SOLDIERS & SAILORS MEMORIAL: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- SOLDIERS & SAILORS MEMORIAL (EIN 16-0743192)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-13
- IRS object ID
- 202033189349308243
- Schema version
- 2019v5.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-13T13:50:25-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161131146 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BONADIO & CO LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 171 SULLYS TRAIL | AddressLine1Txt |
| City | PITTSFORD | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14534 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160743192 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOLDIERS & SAILORS MEMORIAL HOSPITAL OF | BusinessNameLine1Txt |
| Business Name Line2 | YATES COUNTY INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SOLD | BusinessNameControlTxt |
| Phone | 3157874030 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 418 NORTH MAIN STREET | AddressLine1Txt |
| City | PENN YAN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14527 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEFFREY MORGAN | PersonNm |
| Person Title | CFO & TREASURER | PersonTitleTxt |
| Phone | 3157874030 | PhoneNum |
| Signature | 2020-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AIMEE J JOZIC | PreparerPersonNm |
| PTIN | P01346943 | PTIN |
| Phone | 5853811000 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 72.225.21.229 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-12 | IPDt |
| IP Tm | 19:04:01 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 5C704B3FF464E54C4CE4AB9B8A5F0120FA67052E | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOSE ACEVEDO MD MBA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 418 NORTH MAIN STREET | AddressLine1Txt |
| City | PENN YAN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14527 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $30,845,340 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FLHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1924 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | SOLDIERS 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 Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 457 | TotalEmployeeCnt |
| Total Volunteers | 38 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,209,968 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,434,525 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $28,317,324 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $28,722,252 | CYProgramServiceRevenueAmt |
| PY Investment Income | $682,230 | PYInvestmentIncomeAmt |
| CY Investment Income | $665,565 | CYInvestmentIncomeAmt |
| PY Other Revenue | $839,084 | PYOtherRevenueAmt |
| CY Other Revenue | $22,998 | CYOtherRevenueAmt |
| PY Total Revenue | $31,048,606 | PYTotalRevenueAmt |
| CY Total Revenue | $30,845,340 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $19,794,104 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $19,246,077 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,975,335 | PYOtherExpensesAmt |
| CY Other Expenses | $10,555,041 | CYOtherExpensesAmt |
| PY Total Expenses | $28,769,439 | PYTotalExpensesAmt |
| CY Total Expenses | $29,801,118 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,279,167 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,044,222 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $41,457,914 | TotalAssetsBOYAmt |
| Total Assets EOY | $43,561,985 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $17,867,437 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,329,034 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $23,590,477 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $31,232,951 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SOLDIERS 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $5,682,520 | ExpenseAmt |
| Revenue | $7,007,306 | RevenueAmt |
| Desc | PATIENT 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,704,594 | ExpenseAmt |
| Revenue | $11,967,060 | RevenueAmt |
| Desc | PATIENT 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,904,972 | ExpenseAmt |
| Revenue | $9,747,886 | RevenueAmt |
| Desc | PATIENT 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $23,292,086 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 3 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 457 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEFFREY MORGAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3157874000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 196 NORTH STREET | AddressLine1Txt |
| City | GENEVA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14456 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| LANCE WARD | |||||||||
| CHAIR | 1.00 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| KYLENE ABRAHAM DNP | |||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| REV JAMES ADAMS | |||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT ANDERSON MD | |||||||||
| DIRECTOR | 1.00 | 39.00 | Yes (X) | $0 | $237,100 | $28,837 | |||
| MENZO CASE | |||||||||
| SECRETARY | 1.00 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CHEVANNE DEVANEY | |||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| RYAN HALLINGS | |||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| SUSAN STORK | |||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES CHENEY | |||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN HICKS | |||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| TOM THOMPSON MD | |||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| JOSE ACEVEDO MD MBA | |||||||||
| PRESIDENT & CEO | 6.00 | 34.00 | Yes (X) | Yes (X) | $0 | $692,132 | $71,978 | ||
| CRAIG DENSMORE | |||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| PHIL BECKLEY | |||||||||
| VICE CHAIR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| TOM BURRALL | |||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| MATTHEW TALBOTT MD | |||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $485,799 | $24,489 | |||
| JEFFREY MORGAN | |||||||||
| TREASURER & CFO | 6.00 | 34.00 | Yes (X) | $0 | $206,840 | $14,407 | |||
| BILL KING | |||||||||
| INTERIM TREASURER, THROUGH 9/19 | 6.00 | 34.00 | Yes (X) | $0 | $166,214 | $21,467 | |||
| JASON FEINBERG | |||||||||
| CHIEF MEDICAL OFFICER | 8.00 | 32.00 | $0 | $369,081 | $45,667 | Yes (X) | |||
| FRANK KORICH | |||||||||
| SR VP OPERATIONS | 8.00 | 32.00 | $0 | $297,515 | $51,319 | Yes (X) | |||
| PATRICK BOYLE | |||||||||
| VP HUMAN RESOURCES | 7.60 | 32.40 | $0 | $247,450 | $46,340 | Yes (X) | |||
| ARDELLE BIGOS | |||||||||
| VP NURSING | 16.00 | 24.00 | $0 | $216,899 | $22,582 | Yes (X) | |||
| WENDY DISBROW | |||||||||
| VP PHYS NETWORK | 8.00 | 32.00 | $0 | $201,720 | $6,637 | Yes (X) | |||
| TAMARA PRULL MD | |||||||||
| PHYSICIAN ED | 40.00 | $252,900 | $0 | $2,880 | Yes (X) | ||||
| DOUGLAS SINCLAIR MD | |||||||||
| PHYSICIAN ED | 40.00 | $387,625 | $0 | $19,471 | Yes (X) | ||||
| JOSEPH HINTERBERGER | |||||||||
| PHYSICIAN DFHC | 40.00 | $168,921 | $0 | $25,559 | Yes (X) | ||||
| MARIA BATTLE QUIDGLEY MD | |||||||||
| PHYSICIAN ED | 40.00 | $302,756 | $0 | $12,510 | Yes (X) | ||||
| TARYN DRAXLER | |||||||||
| PHYSICIAN HOSPITALIST | 40.00 | $253,867 | $0 | $22,669 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,366,069 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,120,750 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $416,812 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $453,448 | GovernmentGrantsAmt |
| All Other Contributions | $981,077 | AllOtherContributionsAmt |
| Total Contributions | $1,434,525 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $27,045,563 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $27,045,563 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,676,689 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,676,689 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $28,722,252 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,771 | TotalRevenueColumnAmt |
| Exclusion | $4,771 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $332,960 | SecuritiesAmt |
| Other | $327,834 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $332,960 | SecuritiesAmt |
| Other | $327,834 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $660,794 | TotalRevenueColumnAmt |
| Exclusion | $660,794 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $22,998 | TotalRevenueColumnAmt |
| Exclusion | $22,998 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $22,998 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,845,340 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $28,722,252 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $688,563 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,366,028 | TotalAmt |
| Program Services | $13,158,221 | ProgramServicesAmt |
| Management And General | $2,207,807 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $406,726 | TotalAmt |
| Program Services | $219,920 | ProgramServicesAmt |
| Management And General | $186,806 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,399,516 | TotalAmt |
| Program Services | $1,942,588 | ProgramServicesAmt |
| Management And General | $456,928 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,073,807 | TotalAmt |
| Program Services | $875,260 | ProgramServicesAmt |
| Management And General | $198,547 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $327,899 | TotalAmt |
| Program Services | $1,414 | ProgramServicesAmt |
| Management And General | $326,485 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,260 | TotalAmt |
| Program Services | $62,035 | ProgramServicesAmt |
| Management And General | $55,225 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,582 | TotalAmt |
| Management And General | $39,582 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,804 | TotalAmt |
| Program Services | $2,484 | ProgramServicesAmt |
| Management And General | $71,320 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,670 | TotalAmt |
| Management And General | $60,670 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $246,031 | TotalAmt |
| Program Services | $113,642 | ProgramServicesAmt |
| Management And General | $132,389 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $469,344 | TotalAmt |
| Program Services | $34,947 | ProgramServicesAmt |
| Management And General | $434,397 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $925,787 | TotalAmt |
| Program Services | $430,430 | ProgramServicesAmt |
| Management And General | $495,357 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,175 | TotalAmt |
| Program Services | $107,413 | ProgramServicesAmt |
| Management And General | $762 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,095 | TotalAmt |
| Program Services | $30,365 | ProgramServicesAmt |
| Management And General | $34,730 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,230 | TotalAmt |
| Management And General | $117,230 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,816,639 | TotalAmt |
| Program Services | $1,725,807 | ProgramServicesAmt |
| Management And General | $90,832 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $365,761 | TotalAmt |
| Program Services | $129,481 | ProgramServicesAmt |
| Management And General | $236,280 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PURCHASED SERVICES | $2,920,096 | $2,105,619 | $814,477 |
| MEDICAL SUPPLIES | $1,755,379 | $1,602,270 | $153,109 |
| NYS ASSESSMENT TAX | $771,920 | $771,920 | |
| SHARED SERVICES | $373,993 | $373,993 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $376 | TotalAmt |
| Program Services | -$21,730 | ProgramServicesAmt |
| Management And General | $22,106 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,801,118 | TotalAmt |
| Program Services | $23,292,086 | ProgramServicesAmt |
| Management And General | $6,509,032 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,433 | BOYAmt |
| EOY | $3,784 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,427,059 | BOYAmt |
| EOY | $1,243,908 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,609,436 | BOYAmt |
| EOY | $3,246,741 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,374 | BOYAmt |
| EOY | $828,569 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $222,047 | BOYAmt |
| EOY | $159,352 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $194,655 | BOYAmt |
| EOY | $463,279 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $64,358,334 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $51,519,900 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,147,342 | BOYAmt |
| EOY | $12,838,434 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,450,084 | BOYAmt |
| EOY | $18,935,674 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,357,484 | BOYAmt |
| EOY | $5,842,244 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,457,914 | BOYAmt |
| EOY | $43,561,985 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,987,082 | BOYAmt |
| EOY | $3,087,728 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,421,219 | BOYAmt |
| EOY | $6,143,101 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,786 | BOYAmt |
| EOY | $99,333 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,152,677 | BOYAmt |
| EOY | $2,037,825 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,213,673 | BOYAmt |
| EOY | $961,047 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,867,437 | BOYAmt |
| EOY | $12,329,034 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,590,477 | BOYAmt |
| EOY | $31,232,951 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,590,477 | BOYAmt |
| EOY | $31,232,951 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,457,914 | BOYAmt |
| EOY | $43,561,985 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,044,222 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,115,950 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $2,169,483 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $2,312,819 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $5,155 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,155 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | PORTION OF ASSOCIATION DUES ATTRIBUTED TO LOBBYING EXPENSES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $399,264 | OtherCostOrOtherBasisAmt |
| Book Value | $399,264 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,316,909 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,866,856 | DepreciationAmt |
| Book Value | $7,450,053 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,885,801 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,510,652 | DepreciationAmt |
| Book Value | $375,149 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $36,756,360 | OtherCostOrOtherBasisAmt |
| Depreciation | $32,142,392 | DepreciationAmt |
| Book Value | $4,613,968 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,838,434 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| CASH HELD IN ESCROW | $1,361,218 |
| MORTGAGE SINKING FUNDS | $2,640,573 |
| DUE FROM AFFILIATES | $1,741,120 |
| LTC PATIENT ACCOUNTS | $99,333 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $5,842,244 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| LONG TERM DUE TO AFFILIATE | $567,047 |
| BLUE CROSS (BCR) ADVANCE 2005 | $394,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $961,047 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $37,443,592 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $2,115,950 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $4,482,302 | OtherRevenueAmt |
| Revenue Not Reported | $6,598,252 | RevenueNotReportedAmt |
| Revenue Subtotal | $30,845,340 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $30,845,340 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $29,801,118 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $29,801,118 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $29,801,118 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 60,193. CHANGE IN FUNDED STATUS OF PENSION PLAN 2,252,626. PRIOR PERIOD ADJUSTMENTS 2,169,483. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $450,694 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $374,150 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $76,544 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,583,468 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,278,371 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $305,097 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01020 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,034,162 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,652,521 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $381,641 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01280 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,119 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,119 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,941,918 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,558,340 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,954,037 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,558,340 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,119 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,988,199 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,210,861 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $393,760 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01320 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,948 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,948 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,075 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,075 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,941 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,941 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,964 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $24,964 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $828,092 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $429,000 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $3,751,663 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $3,349,532 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $402,131 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOLDIERS & SAILORS MEMORIAL HOSPITAL OF YATES COUNTY INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 418 NORTH MAIN STREET | AddressLine1Txt |
| City | PENN YAN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14527 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOLDIERS AND SAILORS MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.FLHEALTH.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.FLHEALTH.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.FLHEALTH.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.FLHEALTH.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.FLHEALTH.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Legal Judicial Process | Yes (X) | PermitLegalJudicialProcessInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | Yes (1) | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, SECTION A: | FormAndLineReferenceDesc |
| Explanation | 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, 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.SOLDIERS & SAILORS MEMORIAL HOSPITAL OF YATES COUNTY:PART V, SECTION B, LINE 23: AMOUNTS GENERALLY BILLED. THE AMOUNTS GENERALLY BILLED ARE BASED UPON NEGOTIATED COMMERCIAL INSURANCE RATES FOR THE CARRIER WITH THE GREATEST VOLUME. | ExplanationTxt |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ -64,382. |
| 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 (51.6%). 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 STATES | NY |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT ANDERSON MD | ||||||||||||||
| DIRECTOR | $0 | $209,303 | $0 | $9,000 | $0 | $18,797 | $0 | $467 | $0 | $28,370 | $0 | $265,937 | $0 | $0 |
| JOSE ACEVEDO MD MBA | ||||||||||||||
| PRESIDENT & CEO | $0 | $528,331 | $0 | $138,801 | $0 | $25,000 | $0 | $38,833 | $0 | $33,145 | $0 | $764,110 | $0 | $0 |
| MATTHEW TALBOTT MD | ||||||||||||||
| DIRECTOR | $0 | $469,406 | $0 | $0 | $0 | $16,393 | $0 | $0 | $0 | $24,489 | $0 | $510,288 | $0 | $0 |
| JEFFREY MORGAN | ||||||||||||||
| TREASURER & CFO | $0 | $179,486 | $0 | $0 | $0 | $27,354 | $0 | $0 | $0 | $14,407 | $0 | $221,247 | $0 | $0 |
| BILL KING | ||||||||||||||
| INTERIM TREASURER, THROUGH 9/19 | $0 | $156,096 | $0 | $0 | $0 | $10,118 | $0 | $1,261 | $0 | $20,206 | $0 | $187,681 | $0 | $0 |
| JASON FEINBERG | ||||||||||||||
| CHIEF MEDICAL OFFICER | $0 | $310,450 | $0 | $33,631 | $0 | $25,000 | $0 | $18,605 | $0 | $27,062 | $0 | $414,748 | $0 | $0 |
| FRANK KORICH | ||||||||||||||
| SR VP OPERATIONS | $0 | $240,140 | $0 | $32,375 | $0 | $25,000 | $0 | $28,389 | $0 | $22,930 | $0 | $348,834 | $0 | $0 |
| PATRICK BOYLE | ||||||||||||||
| VP HUMAN RESOURCES | $0 | $190,812 | $0 | $25,038 | $0 | $31,600 | $0 | $17,774 | $0 | $28,566 | $0 | $293,790 | $0 | $0 |
| ARDELLE BIGOS | ||||||||||||||
| VP NURSING | $0 | $191,899 | $0 | $0 | $0 | $25,000 | $0 | $864 | $0 | $21,718 | $0 | $239,481 | $0 | $0 |
| WENDY DISBROW | ||||||||||||||
| VP PHYS NETWORK | $0 | $158,313 | $0 | $18,407 | $0 | $25,000 | $0 | $414 | $0 | $6,223 | $0 | $208,357 | $0 | $0 |
| TAMARA PRULL MD | ||||||||||||||
| PHYSICIAN ED | $233,900 | $0 | $0 | $0 | $19,000 | $0 | $0 | $0 | $2,880 | $0 | $255,780 | $0 | $0 | $0 |
| DOUGLAS SINCLAIR MD | ||||||||||||||
| PHYSICIAN ED | $363,640 | $0 | $0 | $0 | $23,985 | $0 | $1,242 | $0 | $18,229 | $0 | $407,096 | $0 | $0 | $0 |
| JOSEPH HINTERBERGER | ||||||||||||||
| PHYSICIAN DFHC | $144,402 | $0 | $0 | $0 | $24,519 | $0 | $0 | $0 | $25,559 | $0 | $194,480 | $0 | $0 | $0 |
| MARIA BATTLE QUIDGLEY MD | ||||||||||||||
| PHYSICIAN ED | $280,256 | $0 | $0 | $0 | $22,500 | $0 | $0 | $0 | $12,510 | $0 | $315,266 | $0 | $0 | $0 |
| TARYN DRAXLER | ||||||||||||||
| PHYSICIAN HOSPITALIST | $238,208 | $0 | $7,500 | $0 | $8,159 | $0 | $791 | $0 | $21,878 | $0 | $276,536 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | CERTAIN 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE 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 12C | SOLDIERS & 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 15 | COMPENSATION IS REVIEWED BY A COMPENSATION COMMITTEE, AND COMPARABILITY DATA IS PART OF THE DECISION. |
| FORM 990, PART VI, SECTION C, LINE 19 | SOLDIERS & 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 60,193. CHANGE IN FUNDED STATUS OF PENSION PLAN 2,252,626. |
| FORM 990, PART XII, LINE 2C | SSMH HAS A BOARD COMMITTEE WHO ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|
| FINGER LAKES REGIONAL HEALTH SYSTEM INC | ||||||||||
| 196 NORTH STREET | GENEVA | NY | 14456 | 223193606 | SOLE MEMBER OF SSMH, FLHF, LCS, HLC, LCN, AND GGH | NY | 501(C)(3) | LINE 7 | 0 | |
| FINGER LAKES HEALTH FOUNDATION | ||||||||||
| 196 NORTH STREET | GENEVA | NY | 14456 | 150549310 | COORDINATOR OF FUNDRAISING ACTIVITIES | NY | 501(C)(3) | LINE 11 | 0 | FINGER LAKES REGIONAL HEALTH SYSTEM INC |
| LIVING CENTER AT GENEVA SOUTH | ||||||||||
| 196 NORTH STREET | GENEVA | NY | 14456 | 160957268 | SKILLED NURSING FACILITY | NY | 501(C)(3) | LINE 10 | 0 | FINGER LAKES REGIONAL HEALTH SYSTEM INC |
| HUNTINGTON LIVING CENTER | ||||||||||
| 369 EAST MAIN STREET | WATERLOO | NY | 13165 | 510169552 | SKILLED NURSING FACILITY | NY | 501(C)(3) | LINE 10 | 0 | FINGER LAKES REGIONAL HEALTH SYSTEM INC |
| GENEVA GENERAL HOSPITAL HOUSING DEVELOPMENT CO | ||||||||||
| 196 NORTH STREET | GENEVA | NY | 14456 | 222816883 | OPERATE LOW INCOME HOUSING FOR ELDERLY & HANDICAPPED | NY | 501(C)(3) | LINE 9 | 0 | FINGER LAKES REGIONAL HEALTH SYSTEM INC |
| TAYLOR BROWN MEMORIAL HOUSING DEVELOPMENT CO | ||||||||||
| 371 EAST MAIN STREET | WATERLOO | NY | 13165 | 222807734 | OPERATE LOW INCOME HOUSING FOR ELDERLY & HANDICAPPED | NY | 501(C)(3) | LINE 9 | 0 | FINGER LAKES REGIONAL HEALTH SYSTEM INC |
| LIVING CENTER AT GENEVA NORTH | ||||||||||
| 196 NORTH STREET | GENEVA | NY | 14456 | 161449543 | SKILLED NURSING FACILITY | NY | 501(C)(3) | LINE 10 | 0 | FINGER LAKES REGIONAL HEALTH SYSTEM INC |
| FLH SENIOR COMMUNITIES INC | ||||||||||
| 196 NORTH STREET | GENEVA | NY | 14456 | 205604917 | DEVELOP AND OPERATE SENIOR CITIZEN HOUSING COMPLEX | NY | 501(C)(3) | LINE 9 | 0 | FINGER LAKES REGIONAL HEALTH SYSTEM INC |
| GENEVA GENERAL HOSPITAL | ||||||||||
| 196 NORTH STREET | GENEVA | NY | 14456 | 160743032 | PROVIDER OF HEALTHCARE SERVICES | NY | 501(C)(3) | LINE 3 | 0 | FINGER LAKES REGIONAL HEALTH SYSTEM INC |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOLDIERS VENTURES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 196 NORTH STREET | AddressLine1Txt |
| City | GENEVA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14456 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161556419 | EIN |
| Primary Activities | INVESTING | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES COUNTY INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOLDIERS VENTURES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | D | TransactionTypeTxt |
| Involved | $319,499 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |
Comments