Civic Intelligence

Kaleida Health

990 • Fiscal year 2019 • EIN 16-1533232

Jan 01, 2019 to Dec 31, 2019 • Filed on Nov 11, 2020

726 EXCHANGE STREET Suite 200Buffalo, NY 14210

(716) 859-8836

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

91st percentile

0.82x

Higher debt load relative to assets than 91% of similar nonprofits.

2019 filings • 501(c)3 • $1B+ nonprofits • Source year 2019

Liabilities / Revenue

63rd percentile

0.86x

Higher debt load relative to revenue than 63% of similar nonprofits.

2019 filings • 501(c)3 • $1B+ nonprofits • Source year 2019

Net Margin

15th percentile

-1.3%

Higher net margin than 15% of similar nonprofits.

2019 filings • 501(c)3 • $1B+ nonprofits • Source year 2019

Top Officer Pay

60th percentile

$2,283,733

Higher top officer pay than 60% of similar nonprofits.

Top officer pay equals 0.2% of source-year revenue.

2019 filings • 501(c)3 • $1B+ nonprofits • Source year 2019

Asset Growth

11th percentile

-1.2%

Faster asset growth than 11% of similar nonprofits.

2019 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2018 to 2019

Revenue Growth

23rd percentile

-1.2%

Faster revenue growth than 23% of similar nonprofits.

2019 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2018 to 2019

Assets

Down

$1,415,407,913

Down $17,852,688 (-1.2%) from 2018

Net Assets

Down

$255,950,703

Down $74,446,734 (-23%) from 2018

Liabilities

Up

$1,159,457,210

Up $56,594,046 (+5.1%) from 2018

Revenue

Down

$1,347,466,204

Down $16,466,689 (-1.2%) from 2018

Expenses

Up

$1,365,524,351

Up $21,799,874 (+1.6%) from 2018

Net Income

Down

-$18,058,147

Down $38,266,563 (-189%) from 2018

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$1.5B$1.0B$500M$0-$500MAssets 2010: $1,029,678,448Liabilities 2010: $770,656,008Net Assets 2010: $259,022,4402010Assets 2011: $1,073,480,481Liabilities 2011: $938,525,536Net Assets 2011: $134,954,9452011Assets 2012: $1,107,799,605Liabilities 2012: $927,906,004Net Assets 2012: $179,893,6012012Assets 2013: $1,120,308,222Liabilities 2013: $857,780,288Net Assets 2013: $262,527,9342013Assets 2014: $1,169,457,849Liabilities 2014: $935,456,911Net Assets 2014: $234,000,9382014Assets 2015: $1,138,382,417Liabilities 2015: $948,334,948Net Assets 2015: $190,047,4692015Assets 2016: $1,202,747,678Liabilities 2016: $1,009,880,563Net Assets 2016: $192,867,1152016Assets 2017: $1,417,694,523Liabilities 2017: $1,109,884,345Net Assets 2017: $307,810,1782017Assets 2018: $1,433,260,601Liabilities 2018: $1,102,863,164Net Assets 2018: $330,397,4372018Assets 2019: $1,415,407,913Liabilities 2019: $1,159,457,210Net Assets 2019: $255,950,7032019Assets 2020: $1,227,951,462Liabilities 2020: $1,324,141,945Net Assets 2020: -$96,190,4832020Assets 2021: $1,193,308,740Liabilities 2021: $1,131,944,176Net Assets 2021: $61,364,5642021Assets 2022: $1,204,818,970Liabilities 2022: $1,098,748,588Net Assets 2022: $106,070,3822022Assets 2023: $1,193,283,000Liabilities 2023: $1,108,550,000Net Assets 2023: $84,733,0002023Assets 2024: $1,281,342,674Liabilities 2024: $1,040,649,161Net Assets 2024: $240,693,5132024

Highlighted filing

2019

Assets$1,415,407,913
Liabilities$1,159,457,210
Net Assets$255,950,703

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$2.0B$1.0B$0-$1.0BExpenses 2010: $1,096,764,6552010Expenses 2011: $1,132,084,0192011Expenses 2012: $1,125,867,3432012Revenue 2013: $1,139,226,683Expenses 2013: $1,153,566,648Net Income 2013: -$14,339,9652013Revenue 2014: $1,159,737,461Expenses 2014: $1,133,190,092Net Income 2014: $26,547,3692014Revenue 2015: $1,220,184,879Expenses 2015: $1,184,120,915Net Income 2015: $36,063,9642015Revenue 2016: $1,285,767,014Expenses 2016: $1,222,982,196Net Income 2016: $62,784,8182016Revenue 2017: $1,331,195,504Expenses 2017: $1,270,772,548Net Income 2017: $60,422,9562017Revenue 2018: $1,363,932,893Expenses 2018: $1,343,724,477Net Income 2018: $20,208,4162018Revenue 2019: $1,347,466,204Expenses 2019: $1,365,524,351Net Income 2019: -$18,058,1472019Revenue 2020: $1,330,065,887Expenses 2020: $1,390,880,053Net Income 2020: -$60,814,1662020Revenue 2021: $1,422,456,285Expenses 2021: $1,414,536,168Net Income 2021: $7,920,1172021Revenue 2022: $1,502,415,886Expenses 2022: $1,511,444,624Net Income 2022: -$9,028,7382022Revenue 2023: $1,688,867,937Expenses 2023: $1,652,005,135Net Income 2023: $36,862,8022023Revenue 2024: $1,948,879,909Expenses 2024: $1,825,673,406Net Income 2024: $123,206,5032024

Highlighted filing

2019

Revenue$1,347,466,204
Expenses$1,365,524,351
Net Income-$18,058,147
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Nov 11, 2020
Return Version
2019v5.1
Gross Receipts
$1,701,078,323
Mission and Program Overview

Mission

Kaleida health is the largest healthcare provider in wny, serving the area's eight counties with comprehensive services & programs provided at four acute care, two long term care, as well as outpatient & primary care sites.

Kaleida health provides healthcare services for the eight counties of wny at four acute care, two lt care, and other outpatient and primary care sites.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$668,793,829$682,792,456▲ $13,998,627
Accounts Receivable$226,821,972$199,511,134▼ $27,310,838
Investments in Publicly Traded Securities$103,249,212$93,488,370▼ $9,760,842
Investments Other Securities$43,405,115$43,521,168▲ $116,053
Inventories for Sale or Use$35,985,553$40,819,247▲ $4,833,694
Prepaid Expenses and Deferred Charges$9,813,625$14,521,394▲ $4,707,769
Savings and Temporary Cash Investments$14,411,282$7,435,108▼ $6,976,174
Cash and Non-Interest-Bearing Accounts$23,249,584$5,893,604▼ $17,355,980
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Program Related$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$1,433,260,601$1,415,407,913▼ $17,852,688
Other Assets Total$307,530,429$327,425,432▲ $19,895,003
Liabilities
Other Liabilities$567,631,133$639,398,547▲ $71,767,414
Mortgage Notes Payable Secured by Investment Property$338,425,223$318,429,450▼ $19,995,773
Accounts Payable and Accrued Expenses$187,001,957$193,921,837▲ $6,919,880
Tax Exempt Bond Liabilities$9,804,851$7,707,376▼ $2,097,475
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$1,102,863,164$1,159,457,210▲ $56,594,046
Net Assets / Fund Balance
Net Assets With Donor Restrictions$127,120,151$133,899,288▲ $6,779,137
Net Assets Without Donor Restrictions$203,277,286$122,051,415▼ $81,225,871
Total Net Assets Fund Balance$330,397,437$255,950,703▼ $74,446,734
Total Liabilities and Net Assets / Fund Balance$1,433,260,601$1,415,407,913▼ $17,852,688

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$270,768,731$876,284,844$1,147,053,575
Buildings$400,002,724$438,826,612$838,829,336
Other Land Buildings$5,307,134$11,249,001$16,556,135
Land$6,713,867-$6,713,867
Other Assets Org$86,400,000--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2019$26,993,388$2,231,957▲ $1,328,801$2,597,860$27,956,286
2018$27,593,062$2,596,681▼ $995,040$2,201,315$26,993,388
2017$25,527,409$1,623,254▲ $2,762,723$2,320,324$27,593,062
2016$29,821,659$1,770,884▼ $3,706,203$2,358,931$25,527,409
2015$30,738,989$1,435,796▼ $1,046,152$1,306,974$29,821,659
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jody LomeoPres/CEO Ex-officio W/voteFT$1,171,572$1,112,161$2,283,733
Alyson SpauldingGeneral CounselFT$470,078$906,687$1,376,765
Christopher MallavarapEmployed PhysicianFT$963,244$40,254$1,003,498
Christopher Mallavarapu MdEmployed Physician-$960,535$42,963$1,003,498
David Hughes MdEvp, CMOFT$574,467$428,873$1,003,340
Donald BoydEvp Business DevelopmentFT$639,769$342,865$982,634
Jonathan SwiatkowskiEvp, CFO (thru May 2019)FT$434,689$541,756$976,445
Cheryl KlassEvp, Chief Nurse ExecutiveFT$548,136$348,714$896,850
Carroll Harmon MdEmployed PhysicianFT$699,000$19,759$718,759
Christopher LaneSVP Operations BgmcFT$545,117$166,140$711,257
Kaveh Vali MdEmployed PhysicianFT$651,597$83,959$689,356
Aaron Hoffman MdEmployed PhysicianFT$587,325$50,984$638,309
Allegra JarosSVP Operations WchobFT$454,078$164,628$618,706
Kathryn Bass MdEmployed PhysicianFT$591,004$27,437$618,441
Darcy CravenSVP Operations Mfs, DmhFT$507,056$106,296$613,352
Michael HughesSVP, Public Affairs MarketingFT$356,944$239,482$596,426
Robert NesselbushChief Financial OfficerFT$532,202$32,488$564,690
Jerry VenableEvp, Chief Hr Ofcr (thru Oct)FT$309,450$159,972$515,622
Stephen HardyVP FinanceFT$260,195$7,089$267,284
George E Matthews MdDirector/chief of Service-$160,170$31,233$191,403

Board Members and Trustees

NameTitle
Frank CurciChairman
William J Maggio JrVice Chair
Francisco Vasquez PhDirector
Gary M CrosbyDirector
Lorrie a Clemo PhdDirector
Mary Lou Rusin Rn EddDirector
Nicholas J Aquino MdDirector
PAUL O'LEARYDirector
Abeer Eddib MdDirector (beg. April 2019)
Timothy G Mcevoy EsqDirector (beg. April 2019)
Muhammed Javed MdDirector (beg. October 2019)
William J Hochul JrDirector (beg. October 2019)
Christopher T GreeneDirector (thru April 2019)
Darren J KingDirector (thru April 2019)
Dr David MillingSecretary
Christopher RossTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Huron Consulting ServicesConsulting Services3005 MOMENTUM PLACE, Chicago, IL 60689-5330$5,098,802
Wny Radiology LLCRadiology SvcsPO BOX 4029, Buffalo, NY 14240$4,848,219
Sodexo Management INCCleaning & LaundryPO BOX 81049, Woburn, MA 01813-1049$4,437,921
Ensemble Rcm LLCConsulting Services9713 NORTHCROSS CENTER CT, Huntersville, NC 28078$1,835,126
Xanitos INCCleaning & Laundry3809 WEST CHESTER PIKE SUITE 210, Newton Square, PA 19073$1,667,107
Revenue and Support

Revenue Composition

Contributions and Grants
$19,266,035
Program Service Revenue
$1,315,666,707
Investment Income
$-3,370,927
Other Revenue
$15,904,389
All Other Contributions
$4,998,951
Change in Net Assets
$-18,058,147

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Other Non Cash Contri Table3$7,966,551Replacement Cost
Total Noncash Contributions3$7,966,551-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$729,688,368
Other Expenses$635,111,206
Grants and Similar Amounts Paid$724,777
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$521,205,055$33,367,136-$554,572,191
Fees for Services Other$136,312,558$12,718,865-$149,031,423
Other Employee Benefits$81,925,587$8,394,067-$90,319,654
Depreciation Depletion$49,259,019$16,921,157-$66,180,176
Payroll Taxes$38,249,597$2,688,137-$40,937,734
Pension Plan Contributions$28,369,341$5,549,010-$33,918,351
All Other Expenses$27,192,226$4,035,339-$31,227,565
Occupancy$7,302,861$16,376,313-$23,679,174
Interest$14,779,160$3,694,790-$18,473,950
Insurance$12,031,842$3,953,497-$15,985,339
Current Officers, Directors, Trustees, and Key Employees-$9,940,438-$9,940,438
Other Expenses$5,379,886$2,194,429-$7,574,315
Advertising$2,591,643$961,337-$3,552,980
Fees for Services Legal$1,116,590$1,208,707-$2,325,297
Office Expenses$1,401,922$436,900-$1,838,822
Travel$912,242$199,974-$1,112,216
Grants to Domestic Orgs$724,777--$724,777
Fees for Services Accounting$41,250$475,000-$516,250
Fees for Services Lobbying-$352,119-$352,119
Total Functional Expenses$1,218,080,604$147,443,747$0$1,365,524,351
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Jacobs Institution IncBuffalo, NY501(c)(3)Sponsorship Contribution$200,000
University Orthopedic ServiceBuffalo, NYN/aSponsorship Contribution Contribution Sponsorship Sponsorship Sponsorship Sponsorship Sponsorship$150,000
Ub FoundationBuffalo, NY501(c)(3)Sponsorship Sponsorship Sponsorship Sponsorship$129,000
Wny HealthenetDepew, NYN/aContribution Sponsorship Sponsorship Sponsorship$106,000
American Heart AssociationDallas, TX501(c)(3)Sponsorship Sponsorship Sponsorship Sponsorship$15,000
ConnectlifeWilliamsville, NY501(c)(3)Sponsorship Sponsorship Sponsorship Sponsorship$15,000
Kevin Guest HouseBuffalo, NY501(c)(3)Sponsorship Sponsorship Sponsorship Sponsorship$12,000
Make a Wish Foundation of WnyAmherst, NY501(c)(3)Sponsorship Sponsorship Sponsorship Contribution$11,000
American Cancer SocietyAmherst, NY501(c)(3)Sponsorship Sponsorship$10,000
Erie County Medical CenterBuffalo, NY501(c)(3)Sponsorship Sponsorship$10,000
Mercy FlightBuffalo, NYN/aSponsorship Sponsorship Sponsorship Sponsorship$10,000
North Tonawanda Botancial GradenN Tonawanda, NY501(c)(3)Sponsorship Contribution$10,000
St Bonaventure UniversitySt Bonaventure, NY501(c)(3)Sponsorship Sponsorship$10,000
St Joseph Collegiate InstitutionBuffalo, NYN/aSponsorship Sponsorship$10,000
Child & Family ServicesBuffalo, NY501(c)(3)Sponsorship Sponsorship$7,500
Professional Nurses AssociationSnyder, NY501(c)(3)Sponsorship Sponsorship$7,500
Ecmc Lifeline FoundationBuffalo, NY501(c)(3)Sponsorship Sponsorship$6,577
Daemen CollegeAmherst, NY501(c)(3)Sponsorship Sponsorship$5,200

International Summary

Spending
$48,719,607

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
Yes
Foreign partnership interest
Yes
Interest in foreign trust
No
Passive foreign investment company interest
Yes
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the CaribbeanInvestments---$48,719,607
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Tops Markets LLCSee Part VSee Part VNo$274,876

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Pension Liability$327,275,328
Self Insurance Liability$144,721,290
Capital Lease Obligations$95,158,975
Line of Credit$45,053,721
Other Liabilities$12,690,371
Asset Retirement Obligations$8,446,172
Due to Third Party Payors$6,052,690

Bond Issues

BondIssuerIssuedIssue PricePurpose
ADormitory Authority - State of New York2016-09-30$7,650,258LEASE OF EQUIPMENT
BDormitory Authority - State of New York2016-09-30$7,349,742LEASE OF EQUIPMENT

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$7,650,258$0$3,312,051$104,266
B$7,349,742$0$3,181,948$0

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
Yes
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No
Filing and Contact Details

Filer

Filer Name
Kaleida Health
EIN
16-1533232
In Care Of
% ROBERT NESSELBUSH
Phone
7168598836
Address
726 EXCHANGE STREET Suite 200, BUFFALO, NY 14210

Signing Officer

Name
Robert Nesselbush
Title
CFO
Phone
7168598836
Signed
2020-11-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jody Lomeo
Formed
1998
Legal Domicile
Ny
Voting Board Members
16
Independent Board Members
13
Employees
9,486
Volunteers
1,340

Preparer

Firm
Kpmg Llp
Address
515 Broadway 4th Floor, Albany, NY 12207-2974
Preparer
Todd Teresco
Phone
5184274600
Supplemental Narrative

Additional Explanations

Review Process for Form 990

Form 990, Part VI, Line 11b ORGANIZATION'S MANAGEMENT, IN CONSULTATION WITH THE ORGANIZATION'S TAX ADVISORS, KPMG, REVIEW THE FORM 990. THE FINANCIAL REVIEW IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOR THE RELEVANT TIME PERIOD. BEFORE THE FORM 990 IS FILED WITH THE IRS, THE FINANCE COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS THE FORM 990 AND PROVIDES A COPY OF THE SAME TO THE ORGANIZATION'S FULL BOARD OF DIRECTORS.

Conflict of Interest Policy

Form 990, Part VI, Section B, Line 12c UPON EMPLOYMENT AND ANNUALLY THEREAFTER EACH KEY EMPLOYEE AND OFFICER OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST AND DISCLOSURE FORM, PROVIDING SUFFICIENT INFORMATION ABOUT HIS/HER PERSONAL INTERESTS AND RELATIONSHIPS SO THE ORGANZATION CAN (1) DETERMINE WHETHER ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST MAY EXIST, AND (2) MONITOR WORK OR SERVICE ASSIGNMENTS TO AVOID PLACING THE KEY EMPLOYEE, OFFICER OR DIRECTOR IN A POSITION WHERE THERE MAY BE POTENTIAL, ACTUAL, OR EVEN APPEARANCE, OF A CONFLICT OF INTEREST OR A QUESTION OF OBJECTIVITY. THE COMPLETED CONFLICTS OF INTEREST AND DISCLOSURE FORMS FOR DIRECTORS ARE RETURNED TO THE ORGANIZATION.

Compensation Approval Process

Form 990, PART VI, SECTION B, QUESTIONS 15A & 15B ON A REGULAR BASIS, THE ORGANIZATION PROVIDES DOCUMENTATION TO THE COMPENSATION COMMITTEE OF THE BOARD WITH RESPECT TO THE COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES FOR REVIEW AND APPROVAL. SUCH INFORMATION IS COMPILED BY AN INDEPENDENT COMPENSATION CONSULTANT AND INCLUDES COMPARABLE DATA FROM SIMILAR SIZE TAX-EXEMPT ORGANIZATIONS IN THE WESTERN NEW YORK COMMUNITY AS WELL AS COMPENSATION FOR THESE POSITIONS (AS DISCLOSED ON FORM 990) WITH OTHER ORGANIZATIONS IN THE HEALTH CARE INDUSTRY THAT ARE OF SIMILAR SIZE, DEMOGRAPHICS AND GEOGRAPHY. REVIEW AND APPROVAL OF THE COMPENSATION ARRANGEMENT BY THE COMPENSATION COMMITTEE IS DOCUMENTED.

Access to Organizational Documents

Form 990, Part VI, SECTION C, Line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT ITS OFFICE AT 726 EXCHANGE STREET, SUITE 200, BUFFALO, NY 14210. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED. FORM 990, PART XI, LINE 8 DURING 2019, KALEIDA ADOPTED ASU NO. 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). UPON ADOPTION, KALEIDA ENHANCED ITS METHODOLOGY TO RECOGNIZE REVENUE TO CONFORM TO THE STANDARD. THE PRIOR PERIOD ADJUSTMENT REPORTED ON PART XI, LINE 8 IS DUE TO THIS ADOPTION.

Form 990, Part XI, Line 9

Other changes in net assets or fund balances minority interest in subsidiary 16,409,166 decrease in pension liability (55,584,000) other transfers net (3,654,140) change in value of foundations 1,142,000 change in value of uahs 4,503,000 ------------ total (37,183,974)

Form 990 Part IX Line 11G

Description:physician and purchased svcs total fees:xxx-xx-xxxx

Financial Statement Notes

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 and substantially all of its affiliates have been determined by the internal revenue service to be organizations described in internal revenue code (the code) section 501(c)(3) and, therefore, are exempt from federal income taxes on related income pursuant to section 501(a) of the code. Kaleida recognizes income tax positions on related income pursuant to section 501(a) of the code. 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.

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IRS990/Desc0KALEIDA HEALTH IS A VOLUNTARY, NOT-FOR-PROFIT; NEW YORK STATE DEPARTMENT OF HEALTH ARTICLE 28 LICENSED HOSPITAL-BASED HEALTHCARE DELIVERY SYSTEM SERVICING THE COMMUNITIES OF WESTERN NEW YORK STATE AT VARIOUS LEVELS AND WITH FACILITIES IN MULTIPLE LOCATIONS THROUGHOUT THE REGION. KALEIDA HEALTH INCLUDES THE BUFFALO GENERAL MEDICAL CENTER (BUFFALO GENERAL), MILLARD FILLMORE SUBURBAN HOSPITAL (MILLARD SUBURBAN), OISHEI CHILDREN'S HOSPITAL (FORMERLY THE WOMEN & CHILDREN'S HOSPITAL OF BUFFALO), AND DEGRAFF MEMORIAL HOSPITAL (DEGRAFF). THE ABOVE OPERATE UNDER ONE TAX IDENTIFICATION NUMBER. IN ADDITION TO THE FOUR KALEIDA HEALTH (KALEIDA) HOSPITALS, KALEIDA OPERATES UPPER ALLEGHENY HEALTH SYSTEM, A SUBSIDIARY HEALTH SYSTEM WITH TWO HOSPITAL FACILITIES, TWO SKILLED NURSING FACILITIES, AND NUMEROUS OUTPATIENT CLINICS. UPPER ALLEGHENY HEALTH SYSTEM FILES A SEPARATE IRS FORM 990 AND THEREFORE IS NOT INCLUDED WITHIN THIS FILING. OUR FAMILY OF HEALTH CARE ORGANIZATIONS IS BLENDED TOGETHER INTO ONE FRAMEWORK FOR LEADERSHIP, GOVERNANCE, SHARED SERVICES, FINANCIAL INFRASTRUCTURE AND INFORMATION TECHNOLOGY PLATFORMS. COLLECTIVELY, KALEIDA HEALTH'S MARKET SHARE IS 32.8% IN WESTERN NEW YORK, 40.7% IN ERIE COUNTY AND 31.31% IN NIAGARA COUNTY. ANNUALLY ONE MILLION COMBINED INPATIENT, EMERGENCY DEPARTMENT AND OUTPATIENT VISITS OCCUR AT THE HEALTH CARE FACILITIES IN THE KALEIDA HEALTH SYSTEM, WHICH EMPLOYS APPROXIMATELY 9,400 STAFF AND HAVE APPROXIMATELY 2,400 MEDICAL STAFF MEMBERS. DURING 2019, THERE WERE 56,441 INPATIENT DISCHARGES, OF WHICH 27% WERE MEDICAID, 42% MEDICARE, 1% UNINSURED, AND 30% OTHER. KALEIDA HEALTH'S MISSION IS TO ADVANCE THE HEALTH OF OUR COMMUNITY. OUR VISION IS TO PROVIDE COMPASSIONATE, HIGH-VALUE, QUALITY CARE, IMPROVING HEALTH IN WESTERN NEW YORK AND BEYOND, EDUCATING FUTURE HEALTH CARE LEADERS AND DISCOVERING INNOVATIVE WAYS TO ADVANCE MEDICINE. OUR VALUES CLEARLY STATE WHO WE ARE AND HOW WE PERFORM OUR WORK: CENTERED: REMAIN CENTERED AROUND THE PATIENT AND FAMILY. ACCOUNTABLE: BE ACCOUNTABLE TO PATIENTS AND EACH OTHER. RESPECT: SHOW RESPECT AND INTEGRITY. EXCELLENCE: PROVIDE EXCELLENCE IN ALL WE DO. KALEIDA HEALTH'S PROGRAMS AND AFFILIATES ARE LICENSED BY THE STATE OF NEW YORK DEPARTMENT OF HEALTH AND ACCREDITED BY DNV. KALEIDA IS CERTIFIED BY THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES FOR PARTICIPATION IN MEDICARE AND MEDICAID. THE ACCREDITATION COUNSEL FOR GRADUATE MEDICAL EDUCATION APPROVES ALL RESIDENCY PROGRAMS FOR PHYSICIANS, AND THE AMERICAN DENTAL ASSOCIATION APPROVES ITS DENTAL AND ORAL SURGERY PROGRAMS. KALEIDA IS ALSO A MEMBER OF THE COUNCIL OF TEACHING HOSPITALS, THE AMERICAN DENTAL ASSOCIATION, THE AMERICAN MEDICAL ASSOCIATION AND THE GREATER NEW YORK HOSPITAL ASSOCIATION. OPERATION OF EMERGENCY ROOMS: KALEIDA HEALTH OPERATES FOUR EMERGENCY ROOMS, ONE IN EACH OF THE ACUTE CARE HOSPITALS, GENERATING A TOTAL OF 170,459 PATIENT VISITS DURING 2019. THE EMERGENCY DEPARTMENTS, WHICH OPERATE 24 HOURS A DAY, SEVEN DAYS EACH WEEK, ARE OPEN TO ANYONE, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. BOARD OF DIRECTORS AND COMMUNITY GUIDANCE: KALEIDA HEALTH MAINTAINS COMMUNITY CONTROL OVER THE CORPORATION THROUGH ITS BOARD OF DIRECTORS, COMPRISED OF COMMUNITY AND FAITH LEADERS, AND LEADERS IN BUSINESS AND INDUSTRY, HEALTHCARE AND PHYSICIANS REPRESENTING THE MEDICAL STAFF OF KALEIDA HEALTH. THE MAJORITY OF THE DIRECTORS RESIDE IN WESTERN NEW YORK AND EACH DIRECTOR SERVES A THREE-YEAR TERM. OPEN MEDICAL STAFF: AS CONFERRED BY THE BOARD OF DIRECTORS, MEDICAL STAFF MEMBERSHIP IS OFFERED TO PROFESSIONALLY COMPETENT PHYSICIANS, DENTISTS, PODIATRISTS AND OTHER SPECIFIED INDIVIDUALS, WHO CONTINUOUSLY MEET THE QUALIFICATIONS, STANDARDS AND REQUIREMENTS OUTLINED IN THE BYLAWS, RULES AND REGULATIONS, POLICIES OF THE MEDICAL STAFF AND KALEIDA HEALTH, CONSISTENT WITH THE NEEDS OF KALEIDA HEALTH'S PATIENTS. STAFF MEMBERSHIP OR PARTICULAR CLINICAL PRIVILEGES SHALL NOT BE DENIED ON THE BASIS OF AGE, SEX, SEXUAL ORIENTATION, RACE, C
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt14533099
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt15551829
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt16493493
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt17262550
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt18160170
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt190
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt200
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt210
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt220
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt230
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt240
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt250
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt260
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt270
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt280
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt290
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt300
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt310
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt320
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt330
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt340
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt130
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt140
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt150
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt160
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt170
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt180
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt190
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt200
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt210
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt220
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt230
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt240
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt250
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt260
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt270
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt280
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt290
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt300
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt310
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt320
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt330
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt340
IRS990/Form990PartVIISectionAGrp/TitleTxt0PRES/CEO EX-OFFICIO W/VOTE
IRS990/Form990PartVIISectionAGrp/TitleTxt1GENERAL COUNSEL
IRS990/Form990PartVIISectionAGrp/TitleTxt2EMPLOYED PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt3EVP, CMO
IRS990/Form990PartVIISectionAGrp/TitleTxt4EVP BUSINESS DEVELOPMENT
IRS990/Form990PartVIISectionAGrp/TitleTxt5EVP, CFO (THRU MAY 2019)
IRS990/Form990PartVIISectionAGrp/TitleTxt6EVP, CHIEF NURSE EXECUTIVE
IRS990/Form990PartVIISectionAGrp/TitleTxt7EMPLOYED PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt8SVP OPERATIONS BGMC
IRS990/Form990PartVIISectionAGrp/TitleTxt9EMPLOYED PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt10EMPLOYED PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt11SVP OPERATIONS WCHOB
IRS990/Form990PartVIISectionAGrp/TitleTxt12EMPLOYED PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt13SVP OPERATIONS MFS, DMH

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,281$1,041$241$1,949$1,826$123
2023Summary only. Only limited summary data is available for this year.$1,193$1,109$84.7$1,689$1,652$36.9
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,205$1,099$106$1,502$1,511$9.03
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,193$1,132$61.4$1,422$1,415$7.92
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,228$1,324$96.2$1,330$1,391$60.8
2019Detailed filing. Detailed filing data is available for this year.$1,415$1,159$256$1,347$1,366$18.1
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,433$1,103$330$1,364$1,344$20.2
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,418$1,110$308$1,331$1,271$60.4
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,203$1,010$193$1,286$1,223$62.8
2015Summary only. Only limited summary data is available for this year.$1,138$948$190$1,220$1,184$36.1
2014Detailed filing. Detailed filing data is available for this year.$1,169$935$234$1,160$1,133$26.5
2013Detailed filing. Detailed filing data is available for this year.$1,120$858$263$1,139$1,154$14.3
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,108$928$180$1,126
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,073$939$135$1,132
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,030$771$259$1,097