ST JOSEPHS HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
ST JOSEPHS HOSPITAL (EIN 16-0743163)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-08
IRS object ID
201923129349300342
Schema version
2018v3.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-11-08T09:20:19-07:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN160743163EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPHS HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTJOBusinessNameControlTxt
Phone6077336541PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 ST JOSEPHS BLVDAddressLine1Txt
CityELMIRACityNm
State AbbreviationNYStateAbbreviationCd
ZIP14901ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRONALD KINTZPersonNm
Person TitleVP/CHIEF FINANCIAL OFFICERPersonTitleTxt
Phone6077374100PhoneNum
Signature2019-09-30SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address162.223.206.130IPv4AddressTxt
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRonald J Kintz Senior VP CFOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1600 Roe AvenueAddressLine1Txt
CityElmiraCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14905ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$45,583,710GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ARNOTHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1908FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionMINISTERS TO INPATIENTS AND OUTPATIENTS, SERVING AS A PRIMARY CARE AND SPECIALTY REFERRAL CENTERActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee628TotalEmployeeCnt
Total Volunteers100TotalVolunteersCnt
Total Gross UBI$8,104TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$146,430PYContributionsGrantsAmt
CY Contributions Grants$33,000CYContributionsGrantsAmt
PY Program Service Revenue$47,103,612PYProgramServiceRevenueAmt
CY Program Service Revenue$44,411,393CYProgramServiceRevenueAmt
PY Investment Income$52,469PYInvestmentIncomeAmt
CY Investment Income$257,732CYInvestmentIncomeAmt
PY Other Revenue$1,497,931PYOtherRevenueAmt
CY Other Revenue$692,064CYOtherRevenueAmt
PY Total Revenue$48,800,442PYTotalRevenueAmt
CY Total Revenue$45,394,189CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$20,950,250PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$17,422,226CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$31,783,262PYOtherExpensesAmt
CY Other Expenses$28,853,429CYOtherExpensesAmt
PY Total Expenses$52,733,512PYTotalExpensesAmt
CY Total Expenses$46,275,655CYTotalExpensesAmt
PY Revenues Less Expenses-$3,933,070PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$881,466CYRevenuesLessExpensesAmt
Total Assets BOY$27,913,870TotalAssetsBOYAmt
Total Assets EOY$25,881,083TotalAssetsEOYAmt
Total Liabilities BOY$17,576,435TotalLiabilitiesBOYAmt
Total Liabilities EOY$17,154,914TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,337,435NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,726,169NetAssetsOrFundBalancesEOYAmt
MissionMINISTERS TO INPATIENTS AND OUTPATIENTS, SERVING A PRIMARY CARE AND SPECIALTY REFERRAL CENTER FOR PEOPLE FROM ALL FAITHS LIVING IN CHEMUNG COUNTY AND THE SURROUNDING COUNTIES OF NEW YORK AND PENNSYLVANIAMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$35,754,897ExpenseAmt
Grant$0GrantAmt
Revenue$44,411,393RevenueAmt
DescST JOSEPHS ACUTE CARE UNITS COMBINE ADVANCED TECHNOLOGY WITH HIGHLY TRAINED STAFF TO MEET THE MEDICAL AND SURGICAL NEEDS OF OUR INPATIENTS. OUR STAFF IS DEDICATED TO PROVIDING PHYSICAL, EMOTIONAL AND SPIRITUAL CARE TO ALL PATIENTS BOTH DURING AND AFTER THEIR HOSPITAL STAY. OUR SKILLED NURSING FACILITY IS RESPONSIBLE FOR DELIVERING NURSING CARE TO SHORT TERM PATIENTS AND LONG TERM RESIDENTS BY PROVIDING PREVENTATIVE, THERAPEUTIC, AND REHABILITATION SERVICES. OUR NURSING STAFF ASSISTS RESIDENTS IN MAINTAINING AND/OR REGAINING THE HIGHEST POSSIBLE LEVEL OF WELLNESS. REHABILITATION IS THE FIRST STEP TOWARDS RECOVERY FOR ST JOSEPH'S INPATIENTS. OUR REHABILITATION TEAM OF MEDICAL PROFESSIONALS, SERVING A 7 COUNTY AREA, IS DEDICATED TO RESTORING THE INDEPENDENCE OF EACH PATIENT, THROUGH RETRAINING PROGRAMS AND ACTIVE PARTICIPATION. MISCELLANEOUS OTHER PROGRAM SERVICES INCLUDE, BUT ARE NOT LIMITED TO, EMERGENCY SERVICES, INTENSIVE CARE UNIT, SURGICAL SERVICES, MEDICAL IMAGING AND RADIOLOGY, ADDICTION REHABILITATION UNIT, LABORATORY SERVICES, ENDOSCOPY, PRIMARY CARE OFFICES, BEHAVIORAL SCIENCE UNIT, PHARMACY, RESPIRATORY THERAPY.Desc
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$35,754,897TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee628EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRONALD KINTZPersonNm
Phone6077374100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 ST JOSEPHS BLVDAddressLine1Txt
CityELMIRACityNm
State AbbreviationNYStateAbbreviationCd
ZIP14901ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Donald Quick CPA
Board member / Chairman20Yes (X)$0$0$0
Mark J Hagen
Board member / Vice Chairman20Yes (X)$0$0$0
John R Alexander Esq
Secretary10Yes (X)$0$0$0
Louis DiFabio
Board Member10Yes (X)$0$0$0
Dr Jeffrey W Evenson PhD
Board Member10Yes (X)$0$0$0
Michael Hosey
Board Member10Yes (X)$0$0$0
John MacMahon
Board Member10Yes (X)$0$0$0
Robert McNamara
Board Member10Yes (X)$0$0$0
Richard Simons
Board Member10Yes (X)$0$0$0
Scott Sprague
Board Member10Yes (X)$0$0$0
Jeffrey Streeter
Board Member10Yes (X)$0$0$0
Anders Tomson
Board Member10Yes (X)$0$0$0
Jan van den Blink
Board member20Yes (X)$0$0$0
Alan Angell MD
Board Member/Physician610Yes (X)$0$468,841$33,026
Kevin DeLuca MD
Board Member10Yes (X)$0$0$0
Jonathan Lawrence
Chief Executive Officer5916$0$437,377$18,380Yes (X)
Robert Lambert MD
Chief Executive Officer00$0$589,930$33,627Yes (X)Yes (X)
Ronald J Kintz DHA
Senior VP/CFO466$0$338,794$39,888Yes (X)
Sandra McCarthy PhD
Chief Nursing Officer328$0$259,181$30,683Yes (X)
Kenneth Herzl-Betz MD
Senior VP/Medical Affairs483$0$307,910$31,068Yes (X)
Roberto deBara MD
President AMS00$0$337,500$21,635Yes (X)Yes (X)
Richard Cleland
Site Administrator IDMH040$0$59,260$1,734Yes (X)Yes (X)
Stanley Wojciechowski
System Dir. Of RHCF SNF Admin400$0$78,857$8,113Yes (X)
Thomas Doak
Supervising Pharmacist420$134,812$0$21,446Yes (X)
Reberta Conz
RN500$105,746$0$9,936Yes (X)
Steven Piesczynski
Admin Director430$95,607$0$20,179Yes (X)
Tami Evan-Ring
RN530$98,795$0$19,268Yes (X)
Leda Rickner
Nursing Supervisor440$92,442$0$19,051Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$527,402TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,877,650TotReportableCompRltdOrgAmt
Total Other Compensation$308,034TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtAddress Line2ContractorAddress/USAddress/AddressLine2TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Delphi Healthcare PLLC
1160 Chile AveSTE 200RochesterNY146243035Emergency Room Physicians$862,061
FocusOne Solutions
PO Box 3037OmahaNE681030037Nurse Staffing$607,415
Angelica Textile Services
1105 Lokewood PkwySuite 210AlpharettaGA30009Linen Services$195,246
Medical Solutions
PO Box 310737Des MoinesIA503310737Nursing Services$159,281
Olympus Financial Services
PO Box 200183pittsburghPA152510183Consulting Services$136,089
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$33,000GovernmentGrantsAmt
All Other Contributions$0AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$33,000TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Net Patient Service Hospital Revenue622110$43,844,089$43,844,089$0$0
Physical/Occupational Therapy Services624110$567,304$567,304$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$44,411,393TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$251,905TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$251,905ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$8,104RealAmt
Personal$0PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$8,104RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,104TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$8,104UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$7,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$1,173OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$5,827OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,827TotalRevenueColumnAmt
Related Or Exempt Func Income$5,827RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$350,678GrossSalesOfInventoryAmt
Cost Of Goods Sold$188,348CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$162,330TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$162,330ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
NYS Vital Access Provider Funds622210$456,316$456,316$0$0
Rebates/Discounts900099$17,658$17,658$0$0
Misc Income900099$47,656$47,656$0$0

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$521,630OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$45,394,189TotalRevenueColumnAmt
Related Or Exempt Func Income$44,938,850RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$8,104UnrelatedBusinessRevenueAmt
Exclusion$414,235ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$16,004,423TotalAmt
Program Services$13,535,797ProgramServicesAmt
Management And General$2,468,626ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$553,250TotalAmt
Program Services$0ProgramServicesAmt
Management And General$553,250ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total-$339,723TotalAmt
Program Services$11,091ProgramServicesAmt
Management And General-$350,814ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,204,276TotalAmt
Program Services$995,686ProgramServicesAmt
Management And General$208,590ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$460,946TotalAmt
Program Services$277,841ProgramServicesAmt
Management And General$183,105ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$30,491TotalAmt
Program Services$10,889ProgramServicesAmt
Management And General$19,602ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$5,000TotalAmt
Program Services$0ProgramServicesAmt
Management And General$5,000ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$6,694TotalAmt
Program Services$0ProgramServicesAmt
Management And General$6,694ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$6,708TotalAmt
Program Services$0ProgramServicesAmt
Management And General$6,708ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,951,203TotalAmt
Program Services$1,867,656ProgramServicesAmt
Management And General$83,547ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,278,450TotalAmt
Program Services$1,057,319ProgramServicesAmt
Management And General$221,131ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$741,910TotalAmt
Program Services$596,433ProgramServicesAmt
Management And General$145,477ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$835,772TotalAmt
Program Services$23,436ProgramServicesAmt
Management And General$812,336ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$36,235TotalAmt
Program Services$34,546ProgramServicesAmt
Management And General$1,689ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,443TotalAmt
Program Services$1,052ProgramServicesAmt
Management And General$391ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$95TotalAmt
Program Services$0ProgramServicesAmt
Management And General$95ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,124,114TotalAmt
Program Services$1,053,838ProgramServicesAmt
Management And General$1,070,276ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total-$373,077TotalAmt
Program Services$0ProgramServicesAmt
Management And General-$373,077ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Medical/Surgical/Pharmaceutical Supplies$4,510,472$4,397,787$112,685$0
Maintenance Contracts/Purchased Services$16,361,095$11,012,726$5,348,369$0
Lease$264,783$174,831$89,952$0
Benefit Allocation$0$168,801-$168,801$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$611,095TotalAmt
Program Services$535,168ProgramServicesAmt
Management And General$75,927ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$46,275,655TotalAmt
Program Services$35,754,897ProgramServicesAmt
Management And General$10,520,758ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$20,910BOYAmt
EOY$23,991EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,023,244BOYAmt
EOY$1,003,525EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$54,823BOYAmt
EOY$54,823EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,849,944BOYAmt
EOY$4,955,504EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$73,585BOYAmt
EOY$72,340EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$344,092BOYAmt
EOY$293,763EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$71,682BOYAmt
EOY$70,239EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$84,470,439LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$69,993,955LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$15,995,361BOYAmt
EOY$14,476,484EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$483,937BOYAmt
EOY$332,729EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,400,000BOYAmt
EOY$1,400,000EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,596,292BOYAmt
EOY$3,197,685EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$27,913,870BOYAmt
EOY$25,881,083EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,787,532BOYAmt
EOY$2,732,873EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$23,047BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,765,856BOYAmt
EOY$14,422,041EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,576,435BOYAmt
EOY$17,154,914EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,024,271BOYAmt
EOY$8,379,513EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$280,264BOYAmt
EOY$313,756EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$32,900BOYAmt
EOY$32,900EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,337,435BOYAmt
EOY$8,726,169EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$27,913,870BOYAmt
EOY$25,881,083EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$881,466ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$146,288NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense-$207InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$583,305OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$6,694OtherActivitiesAmt
Total Lobbying Expenditures$6,694TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1FormAndLineReferenceDesc
ExplanationST JOSEPHS PAYS ANNUAL DUES TO THE HEALTH ASSOCIATION OF NEW YORK AND ROCHESTER REGIONAL. PART OF THE DUES ARE USED FOR LOBBYING EXPENSES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$313,164BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$33,491InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$346,655EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$247,597BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$65,567InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$313,164EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$256,076BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses-$8,479InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$247,597EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$177,977BeginningYearBalanceAmt
Contributions$49,368ContributionsAmt
Investment Earnings Or Losses$28,731InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$256,076EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$177,977BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$0InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$177,977EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.1PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.9TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$1,197,617OtherCostOrOtherBasisAmt
Book Value$1,197,617BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$29,102,850OtherCostOrOtherBasisAmt
Depreciation$20,997,838DepreciationAmt
Book Value$8,105,012BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$54,169,972OtherCostOrOtherBasisAmt
Depreciation$48,996,117DepreciationAmt
Book Value$5,173,855BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$14,476,484TotalBookValueLandBuildingsAmt

Financial Derivatives FinancialDerivativesGrp

FieldValueIRS element (for citing)
Book Value$1,400,000BookValueAmt
Method ValuationCMethodValuationCd

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Securities$1,400,000TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
Accounts Receivable Worker Compensation$1,002,162
Self Insurance Reserve$1,798,255
Swartwood Prize Fund$33,143
Other Assets$51,694
Due from Related Organizations$312,431
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,197,685TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
Minmum Pension Liab$7,523,464
3rd party liab$2,201,604
Due to Related Organizations$2,155,768
Worker Comp Reserve$1,498,932
Malpractive Liability$938,405
Other Long-Term Liabilities$103,868
FieldValueIRS element (for citing)
Total Liability$14,422,041TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$45,582,330TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$0NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants$0RecoveriesPriorYearGrantsAmt
Other Revenue$188,348OtherRevenueAmt
Revenue Not Reported$188,348RevenueNotReportedAmt
Revenue Subtotal$45,393,982RevenueSubtotalAmt
Investment Expenses Not Incld$207InvestmentExpensesNotIncldAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$207RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$45,394,189TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$46,464,003TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$0DonatedServicesUseFcltsAmt
Prior Year Adjustments$0PriorYearAdjustmentsAmt
Losses Reported$0LossesReportedAmt
Other Expenses Included$188,348OtherExpensesIncludedAmt
Expenses Not Reported$188,348ExpensesNotReportedAmt
Expenses Subtotal$46,275,655ExpensesSubtotalAmt
Investment Expenses Not Incld2$0InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$46,275,655TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4PERMANENTLY RESTRICTED ENDOWMENT FUNDS
Schedule D, Part X, Line 2THE ORGANIZATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE U.S. GAAP, WHICH REQUIRES THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS THAT THE ORGANIZATION HAS TAKEN OR EXPECTS TO TAKE IN THE ORGANIZATION'S TAX RETURNS. MANAGEMENT BELIEVES THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS NOT REFLECTED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.
Schedule D, Part XI, Line 2dCOSTS OF GOODS SOLD NUTRITIONAL SERVICES $148,055 AND GIFT SHOP $40,293 OFFSET VS. REVENUES ON FORM 990, INCLUDED IN EXPENSES ON AUDITED FINANCIAL STATEMENTS.
Schedule D, Part XII, Line 2dCOSTS OF GOODS SOLD NUTRITIONAL SERVICES $148,055 AND GIFT SHOP $40,293 OFFSET VS. REVENUES ON FORM 990, INCLUDED IN THE EXPENSES ON AUDITED FINANCIAL STATEMENTS.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served32PersonsServedCnt
Total Community Benefit Expns$45,934TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue-$1,934DirectOffsettingRevenueAmt
Net Community Benefit Expns$47,868NetCommunityBenefitExpnsAmt
Total Expense0.001TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$4,254,379TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,306,330DirectOffsettingRevenueAmt
Net Community Benefit Expns$948,049NetCommunityBenefitExpnsAmt
Total Expense0.0205TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$8,499,133TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,636,968DirectOffsettingRevenueAmt
Net Community Benefit Expns$862,165NetCommunityBenefitExpnsAmt
Total Expense0.0186TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served32PersonsServedCnt
Total Community Benefit Expns$12,799,446TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,941,364DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,858,082NetCommunityBenefitExpnsAmt
Total Expense0.0401TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs15ActivitiesOrProgramsCnt
Persons Served353PersonsServedCnt
Total Community Benefit Expns$8,694TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,694NetCommunityBenefitExpnsAmt
Total Expense0.0002TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs15ActivitiesOrProgramsCnt
Persons Served353PersonsServedCnt
Total Community Benefit Expns$8,694TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,694NetCommunityBenefitExpnsAmt
Total Expense0.0002TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs15ActivitiesOrProgramsCnt
Persons Served385PersonsServedCnt
Total Community Benefit Expns$12,808,140TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,941,364DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,866,776NetCommunityBenefitExpnsAmt
Total Expense0.0403TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$47,341TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$47,341NetCommunityBenefitExpnsAmt
Total Expense0.001TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$27,219TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$27,219NetCommunityBenefitExpnsAmt
Total Expense0.0006TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$74,560TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$74,560NetCommunityBenefitExpnsAmt
Total Expense0.0016TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$1,744,953BadDebtExpenseAmt
Bad Debt Expense Attributable$39,659BadDebtExpenseAttributableAmt
Reimbursed By Medicare$8,779,341ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$12,851,464CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$4,072,123MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1Ivy Street Development CorpBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesThird-Party Collections ServicePrimaryActivitiesTxt
Org Profit Or Ownership1OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPHS HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 ST JOSEPHS BOULEVARDAddressLine1Txt
CityELMIRACityNm
State AbbreviationNYStateAbbreviationCd
ZIP14901ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherSKILLED NURSING FACILITYOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST JOSEPHS HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.arnothealth.org/community-leadershipOwnWebsiteURLTxt
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLwww.arnothealth.org/aboutusStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.arnothealth.orgFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.arnothealth.orgFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.arnothealth.orgFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5-ST JOSEPHS HOSPITALArnot Health participated in a comprehensive assessment of community needs across county lines with partners such as the Chemung County Health Department, Steuben County Public Health, other hospitals and healthcare agencies in Chemung, Steuben and Schuyler Counties, along with a diverse, collaborative community of partners and residents.
Schedule H, Part V, Section B, Line 6a-ST JOSEPHS HOSPITALArnot Ogden Medical Center prepares the Community Benefit Report for three hospitals- Arnot Ogden Medical Center, St. Joseph's Hospital, both in Elmira, NY and also for Ira Davenport Memorial Hospital in Bath, NY.
Schedule H, Part V, Section B, Line 6b-ST JOSEPHS HOSPITALArnot Health participated in a comprehensive assessment of community needs across county lines with partners such as the Chemung County Health Department, Steuben County Public Health, other hospitals and healthcare agencies in Chemung, Steuben and Schuyler Counties, along with a diverse, collaborative community of partners and residents.
Schedule H, Part V, Section B, Line 7d-ST JOSEPHS HOSPITALArnot Ogden Medical Center will use a variety of methods to disseminate the Community Service Plan for Arnot Ogden Medical Center, St. Joseph's Hospital and Ira Davenport Memorial Hospital, and the CHIPS for Chemung and Steuben Counties: Website documents will be posted on the healthcare system's website at the following URL: http://www.arnothealth.org/aboutus. Arnot Health developed a section of the system's website dedicated to community outreach to bring community service work to a more prominent place within the website. This can be assessed at: https://www.arnothealth.org/community-service-plans. Partner websites of Chemung and Steuben counties will post links to their CHA and CHIP on their websites. Presentations at Arnot Health's Community Health Department provide education about the healthcare system and community outreach strategies.
Schedule H, Part V, Section B, Line 11-ST JOSEPHS HOSPITALArnot Health works diligently to partner with the organizations throughout the service area in an effort to enhance healthcare services for the most vulnerable residents. Due to the rural nature of Chemung and Steuben Counties, the high percentage of low-income residents and the limited resources available in the community, Arnot Health understands the need to create meaningful partnerships to best serve the community at large. Arnot Health has formed collaborative relationships with organizations throughout Chemung and Steuben Counties to address health concerns across the continuum. Chemung and Steuben Counties maintain coalitions to collaboratively meet the healthcare needs of the community. The Chemung County Health Priority Partnership (HP2) has expanded to include insurance navigators. The Steuben County Health Priority Team (SHPT) worked to brand their coalition and has the new name, Smart Steuben. Both coalitions include organizations that are committed to improving the health of Chemung and Steuben County residents. The groups have met on a bi-monthly basis in Chemung County and monthly basis in Steuben County since Fall of 2015 to conduct a Community Health Needs Assessment (CHNA) and develop a Community Health Improvement Plan (CHIP)/Community Service Plan (CSP). The members of HP2 and Smart Steuben have agreed to continue expanding their partnerships, and meet on a regular basis to ensure that the initiatives outlined in the Community Health Improvement and Community Service Plans are implemented, monitored, and evaluated.

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 6aThe Community Service Plan explains in detail the involvement of members of the community in determining & identifying community needs. Arnot Ogden Medical Center prepares the Community Benefit Report for three hospitals- Arnot Ogden Medical Center, St. Joseph's Hospital, both in Elmira, NY and also for Ira Davenport Memorial Hospital in Bath, NY. It is available on our website, www.arnothealth.org.
Schedule H, Part I, Line 7Arnot Health uses a Cost to Charges ratio to calculate the Financial Assistance and Community Benefit Section. The Medical Center offers a variety of services to the community it serves as part of an integrated delivery system. It is necessary to financially subsidize some of these services as the revenue generated does not cover the cost of providing the services.
Schedule H, Part IIIn collaboration with community partners, Arnot Health continued to plan and offer programs to promote physical activity and healthy choices in the community. Arnot Health participated in several events during 2018 including Strong Kids Safe Kids. Strong Kids Safe Kids (SKSK) is a life-enriching community composed of volunteers, community agencies & businesses who come together to help develop strong, safe and healthy families. The Annual SKSK Festival of Chemung County focuses on giving families information about community services and safety issues while engaging children in fun activities where they can learn and their parents can learn with them. Today the SKSK committee is the Task Force and is committed to hosting the annual SKSK festival and other Community Support Projects to educate and strengthen Chemung and Steuben County Families. Arnot Health is committed to preventing chronic disease in the community through free health screenings, wellness presentations, and participation in coalitions, committees and taskforces. In 2018, Arnot Health participated in approximately 60 events and programs between Chemung, Steuben and Schuyler Counties including Blood Glucose screenings.
Schedule H, Part III, Section A, Line 4The Organization's allowance for doubtful accounts decreased from 16.04 percent of gross accounts receivable at December 31, 2017 to 13.03 percent of gross accounts receivable at December 31, 2018. In addition, the Organizations bad debt write-offs decreased approximately 1,455,000 from approximately 3,200,000 for fiscal year ended 2017 to approximately 1,745,000 for fiscal year end 2018. The Organization has not changed its charity care or uninsured discount policies during the fiscal year 2018 and 2017. The Organization does not maintain a material allowance for doubtful accounts from third party payors, nor did it have significant write-offs from third-party payors.
Schedule H, Part III, Section B, Line 8Arnot Health uses a Cost to Charges ratio to calculate the Financial Assistance and Community Benefit Section. The organization offers a variety of services to the community it serves as part of an integrated delivery system. It is necessary to financially subsidize some of these services as the revenue generated does not cover the cost of providing the services.
Schedule H, Part III, Section C, Line 9bSelf-pay collection staff reviews any prior accounts to check for commercial insurance or Medicaid that may need to be applied to current self-pay accounts. These accounts are reviewed using the self-pay work list. If insurance is located, self-pay collectors must verify eligibility for the date of service. The self-pay staff will change the health plan to the correct one for all covered dates of service and ARNOT Billing will submit claim or claims. If no insurance is located, it is confirmed if a patient may have qualified for Medicaid. If Medicaid coverage is approved, self-pay staff will change the health plan to Medicaid for all covered dates of service and follow the correct billing process. Self-Pay Collections Staff attempts to collect full balance due by check or credit card. If they are unable to make the full payment, Self-pay staff will attempt to make payment arrangements and notify patients about the Arnot Ogden Medical Center Community Care Program. If the patient wants to apply for the community care program, the patient will be sent an application for the community care program and will be informed of documentation they will need to submit with the application. Self-pay collectors document all activity in Soarian, and enter any necessary hold to support resolution. Self-pay collections staff enters the payment plan and documents comments in Soarian. A payment plan statement is demanded and sent to the patient. If patient does not enter into a payment plan agreement, or fails to pay as agreed, account will go through the standard dunning and collection agency activity. See Guarantor Billing and Collections.
Schedule H, Part VI, Line 2Findings from the Community Health Assessment (CHA) data and community focus groups identified some overlapping areas of public health concerns and disparities in Chemung and Steuben Counties. The top priority for both Chemung and Steuben Counties: To Prevent Chronic Disease. With the focus areas including: 1. Reduce obesity in children and adults; 2. Reduce Illness, Disability and Death Related to Tobacco Use and Secondhand Smoke Exposure; 3. Increase Access to High Quality Chronic Disease Preventative Care in Both Clinical and Community Settings. Two major contributors to the incidence of chronic disease in Chemung and Steuben Counties are obesity and tobacco use. Over the next two years, Arnot Health and cross-county collaborative partnerships will begin implementing the CHIP and monitoring the effectiveness in Chemung and Steuben Counties. Arnot Health's Annual Community Service Plan will report progress made towards the goals and impact on the community's health. The 2016-2018 Chemung and Steuben CHNAs and CHIPS are available on the Arnot Health website Community Service Plans Page at http://www.arnothealth.org/community-service-plans.
Schedule H, Part VI, Line 3The Arnot Health communicates our Community Care Program in the following ways: Signage in waiting rooms, brochures in waiting rooms and Admission Packets, notations on billing notices, staff education so they can share availability of program and contact information with patients. Communication and education of our Certified Application Counselor for patient insurance enrollment are done so they are informed of the program details and contact information. Communication is also done with collection agencies and collection attorneys so they can also share the availability of the program and contact information with prospective enrollees. The information is also posted on our website at: www.arnothealth.org.
Schedule H, Part VI, Line 4Arnot Health's three hospitals are located in two counties. Arnot Ogden Medical Center and St. Joseph's Hospitals are located in Chemung County; Ira Davenport Memorial Hospital is situated in Steuben County. Together, Chemung and Steuben Counties make up approximately 1,801 square miles of geographical area in the Southern Tier of New York. The City of Elmira serves as Chemung County's seat and the primary metropolitan area. The county is characterized as 76 percent urban and 24 percent rural. Steuben County is a rural county, and with a land area of 1,393 miles, it is the seventh largest county in NYS. (http://www.city-data.com/county/Chemung _County-NY.html)
Schedule H, Part VI, Line 6Arnot Health is comprised of three hospitals: Arnot Ogden Medical Center and St. Joseph's Hospital in Elmira; and Ira Davenport Memorial Hospital in Bath, New York. Arnot Health provides diagnostic, ambulatory, secondary and tertiary acute care, as well as substance abuse, psychiatric, rehabilitative, and wellness services to meet the needs of residents in Chemung, Steuben, and Schuyler Counties in the Southern Tier of New York, and Bradford and Tioga Counties in the Northern Tier of Pennsylvania. Arnot Health System has more than 300 physicians from over 50 specialties. The independent, not-for-profit regional healthcare system currently has a total of 709 beds; 478 acute care beds and 231 skilled nursing/long-term beds.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Alan Angell MD
Board Member/Physician$0$458,500$0$10,341$0$0$0$0$0$33,026$0$501,867$0$0
Jonathan Lawrence
Chief Operating Officer$0$437,377$0$0$0$0$0$0$0$18,380$0$455,757$0$0
Robert Lambert MD
Chief Operating Officer$0$589,930$0$0$0$0$0$0$0$33,627$0$623,557$0$0
Ronald J Kintz DHA
Senior VP/CFO$0$338,794$0$0$0$0$0$0$0$39,888$0$378,682$0$0
Sandra McCarthy PhD
Chief Nursing Officer$0$249,181$0$10,000$0$0$0$0$0$30,683$0$289,864$0$0
Kenneth Herzl-Betz MD
Senior VP/Medical Affairs$0$307,910$0$0$0$0$0$0$0$31,068$0$338,978$0$0
Roberto deBara MD
President AMS$0$337,500$0$0$0$0$0$0$0$21,635$0$359,135$0$0
Richard Cleland
Site Administrator IDMH$0$59,260$0$0$0$0$0$0$0$1,734$0$60,994$0$0
Stanley Wojciechowski
System Dir. Of RHCF SNF Admin$0$58,857$0$20,000$0$0$0$0$0$8,113$0$86,970$0$0
Thomas Doak
Supervising Pharmacist$134,812$0$0$0$0$0$0$0$21,446$0$156,258$0$0$0
Reberta Conz
RN$105,746$0$0$0$0$0$0$0$9,936$0$115,682$0$0$0
Steven Piesczynski
Admin Director$95,607$0$0$0$0$0$0$0$20,178$0$115,785$0$0$0
Tami Evan-Ring
RN$98,765$0$0$0$0$0$0$0$19,268$0$118,033$0$0$0
Leda Rickner
Nursing Supervisor$92,442$0$0$0$0$0$0$0$19,051$0$111,493$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule J, Part I, Line 3FormAndLineReferenceDesc
ExplanationCompensation for the President and Vice President is set pursuant to a policy and compensation philosophy adopted by the Board of Directors. The AOMC Board has a compensation committee consisting of outside directors (AOMC board members are referred to as managers). The Compensation Committee uses a consultant to advise it on compensation for the officers. The consultant collects and reports data on compensations for similar positions in similar nonprofit hospitals from upstate New York and western Pennsylvania. The Compensation Committee recommends any adjustments to the Executive Committee of the board, which reviews the recommendations and approves them without employees in the room. This action is then reviewed with the entire board also in executive sessionExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonLouis DiFabioPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionExecutive Officer of Chemung Canal Trust CompanyRelationshipDescriptionTxt
Transaction$23,047TransactionAmt
TransactionCompetitively Bids LoansTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, Line 3ABM HEALTHCARE SUPPORT SERVICE, INC. PROVIDES MANAGEMENT SERVICE FPR NUTRITIONAL SERVICES, PLANT OPERATIONS SERVICES, AND HOUSEKEEPING SERVICES.
Form 990, Part VI, Section B, Line 11bTHE FORM 990 WAS REVIEWED BY MANAGEMENT.
Form 990, Part VI, Section B, Line 12cEACH MEMBER OF THE BOARD OF DIRECTORS AND OTHER HOSPITAL INSIDERS MUST COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. IN ADDITION, SITUATIONS WHICH CONSTITUTE, COULD CONSTITUTE, OR COULD BE PERCEIVED AS CONSTITUTING A CONFLICT OF INTEREST MUST BE REPORTED IMMEDIATELY TO THE HOSPITAL PRESIDENT. THE HOSPITAL PRESIDENT WILL THEN RELAY THE INFORMATION TO THE BOARD OF DIRECTORS. IF THE BOARD MEMBER OR INSIDER FAILS TO DISCLOSE ANY ACTUAL OR POSSIBLE CONFLICT, THE BOARD OF DIRECTORS MUST INVESTIGATE THE MATTER FULLY AND IF THE BOARD DETERMINES THAT A VIOLATION HAS OCCURRED, THE BOARD IS RESPONSIBLE FOR TAKING APPROPRIATE DISCIPLINARY AND/OR CORRECTIVE ACTION.
Form 990, Part VI, Section B, Line 15COMPENSATION FOR THE PRESIDENT AND VICE PRESIDENT ARE SET PURSUANT TO A POLICY AND PHILOSOPHY ADOPTED BY THE BOARD OF MANAGERS. THE BOARD OF HAS A COMPENSATION COMMITTEE CONSISTING OF OUTSIDE DIRECTORS. THE COMPENSATION COMMITTEE USES A CONSULTANT TO ADVISE ON COMPENSATION FOR THE OFFICERS. THE CONSULTANT COLLECTS BENCHMARKS AND SURVEY DATA AND REPORTS COMPENSATIONON SIMILAR POSITIONS IN SIMILAR NONPROFIT HOSPITALS FROM UPSTATE NEW YORK AND WESTERN PENNSYLVANIA. THE COMPENSATION COMMITTEE RECOMMENDS ADJUSTMENTS TO THE EXECUTIVE COMMITTEE OF THE BOARD WHICH VIEWS THE RECOMMENDATIONS AND APPROVES OR DISAPPROVES WITHOUT EMPLOYEES IN THE ROOM. THIS ACTION IS THEN REVIEWED WITH THE ENTIRE BOARD ALSO IN EXECUTIVE SESSION.
Form 990, Part VI, Section C, Line 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST.
Form 990, Part XI, Line 2COSTS OF GOODS SOLD FROM NUTRITIONAL SERVICES OF $148,055 AND GIFT SHOP OF $40,293 OFFSET VS. REVENUES OB FORM 990, INCLUDED IN EXPENSES ON AUDITED FINANCIAL STATEMENTS.
Form 990, Part XI, Line 9PENSION AMOUNT CHARGED TO EQUITY -$608,458; DONATIONS TO CAPITAL FUNDING 6,343

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Arnot Ogden Medical Center Foundation
Accounting Dept600 Roe AvenueElmiraNY14905161109472AffiliateNY501(c)(3)11BN/A0
Arnot Ogden Medical Center Auxiliary
600 Roe AvenueElmiraNY14905510192902AffiliateNY501(c)(3)11BN/A0
Ira Davenport Memorial Hospital Inc
Accounting Dept7571 State Route 54BathNY14810160835446AffiliateNY501(c)(3)3N/A0
Keuka Health Care Foundation
Accounting Dept7571 State Route 54BathNY14810161461215AffiliateNY501(c)(3)11BN/A0
Arnot Ogden Medical Center
Accounting Dept600 Roe AvenueElmiraNY14905160743905AffiliateNY501(c)(3)3N/A0
Arnot Health
600 Roe AvenueElmiraNY14905453049405Parent OrganizationNY501(c)(3)11B0Arnot Ogden Medical Center

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtAddress Line2USAddress/AddressLine2TxtOwnershipOwnershipPct
ST JOSEPHS HOUSING DEVELOPMENT FUND
555 ST JOSEPHS BLVDELMIRANY14901203240197APARTMENTSNYST JOSEPHS HEALTH SYSTEMC
IVY STREET DEVELOPMENT CORPORATION
ACCOUNTING DEPARTMENTELMIRANY14905161009245REAL ESTATENYARNOT HEALTHC600 IVY STREET0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Arnot Ogden Medical Center
o-$15,467,168Arnot Ogden Medical Center Provided Employees to St Joseph's Hospital for Administrative, Medical, Management Information, Accounting, and various other services. The Method of determining the amount was cost.
Arnot Ogden Medical Center Foundation
q$62,820St Joseph's Hospital Charged Arnot Ogden Foundation for Utilities, Maintenance and environmental Service. The method of determining the amount was cost.

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationST. JOSEPH'S HOSPITAL FILED FORM 8868-APPLICATION FOR EXTENSION OF TIME TO FILE AN EXEMPT ORGANIZATION RETURN AND RECEIVED OUR APPROVAL LETTER GRANTING OUR EXTENSION TIME TO FILE TO NOVEMBER 15, 2019.ExplanationTxt

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