Community Benefit Report 2010 - Kaleida Health

Advancing the health
of our community
C o m m u n i t y B e n e f i t R e p o r t 2 0 1 0

1
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. Kaskie
President and CEO
Kaleida Health
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.

2
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 longterm
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

3
• 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, lowincome
individuals and families, children and youth, women, and persons with
special needs.
In 2010...
Approximately
50,000 individuals
were assisted with
health insurance
enrollment by
Kaleida Health staff;
25,475 applications
for health insurance
were processed.
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.

4
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/)

5
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.
In 2010...
Kaleida Health
discharged 64,569
patients from its
five hospitals.
Kaleida Health’s
81 outpatient clinics
generated 803,989
patient visits.
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.

6
In addition, many health education programs and support groups are offered at no cost to the
community, including:
• Bereavement Support Group
• Early Childhood Helpline
• Shaken Baby Syndrome Education
• Consumer Health Information Services
• Sickle Cell Support Group
• Living with an Implantable Cardiac Defibrillator
• Destination Maternity
• Parenting Education
• Injury Prevention Education
• Healthy U
• Smoking Cessation Classes
• 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.

7
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
Subsidized Health
Services
18%
Community Health
Improvement Services
and Community Benefit
Operations
4%
Health
Professions
Education
20%
Charity Care
8%
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.
Cash and In-Kind
Contributions to
Community
Groups
1%
Unreimbursed
Means-tested
Medicaid Programs
49%

8
Kaleida Health Hospitals and Long-Term Care Facilities
Total Community Benefit Net Expenses 2007-2010
0 30 60 90 120 150
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

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.