KALEIDA HEALTH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: KALEIDA HEALTH (EIN 16-1533232)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-14
IRS object ID: 201313189349305676
Schema version: 2012v2.1
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)
Timestamp	2013-11-14T15:19:10-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	515 Broadway 4th Floor	AddressLine1
City	Albany	City
State	NY	State
ZIP Code	122072974	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	161533232	EIN

Name Name

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

Field	Value	IRS element (for citing)
In Care Of Name	% JON SWIATKOWSKI	InCareOfName
Name Control	KALE	NameControl
Phone	7168598501	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	726 EXCHANGE STREET	AddressLine1
Address Line2	Suite 200	AddressLine2
City	BUFFALO	City
State	NY	State
ZIP Code	14210	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Joseph M Kessler	Name
Title	EVP, CFO	Title
Phone	5184274600	Phone
Date Signed	2013-11-13	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	5184274600	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JAMES KASKIE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	726 EXCHANGE STREET SUITE 500	AddressLine1
City	BUFFALO	City
State	NY	State
ZIP Code	14210	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1258672254	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.KALEIDAHEALTH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1998	YearFormation
State Legal Domicile	NY	StateLegalDomicile
Activity Or Mission Description	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.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	9570	TotalNbrEmployees
Total Nbr Volunteers	1539	TotalNbrVolunteers
Total Gross UBI	3874713	TotalGrossUBI
Contributions Grants Prior Year	18385104	ContributionsGrantsPriorYear
Contributions Grants Current Year	18003436	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1077197344	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1095513299	ProgramServiceRevenueCY
Investment Income Prior Year	15876877	InvestmentIncomePriorYear
Investment Income Current Year	5761717	InvestmentIncomeCurrentYear
Other Revenue Prior Year	7627938	OtherRevenuePriorYear
Other Revenue Current Year	18607954	OtherRevenueCurrentYear
Total Revenue Prior Year	1119087263	TotalRevenuePriorYear
Total Revenue Current Year	1137886406	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	392500	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	1100400	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	627869038	SalariesEtcPriorYear
Salaries Etc Current Year	624258217	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	503822481	OtherExpensePriorYear
Other Expenses Current Year	500508726	OtherExpensesCurrentYear
Total Expenses Prior Year	1132084019	TotalExpensesPriorYear
Total Expenses Current Year	1125867343	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-12996756	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	12019063	RevenuesLessExpensesCY
Total Assets BOY	1073480481	TotalAssetsBOY
Total Assets EOY	1107799605	TotalAssetsEOY
Total Liabilities BOY	938525536	TotalLiabilitiesBOY
Total Liabilities EOY	927906004	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	134954945	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	179893601	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	KALEIDA HEALTH IS A VOLUNTARY, NOT-FOR-PROFIT; NEW YORK STATE DEPARTMENT OF HEALTH ARTICLE 28 LICENSED HOSPITAL-BASED HEALTHCARE DELIVERY SYSTEM SERVING 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 BONDED TOGETHER INTO ONE FRAMEWORK FOR LEADERSHIP, GOVERNANCE, SHARED SERVICES, FINANCIAL INFRASTRUCTURE AND INFORMATION TECHNOLOGY PLATFORMS. COLLECTIVELY, KALEIDA HEALTH'S MARKET SHARE IS 31.3% IN WESTERN NEW YORK, 40.5% IN ERIE COU	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	934969952	Expense
Grants	1100400	Grants
Revenue	1105486519	Revenue
Description	See Attachment 1.	Description
Total Program Service Expense	934969952	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	true	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	453	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	9570	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	true	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	NY	StatesWhereCopyOfReturnIsFiled
Own Website	X	OwnWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	JON SWIATKOWSKI	NamePerson
Telephone Number	7168598527	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	726 EXCHANGE STREET SUITE 200	AddressLine1
City	BUFFALO	City
State	NY	State
ZIP Code	14210	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
ROBERT M ZAK
VICE CHAIRMAN	1.0	0.0	X	0	0	0
MATTHEW L BROWN
DIRECTOR	1.0	0.0	X	0	0	0
EVAN EVANS MD
DIRECTOR	1.0	0.0	X	51000	0	0
ROBERT J HALONEN PhD
DIRECTOR	1.0	0.0	X	0	0	0
DARREN J KING
DIRECTOR	1.0	0.0	X	0	0	0
JAMES KASKIE
PRES/CEO EX-OFFICIO WITH VOTE	38.0	0.0	X	1317412	0	56548	X
JOHN R KOELMEL
CHAIRMAN	1.0	0.0	X	0	0	0
DAVID A MILLING MD
DIRECTOR	1.0	0.0	X	0	0	0
HERMAN S MOGAVERO Jr MD
TREASURER	1.0	0.0	X	0	0	0
DALE N SCHUMACHER
DIRECTOR	1.0	0.0	X	0	0	0
FRANCISCO M VASQUEZ PhD
SECRETARY	1.0	0.0	X	0	0	0
AMY L CLIFTON
DIRECTOR	0.0	0.0	X	0	0	0
CHRISTOPHER T GREENE ESQ
DIRECTOR	1.0	0.0	X	0	0	0
FRANK CURCI
DIRECTOR - WCHOB FDN BOD	1.0	1.0	X	0	0	0
KEVIN GIBBONS MD
DIRECTOR	1.0	0.0	X	0	0	0
GEORGE MATTHEWS
DIRECTOR	1.0	0.0	X	0	0	0
ROBERT NOLAN
GENERAL COUNSEL	38.0	1.0		414021	0	51029	X
CONNIE VARI
COO/PRESIDENT BGMC	38.0	0.0		887473	0	32674	X
JOSEPH KESSLER
CFO	38.0	1.0		499219	0	229174	X
MARGARET PAROSKI MD
CMO	38.0	0.0		590839	0	0	X
TONI BOOKER
EVP HUMAN RESOURCES OFFICER	38.0	0.0		328058	0	82485	X
CHERYL KLASS
PRESIDENT-WCHOB	38.0	0.0		521908	0	101871		X
DONALD BOYD
SVP BUSINESS DEVELOPMENT	38.0	0.0		473107	0	70247		X
CHRISTOPHER LANE
PRESIDENT-MFS	38.0	0.0		331342	0	60520		X
TAMARA OWEN
VP OF INTEGRATION	38.0	0.0		342701	0	67913		X
PUNEET GUPTA MD
EMPLOYED PHYSICIAN	38.0	0.0		385646	0	14266			X
CARINA ALFARO-FRANCO MD
EMPLOYED PHYSICIAN	38.0	0.0		367628	0	10264			X
LUCY CAMPBELL MD
EMPLOYED PHYSICIAN	38.0	0.0		432896	0	52797			X
VINCENT CALLANAN MD
EMPLOYED PHYSICIAN	38.0	0.0		431679	0	49731			X
JOHN FITZPATRICK MD
EMPLOYED PHYSICIAN	38.0	0.0		357404	0	29975			X
JAMES FOSTER MD
FORMER EMPLOYED PHYSICIAN	0.0	0.0		339465	0	249				X
LAWRENCE ZIELINSKI
FORMER PRESIDENT-BGH	0.0	0.0		479721	0	249				X
ANDRAS VARI MD
FORMER CMO - MFG	0.0	0.0		327358	0	707				X
ANTHONY ZITO
FORMER PRESIDENT - DEGRAFF	0.0	0.0		279216	0	2523				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	9158093	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	913222	TotalOtherCompensation
Number Individuals GT100 K	392	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
DELOITTE CONSULTING
250 EAST 5TH ST PO BOX 5340	CINCINNATI	OH	452739626	CONSULTING	6112935
WNY RADIOLOGY LLC
PO BOX 4029	BUFFALO	NY	14240	RADIOLOGY SERVICES	4551278
SODEXHO MANAGEMENT INC
PO BOXES 81049	WOBURN	NY	018131049	CLEANING & LAUNDRY	4395733
NUANCE COMMUNICATIONS INC
PO BOX 7247-6924	PHILADELPHIA	PA	191706924	DICTATION SERVICES	1739643
VIRTUAL RADIOLOGY
PO BOX 4029	BUFFALO	NY	14240	RADIOLOGY SERVICES	1159691

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	53	NumberOfContractorsGT100K
Related Organizations	2013668	RelatedOrganizations
Government Grants	11940539	GovernmentGrants
All Other Contributions	4049229	AllOtherContributions
Noncash Contributions	2082668	NoncashContributions
Total Contributions	18003436	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
SERVICE REVENUE	623990	1092039947	1092039947
MANAGEMENT FEES	561000	74100		74100
LABORATORY SERV	621500	3399252		3399252

Field	Value	IRS element (for citing)
Total Program Service Revenue	1095513299	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4667796	TotalRevenueColumn
Related Or Exempt Function Income	52720	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	79342	UnrelatedBusinessRevenue
Exclusion	$4,535,734	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2340562	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	2340562	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	2340562	TotalRevenueColumn
Unrelated Business Revenue	58483	UnrelatedBusinessRevenue
Exclusion	$2,282,079	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	121553054	Securities
Other	326715	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	120117192	Securities
Other	668656	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1435862	Securities
Other	-341941	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1093921	TotalRevenueColumn
Exclusion	$1,093,921	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
REBATE REVENUE	900099	3778588	$3,778,588
MEDICAL RESIDENT TAX REFUND	900099	8935446		8935446
UNIVERSITY LEASE INCOME	531120	718892	$718,892

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2834466	TotalRevenueColumn
Related Or Exempt Function Income	985054	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	263536	UnrelatedBusinessRevenue
Exclusion	$1,585,876	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	16267392	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1137886406	TotalRevenueColumn
Related Or Exempt Function Income	1102013167	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	3874713	UnrelatedBusinessRevenue
Exclusion	$13,995,090	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	1100400	Total
Program Services	1100400	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	5757081	Total
Management And General	5757081	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	454538220	Total
Program Services	415211216	ProgramServices
Management And General	39327004	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	38141827	Total
Management And General	38141827	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	91984298	Total
Program Services	62542945	ProgramServices
Management And General	29441353	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	33836791	Total
Program Services	30872907	ProgramServices
Management And General	2963884	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	2303098	Total
Program Services	1102069	ProgramServices
Management And General	1201029	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	525000	Total
Management And General	525000	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	103414	Total
Management And General	103414	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	110028191	Total
Program Services	96375869	ProgramServices
Management And General	13652322	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	3723577	Total
Program Services	994328	ProgramServices
Management And General	2729249	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2902035	Total
Program Services	2035667	ProgramServices
Management And General	866368	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	6702717	Total
Program Services	3553022	ProgramServices
Management And General	3149695	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	900032	Total
Program Services	563599	ProgramServices
Management And General	336433	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	15253165	Total
Program Services	12181964	ProgramServices
Management And General	3071201	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	67423014	Total
Program Services	53938411	ProgramServices
Management And General	13484603	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	18723774	Total
Program Services	14103040	ProgramServices
Management And General	4620734	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
HEALTH CARE SUPPLIES	175626614	174557298	1069316
EQUIPMENT RENTAL & MAINT	25886628	11527063	14359565
BAD DEBT EXPENSE	21302447	21302447
SERVICE CONTRACTS	8816541	6938609	1877932

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	40288479	Total
Program Services	26069098	ProgramServices
Management And General	14219381	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1125867343	Total
Program Services	934969952	ProgramServices
Management And General	190897391	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	475006	BOY
EOY	1457388	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	77494154	BOY
EOY	82227233	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	133854817	BOY
EOY	131420998	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	19127555	BOY
EOY	19236308	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	10999998	BOY
EOY	10274623	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1613430920	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1125916796	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	462955694	BOY
EOY	487514124	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	84453285	BOY
EOY	92601963	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	98633160	BOY
EOY	78093244	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	185486812	BOY
EOY	204973724	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1073480481	BOY
EOY	1107799605	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	140360464	BOY
EOY	120073296	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	177398754	BOY
EOY	104986553	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	106426054	BOY
EOY	209813681	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	514340264	BOY
EOY	493032474	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	938525536	BOY
EOY	927906004	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	31887201	BOY
EOY	89356905	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	87667527	BOY
EOY	75136479	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	15400217	BOY
EOY	15400217	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	134954945	BOY
EOY	179893601	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1073480481	BOY
EOY	1107799605	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	12019063	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	16784531	ReconciliationUnrealizedInvest
Reconcilation Other Changes	16135062	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	true	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$48,414	GrantsOtherOrganizationsAmount
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$55,000	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	103414	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	GRANTS TO OTHER ORGANIZATIONS & DIRECT CONTACT WITH LEGISLATIVE BODY	Identifier
Return Reference	SCHEDULE C, PART II-B, QUESTIONS 1F AND 1G	ReturnReference
Explanation	THE AMOUNT REFLECTED FOR PART II-B, QUESTION 1F REPRESENTS THE PORTION OF THE DUES PAID TO THE GREATER NEW YORK HOSPITAL ASSOCIATION AND THE PORTION OF DUES PAID TO THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES 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.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	46995623	BeginningOfYearBalance
Contributions	3133756	Contributions
Investment Earnings Or Losses	2880650	InvestmentEarningsOrLosses
Other Expenditures	24365488	OtherExpenditures
End Of Year Balance	28644541	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	72587179	BeginningOfYearBalance
Contributions	5877436	Contributions
Investment Earnings Or Losses	28660	InvestmentEarningsOrLosses
Other Expenditures	31497652	OtherExpenditures
End Of Year Balance	46995623	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	79899854	BeginningOfYearBalance
Contributions	14188339	Contributions
Investment Earnings Or Losses	2153889	InvestmentEarningsOrLosses
Other Expenditures	23654903	OtherExpenditures
End Of Year Balance	72587179	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	23068508	BeginningOfYearBalance
Contributions	71865683	Contributions
Investment Earnings Or Losses	3656737	InvestmentEarningsOrLosses
Other Expenditures	18691074	OtherExpenditures
End Of Year Balance	79899854	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	28374857	BeginningOfYearBalance
Contributions	4858154	Contributions
Investment Earnings Or Losses	-5863675	InvestmentEarningsOrLosses
Other Expenditures	4300728	OtherExpenditures
End Of Year Balance	23068608	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.71110	BoardDesignatedEOYBalance
Term Endowment EOY Balance	0.28890	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	8054953	OtherCostOrOtherBasis
Book Value	8054953	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	549497308	OtherCostOrOtherBasis
Depreciation	329878138	Depreciation
Book Value	219619170	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1039756709	OtherCostOrOtherBasis
Depreciation	786842231	Depreciation
Book Value	252914478	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	16121950	OtherCostOrOtherBasis
Depreciation	9196427	Depreciation
Book Value	6925523	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	487514124	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities (22 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
INTECH RISK-MANAGED L CAP FUND	2944897	F
MCM CF GLOBAL ALPHA I FUND	2621937	F
WTC CTF RESEAR VALUE PUR 4/06	3534992	F
BENCHMARK PLUS INST PART L CAP	4063572	F
WTC CIF OPPORTUNISTIC FUND	6997723	F
CHARITABLE TEMPORARY INVEST FD	9	F
KALEIDA MIT COMMON FUND LP	92000	F
COMMON CAP VENTURE PTNRS VI	146761	F
COMMON FND CAP PRIVATE EQ P V	184166	F
KALEIDA MIT REALITY LP	475398	F
KALEIDA SI REALITY LP	1364908	F
DWS GLOBAL COMMODITIES	7068001	F
ROBECO GLOBAL EMERGING MARKETS	4534990	F
AQR GLOBAL RISK	4192554	F
PANAGORA RISK PARITY TOTAL RET	6731204	F
PICTET LOCAL EMERGING	7487127	F
ABERDEEN EMERGING MARKETS	3317816	F
PERMAL FIXED INCOME HOLDING	4510790	F
CRESTLINE OFFSHORE FUND	4525889	F
PUTNAM TOTAL RETURN FUND	6042841	F
AQR GLOBAL RISK PREM OFFSHORE	2143044	F
MACKAY SHIELDS HIGH YIELD LP	5112625	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	78093244	TotalOfBookValueSecurities

Other Assets OtherAssets (6 entries)

DescriptionDescription	Book ValueBookValue
DEFERRED FINANCING	11139204
INTEREST IN NET ASSETS OF FDNS	132994235
OTHER RECEIVABLES	28399208
OTHER ASSETS	20132853
INSURANCE RECOVERIES REC.	8908224
LONG TERM GRANT FROM HEAL NY	3400000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	204973724	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
DUE TO THIRD PARTY PAYORS	$6,894,635
SELF INSURANCE LIABILITY	$175,420,997
OTHER LIABILITIES	$11,062,279
PENSION LIABILITY	$267,935,478
ASSET RETIREMENT OBLIGATIONS	$13,620,874
CAPITAL LEASE OBLIGATIONS	$17,146,788
CONSTRUCTION PAYABLE	$951,423

Field	Value	IRS element (for citing)
Total Of Amounts	493032474	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	1121912980	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	12121407	NetUnrealizedGainsInvestments
Other Revenues	-22145681	OtherRevenues
Revenue Not Rptd F990	-10024274	RevenueNotRptdF990
Revenue Subtotal	1131937254	RevenueSubtotal
Other Revenues Not Included	5949152	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	5949152	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	1137886406	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	1101913534	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	1101913534	ExpensesSubtotal
Other Expenses Not Included	23953809	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	23953809	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	1125867343	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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:	SCHEDULE D, PART XI, LINE 2D LESS: MINORITY INTEREST IN SUB SHOWN AS REDUCTION IN GAINS IN AFS (843,234) LESS: BAD DEBT EXPENSE SHOWN AS REDUCTION OF INCOME IN AFS (21,302,447) -------------- TOTAL (22,145,681) OTHER REVENUE INCLUDED ON 990, NOT IN AFS: SCHEDULE D, PART XI, LINE 4B CONTRIBUTIONS FOR CAPITAL ACQUISITIONS 2,119,715 RESTRICTED CONTRIBUTIONS 3,133,756 RESTRICTED INVESTMENT INCOME 695,681 ----------- TOTAL 5,949,152
RECONCILIATION OF EXPENSES PER AFS WITH EXPENSES PER RETURN:	OTHER EXPENSES INCLUDED ON 990, NOT IN AFS	SCHEDULE D, PART XII, LINE 4B NET ASSETS RELEASED FROM RESTRICTIONS 2,651,362 BAD DEBT EXPENSE SHOWN AS A REDUCTION OF INCOME IN AFS 21,302,447 ------------- TOTAL 23,953,809

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13155546	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2436896	DirectOffsettingRevenue
Net Community Benefit Expense	10728650	NetCommunityBenefitExpense
Percent Of Total Expense	0.00970	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	290646272	TotalCommunityBenefitExpense
Direct Offsetting Revenue	210025267	DirectOffsettingRevenue
Net Community Benefit Expense	80621005	NetCommunityBenefitExpense
Percent Of Total Expense	0.07300	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	303801818	TotalCommunityBenefitExpense
Direct Offsetting Revenue	212462163	DirectOffsettingRevenue
Net Community Benefit Expense	91349655	NetCommunityBenefitExpense
Percent Of Total Expense	0.08270	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4287548	TotalCommunityBenefitExpense
Net Community Benefit Expense	4287548	NetCommunityBenefitExpense
Percent Of Total Expense	0.00390	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	45576380	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21983507	DirectOffsettingRevenue
Net Community Benefit Expense	23592873	NetCommunityBenefitExpense
Percent Of Total Expense	0.02140	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	36158111	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11846914	DirectOffsettingRevenue
Net Community Benefit Expense	24311197	NetCommunityBenefitExpense
Percent Of Total Expense	0.02200	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	172101	TotalCommunityBenefitExpense
Net Community Benefit Expense	172101	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	86194140	TotalCommunityBenefitExpense
Direct Offsetting Revenue	33830421	DirectOffsettingRevenue
Net Community Benefit Expense	52363719	NetCommunityBenefitExpense
Percent Of Total Expense	0.04750	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	389995958	TotalCommunityBenefitExpense
Direct Offsetting Revenue	246292584	DirectOffsettingRevenue
Net Community Benefit Expense	143713374	NetCommunityBenefitExpense
Percent Of Total Expense	0.13020	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$13,823,827	BadDebtExpenseAmount
Amount Attributable To	1007757	AmountAttributableTo
Amount Reimbursed By Medicare	172161526	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	167553992	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	4607534	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (12 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
MFSC LLC
PHYSICIAN SERVICES	0.51000	0.49000
COMMUNITY MEDICAL PC
PHYSICIAN SERVICES		1.00000
GENERAL PHYSICIANS P
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.	0.50186
NORTHTOWNS VENTURE L
HEALTH CARE SERVICES	0.50000
Optimum Physician Al
HEALTH CARE SERVICES	0.50000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	5	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (5 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours	Facility Reporting GroupFacilityReportingGroup	Childrens HospitalChildrensHospital
BUFFALO GENERAL MEDICAL CENTER
1	100 HIGH STREET	BUFFALO	NY	14203	X	X	X	X	A
WOMEN & CHILDREN'S HOSPITAL OF BUFFAL
2	219 BRYAN STREET	BUFFALO	NY	14222	X	X	X	X	A	X
MILLARD FILLMORE SUBURBAN HOSPITAL
3	1540 MAPLE ROAD	WILLIAMSVILLE	NY	14221	X	X	X	X	A
DEGRAFF MEMORIAL HOSPITAL
4	445 TREMONT AVE	NORTH TONAWANDA	NY	14120	X	X		X	A
MILLARD FILLMORE GATES CIRCLE HOSPITA
5	3 GATES CIRCLE	BUFFALO	NY	14221	X	X	X	X	A

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	400.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	true	ActionsOnNonpayment
Permit Lawsuit	X	PermitLawsuit
Permit Lien On Residence	X	PermitLienOnResidence
Permit Other Actions	X	PermitOtherActions
Collection Activities	false	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Other Actions Taken	X	OtherActionsTaken
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	26	NumberOfOtherFacilities

Other Facilities OtherFacilities (26 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
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
MFSC LLC Ambulatory Surgery Center
215 Klein Road	Williamsville	NY	14221	Freestanding surgery Center
Community Mental Health Center
1010 Main Street	Buffalo	NY	14203	Hospital based outpatient behavorial health services
WCHOB Women's Health Center
239 Bryant Street	Buffalo	NY	14222	Hospital based outpatient primary care services
Amherst General
4955 North Bailey Ave Suite 207	Amherst	NY	14226	Hospital based outpatient diagonstic services
NORTH BUFFALO MEDICAL PARK
900 HERTEL AVENUE	Buffalo	NY	14207	Hospital based outpatient primary care services
PEDIATRIC DENTAL CENTER
515 ABBOTT ROAD	Buffalo	NY	14220	hospital based outpatient Primary care services
WCHOB SPECIALTY CLINICS
140 HODGE STREET	Buffalo	NY	14222	HOSPITAL BASED OUTPATIENT PRIMARY CARE SERVICES
DEGRAFF MEMORIAL HOSPITAL WELLNESS CNTR
415 TREMONT STREET	NORTH TONAWANDA	NY	14120	Hospital based outpatient THERAPY SERVICES
DEACONESS FAMILY PLANNING CENTER
1313 MAIN ST	BUFFALO	NY	14209	FAMILY PLANNING SERVICES
WCHOB HODGE PEDIATRICS
125 HODGE STREET	BUFFALO	NY	14222	Hospital based outpatient PRIMARY CARE SERVICES
BUFFALO THERAPY SERVICES
115 FLINT ROAD	AMHERST	NY	14226	Hospital based outpatient THERAPY SERVICES
Stanley Makowski SBHC
1095 Jefferson Avenue	Buffalo	NY	14214	School based primary care services
Towne Garden Pediatrics
461 William Street	Buffalo	NY	14204	Hospital based outpatient primary care services
BUFFALO ELEM SCHOOL OF TECHNOLOGY
414 S DIVISION STREET	Buffalo	NY	14204	SCHOOL BASED PRIMARY CARE Services
DR M L KING SBHC
487 HIGH STREET	BUFFALO	NY	14211	SCHOOL BASED PRIMARY CARE SERVICES
LANCASTER ADDICTIONS CLINIC
11 WEST MAIN STREET	LANCASTER	NY	14127	HOSPITAL BASED OUTPATIENT BEHAVIORAL HEALTH SERVICES
DR LYDIA WRIGHT SCHOOL OF EXC #89 SBHC
106 APPENHEIMER STREET	Buffalo	NY	14214	School based primary care services
BENNETT HIGH SBHC
2885 MAIN STREET	Buffalo	NY	14214	School based primary care services
HERMAN BADILLO BILINGUAL ACAD #76 SBHC
315 CAROLINE STREET	Buffalo	NY	14201	School Based primary care services
HILLERY PARK SBHC
72 PAWNEE PARKWAY	Buffalo	NY	14210	School based primary care services
WESTMINSTER COMMUNITY SBHC
24 WESTMINSTER AVENUE	Buffalo	NY	14215	School based primary care services
BUILD ACADEMY SBHC
340 FOUGERON STREET	Buffalo	NY	14211	School based primary care services
WCHOB EARLY CHILDHOOD DIRECTION CENTER
3131 SHERIDAN AVENUE	Buffalo	NY	14226	School based primary care services
WCHOB Preschool Programs
1653 Kensington Avenue	Buffalo	NY	14215	Hospital based outpatient primary care services

Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
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 published annually by the U.S. Department of Health and Human Services. Individuals are notified during admissions 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 reduce price care is contacted by a facilitated enroller for financial screening and enrollment in a government-funded program, if eligible, while in the hospital if inpatient or shortly after their visit.
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 I, Line 7G	There are no costs attributable to a physician clinic included in Subsidized Health Services.
Part I, Line 7, Column (F)	Total Bad Debt expense subtracted from total expenses in the determination of calculating the percentage of Total Expense is $21,302,447.
Part II, Community Building Activities	Kaleida Health is actively engaged in protecting our community through emergency preparedness. Kaleida Health has taken the lead with community and international partners to increase the Western New York region's level of readiness for any crisis that may occur, including organizing and conducting internal and external emergency drills. Community partners include local law enforcement and fire departments, the United States Postal Service, Erie County Department of Health, Niagara County Department of Health, Erie County Hazmat Organization, local universities and the International Joint Commission [for Emergency Response] involving Erie County, Niagara County and the Niagara Province of Ontario, Canada, among other organizations. Kaleida Health's Emergency Management Department provides leadership training and programmatic services for other healthcare organizations throughout the region. The Department assisted with creation of a Regional Mutual-Aid Agreement between 26 healthcare organizations in Western New York. The Mutual-Aid Agreement makes it possible for the healthcare organizations to share resources with one another during a disaster. Kaleida Health's emergency management activities promote the health of the communities we serve by ensuring that citizens, businesses and non-profit organizations are well prepared for all hazards. Kaleida Health conducts physician workforce planning and actively recruits physicians to medical shortage/underserved areas. A medical staff development plan is established based on community need in our service area. Community need is based on the total number of physicians providing medial services to the area, not only those physicians that staff our hospitals.
Part III, Line 2 and 3	Costing Methodology Used in Determining the Amounts Reported on Lines 2 and 3 of Part III and the Rationale for Including a Portion of Bad Debt Amounts as Community Benefit 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 New Patient Revenue. Individuals who may quality for Charity Care assistance under the policy, but do not volunteer to complete the application process would not be granted Charity Care assistance. KALEIDA ALSO USES A PRESUMPTIVE CHARITY CARE PROCESS, WHICH HAS determined that 27% of self-pay bad debt expense in 2012 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 $1,007,757. We estimated this amount by using the 2012 calculated presumptive eligibility percentage on bad debt write-off's amounts over $500 (27%), and applied this percentage to those bad debt write-off's amounts under $500, to determine the bad debt write-off's that would have been eligible, if they were scored using the presumptive eligibility process. Bad debt is not included as 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 collection 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 under third-party arrangements. Additions to the estimated allowance for doubtful accounts are made by means of the provision for 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 of bad debts primarily relates to patients without insurance and to those that are underinsured or without the necessary resources to pay coinsurance and deductible balances.	Charity Care and Bad Debt Expense Footnote
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 2012 CMS Medicare Cost Report to determine the amounts reported on these lines.
Part III, Line 9B	Only after 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, Family Health Plus or Child Health Plus, and an eligibility determination is pending). When the financial assistance policies and options are reviewed with the patient or 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.
Part V, Section B	All of the Hospital Facilities of Kaleida Health share the same financial assistance policies. As such, the additional information provided for Part V, Section B, lines 14g, 16e, 18e, and 20D applies each of the hospital facilities listed. Part V, Line 14G Financial Aid Information Included on Bill and Statements Information that explains how qualified patients can access financial assistance through the hospital are included on bills and statements to patients. Application materials include a notice to 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 and application is pending.
Part V, Line 16E	Upon verification of employment wages will be garnished.
Part V, Line 18E	Notification through Kaleida Health website and brochures.
Part V, Line 20D	The amounts billed are calculated using the Medicare rate, Medicaid rate or highest volume commercial payor rate.
Community Health Needs Assessment Process	Kaleida Health assesses the health of the communities we serve through a variety of means, including but not limited to consideration of the following community health needs assessments: * Kaleida Health: Community and Provider Health Care Assessment (January 2008): Kaleida sponsored and published a population-based, cross- sectional house-to-house community health needs assessment of 2,000 heads of households in medically underserved City of Buffalo neighborhoods. Of these households, 1,658 community residents participated in the survey. The purpose was to gather data from community residents on health care, provide information on how health care may be improved to best serve the community's needs, and identify what works well and what does not in the local health care environment for these residents, from their perspective. Additional data was gathered from community-based primary care providers to identify opportunities for collaboration on disease prevention for patients under their care. * Erie County Department of Health's Community Health Assessment (March 2010): Includes demographic and health status information for the population, including disease prevalence, incidence, health resources and service utilization, profiles of community resources, behavioral risk factors, unmet need for services, local health priorities, and opportunities for action in Erie County. * Niagara County Department of Health's Community Health Assessment (September 2009): Includes demographics, description of populations at risk, disease prevalence, incidence, access to care, problems and issues in the community, local health priorities, accomplishments and opportunities for action in Niagara County. * Project CODA: Creating Options for Dignified Aging in Erie and Niagara Counties (June 2009): A locally driven elderly-centered strategy based upon in-depth research on the demographics and specific needs and wants of elders, caregivers and service providers. The assessment provides an overview of the existing long-term care system in Erie and Niagara counties, forecasts the future of long-term care, and identifies models to project future economic and demographic trends, likely shifts in public policies and projections of future changes in consumer preferences and demand for aging services. * Western New York Health Care Safety-Net Assessment (February 2008): An assessment of access, consumer experience and health information technology. The assessment offers a description of the primary care safety-net in the region, assesses access and the safety-net's overall capacity and strength, assesses consumer's experience with their primary care, and determines the information technology capacity of the primary care safety net. * Reaching for Excellence: Community Vision and Voices for WNY Health Care (July 2009): A community health assessment that incorporates the perspective of the community and users of the health care system in current health care strategy development. More than 1700 Western New Yorkers were engaged in a series of community conversations about what consumers want for the future of health care in the region. The conversations resulted in 5 health care priorities, reflecting the top concerns of the region across race, ethnicity, age, income and geography. Secondary level quantitative data include local surveys, U.S. census, U.S. Department of Health and Human Services' Community Health Status Indicators Report for NY (including Erie and Niagara Counties), among other assessments. Kaleida's team uses data from community health assessments, such as those above, to shape strategy for prioritizing its efforts and identifying areas of focus for the community benefit interventions. Many of the interventions adopted by Kaleida Health focus on populations with Disproportionate Unmet Health Needs (DUHN), including the elderly, low-income individuals and families, children and youth, and persons with special needs. The goals selected for each intervention are in support of local collaborative planning efforts when possible, and engage the breadth of Kaleida's community benefit programs.
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 will open 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, Family Health Plus, Prenatal Care Assistance Program, and State Aid for Children with Special Needs. 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	Headquartered in the City of Buffalo, Erie County, New York, Kaleida Health serves a region diverse in character. The eight counties of Western New York State, including Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Orleans, Niagara and Wyoming, range from rural areas and small towns to denser metropolitan cities. Within the primary service area of Erie and Niagara counties, there is a combined population of approximately 1.5 million people. There are also several federally designated Medically Underserved Areas, Medically Underserved Populations, and Health Professional Shortage Areas in the service area. Demographic Information - Erie County Erie County is the largest metropolitan county in upstate New York. It is home to three cities, 16 villages, 25 towns, and two Native American Indian reservations. While the majority of the population lives within the cities and surrounding communities, there is a significant rural population that resides outside the first and second ring suburban areas. According to the adjusted 2010 U.S. Census, the population of Erie County, including the City of Buffalo, is 919,086. The City of Buffalo is the largest city in the region and the second largest city in New York State. Buffalo, which serves as the County seat, has a population of 259,384 and is ranked the third poorest city in the nation. The population of Erie County has been declining over the past decade. In the year 2000, the population of Erie County was 950,265. This represents a decrease of more than 3% population in over 10 years. According to the adjusted 2010 U.S. Census for 2012, 5.3% of the Erie County population are under the age of 5, 21% are under age 18, and 16.1% are age 65 and over. Compared to state and national age distributions, Erie County has a slightly lower percentage of young people and a higher percentage of people age 65 and older. However, the City of Buffalo population distribution is quite different from Erie County. In Buffalo, 23.6% of residents are under age 18 and 11.4% are age 65 and over. In Erie County, 51.8% of the population is female and 48.2% male. This distribution is similar to that of New York State. In the City of Buffalo there is a high percentage of females at 52.1% and lower percentage of males, 47.9%. For race, 80.9% of the Erie County population is non-Hispanic Whites, 13.8% non-Hispanic African-Americans, 4.8% Hispanic, 0.7% Native Americans, and 2.8% Asian/Pacific Islanders. As per the 2005 - 2009 American Community Survey, the City of Buffalo has a much higher percentage of African Americans (39.8%) and Hispanics (8.3%) than the county. And, according to the latest U.S. Census, the percentage of Hispanics increased so that the population is broken down as 50.4% Whites, 38.6% African-American, 10.5% Hispanic, 0.8% Native Americans, and 3.2% Asian/Pacific Islanders. Buffalo is home to a large immigrant and refugee population where there are 28 ethnicities and a minimum of 31 languages and dialects spoken. Lackawanna, New York, located just south of the City of Buffalo, is home to a large Arabian community, many of whom do not speak English as their first language. That corresponds with the fact that 14.2%, which increased from 13.7% last year, of homes in the City of Buffalo and close to 10% of the Erie County population speak a language other than English. The median household income in Erie County is $48,805, and the per capita income is $27,366. The median earnings for male full-time workers is $50,062. The median earnings for female full-time workers is $37,639. Compared to last year's median of $46,807 for males and $36,858 for female workers, males increased at a rate greater than females. For all families in Erie County, 10.5% are below the federal poverty level. For families with children under 18 years of age, 17.9% are below the federal poverty level, and families with children under 5 years of age, 22.5% are below the federal poverty level. The likelihood of families living below the poverty level is compounded for female headed families that do not have a husband present. Of the 13.7% percent of families in Erie County that have a female head of household with no husband present, 30.4% are below the poverty level. For those families with children under 18 years of age, 41.6% are below the poverty level and 53% of these families with children under age 5 are below the poverty level. In the City of Buffalo, according to the 2010 U.S. Census, where poverty is more prevalent, the median household income is $30,230, which is almost $20,000 less than the County as a whole; and the per capita income in Buffalo is $20,072. In comparison, the median household income nationally is $52,762, and $56,951 for New York State. In the City of Buffalo, 29.9% of residents are living below the federal poverty level. For families with children under 18 years of age, 38.5% are below the federal poverty level, and families with children under 5 years of age, 43.1% are below the federal poverty level. The likelihood of families living below the poverty level is compounded for female headed families that do not have a husband present. Of the 22.9% percent of families in Buffalo that have a female head of household with no husband present, 42.5% are below the poverty level. For those families with children under 18 years of age, 51.3% are below the poverty level and 57.3% of these families with children under age 5 are below the poverty level. In addition, according to the 2010 U.S. Census, almost 8% of Erie County residents and 10.7% of Buffalo residents still do not have health insurance. Of those residents who do have coverage, 34.3% and 48% respectively have public coverage. As for education, of those over 25 years of age, in Erie County 88.8% of adults graduated from high school and 40.8% earned college degrees; however, 11.1% did not complete high school. For the City of Buffalo, 19% did not complete high school, and only 31.2% earned college degrees. Demographic Information - Niagara County Niagara County is located just north of Erie County. Niagara County consists of 26 cities, towns and villages along with the Tuscarora Indian Reservation, which is located approximately in the middle of the county. The City of Niagara Falls is the most populated city in Niagara County, followed by North Tonawanda. According to the adjusted 2010 U.S. Census, Niagara County has a total population of 215,124, which has been declining in recent years even down from the 2010 census of 216,469. Niagara County demographics show the distribution of residents to be 88.8% White, 7% African-American, 1.1% Native American, and 0.9% Asian/Pacific Islander. The median household income for Niagara County is $46,599. English is the primary language for almost 94% of Niagara County residents. Niagara Falls is the largest city in Niagara County with 50,570 residents. The population of the City of Niagara Falls is 73.3% White, 21.8% African-American, 1.7% Native American, 2.6% Hispanic, and 1.1% Asian/Pacific Islander. The median income in Niagara Falls is $32,617. Families in the city who have children under 18 total 24.3%. There are also 19.4% of female headed households where with no husband, and of those 11% have children. As for education, of those over 25 years of age, 85.5% of adults graduated from high school and 24% earned college degrees; however, 14.5% did not complete high school. Compared to Niagara County as a whole where only 11.1% did not complete high school and 32.7% have earned a college degree. The poverty rates in Niagara Falls indicate that an overall 16.3% of residents live in poverty. Within this group, 25.8% of related children under age 18 and 32.5% of female headed households live below the federal poverty level. North Tonawanda is the second largest city in Niagara County with a total population of 31,626. The population is 97% Caucasian, 1.1% African-American, 1.3% Hispanic, and 1.2% Asian/Pacific Islander. The median income in North Tonawanda is $46,203.
Organization and affiliates role in promoting 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 the 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 community control over the corporation through its self-perpetuating, 14 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 faith, business and 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)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1	Address Line2AddressUS/AddressLine2	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
UB FOUNDATION
3435 MAIN STREET	SUNY BUFFALO	BUFFALO	NY	14231	160865182	501(c)(3)	5300	SPONSORSHIP
BUFFALO URBAN LEAGUE INC
15 GENESEE ST		BUFFALO	NY	14203	160743940	501(c)(3)	5100	SPONSORSHIP
WNY CLINICAL INFO EXCHANGE
2568 WALDEN AVE	SUITE 107	CHEEKTOWAGA	NY	14225	364594483	501(C)(3)	90000	CONTRIBUTION
Community Foundation for Greater Buffalo
726 Exchange St 525		Buffalo	NY	14210	222743917	501(C)(3)	1000000	Uncompensated Care

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	4	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	FORM 990, Schedule I:	Identifier
Return Reference	DESCRIPTON OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS	ReturnReference
Explanation	KALEIDA HEALTH MAKES CONTRIBUTIONS TO ORGANIZATIONS IN WESTERN NEW YORK THAT ALSO HAVE HEALTH CARE RELATED ACTIVITIES. ALL CONTRIBUTIONS MUST BE APPROVED BY THE GOVERNING BODY BEFORE THE MONEY IS DISTRIBUTED.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANDRAS VARI MD
FORMER CMO - MFG	10536	0	0	0	316822	0	0	0	707	0	328065	0	0	0
JAMES FOSTER MD
FORMER EMPLOYED PHYSICIAN	12547	0	0	0	326918	0	0	0	249	0	339714	0	0	0
LAWRENCE ZIELINSKI
FORMER PRESIDENT-BGH	0	0	0	0	479721	0	0	0	249	0	479970	0	93757	0
ANTHONY ZITO
FORMER PRESIDENT - DEGRAFF	8984	0	0	0	270232	0	54	0	2469	0	281739	0	0	0
JAMES KASKIE
PRES/CEO EX-OFFICIO WITH VOTE	929333	0	0	0	388079	0	38513	0	18035	0	1373960	0	340834	0
ROBERT NOLAN
GENERAL COUNSEL	361263	0	0	0	52758	0	37185	0	13844	0	465050	0	44758	0
CONNIE VARI
COO/PRESIDENT BGMC	180401	0	0	0	707072	0	19647	0	13027	0	920147	0	244535	0
JOSEPH KESSLER
CFO	491219	0	0	0	8000	0	215165	0	14009	0	728393	0	0	0
MARGARET PAROSKI MD
CMO	420000	0	0	0	170839	0	0	0	0	0	590839	0	145839	0
TONI BOOKER
EVP HUMAN RESOURCES OFFICER	320058	0	0	0	8000	0	76335	0	6150	0	410543	0	0	0
PUNEET GUPTA MD
EMPLOYED PHYSICIAN	385646	0	0	0	0	0	13489	0	777	0	399912	0	0	0
CARINA ALFARO-FRANCO MD
EMPLOYED PHYSICIAN	367628	0	0	0	0	0	9553	0	711	0	377892	0	0	0
LUCY CAMPBELL MD
EMPLOYED PHYSICIAN	432896	0	0	0	0	0	46541	0	6256	0	485693	0	0	0
VINCENT CALLANAN MD
EMPLOYED PHYSICIAN	431679	0	0	0	0	0	35795	0	13936	0	481410	0	0	0
JOHN FITZPATRICK MD
EMPLOYED PHYSICIAN	357404	0	0	0	0	0	16134	0	13841	0	387379	0	0	0
CHERYL KLASS
PRESIDENT-WCHOB	513908	0	0	0	8000	0	90376	0	11495	0	623779	0	0	0
DONALD BOYD
SVP BUSINESS DEVELOPMENT	397288	0	0	0	75819	0	56304	0	13943	0	543354	0	67819	0
CHRISTOPHER LANE
PRESIDENT-MFS	328342	0	0	0	3000	0	46709	0	13811	0	391862	0	0	0
TAMARA OWEN
VP OF INTEGRATION	314701	0	25000	0	3000	0	61960	0	5953	0	410614	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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 PERQUISITE THE BENEFIT OF BUSINESS RELATED SOCIAL DUES OR INITIATION FEES.
SEVERANCE PAYMENTS	SCHEDULE J, PART I, LINE 4A	THE FOLLOWING FORMER EMPLOYEES RECEIVED SEVERANCE PAYMENTS DURING 2012: CONNIE VARI, COO, $454,537 LAWRENCE ZIELINSKI, FORMER PRESIDENT OF BGH, $385,964 JAMES FOSTER, FORMER CMO AT WCHOB, $326,918 ANDRAS VARI, FORMER CMO AT MFG, $316,822 ANTHONY ZITO, FORMER PRESIDENT OF DEGRAFF, $270,232
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: ROBERT NOLAN, CONNIE VARI, JOSEPH KESSLER, JAMES KASKIE, LARRY ZIELINSKI, DONALD BOYD, MARGARET PAROSKI, CHERYL KLASS, AND TONI BOOKER. 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 2012, THE FOLLOWING OFFICERS RECEIVED PAYMENTS UNDER AN EXECUTIVE DEFERRED RETIREMENT PLAN: JAMES KASKIE $340,834 CONNIE VARI $244,535 MARGARET PAROSKI $145,839 LARRY ZIELINSKI $93,757 DONALD BOYD $67,819 ROBERT NOLAN $44,758

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
DORMITORY AUTHORITY - STATE OF NEW YORK
A	146000293	64983TQT3	2004-05-20	97405000	SEE PART VI	true	false	false
DORMITORY AUTHORITY - STATE OF NEW YORK
B	146000293	64983Q429	2006-09-21	81810000	RENOVATIONS TO FACILITIES	false	false	false
DORMITORY AUTHORITY - STATE OF NEW YORK
C	146000293		2006-09-28	16485005	EQUIPMENT PURCHASE	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Amount Bond DefeasedAmountBondDefeased	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	29500000	67905000	97635901	9835237	0	1867994	0	0	0	88857475	1987	true	false	true	true
B	8595000	0	86266056	42292836	5074243	1213231	1836365	2067415	69802989	0	2008	false	false	true	true
C	14466782	0	16894022	0	0	83005	0	0	16811017	0	2007	false	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Prcntge Bond Financed PropPrcntgeBondFinancedProp	Remedial Action TakenRemedialActionTaken	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs	Engage Bond Counsel ContractsEngageBondCounselContracts
A	false	false	false	false	false	false	0.00000	false	false
B	false	false	true	false	false	false		false	false	true
C	false	false	false	false	false	false		false	false

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
0
A	false	false	true	true	false	false	true	SEE PART VI	11.5	true	true	true
0
B	false	false	false	true	false	false	true	SEE PART VI	0.	true	true	true
0
C	false	false	false	true	false	false	false	0			false	true

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	true
B	true
C	true

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	SCHEDULE K, PART IV, ARBITRAGE, LINE 2C:	Identifier
Return Reference	0	ReturnReference
Explanation	(A) ISSUER NAME: DORMITORY AUTHORITY - STATE OF NEW YORK DATE THE REBATE COMPUTATION WAS PERFORMED: 09/19/2012 (A) ISSUER NAME: DORMITORY AUTHORITY - STATE OF NEW YORK DATE THE REBATE COMPUTATION WAS PERFORMED: 08/31/2011 (A) ISSUER NAME: DORMITORY AUTHORITY - STATE OF NEW YORK DATE THE REBATE COMPUTATION WAS PERFORMED: 08/31/2010 NOTE REGARDING THE REBATE COMPUTATION ON 8/31/2010: SINCE THE BOND PROCEEDS HAVE BEEN SPENT AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS NO FURTHER REBATE CALCULATIONS WERE NECESSARY. PART I, LINE A, COLUMN (F) - REFINANCED BUFFALO GENERAL HOSPITAL BONDS (7/1/94) 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, COLUMN A, LINE 5B - BAYERISCHE LANDESBANK PART IV, COLUMN B, LINE 5B - MBIA, INC PART IV, COLUMN B, LINE 5C - CONSTRUCTION FUND - 2.5 YEARS, RESERVE FUND - 4.4 YEARS	Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable

Field	Value	IRS element (for citing)
Name Person	Dr Andras Vari	NamePerson
Purpose Of Loan	See Part V	PurposeOfLoan
Loan From Organization	X	LoanFromOrganization
Original Principal	$11,457,367	OriginalPrincipalAmount
Balance Due	11457367	BalanceDue
Default	false	Default
Approved By Board	true	ApprovedByBoard
Written Agreement	true	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	11457367	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
GREATER NEW YORK HOSPITAL ASSOCIATI
SEE PART V	352700	SEE PART V	false
JOCELYN VARI
SEE PART V	72458	SEE PART V	false
DAVID VARI
SEE PART V	52805	SEE PART V	false
BONNIE PLEUTHNER
SEE PART V	19921	SEE PART V	false
SUSAN EVANS
SEE PART V	71499	SEE PART V	false
Dr ANDRAS VARI
SEE PART V	327358	SEE PART V	false

Form990 Schedule L Part V Form990ScheduleLPartV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	SCHEDULE L, PART IV	GREATER NEW YORK HOSPITAL ASSOCIATION, COLUMN B - RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: THE CURRENT 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 2012, THE ORGANIZATION PAID THE INTERESTED PERSON (GREATER NEW YORK HOSPITAL ASSOCIATION) PARTICIPATION DUES RELATED TO A SUPPLY INITIATIVE PROGRAM. JOCELYN VARI, COLUMN B - RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: JOCELYN VARI IS A FAMILY MEMBER OF AN OFFICER OF THE ORGANIZATION, CONNIE VARI, WHO RECEIVED COMPENSATION FROM THE ORGANIZATION IN EXCESS OF $10,000. COLUMN D - DESCRIPTION OF THE TRANSACTION: DURING 2012, THE ORGANIZATION PAID THE INTERESTED PERSON (JOCELYN VARI) IN THE NORMAL COURSE OF BUSINESS TO FURNISH SERVICES AS A PERFORMANCE IMPROVEMENT PROJECT COORDINATOR. DAVID VARI, COLUMN B - RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DAVID VARI IS A FAMILY MEMBER OF AN OFFICER OF THE ORGANIZATION, CONNIE VARI, WHO RECEIVED COMPENSATION FROM THE ORGANIZATION IN EXCESS OF $10,000. COLUMN D - DESCRIPTION OF THE TRANSACTION: DURING 2012, THE ORGANIZATION PAID THE INTERESTED PERSON (DAVID VARI) IN THE NORMAL COURSE OF BUSINESS FOR PERFORMANCE OF SERVICES AS AN EMPLOYEE RELATIONS SPECIALIST. BONNIE PLEUTHNER, COLUMN B - RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BONNIE PLEUTHNER IS A FAMILY MEMBER OF AN OFFICER OF THE ORGANIZATION, CONNIE VARI, WHO RECEIVED COMPENSATION FROM THE ORGANIZATION IN EXCESS OF $10,000. COLUMN D - DESCRIPTION OF THE TRANSACTION: DURING 2012, THE ORGANIZATION PAID THE INTERESTED PERSON (BONNIE PLEUTHNER) IN THE NORMAL COURSE OF BUSINESS FOR PERFORMANCE OF SERVICES AS A REGISTERED NURSE. 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 2012, THE ORGANIZATION PAID THE INTERESTED PERSON (SUSAN EVANS) IN THE NORMAL COURSE OF BUSINESS FOR PERFORMANCE OF SERVICES AS A DISCHARGE PLANNER. DR. ANDRAS VARI, COLUMN B - RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DR. ANDRAS VARI IS THE HUSBAND OF AN OFFICER OF THE ORGANIZATION, CONNIE VARI, WHO RECEIVED COMPENSATION FROM THE ORGANIZATION IN EXCESS OF $10,000. COLUMN D - DESCRIPTION OF THE TRANSACTION: DURING 2012, THE ORGANIZATION PAID THE INTERESTED PERSON (DR. ANDRAS VARI) SEVERANCE FOR HIS SERVICES AS THE FORMER CHIEF MEDICAL OFFICER OF MILLARD FILLMORE GATES HOSPITAL.
LOANS TO INTERESTED PERSONS	SCHEDULE L, PART II	GENERAL PHYSICIANS, P.C. (GPPC) COLUMN B - RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DR. ANDRAS VARI, AN INTERESTED PERSON TO KALEIDA HEALTH, IS FORMER OWNER OF GPPC. COLUMN D - DESCRIPTION OF THE TRANSACTION: DURING 2012, KALEIDA HEALTH LOANED GENERAL PHYSICIANS P.C. MONEY TO RE-ACTIVATE THE PHYSICIAN PRACTICE THAT HAS BEEN DORMANT SINCE 2002. THE LOAN WAS MADE TO ASSIST GENERAL PHYSICIANS P.C. TO PAY FOR 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.

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArt
Art Historical Treasures		ArtHistoricalTreasures
Art Fractional Interest		ArtFractionalInterest
Books And Publications		BooksAndPublications
Clothing And Household Goods		ClothingAndHouseholdGoods
Cars And Other Vehicles		CarsAndOtherVehicles
Boats And Planes		BoatsAndPlanes
Intellectual Property		IntellectualProperty
Securities Publicly Traded		SecuritiesPubliclyTraded
Securities Closely Held Stock		SecuritiesCloselyHeldStock
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential
Real Estate Commercial		RealEstateCommercial
Real Estate Other		RealEstateOther
Collectibles		Collectibles
Food Inventory		FoodInventory
Drugs And Medical Supplies		DrugsAndMedicalSupplies
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Description	Various Medical equipment	Description
Number Of Contributions	4	NumberOfContributions
Noncash Contribs Rptd F990	2082668	NoncashContribsRptdF990
Method Of Determining Revenues	Replacement cost	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	true	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DELEGATION OF CMO DUTIES	FORM 990, PART VI, SECTION A, LINE 3	DURING 2012, 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 IS 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, QUESTION 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.
PROCEDURE TO EVALUATE JOINT VENTURE ARRANGEMENT	FORM 990, PART VI, SECTION B, QUESTION 16B	THE ORGANIZATION HAS NOT ADOPTED A FORMAL WRITTEN POLICY OR PROCEDURE REQUIRING THE ORGANIZATION TO EVALUATE ITS PARTICIPATION IN JOINT VENTURE ARRANGEMENTS. HOWEVER, THE NORMAL DUE DILIGENCE PROCESS UNDERTAKEN IN CONJUNCTION WITH THE ORGANIZATION'S EXTERNAL LEGAL COUNSEL, ACCOUNTANTS AND OTHER BUSINESS ADVISORS DOES INCLUDE A REVIEW TO DETERMINE THE FOLLOWING: 1) THE IMPACT OF THE ARRANGEMENT UNDER APPLICABLE FEDERAL AND STATE LAW 2) WHETHER THE ARRANGEMENT WILL JEOPARDIZE THE ORGANIZATION'S EXEMPT STATUS AS A SECTION 501 (C) (3) CHARITABLE ORGANIZATION - HOSPITAL 3) WHETHER THE ARRANGEMENT WILL RESULT IN ANY UNRELATED BUSINESS TAXABLE INCOME 4) THE IMPACT OF THE ARRANGEMENT ON ANY EXISTING CONTRACTUAL AGREEMENTS OR OTHER BUSINESS RELATIONSHIPS AND 5) WHETHER THE ARRANGEMENT WILL RESULT IN ANY CONFLICTS OF INTEREST. IF THERE ARE CONCERNS WITH RESPECT TO ANY OF THE ABOVE MATTERS, THE ORGANIZATION WILL TAKE APPROPRIATE STEPS BEFORE THE JOINT VENTURE IS PURSUED, TO ENSURE THAT THE ARRANGEMENT WILL BE IN COMPLIANCE WITH APPLICABLE FEDERAL AND STATE LAWS AND TO SAFEGUARD THE ORGANIZATION'S TAX-EXEMPT STATUS. THE ORGANIZATION IS IN THE PROCESS OF FORMALIZING THE WRITTEN POLICY.
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.
OTHER CHANGES IN NET ASSETS OR FUND BALANCES	Form 990, Part XI	Minority Interest in Sub. 2,322,569 Decrease in Pension Liability 947,986 Transfer from Kaleida Foundations 100,000 Other Transfers, Net (303,592) Change in Value of Foundations 15,331,524 Change in Value of Waterfront (2,263,425) ------------ TOTAL 16,135,062

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Total IncomeTotalIncome	EOY AssetsEOYAssets
KALEIDA MCO LLC
726 EXCHANGE ST 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 WNY I LLC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	453189404	HEALTH CARE	NY	KH	-17728	269962

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
MILLARD FILLMORE AMBULATORY SURGERY CTR
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161307129	SUPPORT ORG	NY	501(C)(3)	11A	KH	true
VNA HOME CARE SERVICES
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161491203	HOME HLTH CAR	NY	501(C)(3)	9	KH	true
VNA OF WESTERN NEW YORK
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	160743214	HOME HLTH CAR	NY	501(C)(3)	9	KH	true
GENERAL HOME CARE (GHC)
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	222738425	DORMANT	NY	501(C)(3)	9	KH	true
KALEIDA HEALTH FOUNDATION
726 EXCHANGE STREET	BUFFALO	NY	14210	161579143	FUNDRAISING	NY	501(c)(3)	7	KH	true
THE WOMEN & CHILDREN'S HOSP OF BFLO FDN
726 EXCHANGE STREET	BUFFALO	NY	14210	161332044	FUNDRAISING	NY	501(c)(3)	7	KH	true

Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
HARLEM ROAD LEASING LLC
3435 MAIN STREET	BUFFALO	NY	14214	205588135	EQUIPMENT LEASING	NY	KH	UNRELATED	79342	276087	false	$102,119	true	0.50000
AMTON IMAGING LLC
PO BOX 1368	WILLIAMSVILLE	NY	14231	262925470	HEALTH CARE	NY	KALEIDAWNYI LLC	RELATED	-24661	181163	false		true	0.40000
PARK CLUB LANE LLC
2828 SHERIDAN DRIVE	TONAWANDA	NY	14150	271516155	HEALTH CARE	NY	KALEIDAWNYI LLC	EXCLUDED	6933	88799	false		true	0.30000
SITE E LLC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	272124795	REAL ESTATE MGMT	NY	KPI	EXCLUDED	116854	1658697	false		false	0.50186
MFSC LLC
100 HIGH STREET	BUFFALO	NY	14203	261582864	HEALTH CARE	NY	KH	EXCLUDED	1251444	1675153	false		false	0.53599
OPTIMUM PHYSICIAN ALLIANCE LLC
257 WEST GENESEE ST	BUFFALO	NY	14202	462180176	HEALTH CARE	NY	KALEIDAHEALTHNO	EXCLUDED	0	0	false		true	0.50000

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg
KALEIDA PROPERTIES INC
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	222738483	PROP MGMT SER	NY	KH	C Corp	1068793	17023778	1.00000	false
WESTLINK CORPORATION
726 EXCHANGE STREET SUITE 200	BUFFALO	NY	14210	161354421	MED & DIAG SERV	NY	KH	C Corp	-237	101824	1.00000	false
KALEIDAHEALTHNOW INC
257 W GENESEE ST	BUFFALO	NY	14202	462164089	HEALTH CARE	NY	KALEIDA HEALTH	C CORP	0	0	0.50000	false

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (16 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
VNA OF WESTERN NEW YORK
q	1445551
VNA HOME CARE SERVICES
q	845419
VNA HOME CARE SERVICES
P	118311
VNA OF WESTERN NEW YORK
P	306180
KALEIDA PROPERTIES INC
P	4742258
MFSC LLC
j	581160
MFSC LLC
p	330209
KALEIDA PROPERTIES
o	510545
KALEIDA PROPERTIES
q	549751
KALEIDA HEALTH FOUNDATION
c	1302460
KALEIDA HEALTH FOUNDATION
s	1516892
KALEIDA HEALTH FOUNDATION
P	420388
WOMENS AND CHILDRENS HOSPITAL OF BUFFALO FDN
c	727611
WOMENS AND CHILDRENS HOSPITAL OF BUFFALO FDN
s	1991730
WOMENS AND CHILDRENS HOSPITAL OF BUFFALO FDN
Q	277232
SITE E LLC
k	233450

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Identifier	TRANSACTIONS WITH RELATED ORGANIZATIONS	Identifier
Return Reference	SCHEDULE R, PART V, TRANSACTION TYPE C	ReturnReference
Explanation	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 $1,302,460 (SEE SCHEDULE R, PART V) VERSUS THE $1,033,886 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 $727,611 (SEE SCHEDULE R, PART V) VERSUS THE $958,151 RECORDED BY THE FILING ORGANIZATION AS GRANTS RECEIVED (SEE PART VIII, LINE 1D AND SCHEDULE B).	Explanation