANCIAL REVIEW IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOR THE RELEVANT TIME PERIOD. BEFORE THE FORM 990 IS FILED WITH THE IRS, THE FINANCE COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS THE FORM 990 AND PROVIDES A COPY OF THE SAME TO THE ORGANIZATION'S FULL BOARD OF DIRECTORS. CONFLICT OF INTEREST POLICY Form 990, Part VI, Section B, Line 12c UPON EMPLOYMENT AND ANNUALLY THEREAFTER EACH KEY EMPLOYEE AND OFFICER OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, PROVIDING SUFFICIENT INFORMATION ABOUT HIS/HER PERSONAL INTERESTS AND RELATIONSHIPS SO THE ORGANZATION CAN (1) DETERMINE WHETHER ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST MAY EXIST, AND (2) MONITOR WORK OR SERVICE ASSIGNMENTS TO AVOID PLACING THE KEY EMPLOYEE, OFFICER OR DIRECTOR IN A POSITION WHERE THERE MAY BE POTENTIAL, ACTUAL, OR EVEN APPEARANCE, OF A CONFLICT OF INTEREST OR A QUESTION OF OBJECTIVITY. THE COMPLETED CONFLICTS OF INTEREST AND DISCLOSURE FORMS FOR DIRECTORS ARE RETURNED TO THE ORGANIZATION. COMPENSATION APPROVAL PROCESS Form 990, PART VI, SECTION B, QUESTIONS 15A & 15B ON A REGULAR BASIS, THE ORGANIZATION PROVIDES DOCUMENTATION TO THE COMPENSATION COMMITTEE OF THE BOARD WITH RESPECT TO THE COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES FOR REVIEW AND APPROVAL. SUCH INFORMATION IS COMPILED BY AN INDEPENDENT COMPENSATION CONSULTANT AND INCLUDES COMPARABLE DATA FROM SIMILAR SIZE TAX-EXEMPT ORGANIZATIONS IN THE WESTERN NEW YORK COMMUNITY AS WELL AS COMPENSATION FOR THESE POSITIONS (AS DISCLOSED ON FORM 990) WITH OTHER ORGANIZATIONS IN THE HEALTH CARE INDUSTRY THAT ARE OF SIMILAR SIZE, DEMOGRAPHICS AND GEOGRAPHY. REVIEW AND APPROVAL OF THE COMPENSATION ARRANGEMENT BY THE COMPENSATION COMMITTEE IS DOCUMENTED. ACCESS TO ORGANIZATIONAL DOCUMENTS Form 990, Part VI, SECTION C, Line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT ITS OFFICE AT 726 EXCHANGE STREET, SUITE 200, BUFFALO, NY 14210. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED. FORM 990, PART XI OTHER CHANGES IN NET ASSETS OR FUND BALANCES MINORITY INTEREST IN SUBSIDIARY 11,907,341 DECREASE IN PENSION LIABILITY 24,673,321 TRANSFER FROM KALEIDA FOUNDATIONS 1,775,000 OTHER TRANSFERS NET 4,125,332 CHANGE IN VALUE OF FOUNDATIONS (20,809,708) CHANGE IN VALUE OF UAHS (4,638,012) ------------ TOTAL 17,033,274 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN AND PURCHASED SVCS TOTAL FEES:XXX-XX-XXXX KALEIDA MCO LLC 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 161570311 DORMANT NY 0 0 KH KALEIDA IPA LLC 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 161570380 DORMANT NY 0 0 KH KALEIDA WNYI LLC 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 453189404 HEALTH CARE NY -742503 584430 KH KALEIDA SERVICES LLC 2100 WEHRLE DRIVE WILLIAMSVILLE NY 14221 472284036 ADULT DAYCARE NY 94172 427401 KH MILLARD FILLMORE AMBULATORY SURGER CTR 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 161307129 SUPPORT ORG NY 501(C)(3) 12A KH true VNA HOME CARE SERVICES 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 161491203 HOME HLTHCARE NY 501(C)(3) 10 KH true VNA OF WESTERN NEW YORK 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 160743214 HOME HLTHCARE NY 501(C)(3) 10 KH true VISK 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 222738425 SUPPORT ORG NY 501(C)(3) 10 KH true KALEIDA HEALTH FOUNDATION 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 161579143 FUNDRAISING NY 501(C)(3) 7 KH true THE WOMEN & CHILDREN'S HOSP OF BFLO FDN 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 161332044 FUNDRAISING NY 501(C)(3) 7 KH true CHILDREN'S HEALTH HOME OF WNY INC 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 814086046 PED HOME HLTH NY 501(C)(3) 10 KH true UPPER ALLEGHENY HEALTH SYSTEM INC 515 MAIN STREET OLEAN NY 14760 271255425 SUPPORT ORG NY 501(C)(3) 12A KH true BRADFORD REGIONAL MEDICAL CENTER 116 INTERSTATE PARKWAY BRADFORD PA 16701 250965270 HOSPITAL PA 501(C)(3) 3 UAHS true OLEAN GENERAL HOSPITAL 515 MAIN STREET OLEAN NY 14760 160743102 HOSPITAL NY 501(C)(3) 3 BRMC true BRADFORD REGIONAL MED SVCS 116 INTERSTATE PARKWAY BRADFORD PA 16701 232875157 PHYS. GROUP NY 501(C)(3) 3 BRMC true HEALTH SYSTEM PHYSICIAN PC 130 SOUTH UNION STREET OLEAN NY 14760 464304317 PHYS. GROUP NY 501(C)(3) 10 OGH true HARLEM ROAD LEASING LLC 3435 MAIN STREET BUFFALO NY 14214 205588135 EQUIPMENT LEASING NY KALEIDA HEALTH UNRELATED 104176 118656 false 0 true 0.50000 AMTON IMAGING LLC 199 PARK CLUB LANE SUITE 300 WILLIAMSVILLE NY 14221 262925470 HEALTH CARE NY KALEIDA WNYI RELATED -688586 -1104246 false 0 true 0.50000 SITE E LLC 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 272124795 REAL ESTATE MGMT NY KPI EXCLUDED 113106 1751769 false false 0.50148 MSFC LLC 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 261582864 HEALTH CARE NY KALEIDA HEALTH EXCLUDED -437689 1983624 false 0 false 0.63464 SOUTHTOWNS IMAGING LLC 5959 BIG TREE ROAD SUITE 105 ORCHARD PARK NY 14127 471123230 EQUIPMENT LEASING NY KALEIDA WNYI UNRELATED -48341 1854546 false 0 true 0.70000 COLLABORATIVE CARE VENTURES LLC 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 472365690 HEALTH CARE NY KALEIDA HEALTH EXCLUDED 1376007 8325622 false 0 false 0.60000 GREAT LAKES MEDICAL BILLING SVCS LLC 199 PARK CLUB LANE SUITE 300 WILLIAMSVILLE NY 14221 461668448 MEDICAL BILLING NY KALEIDA WNYI EXCLUDED -5576 -165870 false 0 false 0.50000 ALTUS MANAGEMENT LLC 840 AERO DRIVE SUITE 150 CHEEKTOWAGA NY 14225 900149133 GROUP PURCHASING NY KALEIDA HEALTH EXCLUDED 168076 1882216 false 0 false 0.59194 SOUTHTOWNS SURGERY CENTER LLC 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 464742028 HEALTH CARE NY KALEIDA HEALTH EXCLUDED -766145 4125102 false 0 true 0.63171 KALEIDA PROPERTIES INC 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 222738483 PROP MGMT SVCS NY KALEIDA HEALTH C Corp 486810 14712161 1.00000 true WESTLINK CORPORATION 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 161354421 MED & DIAGN SVCS NY KALEIDA HEALTH C Corp -211 100456 1.00000 true KHBC Inc 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 462164089 HEALTH CARE NY KALEIDA HEALTH C Corp -4310215 763724 0.50000 false GREAT LAKES INTEGRATED NETWORK INC 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 823184375 HEALTH CARE NY KALEIDA HEALTH C Corp -1668 4448250 0.50000 false false false true true true false false false false true true true false false true false true false true MILLARD FILLMORE AMBULATORY SURGERY CENTER c 502321 ACTUAL COST VNA HOME CARE SERVICES O 22264 ACTUAL COST VNA HOME CARE SERVICES q 2424845 ACTUAL COST VNA HOME CARE SERVICES e 122675 ACTUAL COST VNA OF WESTERN NEW YORK o 322941 ACTUAL COST VNA OF WESTERN NEW YORK l 358004 ACTUAL COST VNA OF WESTERN NEW YORK q 16471556 ACTUAL COST VNA OF WESTERN NEW YORK d 3465 ACTUAL COST MSFC LLC q 34178 ACTUAL COST MFSC LLC j 536321 ACTUAL COST MFSC LLC d 56503 ACTUAL COST MFSC LLC l 132000 ACTUAL COST KALEIDA PROPERTIES INC q 99609 ACTUAL COST KALEIDA PROPERTIES INC d 4908822 ACTUAL COST SITE E LLC k 233450 ACTUAL COST VISK (FORMERLY GHC) q 250 actual cost VISK (formerly GHC) d 300450 ACTUAL COST WOMEN AND CHILDREN'S HOSPITAL FOUNDATION c 577257 ACTUAL COST WOMEN AND CHILDREN'S HOSPITAL FOUNDATION s 8236233 ACTUAL COST WOMEN AND CHILDREN'S HOSPITAL FOUNDATION d 1510242 ACTUAL COST KALEIDA HEALTH FOUNDATION c 3130650 ACTUAL COST KALEIDA HEALTH FOUNDATION s 2770548 ACTUAL COST KALEIDA HEALTH FOUNDATION d 455887 ACTUAL COST NORTHTOWNS VENTURE LLC D 684 ACTUAL COST SOUTHTOWNS IMAGING LLC d 1068643 ACTUAL COST SOUTHTOWNS IMAGING LLC j 274699 ACTUAL COST SOUTHTOWNS IMAGING LLC q 116508 ACTUAL COST SOUTHTOWNS SURGERY CENTER LLC l 809929 ACTUAL COST SOUTHTOWNS SURGERY CENTER LLC R 30959 ACTUAL COST SOUTHTOWNS SURGERY CENTER LLC j 802500 ACTUAL COST SOUTHTOWNS SURGERY CENTER LLC d 3249711 ACTUAL COST COLLABORATIVE CARE VENTURES LLC q 914380 ACTUAL COST COLLABORATIVE CARE VENTURES LLC d 2135548 ACTUAL COST CHILDREN'S HOME HEALTH OF WNY INC O 25955 ACTUAL COST CHILDREN'S HOME HEALTH OF WNY INC q 80789 ACTUAL COST CHILDREN'S HOME HEALTH OF WNY INC d 257427 ACTUAL COST OLEAN GENERAL HOSPITAL l 1261478 ACTUAL COST UAHS o 423902 ACTUAL COST UAHS q 5154927 ACTUAL COST UAHS d 4731025 ACTUAL COST HEALTH SYSTEM PHYSICIANS PC Q 17633 ACTUAL COST HEALTH SYSTEM PHYSICIANS PC o 267668 ACTUAL COST HEALTH SYSTEM PHYSICIANS PC d 285301 ACTUAL COST BRADFORD REGIONAL MEDICAL SERVICES PC q 71106 ACTUAL COST BRADFORD REGIONAL MEDICAL SERVICES PC d 71106 ACTUAL COST GREAT LAKES INTEGRATED NETWORK INC d 4620999 ACTUAL COST