Kaleida Health

What it reported doing in 2024

See schedule okaleida 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), john r. Oishei children's hospital (oishei children's hospital, formerly the women & children's hospital of buffalo), 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 blended together into one framework for leadership, governance, shared services, financial infrastructure and information technology platforms. Collectively, kaleida health's market share is 35.76% in western New York, 44.15% in erie county and 38.09% in niagara county. Kaleida health system employs approximately 14,130 staff and has approximately 5,180 medical staff members. During 2024, there were 53,399 inpatient discharges, of which 22% were medicaid and medicaid managed care, 41% medicare and medicare managed care, 36% commercial, and 1% uninsured.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 assocation, the american medical assocation and the greater New York hospital assocation.operation of emergency rooms: kaleida health operates four emergency rooms, one in each of the acute care hospitals, generating a total of 142,508 patient visits during 2024. 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 orientaton, race, color, creed, national origin, a disability unrelated to the ability to fulfill patient care and medical staff responsibilities or any other criterion unrelated to the efficient delivery of quality patient care, to profession

Financial Efficiency

• Mission deployment rate: 84.5%; rating input score 84
• Program expense ratio: 90.4%; rating input score 90
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 93.3%; rating input score 93; 21st percentile among comparable filings
• Pay-setting controls: 6 of 6 controls in place; rating input score 100
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Pass
  • Written employment contract: Pass
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Scored; rating input score 0
• Grant itemization coverage: 97%; rating input score 97; 31st percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 80%; rating input score 80; 28th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 6.3%; rating input score 61; 61st percentile among comparable filings
• Total-asset coverage ratio: 0.7; rating input score 27; 27th percentile among comparable filings
• Liabilities to assets ratio: 0.81; rating input score 17; 17th percentile among comparable filings
• Officer compensation ratio: 1.1%; rating input score 72; 72nd percentile among comparable filings

Growth

• Program expense growth: 3.9% per year; rating input score 100; 30th percentile among comparable filings
• Revenue growth: 3.6% per year; rating input score 100; 28th percentile among comparable filings
• Asset growth: 1.3% per year; rating input score 100; 12th percentile among comparable filings