2019-11-08T09:20:19-07:00 2018-12-31 990 2018-01-01 160743163 ST JOSEPHS HOSPITAL STJO 6077336541 555 ST JOSEPHS BLVD ELMIRA NY 14901 RONALD KINTZ VP/CHIEF FINANCIAL OFFICER 6077374100 2019-09-30 162.223.206.130 2018 2020-03-31 21:24:44Z Ronald J Kintz Senior VP CFO 600 Roe Avenue Elmira NY 14905 45583710 0 X WWW.ARNOTHEALTH.ORG X 1908 NY MINISTERS TO INPATIENTS AND OUTPATIENTS, SERVING AS A PRIMARY CARE AND SPECIALTY REFERRAL CENTER 15 13 628 100 8104 0 146430 33000 47103612 44411393 52469 257732 1497931 692064 48800442 45394189 0 0 0 0 20950250 17422226 0 0 0 31783262 28853429 52733512 46275655 -3933070 -881466 27913870 25881083 17576435 17154914 10337435 8726169 MINISTERS 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 PENNSYLVANIA 0 0 35754897 0 44411393 ST 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. 0 0 0 35754897 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 1 0 0 1 628 1 0 0 0 0 0 0 0 0 X 15 13 0 1 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 NY X RONALD KINTZ 6077374100 555 ST JOSEPHS BLVD ELMIRA NY 14901 Donald Quick CPA Board member / Chairman 2 0 X 0 0 0 Mark J Hagen Board member / Vice Chairman 2 0 X 0 0 0 John R Alexander Esq Secretary 1 0 X 0 0 0 Louis DiFabio Board Member 1 0 X 0 0 0 Dr Jeffrey W Evenson PhD Board Member 1 0 X 0 0 0 Michael Hosey Board Member 1 0 X 0 0 0 John MacMahon Board Member 1 0 X 0 0 0 Robert McNamara Board Member 1 0 X 0 0 0 Richard Simons Board Member 1 0 X 0 0 0 Scott Sprague Board Member 1 0 X 0 0 0 Jeffrey Streeter Board Member 1 0 X 0 0 0 Anders Tomson Board Member 1 0 X 0 0 0 Jan van den Blink Board member 2 0 X 0 0 0 Alan Angell MD Board Member/Physician 61 0 X 0 468841 33026 Kevin DeLuca MD Board Member 1 0 X 0 0 0 Jonathan Lawrence Chief Executive Officer 59 16 X 0 437377 18380 Robert Lambert MD Chief Executive Officer 0 0 X X 0 589930 33627 Ronald J Kintz DHA Senior VP/CFO 46 6 X 0 338794 39888 Sandra McCarthy PhD Chief Nursing Officer 32 8 X 0 259181 30683 Kenneth Herzl-Betz MD Senior VP/Medical Affairs 48 3 X 0 307910 31068 Roberto deBara MD President AMS 0 0 X X 0 337500 21635 Richard Cleland Site Administrator IDMH 0 40 X X 0 59260 1734 Stanley Wojciechowski System Dir. Of RHCF SNF Admin 40 0 X 0 78857 8113 Thomas Doak Supervising Pharmacist 42 0 X 134812 0 21446 Reberta Conz RN 50 0 X 105746 0 9936 Steven Piesczynski Admin Director 43 0 X 95607 0 20179 Tami Evan-Ring RN 53 0 X 98795 0 19268 Leda Rickner Nursing Supervisor 44 0 X 92442 0 19051 527402 2877650 308034 7 1 1 1 Delphi Healthcare PLLC 1160 Chile Ave STE 200 Rochester NY 146243035 Emergency Room Physicians 862061 FocusOne Solutions PO Box 3037 Omaha NE 681030037 Nurse Staffing 607415 Angelica Textile Services 1105 Lokewood Pkwy Suite 210 Alpharetta GA 30009 Linen Services 195246 Medical Solutions PO Box 310737 Des Moines IA 503310737 Nursing Services 159281 Olympus Financial Services PO Box 200183 pittsburgh PA 152510183 Consulting Services 136089 6 0 0 0 0 33000 0 0 33000 Net Patient Service Hospital Revenue 622110 43844089 43844089 0 0 Physical/Occupational Therapy Services 624110 567304 567304 0 0 0 0 0 0 44411393 251905 0 0 251905 0 0 0 0 0 0 0 0 8104 0 0 0 8104 0 8104 0 8104 0 0 7000 0 1173 0 5827 5827 5827 0 0 0 0 0 0 0 0 0 0 0 0 0 0 350678 188348 162330 0 0 162330 NYS Vital Access Provider Funds 622210 456316 456316 0 0 Rebates/Discounts 900099 17658 17658 0 0 Misc Income 900099 47656 47656 0 0 0 0 0 0 521630 45394189 44938850 8104 414235 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16004423 13535797 2468626 0 553250 0 553250 0 -339723 11091 -350814 0 1204276 995686 208590 0 460946 277841 183105 0 30491 10889 19602 0 5000 0 5000 0 6694 0 6694 0 0 0 6708 0 6708 0 1951203 1867656 83547 0 0 0 0 0 1278450 1057319 221131 0 741910 596433 145477 0 0 0 0 0 835772 23436 812336 0 36235 34546 1689 0 0 0 0 0 1443 1052 391 0 95 0 95 0 0 0 0 0 2124114 1053838 1070276 0 -373077 0 -373077 0 Medical/Surgical/Pharmaceutical Supplies 4510472 4397787 112685 0 Maintenance Contracts/Purchased Services 16361095 11012726 5348369 0 Lease 264783 174831 89952 0 Benefit Allocation 0 168801 -168801 0 611095 535168 75927 0 46275655 35754897 10520758 0 20910 23991 1023244 1003525 54823 54823 5849944 4955504 0 0 0 0 73585 72340 344092 293763 71682 70239 84470439 69993955 15995361 14476484 483937 332729 1400000 1400000 0 0 0 0 2596292 3197685 27913870 25881083 3787532 2732873 0 0 0 0 0 0 0 0 0 0 23047 0 0 0 13765856 14422041 17576435 17154914 X 10024271 8379513 280264 313756 32900 32900 10337435 8726169 27913870 25881083 X -881466 -146288 0 -207 0 -583305 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 6694 6694 0 Schedule C, Part II-B, Line 1 ST JOSEPHS PAYS ANNUAL DUES TO THE HEALTH ASSOCIATION OF NEW YORK AND ROCHESTER REGIONAL. PART OF THE DUES ARE USED FOR LOBBYING EXPENSES. 313164 0 33491 0 0 0 346655 247597 0 65567 0 0 0 313164 256076 0 -8479 0 0 0 247597 177977 49368 28731 0 0 0 256076 177977 0 0 0 0 0 177977 0 0.1 0.9 0 0 0 1197617 1197617 0 29102850 20997838 8105012 0 0 0 0 0 54169972 48996117 5173855 0 0 0 0 14476484 1400000 C 0 1400000 Accounts Receivable Worker Compensation 1002162 Self Insurance Reserve 1798255 Swartwood Prize Fund 33143 Other Assets 51694 Due from Related Organizations 312431 3197685 0 Minmum Pension Liab 7523464 3rd party liab 2201604 Due to Related Organizations 2155768 Worker Comp Reserve 1498932 Malpractive Liability 938405 Other Long-Term Liabilities 103868 14422041 X 45582330 0 0 0 188348 188348 45393982 207 0 207 45394189 46464003 0 0 0 188348 188348 46275655 0 0 0 46275655 Schedule D, Part V, Line 4 PERMANENTLY RESTRICTED ENDOWMENT FUNDS Schedule D, Part X, Line 2 THE 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 2d COSTS 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 2d COSTS 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 0 32 45934 -1934 47868 0.001 0 0 4254379 3306330 948049 0.0205 0 0 8499133 7636968 862165 0.0186 0 32 12799446 10941364 1858082 0.0401 15 353 8694 0 8694 0.0002 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 353 8694 0 8694 0.0002 15 385 12808140 10941364 1866776 0.0403 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47341 0 47341 0.001 0 0 0 0 0 0 0 0 27219 0 27219 0.0006 0 0 74560 0 74560 0.0016 0 1744953 39659 8779341 12851464 -4072123 X 1 1 Ivy Street Development Corp Third-Party Collections Service 1 0 0 1 1 ST JOSEPHS HOSPITAL 555 ST JOSEPHS BOULEVARD ELMIRA NY 14901 X X X SKILLED NURSING FACILITY ST JOSEPHS HOSPITAL 1 0 0 1 X X X X X X X X 16 1 1 1 1 X www.arnothealth.org/community-leadership X 1 16 1 www.arnothealth.org/aboutus 0 0 1 X 150 400 X X X X 1 1 X X X 1 X www.arnothealth.org X www.arnothealth.org X www.arnothealth.org X X X X X 1 X 0 X X X X 1 0 0 Schedule H, Part V, Section B, Line 5-ST JOSEPHS HOSPITAL Arnot 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 HOSPITAL 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. Schedule H, Part V, Section B, Line 6b-ST JOSEPHS HOSPITAL Arnot 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 HOSPITAL Arnot 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 HOSPITAL Arnot 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. Schedule H, Part I, Line 6a The 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 7 Arnot 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 II In 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 4 The 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 8 Arnot 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 9b Self-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 2 Findings 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 3 The 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 4 Arnot 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 6 Arnot 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. X X X X X 0 0 0 0 0 0 0 0 0 Alan Angell MD Board Member/Physician 0 458500 0 10341 0 0 0 0 0 33026 0 501867 0 0 Jonathan Lawrence Chief Operating Officer 0 437377 0 0 0 0 0 0 0 18380 0 455757 0 0 Robert Lambert MD Chief Operating Officer 0 589930 0 0 0 0 0 0 0 33627 0 623557 0 0 Ronald J Kintz DHA Senior VP/CFO 0 338794 0 0 0 0 0 0 0 39888 0 378682 0 0 Sandra McCarthy PhD Chief Nursing Officer 0 249181 0 10000 0 0 0 0 0 30683 0 289864 0 0 Kenneth Herzl-Betz MD Senior VP/Medical Affairs 0 307910 0 0 0 0 0 0 0 31068 0 338978 0 0 Roberto deBara MD President AMS 0 337500 0 0 0 0 0 0 0 21635 0 359135 0 0 Richard Cleland Site Administrator IDMH 0 59260 0 0 0 0 0 0 0 1734 0 60994 0 0 Stanley Wojciechowski System Dir. Of RHCF SNF Admin 0 58857 0 20000 0 0 0 0 0 8113 0 86970 0 0 Thomas Doak Supervising Pharmacist 134812 0 0 0 0 0 0 0 21446 0 156258 0 0 0 Reberta Conz RN 105746 0 0 0 0 0 0 0 9936 0 115682 0 0 0 Steven Piesczynski Admin Director 95607 0 0 0 0 0 0 0 20178 0 115785 0 0 0 Tami Evan-Ring RN 98765 0 0 0 0 0 0 0 19268 0 118033 0 0 0 Leda Rickner Nursing Supervisor 92442 0 0 0 0 0 0 0 19051 0 111493 0 0 0 Schedule J, Part I, Line 3 Compensation 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 session Louis DiFabio Executive Officer of Chemung Canal Trust Company 23047 Competitively Bids Loans 0 Form 990, Part VI, Section A, Line 3 ABM HEALTHCARE SUPPORT SERVICE, INC. PROVIDES MANAGEMENT SERVICE FPR NUTRITIONAL SERVICES, PLANT OPERATIONS SERVICES, AND HOUSEKEEPING SERVICES. Form 990, Part VI, Section B, Line 11b THE FORM 990 WAS REVIEWED BY MANAGEMENT. Form 990, Part VI, Section B, Line 12c EACH 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 15 COMPENSATION 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 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST. Form 990, Part XI, Line 2 COSTS 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 9 PENSION AMOUNT CHARGED TO EQUITY -$608,458; DONATIONS TO CAPITAL FUNDING 6,343 Arnot Ogden Medical Center Foundation Accounting Dept 600 Roe Avenue Elmira NY 14905 161109472 Affiliate NY 501(c)(3) 11B N/A 0 Arnot Ogden Medical Center Auxiliary 600 Roe Avenue Elmira NY 14905 510192902 Affiliate NY 501(c)(3) 11B N/A 0 Ira Davenport Memorial Hospital Inc Accounting Dept 7571 State Route 54 Bath NY 14810 160835446 Affiliate NY 501(c)(3) 3 N/A 0 Keuka Health Care Foundation Accounting Dept 7571 State Route 54 Bath NY 14810 161461215 Affiliate NY 501(c)(3) 11B N/A 0 Arnot Ogden Medical Center Accounting Dept 600 Roe Avenue Elmira NY 14905 160743905 Affiliate NY 501(c)(3) 3 N/A 0 Arnot Health 600 Roe Avenue Elmira NY 14905 453049405 Parent Organization NY 501(c)(3) 11B Arnot Ogden Medical Center 0 ST JOSEPHS HOUSING DEVELOPMENT FUND 555 ST JOSEPHS BLVD ELMIRA NY 14901 203240197 APARTMENTS NY ST JOSEPHS HEALTH SYSTEM C IVY STREET DEVELOPMENT CORPORATION ACCOUNTING DEPARTMENT 600 IVY STREET ELMIRA NY 14905 161009245 REAL ESTATE NY ARNOT HEALTH C 0 1 0 1 0 0 0 0 0 0 0 1 1 1 0 1 1 1 0 0 Arnot Ogden Medical Center o -15467168 Arnot 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 62820 St Joseph's Hospital Charged Arnot Ogden Foundation for Utilities, Maintenance and environmental Service. The method of determining the amount was cost. ST. 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.