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Advancing the healthof our community

In 2010...Kaleida Health

participated in 74

community health

and wellness

screenings and

informational health

fairs at community

centers, churches,

schools and senior

centers throughout

Western new york,

reaching 92,370

participants.

Dear friends and neighbors,

The report that follows outlines community benefit programs and services offered

at Kaleida Health during 2010 by our dedicated physicians, employees and other

providers/partners.

Many of these services are offered in collaboration with community organizations

and philanthropic partners that support our ability to deliver high quality care.

The dedication and support of these organizations and individuals are essential

to Kaleida Health’s ability to serve the healthcare needs of those living in poverty.

Despite the downturn in the economy, which produced a greater number of

families in need throughout the community, Kaleida Health continued meeting

the healthcare needs of this most vulnerable population.

On behalf of the 1,800 medical staff members and 10,000 employees at Kaleida

Health, I am pleased to share with you this 2010 Community Benefit Report.

If you desire additional copies, please call (716) 859-8045 or download a copy at

www.kaleidahealth.org/community.

Sincerely,

James R. KaskiePresident and CEOKaleida Health

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Financial assistance

Kaleida Health offers assistance to access

affordable health care, including:

• The Kaleida Health Financial

Assistance Program provides free or

reduced-prices for patients treated at

Kaleida Health hospitals, outpatient

centers, emergency rooms, or long-

term care facilities. Discounts are

awarded based upon income and

asset verification. Individuals who

do not qualify for Medicaid, Child Health Plus, Family Health Plus, the Prenatal Care Assistance

Program, and/or State Aid for Children with Special Needs are considered for financial

assistance. Applications for financial assistance are available at any Kaleida Health hospital,

outpatient center, by telephone at 716-859-8979 or at www.kaleidahealth.org/community.

• Kaleida Health Facilitated Enrollers assist individuals with health insurance enrollment by

offering education and application assistance for Medicaid, Child Health Plus, Family Health

Plus, the Prenatal Care Assistance Program, and/or State Aid for Children with Special Needs.

For more information, call (716) 859-8979. Facilitated enrollers are available at Kaleida Health

facilities and at numerous community-based organizations.

Community Health needs assessment

Kaleida Health assesses the health of the community through several means, including (but not limited

to) reviewing local health needs assessments, such as:

• Kaleida Health: Community and Provider Health Care Assessment (January 2009)

http://www.kaleidahealth.org/community/Project_Progress_Report_Summary.pdf

• Erie County Department of Health Community Health Assessment (March 2010)

http://www2.erie.gov/health/sites/www2.erie.gov.health/files/uploads/pdfs/CHA%202010-2013%20

Community%20Health%20Assessment%2003.pdf

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In 2010...Approximately

50,000 individuals

were assisted with

health insurance

enrollment by

Kaleida Health staff;

25,475 applications

for health insurance

were processed.

• Niagara County Department of Health Community Health Assessment

(September 2009)

www.niagaracounty.com/Health/docs/CHA%20document.pdf

• Project CODA: Creating Options for Dignified Aging in Erie and Niagara

Counties (June 2009)

http://www.chfwcny.org/Tools/BroadCaster/Upload/Project20/Docs/Project_

CODA_final_06_30_2009.pdf

• Western New York Health Care Safety Net Assessment (February 2008)

http://www.chfwcny.org/Tools/BroadCaster/Upload/Project58/Docs/WNY_

Health_Care_ Safety_Net_Assessment_2008_Feb_Final_Report.pdf

• Reaching for Excellence: Community Vision and Voices for

WNY Health Care (July 2009)

http://www.rx4excellence.org/getInvolved/july28Event/RX4Excellence_

ACommunityReport.pdf

Kaleida Health utilizes the results of these and other community health needs

assessments to shape strategy for prioritizing its efforts and identifying areas

of focus for community benefit programs and interventions. Many community

benefit programs and services offered by Kaleida Health focus on the elderly, low-

income individuals and families, children and youth, women, and persons with

special needs.

Kaleida Health hosts community

forums and focus groups to better

understand the community’s needs

from their perspective, actively

participates in several local planning

efforts, and engages partners in

developing and implementing

interventions in response to the

community’s needs.

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Community information

Kaleida Health serves the eight counties of Western New York State. The eight-county service area

includes Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Orleans, Niagara and Wyoming Counties.

Kaleida Health is headquartered in the City of Buffalo, (Erie County) New York, with primary service

areas in Erie and Niagara Counties. This service area has a combined population of approximately 1.5

million people.

Primary service area community Profile

Erie City of Niagara City of New York County Buffalo County Niagara Falls State

Population 919,040 261,310 216,469 50,193 19,378,102

% White 80% 50.4% 88.5% 70.5% 65.9%

% Black 13.5% 38.6% 6.9% 21.6% 15.9%

% Hispanic 4.5% 10.5 2.2% 3.0% 17.6%

% Residents below poverty level 13.9% 26.6% 13.9% 26.3% 14.2%

Median household income $46,739 $30,376 $42,580 $31,336 $54,554

Per capita income per year $26,259 $19,554 $24,035 $19,059 $30,634

% children under 18 living in poverty 20.9% 45.3% 19.9% 27.7% 19.7%

Poverty rate 16th 2nd 14th N/A 24th in in N.Y.S. in the U.S. in N.Y.S. the U.S.

Population trend from 2000 to 2010 -3.3% -10.7% -1.5% -9.7% +2.1%

Source: 2010 U.S. Census (http://www.census.gov/)

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In 2010...Kaleida Health

discharged 64,569

patients from its

five hospitals.

Kaleida Health’s

81 outpatient clinics

generated 803,989

patient visits.

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, regulations

and policies of the medical staff and

Kaleida Health. Medical staff membership

or particular clinical privileges shall not

be denied on the basis of age, sex, sexual

orientation, 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 professional qualifications

or to the needs of the community, or to the

purposes, needs and capabilities of Kaleida

Health. Every member of the medical staff

assists the hospitals in fulfilling Kaleida Health’s mission and responsibilities in

providing emergency and uncompensated care.

Community Health improvement services

Kaleida Health offers a number of community health improvement services,

which are programs or services offered for the sole purpose of improving

community health, and are subsidized by Kaleida Health. These services are

generally offered free of charge to the community, and are based on community

need, as identified in the community health needs assessments.

During 2010, Kaleida Health recorded a number of community health

improvement services, such as the biweekly radio program with Kaleida Health

physicians and other health professionals. Topics included health information

and education on behavioral health, disease prevention, accident and trauma

prevention, and the importance of screenings, such as mammography

and prostate.

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In addition, many health education programs and support groups are offered at no cost to the

community, including:

• Bereavement Support Group • Destination Maternity

• Early Childhood Helpline • Parenting Education

• Shaken Baby Syndrome Education • Injury Prevention Education

• Consumer Health Information Services • Healthy U

• Sickle Cell Support Group • Smoking Cessation Classes

• Living with an Implantable Cardiac Defibrillator • Diabetes Education Classes

There are also Adult Day Care services available in North Tonawanda (Niagara County) and Amherst

(Erie County), which are subsidized by Kaleida Health. These services offer families a respite from the

demands of caring for the chronically ill and/or impaired adult who lives at home.

More than 115,000 annual nursing encounters were provided by Kaleida Health staff caring for

children attending Buffalo’s public and non-public schools. In 2010, this included daily medication

administration, nursing services,

communicable disease surveillance, health

education and counseling services.

Dozens of professionals representing

various health professions offered

education and awareness regarding

possible future healthcare careers at local

middle and high schools. In addition,

Kaleida Health is a founding partner in

establishing the Health Sciences Charter

School, a local high school focused on preparing youth for academic success and future careers

in health care. Students were offered opportunities for job shadowing, MASH camps, and other

community service activities focused on health care and service to the community.

a total of $143,346,959 in community benefit programs and services were provided by

Kaleida Health during 2010.

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In 2010...Kaleida Health held

705 community

vaccination clinics

in multiple locations

throughout

erie, niagara,

Chautauqua and

Cattaraugus

Counties,

resulting in its

Visiting nursing

Association

of Wny, inc.

providing 27,628

flu and 318

pneumonia

vaccines.

Kaleida Health’s charitable mission

2010 net community Benefit exPenses

Charity Care at Cost $ 11,851,844

Unreimbursed Means-tested Medicaid Programs 70,547,272

Community Health Improvement Services and Community Benefit Operations 5,737,822

Health Professions Education 28,652,004

Subsidized Health Services 26,443,102

Cash and In-Kind contributions to Community Groups 114,915

2010 charity care and community benefit programs are 13% of total hospital/snf operating expenses of $1 Billion $143,346,959

2010 community Benefit statistics

Health Professions Education

20%

Community Health Improvement Services and Community Benefit

Operations

4%

Subsidized Health Services

18%

Charity Care

8%

Cash and In-Kind Contributions to

Community Groups

1%

Unreimbursed Means-tested

Medicaid Programs

49%

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Kaleida Health Hospitals and Long-Term Care Facilities

total community Benefit net exPenses 2007-2010

Note: 2007/2008 Data from NYSDOH Community Service Plan 2009/2010 Data from IRS 990 Schedule H Community Benefit Report

2010 Kaleida Health Community Benefit Programs and Services• Ambulatory Care Clinics

• Behavioral Health Services

• Child Advocacy Center

• Community Health Screenings/Health Fairs

• Community Emergency Preparedness

• Consumer Health Information (Libraries)

• Early Childhood Direction Center

• Family Planning Center

• Financial Assistance Programs

• Geriatric Center of Excellence

• Graduate Medical Education and Allied Health Professions Education

• Health Careers Exploration

• “Healthy U” Consumer Education Program

• “Heart Truth” Women’s Heart Health Education

• Lead Poisoning Prevention Resource Center

• Long-Term Care Pediatric Unit

• Physician Recruitment

• Regional Perinatal Center of WNY

• Dr. Robert Warner Center

• School-Based Health Centers

• School Nursing Services (Buffalo)

• Skilled Nursing Facilities

• Speakers’ Series

• Support Groups

• “Take Control of Your Health” Heart Health Education Program

• Upstate NY Shaken Baby Syndrome Education Program

• Western New York Regional Poison Control Center

• Women’s Health Services

0 30 60 90 120 150

726 exchange Street Buffalo, ny 14210 (716) 859-8801 www.kaleidahealth.org

Buffalo General Hospital

DeGraff Memorial Hospital

Millard Fillmore Gates Circle Hospital

Millard Fillmore Suburban Hospital

Women & Children’s Hospital of Buffalo

Ambulatory Care Network

Long-Term Care Facilities

Visiting Nursing Association of WNY, Inc.