2015-11-13T13:04:04-06:00 2014-12-31 KPMG LLP 515 Broadway 4th Floor Albany NY 122072974 990 2014-01-01 160743214 VISITING NURSING ASSOCIATION OF WESTERN NEW YORK INC % DANIEL OWEN VISI 7166308000 2100 WEHRLE DRIVE WILLIAMSVILLE NY 14221 JUDY BAUMGARTNER President 7166308000 2015-11-12 true Jeffrey Stagg P01326885 5184274600 2014 2016-04-25 22:37:26Z JUDY BAUMGARTNER 2100 WEHRLE DRIVE WILLIAMSVILLE NY 14221 75305974 false X WWW.VNA-WNY.ORG X 1885 NY SEE SCHEDULE O 13 10 853 1 0 208333 236031 69135720 74438438 254000 605000 27497 26505 69625550 75305974 0 0 0 0 52661867 58123885 0 0 0 11865689 12709718 64527556 70833603 5097994 4472371 37417003 41719859 13208309 13204177 24208694 28515682 VNA OF WNY IS A CERTIFIED HOME HEALTH AGENCY PROVIDING SKILLED NURSING NURSING NURSING SVCS, REHAB SVCS, & TELEHEALTH HOME MONITORING PRIMARILY TO MEDICARE & MEDICAID PATIENTS, ALSO OPERATES AN ADULT DAYCARE CENTER. false false 55984616 74464438 SKILLED NURSING SERVICES: WORKING UNDER THE DIRECTION OF THE REFERRING PHYSICIAN, OUR TEAM OF NURSES, PHYSICAL THERAPISTS, OCCUPATIONAL THERAPISTS, SPEECH THERAPISTS, MEDICAL SOCIAL WORKERS, AND NUTRITIONISTS ARE UNIQUELY COMMITTED TO HIGH QUALITY OUTCOMES AND SUPERIOR PATIENT SATISFACTION. MEDICAL SUPERVISION: ALL SERVICES ARE PROVIDED UNDER A PLAN OF CARE ESTABLISHED AND MONITORED BY THE PATIENT'S PHYSICIAN. DISEASE MANAGEMENT AND CLINICAL PATH IMPLEMENTATION: FOCUSING ON EDUCATION, NUTRITION, PATIENT COMPLIANCE, AND COMMUNICATION, OUR DISEASE MANAGEMENT PROGRAMS HELP TO CONTROL THE DISEASE PROCESS AND MAXIMIZE WELLNESS. THE GOAL IS TO PROVIDE A TEMPLATE OF CARE THAT CAN BE MODIFIED BASED ON INDIVIDUAL PATIENT NEEDS. EACH PATH IDENTIFIES KEY GOALS AND ACTIONS TO MEET THOSE GOALS AS WELL AS SPECIFIC TEACHING TO BE PROVIDED. PATIENTS CAN OFTEN BE EFFECTIVELY MANAGED ONCE STABILIZED VIA ROUTINE PHONE MANAGEMENT. THIS APPROACH HAS RESULTED IN REDUCED HOSPITALIZATIONS AND EMERGENCY ROOM VISITS. ALL PATHS ARE DEVELOPED UTILIZING AN INTERDISCIPLINARY APPROACH INVOLVING ALL KEY DISCIPLINES. CURRENT PATHS INCLUDE DIABETES, CONGESTIVE HEART FAILURE, PNEUMONIA, DVT, ASTHMA, COPD, AND IDDM. OUR CARE PATHS ARE YOUR PATH TO INDEPENDENCE. NURSING: OUR HOME HEALTH RNS ASSESS AND CARE FOR PATIENTS OF ALL AGES AND CONDITIONS. THEIR SERVICES INCLUDE PATIENT OBSERVATION AND ASSESSMENT, PATIENT AND FAMILY TEACHING, THE ADMINISTRATION OF MEDICATIONS, WOUND CARE, TRACHEOTOMIES, GASTROSTOMY TUBES AND FOLEY CATHETERS, AS WELL AS AN ASSORTMENT OF OTHER TREATMENTS AS ORDERED. WOUND CARE: INDIVIDUALS WITH WOUNDS ACCOUNT FOR ONE-THIRD OF PATIENTS IN HOME CARE. THE VNA HAS A DEDICATED WOUND CARE TEAM WITH THE LARGEST NUMBER OF CERTIFIED WOUND, OSTOMY AND CONTINENCE (CWOCN) NURSES IN THE AREA. OUR SPECIALISTS WORK CLOSELY WITH ATTENDING PHYSICIANS TO ENSURE COORDINATION AND CONTINUITY OF CARE. DIGITAL PHOTOS ARE REGULARLY EXCHANGED TO SHOW HEALING PROGRESS. OUR PROGRAM HIGHLIGHTS PREVENTION, HEALTH MAINTENANCE, THERAPEUTIC INTERVENTION, REHABILITATION, DIGITAL PHOTOGRAPHY, VACUUM ASSISTED WOUND CLOSURE, ADVANCED WOUND CARE PRODUCTS, AND MONOCHROMATIC INFRARED ENERGY. REHABILITATION SERVICES: WITH THE ABILITY TO COMBINE THE INTENSITY OF INPATIENT THERAPY WITH THE SPECIALIZATION OF OUTPATIENT SERVICES. THE USE OF REHABILITATION AT HOME HAS INCREASED DRAMATICALLY OVER THE PAST DECADE. WE TREAT OUR PATIENTS WHERE THEY MOST PREFER TO BE, IN THEIR OWN HOMES. WE PROVIDE A COMPLETE ARRAY OF REHAB SERVICES. PHYSICAL THERAPY PHYSICAL THERAPISTS (PTS) ARE HEALTH CARE PROFESSIONALS WHO DIAGNOSE AND TREAT INDIVIDUALS OF ALL AGES, FROM NEWBORNS TO THE VERY OLDEST, WHICH HAVE MEDICAL PROBLEMS OR OTHER HEALTH-RELATED CONDITIONS THAT LIMIT THEIR ABILITIES TO MOVE AND PERFORM FUNCTIONAL ACTIVITIES IN THEIR DAILY LIVES. OCCUPATIONAL THERAPY: OCCUPATIONAL THERAPISTS PROVIDE SKILLED TREATMENT THAT HELPS INDIVIDUALS ACHIEVE INDEPENDENCE IN ALL FACETS OF THEIR LIVES. OCCUPATIONAL THERAPY ASSISTS PEOPLE IN DEVELOPING THE "SKILLS FOR THE JOB OF LIVING" NECESSARY FOR INDEPENDENT AND SATISFYING LIVES. SPEECH/LANGUAGE PATHOLOGY: SPEECH THERAPISTS EVALUATE, DIAGNOSE AND TREAT SPEECH, LANGUAGE, COGNITIVE-COMMUNICATION AND SWALLOWING DISORDERS IN INDIVIDUALS OF ALL AGES, FROM INFANTS TO THE ELDERLY. MEDICAL SOCIAL WORK: MEDICAL SOCIAL WORKERS PROVIDE PSYCHOSOCIAL SUPPORT TO PEOPLE, FAMILIES OR VULNERABLE POPULATIONS SO THEY CAN COPE WITH CHRONIC, ACUTE, OR TERMINAL ILLNESSES. THEY ALSO ADVISE FAMILY CAREGIVERS, COUNSEL PATIENTS, AND HELP PLAN FOR PATIENTS' NEEDS AFTER DISCHARGE FROM HOME HEALTH CARE. NUTRITIONAL THERAPY: REGISTERED DIETICIANS PROVIDE RELIABLE, OBJECTIVE NUTRITION INFORMATION, SEPARATE FACTS FROM FADS AND TRANSLATE THE LATEST SCIENTIFIC FINDINGS INTO EASY-TO-UNDERSTAND NUTRITION INFORMATION. THEY WORK CLOSELY WITH OTHER MEMBERS OF OUR TEAM, ESPECIALLY WITH DIABETIC PATIENTS, AND THOSE RECEIVING NUTRITIONAL INTAKE FROM ALTERNATIVE SOURCES. AT THE VNA, OUR NOT-FOR-PROFIT STATUS ALLOWS US TO RE-INVEST IN THE LATEST, MOST EFFECTIVE THERAPIES TO IMPROVE THE RECOVERY OF OUR PATIENTS. WE CONSTANTLY MONITOR THE REHABILITATION LITERATURE TO IDENTIFY THE NEWEST, RESEARCH DRIVEN THERAPIES, AND APPLY THEM TO THE HOME SETTING SOME OF THE SPECIALTY AREAS IN WHICH WE ARE HIGHLY PROFICIENT, INCLUDING FALLS RISK ASSESSMENT AND INTERVENTION. AN EVIDENCE-BASED FALLS RISK ASSESSMENT IS INCLUDED WITH EVERY PATIENT EVALUATION WE PERFORM. WE USE OBJECTIVE, WELL RESEARCHED TOOLS AND INTERVENTIONS TO TRACK AND IMPROVE THE ABILITY OF OUR PATIENTS TO SAFELY WALK AND FUNCTION WITHIN THEIR HOME ENVIRONMENT. WE ALSO PROVIDE AN EXTENSIVE HOME EVALUATION AND OFFER A COMPREHENSIVE LIST OF RECOMMENDATIONS TO IMPROVE THE SAFETY OF OUR PATIENTS AS THEY PROGRESS THROUGHOUT THEIR DALLY ACTIVITIES. TOTAL JOINT REPLACEMENT FAST-TRACK: A PROGRAM WHICH ALLOWS PATIENTS WHO HAVE HAD A TOTAL KNEE OR HIP REPLACEMENT TO RETURN HOME STRAIGHT FROM THE HOSPITAL AFTER THEIR SURGERY. OUR TEAM IS DEDICATED TO PROVIDING INITIAL VISITS THE DAY AFTER YOU RETURN HOME, AND IN SOME CASES, A PRE-OPERATIVE VISIT MAY BE ARRANGED TO PREPARE YOU IN ADVANCE FOR YOUR RETURN THERAPY. FREQUENCIES OF UP TO 6 DAYS PER WEEK ARE POSSIBLE, AND YOU WILL BENEFIT FROM AS MANY OF THE COMPREHENSIVE VNA SERVICES AS YOU NEED. VESTIBULAR DYSFUNCTION AND INTERVENTION PROGRAM: A SPECIFIC PHYSICAL THERAPY TREATMENT PROGRAM FOR DIZZINESS CAUSED BY INNER EAR DYSFUNCTION. OSTEOPOROSIS AND COMPRESSION FRACTURE MANAGEMENT: A PROGRAM OF PROGRESSIVE EXERCISES AND POSITIONING RECOMMENDATIONS SPECIFICALLY DESIGNED TO DECREASE PAIN, IMPROVE POSTURE, MODIFY RISK FACTORS, AND INCREASE MOBILITY IN THE POPULATION WITH THIS DEBILITATING CONDITION. ADVANCED MULTIDISCIPLINARY WOUND CARE: A PHYSICAL THERAPY TREATMENT PROGRAM LED BY A CERTIFIED WOUND SPECIALIST WHICH MAY UTILIZE ELECTRICAL STIMULATION, CONSERVATIVE SHARP DEBRIDEMENT, POSITIONING AND EDUCATION TO PROMOTE HEALING OF CHRONIC AND DIFFICULT TO HEAL WOUNDS. LOW VISION ASSESSMENT AND INTERVENTION: AN OCCUPATIONAL THERAPY PROGRAM WHICH INCLUDES ADAPTIVE TECHNIQUES FOR FUNCTIONING INDEPENDENTLY WITH LOW VISUAL ACUITY. INSTRUCTION IN INNOVATIVE TECHNIQUES FOR DIABETIC AND STORMY CARE FOR PATIENTS WITH LOW VISION IS ALSO AVAILABLE. VITAL STIM THERAPY: A SPEECH THERAPY PROGRAM WHERE SPECIFICALLY CALIBRATED ELECTRICAL STIMULATION IS UTILIZED ALONG WITH TARGETED EXERCISES TO IMPROVE THE ABILITY TO SWALLOW. THIS THERAPY HAS DEMONSTRATED RESULTS WHICH INCLUDE THE COMPLETE RETURN TO NORMAL SWALLOWING FUNCTION IN PATIENTS WHO HAVE RELIED ON FEEDING TUBES FOR YEARS TO OBTAIN THEIR NUTRITIONAL INTAKE. MOMS PROGRAM: THE MEDICAID OBSTETRICAL AND MATERNAL SERVICES PROGRAM (MOMS) PROVIDES PREGNANCY SERVICES TO WOMEN WHO ARE ELIGIBLE FOR SERVICES UP TO 200% OF THE FEDERAL POVERTY LEVEL. MOMS OFFERS ROUTINE PREGNANCY CHECK UPS, HOSPITAL CARE DURING PREGNANCY AND DELIVERY, FULL HEALTH CARE FOR WOMAN UNTIL AT LEAST TWO MONTHS AFTER DELIVERY AND FULL HEALTH CARE COVERAGE FOR THE BABY UP TO ONE YEAR OF AGE. PEDIATRIC SERVICES: THE VNA HAS THE LARGEST TEAM OF PEDIATRIC NURSES AND PEDIATRIC INFUSION NURSES IN THE REGION. VNA PEDIATRIC NURSES ARE DEDICATED STAFF TRAINED IN THE SPECIAL CARE AND NEEDS OF CHILDREN OF ALL AGES. THE HIGHLY SPECIALIZED CAREGIVERS FROM THE VNA INCLUDES NURSES, REHAB THERAPISTS, RESPIRATORY THERAPISTS, AND PHARMACISTS. ADULT DAY SERVICES: AN ADULT DAY PROGRAM IS DESIGNED TO MEET THE NEEDS OF THE CHRONICALLY ILL AND IMPAIRED ADULTS (AGES 18 AND ABOVE) WHO LIVE IN THE COMMUNITY. SOCIALIZATION, ASSISTANCE WITH PERSONAL CARE AND A WIDE VARIETY OF ACTIVITIES HELP INDIVIDUALS MAINTAIN THEIR INDEPENDENCE AND PROMOTE FEELINGS OF SELF-WORTH. ADULT DAY PROGRAMS OFFER FAMILIES AN OPPORTUNITY TO TAKE A BREAK FROM THE CONSTANT DEMANDS OF CARING FOR LOVED ONES, WHO DEPEND ON THEM FOR ASSISTANCE WITH ACTIVITIES OF DALLY LIVING. INDIVIDUALS ATTEND ON A PLANNED BASIS, WHICH MAY RANGE FROM ONE TO FIVE DAYS PER WEEK, ACCORDING TO YOUR SPECIAL NEEDS. TELEHEALTH HOME MONITORING: TELEHEALTH USES TELECOMMUNICATIONS DEVICES PLACED IN PATIENTS' HOMES TO TAKE THEIR VITAL SIGNS EVERY DAY, REMINDS THE PATIENT TO TAKE MEDICATION AND ANSWER SIMPLE QUESTIONS ABOUT THEIR CONDITION IN THE COMFORT OF THEIR HOME. A TELEHEALTH NURSE WILL TRAIN THE PATIENT TO INTERPRET HIS OR HER BLOOD PRESSURE, OXIMETRY LEVELS, PULSE RATES AND WEIGHT WITH EQUIPMENT INSTALLED IN THEIR HOME. THE PATIENT WILL TRANSMIT THEIR RESULTS TO THE VNA FOR REVIEW DALLY. IF ANY READINGS ARE OUTSIDE THE PARAMETERS SET BY THE PHYSICIAN, AN IMMEDIATE HOME INTERVENTION WILL TAKE PLACE TO ADDRESS THE PATIENT'S NEEDS. 55984616 true true false false false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 57 0 true 853 true false false false false false false false false false false false X 13 10 false false false false true true true true true false false true true true true true true true true true true NY X X DANIEL OWEN 7166308000 2100 WEHRLE DRIVE WILLIAMSVILLE NY 14221 X BRIAN P CROSBY BOARD MEMBER 2.0 0.0 X 0 0 0 MICHAEL R SPYCHALA BOARD CHAIR 2.0 0.0 X X 0 0 0 MATTHEW O BRIEN M D SECRETARY/TREASURER 2.0 0.0 X X 0 0 0 CAROL BREWER PHD RN BOARD MEMBER 2.0 0.0 X 0 0 0 JAMES SCHMIT BOARD VICE CHAIR 2.0 0.0 X X 0 0 0 BARRY SWARTZ BOARD MEMBER 2.0 2.0 X 0 0 0 JUDY BAUMGARTNER PRESIDENT 30.6 9.4 X X 195850 60163 39973 GEORGE MATTHEWS BOARD MEMBER 2.0 1.0 X 0 0 0 DON BOYD BOARD MEMBER 2.0 0.5 X 0 550028 72483 LAURA PAOLUCCI BOARD MEMBER 2.0 0.0 X 0 0 0 DAVID HUGHES BOARD MEMBER 2.0 0.0 X 0 563730 162408 WILLIAM COUGHLIN BOARD MEMBER 2.0 0.0 X 0 0 0 DOUG BEAN BOARD MEMBER 2.0 0.0 X 0 0 0 JODY LOMEO VICE PRESIDENT 2.0 0.0 X 0 771444 228699 JOHN SWIATKOWSKI VICE PRESIDENT 2.0 0.0 X 0 384006 112826 DANIEL OWEN DIRECTOR OF FINANCE 30.6 9.4 X 115669 35532 7428 LISA GREISLER RN VICE PRESIDENT & COO 40.0 0.0 X 152196 0 33234 CYNTHIA AHLSTROM DIRECTOR, BRANCH OPERATIONS 40.0 0.0 X 110133 0 28922 KENNETH SCHONBACHLER DIRECTOR OF BUS DEV & PT TRANS 40.0 0.0 X 129497 0 28573 ROSEMARY SLAWICH HOME HEALTH NURSE 40.0 0.0 X 122338 0 19026 CHERYL RICHARDSON HOME HEALTH NURSE 40.0 0.0 X 112600 0 19253 KELLY RAE-WISNIEWSKI HOME HEALTH NURSE 40.0 0.0 X 120627 0 19345 1058910 2364903 772170 8 false true false HOMECARE HOMEBASE LLC 6688 N CENTRAL EXPWY STE 800 DALLAS TX 75206 COMPUTER SERVICE 1448071 CARDIOCOM LLC 7980 CENTURY BLVD CHANHASSEN MN 55317 TELEHEALTH SERVICES 717542 FLC SPINDRIFT LLC 350 ESSJAY RD STE 101 WILLIAMSVILLE NY 14221 RENT 650294 VERIZON WIRELESS CELL PHONE SERVICE 609770 FILLMORE PHYSICAL THERAPY 11039 DUGWAY RD FILLMORE NY 14735 HOME CARE SERVICES 134083 8 236031 236031 PATIENT REVENUE 74438438 74438438 74438438 232000 232000 0 0 0 0 0 373000 373000 373000 373000 0 0 0 SALE OF MEDICAL RECORDS 900099 26505 26505 26505 75305974 74464943 605000 0 0 0 0 463716 255044 208672 0 0 44346856 35477485 8869371 0 1744856 1395885 348971 0 8253888 6603110 1650778 0 3314569 2651655 662914 0 0 0 0 0 0 0 5712147 3884260 1827887 0 88155 59945 28210 0 958609 651854 306755 0 0 0 763518 519192 244326 0 2302981 2072683 230298 0 0 0 0 0 620719 422089 198630 0 588414 400122 188292 0 MEDICAL SUPPLIES 879775 879775 0 0 BAD DEBT EXPENSE 533267 533267 0 0 TAXES AND LICENSES 10672 7257 3415 0 MEMBERSHIP DUES 31740 21583 10157 0 219721 149410 70311 70833603 55984616 14848987 0 5790807 6174819 0 0 0 0 13732459 13213287 0 0 0 0 0 0 32946 31769 235761 232122 6317355 3862638 2714296 2454717 13354734 16800342 0 0 0 0 1556000 2812803 0 0 37417003 41719859 8117856 6292294 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5090453 6911883 13208309 13204177 X 24208694 28515682 0 0 0 0 24208694 28515682 37417003 41719859 4472371 -165383 X false true X true false X 16787 109937 68516 208333 236031 639604 49568490 53136287 61622508 69135720 74438438 307901443 0 0 0 49585277 53246224 61691024 69344053 74674469 308541047 0 0 0 308541047 134499 16174 271391 272000 232000 926064 0 134499 16174 271391 272000 232000 926064 0 14697 13251 9173 27497 26505 91123 49734473 53275649 61971588 69643550 74932974 309558234 0.99671 0.99696 0.00299 0.00272 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6317355 3862638 2454717 2454717 0 DUE TO AFFILIATES 1294242 EST SELF-INSURANCE RESERVES 4823257 ESTIMATED THIRD PARTY PAYOR SE 794384 6911883 X Part X, Line 2 VNA and HCS follow the provisions of ASC 740, Accounting for Uncertainty in Income Taxes, whereby Home Care Affiliates recognizes income tax positions when it is more-likely than-not that the position will be sustainable based on the merits of the position. Management has concluded that there are no material uncertain tax positions that need to be recorded. X true true X X X X X X false true false false false true false false false JUDY BAUMGARTNER PRESIDENT 195850 60163 0 0 0 0 26991 8291 3589 1102 226430 69556 0 0 DON BOYD BOARD MEMBER 0 459395 0 0 0 90633 0 58759 0 13724 0 622511 0 83133 DANIEL OWEN DIRECTOR OF FINANCE 115669 35532 0 0 0 0 3993 1227 1689 519 121351 37278 0 0 KENNETH SCHONBACHLER DIRECTOR OF BUS DEV & PT TRANS 129497 0 0 0 0 0 13493 0 15080 0 158070 0 0 0 LISA GREISLER RN VICE PRESIDENT & COO 152196 0 0 0 0 0 18111 0 15123 0 185430 0 0 0 DAVID HUGHES BOARD MEMBER 0 563730 0 0 0 0 0 161604 0 804 0 726138 0 0 JODY LOMEO VICE PRESIDENT 0 771444 0 0 0 0 0 221993 0 6706 0 1000143 0 0 JOHN SWIATKOWSKI VICE PRESIDENT 0 384006 0 0 0 0 0 99308 0 13518 0 496832 0 0 HEALTH OR SOCIAL CLUB DUES SCHEDULE J, PART I, LINE 1A AS PART OF THEIR COMPENSATION PACKAGE CERTAIN DIRECTORS, OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION ARE ENTITLED TO CHOOSE AS AN EXECUTIVE PERK THE BENEFIT OF BUSINESS RELATED SOCIAL DUES OR INITIATION FEES. EXECUTIVE DEFERRED RETIREMENT PLAN SCHEDULE J, PART I, QUESTION 4B DURING THE YEAR, THE FOLLOWING OFFICER LISTED ON FORM 990, PART VII, SECTION A PARTICIPATED IN THE EXECUTIVE DEFERRED RETIREMENT PLAN: DONALD BOYD. 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 OFFICER RECEIVED PAYMENTS UNDER AN EXECUTIVE DEFERRED RETIREMENT PLAN: DONALD BOYD $83,133. COMPENSATION ARRANGEMENT CONTINGENT ON NET EARNINGS OF THE ORGANIZATION SCHEDULE J, PART I, QUESTION 6B THE ORGANIZATION PLACES A CERTAIN PORTION OF AN EXECUTIVES TOTAL AVAILABLE COMPENSATION AT RISK ANNUALLY AND A PROPORTION OF THAT AT-RISK AMOUNT IS DEPENDENT UPON CERTAIN OPERATING PERFORMANCE TARGETS OF THE ORGANIZATION, BOTH FINANCIAL AND NON-FINANCIAL. DURING 2013, CERTAIN FINANCIAL OPERATING TARGETS WHICH WERE SET BY THE COMPENSATION COMMITTEE OF KALELDA HEALTH (A RELATED NOT-FOR-PROFIT ORGANIZATION), INCLUDING TOTAL NET OPERATING MARGIN WERE MET AND EXCEEDED RESULTING IN COMPENSATION UNDER THIS ARRANGEMENT PAID TO OFFICERS DURING 2014. ORGANIZATION'S MISSION FORM 990, PART I, LINE 1 VNA OF WNY IS A CERTIFIED HOME HEALTH AGENCY PROVIDING SKILLED NURSING NURSING SVCS, REHAB SVCS, & TELEHEALTH HOME MONITORING PRIMARILY TO MEDICARE & MEDICAID PATIENTS, ALSO OPERATES AN ADULT DAYCARE CENTER. DESCRIPTION OF CLASSES OF MEMBERS & MEMBERS RIGHTS Form 990, Part VI, Questions 6, 7a, 7b PART VI, QUESTION 6 - THE ORGANIZATION IS A MEMBERSHIP (NOT A STOCK) CORPORATION UNDER NEW YORK STATE LAW THE ORGANIZATION'S SOLE CORPORATE MEMBER IS KALELDA HEALTH, A RELATED NOT-FOR-PROFIT ORGANIZATION. PART VI, QUESTION 7A - IN ACCORDANCE WITH THE TERMS AND REQUIREMENTS OF ITS GOVERNING DOCUMENTS (i.e. BYLAWS), ON AN ANNUAL BASIS, THE ORGANIZATION'S CURRENT BOARD MEMBERS RECOMMEND THE LIST OF CANDIDATES FOR MEMBERSHIP TO THE GOVERNING BODY FOR THE SUBSEQUENT TERM TO THE EXECUTIVE COMMITTEE OF KALELDA HEALTH. THE EXECUTIVE COMMITTEE OF KALELDA HEALTH, AS THE REPRESENTATIVES OF THE ORGANIZATION SOLE CORPORATE MEMBER, APPROVES AND ELECTS THESE CANDIDATES TO SERVE AS THE ORGANIZATIONS BOARD OF DIRECTORS, CHARTERS, REMOVAL OF MEMBERS OF THE GOVERNING BODY, AND THE DECISION TO DISSOLVE THE ORGANIZATION. DESCRIBE PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990 Form 990, Part VI, Question 11a THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S MANAGEMENT IN CONSULTATION WITH THE ORGANIZATION'S TAX ADVISORS, KPMG. THIS FINANCIAL REVIEW IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOR THE RELEVANT TIME PERIOD BEFORE THE FORM 990 IS FILED WITH THE INTERNAL REVENUE SERVICE. THE ORGANIZATION'S BOARD OF DIRECTORS ARE ALSO PROVIDED A COPY OF THE FORM 990 TO REVIEW. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST Form 990, Part VI, Question 12c UPON EMPLOYMENT AND ANNUALLY THEREAFTER EACH KEY EMPLOYEE AND OFFICER OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, PROVIDING SUFFICIENT INFORMATION ABOUT HIS/HER PERSONAL INTERESTS AND RELATIONSHIPS SO THE ORGANIZATION CAN (1) DETERMINE WHETHER ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST MAY EXIST, AND (2) MONITOR WORK OR SERVICE ASSIGNMENTS TO AVOID PLACING THE KEY EMPLOYEE, OFFICER OR DIRECTOR IN A POSITION WHERE THERE MAYBE AN APPEARANCE, POTENTIAL OR ACTUAL, 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, Question 15a ON AN ANNUAL BASIS, THE ORGANIZATION'S MANAGEMENT TEAM REVIEWS AND APPROVES THE COMPENSATION PACKAGE OF THE ORGANIZATION'S KEY EMPLOYEES, THIS PROCESS ALSO INCLUDES A 360 PEER REVIEW. THE ORGANIZATION'S OFFICER COMPENSATION ARRANGEMENTS ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITIEE OF KALEIDA HEALTH, A RELATED NOT-FOR-PROFIT ORGANIZATION AND SOLE MEMBER OF THE ORGANIZATION. INFORMATION REVIEWED FOR THE OFFICERS INCLUDES COMPARABLE DATA FROM SIMILAR SIZE TAX-EXEMPT ORGANIZATIONS IN THE WESTERN NEW YORK COMMUNITY AS WELL AS COMPENSATION FOR THESE POSITIONS (AS DISCLOSED ON FORM 990) WITH OTHER ORGANIZATIONS IN THE HEALTH CARE INDUSTRY THAT ARE OF SIMILAR SIZE, DEMOGRAPHICS AND GEOGRAPHY. REVIEW AND APPROVAL OF THE COMPENSATION ARRANGEMENT BY THE COMPENSATION COMMITTEE IS DOCUMENTED. AVAIL OF GOV DOCS CONFLICT OF INTEREST POLICY & FIN STMTS TO GEN PUBLIC Form 990 Part VI, Question 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE OFFICES OF KALEIDA HEALTH (A RELATED NON-FOR-PROFIT ORGANIZATION) AT 726 EXCHANGE STREET, SUITE 200, BUFFALO, NY 14210. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED. 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