KALEIDA HEALTH: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: KALEIDA HEALTH (EIN 16-1533232)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-11-12
IRS object ID: 201523169349304557
Schema version: 2014v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-11-12T14:48:08-06:00	ReturnTs
Tax Period End	2014-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	515 Broadway 4th Floor	AddressLine1Txt
City	Albany	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	122072974	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	161533232	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KALEIDA HEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% JONATHAN SWIATKOWSKI	InCareOfNm
Business Name Control	KALE	BusinessNameControlTxt
Phone	7168598501	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	726 EXCHANGE STREET	AddressLine1Txt
City	BUFFALO	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14210	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Jon Swiatkowski	PersonNm
Person Title	EVP, CFO	PersonTitleTxt
Phone	5184274600	PhoneNum
Signature	2015-11-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JEFFREY STAGG	PreparerPersonNm
PTIN	P01326885	PTIN
Phone	5184274600	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JODY LOMEO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 HIGH STREET	AddressLine1Txt
City	BUFFALO	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14203	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,262,093,632	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	N/A	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1998	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	9111	TotalEmployeeCnt
Total Volunteers	1719	TotalVolunteersCnt
Total Gross UBI	$5,953,497	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$16,380	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$16,833,070	PYContributionsGrantsAmt
CY Contributions Grants	$20,185,652	CYContributionsGrantsAmt
PY Program Service Revenue	$1,094,963,150	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,109,372,026	CYProgramServiceRevenueAmt
PY Investment Income	$8,682,237	PYInvestmentIncomeAmt
CY Investment Income	$9,670,915	CYInvestmentIncomeAmt
PY Other Revenue	$18,748,226	PYOtherRevenueAmt
CY Other Revenue	$20,508,868	CYOtherRevenueAmt
PY Total Revenue	$1,139,226,683	PYTotalRevenueAmt
CY Total Revenue	$1,159,737,461	CYTotalRevenueAmt
PY Grants And Similar Paid	$499,180	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$318,865	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$659,283,835	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$627,065,263	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$493,783,633	PYOtherExpensesAmt
CY Other Expenses	$505,805,964	CYOtherExpensesAmt
PY Total Expenses	$1,153,566,648	PYTotalExpensesAmt
CY Total Expenses	$1,133,190,092	CYTotalExpensesAmt
PY Revenues Less Expenses	-$14,339,965	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$26,547,369	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,120,308,222	TotalAssetsBOYAmt
Total Assets EOY	$1,169,457,849	TotalAssetsEOYAmt
Total Liabilities BOY	$857,780,288	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$935,456,911	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$262,527,934	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$234,000,938	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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 30.8% IN WESTERN NEW YORK, 39.1% IN ERIE	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,020,254,700	ExpenseAmt
Grant	$318,865	GrantAmt
Revenue	$1,104,785,419	RevenueAmt
Desc	See attachment 1	Desc
Total Program Service Expenses	$1,020,254,700	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	468	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	9111	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JONATHAN SWIATKOWSKI	PersonNm
Phone	7168598836	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 HIGH STREET 11TH FLOOR SOUTH	AddressLine1Txt
City	BUFFALO	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14203	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
EVAN EVANS MD
DIRECTOR	1.0	0.0	Yes (X)	$56,710	$0	$249
JAMES KASKIE
FORMER CEO EX-OFFICIO W/ VOTE	38.0	0.0	Yes (X)	$1,628,787	$0	$24,835	Yes (X)
JODY LOMEO
PRES/CEO EX-OFFICIO W/VOTE	38.0	0.0	Yes (X)	$771,444	$0	$228,699	Yes (X)
ROBERT J HALONEN
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
JOHN R KOELMEL
CHAIRMAN	1.0	0.0	Yes (X)	$0	$0	$0
DAVID A MILLING MD
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
HERMAN S MOGAVERO JR MD
TREASURER	1.0	0.0	Yes (X)	$0	$0	$0
FRANCISCO VASQUEZ PHD
VICE CHAIR	1.0	0.0	Yes (X)	$0	$0	$0
AMY L CLIFTON
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
CHRISTOPHER T GREENE ESQ
SECRETARY	1.0	0.0	Yes (X)	$0	$0	$0
ROBERT M ZAK
Director	1.0	0.0	Yes (X)	$0	$0	$0
DARREN J KING
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
FRANK CURCI
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
KEVIN GIBBONS MD
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
GEORGE MATTHEWS
DIRECTOR	1.0	2.0	Yes (X)	$0	$0	$0
ROBERT NOLAN
FORMER GENERAL COUNSEL	38.0	0.5		$320,440	$0	$55,903	Yes (X)
ALYSON SPAULDING
GENERAL COUNSEL	38.0	0.0		$207,564	$0	$38,070	Yes (X)
MARGARET PAROSKI
FORMER EVP, CMO	38.0	0.0		$763,552	$0	$0	Yes (X)
DAVID HUGHES MD
EVP, CMO	38.0	0.5		$563,730	$0	$162,408	Yes (X)
TONI BOOKER
EVP, HUMAN RESOURCES OFFICER	38.0	0.0		$631,886	$0	$38,072	Yes (X)
JOSEPH KESSLER
FORMER EVP, CFO	38.0	0.0		$575,507	$0	$32,947	Yes (X)
JONATHAN SWIATKOWSKI
EVP, CFO	38.0	0.5		$384,006	$0	$112,826	Yes (X)
JAMAL GHANI
EVP, COO	38.0	0.0		$169,381	$0	$45,148	Yes (X)
DONALD BOYD
SVP BUSINESS DEVELOPMENT	38.0	1.0		$550,028	$0	$72,483		Yes (X)
CHRISTOPHER LANE
SVP OPERATIONS MFS, DMH	38.0	0.0		$358,117	$0	$65,618		Yes (X)
CHERYL KLASS
SVP OPERATIONS BGMC	38.0	0.0		$550,703	$0	$414,590		Yes (X)
ALLEGRA JAROS
SVP OPERATIONS WCHOB	38.0	0.0		$321,583	$0	$67,535		Yes (X)
MICHAEL HUGHES
SVP, PUBLIC AFFAIRS MARKETING	38.0	0.0		$236,935	$0	$59,823		Yes (X)
AARON HOFFMAN MD
EMPLOYED PHYSICIAN	38.0	0.0		$1,190,210	$0	$45,384			Yes (X)
CHRISTOPHER MALLAVARAPU MD
EMPLOYED PHYSICIAN	38.0	0.0		$943,474	$0	$41,881			Yes (X)
JOHN BUTSCH MD
EMPLOYED PHYSICIAN	38.0	0.0		$702,237	$0	$16,345			Yes (X)
CARROLL HARMON MD
EMPLOYED PHYSICIAN	38.0	0.0		$630,415	$0	$1,087			Yes (X)
KAVEH VALI MD
EMPLOYED PHYSICIAN	38.0	0.0		$619,764	$0	$31,942			Yes (X)
CONNIE VARI
FORMER EVP, COO	0.0	0.0		$184,272	$0	$3,228				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$12,360,745	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,559,073	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	564	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SODEXO MANAGEMENT INC
PO BOX 81049	WOBURN	MA	018131049	CLEANING & LAUNDRY	$5,375,384
WNY RADIOLOGY LLC
PO BOX 4029	BUFFALO	NY	14240	RADIOLOGY SVCS	$5,230,846
P2P STAFFING INC
PO BOX 4729	WINTER PARK	FL	327934729	CLINICAL DOCUMENTING	$1,693,665
DIVURGENT LLC
4445 CORPORATION LANE STE 228	VIRGINIA BEACH	VA	23462	IST SUPPORT SVCS	$1,650,127
PER SE TECHNOLOGIES INC
PO BOX 403421	ATLANTA	GA	303843421	PHYSICIAN BILLING	$1,332,580

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	71	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,561,849	RelatedOrganizationsAmt
Government Grants	$12,221,625	GovernmentGrantsAmt
All Other Contributions	$5,402,178	AllOtherContributionsAmt
Noncash Contributions	$3,027,072	NoncashContributionsAmt
Total Contributions	$20,185,652	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	623990	$1,103,848,603	$1,103,848,603
MANAGEMENT FEES	561000	$72,900		$72,900
LAB SERVICES	621500	$5,450,523		$5,450,523

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,109,372,026	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,910,989	TotalRevenueColumnAmt
Related Or Exempt Func Income	$36,008	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$150,146	UnrelatedBusinessRevenueAmt
Exclusion	$4,724,835	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,401,525	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,401,525	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,401,525	TotalRevenueColumnAmt
Unrelated Business Revenue	$69,643	UnrelatedBusinessRevenueAmt
Exclusion	$2,331,882	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$106,963,887	SecuritiesAmt
Other	$152,210	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$102,237,237	SecuritiesAmt
Other	$118,934	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$4,726,650	SecuritiesAmt
Other	$33,276	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,759,926	TotalRevenueColumnAmt
Exclusion	$4,759,926	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
REBATE REVENUE	900099	$14,926,273	$14,926,273
UNIVERSITY LEASE INCOME	531120	$776,228	$776,228
MANAGEMENT & CONSULTING FEES	541610	$544,203		$539,728	$4,475

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,860,639	TotalRevenueColumnAmt
Related Or Exempt Func Income	$361,080	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$205,810	UnrelatedBusinessRevenueAmt
Exclusion	$1,293,749	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$18,107,343	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,159,737,461	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,104,785,419	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,953,497	UnrelatedBusinessRevenueAmt
Exclusion	$28,812,893	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$318,865	TotalAmt
Program Services	$318,865	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$8,090,373	TotalAmt
Management And General	$8,090,373	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$458,558,287	TotalAmt
Program Services	$430,316,643	ProgramServicesAmt
Management And General	$28,241,644	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$30,701,222	TotalAmt
Program Services	$27,938,112	ProgramServicesAmt
Management And General	$2,763,110	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$95,883,952	TotalAmt
Program Services	$87,686,991	ProgramServicesAmt
Management And General	$8,196,961	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$33,831,429	TotalAmt
Program Services	$31,426,541	ProgramServicesAmt
Management And General	$2,404,888	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,417,681	TotalAmt
Program Services	$1,034,870	ProgramServicesAmt
Management And General	$1,382,811	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$512,996	TotalAmt
Program Services	$108,000	ProgramServicesAmt
Management And General	$404,996	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$222,679	TotalAmt
Management And General	$222,679	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$117,645,316	TotalAmt
Program Services	$107,794,279	ProgramServicesAmt
Management And General	$9,851,037	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,228,099	TotalAmt
Program Services	$2,556,988	ProgramServicesAmt
Management And General	$671,111	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,346,097	TotalAmt
Program Services	$1,869,837	ProgramServicesAmt
Management And General	$476,260	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,407,463	TotalAmt
Program Services	$4,004,933	ProgramServicesAmt
Management And General	$3,402,530	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$993,961	TotalAmt
Program Services	$740,197	ProgramServicesAmt
Management And General	$253,764	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$15,186,760	TotalAmt
Program Services	$12,148,209	ProgramServicesAmt
Management And General	$3,038,551	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$63,443,763	TotalAmt
Program Services	$49,140,698	ProgramServicesAmt
Management And General	$14,303,065	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$16,866,659	TotalAmt
Program Services	$12,692,794	ProgramServicesAmt
Management And General	$4,173,865	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
HEALTH CARE SUPPLIES	$188,355,652	$188,317,894	$37,758
EQUIPMENT RENTAL & MAINTENANCE	$27,656,662	$11,838,983	$15,817,679
SERVICE CONTRACTS	$10,287,299	$8,467,136	$1,820,163
UTILITIES	$9,908,787	$7,947,211	$1,961,576

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$39,326,090	TotalAmt
Program Services	$33,905,519	ProgramServicesAmt
Management And General	$5,420,571	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,133,190,092	TotalAmt
Program Services	$1,020,254,700	ProgramServicesAmt
Management And General	$112,935,392	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,888,730	BOYAmt
EOY	$1,650,157	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$82,767,025	BOYAmt
EOY	$125,884,770	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$128,810,671	BOYAmt
EOY	$136,503,002	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$18,832,367	BOYAmt
EOY	$26,982,367	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$22,934,130	BOYAmt
EOY	$22,794,299	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$13,398,661	BOYAmt
EOY	$13,640,606	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,448,267,248	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,022,140,047	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$453,721,501	BOYAmt
EOY	$426,127,201	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$88,428,073	BOYAmt
EOY	$86,642,646	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$82,265,135	BOYAmt
EOY	$71,923,551	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$227,261,929	BOYAmt
EOY	$257,309,250	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,120,308,222	BOYAmt
EOY	$1,169,457,849	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$139,788,467	BOYAmt
EOY	$133,088,661	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$66,000,384	BOYAmt
EOY	$63,946,133	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$231,654,591	BOYAmt
EOY	$232,383,053	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$420,336,846	BOYAmt
EOY	$506,039,064	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$857,780,288	BOYAmt
EOY	$935,456,911	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$166,131,003	BOYAmt
EOY	$96,795,381	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$80,996,443	BOYAmt
EOY	$121,724,799	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$15,400,488	BOYAmt
EOY	$15,480,758	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$262,527,934	BOYAmt
EOY	$234,000,938	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,120,308,222	BOYAmt
EOY	$1,169,457,849	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$26,547,369	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,028,026	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$54,046,339	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	Yes (true)	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$74,115	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$148,564	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$222,679	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	GRANTS TO OTHER ORGANIZATIONS & DIRECT CONTACT WITH LEGISLATIVE BODY	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
Incl Escrow Custodial Acct Liab	false	InclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$30,087,437	BeginningYearBalanceAmt
Contributions	$1,656,821	ContributionsAmt
Investment Earnings Or Losses	$850,732	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,856,001	OtherExpendituresAmt
End Year Balance	$30,738,989	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$28,644,541	BeginningYearBalanceAmt
Contributions	$1,589,183	ContributionsAmt
Investment Earnings Or Losses	$1,819,135	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,965,422	OtherExpendituresAmt
End Year Balance	$30,087,437	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$46,995,623	BeginningYearBalanceAmt
Contributions	$3,133,756	ContributionsAmt
Investment Earnings Or Losses	$2,880,650	InvestmentEarningsOrLossesAmt
Other Expenditures	$24,365,488	OtherExpendituresAmt
End Year Balance	$28,644,541	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$72,587,179	BeginningYearBalanceAmt
Contributions	$5,877,436	ContributionsAmt
Investment Earnings Or Losses	$28,660	InvestmentEarningsOrLossesAmt
Other Expenditures	$31,497,652	OtherExpendituresAmt
End Year Balance	$46,995,623	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$79,899,854	BeginningYearBalanceAmt
Contributions	$14,188,339	ContributionsAmt
Investment Earnings Or Losses	$2,153,889	InvestmentEarningsOrLossesAmt
Other Expenditures	$23,654,903	OtherExpendituresAmt
End Year Balance	$72,587,179	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.73340	BoardDesignatedBalanceEOYPct
Term Endowment Balance EOY	0.26660	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,713,867	OtherCostOrOtherBasisAmt
Book Value	$6,713,867	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$484,332,292	OtherCostOrOtherBasisAmt
Depreciation	$312,113,523	DepreciationAmt
Book Value	$172,218,769	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$942,126,064	OtherCostOrOtherBasisAmt
Depreciation	$700,943,037	DepreciationAmt
Book Value	$241,183,027	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,095,025	OtherCostOrOtherBasisAmt
Depreciation	$9,083,487	DepreciationAmt
Book Value	$6,011,538	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$426,127,201	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (23 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INTECH RISK-MANAGED L CAP FUND	$4,235,836	F
WTC CTF RESEAR VALUE PUR 4/06	$4,752,736	F
BENCHMARK PLUS INST PART L CAP	$5,116,829	F
WTC CIF OPPORTUNISTIC FUND	$7,466,975	F
CHARITABLE TEMPORARY INVEST FD	$11	F
KALEIDA MIT COMMON FUND LP	$51,890	F
COMMON CAP VENTURE PTNRS VI	$94,876	F
COMMON FND CAP PRIVATE EQ P V	$107,662	F
KALEIDA MIT REALITY LP	$319,444	F
KALEIDA SI REALITY LP	$811,480	F
DWS GLOBAL COMMODITIES	$5,369,755	F
ROBECO GLOBAL EMERGING MARKETS	$4,467,935	F
AQR GLOBAL RISK	$7,648,689	F
PANAGORA RISK PARITY TOTAL RET	$8,470,077	F
ORCHARD LANDMARK LTD PTNRS	$924,958	F
ABERDEEN EMERGING MARKETS	$3,188,091	F
PERMAL FIXED INCOME HOLDING	$4,868,453	F
CRESTLINE OFFSHORE FUND	$1,185,124	F
MACKAY SHIELDS HIGH YIELD LP	$6,117,138	F
MCM CF GLOBAL ALPHA I FUND	$2,819,491	F
KAYNE ANDERSON INST LTD PTSHP	$3,326,769	F
MONROE CAP LTD PTSHP	$579,332	F
PICTET LOCAL EMERGING	$0	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$71,923,551	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
DEFERRED FINANCING	$11,727,932
INTEREST IN NET ASSETS OF FDNS	$181,680,591
OTHER RECEIVABLES	$17,665,245
OTHER ASSETS	$26,239,446
INSURANCE RECOVERIES REC.	$4,660,886
ESTIMATED 3RD PARTY PAYOR REC	$15,335,150

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$257,309,250	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTY PAYORS	$23,350,830
SELF INSURANCE LIABILITY	$159,098,094
OTHER LIABILITIES	$19,177,383
PENSION LIABILITY	$279,638,479
ASSET RETIREMENT OBLIGATIONS	$12,325,175
CAPITAL LEASE OBLIGATIONS	$7,254,641
CONSTRUCTION PAYABLE	$5,194,462

Field	Value	IRS element (for citing)
Total Liability	$506,039,064	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$1,151,104,875	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	-$494,845	OtherRevenueAmt
Revenue Not Reported	-$494,845	RevenueNotReportedAmt
Revenue Subtotal	$1,151,599,720	RevenueSubtotalAmt
Other Revenues Not Included	$8,137,741	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$8,137,741	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,159,737,461	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,133,301,155	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$1,967,065	OtherExpensesIncludedAmt
Expenses Not Reported	$1,967,065	ExpensesNotReportedAmt
Expenses Subtotal	$1,131,334,090	ExpensesSubtotalAmt
Other Expenses Not Included	$1,856,002	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$1,856,002	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,133,190,092	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 <494,845>
RECONCILIATION OF REVENUE PER AFS WITH REVENUE PER RETURN:	OTHER REVENUE INCLUDED ON 990, NOT IN AFS: CONTRIBUTIONS FOR CAPITAL ACQUISITIONS 5,643,126 RESTRICTED CONTRIBUTIONS 1,656,821 RESTRICTED INVESTMENT INCOME 837,794 TOTAL 8,137,741
RECONCILIATION OF EXPENSES PER AFS WITH EXPENSES PER RETURN:	SCHEDULE D, PART XII, LINE 2D OTHER EXPENSES INCLUDED IN AFS, NOT IN 990 UNREALIZED LOSSES 1,967,065
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 1,856,002

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,914,925	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,478,594	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,436,331	NetCommunityBenefitExpnsAmt
Total Expense	0.00570	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$315,183,631	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$225,592,282	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$89,591,349	NetCommunityBenefitExpnsAmt
Total Expense	0.07910	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$326,098,556	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$230,070,876	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$96,027,680	NetCommunityBenefitExpnsAmt
Total Expense	0.08480	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,620,282	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,620,282	NetCommunityBenefitExpnsAmt
Total Expense	0.00410	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,110,507	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,038,223	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,072,284	NetCommunityBenefitExpnsAmt
Total Expense	0.02120	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,065,172	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,983,420	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,081,752	NetCommunityBenefitExpnsAmt
Total Expense	0.02390	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$141,379	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$141,379	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$88,937,340	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,021,643	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$55,915,697	NetCommunityBenefitExpnsAmt
Total Expense	0.04930	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$415,035,896	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$263,092,519	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$151,943,377	NetCommunityBenefitExpnsAmt
Total Expense	0.13410	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$12,235,505	BadDebtExpenseAmt
Bad Debt Expense Attributable	$779,402	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$169,118,506	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$154,008,046	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$15,110,460	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (13 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
MFSC LLC
PHYSICIAN SERVICES	0.51000	0.49000
COMMUNITY MEDICAL
PHYSICIAN SERVICES		1.00000
GENERAL PHYSICIANS
PHYSICIAN SERVICES		1.00000
HARLEM ROAD LEASING
MRI EQUIPMENT LEASING	0.50000
AMTON IMAGING LLC
HEALTH CARE SERVICES	0.40000
PARK CLUB LANE LLC
HEALTH CARE SERVICES	0.30000
WNY HEALTHENET LLC
HEALTH CARE SERVICES	0.14286
CHILD HEALTH INV I
HEALTH CARE SERVICES	0.02972
CHILD HEALTH INV II
HEALTH CARE SERVICES	0.01207
SITE E LLC
REAL ESTATE LEASING CO.	0.50100
GNYHA PURCHASING ALL
Group Purchasing Organization	0.02590
ALTUS MANAGEMENT
Group Purchasing Organization	0.52548
SOUTHTOWNS IMAGING
IMAGING EQUIPMENT LEASING	0.70000

Field	Value	IRS element (for citing)
Hospital Facilities	4	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	Childrens HospitalChildrensHospitalInd
BUFFALO GENERAL MEDICAL CENTER
1	100 HIGH STREET	BUFFALO	NY	14203	WWW.KALEIDAHEALTH.ORG	1401014H	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
WOMEN & CHILDREN'S HOSPITAL OF BUFFAL
2	219 BRYANT STREET	BUFFALO	NY	14222	WWW.KALEIDAHEALTH.ORG	1401014H	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A	Yes (X)
MILLARD FILLMORE SUBURBAN HOSPITAL
3	1540 MAPLE ROAD	WILLIAMSVILLE	NY	14221	WWW.KALEIDAHEALTH.ORG	1401014H	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
DEGRAFF MEMORIAL HOSPITAL
4	445 TREMONT STREET	NORTH TONAWANDA	NY	14120	WWW.KALEIDAHEALTH.ORG	1401014H	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Group A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.kaleidahealth.org/community	OwnWebsiteURLTxt
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	14	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.kaleidahealth.org/community	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	X	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	X	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	X	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit Legal Judicial Process	Yes (X)	PermitLegalJudicialProcessInd
Permit Other Actions	Yes (X)	PermitOtherActionsInd
Collection Activities	false	CollectionActivitiesInd
None Made	Yes (X)	NoneMadeInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 WILL WORK TO INCREASE BREASTFEEDING RATES AND CARDIOVASCULAR DISEASE SCREENINGS. IN NIAGARA COUNTY, KALEIDA HEALTH WILL ALSO 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 AVAILABLE AT WWW.KALEIDAHEALTH.ORG/COMMUNITY/PUBLICATIONS.ASP AND ATTACHED TO THIS RETURN. 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. AS SUCH, KALEIDA HEALTH IS CONFIDENT THAT ROSWELL PARK, ALTHOUGH NOT REQUIRED TO SUBMIT A COMMUNITY SERVICE PLAN AS A PUBLIC BENEFIT CORPORATION, ALONG WITH SEVERAL PRIVATE OUTPATIENT CANCER TREATMENT CENTERS PROVIDE ADEQUATE CANCER RESOURCES FOR THE COMMUNITY. UNDER GREAT LAKES HEALTH, KALEIDA HEALTH JOINTLY DEVELOPED A $25 MILLION REGIONAL BEHAVIORAL HEALTH CENTER OF EXCELLENCE WITH THE ERIE COUNTY MEDICAL CENTER ON THEIR GRIDER STREET CAMPUS. THE CENTER HOUSES CONSOLIDATED MENTAL HEALTH AND DRUG DEPENDENCY TREATMENT PORGRAMS WITH A 180-BED INPATIENT PSYCHIATRIC PROGRAM AND A COMPREHENSIVE PSYCHIATRIC EMERGENCY PROGRAM. THIS CENTER OF EXCELLENCE IS IN LINE WITH THE BERGER COMMISSION AND SUPPORTED BY THE NEW YORK STATE DEPARTMENT OF HEALTH.
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.

Field	Value	IRS element (for citing)
Facility	27	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (27 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
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 Tonowanda	NY	14120	Inpatient skilled nursing facility
Elmwood OBGYN
239 Bryant Street	Buffalo	NY	14222	Medical Services Primary care services Prenatal outpatient
Williamsville Community Health Center
115 Flint Road	Amherst	NY	14226	Outpatient Therapy Services Primary care services Medical services
North Buffalo Medical Park
900 Hertel Ave	Buffalo	NY	14207	Medical services Primary care services Outpatient services
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 services
Hodge Pediatrics
125 HODGE STREET	BUFFALO	NY	14222	HOSPITAL BASED OUTPATIENT PRIMARY CARE SERVICES
WCHOB Specialty Clinics
140 Hodge Street	AMHERST	NY	14222	HOSPITAL BASED OUTPATIENT Primary care services
TOWNE GARDEN PEDIATRICS
461 WILLIAM STREET	BUFFALO	NY	14204	Hospital based outpatient PRIMARY CARE SERVICES
WCHOB Women's OBGYN Health Center
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 SERVICES Prenatal outpatient
WCHOB Child Protection Center
556 Franklin Street	Buffalo	NY	14202	Medical services Primary care services
Stanley Makowski SBHC
1095 Jefferson Ave	Buffalo	NY	14214	School based primary care services
WCHOB Lancaster OBGYN
6363 Transit Road	Lancaster	NY	14086	Medical services Primary care services Prenatal outpatient
Bennett High School SBHC
2885 Main Street	BUFFALO	NY	14214	SCHOOL BASED PRIMARY CARE SERVICES
Westminster #86 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
WCHOB Lockport OBGYN
475 South Transit Road	Lockport	NY	14094	Medical services Primary care services Prenatal outpatient
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
HILLERY PARK #27 SBHC
72 Pawnee Parkway	BUFFALO	NY	14210	SCHOOL BASED PRIMARY CARE SERVICES
DR Lydia Wright #89 SBHC
106 Appenheimer Street	LANCASTER	NY	14214	School based primary care services
Southtowns Clinic
4535 Southwestern BLVD	HAMBURG	NY	14075	Medical services PRIMARY CARE SERVICES

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, LINE 3C	KALEIDA HEALTH (KALEIDA) HAS DEVELOPED, IMPLEMENTED AND COMMUNICATES ITS FINANCIAL ASSISTANCE (CHARITY CARE) POLICY, WHICH ASSISTS LOW INCOME, UNINSURED OR UNDERINSURED INDIVIDUALS WHO LACK THE FINANCIAL RESOURCES TO PAY FOR MEDICAL SERVICES RENDERED. LEVELS OF DISCOUNTS ARE AWARDED BASED UPON INCOME AND ASSET VERIFICATION AND IN ACCORDANCE WITH THE FEDERAL POVERTY GUIDELINES AS PUBLISED ANNUALLY BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. INDIVIDUALS ARE NOTIFIED DURING INTAKE AND REGISTRATION OF KALEIDA'S CHARITY CARE PROGRAM. AFTER REVIEW OF INCOME AND ASSETS, AN INDIVIDUAL MAY BE APPROVED FOR FREE CARE (100% DISCOUNT) OR A DISCOUNT LEVEL OF 50, 60, 75, OR 90%, FOR MEDICALLY NECESSARY INPATIENT, OUTPATIENT, EMERGENCY ROOM OR NURSING HOME SERVICES RENDERED AT A KALEIDA FACILITY, AS FOLLOWS: LESS THAN 200% OF FEDERAL POVERTY GUIDELINE IS AWARDED 100% DISCOUNT 200% - 249% OF FEDERAL POVERTY GUIDELINE IS AWARDED 90% DISCOUNT 250% - 299% OF FEDERAL POVERTY GUIDELINE IS AWARDED 75% DISCOUNT 300% - 349% OF FEDERAL POVERTY GUIDELINE IS AWARDED 60% DISCOUNT 350% - 400% OF FEDERAL POVERTY GUIDELINE IS AWARDED 50% DISCOUNT. THE APPLICANT FOR FREE OR REDUCED PRICE CARE IS CONTACTED BY A FACILITATED ENROLLER OR A NAVIGATOR FOR FINANCIAL SCREENING AND ENROLLMENT IN A GOVERMENT-FUNDED PROGRAM, IF ELIGIBLE.
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 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 26% OF SELF-PAY BAD DEBT EXPENSE IN 2014 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 $779,402. WE ESTIMATED THIS AMOUNT BY USING THE 2014 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 2014 CMS MEDICARE COST REPORT TO DETERMINE THE AMOUNTS REPORTED ON THESE LINES.
PART III, LINE 9B	ONLY AFTER A PATIENT'S LIABILITY HAS BEEN DETERMINED FOLLOWING PROCESSING OF APPLICATIONS FOR GOVERNMENT ASSISTANCE, CHARITY CARE AND/OR INSURANCE CARRIER REMITTANCE, WILL THE PATIENT STATEMENT BE MAILED FOR PAYMENT RECOVERY. KALEIDA HEALTH HAS IMPLEMENTED A PRE-COLLECTION PROCESS FOR ACCOUNTS WITH AN INSURANCE BALANCE OF ZERO, A POSITIVE PATIENT BALANCE GREATER THAN $4.99 AND A FIRST BILL DATE OLDER THAN 60 DAYS BUT NOT PREVIOUSLY PAID IN FULL BY THE PATIENT (EXCLUDING ACCOUNTS FOR PATIENTS THAT HAVE SUBMITTED A COMPLETED APPLICATION FOR CHARITY CARE, MEDICAID, OR CHILD HEALTH PLUS, AND AN ELIGIBILITY DETERMINATION IS PENDING). AT THE TIME THAT A PATIENT EXPRESSES A FINANCIAL CONCERN, THE PATIENT WILL BE OFFERED THE OPPORTUNITY TO APPLY FOR CHARITY CARE. ONCE THE PATIENT SUBMITS THE COMPLETED CHARITY CARE APPLICATION, THE ACCOUNT IS PLACED ON HOLD AND ALL COLLECTION ACTIVITIES ARE SUSPENDED UNTIL AN ELIGIBILITY DETERMINATION IS MADE. IF THE PATIENT IS ELIGIBLE FOR CHARITY CARE, 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 and is attached to this return.
Patient Education of Eligibility for Assistance	Kaleida Health informs individuals of available free or reduced price services at the time of registration into the inpatient, outpatient, emergency department, and long-term care facility. Posters informing the patient/family of assistance are available throughout the Kaleida locations. Brochures and pamphlets informing the community are widely distributed in the community at health fairs, churches, schools and other public locations. Information regarding the availability of financial assistance is also available through Kaleida's website. Kaleida Health offers assistance to individuals in our community for accessing affordable health care, including: * NY Health Exchange Navigation: Assists with navigating, selecting, and applying for enrollment in NY Health Exchange offerings. Dedicated and state-trained staff assist individuals in person or via the phone. In addition to offering in-person appointments at Kaleida Health sites, Kaleida Health opened a community-based location in late 2013. * Centers for Medicaid & Medicare Services (CMS): Kaleida Health staff facilitate enrollment with a targeted focus on children up to the age of 21 enrolled in Buffalo Public Schools and throughout Western New York. * Facilitated Enrollment: Assists eligible individuals with health insurance enrollment by offering education and application assistance for Medicaid, Child Health Plus, Prenatal Care Assistance Program, State Aid for Children with Special Needs, and Qualified Health Plans through the Affordable Care Act. A dedicated telephone number is available and information is published in pamphlets at Kaleida sites and at various locations throughout the community. * Financial Assistance Program: As described above, the Kaleida Financial Assistance Program offers free or reduced-prices for patients treated at Kaleida Health hospitals, outpatient, emergency room, or long-term care facilities. Discounts are awarded based upon income and asset verification.
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 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. During 2014, there were 53,582 inpatient discharges, of which 26% were Medicaid and Medicaid Managed Care, 40% Medicare and Medicare Managed Care, and 1% were uninsured. 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 our website at www.kaleidahealth.org/community/publications.asp and is attached to this return.
Promotion of Community Health	Kaleida Health's mission is to advance the health of the community. Kaleida Health's vision is to be the regional health care system providing exceptional quality services, with a commitment to education and research, accessible to all. The Organization's values illustrate how these goals are achieved: Accountability: We take personal responsibility for delivering results. Patient-Centered: We put patients and families first. Integrity: We demonstrate honesty in everything we do. Excellence: As a team, we pursue exceptional performance with passion. 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 triennial community services plan and available on the Kaleida Health website or in print form upon request. The Visiting Nursing Association of Western New York, Inc., Kaleida Health's home care affiliate, also works to promote the health of the community. This includes educating chronic care patients on self-management and personal care in areas such as rehabilitation services, nutrition education and therapy, infection control, falls risk assessment and intervention, and health education related to improved lifestyle choices for individuals and families in their homes and the community. Community-based prevention programs, such as one of the area's largest annual community influenza immunization program, also are offered through the Visiting Nursing Association.
Kaleida Health Board of Directors	Kaleida Health maintains control over the corporation through its self-perpetuating, 13 member governing board of directors. The board of directors, the majority of whom reside in Western New York, is comprised of community leaders from the business, industry, and healthcare sectors, including physicians who are on the medical staff. Each director serves a three-year term and is not an employee, independent contractor, or family member of Kaleida Health.
State in Which the Organization Files a Community Benefit Report	New York State

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
WNY HEALTHENET LLC
2568 WALDEN AVE	SUNY BUFFALO	CHEEKTOWAGA	NY	14225	043726634	N/A	$200,000	CONTRIBUTION
WNY CLINICAL INFO EXCHANGE
2568 WALDEN AVE		CHEEKTOWAGA	NY	14225	364594483	501(C)(3)	$60,000	SPONSORSHIP CONTRIBUTION
UB FOUNDATION
3435 MAIN STREET	SUITE 107	BUFFALO	NY	14231	160865182	501(C)(3)	$33,750	SPONSORSHIP SPONSORSHIP
UPSTATE NY TRANSPLANT SERVICES INC
110 BROADWAY STREET		BUFFALO	NY	14203	161172463	501(C)(3)	$12,500	SPONSORSHIP SPONSORSHIP
MARCH OF DIMES FOUNDATION
1275 MAMARONECK AVE		WHITE PLAINS	NY	10605	131846366	501(C)(3)	$7,300	Uncompensated Care SPONSORSHIP
CHAMBER OF COMMERCE OF THE TONAWANDAS INC
15 WEBSTER STREET	SUITE 107	NORTH TONAWANDA	NY	14120	160371125	501(C)(3)	$5,315	CONTRIBUTION SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE I:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAMES KASKIE
FORMER CEO EX-OFFICIO W/ VOTE	$211,023	$0	$0	$0	$1,417,764	$0	$22,662	$0	$2,173	$0	$1,653,622	$0	$482,848	$0
JODY LOMEO
PRES/CEO EX-OFFICIO W/VOTE	$771,444	$0	$0	$0	$0	$0	$221,993	$0	$6,706	$0	$1,000,143	$0	$0	$0
ROBERT NOLAN
FORMER GENERAL COUNSEL	$264,165	$0	$0	$0	$56,275	$0	$46,820	$0	$9,083	$0	$376,343	$0	$48,775	$0
ALYSON SPAULDING
GENERAL COUNSEL	$207,564	$0	$0	$0	$0	$0	$24,671	$0	$13,399	$0	$245,634	$0	$0	$0
MARGARET PAROSKI
FORMER EVP, CMO	$75,483	$0	$0	$0	$688,069	$0	$0	$0	$0	$0	$763,552	$0	$150,522	$0
DAVID HUGHES MD
EVP, CMO	$563,730	$0	$0	$0	$0	$0	$161,604	$0	$804	$0	$726,138	$0	$0	$0
TONI BOOKER
EVP, HUMAN RESOURCES OFFICER	$343,944	$0	$0	$0	$287,942	$0	$32,014	$0	$6,058	$0	$669,958	$0	$280,442	$0
JOSEPH KESSLER
FORMER EVP, CFO	$214,463	$0	$0	$0	$361,044	$0	$26,121	$0	$6,826	$0	$608,454	$0	$179,642	$0
JONATHAN SWIATKOWSKI
EVP, CFO	$384,006	$0	$0	$0	$0	$0	$99,308	$0	$13,518	$0	$496,832	$0	$0	$0
JAMAL GHANI
EVP, COO	$169,381	$0	$0	$0	$0	$0	$45,086	$0	$62	$0	$214,529	$0	$0	$0
DONALD BOYD
SVP BUSINESS DEVELOPMENT	$459,395	$0	$0	$0	$90,633	$0	$58,759	$0	$13,724	$0	$622,511	$0	$83,133	$0
CHRISTOPHER LANE
SVP OPERATIONS MFS, DMH	$348,117	$0	$0	$0	$10,000	$0	$52,026	$0	$13,592	$0	$423,735	$0	$0	$0
CHERYL KLASS
SVP OPERATIONS BGMC	$543,203	$0	$0	$0	$7,500	$0	$408,281	$0	$6,309	$0	$965,293	$0	$0	$0
ALLEGRA JAROS
SVP OPERATIONS WCHOB	$318,583	$0	$0	$0	$3,000	$0	$54,027	$0	$13,508	$0	$389,118	$0	$0	$0
CONNIE VARI
FORMER EVP, COO	$0	$0	$0	$0	$184,272	$0	$0	$0	$3,228	$0	$187,500	$0	$0	$0
AARON HOFFMAN MD
EMPLOYED PHYSICIAN	$1,190,210	$0	$0	$0	$0	$0	$31,272	$0	$14,112	$0	$1,235,594	$0	$0	$0
CHRISTOPHER MALLAVARAPU MD
EMPLOYED PHYSICIAN	$943,474	$0	$0	$0	$0	$0	$29,035	$0	$12,846	$0	$985,355	$0	$0	$0
JOHN BUTSCH MD
EMPLOYED PHYSICIAN	$702,237	$0	$0	$0	$0	$0	$2,473	$0	$13,872	$0	$718,582	$0	$0	$0
CARROLL HARMON MD
EMPLOYED PHYSICIAN	$630,415	$0	$0	$0	$0	$0	$0	$0	$1,087	$0	$631,502	$0	$0	$0
KAVEH VALI MD
EMPLOYED PHYSICIAN	$619,764	$0	$0	$0	$0	$0	$30,921	$0	$1,021	$0	$651,706	$0	$0	$0
MICHAEL HUGHES
SVP, PUBLIC AFFAIRS MARKETING	$236,935	$0	$0	$0	$0	$0	$59,297	$0	$526	$0	$296,758	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 THE FOLLOWING FORMER EMPLOYEES LISTED ON FORM 990, PART VII, SECTION A RECEIVED SEVERANCE PAYMENTS DURING 2014: JAMES KASKIE, FORMER CEO, $917,416 MARGARET PAROSKI, FORMER CMO, $509,755 CONNIE VARI, FORMER COO, $184,272 JOSEPH KESSLER, FORMER CFO, $173,902
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, CHERYL KLASS, JAMES KASKIE, JOSEPH KESSLER, MARGARET PAROSKI, ROBERT NOLAN AND CONNIE VARI. 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 2014, THE FOLLOWING DIRECTORS RECEIVED PAYMENTS UNDER AN EXECUTIVE DEFERRED RETIREMENT PLAN: JAMES KASKIE $482,848 TONI BOOKER $280,442 JOSEPH KESSLER $179,642 MARGARET PAROSKI $150,522 DONALD BOYD $83,133 ROBERT NOLAN $48,775

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	DORMITORY AUTHORITY - STATE OF NEW YORK	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	146000293	BondIssuerEIN
CUSIP	64983Q429	CUSIPNum
Bond Issued	2006-09-21	BondIssuedDt
Issue Price	$81,810,000	IssuePriceAmt
Purpose	RENOVATIONS TO FACILITIES	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$12,715,000	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$86,266,214	TotalProceedsAmt
In Reserve Fund	$46,572,838	InReserveFundAmt
Capitalized Interest	$5,074,244	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$1,213,231	IssuanceCostsFromProceedsAmt
Credit Enhancement	$1,836,365	CreditEnhancementAmt
Working Capital Expenditures	$2,067,415	WorkingCapitalExpendituresAmt
Capital Expenditures	$69,802,989	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2008	SubstantialCompletionYr
Current Refunding	false	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	false	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	Yes (true)	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	Yes (true)	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	MBIA INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Regulatory Safe Harbor Stsfd	Yes (true)	RegulatorySafeHarborStsfdInd
Gross Proceeds Invested	Yes (true)	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Supplemental Information	FormAndLineReferenceDesc
Explanation	SCHEDULE K, PART IV, ARBITRAGE, LINE 2C (A) ISSUER NAME: DORMITORY AUTHORITY - STATE OF NEW YORK DATE THE REBATE COMPUTATION WAS PERFORMED, 08/31/2011. PART II, LINE 3 THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. PART II, LINE 3 THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINES 4-12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4. PART IV, COUMN A, LINE 5C CONSTRUCTION FUND - 2.5 YEARS, RESERVE FUND - 4.4 YEARS.	ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	DR DAVID HUGHES	PersonNm
Relationship With Org	SEE PART V	RelationshipWithOrgTxt
Loan Purpose	SEE PART V	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$26,982,367	OriginalPrincipalAmt
Balance Due	$26,982,367	BalanceDueAmt
Default	false	DefaultInd
Board Or Committee Approval	Yes (true)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (true)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$26,982,367	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
GREATER NY HOSPITAL ASSOCIATION
SEE PART V	$121,660	SEE PART V	false
JOCELYN BELISLE
SEE PART V	$32,040	SEE PART V	false
DAVID VARI
SEE PART V	$63,590	SEE PART V	false
SUSAN EVANS
SEE PART V	$75,160	SEE PART V	false

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

LOANS TO INTERESTED PERSONS

SCHEDULE L, PART II DR. DAVID HUGHES COLUMN B - RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DR. DAVID HUGHES, AN INTERESTED PERSON TO KALEIDA HEALTH, IS THE CURRENT OWNER OF GENERAL PHYSICIANS, P.C. (GPPC). COLUMN C - PURPOSE OF THE LOAN: DURING 2014, KALEIDA HEALTH LOANED GENERAL PHYSICIANS, P.C. MONEY TO ASSIST IN PAYING THE COSTS OF ACQUIRING AND EMPLOYING PHYSICIANS AND STAFF AS WELL AS ONGOING OPERATING COSTS OF THE PRACTICE AND WILL BE REPAID TO KALEIDA ONCE GPPC HAS RE-ESTABLISHED ITS PATIENT BASE AND HAS THE ABILITY TO REPAY.

BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS

SCHEDULE L, PART IV GREATER NEW YORK HOSPITAL ASSOCIATION, COLUMN B - RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: THE FORMER PRESIDENT/CEO OF THE FILING ORGANIZATION (KALEIDA HEALTH), JAMES KASKIE, WAS ALSO SERVING AS A BOARD MEMBER OF THE GREATER NEW YORK HOSPITAL ASSOCIATION AT THE TIME OF THE TRANSACTION. COLUMN D - DESCRIPTION OF THE TRANSACTION: DURING 2014, THE ORGANIZATION PAID THE INTERESTED PERSON (GREATER NEW YORK HOSPITAL ASSOCIATION) PARTICIPATION DUES RELATED TO A SUPPLY INITIATIVE PROGRAM. JOCELYN BELISLE, COLUMN B - RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: JOCELYN BELISLE IS A FAMILY MEMBER OF A FORMER OFFICER OF THE ORGANIZATION, CONNIE VARI, WHO RECEIVED COMPENSATION FROM THE ORGANIZATION IN EXCESS OF $10,000. COLUMN D - DESCRIPTION OF THE TRANSACTION: DURING 2014, THE ORGANIZATION PAID THE INTERESTED PERSON (JOCELYN BELISLE) IN THE NORMAL COURSE OF BUSINESS TO FURNISH SERVICES AS A PERFORMACE IMPROVEMENT PROJECT COORDINATOR. DAVID VARI, COLUMN B - RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DAVID VARI IS A FAMILY MEMBER OF A FORMER OFFICER OF THE ORGANIZATION, CONNIE VARI, WHO RECEIVED COMPENSATION FROM THE ORGANIZATION IN EXCESS OF $10,000. COLUMN D - DESCRIPTION OF THE TRANSACTION: DURING 2014, THE ORGANIZATION PAID THE INTERESTED PERSON (DAVID VARI) IN THE NORMAL COURSE OF BUSINESS FOR PERFORMANCE OF SERVICES AS A SENIOR HUMAN RESOURCES GENERALIST. 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 2014, THE ORGANIZATION PAID THE INTERESTED PERSON (SUSAN EVANS) IN THE NORMAL COURSE OF BUSINESS FOR PERFORMANCE OF SERVICES AS A UTILIZATION REVIEW COORDINATOR.

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp
Securities Publicly Traded		SecuritiesPubliclyTradedGrp
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	VARIOUS MEDICAL EQUIPMENT	Desc
Contribution	5	ContributionCnt
Noncash Contributions Rpt F990	$3,027,072	NoncashContributionsRptF990Amt
Method Of Determining Revenues	REPLACEMENT COST	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. DELEGATION OF CMO DUTIES FORM 990, PART VI, SECTION A, QUESTION 3 DURING 2014, THE ORGANIZATION CONTRACTED WITH UNIVERSITY NEUROLOGY FOR THE SERVICES OF MARGARET PAROSKI IN HER CAPACITY AS CHIEF MEDICAL OFFICER (CMO) OF THE ORGANIZATION. PART OF HER ROLE AS CMO WAS CONTROL OVER CERTAIN MANAGEMENT DUTIES WITH RESPECT TO EMPLOYED PHYSICIANS THAT CUSTOMARILY ARE PERFORMED BY OR UNDER THE DIRECT SUPERVISION OF OFFICERS OR KEY EMPLOYEES.
REVIEW PROCESS FOR FORM 990	Form 990, Part VI, Section B, 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 ORGANIZATION CAN (1) DETERMINE WHETHER ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST MAY EXIST, AND (2) MONITOR WORK OR SERVICE ASSIGNMENTS TO AVOID PLACING THE KEY EMPLOYEE, OFFICER OR DIRECTOR IN A POSITION WHERE THERE MAY BE A POTENTIAL, ACTUAL, OR EVEN APPEARANCE, OF A CONFLICT OF INTEREST OR A QUESTION 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 MINORITY INTEREST IN SUBSIDIARY (522,322) DECREASE IN PENSION LIABILITY (93,718,060) TRANSFER FROM KALEIDA FOUNDATIONS 48,000 OTHER TRANSFERS, NET 517,139 CHANGE IN VALUE OF FOUNDATIONS 39,628,904 ------------ TOTAL (54,046,339)
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER FEES FOR SERVICES TOTAL FEES:XXX-XX-XXXX

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
KALEIDA MCO LLC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161570311	DORMANT	NY	KH
KALEIDA IPA LLC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161570380	DORMANT	NY	KH
KALEIDA WNYI LLC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	453189404	HEALTH CARE	NY	KH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
MILLARD FILLMORE AMBULATORY SURGER CTR
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161307129	SUPPORT ORG	NY	501(C)(3)	11A	KH	Yes (true)
VNA HOME CARE SERVICES
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161491203	HOME HLTH CAR	NY	501(C)(3)	9	KH	Yes (true)
VNA OF WESTERN NEW YORK
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	160743214	HOME HLTH CAR	NY	501(C)(3)	9	KH	Yes (true)
VISK
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	222738425	DORMANT	NY	501(C)(3)	9	KH	Yes (true)
KALEIDA HEALTH FOUNDATION
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161579143	FUNDRAISING	NY	501(C)(3)	7	KH	Yes (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	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
HARLEM ROAD LEASING LLC
3435 MAIN STREET	BUFFALO	NY	14214	205588135	EQUIPMENT LEASING	NY	KALEIDA HEALTH	UNRELATED	$150,146	$78,612	false	Yes (true)	0.50000
AMTON IMAGING LLC
199 PARK CLUB LANE SUITE 300	WILLIAMSVILLE	NY	14221	262925470	HEALTH CARE	NY	KALEIDA WNYI	RELATED	-$488,629	$239,997	false	Yes (true)	0.50000
PARK CLUB LANE LLC
199 PARK CLUB LANE SUITE 300	WILLIAMSVILLE	NY	14221	271516155	HEALTH CARE	NY	KALEIDA WNYI	EXCLUDED			false	Yes (true)	0.30000
SITE E LLC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	272124795	REAL ESTATE MGMT	NY	KPI	EXCLUDED	$114,085	$1,651,810	false	false	0.50169
MSFC LLC
100 HIGH STREET	BUFFALO	NY	14203	261582864	HEALTH CARE	NY	KALEIDA HEALTH	EXCLUDED	$543,284	$1,760,285	false	false	0.54290
SOUTHTOWNS IMAGING LLC
5959 BIG TREE ROAD SUITE 105	ORCHARD PARK	NY	14127	471123230	EQUIPMENT LEASING	NY	KALEIDA WNYI	EXCLUDED			false	Yes (true)	0.70000
COLLABORATIVE CARE VENTURES LLC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	472365690	Health Care	NY	KALEIDA HEALTH	Excluded		$11,090,000	false	Yes (true)	0.60000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt
KALEIDA PROPERTIES INC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	222738483	PROP MGMT SVCS	NY	KALEIDA HEALTH	C Corp	1.00000	false
WESTLINK CORPORATION
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161354421	MED & DIAGN SVCS	NY	KALEIDA HEALTH	C Corp	1.00000	false	-$283	$101,392
KALEIDA HEALTHNOW INC
257 WEST GENESEE STREET	BUFFALO	NY	14202	462164089	HEALTH CARE	NY	KALEIDA HEALTH	C Corp	0.50000	false	$3,200	$960,964

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (17 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt
VNA HOME CARE SERVICES
q	$1,097,253
VNA HOME CARE SERVICES
d	$208,654
VNA OF WESTERN NEW YORK
q	$5,645,652
VNA OF WESTERN NEW YORK
d	$1,195,083
MFSC LLC
j	$608,514
MFSC LLC
p	$642,308
MFSC LLC
e	$175,494
KALEIDA PROPERTIES INC
q	$186,283
KALEIDA PROPERTIES INC
d	$4,423,496
SITE E LLC
k	$233,450
WCHOB FOUNDATION
c	$930,710
WCHOB FOUNDATION
s	$4,646,188
WCHOB FOUNDATION
d	$454,449
KALEIDA HEALTH FOUNDATION
c	$1,949,708
KALEIDA HEALTH FOUNDATION
s	$1,030,097
KALEIDA HEALTH FOUNDATION
d	$857,353
SOUTHTOWNS IMAGING LLC
b	$614,395

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	TRANSACTIONS WITH RELATED ORGANIZATIONS	FormAndLineReferenceDesc
Explanation	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 $1,949,708 (SEE SCHEDULE R, PART V) VERSUS THE $1,794,548 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 $930,710 (SEE SCHEDULE R, PART V) VERSUS THE $767,301 RECORDED BY THE FILING ORGANIZATION AS GRANTS RECEIVED (SEE PART VIII, LINE 1D AND SCHEDULE B).	ExplanationTxt