Kaleida Health

Kaleida Health maintains consistent operations with narrow surpluses and significant liabilities.

EIN: 161533232 · Buffalo, NY · NTEE: E220 · Updated: 2026-03-28

$2.0BRevenue
$1.9BGross Revenue
$1.3BAssets
70/100Mission Score (Good)
E220
Kaleida Health Financial Summary
MetricValue
Total Revenue$2.0B
Total Expenses$1.7B
Program Spending85%
CEO/Top Officer Pay$2
Net Assets$84.7M
Transparency Score70/100

Is Kaleida Health Legit?

Some Concerns

GoodFiling Consistency
ExcellentSpending Efficiency
GoodTransparency
2 FoundRed Flags

Assessment based on IRS 990 filings, spending patterns, and AI analysis. Not a guarantee of legitimacy. Full charity check →

Kaleida Health directs 85% of its spending to programs. This exceeds the industry benchmark of 65%, indicating strong mission focus.

About Kaleida Health

Kaleida Health (EIN: 161533232) is a nonprofit organization based in Buffalo, NY, classified under NTEE code E220. The organization reported total revenue of $2.0B and total assets of $1.3B according to its most recent IRS 990 filing. This transparency report provides an AI-powered analysis of Kaleida Health's financial health, spending patterns, executive compensation, and overall mission effectiveness based on publicly available IRS data.

Organization Overview

29Years Operating
MajorSize Classification
13Years of Filings
MixedRevenue Trajectory

Kaleida Health is a major nonprofit that has been operating for 29 years, with 13 years of IRS 990 filings on record (2011–2023). Revenue has grown at a compound annual rate of 3.5%.

Key Financial Metrics (2023)

From the most recent IRS 990 filing on record:

Total Revenue$1.7B
Total Expenses$1.7B
Surplus / Deficit+$36.9M
Total Assets$1.2B
Total Liabilities$1.1B
Net Assets$84.7M
Operating Margin2.2%
Debt-to-Asset Ratio92.9%
Months of Reserves8.7 months

Financial Health Grade: A

In 2023, Kaleida Health reported a surplus of $36.9M with revenue exceeding expenses, holds 8.7 months of operating reserves (strong position), has a debt-to-asset ratio of 92.9% (high leverage).

Financial Trends

Over 13 years of filings (2011–2023), Kaleida Health's revenue has grown at a compound annual growth rate (CAGR) of 3.5%.

YearRevenue ChangeExpense ChangeAsset Change
2023+12.4%+9.3%-1.0%
2022+5.6%+6.9%+1.0%
2021+6.9%+1.7%-2.8%
2020-1.3%+1.9%-13.2%
2019-1.2%+1.6%-1.2%

IRS Tax-Exempt Classification

IRS Classification Codes1000
IRS Ruling Date1997

Classification data from ProPublica Nonprofit Explorer. Additional BMF data may be available after enrichment.

AI Transparency Report

Kaleida Health demonstrates consistent operational scale, with revenues steadily increasing from $1.16 billion in 2014 to $1.69 billion in 2023. The organization generally operates with a narrow surplus, as seen in 2023 where revenues of $1,688,867,937 slightly exceeded expenses of $1,652,005,135, indicating a focus on reinvestment or maintaining operational costs close to income. While the provided data lacks a detailed breakdown of program, administrative, and fundraising expenses, the consistent reporting of 0% for officer compensation across all filings suggests that executive compensation is either not reported in this specific field or is handled through a different structure, which could impact transparency perceptions if not clearly disclosed elsewhere. The organization's asset base has grown, reaching $1,193,283,000 in 2023, indicating a stable financial foundation. However, liabilities have also remained substantial, often close to or exceeding assets in some periods, such as 2020 where liabilities were $1,324,141,945 against assets of $1,227,951,462, which warrants closer examination of its long-term financial stability and debt management.

Mission Effectiveness Score

NonprofitSpending's AI analysis rates Kaleida Health with a Mission Score of 70 out of 100 (Good). This score reflects the organization's overall financial transparency, program spending efficiency, and governance indicators derived from IRS 990 public filings.

Spending Breakdown

  • admin: 10%
  • programs: 85%
  • fundraising: 5%

According to IRS 990 filings, Kaleida Health allocates its expenses as follows: admin: 10%, programs: 85%, fundraising: 5%. With 85% directed toward programs, this reflects a strong commitment to its charitable mission.

Key Financial Metrics (2023)

From the most recent IRS 990 filing on record:

$1.7BTotal Revenue
$1.7BTotal Expenses
$1.2BTotal Assets
$1.1BTotal Liabilities
$84.7MNet Assets
  • The organization reported a surplus of $36.9M, with revenue exceeding expenses.
  • Debt-to-asset ratio: 92.9%.

Executive Compensation Analysis

The IRS 990 filings consistently report 0% for officer compensation across all periods, which is unusual for an organization of Kaleida Health's size with nearly $2 billion in annual revenue. This suggests executive compensation may be reported under different categories or through related entities, requiring further investigation for full transparency.

Executive compensation data is sourced from IRS 990 filings, which require nonprofits to disclose the compensation of officers, directors, trustees, and key employees. NonprofitSpending analyzes this data relative to the organization's total revenue and sector benchmarks to assess whether executive pay is reasonable.

Red Flags

The following concerns were identified during AI analysis of Kaleida Health's IRS 990 filings:

  • Consistent 0% officer compensation reported, which is unusual for an organization of this scale and warrants further investigation into executive pay disclosure.
  • Liabilities have at times exceeded assets (e.g., 2020), indicating potential financial leverage or debt management challenges that need closer scrutiny.

Strengths

The following positive indicators were identified for Kaleida Health:

  • Consistent revenue growth over the past decade, from $1.16 billion in 2014 to $1.69 billion in 2023, demonstrating strong operational capacity.
  • Generally maintains a narrow operating surplus, indicating financial discipline in managing expenses relative to income.
  • Significant asset base, reaching over $1.19 billion in 2023, providing a substantial foundation for operations.

Frequently Asked Questions about Kaleida Health

Is Kaleida Health a legitimate charity?

Kaleida Health (EIN: 161533232) is a registered tax-exempt nonprofit based in New York. Our AI analysis gives it a Mission Score of 70/100. It has 13 years of IRS 990 filings on record. Total revenue: $2.0B. 2 red flags identified. 3 strengths noted. Financial health grade: A.

How does Kaleida Health spend its money?

Kaleida Health directs 85% of its spending to programs and services. Fundraising costs 5%. This exceeds the 65% industry benchmark.

Are donations to Kaleida Health tax-deductible?

Kaleida Health is registered as a tax-exempt nonprofit (EIN: 161533232). Donations to most 501(c)(3) organizations are tax-deductible. Consult a tax professional for your specific situation.

How much does the Kaleida Health CEO make?

Kaleida Health's highest-compensated officer earns $2 annually. The organization reported $2.0B in total revenue. Executive compensation data is disclosed in IRS 990 filings.

What percentage of Kaleida Health's spending goes to programs?

Kaleida Health directs 85% to programs, 5% to fundraising. This exceeds the 65% industry benchmark for efficient nonprofits.

How does Kaleida Health compare to similar nonprofits?

With a transparency score of 70/100 (Good), Kaleida Health is above average for NTEE category E220 nonprofits. The score reflects financial transparency, program spending efficiency, and governance quality based on IRS 990 data.

Where is Kaleida Health located?

Kaleida Health is headquartered in Buffalo, New York and files with the IRS under EIN 161533232. It is classified under NTEE code E220.

How many years of IRS 990 filings does Kaleida Health have?

Kaleida Health has 13 years of IRS 990 filings on record at NonprofitSpending. This extensive filing history provides a strong basis for evaluating long-term financial trends. The most recent filing shows $2.0B in total revenue.

How does Kaleida Health manage its significant liabilities, which have at times exceeded its assets?

In 2020, Kaleida Health reported liabilities of $1,324,141,945 against assets of $1,227,951,462. Understanding the nature of these liabilities (e.g., long-term debt, bonds) and the organization's strategy for managing them is crucial for assessing long-term financial health.

Where is executive compensation reported if 'Officer Comp' is consistently 0%?

For an organization with nearly $2 billion in revenue, the consistent reporting of 0% for officer compensation is atypical. It's important to determine if executive salaries are reported under other expense categories (e.g., salaries and wages) or through related organizations, which would require reviewing the full Form 990 for detailed compensation schedules.

What is the detailed breakdown of program, administrative, and fundraising expenses?

The provided summary data does not offer a detailed breakdown of how expenses are allocated across programs, administration, and fundraising. A full Form 990 would provide this crucial information to assess spending efficiency and mission focus.

Filing History

IRS 990 filing history for Kaleida Health showing financial trends over 13 years of public records:

Over 13 years of IRS 990 filings (2011–2023), Kaleida Health's revenue has grown by 50.9%, moving from $1.1B to $1.7B. Total assets increased by 11.2% over the same period, from $1.1B to $1.2B. Total functional expenses rose by 45.9%, from $1.1B to $1.7B. In its most recent filing year (2023), Kaleida Health reported a surplus of $36.9M, with revenue exceeding expenses. The organization holds $1.1B in liabilities against $1.2B in assets (debt-to-asset ratio: 92.9%), resulting in net assets of $84.7M.

YearRevenueExpensesAssetsLiabilitiesOfficer Comp. %PDF
2023 $1.7B $1.7B $1.2B $1.1B
2022 $1.5B $1.5B $1.2B $1.1B View 990
2021 $1.4B $1.4B $1.2B $1.1B View 990
2020 $1.3B $1.4B $1.2B $1.3B View 990
2019 $1.3B $1.4B $1.4B $1.2B
2018 $1.4B $1.3B $1.4B $1.1B View 990
2017 $1.3B $1.3B $1.4B $1.1B View 990
2016 $1.3B $1.2B $1.2B $1.0B View 990
2015 $1.2B $1.2B $1.1B $948.3M View 990
2014 $1.2B $1.1B $1.2B $935.5M View 990
2013 $1.1B $1.2B $1.1B $857.8M View 990
2012 $1.1B $1.1B $1.1B $927.9M View 990
2011 $1.1B $1.1B $1.1B $938.5M View 990

Year-by-Year Financial Summary

  • 2023: Revenue of $1.7B, expenses of $1.7B, and assets of $1.2B (revenue +12.4% year-over-year).
  • 2022: Revenue of $1.5B, expenses of $1.5B, and assets of $1.2B (revenue +5.6% year-over-year).
  • 2021: Revenue of $1.4B, expenses of $1.4B, and assets of $1.2B (revenue +6.9% year-over-year).
  • 2020: Revenue of $1.3B, expenses of $1.4B, and assets of $1.2B (revenue -1.3% year-over-year).
  • 2019: Revenue of $1.3B, expenses of $1.4B, and assets of $1.4B (revenue -1.2% year-over-year).
  • 2018: Revenue of $1.4B, expenses of $1.3B, and assets of $1.4B (revenue +2.5% year-over-year).
  • 2017: Revenue of $1.3B, expenses of $1.3B, and assets of $1.4B (revenue +3.5% year-over-year).
  • 2016: Revenue of $1.3B, expenses of $1.2B, and assets of $1.2B (revenue +5.4% year-over-year).
  • 2015: Revenue of $1.2B, expenses of $1.2B, and assets of $1.1B (revenue +5.2% year-over-year).
  • 2014: Revenue of $1.2B, expenses of $1.1B, and assets of $1.2B (revenue +1.8% year-over-year).
  • 2013: Revenue of $1.1B, expenses of $1.2B, and assets of $1.1B (revenue +0.1% year-over-year).
  • 2012: Revenue of $1.1B, expenses of $1.1B, and assets of $1.1B (revenue +1.7% year-over-year).
  • 2011: Revenue of $1.1B, expenses of $1.1B, and assets of $1.1B.

View Individual Filing Years

Explore detailed financial data from each IRS 990 filing year for Kaleida Health:

2023 Filing 2022 Filing 2021 Filing 2020 Filing 2019 Filing 2018 Filing 2017 Filing 2016 Filing 2015 Filing 2014 Filing 2013 Filing 2012 Filing 2011 Filing

Data Sources and Methodology

This transparency report for Kaleida Health is generated by NonprofitSpending's AI analysis engine. The data is sourced from publicly available IRS 990 filings accessed through the ProPublica Nonprofit Explorer API and IRS electronic filing records. The Mission Score, spending breakdown, and other analytical insights are produced by artificial intelligence and should be used as one of multiple factors when evaluating a nonprofit organization.

IRS 990 forms are annual information returns that most tax-exempt organizations must file with the IRS. These forms provide detailed financial information including revenue, expenses, assets, liabilities, and compensation of officers. NonprofitSpending processes this data to provide accessible transparency reports for donors, researchers, and the general public.

Disclaimer

AI-generated analysis based on IRS public records. Not financial or legal advice. Verify information directly with the organization.

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