2023-11-14T11:55:00-06:00 2022-12-31 135565207 KPMG LLP 515 BROADWAY 4TH FLOOR ALBANY NY 122072974 990 2022-01-01 814086046 CHILDREN'S HEALTH HOME OF WNY INC CHIL 7165807087 1100 MAIN STREET BUFFALO NY 14209 HUGH CHISHOLM CFO 7165807087 2023-11-13 1 HUGH CHISHOLM 999009999 0 STEPHANIE LONCZAK P01880207 5184274600 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z OISHEI HEALTHY KIDS STEPHEN TURKOVICH MD 818 ELLICOTT ST BUFFALO NY 14203 1734010 0 X WWW.OISHEIHEALTHYKIDS.ORG X 2016 NY TO ADVANCE THE HEALTH OF OUR COMMUNITY BY PROVIDING CARE MANAGEMENT AND SUPPORT TO FAMILIES EXPERIENCING PHYSICAL, MENTAL, OR BEHAVIORAL ISSUES WITH THEIR CHILD. THIS IS DONE BY ADVANCING INNOVATIVE PRACTICES, BY COLLABORATING WITH PROVIDERS, AND BY ESTABLISHING CRITICAL PARTNERSHIPS WITH OUR COMMUNITY EXPERTS. 2 0 25 0 0 0 0 22607 3208101 1711403 0 0 0 0 3208101 1734010 0 0 0 0 1290485 1273450 0 0 0 1762612 -112574 3053097 1160876 155004 573134 1132387 752245 1491056 1337780 -358669 -585535 X TO ADVANCE THE HEALTH OF OUR COMMUNITY BY PROVIDING CARE MANAGEMENT AND SUPPORT TO FAMILIES EXPERIENCING PHYSICAL, MENTAL, OR BEHAVIORAL ISSUES WITH THEIR CHILD. THIS IS DONE BY ADVANCING INNOVATIVE PRACTICES, BY COLLABORATING WITH PROVIDERS, AND BY ESTABLISHING CRITICAL PARTNERSHIPS WITH OUR COMMUNITY EXPERTS. 0 0 1160876 1711403 PROGRAM SERVICES BEGAN IN 2017 ADVANCING THE HEALTH OF OUR COMMUNITY BY PROVIDING COMPASSIONATE PATIENT CENTERED CARE. THE CHILDREN'S HEALTH HOME OF WNY PROVIDES A COMPREHENSIVE AND INTEGRATED CARE PLANNING PROCESS TO ADDRESS MEDICAL, BEHAVIORAL, AND SOCIAL SERVICE NEEDS IN ORDER TO IMPROVE HEALTH CARE AND HEALTH OUTCOMES. 1160876 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 25 1 0 0 0 0 0 0 0 0 0 0 0 0 X 2 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X HUGH CHISHOLM 7168598836 818 ELLICOTT STREET BUFFALO NY 14203 ALLEGRA JAROS MBA BOARD PRESIDENT 1.00 40.00 X X 0 625737 -26484 DAVID HUGHES MD BOARD VICE PRESIDENT (THRU 5/2022) 1.00 40.00 X X 0 515677 6432 VICKI LANDES SR DIRECTOR PED PUBLIC HEALTH 40.00 X X 190718 0 20542 190718 1141414 490 1 0 1 0 0 22607 22607 PATIENT SERVICE REVENU 623990 1711403 1711403 1711403 1734010 1711403 0 0 190718 190718 1029023 1029023 84526 84526 -30817 -30817 -219967 -219967 -18835 -18835 -9458 -9458 -12108 -12108 130329 130329 17465 17465 1160876 1160876 0 0 1082781 698496 49606 53749 14226 14226 0 0 1132387 752245 1328141 1070054 28890 28890 134025 238836 1491056 1337780 X -358669 -585535 -358669 -585535 1132387 752245 X 573134 -800000 X 0 1 X 1 0 X 72666 254090 123528 0 22607 472891 3852630 4259188 4240345 3208101 1711403 17271667 3925296 4513278 4363873 3208101 1734010 17744558 0 0 0 17744558 3925296 4513278 4363873 3208101 1734010 17744558 1.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14226 14226 0 0 DUE TO RELATED ENTITIES 238836 238836 X PART X, LINE 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. X 1 1 X X X X X 0 0 0 0 0 0 0 1 0 ALLEGRA JAROS MBA BOARD PRESIDENT 0 481877 0 117500 0 26360 0 -43768 0 17284 0 599253 0 0 DAVID HUGHES MD BOARD VICE PRESIDENT (THRU 5/2022) 0 260316 0 224588 0 30773 0 5800 0 632 0 522109 0 0 VICKI LANDES SR DIRECTOR PED PUBLIC HEALTH 164678 0 25704 0 336 0 3672 0 16870 0 211260 0 0 0 PART I, LINE 1A HEALTH OR SOCIAL CLUB DUES AS PART OF THEIR COMPENSATION PACKAGE CERTAIN DIRECTORS, OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION ARE ENTITLED TO CHOOSE AS AN EXECUTIVE PERK THE BENEFIT OF BUSINESS RELATED SOCIAL DUES OR INITIATION FEES. PART I, LINE 7 CERTAIN INDIVIDUALS QUALIFIED TO RECEIVE BONUS/INCENTIVE COMPENSATION PAYMENTS BASED ON CERTAIN PERFORMANCE METRICS BEING MET. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(II). FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS A MEMBERSHIP (NOT A STOCK) CORPORATION UNDER NEW YORK STATE LAW. THE ORGANIZATION'S SOLE CORPORATE MEMBER IS KALEIDA HEALTH, A RELATED NOT-FOR-PROFIT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A IN ACCORDANCE WITH THE TERMS AND REQUIREMENTS OF ITS GOVERNING DOCUMENTS (I.E., BYLAWS), ON AN ANNUAL BASIS, THE ORGANIZATION'S CURRENT BOARD MEMBERS RECOMMEND THE LIST OF CANDIDATES FOR MEMBERSHIP TO THE GOVERNING BODY FOR THE SUBSEQUENT TERM TO THE EXECUTIVE COMMITTEE OF KALEIDA HEALTH. THE EXECUTIVE COMMITTEE OF KALIEDA HEALTH, AS THE REPRESENTATIVES OF THE ORGANIZATION'S SOLE CORPORATE MEMBER, APPROVES AND ELECTS THESE CANDIDATES TO SERVE AS THE ORGANIZATION'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B KALEIDA HEALTH, AS THE SOLE CORPORATE MEMBER, ALSO HAS THE RIGHT TO APPROVE OR RATIFY SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY INCLUDING THE AMENDMENT OF BYLAWS AND CHARTERS, REMOVAL OF MEMBERS OF THE GOVERNING BODY, AND THE DECISION TO DISSOLVE THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S MANAGEMENT IN CONSULTATION WITH THE ORGANIZATION'S TAX ADVISORS, KPMG LLP. BEFORE THE FORM 990 IS FILED WITH THE IRS, THE ORGANIZATION'S BOARD OF MANAGERS ARE PROVIDED A COMPLETE COPY OF FORM 990. FORM 990, PART VI, SECTION B, LINE 12C UPON EMPLOYMENT AND ANNUALLY THEREAFTER EACH DIRECTOR 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 CONFLICT OF INTEREST MAY EXIST, AND (2) MONITOR WORK OR SERVICE ASSIGNMENTS TO AVOID PLACING AN OFFICER OR DIRECTOR IN A POSITION WHERE THERE MAY BE AN APPEARANCE, POTENTIAL OR ACTUAL, OF A CONFLICT OF INTEREST OR A QUESTION OF OBJECTIVITY. THE COMPLETED CONFLICT OF INTEREST FORMS ARE RETURNED TO THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION APPROVAL PROCESS ON A REGULAR BASIS, THE ORGANIZATION PROVIDES DOCUMENTATION TO THE COMPENSATION COMMITTEE OF THE BOARD OF KALEIDA HEALTH, A RELATED NOT-FOR-PROFIT ORGANIZATION, WITH RESPECT TO THE COMPENSATION OF THE ORGANIZATION'S OFFICERS 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 THIS POSITION WITHIN OTHER ORGANIZATIONS THAT ARE SIMILAR IN SIZE, DEMOGRAPHICS, AND GEOGRAPHY. 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 1100 STREET, BUFFALO, NY 14222. A NOMINAL FEE IS CHARGED IF COPIES ARE REQUESTED. FORM 990, PART XI, LINE 9: CASH TRANSFER TO PARENT -800,000. 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