2023-11-14T11:54:39-06:00 2022-12-31 135565207 KPMG LLP 515 BROADWAY 4TH FLOOR ALBANY NY 122072974 990 2022-01-01 161579143 KALEIDA HEALTH FOUNDATION KALE 7168818260 726 EXCHANGE STREET BUFFALO NY 14210 HUGH CHISHOLM CFO 7168818260 2023-11-13 1 HUGH CHISHOLM 999009999 0 STEPHANIE LONCZAK P01880207 5184274600 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z CAROL HORTON 1028 MAIN STREET BUFFALO NY 14202 4594148 0 X HTTP://FOUNDATION.KALEIDAHEALTH.ORG X 1999 NY TO SOLICIT, MAINTAIN & ENHANCE THE VALUE OF PUBLIC CONTRIBUTIONS TO PROVIDE FINANCIAL SUPPORT TO KALEIDA HEALTH IN THEIR MISSION TO ADVANCE THE HEALTH OF THE COMMUNITY. 18 17 8 102 0 0 2552565 2175017 0 0 4103036 1979664 256369 271344 6911970 4426025 10338914 6717137 0 0 1042000 1278509 0 0 0 512435 780330 11893349 8775976 -4981379 -4349951 51635674 44474725 12089057 16615145 39546617 27859580 X TO SOLICIT, MAINTAIN, & ENHANCE THE VALUE OF PUBLIC CONTRIBUTIONS TO PROVIDE FINANCIAL SUPPORT TO KALEIDA HEALTH IN THEIR MISSION TO ADVANCE THE HEALTH OF OUR COMMUNITY. 0 0 7484243 6717137 SEE SCHEDULE OTHE ORGANIZATION IS A NOT-FOR-PROFIT CHARITABLE FOUNDATION SUPPORTING THE FOLLOWING DIVISIONS UNDER KALEIDA HEALTH, A RELATED TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM: BUFFALO GENERAL MEDICAL CENTER DEGRAFF MEMORIAL HOSPITAL MILLARD FILLMORE SUBURBAN HOSPITAL GATES VASCULAR INSTITUTE HIGHPOINTE ON MICHIGAN THE ORGANIZATION ALSO SUPPORTS THE VISITING NURSES ASSOCIATION OF WNY, AN AFFILIATE HOME HEALTH CARE AGENCY.WITH SUPPORT FROM ITS' BOARD OF DIRECTORS AND THE MANY VOLUNTEERS, THE ORGANIZATION RAISES GIFTS IN THE FORM OF CASH, STOCKS, ESTATE GIFTS, CORPORATE GIFTS AND GRANTS FROM PRIVATE FOUNDATIONS.BY FOSTERING CHARITABLE RELATIONSHIPS AND INCREASING PHILANTHROPY, THE ORGANIZATION SUPPORTS KALEIDA HEALTH IN ITS' MISSION TO ADVANCE THE HEALTH OF OUR COMMUNITY EVERY DAY THROUGH EXCEPTIONAL CARE, EDUCATION AND RESEARCH.THE PRIMARY PROGRAMS AND ACTIVITIES OF THE ORGANIZATION INCLUDE:1. KALEIDA BALL - AN ANNUAL DINNER THAT IS A PREMIER FUNDRAISER FOR KALEIDA HEALTH AND ITS AFFILIATES. THE FOUNDATION SOLICITS PATRONS AND ATTENDEES IN ADVANCE OF THE EVENT AS WELL AS CONDUCT OVERALL ACTIVITIES DURING THE EVENT INCLUDING DINNER AND ENTERTAINMENT. THE HIGHLIGHT OF THE EVENING INCLUDES THE PRESENTATION OF THE SPIRIT AWARD WHICH RECOGNIZES LOCAL INDIVIDUALS FOR THEIR SIGNIFICANT AND SPIRITED SUPPORT OF KALEIDA HEALTH AND FOR THEIR DEDICATION TO IMPROVE THE HEALTH OF THE WESTERN NEW YORK COMMUNITY. THE 2022 EVENT WAS CANCELLED DUE TO COVID BUT WAS HELD IN EARLY 2023. FUNDRAISING FOR THIS EVENT TOOK PLACE IN THE LATTER HALF OF 2022 WITH PROCEEDS BENEFITTING THE GATES VASCULAR INSTITUTE.2. KALEIDA CLASSIC - AN ANNUAL GOLF TOURNAMENT TO RAISE FUNDS TO SUPPORT THE FOUNDATION AND KALEIDA HEALTH. THE FOUNDATION SOLICITS PATRONS AND PARTICIPANTS IN ADVANCE OF THE TOURNAMENT AS WELL AS CONDUCT OVERALL ACTIVITIES DURING THE EVENT. THE 2022 EVENT WAS HELD ON JULY 11TH AT WANAKAH COUNTRY CLUB AND PROCEEDS TO BENEFIT THE GREAT LAKES CANCER CARE COLLABORATIVE. THE EVENT RAISED A NET INCOME OF $184,786 FOR GLCCC.3. TEE OFF FOR TOTS GOLF TOURNAMENT - AN ANNUAL GOLF TOURNAMENT TO RAISE FUNDS TO SUPPORT THE CHILDREN WHO LIVE AT THE HIGHPOINTE ON MICHIGAN PEDIATRIC PAVILION. THE FOUNDATION SOLICITS PATRONS AND PARTICIPANTS IN ADVANCE OF THE TOURNAMENT AS WELL AS CONDUCT OVERALL ACTIVITIES DURING THE EVENT. TENNIS FOR TOTS WAS INCLUDED FOR A SECOND YEAR TO INCLUDE SPOUSES, PARTNERS AND FRIENDS WHO DON'T GOLF BUT WOULD LIKE A FUN WAY TO BE INVOLVED. THEY ALSO HAVE A RAFFLE TO WIN A $4,000 VISA GIFT CARD TO RAISE ADDITIONAL FUNDS. IN SEPTEMBER 2022, THE 28TH YEAR, ON SEPTEMBER 12TH, THEY WERE AT THE NIAGARA FALLS COUNTRY CLUB, THE EVENT RAISED A NET OF $38,869 TO HELP THE RENOVATION EFFORTS OF THE SOFT PLAYROOM.4. MEAT RAFFLE BENEFITTING HIGHPOINTE - THE PURPOSE OF THIS EVENT IS TO HELP RAISE MONEY FOR THE PEDIATRIC PAVILION AT HIGHPOINTE ON MICHIGAN. THESE FUNDS HELPED TO BENEFIT CHILDREN WHO ARE DEPENDENT ON MEDICAL AND TECHNOLOGICAL ADVANCES IN THE AREA. AS THE ONLY LONG-TERM CARE FACILITY FOR CHILDREN IN WNY, THESE FUNDS FROM THIS EVENT HELP ALLOW FAMILIES TO STAY CLOSE TO THEIR CHILDREN THAT NEED THE EXTRA CARE. THIS EVENT WAS HELD ON APRIL 1ST, AND RAISED A NET OF $47,689.A SIGNIFICANT PORTION OF THE OPERATING ACTIVITY REFLECTED BY THE ORGANIZATION OCCURS WITHIN THE SPECIAL PURPOSE FUNDS. IN MANY CASES THE USE OF THESE FUNDS IS EITHER PERMANENTLY OR TEMPORARILY RESTRICTED BY THE DONOR. SEE SCHEDULE D, PART V FOR FURTHER DETAIL REGARDING THESE FUNDS. 7484243 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 31 0 1 8 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 18 17 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 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 CAROL HORTON VICE PRESIDENT 40.00 0.00 X X 329733 0 20375 ROBERT J BECK CHAIR (THRU MARCH 2022) 1.00 0.00 X 0 0 0 TIMOTHY VAETH CHAIR (AS OF MARCH 2022) 1.00 0.00 X 0 0 0 MARK P COLLARD DIRECTOR 1.00 0.00 X 0 0 0 BRIAN J CONNOLLY DIRECTOR 1.00 0.00 X 0 0 0 SEAN KEENAN DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL P MCMAHON DIRECTOR 1.00 0.00 X 0 0 0 JA'NAY JONES DIRECTOR 1.00 0.00 X 0 0 0 PATRICIA H MERTZ DIRECTOR 1.00 0.00 X 0 0 0 PHILIP PANTANO DIRECTOR 1.00 0.00 X 0 0 0 KEVIN REILLY DIRECTOR (THRU MARCH 2022) 1.00 0.00 X 0 0 0 JAMES ROONEY DIRECTOR 1.00 0.00 X 0 0 0 CHRISTINE SABUDA DIRECTOR 1.00 0.00 X 0 0 0 ROBERT WALTER DIRECTOR 1.00 0.00 X 0 0 0 SARAH TANBAKUCHI DIRECTOR 1.00 0.00 X 0 0 0 PAUL BROWN TREASURER 1.00 0.00 X 0 0 0 MARK ROSENTHAL SECRETARY 1.00 0.00 X 0 0 0 CALLIE JOHNSON DIRECTOR (THRU MAY 2022) 1.00 0.00 X 0 0 0 NICOLE TZETZO VICE CHAIR 1.00 0.00 X 0 0 0 STEPHEN MERCURIO DIRECTOR (THRU OCTOBER 2022) 1.00 0.00 X 0 0 0 RACHEL CAPPELLINO DIRECTOR (AS OF MARCH 2022) 1.00 0.00 X 0 0 0 JOE MANZELLA DIRECTOR (AS OF SEPTEMBER 2022) 1.00 0.00 X 0 0 0 CHRISTOPHER JORDAN DIRECTOR OF DEVELOPMENT 40.00 0.00 X 160050 0 16542 489783 0 36917 2 0 1 0 0 40820 2134197 17610 2175017 1566328 1566328 413336 0 413336 413336 413336 439467 40820 168123 271344 271344 4426025 0 0 2251008 6717137 6717137 329733 197840 131893 611668 367001 244667 274960 164976 109984 62148 37289 24859 66583 66583 70064 70064 102764 102764 120004 120004 21306 21306 ALL OTHER EXPENSES 314517 314517 OTHER PURCHASED SERVICE 39831 39831 PRINTING PUBLICATIONS 29105 29105 OTHER BANK FEES 16156 16156 8775976 7484243 1291733 0 1596762 1016945 2358058 1376563 992163 1643479 6725 639443 75492 46524 46075 28968 16059610 13779264 30183446 25590063 392835 400000 51635674 44474725 360350 334187 11728707 16280958 12089057 16615145 X 5011889 2439564 34534728 25420016 39546617 27859580 51635674 44474725 -4349951 -7337086 0 X 0 1 X 1 0 X 2589874 2273387 1299306 2552565 2175017 10890149 2589874 2273387 1299306 2552565 2175017 10890149 2165474 8724675 2244753 4279059 1612003 1874591 1566328 11576734 575415 700058 88198 370163 439467 2173301 24640184 0.35410 0.34240 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2018 AMOUNT: $ 12,068. 2019 AMOUNT: $ 10,951. 2020 AMOUNT: $ 9,758. 2021 AMOUNT: $ 0. 2022 AMOUNT: $ 0. REVENUE FROM SPECIAL EVENTS - 2018 AMOUNT: $ 563,347. 2019 AMOUNT: $ 689,107. 2020 AMOUNT: $ 78,440. 2021 AMOUNT: $ 370,163. 2022 AMOUNT: $ 439,467. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13409566 1173523 -2968697 4577369 7037023 13813959 5963 2045087 2455443 13409566 13388944 295048 762481 632514 13813959 13674289 295048 1553731 2134124 13388944 16719757 390 -1542077 1503781 13674289 1.00000 0 0 62424 33456 28968 13068 13068 0 28968 OTHER SECURITIES 25590063 F 25590063 DUE TO AFFILIATES 16280958 16280958 X PART V, LINE 4: INTENDED USES OF ENDOWMENT FUNDS THE FOLLOWING ARE THE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS: 1.) ADVANCEMENT OF CLINICAL PROGRAMS, MEDICAL EDUCATION AND RESEARCH 2.) SUPPORT OF GENERAL HEALTH CARE SERVICES 3.) PURCHASES OF MEDICAL EQUIPMENT PART X, LINE 2: FIN 48 FOOTNOTE FORM 990 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 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. TEES FOR TOTS 76267 5485 70782 21956 2440 7517 KALEIDA CLASSIC 340216 34175 306041 69188 5240 46827 1 63804 1160 62644 3259 8930 680 2086 480287 40820 439467 3259 100074 8360 56430 168123 271344 1 KALEIDA HEALTH 726 EXCHANGE STREET BUFFALO NY 14210 161533232 501(C)3 0 1587639 PURCHASE AMOUNT MEDICAL EQUIPMENT MEDICAL EQUIPMENT SUPPORT HOSPITAL KALEIDA HEALTH 726 EXCHANGE STREET BUFFALO NY 14210 161533232 501(C)3 5129498 0 NA NA DIRECT PAYMENT OF INVOICES 1 PART I, LINE 2: KALEIDA HEALTH FOUNDATION IS ORGANIZED AND OPERATED TO PROMOTE PHILANTHROPIC SUPPORT OF PATIENT CARE, EDUCATION, AND RESEARCH ACTIVITIES OF KALEIDA HEALTH (A NOT-FOR-PROFIT ORGANIZATION, EIN: 16-1533232) AND ITS NOT-FOR-PROFIT AFFILIATES. THEREFORE, AS REQUIRED BY THE GOVERNING DOCUMENTS, THE GRANT FUNDS ARE PAID TO KALEIDA HEALTH FOR USE AS EITHER DESIGNATED BY THE DONOR OR FOR THE CHARITABLE PURPOSE OF KALEIDA HEALTH. X 1 1 X X X X X 0 0 0 0 0 0 0 1 0 CAROL HORTON VICE PRESIDENT 271632 0 54672 0 3429 0 12826 0 7549 0 350108 0 0 0 CHRISTOPHER JORDAN DIRECTOR OF DEVELOPMENT 148513 0 11426 0 111 0 0 0 16542 0 176592 0 0 0 PART I, LINE 1A CAROL HORTON, AS THE VICE PRESIDENT OF THE KALEIDA HEALTH FOUNDATION, HAS A MEMBERSHIP AT THE BUFFALO CLUB, THE DUES OF WHICH ARE PAID BY THE FOUNDATION. THE USE OF THE CLUB IS LIMITED TO BUSINESS PURPOSES OF THE FOUNDATION, THEREFORE THERE IS NO PERSONAL USE INCLUDED IN HER COMPENSATION. 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 REQUIRMENTS OF ITS GOVERNING DOCUMENTS (IE 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 KALEIDA HEALTH BOARD OF DIRECTORS. THE KALEIDA HEALTH BOARD OF DIRECTORS APPROVE AND ELECT 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 REVIEW PROCESS FOR FORM 990 THE ORGANIZATION'S MANAGEMENT, IN CONSULTATION WITH THE ORGANIZATION'S TAX ADVISORS, KPMG LLP, REVIEWS THE FORM 990. THE FINANCIAL REVIEW IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOR THE RELEVANT TIME PERIOD. BEFORE THE 990 IS FILED WITH THE IRS, THE EXECUTIVE 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. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY UPON EMPLOYMENT AND ANNUALLY THEREAFTER EACH BOARD MEMBER 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 INTERESTS MAY EXIST, AND (2) MONITOR WORK OR SERVICE ASSIGNMENTS TO AVOID PLACING A KEY EMPLOYEE, 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 WITH RESPECT TO THE COMPENSATION OF THE ORGANIZATION'S KEY EMPLOYEE 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 FOUNDATIONS THAT ARE SIMILAR IN SIZE, DEMOGRAPHICS, AND GEOGRAPHY. FORM 990, PART VI, SECTION C, LINE 19 ACCESS TO ORGANIZATIONAL DOCUMENTS 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. KALEIDA HEALTH 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 161533232 HOSPITAL NY 501 (C) (3) 3 N/A 0 MILLARD FILLMORE AMBULATORY SURG CENTER 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 161307129 SUPPORT ORG NY 501 (C) (3) 12A KH 0 VNA HOME CARE SERVICES 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 161491203 HOME HLTHCARE NY 501 (C) (3) 10 KH 0 VNA OF WESTERN NEW YORK 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 160743214 HOME HLTHCARE NY 501 (C) (3) 10 KH 0 VISK INC 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 222738425 DORMANT NY 501 (C) (3) 10 KH 0 WOMEN & CHILDRENS HOSP OF BUFFALO FDN 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 161332044 FUNDRAISING NY 501 (C) (3) 7 KH 0 CHILDREN'S HEALTH HOME OF WNY INC 726 EXCHANGE STREET SUITE 200 BUFFALO NY 14210 814086046 HOME HLTHCARE NY 501 (C) (3) 10 KH 0 UPPER ALLEGHENY HEALTH SYSTEM INC 515 MAIN STREET OLEAN NY 14760 371255425 SUPPORT ORG NY 501 (C) (3) 12A KH 0 OLEAN GENERAL HOSPITAL 515 MAIN STREET OLEAN NY 14760 160743102 HOSPITAL NY 501 (C) (3) 3 UAHS 0 BRADFORD REGIONAL MED SVCS 116 INTERSTATE PARKWAY BRADFORD PA 16701 232875157 PHYS. GROUP PA 501 (C) (3) 3 BRMC 0 HEALTH SYSTEM PHYSICIAN PC 130 SOUTH UNION STREET OLEAN NY 14760 464304317 PHYS. 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