SOLDIERS & SAILORS MEMORIAL: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
SOLDIERS & SAILORS MEMORIAL (EIN 16-0743192)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-14
IRS object ID
202433199349302618
Schema version
2023v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-14T08:19:59-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161131146PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BONADIO & CO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1171 SULLYS TRAILAddressLine1Txt
CityPITTSFORDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14534ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN160743192EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOLDIERS & SAILORS MEMORIAL HOSPITAL OFBusinessNameLine1Txt
Business Name Line2YATES COUNTY INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSOLDBusinessNameControlTxt
Phone3157874030PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1418 NORTH MAIN STREETAddressLine1Txt
CityPENN YANCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14527ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTRISHA KOCZENTPersonNm
Person TitleTREASURER AND CFOPersonTitleTxt
Phone3157874030PhoneNum
Signature2024-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAIMEE J JOZICPreparerPersonNm
PTINP01346943PTIN
Phone5853811000PhoneNum
Preparation2024-11-13PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOSE ACEVEDO MD MBAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1418 NORTH MAIN STREETAddressLine1Txt
CityPENN YANCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14527ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$54,955,717GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.FLHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1924FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionSOLDIERS AND SAILORS MEMORIAL HOSPITAL IS A COMMUNITY BASED, NOT-FOR-PROFIT CRITICAL ACCESS HOSPITAL DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH OF ALL PEOPLE IN THE CENTRAL FINGER LAKES REGION. WE ARE COMMITTED TO SAFE, HIGH QUALITY, COMPASSIONATE SERVICES THAT ARE CONVENIENT, ACCESSIBLE AND AT REASONABLE COST, THROUGH THE EFFORTS OF OUR EMPLOYEES, MEDICAL STAFF AND VOLUNTEERS. WE ARE A CENTER FOR HEALTH EDUCATION THAT LIVES ITS LEADERSHIP COMMITMENTS THROUGH PARTICIPATION IN AND SPONSORSHIP OF PROFESSIONAL, ALLIED HEALTH AND COMMUNITY HEALTH EDUCATION PROGRAMS.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee424TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,847,556PYContributionsGrantsAmt
CY Contributions Grants$2,715,427CYContributionsGrantsAmt
PY Program Service Revenue$41,489,418PYProgramServiceRevenueAmt
CY Program Service Revenue$49,745,837CYProgramServiceRevenueAmt
PY Investment Income$891,035PYInvestmentIncomeAmt
CY Investment Income$2,331,483CYInvestmentIncomeAmt
PY Other Revenue$80,383PYOtherRevenueAmt
CY Other Revenue$72,000CYOtherRevenueAmt
PY Total Revenue$47,308,392PYTotalRevenueAmt
CY Total Revenue$54,864,747CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$28,430,245PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$23,941,746CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$47,248CYTotalFundraisingExpenseAmt
PY Other Expenses$15,061,134PYOtherExpensesAmt
CY Other Expenses$24,383,145CYOtherExpensesAmt
PY Total Expenses$43,491,379PYTotalExpensesAmt
CY Total Expenses$48,324,891CYTotalExpensesAmt
PY Revenues Less Expenses$3,817,013PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,539,856CYRevenuesLessExpensesAmt
Total Assets BOY$51,468,744TotalAssetsBOYAmt
Total Assets EOY$57,447,873TotalAssetsEOYAmt
Total Liabilities BOY$10,070,929TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,603,111TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$41,397,815NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$47,844,762NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSOLDIERS AND SAILORS MEMORIAL HOSPITAL IS A COMMUNITY BASED, NOT-FOR-PROFIT CRITICAL ACCESS HOSPITAL DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH OF ALL PEOPLE IN THE CENTRAL FINGER LAKES REGION. WE ARE COMMITTED TO SAFE, HIGH QUALITY, COMPASSIONATE SERVICES THAT ARE CONVENIENT, ACCESSIBLE AND AT REASONABLE COST, THROUGH THE EFFORTS OF OUR EMPLOYEES, MEDICAL STAFF AND VOLUNTEERS. WE ARE A CENTER FOR HEALTH EDUCATION THAT LIVES ITS LEADERSHIP COMMITMENTS THROUGH PARTICIPATION IN AND SPONSORSHIP OF PROFESSIONAL, ALLIED HEALTH AND COMMUNITY HEALTH EDUCATION PROGRAMS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,008,506ExpenseAmt
Revenue$2,309,946RevenueAmt
DescPATIENT SERVICE PROGRAM: INPATIENT, SOLDIERS & SAILORS MEMORIAL HOSPITAL OPERATES A 25-BED GENERAL ACUTE CARE HOSPITAL.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$28,609,098ExpenseAmt
Revenue$37,300,048RevenueAmt
DescPATIENT SERVICE PROGRAM: OUTPATIENT, A FULL RANGE OF DIAGNOSTIC AND TREATMENT SERVICES ARE AVAILABLE AT SOLDIERS & SAILORS MEMORIAL HOSPITAL. WE ARE DEDICATED TO PROVIDING A COMPREHENSIVE ARRAY OF HEALTHCARE SERVICES TO PEOPLE IN THE FINGER LAKES REGION.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$6,046,561ExpenseAmt
Revenue$10,135,843RevenueAmt
DescPATIENT SERVICE PROGRAM: LONG TERM CARE, SOLDIERS & SAILORS MEMORIAL HOSPITAL OPERATES A 130-BED SKILLED NURSING FACILITY AND A 20-BED LONG-TERM BEHAVIORAL INTERVENTION SERVICE.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$39,664,165TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee424EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TRISHA KOCZENTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3157874000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1196 NORTH STREETAddressLine1Txt
CityGENEVACityNm
State AbbreviationNYStateAbbreviationCd
ZIP14456ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
KYLENE ABRAHAM
DIRECTOR1.004.00Yes (X)$0$0$0
JOSE ACEVEDO MD
PRESIDENT & CEO6.0034.00Yes (X)$0$945,580$64,835Yes (X)
JAMES ADAMS
SECRETARY1.004.00Yes (X)$0$0$0Yes (X)
ROBERT ANDERSON MD
DIRECTOR1.0039.00Yes (X)$304,574$0$22,478
PHILIP BECKLEY
DIRECTOR2.008.00Yes (X)$0$0$0
TOM BURRALL
DIRECTOR1.004.00Yes (X)$0$0$0
JAMES CHENEY
DIRECTOR1.004.00Yes (X)$0$0$0
CRAIG COLLINS MD
DIRECTOR1.004.00Yes (X)$0$0$0
CRAIG DENSMORE
DIRECTOR1.004.00Yes (X)$0$0$0
CHEVANNE DE VANEY
DIRECTOR1.004.00Yes (X)$0$0$0
RYAN HALLINGS
VICE CHAIR1.004.00Yes (X)$0$0$0Yes (X)
ANN MCMULLEN
DIRECTOR1.004.00Yes (X)$0$0$0
TRISHA KOCZENT
TREASURER6.0034.00Yes (X)$0$392,815$53,277Yes (X)
JAMES NARDOZZI
DIRECTOR1.004.00Yes (X)$0$0$0
RODOLFO QUERIOZ MD
DIRECTOR1.004.00Yes (X)$0$0$0
SUSAN STORK
DIRECTOR1.004.00Yes (X)$0$0$0
LANCE WARD
DIRECOR1.004.00Yes (X)$0$0$0
STEVE GOLDSTEIN
DIRECTOR1.004.00Yes (X)$0$1,633,548$214,557
MICHAEL ROTONDO
DIRECTOR1.004.00Yes (X)$0$1,321,658$110,180
MARK TAUBMAN
DIRECTOR1.004.00Yes (X)$0$1,879,642$179,258
JASON FEINBERG
CHIEF MEDICAL OFFICER8.0032.00$0$551,481$63,828Yes (X)
FRANK KORICH
CHIEF OPERATING OFFICER8.0032.00$0$543,520$81,841Yes (X)
ARDELLE BIGOS
VICE PRESIDENT NURSING16.0024.00$0$342,644$64,185Yes (X)
MATTHEW TALBOTT
ACMO16.0024.00$0$517,920$16,463Yes (X)
CHAD HOFFMAN-FRAGALE
VP HUMAN RESOURCES AND EMERGENCY MGMT16.0024.00$0$293,434$46,738Yes (X)
LARA TURBIDE
VP COMMUNITY SERVICES1.00$0$345,647$53,708Yes (X)
ERIC SHIVES
PHYSICIAN40.000.00$278,192$0$12,717Yes (X)
LUKE B CHEN
PHYSICIAN40.000.00$664,604$0$33,171Yes (X)
SIXTO R MEDINA
PHYSICIAN40.000.00$338,398$0$24,785Yes (X)
PHILIPP WIRTH
PHYSICIAN40.000.00$385,879$0$20,683Yes (X)
ANDREW REESE
PHYSICIAN40.00$274,330$0$31,200Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,245,977TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,767,889TotReportableCompRltdOrgAmt
Total Other Compensation$1,093,904TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K35IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$811,144RelatedOrganizationsAmt
Government Grants$1,904,283GovernmentGrantsAmt
Total Contributions$2,715,427TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business621990BusinessCd
Total Revenue Column$41,725,409TotalRevenueColumnAmt
Related Or Exempt Func Income$41,725,409RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,020,428TotalRevenueColumnAmt
Related Or Exempt Func Income$8,020,428RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$49,745,837TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$402,277TotalRevenueColumnAmt
Exclusion$402,277ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,020,176SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$90,970OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,020,176SecuritiesAmt
Other-$90,970OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,929,206TotalRevenueColumnAmt
Exclusion$1,929,206ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business900099BusinessCd
Total Revenue Column$72,000TotalRevenueColumnAmt
Exclusion$72,000ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$72,000OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$54,864,747TotalRevenueColumnAmt
Related Or Exempt Func Income$49,745,837RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,403,483ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$20,155,742TotalAmt
Program Services$18,361,150ProgramServicesAmt
Management And General$1,794,592ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$253,589TotalAmt
Program Services$231,010ProgramServicesAmt
Management And General$22,579ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,307,117TotalAmt
Program Services$2,101,700ProgramServicesAmt
Management And General$205,417ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,225,298TotalAmt
Program Services$1,116,202ProgramServicesAmt
Management And General$109,096ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$597,741TotalAmt
Program Services$112,996ProgramServicesAmt
Management And General$484,745ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$326,219TotalAmt
Program Services$21,565ProgramServicesAmt
Management And General$304,654ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$61,655TotalAmt
Management And General$61,655ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$56,728TotalAmt
Program Services$56,724ProgramServicesAmt
Management And General$4ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$117,828TotalAmt
Management And General$84,476ManagementAndGeneralAmt
Fundraising$33,352FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$366,300TotalAmt
Program Services$258,100ProgramServicesAmt
Management And General$105,556ManagementAndGeneralAmt
Fundraising$2,644FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$167,184TotalAmt
Program Services$113,732ProgramServicesAmt
Management And General$48,267ManagementAndGeneralAmt
Fundraising$5,185FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$933,748TotalAmt
Program Services$833,210ProgramServicesAmt
Management And General$100,538ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$8,310TotalAmt
Program Services$2,957ProgramServicesAmt
Management And General$5,353ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$74,186TotalAmt
Management And General$74,186ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,774,701TotalAmt
Program Services$1,685,966ProgramServicesAmt
Management And General$88,735ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$554,996TotalAmt
Program Services$52,619ProgramServicesAmt
Management And General$502,377ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONTRACT STAFFING COSTS$6,878,384$6,878,384
PURCHASED SERVICES$4,601,023$3,145,080$1,455,943
SHARED SERVICES$2,900,887$2,900,887
SUPPLIES$2,315,337$2,224,014$91,323

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,647,918TotalAmt
Program Services$2,468,756ProgramServicesAmt
Management And General$173,095ManagementAndGeneralAmt
Fundraising$6,067FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$48,324,891TotalAmt
Program Services$39,664,165ProgramServicesAmt
Management And General$8,613,478ManagementAndGeneralAmt
Fundraising$47,248FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$46,521BOYAmt
EOY$35,125EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,171,492BOYAmt
EOY$2,691,157EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,719,869BOYAmt
EOY$5,116,442EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$530,164BOYAmt
EOY$521,688EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$275,985BOYAmt
EOY$343,459EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$481,171BOYAmt
EOY$506,352EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$76,907,065LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$61,622,924LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$16,645,792BOYAmt
EOY$15,284,141EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$17,508,316BOYAmt
EOY$19,106,069EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$4,093,065BOYAmt
EOY$3,990,208EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,996,369BOYAmt
EOY$9,853,232EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$51,468,744BOYAmt
EOY$57,447,873EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,969,594BOYAmt
EOY$3,585,671EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$4,770,483BOYAmt
EOY$4,693,335EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$190,103BOYAmt
EOY$183,356EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,140,749BOYAmt
EOY$1,140,749EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,070,929BOYAmt
EOY$9,603,111EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$41,397,815BOYAmt
EOY$47,844,762EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$41,397,815BOYAmt
EOY$47,844,762EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$51,468,744BOYAmt
EOY$57,447,873EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$6,539,856ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$66,053NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$26,856PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$5,518OtherActivitiesAmt
Total Lobbying Expenditures$5,518TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationPORTION OF ASSOCIATION DUES ATTRIBUTED TO LOBBYING EXPENSES.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$517,764OtherCostOrOtherBasisAmt
Book Value$517,764BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,157,389OtherCostOrOtherBasisAmt
Depreciation$22,203,463DepreciationAmt
Book Value$7,953,926BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,423,590OtherCostOrOtherBasisAmt
Depreciation$2,128,451DepreciationAmt
Book Value$295,139BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$43,783,462OtherCostOrOtherBasisAmt
Depreciation$37,291,010DepreciationAmt
Book Value$6,492,452BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,860OtherCostOrOtherBasisAmt
Book Value$24,860BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$15,284,141TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
LTC PATIENT ACCOUNTS$183,356
DUE FROM AFFILIATE$9,669,876
FieldValueIRS element (for citing)
Total Book Value Other Assets$9,853,232TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
LONG TERM DUE TO AFFILIATE$746,749
BLUE CROSS (BCR) ADVANCE 2005$394,000
FieldValueIRS element (for citing)
Total Liability$1,140,749TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART IV, LINE 2B:FormAndLineReferenceDesc
ExplanationSOLDIERS & SAILORS MEMORIAL HOSPITAL OF YATES COUNTY HOLDS AGENCY FUNDS FOR THE CONVENIENCE OF ITS RESIDENTS.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,706,167TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,855,875DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,743,554TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,661,366DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,082,188NetCommunityBenefitExpnsAmt
Total Expense0.06380TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,449,721TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,517,241DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,082,188NetCommunityBenefitExpnsAmt
Total Expense0.06380TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,372,404TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,494,814DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,877,590NetCommunityBenefitExpnsAmt
Total Expense0.05950TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,372,404TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,494,814DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,877,590NetCommunityBenefitExpnsAmt
Total Expense0.05950TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,822,125TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,012,055DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,959,778NetCommunityBenefitExpnsAmt
Total Expense0.12330TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$29,157BadDebtExpenseAmt
Bad Debt Expense Attributable$15,518BadDebtExpenseAttributableAmt
Reimbursed By Medicare$3,829,517ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$1,533,043CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$2,296,474MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOLDIERS & SAILORS MEMORIAL HOSPITAL OF YATES COUNTY INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1418 NORTH MAIN STREETAddressLine1Txt
CityPENN YANCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14527ZIPCd
FieldValueIRS element (for citing)
State License6120700HStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SOLDIERS AND SAILORS MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.FLHEALTH.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.FLHEALTH.ORGStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.FLHEALTH.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.FLHEALTH.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.FLHEALTH.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit Report To Credit AgencyYes (X)PermitReportToCreditAgencyInd
Permit Legal Judicial ProcessYes (X)PermitLegalJudicialProcessInd
Collection Activities0CollectionActivitiesInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally BilledYes (1)AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION A:SOLDIERS & SAILORS MEMORIAL HOSPITAL OF YATES COUNTY:PART V, SECTION B, LINE 5: THE ONTARIO, SENECA AND YATES COUNTY PUBLIC HEALTH DEPARTMENTS, IN COLLABORATION WITH FINGER LAKES HEALTH, OTHER HOSPITALS, THE S2AY RURAL HEALTH NETWORK (NOW PIVITAL HEALTH), COMMON GROUND HEALTH AND THE COMMUNITY BASED AGENCIES CONDUCTED SURVEYS OF RESIDENTS IN ONTARIO, YATES AND SENECA COUNTIES THROUGH THE COMMUNITY HEALTH NEEDED ASSESSMENT PROCESS. SURVEYS WERE DISSEMINATED THROUGH MANY DIFFERENT METHODS INCLUDING E-MAIL, WEB PAGES, MAILING OF PAPER COPIES, DISSEMINATION OF PAPER COPIES IN LOCAL STORES, HEALTH CARE FACILITIES, PUBLIC HEALTH AND COMMUNITY FACILITIES, AND DIRECT ASSISTANCE WITHIN COUNTY BUILDINGS/AGENCIES. FINGER LAKES HEALTH INVITED PUBLIC PARTICIPATION IN THE NEEDED ASSESSMENT THROUGH THRIVE, OUR COMMUNITY HEALTH MAGAZINE. THRIVE IS MAILED TO MORE THAN 90,000 HOUSEHOLDS IN THE HEALTH SYSTEM'S SERVICE AREA. WE HAVE DEVELOPED A RESOURCE DIRECTORY ON OUR WEBSITE BY COUNTY. OUR PRIMARY CARE PRACTICE IMPLEMENTED TWO QUESTIONS IN MEDENT, OUR ELECTRONIC MEDICAL RECORD FOR ANNUAL PATIENT PHYSICIALS AND NEW PATIENT VISITS. WE HAVE ALLOCATED SPACE IN OUR FALL THRIVE MAGAZINE (WHICH WILL BE MAILED TO APPROX 100,000 HOMES IN OCTOBOR) TO SHARE THE LINK AND EDUCATIONAL INFORMATION ABOUT THE PRIORITY OF FOOD INSECURITY.FURTHER INPUT FROM THE PUBLIC WAS COLLECTED THROUGH A NUMBER OF FOCUS GROUP SESSIONS THAT WERE HELD THROUGHOUT THE COUNTIES.
SOLDIERS AND SAILORS MEMORIAL HOSPITALPART V, SECTION B, LINE 5: PART V, SECTION B, LINE 5: THE ONTARIO, SENECA AND YATES COUNTY PUBLIC HEALTH DEPARTMENTS, IN COLLABORATION WITH FINGER LAKES HEALTH, OTHER HOSPITALS, THE S2AY RURAL HEALTH NETWORK (NOW PIVITAL HEALTH), COMMON GROUND HEALTH AND THE COMMUNITY BASED AGENCIES CONDUCTED SURVEYS OF RESIDENTS IN ONTARIO, YATES AND SENECA COUNTIES THROUGH THE COMMUNITY HEALTH NEEDED ASSESSMENT PROCESS. SURVEYS WERE DISSEMINATED THROUGH MANY DIFFERENT METHODS INCLUDING E-MAIL, WEB PAGES, MAILING OF PAPER COPIES, DISSEMINATION OF PAPER COPIES IN LOCAL STORES, HEALTH CARE FACILITIES, PUBLIC HEALTH AND COMMUNITY FACILITIES, AND DIRECT ASSISTANCE WITHIN COUNTY BUILDINGS/AGENCIES. WE HAVE DEVELOPED A RESOURCE DIRECTORY ON OUR WEBSITE BY COUNTY. OUR PRIMARY CARE PRACTICES IMPLEMENTED TWO QUESTIONS IN MEDENT, OUR ELECTRONIC MEDICAL RECORDS FOR ANNUAL PATIENT PHYSICALS AN D NEW PATIENT VISITS. WE HAVE ALLOCATED SPACE IN OUR FALL THRIVE MAGAZINE (WHICH WILL BE MAILED TO APPROX 100,000 HOMES IN OCTOBER) TO SHARE THE LINK AND EDUCATIONAL INFORMATION ABOUT THE PRIORITY OF FOOD INSECURITY. FURTHER INPUT FROM THE PUBLIC WAS COLLECTED THROUGH A NUMBER OF FOCUS GROUP SESSIONS THAT WERE HELD THROUGHOUT THE COUNTIES.
SOLDIERS AND SAILORS MEMORIAL HOSPITALPART V, SECTION B, LINE 6A: GENEVA GENERAL HOSPITAL
SOLDIERS AND SAILORS MEMORIAL HOSPITALPART V, SECTION B, LINE 6B: COMMON GROUND HEALTHYATES COUNTY DEPARTMENT OF HEALTH

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART II, COMMUNITY BUILDING ACTIVITIES:COMMUNITY BUILDING ACTIVITIES:SOLDIERS & SAILORS MEMORIAL HOSPITAL'S ("SSMH") COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH:1. PHYSICAL IMPROVEMENTS AND HOUSING:N/A2. ECONOMIC DEVELOPMENT:SSMH SUPPORTS ECONOMIC DEVELOPMENT IN THE COMMUNITY THROUGH:PAYMENT OF DUES TO THE YATES COUNTY CHAMBER OF COMMERCE TO SUPPORT ECONOMIC DEVELOPMENT INITIATIVES.3. COMMUNITY SUPPORT:TO BE EQUIPPED FOR DISASTER SITUATIONS, SSMH PARTICIPATES IN EMERGENCY PREPAREDNESS/DISASTER READINESS ACTIVITIES, INCLUDING DISASTER DRILLS; STOCKPILING ESSENTIAL SUPPLIES FOR USE DURING A DISASTER; TRAINING STAFF FOR DISASTERS; AND CONDUCTING POD EVENTS AS TRAINING IN THE EVENT OF A DISASTER REQUIRING MASS IMMUNIZATIONS.4. ENVIRONMENTAL IMPROVEMENTS:SSMH ACCEPTS SHARPS FROM COMMUNITY HOUSEHOLDS AND PROVIDES PROPER DISPOSAL OF SAME AT NO COST TO THE HOUSEHOLDS.5. COALITION BUILDING:FINGER LAKES HEALTH, WHICH INCLUDES SSMH, ADMINISTRATIVE TEAM MEMBERS PARTICIPATE IN MULTIPLE COMMUNITY ORGANIZATIONS/PARTNERSHIPS FOR THE BETTERMENT OF THE COMMUNITIES IT SERVES.6. WORKFORCE DEVELOPMENT:CNA TRAINING, TUITION ASSISTANCE AND A TUITION BUYBACK PROGRAM. 7. NEGATIVE MARGINS:SSMH PROVIDES MENTAL HEALTH OUTPATIENT PROGRAMS, PRIMARY CARE, EMERGENCY AND CLINICAL SERVICES AS WELL AS BEHAVIORAL PROGRAMS AT AN OPERATING LOSS TO IMPROVE THE WELLBEING OF THE COMMUNITY.ALSO, SSMH COMMUNITY SERVICES STAFF TIME IS DEVOTED TO PLANNING AND IMPLEMENTING COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLANS AND IMPLEMENT RESPONSES.
PART III, LINE 2:PART III, SECTION A, 3COSTING METHODOLOGY:HFMA P&P BOARD STATEMENT 15, IX. VALUATION AND DISCLOSURE OF BAD DEBTS, 9.1 HAS BEEN APPLIED TO THE AMOUNT REPORTED ON LINE 2. THE BAD DEBT AMOUNT IS RECORDED AT THE AMOUNT THAT THE PAYER IS EXPECTED TO PAY. THE AMOUNT REPORTED ON LINE 3 IS VALUED AT PATIENT CARE COSTS, I.E. THE EXPECTED PAYMENT AMOUNT INCLUDED IN LINE 2 HAS BEEN MULTIPLIED BY THE RATIO OF PATIENT CARE COST TO CHARGES (53.22%). BASED UPON AN ANALYSIS OF INCOME LEVELS FOR ACCOUNTS INCLUDED IN BAD DEBTS WERE ESTIMATED THAT 53% WERE ELIGIBLE UNDER THE FINANCIAL ASSISTANCE PROGRAM.
PART III, LINE 3:IT IS NOT ALWAYS POSSIBLE TO OBTAIN SUFFICIENT INFORMATION TO MAKE A DETERMINATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE OR RECLASSIFY BAD DEBTS AS CHARITY CARE. WHEN INCOME LEVELS ARE LEARNED WE IDENTIFY INDIVIDUALS UNABLE TO PAY FOR SERVICES. HAVING PROVIDED SERVICES TO THOSE INDIVIDUALS WE BELIEVE REPRESENTS A COMMUNITY BENEFIT.
PART III, LINE 4:ALLOWANCE FOR DOUBTFUL ACCOUNTS:SSMH ESTIMATES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS TO BE RECOGNIZED IN THE FINANCIALSTATEMENTS BY ANALYZING RESIDENT ACCOUNTS FOR COLLECTABILITY AND APPLYING HISTORICALLYESTABLISHED PERCENTAGES FOR SELF-PAY AND VARIOUS THIRD-PARTY PAYORS TO THE AGING CATEGORIES INTHE ACCOUNTS RECEIVABLE AGING. ACCOUNTS FOR WHICH PAYMENTS HAVE NOT BEEN RECEIVED FOR ASIGNIFICANT AMOUNT OF TIME ARE CONSIDERED DELINQUENT AND THE ACCOUNT IS WRITTEN OFF WHENCUSTOMARY COLLECTION EFFORTS ARE EXHAUSTED.THE HOSPITAL HAS EXPERIENCED AN INCREASE IN THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AS A RESULT OFAN INCREASE IN AGED RECEIVABLES.
PART VI, LINE 2:FLH HAS LONG RECOGNIZED THE IMPORTANCE OF SOCIAL DETERMINANTS OF HEALTH AND THE VALUE OF POPULATION HEALTH. FLH'S GOAL AS A HEALTHCARE PROVIDER, IS TO BE A VITAL PARTNER WITH HEALTHCARE CONSUMERS (OUR PATIENTS) TO ENCOURAGE AWARENESS AND DIALOGUE ABOUT MODIFIABLE RISK FACTORS, OUTLINE THE PATH AND PROVIDE NECESSARY SUPPORT TO ACHIEVE GOOD HEALTH OUTCOMES, AND POSITIVELY IMPACT THE HEALTH OF THE COMMUNITIES WE SERVE.WE ARE DEVELOPING INITIATIVES, AND DESIGNING OUR FACILITIES WITH PATIENT-CENTERED, EVIDENCE-BASED OUTCOME DRIVEN GOALS IN MIND. OUR TEAM HAS BEEN WORKING TO ACHIEVE THE BEST QUALITY CARE OUTCOMES TO KEEP PATIENTS HEALTHY AND TO DEVELOP PREVENTION-ORIENTED PROGRAMS AIMED AT CREATING AND SUSTAINING HEALTHY COMMUNITIES. WE BASE PROGRAMMING ON AREAS OF HEALTH AND WELLNESS THAT MATTER MOST IN OUR COMMUNITIES. THAT IS DETERMINED BY CONDUCTING HEALTH NEEDS ASSESSMENTS IN OUR COMMUNITIES. FLH COLLABORATES WITH PUBLIC HEALTH DEPARTMENTS IN OUR SERVICE AREA, AS WELL AS THE S2AY RURAL HEALTH NETWORK (NOW PIVITAL HEALTH), COMMON GROUND HEALTH, AND OTHER HUMAN SERVICES PROVIDERS IN OUR SERVICE AREA, TO USE THE FRAMEWORK OF THE NYS HEALTH COMMISSIONER'S "PREVENTION AGENDA" AS A BASIS FOR OUR COMMUNITY HEALTH PLANNING. WE WORKED TOGETHER TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2022-2024 AND ESTABLISH HEALTH PRIORITIES FOR 2022-2024. BY DRAWING UPON THE STATE'S PREVENTION AGENDA, STUDYING DATA COLLECTED THROUGH PRIMARY AND SECONDARY RESEARCH, AND PARTNERING WITH LOCAL HEALTH DEPARTMENTS IN ONTARIO, SENECA AND YATES COUNTIES, WE IDENTIFIED HEALTH PRIORITIES AND SUBSEQUENT COMMUNITY OUTREACH INITIATIVES TO ALIGN WITH THOSE PRIORITIES.TOOLS USED TO CONDUCT THE CHNA, INCLUDED:-DISEASE PREVALENCE DATA-SOCIO-ECONOMIC FACTORS IN THE REGION-BRFSS - BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM CENSUS-A SURVEY IN OUR THRIVE COMMUNITY HEALTH MAGAZINE, CIRCULATED TO 90,000 HOUSEHOLDS IN OUR SERVICE AREA, SEEKING COMMENTS ON THE MOST CRITICAL HEALTH CARE NEEDS IN THE COMMUNITY.-FOCUS GROUPS DONE IN COOPERATION WITH OUR COUNTY PARTNERS TARGETING SPECIFIC POPULATIONS. AS A RESULT, THE FOLLOWING AREAS WERE SELECTED FOR THE 2022-2024 COMMUNITY HEALTH IMPROVEMENT PLAN:ONTARIO COUNTY PRIORITY AREA: PREVENT CHRONIC DISEASES FOCUS AREA 1: HEALTHY EATING AND FOOD SECURITY PRIORITY AREA 2: PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS FOCUS AREA: MENTAL HEALTH & SUBSTANCE USE DISORDERS PREVENTION DISPARITY: LOW INCOME/SES PRIORITY AREAS & DISPARITY PREVENT CHRONIC DISEASE OVERARCHING GOALREDUCE OBESITY AND THE RISK OF CHRONIC DISEASE FOCUS AREA 1HEALTHY EATING AND FOOD SECURITY OBJECTIVE 1.2DECREASE THE PERCENTAGE OF CHILDREN WITH OBESITY DISPARITYLOW SOCIOECONOMIC POPULATION PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS FOCUS AREA 2PREVENT MENTAL AND SUBSTANCE USE DISORDERS GOAL 2.4REDUCE THE PREVALENCE OF MAJOR DEPRESSIVE DISORDERS OBJECTIVE 2.42REDUCE THE PAST-YEAR PREVALENCE OF MAJOR DEPRESSIVE EPISODES AMONG ADOLESCENTS AGED 12-17 YEARS. DISPARITYLOW SOCIOECONOMIC POPULATION.SENECA COUNTY THROUGH THE USE OF RESULTS-BASED ACCOUNTABILITY, SENECA COUNTY IN PARTNERSHIP WITH GENEVA GENERAL HOSPITAL AND SOLDIERS AND SAILORS MEMORIAL HOSPITAL (FINGER LAKES HEALTH) AND HAS CHOSEN TO FOCUS THEIR 2022-2024 COMMUNITY HEALTH ASSESSMENT (CHA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) ON THE FOLLOWING PRIORITY AREAS, WITH ZIP CODE AS THEIR IDENTIFIED DISPARITY TO ADDRESS. PRIORITY AREAS & DISPARITY PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS FOCUS AREAPREVENT MENTAL AND SUBSTANCE USE DISORDERS DISPARITYZIP CODE PREVENT CHRONIC DISEASES FOCUS AREAHEALTHY EATING AND FOOD SECURITYYATES COUNTYYATES COUNTY THROUGH THE USE OF RESULTS-BASED ACCOUNTABILITY, YATES COUNTY IN PARTNERSHIP WITH FINGER LAKES HEALTH HAS CHOSEN TO FOCUS THEIR 2022-2024 COMMUNITY HEALTH ASSESSMENT (CHA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) ON THE FOLLOWING PRIORITY AREAS, WITH THE POPULATION WHOSE HOUSEHOLD INCOME IS LESS THAN $25,000 AS THEIR IDENTIFIED DISPARITY TO ADDRESS. PRIORITY AREAS & DISPARITY PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS FOCUS AREAPREVENT MENTAL AND SUBSTANCE USE DISORDERS PREVENT CHRONIC DISEASES FOCUS AREAHEALTHY EATING AND FOOD SECURITY DISPARITY POPULATION WITH HOUSEHOLD INCOME OF LESS THAN $25,000QUESTIONS ARE "IN THE PAST 12 MONTHS, DID YOU WORRY THAT YOUR FOOD COULD RUN OUT BEFORE YOU GOT MONEY TO BUY MORE AND "IN THE PAST 12 MONTHS, DID YOU RUN OUT OF FOOD BEFORE YOU HAD THE MONEY TO BUY MORE."WE THEN DEVELOPED COMMUNITY SERVICE PLANS (CSP) COMMUNITY HEALTH IMPROVEMENT PLANS (CHIPS) FOR EACH COUNTY OUTLINING ACTION STEPS TO ADDRESS AND TARGET THE PRIORITIES.OFFERS "FINGER LAKES HEALTH MATTERS", AN EDUCATIONAL RADIO SHOW THAT AIRS MULTIPLE TIMES EACH YEAR ON THE REGIONAL FINGER LAKES RADIO NETWORK FEATURING FINGER LAKES HEALTH PROFESSIONALS SPEAKING TO A WIDE RANGE OF HEALTH TOPICS, INCLUDING STROKE, DIABETES, WEIGHT LOSS, AND OTHERS.GENEVA GENERAL HOSPITAL IS A JOINT COMMISSION ACCREDITED AND NEW YORK STATE-DESIGNATED STROKE CENTER. PROVIDERS CONDUCT STROKE EDUCATION, IN ADDITION TO THE SUPPORT GROUP, ON A REGULAR SCHEDULE FOR EMERGENCY MEDICAL SERVICES PROVIDERS IN OUR SERVICE AREA, AS WELL AS FOR GENERAL COMMUNITY MEMBERS. THE EDUCATION COVERS SIGNS AND SYMPTOMS, AS WELL AS RISK FACTORS AND PREVENTION INFORMATION.
PART VI, LINE 3:FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S POLICY IS AVAILABLE TO ASSIST UNINSURED OR UNDERINSURED MEMBERS OF OUR COMMUNITY WHO ARE WILLING BUT UNABLE TO PAY IN FULL FOR THEIR CARE. THE PROGRAM ALLOWS A PERSON TO RECEIVE MEDICALLY NECESSARY AND EMERGENCY SERVICES AT NO CHARGE OR REDUCED CHARGES WHEN THEY MEET CERTAIN ELIGIBILITY REQUIREMENTS. INFORMATION ABOUT THE SERVICES IS AVAILABLE THROUGH SIGNAGE AND APPLICATIONS PLACED IN THE EMERGENCY DEPARTMENT, REGISTRATION AREAS, AND THE PATIENT ACCOUNTS OFFICE. WE HAVE ALSO PUBLISHED THIS INFORMATION IN DIRECT MAIL SENT TO AREA HOMES AND ALSO PROMOTED THE PROGRAM ON OUR LOCAL RADIO SHOW. THE HOSPITAL'S WEBSITE CONTAINS INFORMATION ON FINANCIAL ASSISTANCE.
PART VI, LINE 4:SSMH PROVIDES A FULL RANGE OF ACUTE CARE SERVICES TO RESIDENTS OF THE FINGER LAKES REGION IN UPSTATE NEW YORK. THE HOSPITAL REVIEWS DEMOGRAPHIC DATA FROM SOURCES SUCH AS THE US CENSUS TO IDENTIFY TRENDS. THE HOSPITAL USES HEALTH INDICATORS AND UTILIZATION DATA FROM NUMEROUS SOURCES AND RECEIVES COMMUNITY INPUT FROM PUBLIC SURVEYS. WE HAVE A COMMUNITY ADVISORY COMMITTEE WHICH SERVES AS A REGULAR FORUM FOR COMMUNITY INPUT AND FOSTERING COLLABORATION. WE GATHER OPINION RELATED DATA FROM FOCUS GROUPS, SATISFACTION SURVEYS, AND EMPLOYEE OPINION SURVEYS. WE PARTICIPATE IN A NEEDS ASSESSMENT PROCESS AND PARTICIPATE AS AN ACTIVE MEMBER OF THE COMMUNITY THROUGH BOARD PARTICIPATION ON NUMEROUS LOCAL AND STATE-WIDE HEALTH RELATED ORGANIZATIONS.
PART VI, LINE 5:SSMH'S COMMUNITY HEALTH IMPROVEMENT AND COMMUNITY BENEFIT OPERATIONS PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH PARTNERING WITH AREA PUBLIC HEALTH DEPARTMENTS AND OTHER COMMUNITY BASED ORGANIZATIONS.SSMH STAFF DONATING TIME TO COMMUNITY AGENCIES ON BEHALF OF SSMH AND FINGER LAKES HEALTH SUCH AS:- YATES SUBSTANCE ABUSE COALITION- YATES HEALTH PLANNING COUNCIL- CHOOSE HEALTH YATES- FINGER LAKES REGIONAL EMS COUNCIL- WORKFORCE DEVELOPMENT COMMITTEE
PART VI, LINE 7, REPORTS FILED WITH STATESNY

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARK TAUBMAN
DIRECTOR$0$1,787,002$0$0$0$92,640$0$157,503$0$21,755$0$2,058,900$0$0
STEVE GOLDSTEIN
DIRECTOR$0$1,528,811$0$0$0$104,737$0$191,337$0$23,220$0$1,848,105$0$0
MICHAEL ROTONDO
DIRECTOR$0$1,283,983$0$0$0$37,675$0$106,937$0$3,243$0$1,431,838$0$0
JOSE ACEVEDO MD
PRESIDENT & CEO$0$628,385$0$316,007$0$1,188$0$52,500$0$12,335$0$1,010,415$0$0
LUKE B CHEN
PHYSICIAN$427,846$0$236,758$0$0$0$30,000$0$3,171$0$697,775$0$0$0
FRANK KORICH
CHIEF OPERATING OFFICER$0$320,316$0$71,617$0$151,587$0$75,000$0$6,841$0$625,361$0$0
JASON FEINBERG
CHIEF MEDICAL OFFICER$0$385,663$0$53,356$0$112,462$0$50,999$0$12,829$0$615,309$0$0
MATTHEW TALBOTT
ACMO$0$448,125$0$19,200$0$50,595$0$23,240$0-$6,777$0$534,383$0$0
TRISHA KOCZENT
TREASURER$0$315,001$0$77,400$0$414$0$52,500$0$777$0$446,092$0$0
ARDELLE BIGOS
VICE PRESIDENT NURSING$0$290,420$0$50,686$0$1,538$0$52,500$0$11,685$0$406,829$0$0
PHILIPP WIRTH
PHYSICIAN$335,000$0$50,879$0$0$0$20,500$0$183$0$406,562$0$0$0
LARA TURBIDE
VP COMMUNITY SERVICES$0$210,714$0$23,209$0$111,724$0$43,000$0$10,708$0$399,355$0$0
SIXTO R MEDINA
PHYSICIAN$271,437$0$66,961$0$0$0$15,652$0$9,133$0$363,183$0$0$0
CHAD HOFFMAN-FRAGALE
VP HUMAN RESOURCES AND EMERGENCY MG$0$250,290$0$42,874$0$270$0$42,405$0$4,333$0$340,172$0$0
ROBERT ANDERSON MD
DIRECTOR$240,474$0$53,800$0$10,300$0$22,475$0$3$0$327,052$0$0$0
ANDREW REESE
PHYSICIAN$214,999$0$55,181$0$4,150$0$30,000$0$1,200$0$305,530$0$0$0
ERIC SHIVES
PHYSICIAN$223,731$0$50,241$0$4,220$0$6,830$0$5,887$0$290,909$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4BFormAndLineReferenceDesc
ExplanationCERTAIN OFFICERS AND DIRECTORS OF SOLDIERS & SAILORS MEMORIAL HOSPITAL OF YATES COUNTY PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PROVIDED BY GENEVA GENERAL HOSPITAL (GGH), A RELATED IRC SECTION 501(C)(3) ORGANIZATION. GGH DEPOSITED $120,000 INTO A 457(F) PLAN IN 2023 FOR JOSE ACEVEDO, MD, MBA, PRESIDENT & CEO. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED EMPLOYER PAID AMOUNTS THAT ARE INCLUDED IN DEFERRED COMPENSATION: STEVEN GOLDSTEIN SERP PLAN 159,400 MARK TAUBMAN, MD SERP PLAN 125,566 MICHAEL ROTUNDO, MD SERP PLAN 75,000ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 7ASOLE MEMBER OF SSMH IS FINGER LAKES REGIONAL HEALTH SYSTEM (DBA FINGER LAKES HEALTH). THE SOLE MEMBER OF FINGER LAKES HEALTH IS UNIVERSITY OF ROCHESTER (UR). FINGER LAKES HEALTH AS SOLE MEMBER OF SSMH APPOINTS/REMOVES DIRECTORS; APPROVES ANY ASPECT OF STRATEGIC PLAN AND CAPITAL OPERATING/CAPITAL BUDGETS THAT WOULD RESULT IN A CALL UPON UR FINANCIAL RESOURCES NOT DEDICATED FOR SUPPORT OF GGH AND ITS AFFILIATES, OR HAS MAJOR IMPACT ON UR ACADEMIC PROGRAMS, OR CONTRAVENE A BOARD APPROVED POLICY OF UR; APPROVES INCURRENCE OF DEBT PROPOSED BY CORPORATION INCLUDING ISSUANCES OF BONDS THAT WOULD CALL UPON UR FINANCIAL RESOURCES NOT DEDICATED FOR SUPPORT OF SSMH AND ITS AFFILIATES, OR HAS MAJOR IMPACT ON UR ACADEMIC PROGRAMS, OR CONTRAVENE A BOARD APPROVED POLICY OF UR, OR ADVERSELY AFFECT UR'S ABILITY TO ISSUE TAX EXEMPT DEBT; APPROVES AMENDMENTS TO CERTIFICATE OF INCORPORATION OR BYLAWS; APPROVES ANY MERGER, CONSOLIDATION OR DISSOLUTION OF CORPORATION; APPROVES SALE, LEASE, MORTGAGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF ASSETS OF CORPORATION; APPROVES ACTIONS TAKEN BY SSMH AS MEMBER/SHAREHOLDER OF AN AFFILIATE OF SSMH; APPROVES MATTERS/ACTIONS RESERVED TO MEMBERS OF NOT-FOR-PROFIT CORPORATIONS UNDER NYS LAW.
FORM 990, PART VI, SECTION A, LINE 7BELECTION AND REMOVAL OF DIRECTORS, AMENDMENT OF BYLAWS, CERTIFICATE OF INCORPORATION AMENDMENTS, ARE RESERVED TO THE GENERAL MEMBER (FLRHS) PER BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS MADE AVAILABLE TO THE FULL BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CSOLDIERS & SAILORS MEMORIAL HOSPITAL OF YATES COUNTY MAINTAINS A CONFLICT OF INTEREST POLICY WHICH BOARD MEMBERS ARE REQUIRED TO SIGN PRIOR TO TAKING OFFICE. STATEMENTS ARE REVIEWED ANNUALLY BY AN ADMINISTRATIVE COMMITTEE. THE PROCESS FOR HANDLING ANY CONFLICTS OF INTEREST WHICH MAY ARISE ARE DETAILED IN THE CORPORATE BYLAWS.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION IS REVIEWED BY A COMPENSATION COMMITTEE, AND COMPARABILITY DATA IS PART OF THE DECISION.
FORM 990, PART VI, SECTION C, LINE 19SOLDIERS & SAILORS MEMORIAL HOSPITAL OF YATES COUNTY MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC WHERE REQUIRED BY LAW AND UPON REQUEST. THE ORGANIZATION'S FORM 990 IS PROVIDED TO ANY INDIVIDUAL WHO PROVIDES A REQUEST IN PERSON OR WHO SUBMITS A WRITTEN REQUEST. THERE IS NO CHARGE OTHER THAN A REASONABLE FEE FOR COPYING AND POSTAGE. COPIES ARE AVAILABLE AT THE FINANCE OFFICE. AN ELECTRONIC VERSION MAY BE FOUND AT WWW.GUIDESTAR.ORG.
FORM 990, PART XII, LINE 2C:SSMH HAS A BOARD COMMITTEE WHO ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (45 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
HUNTINGTON LIVING CENTER
369 EAST MAIN STREETWATERLOONY13165510169552SKILLED NURSING FACILITYNY501(C)(3)LINE 10FINGER LAKES REGIONAL HEALTH SYSTEM INC0
FLH SENIOR COMMUNITIES INC
196 NORTH STREETGENEVANY14456205604917DEVELOP AND OPERATE SENIOR CITIZEN HOUSING COMPLEXNY501(C)(3)LINE 10FINGER LAKES REGIONAL HEALTH SYSTEM INC0
FINGER LAKES REGIONAL HEALTH SYSTEM INC
196 NORTH STREETGENEVANY14456223193606SOLE MEMBER OF HLC, SSMH, GGH, FLHF, LCS AND LCNNY501(C)(3)LINE 70N/A
GENEVA GENERAL HOSPITAL
196 NORTH STREETGENEVANY14456160743032PROVIDER OF HEALTHCARENY501(C)(3)LINE 3FINGER LAKES REGIONAL HEALTH SYSTEM INC0
FINGER LAKES HEALTH FOUNDATION
196 NORTH STREETGENEVANY14456150549310COORDINATOR OF FUND RAISING ACTIVITIESNY501(C)(3)LINE 12A, IFINGER LAKES REGIONAL HEALTH SYSTEM INC0
LIVING CENTER AT GENEVA - SOUTH
196 NORTH STREETGENEVANY14456160957268SKILLED NURSING FACILITYNY501(C)(3)LINE 10FINGER LAKES REGIONAL HEALTH SYSTEM INC0
LIVING CENTER AT GENEVA - NORTH
64 MASON STREETGENEVANY14456161449543SKILLED NURSING FACILITYNY501(C)(3)LINE 10FINGER LAKES REGIONAL HEALTH SYSTEM INC0
GENEVA GENERAL HOUSING DEVELOPMENT CO
260 NORTH STREETGENEVANY14456222816883PROVIDE LOW INCOME HOUSINGNY501(C)(3)LINE 10FINGER LAKES REGIONAL HEALTH SYSTEM INC0
TAYLOR BROWN MEMORIAL HOUSING DEVELOPMENT CO
371 EAST MAIN STREETWATERLOONY13165222807734DEVELOP AND PROVIDE SENIOR HOUSING COMPLEXNY501(C)(3)LINE 10FINGER LAKES REGIONAL HEALTH SYSTEM INC0
HIGHLAND HOSPITAL OF ROCHESTER INC
1000 SOUTH AVENUEROCHESTERNY14620160743037HOSPITALNY501(C)(3)LINE 3SPHS0
THE HIGHLAND FOUNDATION INC
1000 SOUTH AVENUEROCHESTERNY14620237310662FUNDRAISINGNY501(C)(3)LINE 12A, IHIGHLD HOSP0
HIGHLAND FACILITIES DEVELOPMENT CORP
1000 SOUTH AVENUEROCHESTERNY14620223039077MEDICAL BLDGNY501(C)(3)LINE 10HIGHLD HOSP0
HIGHLAND COMMUNITY DEVELOPMENT CORP
100 HAHNEMANN TRAILPITTSFORDNY14534223154715ELDER CARENY501(C)(3)LINE 10SPHS0
THE HIGHLANDS LIVING CENTER INC
500 HAHNEMANN TRAILPITTSFORDNY14534223240227HEALTHCARENY501(C)(3)LINE 10SPHS0
THE MEADOWS AT WESTFALL INC
5901 LAC DE VILLE BLVDROCHESTERNY14618161502303HEALTHCARENY501(C)(3)LINE 10SPHS0
STRONG PARTNERS HEALTH SYSTEM INC
1000 SOUTH AVENUEROCHESTERNY14620161499099SUPPORT ORGNY501(C)(3)LINE 12A, IUNIV OF ROCH0
UR MEDICINE HOME CARE INC (STRONG HCG)
2180 EMPIRE BOULEVARDWEBSTERNY14580222577664FUNDRAISINGNY501(C)(3)LINE 7UNIV OF ROCH0
UR MEDICINE HOME CARE CERTIFIED SRV INC
2180 EMPIRE BOULEVARDWEBSTERNY14580160743215HEALTHCARENY501(C)(3)LINE 10URMHC0
UR MEDICINE HC LICENSED SRVS INC (CCR)
2180 EMPIRE BOULEVARDWEBSTERNY14580161561691HEALTHCARENY501(C)(3)LINE 10URMHC0
EXCELL PARTNERS INC
343 STATE STREET KODAK TOWERROCHESTERNY14650201862628ECONOMIC DEVNY501(C)(4)UNIV OF ROCH0
NEXTCORPS INC
260 EAST MAIN STREET SUITE 60ROCHESTERNY14604161195028BUSINESS INCUNY501(C)(3)LINE 7UNIV OF ROCH0
EASTMAN DENTAL CENTER FOUNDATION INC
625 ELMWOOD AVENUEROCHESTERNY14620161529555SUPPORT ORGNY501(C)(3)LINE 12A, I0N/A
THE JAMES P WILMOT FOUNDATION INC
387 E MAIN STREETROCHESTERNY14604222341413SUPPORT ORGNY501(C)(3)LINE 12D, III-O0N/A
ROBERT P GIDDINGS TRUST CO TAYLOR GANSON & PERRIN
160 FEDERAL SBOSTONMA02110046660588SUPPORT ORGMA501(C)(3)LINE 12D, III-O0N/A
U OF R BROADCASTING CORPORATION
201 WILSON COMMONSROCHESTERNY14627160743209BROADCAST LICNY501(C)(4)UNIV OF ROCH0
UR REAL ESTATE CORPORATION
263 WALLIS HALLROCHESTERNY14627271140014SUPPORT ORGNY501(C)(3)LINE 12A, IUNIV OF ROCH0
MELIORA REAL ESTATE CORPORATION
263 WALLIS HALLROCHESTERNY14627452464788SUPPORT ORGNY501(C)(3)LINE 12A, IUNIV OF ROCH0
FREDERICK FERRIS THOMPSON HOSPITAL
350 PARRISH STREETCANANDAIGUANY14424160743024HOSPITALNY501(C)(3)LINE 3FFTHS INC0
FF THOMPSON FOUNDATION INC
350 PARRISH STREETCANANDAIGUANY14424222959984FUNDRAISINGNY501(C)(3)LINE 7FFTHS INC0
MM EWING CONTINUING CARE CENTER
350 PARRISH STREETCANANDAIGUANY14424237046583HEALTHCARENY501(C)(3)LINE 3FFTHS INC0
FF THOMPSON HEALTH SYSTEM INC
350 PARRISH STREETCANANDAIGUANY14424222959987SUPPORT ORGNY501(C)(3)LINE 12A, IUNIV OF ROCH0
FF THOMPSON SENIOR COMMUNITIES INC
350 PARRISH STREETCANANDAIGUANY14424161557494ELDER CARENY501(C)(3)LINE 10FFTHS INC0
PLUTA CANCER CENTER FOUNDATION INC
125 RED CREEK DRIVEROCHESTERNY14623270425383SUPPORT ORGNY501(C)(3)LINE 12A, I0N/A
FINGER LAKES HOME CARE INC
756 PRE-EMPTION ROADGENEVANY14456161489133HEALTHCARENY501(C)(3)LINE 10URMHC CS0
THE MEMORIAL HOSPITAL OF WILLIAM F AND
191 NORTH MAIN STREETWELLSVILLENY14895222807681HOSPITALNY501(C)(3)LINE 3UNIV OF ROCH0
LIVINGSTON HEALTH CARE SYSTEM INC
111 CLARA BARTON STREETDANSVILLENY14427161455240SUPPORT ORGNY501(C)(3)LINE 12A, IUNIV OF ROCH0
NICHOLAS H NOYES MEMORIAL HOSPITAL INC
111 CLARA BARTON STREETDANSVILLENY14427160743979HOSPITALNY501(C)(3)LINE 3LHCS0
RED JACKET CENTER INC
111 CLARA BARTON STREETDANSVILLENY14427161037658MED OFF BLDGNY501(C)(3)LINE 12A, ILHCS0
THE FOUNDATION FOR NOYES MEMORIAL HEALTH
111 CLARA BARTON STREETDANSVILLENY14427161584778FUNDRAISINGNY501(C)(3)LINE 7LHCS0
JONES MEMORIAL HOSPITAL FOUNDATION
191 NORTH MAIN STREETWELLSVILLENY14895473763374SUPPORT ORGNY501(C)(3)LINE 7JONES0
JONES MEDICAL SERVICES PC
191 NORTH MAIN STREETWELLSVILLENY14895465210222MEDICAL CLININY501(C)(3)LINE 3JONES0
ST JAMES HOSPITAL
7329 SENECA ROAD NORTHHORNELLNY14843160743310HOSPITALNY501(C)(3)LINE 3UNIV OF ROCH0
ST JAMES HOSPITAL FOUNDATION INC
7329 SENECA ROAD NORTHHORNELLNY14843161486437FUNDRAISINGNY501(C)(3)LINE 7ST JAMES0
UR MEDICINE HOME CARE COMMUNITY SRVCS
2180 EMPIRE BOULEVARDWEBSTERNY14580825091873HEALTHCARENY501(C)(3)LINE 10URMHC0
UR MEDICINE HOME CARE FOUNDATION INC
2180 EMPIRE BOULEVARDWEBSTERNY14580831912967SUPPORT ORGNY501(C)(3)LINE 12A, IURMHC0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
SOLDIERS VENTURES INC
196 NORTH STREETGENEVANY14456161556419INVESTINGNYSOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES COUNTY INCCYes (1)
MEDICAL ADMINISTRATIVE ASSOCIATES INC
777 SOUTH CLINTON AVENUEROCHESTERNY14620161354319RETAIL PHARMANYHIGHLD HOSPC0
UR EQUITY HOLDINGS INC
110 OFFICE PARK WAYPITTSFORDNY14534273040889HOLDING COMPADEUNIV OF ROCHC0
FFTH PROPERTIES AND SERVICES INC
350 PARRISH STREETCANANDAIGUANY14424161286518HOLDING COMPANYFFTHS INCC0
EXCELL TECHNOLOGY VENTURES INC
343 STATE STREET KODAK TOWER 2ND FLROCHESTERNY14650800909149BIOTECH INCUBNYROCH BIOVENTUREC0
ACCOUNTABLE HEALTH PARTNERS LLC
135 CORPORATE WOODS SUITE 320ROCHESTERNY14623300787967ACCT CARE NETNYUNIV OF ROCHC0
ACCOUNTABLE HEALTH PARTNERS IPA LLC
135 CORPORATE WOODS STE 320ROCHESTERNY14623371746016INDEP PRACT ANYAHP LLCC0
AHP INSURANCE COMPANY
76 ST PAUL STREET SUITE 500BURLINGTONVT05401814644839CAPTIVE INS CVTAHP LLCC0
LUMINATE VENTURE CHALLENGE CORP
260 EAST MAIN STREET SUITE 6000ROCHESTERNY14604823954131BUSINESS INCUNYNEXTCORPS INCC0
HORNELL MEDICAL VILLAGE LLC
7100 ROUTE 70AHORNELLNY14843611886763HOLD REAL ESTNYST JAMESC0
ROCHESTER BIOVENTURE CENTER INC
601 ELMWOOD AVENUE BOX 706ROCHESTERNY14642202485999BIOTECH INCUBNYUNIV OF ROCHC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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