SOLDIERS & SAILORS MEMORIAL: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
SOLDIERS & SAILORS MEMORIAL (EIN 16-0743192)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-12
IRS object ID
202123169349304677
Schema version
2020v4.1
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)
Return2021-11-12T11:09:25-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

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 Begin2020-01-01TaxPeriodBeginDt

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)
PersonJEFFREY MORGANPersonNm
Person TitleCFOPersonTitleTxt
Phone3157874030PhoneNum
Signature2021-11-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJEFFREYPersonFirstNm
Person LastMORGANPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAIMEE J JOZICPreparerPersonNm
PTINP01346943PTIN
Phone5853811000PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

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$36,643,812GrossReceiptsAmt
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 Body18VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee486TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,434,525PYContributionsGrantsAmt
CY Contributions Grants$10,965,945CYContributionsGrantsAmt
PY Program Service Revenue$28,722,252PYProgramServiceRevenueAmt
CY Program Service Revenue$24,978,321CYProgramServiceRevenueAmt
PY Investment Income$665,565PYInvestmentIncomeAmt
CY Investment Income$669,254CYInvestmentIncomeAmt
PY Other Revenue$22,998PYOtherRevenueAmt
CY Other Revenue$30,292CYOtherRevenueAmt
PY Total Revenue$30,845,340PYTotalRevenueAmt
CY Total Revenue$36,643,812CYTotalRevenueAmt
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$19,246,077PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$19,630,111CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$10,555,041PYOtherExpensesAmt
CY Other Expenses$9,663,245CYOtherExpensesAmt
PY Total Expenses$29,801,118PYTotalExpensesAmt
CY Total Expenses$29,293,356CYTotalExpensesAmt
PY Revenues Less Expenses$1,044,222PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$7,350,456CYRevenuesLessExpensesAmt
Total Assets BOY$43,561,985TotalAssetsBOYAmt
Total Assets EOY$58,295,882TotalAssetsEOYAmt
Total Liabilities BOY$12,329,034TotalLiabilitiesBOYAmt
Total Liabilities EOY$20,868,180TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$31,232,951NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$37,427,702NetAssetsOrFundBalancesEOYAmt
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$3,151,600ExpenseAmt
Revenue$4,044,329RevenueAmt
DescPATIENT SERVICE PROGRAM: INPATIENT, SOLDIERS & SAILORS MEMORIAL HOSPITAL OPERATES A 25-BED GENERAL ACUTE CARE HOSPITAL INCLUDING 3-BED INTENSIVE CARE UNIT, MEDICAL-SURGICAL AND TELEMETRY UNITS AND A 10-BED IN-PATIENT PSYCHIATRIC UNIT.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$11,127,180ExpenseAmt
Revenue$10,597,542RevenueAmt
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 FINGERLAKES REGION.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$9,217,600ExpenseAmt
Revenue$10,336,450RevenueAmt
DescPATIENT SERVICE PROGRAM: LONG TERM CARE, SOLDIERS & SAILORS MEMORIAL HOSPITAL OPERATES A 130-BED SKILLED NURSINGFACILITY AND A 20-BED LONG-TERM BEHAVIORAL INTERVENTION SERVICE.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$23,496,380TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
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 StmtYes (1)IndependentAuditFinclStmtInd
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
Employee486EmployeeCnt
Employment Tax Returns Filed0EmploymentTaxReturnsFiledInd
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 Members18GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
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 (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOSE A ACEVEDO MD MBA
PRESIDENT & CEO6.0034.00Yes (X)Yes (X)$0$735,315$57,047
LANCE WARD
DIRECTOR1.004.00Yes (X)$0$0$0
KYLENE ABRAHAM DNP
DIRECTOR1.004.00Yes (X)$0$0$0
REV JAMES ADAMS
DIRECTOR1.004.00Yes (X)$0$0$0
MENZO CASE
VICE CHAIR1.004.00Yes (X)Yes (X)$0$0$0
CHEVANNE DEVANEY
DIRECTOR1.004.00Yes (X)$0$0$0
RYAN HALLINGS
SECRETARY1.004.00Yes (X)$0$0$0
SUSAN STORK
DIRECTOR1.004.00Yes (X)$0$0$0
JAMES CHENEY
DIRECTOR1.004.00Yes (X)$0$0$0
JOHN HICKS
DIRECTOR1.004.00Yes (X)$0$0$0
ANN MCMULLEN
DIRECTOR1.004.00Yes (X)$0$0$0
RODOLFO QUEIROZ
DIRECTOR1.004.00Yes (X)$0$0$0
CRAIG DENSMORE
DIRECTOR1.004.00Yes (X)$0$0$0
PHIL BECKLEY
CHAIR1.004.00Yes (X)$0$0$0
TOM BURRALL
DIRECTOR1.004.00Yes (X)$0$0$0
JEFFREY MORGAN
TREASURER & CFO6.0034.00Yes (X)Yes (X)$0$281,256$53,142
JASON S FEINBERG MD
CHIEF MEDICAL OFFICER8.0032.00$0$367,720$54,227Yes (X)
FRANK M KORICH
SR VP OPERATIONS8.0032.00$0$314,447$55,124Yes (X)
ARDELLE BIGOS
VICE PRESIDENT NURSING16.0024.00$0$225,529$52,383Yes (X)
WENDY DISBROW
VP PHYS. NETWORK8.0032.00$0$203,280$48,084Yes (X)
MARIA Y BATLLE QUIDGLEY MD
PHYSICIAN ED40.00$290,032$0$29,693Yes (X)
DOUGLAS M SINCLAIR MD
PHYISCIAN ED40.00$361,990$0$36,007Yes (X)
TAMARA A PRULL MD
PHYISCIAN ED40.00$365,200$0$39,000Yes (X)
TARYN P DRAXLER
PHYSICIAN HOSPITALIST40.00$245,717$0$27,351Yes (X)
JOSEPH W HINTERBERGER
PHYSICIAN40.00$158,444$0$48,304Yes (X)
MATTHEW C TALBOTT
DIRECTOR1.0040.00Yes (X)$0$536,688$44,230
ROBERT ANDERSON
DIRECTOR1.0039.00Yes (X)$0$211,456$26,349
PATRICK R BOYLE
VP HUMAN RESOURCES7.6032.40$0$158,858$10,618Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,421,383TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,034,549TotReportableCompRltdOrgAmt
Total Other Compensation$581,559TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K18IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$5,426,029RelatedOrganizationsAmt
Government Grants$3,274,652GovernmentGrantsAmt
All Other Contributions$2,265,264AllOtherContributionsAmt
Total Contributions$10,965,945TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business621990BusinessCd
Total Revenue Column$24,020,276TotalRevenueColumnAmt
Related Or Exempt Func Income$24,020,276RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$958,045TotalRevenueColumnAmt
Related Or Exempt Func Income$958,045RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$24,978,321TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$350,312TotalRevenueColumnAmt
Exclusion$350,312ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$280,504SecuritiesAmt
Other$38,438OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

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

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$280,504SecuritiesAmt
Other$38,438OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$318,942TotalRevenueColumnAmt
Exclusion$318,942ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business900099BusinessCd
Total Revenue Column$30,292TotalRevenueColumnAmt
Exclusion$30,292ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$30,292OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$36,643,812TotalRevenueColumnAmt
Related Or Exempt Func Income$24,978,321RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$699,546ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$16,310,551TotalAmt
Program Services$14,040,993ProgramServicesAmt
Management And General$2,269,558ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$263,949TotalAmt
Program Services$267,998ProgramServicesAmt
Management And General-$4,049ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,118,644TotalAmt
Program Services$1,724,510ProgramServicesAmt
Management And General$394,134ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$936,967TotalAmt
Program Services$760,148ProgramServicesAmt
Management And General$176,819ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$338,620TotalAmt
Program Services$492ProgramServicesAmt
Management And General$338,128ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$152,708TotalAmt
Program Services$19,414ProgramServicesAmt
Management And General$133,294ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$64,548TotalAmt
Management And General$64,548ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$8,633TotalAmt
Program Services$8,633ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$39,608TotalAmt
Management And General$39,608ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$164,869TotalAmt
Program Services$91,605ProgramServicesAmt
Management And General$73,264ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$455,171TotalAmt
Program Services$79,785ProgramServicesAmt
Management And General$375,386ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$751,438TotalAmt
Program Services$420,146ProgramServicesAmt
Management And General$331,292ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$13,536TotalAmt
Program Services$12,397ProgramServicesAmt
Management And General$1,139ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$18,255TotalAmt
Program Services$18,255ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$129,754TotalAmt
Program Services$53,025ProgramServicesAmt
Management And General$76,729ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,799,565TotalAmt
Program Services$1,709,587ProgramServicesAmt
Management And General$89,978ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$364,716TotalAmt
Program Services$209,822ProgramServicesAmt
Management And General$154,894ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PURCHASED SERVICES$2,244,054$1,452,297$791,757
MEDICAL SUPPLIES$1,597,934$1,403,586$194,348
SHARED SERVICES$740,491$518,344$222,147
NYS ASSESSMENT TAX$686,191$686,191

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$93,154TotalAmt
Program Services$19,152ProgramServicesAmt
Management And General$74,002ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$29,293,356TotalAmt
Program Services$23,496,380ProgramServicesAmt
Management And General$5,796,976ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,784BOYAmt
EOY$34,838EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,243,908BOYAmt
EOY$9,282,829EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,246,741BOYAmt
EOY$2,838,311EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$828,569BOYAmt
EOY$1,280,275EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$159,352BOYAmt
EOY$297,955EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$463,279BOYAmt
EOY$459,637EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$71,300,714LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$55,600,887LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$12,838,434BOYAmt
EOY$15,699,827EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$18,935,674BOYAmt
EOY$20,816,658EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$3,648,779EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,842,244BOYAmt
EOY$3,936,773EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$43,561,985BOYAmt
EOY$58,295,882EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,087,728BOYAmt
EOY$2,999,746EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$6,143,101BOYAmt
EOY$6,815,102EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$99,333BOYAmt
EOY$132,403EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,037,825BOYAmt
EOY$986,989EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$961,047BOYAmt
EOY$9,933,940EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,329,034BOYAmt
EOY$20,868,180EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$31,232,951BOYAmt
EOY$37,427,702EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$31,232,951BOYAmt
EOY$37,427,702EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$43,561,985BOYAmt
EOY$58,295,882EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$7,350,456ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,258,375NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$37,357PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$2,376,723OtherChangesInNetAssetsAmt
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)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
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 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$27,617,530OtherCostOrOtherBasisAmt
Depreciation$19,697,982DepreciationAmt
Book Value$7,919,548BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,418,408OtherCostOrOtherBasisAmt
Depreciation$2,036,569DepreciationAmt
Book Value$381,839BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$40,747,012OtherCostOrOtherBasisAmt
Depreciation$33,866,336DepreciationAmt
Book Value$6,880,676BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$15,699,827TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
CASH HELD IN ESCROW$1,162,910
MORTGAGE SINKING FUNDS$2,641,460
LTC PATIENT ACCOUNTS$132,403
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,936,773TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
LONG TERM DUE TO AFFILIATE$746,749
BLUE CROSS (BCR) ADVANCE 2005$394,000
DUE TO AFFILIATE$6,408,733
LONG TERM DEFERRED ER SOCIAL SECURITY$290,842
ADVANCE MEDICARE PAYMENTS$1,790,616
OTHER$303,000
FieldValueIRS element (for citing)
Total Liability$9,933,940TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$35,488,107TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,258,375NetUnrealizedGainsInvstAmt
Other Revenue-$2,414,080OtherRevenueAmt
Revenue Not Reported-$1,155,705RevenueNotReportedAmt
Revenue Subtotal$36,643,812RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$36,643,812TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$29,293,356TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$29,293,356ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$29,293,356TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:SOLDIERS & SAILORS MEMORIAL HOSPITAL OF YATES COUNTY HOLDS AGENCY FUNDS FOR THE CONVENIENCE OF ITS RESIDENTS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:NET PERIODIC PENSION INCOME (COST) -2,943,771. CHANGE IN FUNDED STATUS OF PENSION PLAN 567,048. PRIOR PERIOD ADJUSTMENTS -37,357.

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
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
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$423,887TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$27,714DirectOffsettingRevenueAmt
Net Community Benefit Expns$396,173NetCommunityBenefitExpnsAmt
Total Expense0.01350TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,694,695TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,996,166DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,698,529NetCommunityBenefitExpnsAmt
Total Expense0.09210TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,118,582TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,023,880DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,094,702NetCommunityBenefitExpnsAmt
Total Expense0.10560TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$32,770TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$32,770NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,870,024TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,238,763DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,631,261NetCommunityBenefitExpnsAmt
Total Expense0.15810TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,902,794TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,238,763DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,664,031NetCommunityBenefitExpnsAmt
Total Expense0.15920TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,021,376TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,262,643DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,758,733NetCommunityBenefitExpnsAmt
Total Expense0.26480TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,611TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$24,611NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$24,611TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$24,611NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$335,437BadDebtExpenseAmt
Bad Debt Expense Attributable$186,547BadDebtExpenseAttributableAmt
Reimbursed By Medicare$3,289,309ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$3,779,857CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$490,548MedicareSurplusOrShortfallAmt

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
CHNA Conducted19CHNAConductedYr
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 Adpt19ImplementationStrategyAdptYr
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 Care300.000000000000FPGFamilyIncmLmtDscntCarePct
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

FieldValueIRS element (for citing)
Form And Line ReferencePART V, SECTION A:FormAndLineReferenceDesc
ExplanationSOLDIERS & 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, AND THE COMMUNITY BASED AGENCIES CONDUCTED SURVEYS OF RESIDENTS IN THE THREE 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 THE SPRING 2019 EDITION OF THRIVE, OUR COMMUNITY HEALTH MAGAZINE. THRIVE IS MAILED TO MORE THAN 90,000 HOUSEHOLDS IN THE HEALTH SYSTEM'S SERVICE AREA. READERS WERE INVITED TO LOG-IN TO THE ONLINE SURVEY OR TO CONTACT FINGER LAKES HEALTH FOR A PAPER VERSION OF THE SURVEY.FURTHER INPUT FROM THE PUBLIC WAS COLLECTED THROUGH A NUMBER OF FOCUS GROUP SESSIONS THAT WERE HELD THROUGHOUT THE COUNTIES.ExplanationTxt

Supplemental Information Detail SupplementalInformationDetail (10 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, INCLUDING ARC, HAPPINESS HOUSE, FINGER LAKES VISITING NURSE SERVICE, LAKEVIEW MENTAL HEALTH, FINGER LAKES HEALTH SYSTEMS AGENCY COMMUNITY HEALTH IMPROVEMENT COMMITTEE, AMONG OTHERS.6. WORKFORCE DEVELOPMENT:SSMH PROVIDES CAREER EXPLORATION PROGRAMS FOR YOUNG PEOPLE, INCLUDING:-CAMP MEDQUEST, A TWO DAY HEALTHCARE CAREER EXPLORATION PROGRAM FOR HIGH SCHOOL STUDENTS.-SHADOWING OPPORTUNITIES FOR HIGH SCHOOL STUDENTS.-BIO-MED CLUB HIGH SCHOOL MEDICAL CLUB VISITS TO VARIOUS DEPARTMENTS (ED, LAB, BEHAVIORAL HEALTH, ETC.) TO EXPLORE HEALTH CAREERS.-HEALTHCARE ALLIANCE EVENT SHARED INFORMATION ON OPPORTUNITIES FOR STUDENTS TO LEARN ABOUT HEALTH CAREERS INCLUDING A SURGICAL SERVICES HANDS-ON DEMONSTRATION TO SHOW STUDENTS INFORMATION ON BECOMING A SURGICAL TECHNICIAN.7. NEGATIVE MARGINS:SSMH PROVIDES MENTAL HEALTH OUTPATIENT PROGRAMS, AMBULATORY SURGERY, 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 OUTREACH ACTIVITIES SUCH AS THE WALK & TALK PROGRAM, KEEPING U IN THE GAME, AND COMPLETING COMMUNITY BENEFIT REPORTS.
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 (55.6%). BASED UPON AN ANALYSIS OF INCOME LEVELS FOR ACCOUNTS INCLUDED IN BAD DEBTS WERE ESTIMATED THAT 51% 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, AS WELL AS AN UPDATE IN METHODOLOGY WHEREBY PERCENTAGESUSED TO RESERVE FOR OLDER AGED ACCOUNTS RECEIVABLE INCREASED IN THE CURRENT YEAR.
PART VI, LINE 2:FINGER LAKES HEALTH ("FLH") BELIEVES THAT HEALTHCARE CONSUMERS TAKING ACTIVE RESPONSIBILITY FOR THEIR OWN HEALTH IS THE SINGLE MOST VITAL ASPECT TO IMPROVING THE QUALITY OF HEALTHCARE AND TO HAVING HEALTHIER INDIVIDUALS AND HEALTHIER COMMUNITIES. 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, 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 2018 AND ESTABLISH HEALTH PRIORITIES FOR 2019-2021. 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-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, INCLUDED:IN ONTARIO COUNTY FIRST RESPONDERS, TOOLS FOR SOCIAL CHANGE COMMUNITY COALITION, SENIOR CITIZEN GROUP, CANANDAIGUA ROTARY CLUB, SENIOR MEAL SITE, COUNTY LEADERS, AND A PROBATION GROUP.IN SENECA COUNTY SENECA TOWNS ENGAGING PEOPLE FOR SOLUTIONS, SENIOR CITIZEN VOLUNTEER GROUP, CRIMINAL JUSTICE ADVISORY BOARD, OFFICE FOR THE AGING NUTRITION SITE, SENECA HEALTH SOLUTIONS, SENECA HEALTH ADVISORY COMMITTEE, AND OVID ROTARY CLUB.IN YATES COUNTY YATES CHAMBER OF COMMERCE LONG RANGE PLANNING COMMITTEE, WORKFORCE DEVELOPMENT JOB CLUB, FLPPS FINGER LAKES NATIONAL OPEN COLLEGE NETWORK (NOCN), TIER II, PENN YAN BABY CAFE, BONE BUILDERS CLASS, PENN YAN LIONS CLUB.AS A RESULT OF THIS DATA AND COMMENT ANALYSIS, THE MOST HIGHLY RANKED HEALTH PRIORITIES WERE IDENTIFIED FOR EACH COUNTY, AS NOTED BELOW:FOR ONTARIO COUNTY:-HYPERTENSION-SUBSTANCE ABUSE-OBESITYFOR SENECA COUNTY:-HYPERTENSION-OBESITY-SUBSTANCE ABUSEFOR YATES COUNTY:-CEREBROVASCULAR DISEASE (HYPERTENSION)-BEHAVIORAL HEALTH (SUBSTANCE ABUSE AND MENTAL HEALTH)-OBESITYWE THEN DEVELOPED COMMUNITY SERVICE PLANS (CSP) COMMUNITY HEALTH IMPROVEMENT PLANS (CHIPS) FOR EACH COUNTY OUTLINING ACTION STEPS TO ADDRESS AND TARGET THE PRIORITIES.AS PART OF OUR COMMUNITY SERVICE PLAN TO TARGET THE PRIORITIES, FLH:HAS ALL OF ITS PRIMARY CARE PHYSICIAN PRACTICES PARTICIPATING IN THE REGIONAL BLOOD PRESSURE REGISTRY BEING OVERSEEN BY COMMON GROUND HEALTH IN AN EFFORT TO INCREASE THE PERCENTAGE OF PATIENTS WITH HYPERTENSION WHO HAVE CONTROLLED THEIR BLOOD PRESSURE.OFFERS A DIABETES PREVENTION PROGRAM THROUGH ITS DIABETES CARE CENTER THAT FOCUSES ON WEIGHT LOSS TO HELP PRE-DIABETES AND COMMUNITY MEMBERS CONCERNED ABOUT DIABETES, AS WELL AS DIABETICS, COMBAT THE RISK FACTORS FOR THE DISEASE. THE DIABETES CARE CENTER HAS DEDICATED CERTIFIED DIABETES EDUCATORS WHO DO ONE-ON-ONE COUNSELING WITH DIABETICS, CONDUCT EDUCATIONAL CLASSES FOR DIABETICS AND THEIR SUPPORT PERSON AND PROVIDE CONTINUOUS GLUCOSE MONITORING SERVICES FOR DIABETICS, AS WELL AS THE PREVENTION PROGRAM.PROVIDES THE "FOOD, FUN AND FITNESS" PROGRAM WITH TEENAGE MENTORS FROM LOCAL HIGH SCHOOLS AND COLLEGES TRAINED TO PRESENT THE SIX-PART CURRICULUM THAT EMPHASIZES THE IMPORTANCE OF HEALTHY EATING AND EXERCISE, TO ELEMENTARY AGE STUDENTS AT LOCAL SCHOOLS AND OTHER VENUES.OFFERS ADDICTIONS COUNSELING TO ITS EMPLOYEES AND THEIR FAMILY MEMBERS, AS WELL AS STUDENTS WHO ARE ON OUR CAMPUSES THROUGH VARIOUS EDUCATIONAL PARTNERSHIPS, WHICH INCLUDES TRAINING ON THE USE OF NARCAN. STAFF MEMBERS AND FAMILIES WHO HAVE AT RISK FAMILY MEMBERS ALSO HAVE BEEN GIVEN FREE NARCAN KITS.CONDUCTS A CARDIAC PRE-HAB PROGRAM, DESIGNED SIMILARLY TO CARDIAC REHABILITATION PROGRAMS, TO EDUCATE COMMUNITY MEMBERS ON THE RISKS OF CARDIAC DISEASE, INCLUDING HYPERTENSION AND OBESITY, IN AN EFFORT TO PREVENT CARDIAC DISEASE IN THE COMMUNITY.PROVIDES EDUCATIONAL HEALTH INFORMATION ON TOPICS SUCH AS STROKE SYMPTOMS, DIABETES PREVENTION, HYPERTENSION, AND OTHERS, IN ITS COMMUNITY HEALTH MAGAZINE THRIVE, WHICH IS MAILED TO MORE THAN 90,000 HOMES IN OUR SERVICE AREA TWICE EACH YEAR. 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.BLOOD PRESSURE SCREENINGS ARE OFFERED BY THE ACUTE REHAB UNIT AT GENERAL AND HEALTH SYSTEM STAFF AT THE COMMUNITY LUNCH PROGRAM IN GENEVA, AS WELL AS AT WORK PLACES OR SPECIAL EVENTS, AS REQUESTED BY COMMUNITY ORGANIZATIONS.
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.1. COMMUNITY HEALTH EDUCATION:- THRIVE COMMUNITY HEALTH MAGAZINE HEALTH ADVICE, INCLUDING:A. ORGAN DONOR INFORMATIONB. BREAST CANCER SCREENINGC. PRIMARY CARE - MEDICAL HOME ACCESSD. 5K WELLNESS EVENTE. POPULATION HEALTHF. DETERMINANTS OF HEALTHG. BLOOD PRESSURE CLINICSH. STROKE SUPPORT GROUPSI. 1:1 NUTRITIONAL COUNSELINGJ. DIABETES MANAGEMENTK. WEIGHT MANAGEMENTL. DIABETES SUPPORT GROUPM. ATHLETIC TRAINING IN AREA SCHOOLSN. CARDIAC COUNSELING FOR PREVENTION OF CARDIAC DISEASEO. PARTICIPATION OF EMPLOYEES IN AREA UNITED WAY DAY OF CARING FUNDRAISING CAMPAIGNP. CONCUSSION EDUCATION FOR AREA SCHOOLSQ. MENTORING HOURS FOR STUDENTS R. SKIN CANCER SCREENINGS S. FLH MATTERS - AN EDUCATION RADIO SHOW AIRED DURING THE YEAR ON THE REGIONAL FINGER LAKES RADIO NETWORK FEATURING HEALTH SYSTEM PROFESSIONALS SPEAKING TO A WIDE RANGE OF HEALTH TOPICS.T. YATES COUNTY LUNCH & LEARN FINGER LAKES HEALTH PARTNERS WITH YATES COUNTY TO OFFER HEALTHY AND HELPFUL PROGRAMS TO COUNTY EMPLOYEES AND THE PUBLIC. MEDICAL PROFESSIONAL SPEAK ON VARIED TOPICS, INCLUDING BUT NOT LIMITED TO: DIABETES AND STRESS MANAGEMENT.2. NURSES/NURSING STUDENTSTHE CLINICAL EDUCATION AND MENTORING OF NURSING STUDENT FROM AREA PROGRAM OF STUDY, INCLUDING THE MARION S. WHELAN SCHOOL OF PRACTICAL NURSING AND THE FINGER LAKES HEALTH COLLEGE OF NURSING.3. OTHER HEALTH PROFESSIONALS EDUCATIONCLINICAL EDUCATION PROVIDED TO STUDENT FROM VARIOUS COLLEGES/PROGRAMS OF STUDY FOR ACADEMIC CREDIT: -FINGER LAKES REGIONAL EMS TRAINING-OT, LAB, PHARMACY, HOSPITALIST, ULTRASOUND, SOCIAL WORK, MENTAL HEALTH STUDIES, NURSE PRACTIONER AS PER CONTRACTUAL ARRANGEMENT4. IN-KIND DONATIONSIN-KIND DONATIONS OF MEDICATION TRACKING CARDS, SHOE COVERS AND GLOVESSSMH STAFF DONATING TIME TO COMMUNITY AGENCIES ON BEHALF OF SSMH AND FINGER LAKES HEALTH SUCH AS:- UNITED WAY- YATES SUBSTANCE ABUSE COALITION- YATES HEALTH PLANNING COUNCIL- CHOOSE HEALTH YATES- REGIONAL DENTAL STEERING COMMITTEE- FARM TO INSTITUTION COMMITTEE- REGIONAL WORKSITE WELLNESS COALITION- FINGER LAKES REGIONAL ES COUNCIL- WORKFORCE DEVELOPMENT COMMITTEE- COUNCIL OF CHURCHES CHAPLAINCY COMMITTEE- PENN YAN LIONS CLUB- YATES COUNTY LTC COMMITTEE- ARC OF YATES.FACILITY SPACE PROVIDED TO COMMUNITY ORGANIZATIONS FREE OF CHARGE FOR USE TO CONDUCT MEETINGS, INCLUDING SPOE, ARC OF YATES, AMERICAN RED CROSS, UNITED WAY, AND INSURANCE NAVIGATOR. FACILITY SPACE PROVIDED FREE OF CHARGE TO YATES COMMUNITY CENTER FOR USE AS A FITNESS CENTER.
PART VI, LINE 6:HEALTH SERVICES ARE PROVIDED ON SIX CAMPUSES LOCATED IN GENEVA & CLIFTON SPRINGS, NY (ONTARIO COUNTY), WATERLOO, NY (SENECA COUNTY), CLYDE, NY (WAYNE COUNTY), AND PENN YAN & DUNDEE, NY (YATES COUNTY). THE HEALTH SYSTEM OFFERS A BROAD RANGE OF PRIMARY, SPECIALTY AND SUB-SPECIALTY SERVICES TO RESIDENTS OF THE FINGER LAKES.
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 (14 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
JOSE A ACEVEDO MD MBA
PRESIDENT & CEO$0$553,518$0$178,336$0$3,461$0$45,500$0$11,547$0$792,362$0$0
JEFFREY MORGAN
TREASURER & CFO$0$238,505$0$15,000$0$27,751$0$45,500$0$7,642$0$334,398$0$0
JASON S FEINBERG MD
CHIEF MEDICAL OFFICER$0$328,303$0$38,987$0$430$0$45,500$0$8,727$0$421,947$0$0
FRANK M KORICH
SR VP OPERATIONS$0$235,548$0$49,312$0$29,587$0$45,500$0$9,624$0$369,571$0$0
ARDELLE BIGOS
VICE PRESIDENT NURSING$0$197,653$0$27,072$0$804$0$45,500$0$6,883$0$277,912$0$0
WENDY DISBROW
VP PHYS. NETWORK$0$180,743$0$22,537$0$0$0$45,231$0$2,853$0$251,364$0$0
MARIA Y BATLLE QUIDGLEY MD
PHYSICIAN ED$273,847$0$2,925$0$13,260$0$19,692$0$10,001$0$319,725$0$0$0
DOUGLAS M SINCLAIR MD
PHYISCIAN ED$330,573$0$4,175$0$27,242$0$26,000$0$10,007$0$397,997$0$0$0
TAMARA A PRULL MD
PHYISCIAN ED$330,700$0$15,000$0$19,500$0$39,000$0$0$0$404,200$0$0$0
TARYN P DRAXLER
PHYSICIAN HOSPITALIST$195,953$0$15,000$0$34,764$0$10,715$0$16,636$0$273,068$0$0$0
JOSEPH W HINTERBERGER
PHYSICIAN$118,560$0$11,352$0$28,532$0$26,000$0$22,304$0$206,748$0$0$0
MATTHEW C TALBOTT
DIRECTOR$0$467,988$0$49,200$0$19,500$0$19,500$0$24,730$0$580,918$0$0
ROBERT ANDERSON
DIRECTOR$0$178,440$0$26,616$0$6,400$0$18,328$0$8,021$0$237,805$0$0
PATRICK R BOYLE
VP HUMAN RESOURCES$0$84,813$0$24,549$0$49,496$0$5,096$0$5,522$0$169,476$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 $50,000 INTO A 457(F) PLAN IN 2019 FOR JOSE ACEVEDO, MD, MBA, PRESIDENT & CEO.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS REVIEWED BY THE ADMINISTRATIVE COMMITTEE OF THE BOARD PRIOR TO BEING FILED. ANY COMMITTEE FINDINGS ARE REVIEWED AND IMPLEMENTED AS APPROPRIATE BY MANAGEMENT. CHANGES IN IRS REQUIREMENTS AND ORGANIZATION PRACTICES FROM THE PRIOR YEAR ARE HIGHLIGHTED FOR THE COMMITTEE BY MANAGEMENT. THE COMMITTEE REPORTS ON THIS DISCUSSION TO THE FULL BOARD.
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 XI, LINE 9:NET PERIODIC PENSION INCOME -2,943,771. CHANGE IN FUNDED STATUS OF PENSION PLAN 567,048.
FORM 990, PART XII, LINE 2CSSMH 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 (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
FINGER LAKES REGIONAL HEALTH SYSTEM INC
196 NORTH STREETGENEVANY14456223193606SOLE MEMBER OF SSMH, FLHF, LCS, HLC, LCN, AND GGHNY501(C)(3)LINE 70
FINGER LAKES HEALTH FOUNDATION
196 NORTH STREETGENEVANY14456150549310COORDINATOR OF FUNDRAISING ACTIVITIESNY501(C)(3)LINE 12A, I0FINGER LAKES REGIONAL HEALTH SYSTEM INC
LIVING CENTER AT GENEVA SOUTH
196 NORTH STREETGENEVANY14456160957268SKILLED NURSING FACILITYNY501(C)(3)LINE 100FINGER LAKES REGIONAL HEALTH SYSTEM INC
HUNTINGTON LIVING CENTER
369 EAST MAIN STREETWATERLOONY13165510169552SKILLED NURSING FACILITYNY501(C)(3)LINE 100FINGER LAKES REGIONAL HEALTH SYSTEM INC
GENEVA GENERAL HOSPITAL HOUSING DEVELOPMENT CO
196 NORTH STREETGENEVANY14456222816883OPERATE LOW INCOME HOUSING FOR ELDERLY & HANDICAPPEDNY501(C)(3)LINE 100FINGER LAKES REGIONAL HEALTH SYSTEM INC
TAYLOR BROWN MEMORIAL HOUSING DEVELOPMENT CO
371 EAST MAIN STREETWATERLOONY13165222807734OPERATE LOW INCOME HOUSING FOR ELDERLY & HANDICAPPEDNY501(C)(3)LINE 100FINGER LAKES REGIONAL HEALTH SYSTEM INC
LIVING CENTER AT GENEVA NORTH
196 NORTH STREETGENEVANY14456161449543SKILLED NURSING FACILITYNY501(C)(3)LINE 100FINGER LAKES REGIONAL HEALTH SYSTEM INC
FLH SENIOR COMMUNITIES INC
196 NORTH STREETGENEVANY14456205604917DEVELOP AND OPERATE SENIOR CITIZEN HOUSING COMPLEXNY501(C)(3)LINE 100FINGER LAKES REGIONAL HEALTH SYSTEM INC
GENEVA GENERAL HOSPITAL
196 NORTH STREETGENEVANY14456160743032PROVIDER OF HEALTHCARE SERVICESNY501(C)(3)LINE 30FINGER LAKES REGIONAL HEALTH SYSTEM INC

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SOLDIERS VENTURES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1196 NORTH STREETAddressLine1Txt
CityGENEVACityNm
State AbbreviationNYStateAbbreviationCd
ZIP14456ZIPCd
FieldValueIRS element (for citing)
EIN161556419EIN
Primary ActivitiesINVESTINGPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES COUNTY INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SOLDIERS VENTURES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeDTransactionTypeTxt
Involved$319,499InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt

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