2020-11-13T13:50:25-06:00 2019-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2019-01-01 160743192 SOLDIERS & SAILORS MEMORIAL HOSPITAL OF YATES COUNTY INC SOLD 3157874030 418 NORTH MAIN STREET PENN YAN NY 14527 JEFFREY MORGAN CFO & TREASURER 3157874030 2020-11-12 1 AIMEE J JOZIC P01346943 5853811000 72.225.21.229 2020-11-12 19:04:01 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 5C704B3FF464E54C4CE4AB9B8A5F0120FA67052E 2019 2021-01-29 14:40:06Z JOSE ACEVEDO MD MBA 418 NORTH MAIN STREET PENN YAN NY 14527 30845340 0 X WWW.FLHEALTH.ORG X 1924 NY 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. 16 13 457 38 0 0 1209968 1434525 28317324 28722252 682230 665565 839084 22998 31048606 30845340 0 0 0 0 19794104 19246077 0 0 0 8975335 10555041 28769439 29801118 2279167 1044222 41457914 43561985 17867437 12329034 23590477 31232951 X 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. 0 0 5682520 7007306 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. 9704594 11967060 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. 7904972 9747886 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. 23292086 1 1 0 1 0 0 0 0 1 0 1 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 3 0 1 457 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 13 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 NY X JEFFREY MORGAN 3157874000 196 NORTH STREET GENEVA NY 14456 LANCE WARD CHAIR 1.00 4.00 X X 0 0 0 KYLENE ABRAHAM DNP DIRECTOR 1.00 4.00 X 0 0 0 REV JAMES ADAMS DIRECTOR 1.00 4.00 X 0 0 0 ROBERT ANDERSON MD DIRECTOR 1.00 39.00 X 0 237100 28837 MENZO CASE SECRETARY 1.00 4.00 X X 0 0 0 CHEVANNE DEVANEY DIRECTOR 1.00 4.00 X 0 0 0 RYAN HALLINGS DIRECTOR 1.00 4.00 X 0 0 0 SUSAN STORK DIRECTOR 1.00 4.00 X 0 0 0 JAMES CHENEY DIRECTOR 1.00 4.00 X 0 0 0 JOHN HICKS DIRECTOR 1.00 4.00 X 0 0 0 TOM THOMPSON MD DIRECTOR 1.00 4.00 X 0 0 0 JOSE ACEVEDO MD MBA PRESIDENT & CEO 6.00 34.00 X X 0 692132 71978 CRAIG DENSMORE DIRECTOR 1.00 4.00 X 0 0 0 PHIL BECKLEY VICE CHAIR 1.00 4.00 X 0 0 0 TOM BURRALL DIRECTOR 1.00 4.00 X 0 0 0 MATTHEW TALBOTT MD DIRECTOR 1.00 40.00 X 0 485799 24489 JEFFREY MORGAN TREASURER & CFO 6.00 34.00 X 0 206840 14407 BILL KING INTERIM TREASURER, THROUGH 9/19 6.00 34.00 X 0 166214 21467 JASON FEINBERG CHIEF MEDICAL OFFICER 8.00 32.00 X 0 369081 45667 FRANK KORICH SR VP OPERATIONS 8.00 32.00 X 0 297515 51319 PATRICK BOYLE VP HUMAN RESOURCES 7.60 32.40 X 0 247450 46340 ARDELLE BIGOS VP NURSING 16.00 24.00 X 0 216899 22582 WENDY DISBROW VP PHYS NETWORK 8.00 32.00 X 0 201720 6637 TAMARA PRULL MD PHYSICIAN ED 40.00 X 252900 0 2880 DOUGLAS SINCLAIR MD PHYSICIAN ED 40.00 X 387625 0 19471 JOSEPH HINTERBERGER PHYSICIAN DFHC 40.00 X 168921 0 25559 MARIA BATTLE QUIDGLEY MD PHYSICIAN ED 40.00 X 302756 0 12510 TARYN DRAXLER PHYSICIAN HOSPITALIST 40.00 X 253867 0 22669 1366069 3120750 416812 6 0 1 0 0 453448 981077 1434525 PATIENT SERVICE REVENUE 621990 27045563 27045563 1676689 1676689 28722252 4771 4771 332960 327834 0 0 332960 327834 660794 660794 OTHER REVENUE 900099 22998 22998 22998 30845340 28722252 0 688563 15366028 13158221 2207807 406726 219920 186806 2399516 1942588 456928 1073807 875260 198547 327899 1414 326485 117260 62035 55225 39582 39582 73804 2484 71320 60670 60670 246031 113642 132389 469344 34947 434397 925787 430430 495357 108175 107413 762 65095 30365 34730 117230 117230 1816639 1725807 90832 365761 129481 236280 PURCHASED SERVICES 2920096 2105619 814477 MEDICAL SUPPLIES 1755379 1602270 153109 NYS ASSESSMENT TAX 771920 771920 SHARED SERVICES 373993 373993 376 -21730 22106 29801118 23292086 6509032 0 3433 3784 1427059 1243908 3609436 3246741 46374 828569 222047 159352 194655 463279 64358334 51519900 13147342 12838434 16450084 18935674 6357484 5842244 41457914 43561985 2987082 3087728 8421219 6143101 92786 99333 3152677 2037825 3213673 961047 17867437 12329034 X 23590477 31232951 23590477 31232951 41457914 43561985 X 1044222 2115950 2169483 2312819 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 5155 5155 0 PART II-B, LINE 1: PORTION OF ASSOCIATION DUES ATTRIBUTED TO LOBBYING EXPENSES. 0 1 X 399264 399264 25316909 17866856 7450053 1885801 1510652 375149 36756360 32142392 4613968 12838434 CASH HELD IN ESCROW 1361218 MORTGAGE SINKING FUNDS 2640573 DUE FROM AFFILIATES 1741120 LTC PATIENT ACCOUNTS 99333 5842244 LONG TERM DUE TO AFFILIATE 567047 BLUE CROSS (BCR) ADVANCE 2005 394000 961047 37443592 2115950 4482302 6598252 30845340 0 30845340 29801118 0 29801118 0 29801118 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. 1 1 X 1 X 1 X 1 1 0 1 1 450694 374150 76544 0.00260 12583468 12278371 305097 0.01020 13034162 12652521 381641 0.01280 12119 12119 0.00040 6941918 7558340 0 0.00000 6954037 7558340 12119 0.00040 19988199 20210861 393760 0.01320 10948 10948 0.00040 3075 3075 0.00010 10941 10941 0.00040 24964 24964 0.00090 1 828092 429000 3751663 3349532 402131 X 1 1 1 1 SOLDIERS & SAILORS MEMORIAL HOSPITAL OF YATES COUNTY INC 418 NORTH MAIN STREET PENN YAN NY 14527 X X X X SOLDIERS AND SAILORS MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X 18 1 0 0 1 X WWW.FLHEALTH.ORG X 1 18 1 WWW.FLHEALTH.ORG 0 1 X 100.000000000000 300.000000000000 X X X X X 1 1 X X X X 1 X WWW.FLHEALTH.ORG X WWW.FLHEALTH.ORG X WWW.FLHEALTH.ORG X X X X X X 1 X X 0 1 X 1 0 PART V, SECTION A: SOLDIERS & SAILORS MEMORIAL HOSPITAL OF YATES COUNTY:PART V, SECTION B, LINE 5: THE ONTARIO, SENECA AND YATES COUNTY PUBLIC HEALTH DEPARTMENTS, IN COLLABORATION WITH FINGER LAKES HEALTH, OTHER HOSPITALS, THE S2AY RURAL HEALTH NETWORK, 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. 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 X X X X X 0 1 0 0 0 0 0 0 0 ROBERT ANDERSON MD DIRECTOR 0 209303 0 9000 0 18797 0 467 0 28370 0 265937 0 0 JOSE ACEVEDO MD MBA PRESIDENT & CEO 0 528331 0 138801 0 25000 0 38833 0 33145 0 764110 0 0 MATTHEW TALBOTT MD DIRECTOR 0 469406 0 0 0 16393 0 0 0 24489 0 510288 0 0 JEFFREY MORGAN TREASURER & CFO 0 179486 0 0 0 27354 0 0 0 14407 0 221247 0 0 BILL KING INTERIM TREASURER, THROUGH 9/19 0 156096 0 0 0 10118 0 1261 0 20206 0 187681 0 0 JASON FEINBERG CHIEF MEDICAL OFFICER 0 310450 0 33631 0 25000 0 18605 0 27062 0 414748 0 0 FRANK KORICH SR VP OPERATIONS 0 240140 0 32375 0 25000 0 28389 0 22930 0 348834 0 0 PATRICK BOYLE VP HUMAN RESOURCES 0 190812 0 25038 0 31600 0 17774 0 28566 0 293790 0 0 ARDELLE BIGOS VP NURSING 0 191899 0 0 0 25000 0 864 0 21718 0 239481 0 0 WENDY DISBROW VP PHYS NETWORK 0 158313 0 18407 0 25000 0 414 0 6223 0 208357 0 0 TAMARA PRULL MD PHYSICIAN ED 233900 0 0 0 19000 0 0 0 2880 0 255780 0 0 0 DOUGLAS SINCLAIR MD PHYSICIAN ED 363640 0 0 0 23985 0 1242 0 18229 0 407096 0 0 0 JOSEPH HINTERBERGER PHYSICIAN DFHC 144402 0 0 0 24519 0 0 0 25559 0 194480 0 0 0 MARIA BATTLE QUIDGLEY MD PHYSICIAN ED 280256 0 0 0 22500 0 0 0 12510 0 315266 0 0 0 TARYN DRAXLER PHYSICIAN HOSPITALIST 238208 0 7500 0 8159 0 791 0 21878 0 276536 0 0 0 PART I, LINE 4B 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. 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. 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 FINGER LAKES REGIONAL HEALTH SYSTEM INC 0 LIVING CENTER AT GENEVA SOUTH 196 NORTH STREET GENEVA NY 14456 160957268 SKILLED NURSING FACILITY NY 501(C)(3) LINE 10 FINGER LAKES REGIONAL HEALTH SYSTEM INC 0 HUNTINGTON LIVING CENTER 369 EAST MAIN STREET WATERLOO NY 13165 510169552 SKILLED NURSING FACILITY NY 501(C)(3) LINE 10 FINGER LAKES REGIONAL HEALTH SYSTEM INC 0 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 FINGER LAKES REGIONAL HEALTH SYSTEM INC 0 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 FINGER LAKES REGIONAL HEALTH SYSTEM INC 0 LIVING CENTER AT GENEVA NORTH 196 NORTH STREET GENEVA NY 14456 161449543 SKILLED NURSING FACILITY NY 501(C)(3) LINE 10 FINGER LAKES REGIONAL HEALTH SYSTEM INC 0 FLH SENIOR COMMUNITIES INC 196 NORTH STREET GENEVA NY 14456 205604917 DEVELOP AND OPERATE SENIOR CITIZEN HOUSING COMPLEX NY 501(C)(3) LINE 9 FINGER LAKES REGIONAL HEALTH SYSTEM INC 0 GENEVA GENERAL HOSPITAL 196 NORTH STREET GENEVA NY 14456 160743032 PROVIDER OF HEALTHCARE SERVICES NY 501(C)(3) LINE 3 FINGER LAKES REGIONAL HEALTH SYSTEM INC 0 SOLDIERS VENTURES INC 196 NORTH STREET GENEVA NY 14456 161556419 INVESTING NY SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES COUNTY INC C 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 SOLDIERS VENTURES INC D 319499 FMV