2016-11-15T14:39:18-06:00 2015-12-31 KPMG LLP 515 Broadway 4th Floor Albany NY 122072974 990 2015-01-01 161533232 KALEIDA HEALTH % JONATHAN SWIATKOWSKI KALE 7168598501 726 EXCHANGE STREET Suite 200 BUFFALO NY 14210 JON SWIATKOWSKI Chief Financial Officer 7168598501 2016-11-15 true TODD P TERESCO P00247720 5184274600 2016-11-14 2015 2017-02-10 21:41:12Z JODY LOMEO 100 HIGH STREET BUFFALO NY 14203 1313720004 false X WWW.KALEIDAHEALTH.ORG X 1998 NY SEE SCHEDULE O. 14 12 9280 1626 5084627 -1126951 20185652 21313490 1109372026 1161013584 9670915 7497945 20508868 30359860 1159737461 1220184879 318865 191300 0 0 627065263 663521603 0 0 0 505805964 520408012 1133190092 1184120915 26547369 36063964 1169457849 1138382417 935456911 948334948 234000938 190047469 X 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), WOMEN AND CHILDREN'S HOSPITAL OF BUFFALO (WOMEN & CHILDREN'S), AND DEGRAFF MEMORIAL HOSPITAL (DEGRAFF). IN ADDITION TO THE FOUR KALEIDA HEALTH (KALEIDA) HOSPITALS, KALEIDA OPERATES TWO SKILLED NURSING FACILITIES, AND NUMEROUS OUTPATIENT CLINICS. THE ABOVE FACILITIES OPERATE UNDER ONE TAX IDENTIFICATION NUMBER. OUR FAMILY OF HEALTH CARE ORGANIZATIONS IS BLENDED TOGETHER INTO ONE FRAMEWORK FOR LEADERSHIP, GOVERNANCE, SHARED SERVICES, FINANCIAL INFRASTRUCTURE AND INFORMATION TECHNOLOGY PLATFORMS. COLLECTIVELY, KALEIDA HEALTH'S MARKET SHARE IS 31.7% IN WESTERN NEW YORK, 40.4% IN ERIE false false 1065912515 191300 1161601069 See attachment 1 1065912515 true true false true false false false false false true true true false true true true false true false false true false false false false false true true true false true false false false false false false true false true false false false true true true true false false true 499 0 true 9280 true true true false false false false false false false false false X 14 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 JONATHAN SWIATKOWSKI 7168598836 100 HIGH STREET 11TH FLOOR SOUTH BUFFALO NY 14203 EVAN EVANS MD DIRECTOR 1.0 0.0 X 55289 0 257 JODY LOMEO PRES/CEO EX-OFFICIO W/VOTE 40.0 1.0 X X 1324753 0 489360 ROBERT J HALONEN DIRECTOR 1.0 0.0 X 0 0 0 JOHN R KOELMEL CHAIRMAN 1.0 0.0 X 0 0 0 DAVID A MILLING MD SECRETARY 1.0 0.0 X 0 0 0 HERMAN S MOGAVERO JR MD DIRECTOR 1.0 0.0 X 0 0 0 FRANCISCO VASQUEZ PHD VICE CHAIR 1.0 0.0 X 0 0 0 AMY L CLIFTON DIRECTOR 1.0 0.0 X 0 0 0 CHRISTOPHER T GREENE ESQ DIRECTOR 1.0 0.0 X 0 0 0 ROBERT M ZAK DIRECTOR 1.0 0.0 X 0 0 0 DARREN J KING DIRECTOR 1.0 0.0 X 0 0 0 FRANK CURCI DIRECTOR 1.0 0.0 X 0 0 0 KEVIN GIBBONS MD DIRECTOR 1.0 0.0 X 0 0 0 GEORGE MATTHEWS MD DIRECTOR 1.0 1.0 X 0 0 0 NICHOLAS J AQUINO MD DIRECTOR 1.0 0.0 X 0 0 0 WILLIAM I MAGGIO 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 ALYSON SPAULDING GENERAL COUNSEL 40.0 0.0 X 393763 0 165759 DAVID HUGHES MD EVP, CMO 40.0 1.0 X 643825 0 201969 TONI BOOKER EVP, CHIEF HUMAN RESOURCES OFC 40.0 0.0 X 547822 0 42759 JONATHAN SWIATKOWSKI EVP, CFO 40.0 1.5 X 571770 0 166462 JAMAL GHANI EVP, COO 40.0 0.0 X 672928 0 37859 DONALD BOYD SVP BUSINESS DEVELOPMENT 40.0 1.5 X 619810 0 37562 CHRISTOPHER LANE SVP OPERATIONS MFS, DMH 40.0 0.0 X 455506 0 37430 CHERYL KLASS SVP OPERATIONS BGMC 40.0 0.0 X 631169 0 472344 ALLEGRA JAROS SVP OPERATIONS WCHOB 40.0 0.0 X 425302 0 37396 MICHAEL HUGHES SVP, PUBLIC AFFAIRS MARKETING 40.0 0.0 X 335700 0 85202 AARON HOFFMAN MD EMPLOYED PHYSICIAN 40.0 0.0 X 938743 0 43724 CHRISTOPHER MALLAVARAPU EMPLOYED PHYSICIAN 40.0 0.0 X 919404 0 50941 JOHN BUTSCH EMPLOYED PHYSICIAN 40.0 0.0 X 613395 0 45144 CARROLL HARMON EMPLOYED PHYSICIAN 40.0 0.0 X 638019 0 8613 KAVEH VALI MD EMPLOYED PHYSICIAN 40.0 0.0 X 561417 0 30016 JAMES KASKIE FORMER CEO EX-OFFICIO W/ VOTE 0.0 0.0 X 1109433 0 0 11458048 0 1952797 560 true true false SODEXO MANAGEMENT INC PO BOX 81049 WOBURN MA 018131049 CLEANING & LAUNDRY 4555816 WNY RADIOLOGY LLC PO BOX 4029 BUFFALO NY 14240 RADIOLOGY SVCS 5379031 MACRO HELIX INC PO BOX 742256 ATLANTA GA 303742256 340B SOFTWARE FEES 1658959 WE CARE TRANSPORTATION 401 EAST AMHERST STREET BUFFALO NY 14215 PATIENT TRANSPORT 1377037 PST SERVICES INC PO BOX 742526 ATLANTA GA 303742526 MEDICAL BILLING 1287159 70 4810863 13816859 2685768 4354054 21313490 NET PATIENT SERVICE REVENUE 623990 1155262552 1155262552 MANAGEMENT FEES 561000 72900 72900 LAB SERVICES 621500 5678132 5678132 1161013584 5108876 -234094 -939938 6282908 0 0 2245546 2245546 0 2245546 73363 2172183 95832397 91797 93501535 33590 2330862 58207 2389069 2389069 0 0 0 REBATE REVENUE 900099 22221457 22221457 UNIVERSITY LEASE INCOME 531120 1546664 1546664 VENDING MACHINE COMMISSIONS 900099 926612 926612 3419581 821579 200170 2397832 28114314 1220184879 1155850037 5084627 37936725 191300 191300 0 0 0 6677637 6677637 0 484399362 450161052 34238310 38270492 33831482 4439010 98725674 90219108 8506566 35448438 33035630 2412808 0 2160577 1105325 1055252 487597 53350 434247 236012 236012 0 0 122562255 113555235 9007020 4310212 3667141 643071 2505348 2004387 500961 0 0 9996149 4197042 5799107 909625 701749 207876 0 0 14514201 11611361 2902840 0 61447048 47038795 14408253 14117675 10127819 3989856 HEALTH CARE SUPPLIES 203050459 202972510 77949 EQUIPMENT RENTAL & MAINTENANCE 28628512 12863420 15765092 SERVICE CONTRACTS 12729468 10451202 2278266 UTILITIES 7559997 5968440 1591557 35192877 32156167 3036710 1184120915 1065912515 118208400 0 74063634 41396112 53471293 44682583 0 0 136503002 159866006 26982367 0 0 0 0 0 22794299 25724911 13640606 10908230 1562963276 1081030326 426127201 481932950 86642646 74551845 71923551 66484188 0 0 0 0 257309250 232835592 1169457849 1138382417 133088661 149661885 0 0 0 0 63946133 0 0 0 0 0 232383053 313990121 0 0 506039064 484682942 935456911 948334948 X 96795381 67087683 121724799 103226405 15480758 19733381 234000938 190047469 1169457849 1138382417 X 36063964 -8888118 -71129315 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false true 85545 true 150467 false false 236012 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 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. 30738989 1435796 -1046152 1306974 29821659 30087437 1656821 850732 1856001 30738989 28644541 1589183 1819135 1965422 30087437 46995623 3133756 2880650 24365488 28644541 72587179 5877436 28660 31497652 46995623 0.73220 0.26780 false true true 6713868 6713868 502000914 333643141 168357773 1038865298 737835722 301029576 15383196 9551463 5831733 481932950 INTECH RISK-MANAGED L CAP FUND 3024282 F WTC CTF RE VALUE (PURCH 4/06) 4377975 F BENCHMARK PLUS INST PART L CAP 5063519 F WTC CIF OPPORTUNISTIC FUND 9317831 F KALEIDA MIT COMMON FUND LP 29068 F COMMON CAP VENTURE PTNRS VI 65213 F COMMON FND CAP PRIVATE EQ P V 71703 F KALEIDA MIT REALTY LP 264718 F KALEIDA SI REALTY LP 1073203 F ROBECO GLOBAL EMERGING MARKETS 3713260 F AQR GLOBAL RISK 7360079 F PANAGORA RISK PARITY TOTAL RET 7525657 F ORCHARD LANDMARK LTD PTNRS 831759 F ABERDEEN EMERGING MARKETS 2807946 F PERMAL FIXED INCOME HOLDING 3196094 F CRESTLINE OFFSHORE FUND 1148172 F KAYNE ANDERSON INST LTD PTSHP 2645014 F MONROE CAP LTD PTSHP 632163 F GAM UNCONSTRAINED FUND 6414249 F EARNEST PARTNERS INTERNATIONAL 4988728 F CVI CREDIT VALUE FUND B III 220170 F SYMPHONY LONG-SHORT CREDIT FUN 342677 F WHITEBOX MULTI STRAT FD LTD 171339 F PROPRIETARY MATRIX SP HEDGE FD 342677 F CANYON PRI 428346 F SELECT EQUITY GROUP PRI 428346 F 66484188 DEFERRED FINANCING 11239178 INTEREST IN NET ASSETS OF FDNS 149604705 OTHER RECEIVABLES 25228242 OTHER ASSETS 24714326 INSURANCE RECOVERIES REC. 145375 ESTIMATED 3RD PARTY PAYOR REC 21903766 232835592 0 DUE TO THIRD PARTY PAYORS 22303974 SELF INSURANCE LIABILITY 153552721 OTHER LIABILITIES 13548116 PENSION LIABILITY 259672223 ASSET RETIREMENT OBLIGATIONS 13217735 CAPITAL LEASE OBLIGATIONS 5408980 CONSTRUCTION PAYABLE 16979193 484682942 X 1201085440 -7089586 -140471 -7230057 1208315497 11869382 11869382 1220184879 1182813943 1182813943 1306972 1306972 1184120915 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. RECONCILIATION OF REVENUE PER AFS WITH REVENUE PER RETURN: OTHER REVENUE INCLUDED IN AFS, NOT INCLUDED IN 990: LESS: MINORITY INTEREST IN SUBSIDIARY SHOWN AS A REDUCTION IN GAINS IN AFS (140,471) RECONCILIATION OF REVENUE PER AFS WITH REVENUE PER RETURN: OTHER REVENUE INCLUDED ON 990, NOT IN AFS: CONTRIBUTIONS FOR CAPITAL ACQUISITIONS 9,921,413 RESTRICTED CONTRIBUTIONS 1,435,796 RESTRICTED INVESTMENT INCOME 512,173 TOTAL 11,869,382 RECONCILIATION OF EXPENSES PER AFS WITH EXPENSES PER RETURN: SCHEDULE D, PART XII, LINE 4B OTHER EXPENSES INCLUDED ON 990, NOT IN AFS NET ASSETS RELEASED FROM RESTRICTIONS 1,306,972 Central America and the Caribbean Investments 27610296 27610296 27610296 true true true true true X true X true X true true true false false 12162811 7403369 4759442 0.00400 337945586 241550314 96395272 0.08140 350108397 248953683 101154714 0.08540 5322913 5322913 0.00450 51289838 22280945 29008893 0.02450 43427214 11368138 32059076 0.02710 79500 79500 0.00010 100119465 33649083 66470382 0.05620 450227862 282602766 167625096 0.14160 147 30124 84698 84698 0.00010 147 30124 84698 84698 0.00010 true 8180568 541145 180379874 164173474 16206400 X true true MFSC LLC PHYSICIAN SERVICES 0.55297 0.44703 COMMUNITY MEDICAL PHYSICIAN SERVICES 1.0 GENERAL PHYSICIANS PHYSICIAN SERVICES 1.0 HARLEM ROAD LEASING MRI EQUIPMENT LEASING 0.5 AMTON IMAGING LLC HEALTH CARE SERVICES 0.5 PARK CLUB LANE LLC HEALTH CARE SERVICES 0.3 WNY HEALTHENET LLC HEALTH CARE SERVICES 0.14286 SITE E LLC REAL ESTATE LEASING CO 0.5016 ALTUS MANAGEMENT GROUP PURCHASING ORGANIZATION 0.52167 SOUTHTOWNS IMAGING IMAGING EQUIPMENT LEASING 0.7 COLLABORATIVE CARE HEALTH CARE SERVICES 0.6 GL MEDICAL BILLING MEDICAL BILLING 0.5 GREAT LAKES PHYS PC PHYSICIAN SERVICES 1.0 HARLEM IMAGING LLC IMAGING SERVICES 0.5 SOUTHTOWNS SURG CTR PHYSICIAN SERVICES 0.5725 0.4275 4 1 BUFFALO GENERAL MEDICAL CENTER 100 HIGH STREET BUFFALO NY 14203 WWW.KALEIDAHEALTH.ORG 1401014H X X X X A 2 WOMEN & CHILDREN'S HOSPITAL OF BUFFAL 219 BRYANT STREET BUFFALO NY 14222 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 13 true true true true X www.kaleidahealth.org/community X true 14 true www.kaleidahealth.org/community false false true X 200. 200. 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 true X X false X true X false false PART V, SECTION B, LINE 5 IN ERIE COUNTY, KALEIDA HEALTH WORKED WITH THE ERIE COUNTY DEPARTMENT OF HEALTH, CATHOLIC HEALTH, BUFFALO STATE COLLEGE CENTER FOR HEALTH AND SOCIAL RESEARCH, P2 COLLABORATIVE OF WESTERN NEW YORK, UNITED WAY OF BUFFALO & ERIE COUNTY AND UNIVERSITY AT BUFFALO FAMILY MEDICINE. WHILE THE COUNTY BEGAN THE PROCESS BY DEVELOPING THE SURVEY TOOL AND ITS DISTRIBUTION METHODS IN THE FALL OF 2012, THE COMMUNITY PARTNERS CAME TOGETHER IN FEBRUARY 2013. THE SUBSEQUENT MEETINGS IN MARCH, JULY AND AUGUST OF 2013 SOLIDIFIED THE HEALTH DEPARTMENT, LOCAL HOSPITALS AND ACADEMIA EFFORTS. IN ADDITION TO RELYING ON NEW YORK STATE PREVENTION AGENDA DATA, ERIE COUNTY CONDUCTED A COUNTY-WIDE HEALTH ASSESSMENT WITH A SURVEY AND HELD A LIVING HEALTHY TASK FORCE TOWN HALL MEETING FOR PROFESSIONAL INPUT. IN NIAGARA COUNTY, THE NIAGARA COUNTY HEALTH DEPARTMENT, NIAGARA FALLS MEMORIAL MEDICAL CENTER, MT. ST. MARY'S HOSPITAL, EASTERN NIAGARA HOSPITAL, NIAGARA COUNTY DEPARTMENT OF MENTAL HEALTH AND UNIVERSITY AT BUFFALO PREVENTIVE MEDICINE RESIDENCY WITH ASSISTANCE FROM THE P2 COLLABORATIVE OF WESTERN NEW YORK, JOINED TOGETHER FOR THE COMMUNITY HEALTH EFFORTS. THE NIAGARA COUNTY GROUP LAUNCHED THEIR EFFORTS IN MARCH 2013 AND HELD SUBSEQUENT MEETINGS IN APRIL, MAY, JULY, AUGUST, SEPTEMBER AND OCTOBER. NIAGARA COUNTY CONDUCTED A COMMUNITY HEALTH SURVEY, WHICH HAD 1,455 RESPONSES, AND OUTREACH EVENTS INCLUDED HOSTING THREE FOCUS GROUPS AND A COUNTY-WIDE COMMUNITY HEALTH MEETING. IN ADDITION TO THE OUTREACH AND FEEDBACK IN BOTH COUNTIES, KALEIDA HEALTH ALSO REACHED OUT TO OTHER PARTNERS IN THE COMMUNITY INCLUDING, BUT NOT LIMITED TO, THE NEAR EAST AND WEST SIDE (NEWS) TASK FORCE, LASTING EDUCATION FOR WOMEN, ADULTS & CHILDREN (LEWAC) AND GREATER BUFFALO UNITED ACCOUNTABLE HEALTHCARE NETWORK (GBUAHN). PART V, SECTION B, LINE 6A KALEIDA HEALTH IS COMPRISED OF FOUR HOSPITALS - BUFFALO GENERAL MEDICAL CENTER/GATES VASCULAR INSTITUTE, DEGRAFF MEMORIAL HOSPITAL, MILLARD FILLMORE SUBURBAN HOSPITAL AND WOMEN & CHILDREN'S HOSPITAL OF BUFFALO. PART V, SECTION B, LINE 6B THREE KALEIDA HEALTH HOSPITALS ARE LOCATED IN ERIE COUNTY AND ONE, DEGRAFF MEMORIAL HOSPITAL, IS LOCATED IN NIAGARA COUNTY LESS THAN ONE MILE FROM THE ERIE COUNTY BORDER. IN ERIE COUNTY, KALEIDA HEALTH WORKED WITH CATHOLIC HEALTH THROUGH THE ERIE COUNTY DEPARTMENT OF HEALTH FOR COMMUNITY COLLABORATION. IN NIAGARA COUNTY, KALEIDA HEALTH WORKED WITH NIAGARA FALLS MEMORIAL MEDICAL CENTER, MT. ST. MARY'S HOSPITAL AND EASTERN NIAGARA HOSPITAL THROUGH THE NIAGARA COUNTY HEALTH DEPARTMENT. PART V, SECTION B, LINE 7D AVAILABLE UPON REQUEST AT THE HOSPITAL FACILITY WITHOUT CHARGE. PART V, SECTION B, LINE 11 WITH HOSPITALS LOCATED IN BOTH ERIE AND NIAGARA COUNTIES, KALEIDA HEALTH, WORKING COLLABORATIVELY WITH BOTH COUNTY GROUPS, IDENTIFIED THREE PROJECTS TO UNDERTAKE AS PART OF THE COMMUNITY SERVICE PLAN. IN ERIE COUNTY, KALEIDA HEALTH IS WORKING TO INCREASE BREASTFEEDING RATES AND CARDIOVASCULAR DISEASE SCREENINGS. IN NIAGARA COUNTY, KALEIDA HEALTH IS ALSO WORKING TO INCREASE CARDIOVASCULAR DISEASE SCREENINGS AND WORK TO REDUCE THE NUMBER OF FALLS FOR THOSE OVER AGE 65. THESE THREE AFOREMENTIONED INITIATIVES ARE IN ACCORDANCE WITH THE NEEDS IDENTIFIED BY THE COMMUNITY AND SUPPORTED THROUGH THE DETAILED ANALYSIS OUTLINED IN THE 2014-2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY SERVICE PLAN. TWO OTHER TOPICS IDENTIFIED BY THE COMMUNITY AS AREAS OF CONCERN WERE CANCER AND BEHAVIORAL HEALTH. ADJACENT TO BUFFALO GENERAL MEDICAL CENTER IS THE ROSWELL PARK CANCER INSTITUTE, WHICH HOLDS THE NATIONAL CANCER INSTITUTE DESIGNATION AS A COMPREHENSIVE CANCER CENTER AND HAS A PROVEN MULTIDISCIPLINARY APPROACH. KALEIDA HEALTH IS COLLABORATING WITH ROSWELL ON THE PROPOSED INTEGRATED HEMATOLOGY/ONCOLOGY FLOOR IN THE NEW JOHN R. OISHEI CHILDREN'S HOSPITAL SET TO OPEN IN 2017. IN RESPONSE TO A COMMUNITY NEED TO ADDRESS THE NEEDS OF CANCER SURVIVORS, KALEIDA HEALTH ESTABLISHED ITS STAR CERTIFIED SURVIVOR STEPS PROGRAM IN 2014 THROUGH MILLARD FILLMORE SUBURBAN HOSPITAL. THE SURVIVOR STEPS PROGRAM IS A SUPPORTIVE CANCER REHABILITATION AND RECOVERY PROGRAM FOR SURVIVORS OF ANY TYPE OF CANCER DIAGNOSIS WITH A FOCUS ON IMPROVING INDIVIDUALS PHYSICAL AND EMOTIONAL FUNCTIONING AS WELL AS THEIR QUALITY OF LIFE. THIS PROGRAM IS UNIQUE IN THAT IT CAN HELP THOSE THROUGHOUT THEIR BATTLE WITH CANCER FROM DIAGNOSIS TO REMISSION. STAR IS A NATIONALLY RECOGNIZED CANCER SURVIVORSHIP CERTIFICATION PROGRAM FOCUSED ON IMPROVING THE LIVES OF SURVIVORS WHO SUFFER FROM SIDE EFFECTS CAUSED BY TREATMENTS. IN 2015, KALEIDA HEALTH ACQUIRED CANCER CARE OF WESTERN NEW YORK. THE INTEGRATION OF THIS WELL ESTABLISHED PRACTICE IS CONSISTENT WITH KALEIDA HEALTH'S OVERALL VISION OF DELIVERING HIGH-VALUE HEALTH CARE BY BROADENING ITS MARKET PRESENCE IN ONCOLOGY. KALEIDA HEALTH'S WOMEN & CHILDREN'S HOSPITAL OF BUFFALO PROVIDES PEDIATRIC BEHAVIORAL HEALTH SERVICES TO CHILDREN AGES 2 TO 21 THROUGH ITS CHILDREN'S PSYCHIATRY CLINIC. ADULT BEHAVIORAL HEALTH SCIENCES ARE PROVIDED AT ERIE COUNTY MEDICAL CENTER, A REGIONAL BEHAVIORAL HEALTH CENTER OF EXCELLENCE AND THROUGH COMMUNITY-BASED OUTPATIENT SITES. PART V, SECTION B, LINE 16I 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. PART V, SECTION B, LINE 18D UPON VERIFICATION OF EMPLOYMENT WAGES, THE AGENCY WILL GARNISH WAGES ON KALEIDA HEALTH'S BEHALF. 27 HIGHPOINTE ON MICHIGAN 1031 MICHIGAN AVE BUFFALO NY 14203 INPATIENT SKILLED NURSING FACILITY CENTER FOR LABORATORY MEDICINE 115 FLINT ROAD AMHERST NY 14226 HOSPITAL BASED LAB SERVICES MILLARD FILLMORE SURGERY CENTER 215 KLEIN ROAD WILLIAMSVILLE NY 14221 AMBULATORY SURGERY CENTER DEGRAFF SKILLED NURSING FACILITY 445 TREMONT STREET NORTH TONAWANDA NY 14120 INPATIENT SKILLED NURSING FACILITY ELMWOOD OBGYN 239 BRYANT STREET BUFFALO NY 14222 MEDICAL SERVICES - PRIMARY CARE, PRENATAL OUTPATIENT NORTH BUFFALO MEDICAL PARK 900 HERTEL AVE BUFFALO NY 14207 MEDICAL SERVICES - PRIMARY CARE, RADIOLOGY OUTPATIENT, OUTPATIENT THERAPY SERVICES MAPLE WEST MEDICAL COMPLEX 705 MAPLE ROAD AMHERST NY 14221 MEDICAL SERVICES - PRIMARY CARE, OTHER SPECIALTIES COMMUNITY MENTAL HEALTH CENTER 1028 MAIN STREET BUFFALO NY 14203 HOSPITAL BASED OUTPATIENT BEHAVIORAL HEALTH SERVICES KALEIDA HEALTH FAMILY PLANNING CENTER 1313 MAIN STREET BUFFALO NY 14209 OUTPATIENT FAMILY PLANNING HODGE PEDIATRICS 125 HODGE STREET BUFFALO NY 14222 HOSPITAL BASED OUTPATIENT PRIMARY CARE SERVICES WCHOB SPECIALTY CLINICS 140 HODGE STREET BUFFALO NY 14222 HOSPITAL BASED OUTPATIENT PRIMARY CARE SERVICES TOWN GARDEN PEDIATRICS 461 WILLIAM STREET BUFFALO NY 14204 HOSPITAL BASED OUTPATIENT PRIMARY CARE SERVICES WCHOB WOMEN'S OBGYN HEALTH CENTER 462 GIRDER STREET BUFFALO NY 14215 HOSPITAL BASED OUTPATIENT PRIMARY CARE SERVICES WCHOB MCKINLEY OBGYN 3860 MCKINLEY PARKWAY BUFFALO NY 14202 MEDICAL SERVICES - PRIMARY CARE WCHOB LANCASTER OBGYN 6363 TRANSIT ROAD LANCASTER NY 14086 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 WCHOB LOCKPORT OBGYN 475 SOUTH TRANSIT ROAD LOCKPORT NY 14094 MEDICAL SERVICES - PRIMARY CARE, PRENATAL OUTPATIENT HILLERY PARK #27 SBHC 72 PAWNEE PARKWAY BUFFALO NY 14210 SCHOOL BASED PRIMARY CARE SERVICES BENNETT HIGH SCHOOL SBHC 2885 MAIN STREET BUFFALO NY 14214 SCHOOL BASED PRIMARY CARE SERVICES WESTMINSTER #68 SBHC 24 WESTMINSTER AVE BUFFALO NY 14215 SCHOOL BASED PRIMARY CARE SERVICES ML KING #39 SBHC 487 HIGH STREET BUFFALO NY 14211 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 14201 SCHOOL BASED PRIMARY CARE SERVICES DR LYDIA WRIGHT #89 SBHC 106 APPENHEIMER STREET BUFFALO NY 14214 SCHOOL BASED PRIMARY CARE SERVICES HERMAN BADILLO #76 SBHC 315 CAROLINE STREET BUFFALO NY 14201 SCHOOL BASED PRIMARY CARE SERVICES SOUTHTOWNS CLINIC 4535 SOUTHWESTERN BLVD HAMBURG NY 14075 MEDICAL SERVICES - PRIMARY CARE Part I, LINE 3C KALEIDA HEALTH HAS IMPLEMENTED AND COMMUNICATES ITS FINANCIAL ASSISTANCE (CHARITY CARE) POLICY, WHICH ASSISTS LOW INCOME, UNINSURED OR UNDERINSURED INDIVIDUALS WHO LACK THE FINANCIAL RESOURCES TO PAY FOR MEDICAL SERVICES RENDERED. LEVELS OF DISCOUNTS ARE AWARDED BASED UPON INCOME AND ASSET VERIFICATION AND IN ACCORDANCE WITH THE FEDERAL POVERTY GUIDELINES AS PUBLISHED ANNUALLY BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. INDIVIDUALS ARE PROVIDED FINANCIAL ASSISTANCE CONTACT INFORMATION DURING INTAKE AND REGISTRATION. THE APPLICANT FOR FREE OR REDUCED PRICE CARE WORKS DIRECTLY WITH A MEMBER OF THE FINANCIAL COUNSELING OR CHARITY CARE TEAM FOR FINANCIAL SCREENING AND ENROLLMENT IN A GOVERNMENT-FUNDED PROGRAM, IF ELIGIBLE. AFTER REVIEW OF INCOME AND ASSETS, AN INDIVIDUAL MAY BE APPROVED FOR FREE CARE (100% DISCOUNT) OR A DISCOUNT LEVEL OF 50, 60, 75, OR 90%, FOR MEDICALLY NECESSARY SERVICES RENDERED AT A KALEIDA 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 COMMUNITY BUILDING ACTIVITIES KALEIDA HEALTH'S COMMUNITY BUILDING ACTIVITIES SERVE THE WESTERN NEW YORK REGION BY FACILITATING, DEVELOPING, COORDINATING, AND COMMUNICATING A MYRIAD OF COMMUNITY HEALTH EDUCATION PROGRAMS, OUTREACH SERVICES, SPEAKERS, AND COMMUNITY REFERRALS. PROGRAMS ARE TARGETED FOR PEOPLE OF ALL AGES FROM SCHOOL-AGED CHILDREN TO SENIOR CITIZENS AND PROMOTE THE REDUCTION OF HEALTH DISPARITIES, EFFECTIVE USE OF HEALTH SERVICES, AND PROMOTE OVERALL COMMUNITY HEALTH AND WELLNESS. TOPICS RANGE FROM HEALTH INSURANCE ENROLLMENT TO DIABETES, STROKE, AND HEART DISEASE, BLOOD PRESSURE SCREENING, MATERNAL AND CHILD HEALTH TO DISCUSSIONS ABOUT CAREERS IN HEALTHCARE. PART III, LINES 2 AND 3 BAD DEBT EXPENSE IS RECORDED USING THE VALUATION METHOD AS OUTLINED IN HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT 15, WHICH REQUIRES BAD DEBT EXPENSE TO BE RECORDED AT THE AMOUNT THAT THE PAYER IS EXPECTED TO PAY. IN ORDER TO REPORT THE COSTS ASSOCIATED WITH BAD DEBT EXPENSE, THE REPORTED BAD DEBT EXPENSE NEEDS TO BE ADJUSTED SO THAT THE AMOUNT EXPECTED TO BE PAID REFLECTS GROSS CHARGES, PRIOR TO THE APPLICATION OF AN RCC. KALEIDA HEALTH ADJUSTS BAD DEBT EXPENSE PRIOR TO THE APPLICATION OF AN RCC SO THAT THE REPORTED BAD DEBT EXPENSE AT COST, ON PART III, LINE 2 OF IRS FORM 990, SCHEDULE H REFLECTS THE TRUE COST OF THE BAD DEBTS. THE ORGANIZATION HAS A CHARITY CARE POLICY, AND ANY WRITE-OFFS AS A RESULT OF THIS POLICY ARE RECORDED AS CHARITY CARE ALLOWANCES AND ARE A REDUCTION OF THE 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 27% OF SELF-PAY BAD DEBT EXPENSE IN 2015 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 $541,145. WE ESTIMATED THIS AMOUNT BY USING THE 2015 CALCULATED PRESUMPTIVE ELIGIBILITY PERCENTAGE ON BAD DEBT WRITE-OFF AMOUNTS OVER $500 (24.5%), 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 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. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE AND SUBSEQUENT RECOVERIES ARE ADDED. THE AMOUNT OF THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTHCARE COVERAGE AND OTHER COLLECTION INDICATORS. 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 CONISURANCE AND DEDUCTIBLE BALANCES. 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 2015 CMS MEDICARE COST REPORT TO DETERMINE THE AMOUNTS REPORTED ON THESE LINES. PART III, LINE 9B - BAD DEBT, MEDICARE & COLLECTION PRACTICES 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. THE CHNA WAS COMPLETED IN 2013. A COPY OF THE CHNA CAN BE FOUND ON OUR WEBSITE AT WWW.KALEIDAHEALTH.ORG/COMMUNITY/PUBLICATIONS.ASP. 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: *NYS HEALTH MARKETPLACE: ASSISTS WITH NAVIGATING, EDUCATING AND ENROLLMENT IN THE NYS HEALTH MARKETPLACE OFFERINGS. DEDICATED AND STATE-TRAINED STAFF IS AVAILABLE TO ASSIST INDIVIDUALS IN PERSON OR VIA THE PHONE. KALEIDA HEALTH OFFERS IN-PERSON APPOINTMENTS AT (5) FIVE 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 AFFORDABLE CARE ACT. 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. COMMUNITY INFORMATION THREE KALEIDA HEALTH HOSPITALS ARE LOCATED IN ERIE COUNTY AND ONE, DEGRAFF MEMORIAL HOSPITAL, IS LOCATED IN NIAGARA COUNTY LESS THAN ONE MILE FROM THE ERIE COUNTY BORDER. ERIE COUNTY ACCORDING TO MEDSTAT MARKET EXPERT 2013 DATA, LESS THAN ONE MILLION PEOPLE RESIDE IN ERIE COUNTY. THE POPULATION CONTINUES TO DECLINE AND HAS DONE SO EVEN SINCE THE 2010 CENSUS WHERE THERE WERE 925,717 RESIDENTS IN COMPARISON TO THE 922,988 WHO LIVE IN THE COUNTY TODAY. SIMILAR TO NEW YORK STATE, THERE ARE MORE FEMALES THAN MALES. HOWEVER, THERE ARE FEWER CHILDREN UNDER AGE 18 AND MORE RESIDENTS OVER AGE 55 IN COMPARISON TO NEW YORK AND THE UNITED STATES. ERIE COUNTY RESIDENTS ALSO HAVE A LOWER HOUSEHOLD INCOME THAN THE NEW YORK STATE AVERAGE, WHICH IS EVIDENT IN A HIGHER PERCENTAGE OF RESIDENTS EARNING LESS THAN $25,000 PER YEAR AND FEWER EARNING OVER $100,000. IN ADDITION, 67 CENSUS TRACKS ARE IDENTIFIED AS MEDICALLY UNDERSERVED AREAS/POPULATIONS. THE LARGEST MUNICIPALITY IN ERIE COUNTY IS THE CITY OF BUFFALO WITH 277,681 RESIDENTS. THE AVERAGE HOUSEHOLD INCOME IN THE CITY OF BUFFALO, $44,979, IS SIGNIFICANTLY LESS THAN THE STATE AVERAGE. OVER 42 PERCENT OF HOUSEHOLDS EARN LESS THAN $25,000 PER YEAR INCLUDING 26.8 PERCENT EARNING LESS THAN $15,000 AND ONLY 8.4 PERCENT EARNING OVER $100,000. A DIRECT CORRELATION CAN BE DRAWN TO INCOME FROM THE FACT THAT OVER 17 PERCENT OF RESIDENTS OVER AGE 25 DO NOT HAVE A HIGH SCHOOL DEGREE. THE POPULATION IN THE CITY OF BUFFALO ALSO HAS A HIGHER PERCENTAGE OF BLACK NON-HISPANICS AND HISPANICS AS COMPARED TO THE REST OF THE COUNTY, 35.6 PERCENT TO 13 PERCENT RESPECTIVELY. NIAGARA COUNTY ACCORDING TO THE MEDSTAT MARKET EXPERT 2013 DATA, JUST OVER 215,000 PEOPLE RESIDE IN NIAGARA COUNTY. LIKE OTHER UPSTATE NEW YORK MUNICIPALITIES, THE POPULATION CONTINUES TO DECLINE AND HAS DONE SO EVEN SINCE THE 2010 CENSUS WHERE THERE WERE 216,149 RESIDENTS. ALSO SIMILAR TO NEIGHBORING COUNTIES, THERE ARE MORE FEMALES THAN MALES, A LOW PERCENTAGE OF CHILDREN UNDER AGE 18 AND A HIGH PERCENTAGE OF RESIDENTS OVER AGE 55. NIAGARA COUNTY RESIDENTS ALSO HAVE A LOWER HOUSEHOLD INCOME THAN THE NEW YORK STATE AND NATIONAL AVERAGES. HERE, 21 CENSUS TRACKS ARE IDENTIFIED AS MEDICALLY UNDERSERVED AREAS/POPULATIONS. THE CITY OF NIAGARA FALLS IS THE LARGEST MUNICIPALITY IN NIAGARA COUNTY. RESIDENTS IN NIAGARA FALLS HAVE AN AVERAGE SALARY EQUIVALENT TO THE CITY OF BUFFALO. LIKE MOST INNER CITIES IN COMPARISON TO THE SUBURBS, THERE ARE A HIGH PERCENTAGE OF HOUSEHOLDS, HERE CLOSE TO 40 PERCENT, THAT EARN LESS THAN $25,000. AS COMPARED TO NORTH TONAWANDA AND THE COUNTY, THERE ARE FEWER WHITE NON-HISPANICS, FEWER RESIDENTS OVER AGE 25 WITH A BACHELOR'S DEGREE OR HIGHER AND A HIGHER PERCENTAGE OF RESIDENTS THAT DO NOT HAVE A HIGH SCHOOL DEGREE. NORTH TONAWANDA, WHERE DEGRAFF IS PHYSICALLY LOCATED ON THE ERIE COUNTY BORDER, HAS A HIGH PERCENTAGE OF WHITE NON-HISPANICS AND ONLY ONE PERCENT OF NON-HISPANIC BLACKS. RESIDENTS IN NORTH TONAWANDA ALSO HAVE A HIGHER AVERAGE HOUSEHOLD INCOME IN COMPARISON TO THE REST OF THE COUNTY AS MORE RESIDENTS HAVE A BACHELOR'S DEGREE AND EARN OVER $100,000. HOWEVER, THE AVERAGE INCOME IS STILL LESS THAN THE NEW YORK STATE AND U.S. AVERAGES. THERE ARE SIX OTHER HOSPITALS IN ERIE COUNTY AND FOUR OTHER HOSPITALS IN NIAGARA COUNTY SERVING THE COMMUNITIES. MORE INFORMATION CAN BE FOUND IN THE 2014-2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY SERVICE PLAN. THE CHNA WAS COMPLETED IN FALL 2013. A COPY OF THE CHNA CAN BE FOUND ON OUT WEBSITE AT WWW.KALEIDAHEALTH.ORG/COMMUNITY/PUBLICATIONS.ASP. PROMOTION OF COMMUNITY HEALTH KALEIDA HEALTH'S MISSION IS TO ADVANCE THE HEALTH OF THE COMMUNITY. KALEIDA HEALTH'S VISION IS TO PROVIDE COMPASSIONATE, HIGH-VALUE, QUALITY CARE, IMPROVING HEALTH IN WESTERN NEW YORK AND BEYOND, EDUCATING FUTURE HEALTH CARE LEADERS AND DISCOVERING INNOVATIVE WAYS TO ADVANCE MEDICINE. KALEIDA HEALTH'S VALUES CLEARLY STATE WHO THEY ARE AND HOW THEY PERFORM THEIR WORK: C - REMAIN CENTERED AROUND THE PATIENT AND FAMILY. A - BE ACCOUNTABLE TO PATIENTS AND EACH OTHER. R - SHOW RESPECT AND INTEGRITY. E - PROVIDE EXCELLENCE IN ALL WE DO. TO CARRY OUT THE MISSION, MUCH OF KALEIDA HEALTH'S COMMUNITY BENEFIT WORK IS FOCUSED ON THE NEEDS OF LOW INCOME, MEDICALLY UNDERSERVED POPULATIONS. KALEIDA HEALTH REPRESENTATIVES ACTIVELY ENGAGE IN VARIOUS COMMUNITY HEALTH COLLABORATIONS WITH LOCAL HEALTH DEPARTMENTS, STATE HEALTH DEPARTMENT AND LOCAL NOT-FOR-PROFIT HEALTH AND HUMAN SERVICE AGENCIES. POVERTY TRENDS, COMMUNITY HEALTH RESEARCH AND LOCAL COMMUNITY HEALTH NEEDS ARE REVIEWED ON A REGULAR BASIS WHILE PLANNING SERVICES AND PROGRAMS. RESPONSIVE TO COMMUNITY PRIORITIES, PROGRAM DEVELOPMENT AND SERVICES FILL IDENTIFIED GAPS OR SUPPLEMENT EXISTING PROGRAMS. MOST KALEIDA HEALTH COMMUNITY HEALTH OUTREACH PROGRAMS ARE OFFERED IN PARTNERSHIP WITH OTHER COMMUNITY ORGANIZATIONS OR GOVERNMENT AGENCIES IN ORDER TO LEVERAGE RESOURCES AND MEET THE COMMUNITY'S NEEDS. THIS INCLUDES EDUCATION AND ACTIVE PARTICIPATION IN HEALTH EVENTS WITH TARGETED AUDIENCES. INFORMATION REGARDING AVAILABILITY OF COMMUNITY HEALTH PROGRAMS, ASSISTANCE WITH HEALTH INSURANCE ENROLLMENT AND FINANCIAL ASSISTANCE FOR MEDICAL CARE RECEIVED AT KALEIDA HEALTH HOSPITALS, EMERGENCY DEPARTMENTS, OUTPATIENT CLINICS, OR LONG-TERM CARE FACILITIES IS DISSEMINATED TO THE PUBLIC IN THE COMMUNITY BENEFIT AND TREINNIAL COMMUNITY SERVICES PLAN AND AVAILABLE ON THE KALEIDA HEALTH WEBSITE OR IN PRINT FORM UPON REQUEST. THE VISITING NURSING ASSOCIATION OF WESTERN NEW YORK, true UNIVERSITY ORTHOPEDIC SERVICE 5500 MAIN STREET SUITE 107 BUFFALO NY 14221 161406947 N/A 120000 CONTRIBUTION CONTRIBUTION CONTRIBUTION SPONSORSHIP SPONSORSHIP SPONSORSHIP SPONSORSHIP SPONSORSHIP UB FOUNDATION 3435 MAIN STREET BUFFALO NY 14231 160865182 501(C)(3) 32000 SPONSORSHIP SPONSORSHIP SAVING GRACE MINISTRIES PO BOX 1013 WILLIAMSVILLE NY 14231 161573408 N/A 20000 Uncompensated Care SPONSORSHIP MARCH OF DIMES FOUNDATION 1275 MAMARONECK AVE SUITE 107 WHITE PLAINS NY 10605 131846366 501(C)(3) 7700 CONTRIBUTION SPONSORSHIP SUSAN G KOMEN FOR THE CURE ELM CARLTON STREETS BUFFALO NY 14263 751835298 501(C)(3) 6000 GALA CHAMBER OF COMMERCE OF THE TONAWANDAS INC 15 WEBSTER STREET SUITE 125 NORTH TONAWANDA NY 14120 160371125 501(C)(3) 5600 SPONSORSHIP 4 2 FORM 990, SCHEDULE I: 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 true true false false false false false false false JAMES KASKIE FORMER CEO EX-OFFICIO W/ VOTE 0 0 0 0 1109433 0 0 0 0 0 1109433 0 0 0 JODY LOMEO PRES/CEO EX-OFFICIO W/VOTE 1002781 0 304972 0 17000 0 472194 0 17166 0 1814113 0 0 0 ALYSON SPAULDING GENERAL COUNSEL 370846 0 0 0 22917 0 151728 0 14031 0 559522 0 0 0 DAVID HUGHES MD EVP, CMO 589825 0 47000 0 7000 0 196116 0 5853 0 845794 0 0 0 TONI BOOKER EVP, CHIEF HUMAN RESOURCES OFC 349284 0 77500 0 121038 0 36471 0 6288 0 590581 0 114038 0 JONATHAN SWIATKOWSKI EVP, CFO 460545 0 104225 0 7000 0 152247 0 14215 0 738232 0 0 0 JAMAL GHANI EVP, COO 665928 0 0 0 7000 0 23300 0 14559 0 710787 0 0 0 DONALD BOYD SVP BUSINESS DEVELOPMENT 424166 0 85000 0 110644 0 23300 0 14262 0 657372 0 85644 0 CHRISTOPHER LANE SVP OPERATIONS MFS, DMH 388506 0 65000 0 2000 0 23300 0 14130 0 492936 0 0 0 CHERYL KLASS SVP OPERATIONS BGMC 524169 0 100000 0 7000 0 465805 0 6539 0 1103513 0 0 0 ALLEGRA JAROS SVP OPERATIONS WCHOB 363302 0 60000 0 2000 0 23300 0 14096 0 462698 0 0 0 AARON HOFFMAN MD EMPLOYED PHYSICIAN 938743 0 0 0 0 0 29077 0 14647 0 982467 0 0 0 CHRISTOPHER MALLAVARAPU EMPLOYED PHYSICIAN 919404 0 0 0 0 0 36481 0 14460 0 970345 0 0 0 JOHN BUTSCH EMPLOYED PHYSICIAN 613395 0 0 0 0 0 30756 0 14388 0 658539 0 0 0 CARROLL HARMON EMPLOYED PHYSICIAN 638019 0 0 0 0 0 7518 0 1095 0 646632 0 0 0 KAVEH VALI MD EMPLOYED PHYSICIAN 561417 0 0 0 0 0 28987 0 1029 0 591433 0 0 0 MICHAEL HUGHES SVP, PUBLIC AFFAIRS MARKETING 291575 0 37125 0 7000 0 84588 0 614 0 420902 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. SEVERANCE PAYMENTS SCHEDULE J, PART I, LINE 4A ONE FORMER EMPLOYEE LISTED ON FORM 990, PART VII, SECTION A, RECEIVED SEVERANCE PAYMENTS DURING 2015: JAMES KASKIE, FORMER CEO, $1,109,433 EXECUTIVE DEFERRED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B DURING THE YEAR, THE FOLLOWING OFFICERS AND KEY EMPLOYEES LISTED ON FORM 990, PART VII, SECTION A PARTICIPATED IN THE EXECUTIVE DEFERRED RETIREMENT PLAN: JODY LOMEO, JAMAL GHANI, JONATHAN SWIATKOWSKI, TONI BOOKER, DAVID HUGHES, MD, DONALD BOYD, MICHAEL HUGHES AND CHERYL KLASS. EMPLOYER AND EMPLOYEE CONTRIBUTIONS DURING THE YEAR TO THIS PLAN HAVE BEEN REPORTED, AS REQUIRED, ON SCHEDULE J, PART II COLUMNS (B) (III) AND (C). DURING 2015, THE FOLLOWING OFFICERS AND KEY EMPLOYEES RECEIVED PAYMENTS UNDER AN EXECUTIVE DEFERRED RETIREMENT PLAN: TONI BOOKER $114,038 DONALD BOYD $85,644 0 SUSAN EVANS SEE PART V 81439 SEE PART V false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV SUSAN EVANS, COLUMN B - RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SUSAN EVANS IS A FAMILY MEMBER OF A CURRENT BOARD MEMBER OF THE ORGANIZATION, EVAN EVANS, MD, WHO RECEIVED COMPENSATION FROM THE ORGANIZATION IN EXCESS OF $10,000. COLUMN D - DESCRIPTION OF THE TRANSACTION: DURING 2015, THE ORGANIZATION PAID THE INTERESTED PERSON (SUSAN EVANS) IN THE NORMAL COURSE OF BUSINESS FOR PERFORMANCE OF SERVICES AS A UTILIZATION REVIEW COORDINATOR. X VARIOUS MEDICAL EQUIPMENT 2 4354054 REPLACEMENT COST false true false ORGANIZATION'S MISSION KALEIDA HEALTH IS THE LARGEST HEALTHCARE PROVIDER IN WNY, SERVING THE AREA'S 8 COUNTIES WITH COMPREHENSIVE SERVICES & PROGRAMS PROVIDED AT 4 ACUTE CARE, 2 LT CARE, AS WELL AS OUTPATIENT & PRIMARY CARE SITES. REVIEW PROCESS FOR FORM 990 Form 990, Part VI, Section B, Line 11B ORGANIZATION'S MANAGEMENT (A TEAM COMPRISED OF REPRESENTATIVES OF THE FINANCE, HUMAN RESOURCES AND LEGAL DEPARTMENTS) IN CONSULTATION WITH THE ORGANIZATION'S TAX ADVISORS, KPMG, REVIEW THE FORM 990. THE FINANCIAL REVIEW IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOR THE RELEVANT TIME PERIOD. BEFORE THE FORM 990 IS FILED WITH THE IRS, THE FINANCE COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS THE FORM 990 AND PROVIDES A COPY OF THE SAME TO THE ORGANIZATION'S FULL BOARD OF DIRECTORS. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C UPON EMPLOYMENT AND ANNUALLY THEREAFTER EACH KEY EMPLOYEE AND OFFICER OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, PROVIDING SUFFICIENT INFORMATION ABOUT HIS/HER PERSONAL INTERESTS AND RELATIONSHIPS SO THE 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, QUESTION 15A AND B 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 INCLUDES COMPARABLE DATA FROM SIMILAR SIZE TAX-EXEMPT ORGANIZATIONS IN THE WESTERN NEW YORK COMMUNITY AS WELL AS COMPENSATION FOR THESE POSITIONS (AS DISCLOSED ON FORM 990) WITH OTHER ORGANIZATIONS IN THE HEALTH CARE INDUSTRY THAT ARE OF SIMILAR SIZE, DEMOGRAPHICS AND GEOGRAPHY. REVIEW AND APPROVAL OF THE COMPENSATION ARRANGEMENT BY THE OFFICERS/EXECUTIVE COMMITTEE IS DOCUMENTED. ACCESS TO ORGANIZATIONAL DOCUMENTS FORM 990, PART VI, SECTION C, QUESTION 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT ITS OFFICE AT 726 EXCHANGE STREET, SUITE 200, BUFFALO, NY 14210. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED. FORM 990, PART XI OTHER CHANGES IN NET ASSETS OR FUND BALANCES INVESTMENTS IN JOINT VENTURES, NET (87,826,975) MINORITY INTEREST IN SUBSIDIARY (143,514) INCREASE IN PENSION LIABILITY 15,196,274 TRANSFER FROM KALEIDA FOUNDATIONS 33,898,212 OTHER TRANSFERS, NET (177,425) CHANGE IN VALUE OF FOUNDATIONS (32,075,887) ------------ TOTAL (71,129,315) FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED PHYSICIAN FEES TOTAL FEES:67363346 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:24865985 FORM 990 PART IX LINE 11G DESCRIPTION:INTERNS & RESIDENTS FEES TOTAL FEES:24517706 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER TOTAL FEES:5815218 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 593595 4479835 KH MILLARD FILLMORE AMBULATORY SURGER CTR 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 161307129 SUPPORT ORG NY 501(C)(3) 11A KH true VNA HOME CARE SERVICES 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 161491203 HOME HLTH CAR NY 501(C)(3) 9 KH true VNA OF WESTERN NEW YORK 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 160743214 HOME HLTH CAR NY 501(C)(3) 9 KH true VISK 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 222738425 SUPPORT ORG NY 501(C)(3) 9 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 HARLEM ROAD LEASING LLC 3435 MAIN STREET BUFFALO NY 14214 205588135 EQUIPMENT LEASING NY KALEIDA HEALTH UNRELATED 91854 42676 false 91854 true 0.50000 AMTON IMAGING LLC 199 PARK CLUB LANE SUITE 300 WILLIAMSVILLE NY 14221 262925470 HEALTH CARE NY KALEIDA WNYI RELATED 335698 470282 false 0 true 0.50000 SITE E LLC 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 272124795 REAL ESTATE MGMT NY KPI EXCLUDED 113375 1647935 false 0 false 0.50160 MSFC LLC 100 HIGH STREET BUFFALO NY 14203 261582864 HEALTH CARE NY KALEIDA HEALTH EXCLUDED 249427 1798806 false 0 false 0.55297 SOUTHTOWNS IMAGING LLC 5959 BIG TREE ROAD SUITE 105 ORCHARD PARK NY 14127 471123230 EQUIPMENT LEASING NY KALEIDA WNYI UNRELATED -112281 2792663 false -362592 true 0.70000 COLLABORATIVE CARE VENTURES LLC 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 HEALTH CARE NY KALEIDA HEALTH EXCLUDED -850 11569269 false 0 true 0.60000 GREAT LAKES MEDICAL BILLING SVCS LLC 199 PARK CLUB LANE SUITE 300 WILLIAMSVILLE NY 14221 MEDICAL BILLING NY KALEIDA WNYI UNRELATED 183435 319996 false 157923 false 0.50000 HARLEM IMAGING LLC 199 PARK CLUB LN SUITE 300 WILLIAMSVILLE NY 14221 IMAGING SERVICES NY KALEIDA WNYI RELATED 186743 896894 false 0 false 0.50000 ALTUS MANAGEMENT LLC 840 AERO DRIVE SUITE 950 BUFFALO NY 14225 GROUP PURCHASING NY KALEIDA HEALTH EXCLUDED 174488 1823056 false 0 false 0.52167 KALEIDA PROPERTIES INC 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 222738483 PROP MGMT SVCS NY KALEIDA HEALTH C Corp 807678 18826893 1.00000 true WESTLINK CORPORATION 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 161354421 MED & DIAGN SVCS NY KALEIDA HEALTH C Corp -285 101161 1.00000 true KALEIDA HEALTHNOW INC 257 WEST GENESEE STREET BUFFALO NY 14202 462164089 HEALTH CARE NY KALEIDA HEALTH C Corp 4245 1962474 0.50000 false false true true true true false false false false true true false false false true true true false true VNA HOME CARE SERVICES Q 2109779 ACTUAL COST VNA OF WESTERN NEW YORK Q 14447259 ACTUAL COST VNA OF WESTERN NEW YORK O 222769 ACTUAL COST MFSC LLC J 622809 ACTUAL COST MFSC LLC P 174542 ACTUAL COST KALEIDA PROPERTIES INC q 161817 ACTUAL COST KALEIDA PROPERTIES INC d 4585314 ACTUAL COST SITE E LLC k 233450 ACTUAL COST WCHOB FOUNDATION c 1260774 ACTUAL COST WCHOB FOUNDATION s 23586389 ACTUAL COST WCHOB FOUNDATION P 120247 ACTUAL COST KALEIDA HEALTH FOUNDATION c 2230471 ACTUAL COST KALEIDA HEALTH FOUNDATION s 14584271 ACTUAL COST KALEIDA HEALTH FOUNDATION P 133111 ACTUAL COST SOUTHTOWNS IMAGING LLC D 108171 ACTUAL COST SOUTHTOWNS IMAGING LLC J 266180 ACTUAL COST TRANSACTIONS WITH RELATED ORGANIZATIONS SCHEDULE R, PART V, TRANSACTION TYPE C THERE IS A VARIANCE BETWEEN THE AMOUNT REFLECTED ON PART VIII, LINE 1D (AND SCHEDULE B) - GIFTS, GRANTS AND CONTRIBUTIONS FROM THE FOLLOWING RELATED ORGANIZATIONS AND THE AMOUNT INCLUDED ON SCHEDULE R, PART V AS A RESULT OF THE VARIANCE IN TIMING OF THE RECORDING OF THE TRANSFER BETWEEN THE TWO ORGANIZATIONS. KALEIDA HEALTH FOUNDATION RECORDED GRANTS PAID TO THE FILING ORGANIZATION IN THE AMOUNT OF $2,230,471 (SEE SCHEDULE R, PART V) VERSUS THE $3,417,726 RECORDED BY THE FILING ORGANIZATION AS GRANTS RECEIVED (SEE PART VIII, LINE 1D AND SCHEDULE B). THE WOMEN & CHILDREN'S HOSPITAL OF BUFFALO FOUNDATION RECORDED GRANTS PAID TO THE FILING ORGANIZATION IN THE AMOUNT OF $1,260,774 (SEE SCHEDULE R, PART V) VERSUS THE $936,328 RECORDED BY THE FILING ORGANIZATION AS GRANTS RECEIVED (SEE PART VIII, LINE 1D AND SCHEDULE B).