2017-11-14T15:38:14-06:00 2016-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2016-01-01 150532054 AUBURN COMMUNITY HOSPITAL AUBU 3152557011 17 LANSING STREET AUBURN NY 13021 JASON LESCH CHIEF FINANCIAL OFFICER 3152557011 2017-11-14 1 DEBORAH STUCK P01281391 3154463600 2017-11-10 24.39.85.114 2017-11-14 13:30:38 ES P 517AEBE328CBAAA90E396C2FD1060AA56161F780 315614A2A569D91B0F4A84342C1D145A8997199D 2016 2017-02-10 21:41:12Z JASON LESCH 17 LANSING STREET AUBURN NY 13021 108924082 0 X WWW.AUBURNHOSPITAL.ORG X 1878 NY THE MISSION OF AUBURN COMMUNITY HOSPITAL IS TO PROVIDE COMPASSIONATE, QUALITY CARE AND IMPROVE THE HEALTH OF OUR COMMUNITY INCLUDING RESIDENTS OF AUBURN, NY AS WELL AS SURROUNDING AREAS. 14 10 1080 102 0 0 1302996 4855124 98384891 102819990 27928 21180 700122 1227788 100415937 108924082 0 0 0 0 54806283 55622814 0 0 52640 39938631 41507498 94744914 97130312 5671023 11793770 70750707 80850691 32830292 31174670 37920415 49676021 OUR MISSION IS TO PROVIDE COMPASSIONATE, QUALITY CARE AND IMPROVE THE HEALTH OF OUR COMMUNITY INCLUDING AUBURN, NY AS WELL AS SURROUNDING AREAS. 0 0 84777045 104047778 THE PURPOSE OF AUBURN COMMUNITY HOSPITAL IS TO MEET THE HEALTH CARE NEEDS OF THE COMMUNITY BY PROVIDING NECESSARY INPATIENT AND OUTPATIENT SERVICES. TO THAT END, THE HOSPITAL TREATED 5,648 INPATIENTS FOR A TOTAL OF 51,036 PATIENT DAYS AND A TOTAL OF 144,214 OUTPATIENTS IN 2016. 84777045 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 1 1 0 0 1 151 0 1 1080 1 0 0 0 0 0 0 0 0 0 0 X 14 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X JASON LESCH CFO 3152557231 17 LANSING STREET AUBURN NY 13021 JOSEPH RUNKLE TRUSTEE 1.00 X 0 0 0 PATSY IANNOLO MD TRUSTEE 1.00 X 0 0 0 MICHAEL BRADY DDS TRUSTEE 1.00 X 0 0 0 JOHN RICCIO MD TRUSTEE 20.00 5.00 X 128301 0 5946 LISA RYERSON TRUSTEE 1.00 X 0 0 0 CHRISTINE CUFF TRUSTEE 1.00 X 0 0 0 ELANE DALY TRUSTEE 1.00 X 0 0 0 DEMETRA VOUNAS MD TRUSTEE 1.00 40.00 X 0 272873 24458 ERIC R ALLYN TRUSTEE 1.00 2.00 X 0 0 0 JOSEPH BARTOLOTTA CHAIRMAN 1.00 X X 0 0 0 ANTHONY D FRANCESCHELLI VICE CHAIRMAN 1.00 X X 0 0 0 WILLIAM DORR SECRETARY 1.00 X X 0 0 0 JD PABIS TREASURER 1.00 X X 0 0 0 CARL WEISS MDPHD TRUSTEE 1.00 X 0 0 0 SCOTT BERLUCCHI PRESIDENT & CEO 25.00 13.00 X 436986 0 25451 JASON LESCH CHIEF FINANCIAL OFFICER 31.00 7.00 X 228142 0 12201 TAMARA BENYASHVILI HOSPITALIST 38.00 X 370284 0 9282 KHAWAJA KASHIF HOSPITALIST 38.00 X 332300 0 12201 NYLA MALIK HOSPITALIST 38.00 X 329831 0 14943 JOSEPH APONE HOSPITALIST 38.00 X 280739 0 18896 SHEHZAD KHIZAR HOSPITALIST 38.00 X 216138 0 0 2322721 272873 123378 32 0 1 0 EASTERN FINGERLAKES EMERGENCY PO BOX 346 5180 WEST TAFT RD NORTH SYRACUSE NY 13212 EMERGENCY ROOM PHYSICIANS 1561391 SYRACUSE PSYCHIATRIC SERVICE LLC 109 SOUTH WARREN STREET SYRACUSE NY 13202 PSYCHIATRIC PHYSICIANS 688167 AUBURN MEDICAL BUILDING 77 NELSON STREET AUBURN NY 13021 OFFICE SPACE RENTAL 304629 ALLIANCE HEALTHCARE SERVICES 100 BAYVIEW CIRCLE SUITE 400 NEWPORT BEACH CA 92660 MRI SERVICES 260774 RAMA M GODISHALA 281 GRANT AVENUE SUITE 4 AUBURN NY 13021 PHYSICIAN SERVICES 228734 13 754750 3734711 365663 4855124 PATIENT SERVICE 623000 101928948 101928948 VA CLINIC SERVICE 623000 891042 891042 102819990 18882 18882 2298 2298 OTHER REVENUE 623000 954791 954791 DIETARY INCOME 623000 272997 272997 1227788 108924082 104047778 0 21180 837027 134247 702780 42393891 37315877 5037101 40913 2135947 1843698 290228 2021 7127995 6152712 968537 6746 3127954 2699974 425020 2960 221432 221432 34107 34107 336876 299984 36892 5930296 5280851 649445 65104 57974 7130 229947 204765 25182 428878 428878 3685480 3685480 1561013 784052 776961 SUPPLIES 12654224 11268420 1385804 PURCHASED SERVICES 8998853 8013361 985492 BAD DEBT 4438275 4438275 PHYSICIAN FEES 1816622 1816622 1106391 351875 754516 97130312 84777045 12300627 52640 4937424 5762375 11100067 10611180 27269250 34413322 2960463 2869252 901898 658318 97622144 74127319 20688929 23494825 2892676 3041419 70750707 80850691 18660874 17723009 13652759 12880015 516659 571646 32830292 31174670 X 37540720 49569663 379695 106358 37920415 49676021 70750707 80850691 X 11793770 35 -38199 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 379695 805955 1079292 106358 516635 470553 607493 379695 132068 915275 530708 516635 90347 352670 310949 132068 72372 120842 102867 90347 1.00000 0 0 823418 823418 36245385 23675000 12570385 1581882 1509652 72230 57642736 48942667 8700069 1328723 1328723 23494825 FUNDS HELD FOR OTHERS 188938 ASSET RETIREMENT OBLIGATION - ASBESTOS 382708 571646 X PART X, LINE 2: THE HOSPITAL, EXCEPT FOR AMPC, QUALIFIES AS TAX EXEMPT ORGANIZATIONS. AS OF DECEMBER 31, 2016 AND 2015, THE HOSPITAL DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2013 THROUGH 2016. THE HOSPITAL DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. 1 1 X 1 X 1 X 1 1 1 0 1 1 300610 300610 0.00320 23649408 19258000 4391408 0.04740 23950018 19258000 4692018 0.05060 23950018 19258000 4692018 0.05060 1 4438275 300610 39696448 40722542 -1026094 X 1 1 1 1 AUBURN COMMUNITY HOSPITAL 17 LANSING STREET AUBURN NY 13021 X X X AUBURN COMMUNITY HOSPITAL 1 0 0 0 0 1 X 100.000000000000 300.000000000000 X X 1 1 X X X X 1 X WWW.AUBURNHOSPITAL.ORG X X X X X X 1 X 0 1 X 0 0 AUBURN COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: DURING 2016, AUBURN COMMUNITY HOSPITAL PREPARED A 2016 THROUGH 2018 COMMUNITY HEALTH ASSESSMENT, IMPROVEMENT AND COMMUNITY SERVICE PLAN WITH THE INTENTIONS OF ADDRESSING IDENTIFIED ISSUES IN CAYUGA COUNTY AS WELL AS SURROUNDING AREAS WITH THE AID OF THE CAYUGA COUNTY HEALTH DEPARTMENT THAT WOULD SATISFY THE REQUIREMENTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. WITHIN THE DOCUMENT, WHICH IS LOCATED IN THE ABOUT US SECTION ON WWW.AUBURNHOSPITAL.ORG, WE ADDRESS ALL AREAS DESCRIBED IN SECTION B QUESTION 3 OF THE CHNA SECTION ON SCHEDULE H OF THE 990. A DEFINITION OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY AS WELL AS THE COMMUNITY DEMOGRAPHICS ARE LISTED IN QUESTION 1 OF THE REPORT SECTION. THE REPORT ALSO ADDRESSES THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY, INCLUDING PRIMARY AND CHRONIC DISEASE NEEDS AND OTHER HEALTH ISSUES OF LOW INCOME PERSONS. BEGINNING ON PAGE 12 OF THE REPORT, PRIORITY AREAS ARE IDENTIFIED AND OBJECTIVES ON HOW TO MEET THESE PRIORITY AREAS ARE LISTED BELOW EACH GOAL. AUBURN COMMUNITY HOSPITAL'S COLLABORATION WITH THE CAYUGA COUNTY HEALTH DEPARTMENT ENSURES THAT THE COMMUNITY'S INTERESTS ARE REPRESENTED. THE IMPACT OF PREVIOUS ACTIONS TAKEN IS STILL BEING ASSESSED THROUGH MEETINGS WITH THE CAYUGA COUNTY HEALTH DEPARTMENT AS WELL AS THE UNITY HOUSE, AND CAYUGA COMMUNITY HEALTH NETWORK. THE INTENT OF THE REPORT WAS IN PART TO SATISFY FEDERAL CHNA REQUIREMENTS. HOWEVER, IT WAS NOTED IN 2017 DURING THE PREPARATION OF THE 2016 990 THAT NOT ALL OFF THE REQUIRED STEPS WERE COMPLETED TO QUALIFY THE CURRENT CHNA AS IRS 501R ACCEPTABLE. THE MAJOR ISSUES IDENTIFIED INCLUDED THE LACK OF APPROVAL AND ADOPTION BY THE GOVERNING BOARD AND THE ADOPTION OF THE IMPLEMENTATION STRATEGY TO MEET THE SIGNIFICANT COMMUNITY HEALTH NEEDS. UPON THIS DETERMINATION, AUBURN COMMUNITY HOSPITAL IMMEDIATELY IMPLEMENTED A REVIEW AND CORRECTIVE ACTION PLAN OF THE CURRENTLY INTENDED CHNA. ACH IS CURRENTLY WORKING ON A CORRECTED CHNA THAT WILL SATISFY THE AFFORDABLE CARE ACT 501R REQUIREMENTS FOR IMMEDIATE IMPLEMENTATION. 3 1 - FINGER LAKES CENTER FOR LIVING 20 PARK AVENUE AUBURN NY 13021 SHORT-TERM REHABILITATION AND LONG-TERM RESIDENTIAL CARE CENTER 2 - FINGER LAKES MEDICAL CARE CENTER 303 GRANT AVENUE AUBURN NY 13021 URGENT CARE CENTER 3 - URGENT MEDICAL CARE OF SKANEATELES 803 GENESEE STREET SKANEATELES NY 13152 URGENT CARE CENTER PART I, LINE 6A: DURING 2016, AUBURN COMMUNITY HOSPITAL HOSTED A NUMBER OF EVENTS AS A BENEFIT TO THE SURROUNDING COMMUNITY. IN CELEBRATION OF NATIONAL PATIENT SAFETY AWARENESS WEEK, ON MARCH 16, 2016 FROM 7AM TO 4:30PM, THE FIRST FLOOR HALLWAY OF THE HOSPITAL WAS FILLED WITH APPROXIMATELY 29 DISPLAYS MANNED BY KNOWLEDGEABLE STAFF MEMBERS. THERE WERE 37 OUTSIDE VENDORS/AGENCIES THAT PARTICIPATED IN THIS EVENT, ALONG WITH 23 HOSPITAL DEPARTMENTS PROVIDING PATIENT SAFETY INFORMATION AND EDUCATION TO STAFF AND MEMBERS OF THE COMMUNITY. THE PATIENT SAFETY FAIR IS OPEN TO THE PUBLIC AS WELL AS HOSPITAL EMPLOYEES WITH THE INTENTION OF SPREADING EDUCATION ON SAFETY CENTERED TOPICS, SUCH AS HOW TO PREVENT FALLS; PROPER WAYS TO CLEAN ITEMS, FOR EXAMPLE CELL PHONES; STROKE RECOGNITION; MENTAL HEALTH AWARENESS, AND HOW TO PROPERLY HANDLE, COOK AND STORE FOOD. IN ADDITION, THROUGHOUT THE 2016 CALENDAR YEAR, AUBURN COMMUNITY HOSPITAL HOSTED 6 MEDICALLY SPEAKING LECTURE SERIES. TOPICS INCLUDED BONE AND JOINT CARE, PRESENTED BY OUR ORTHOPAEDIC SURGEONS AND NURSE PRACTITIONERS; WALKER SAFETY, PRESENTED BY OUR OCCUPATIONAL AND PHYSICAL THERAPISTS; OPIOIDS AND HEROIN ADDICTION, PRESENTED BY OUR AUBURN NATIVE FAMILY MEDICINE PHYSICIAN; AND A SURGICAL WEIGHT LOSS SEMINAR, PRESENTED BY OUR SURGICAL SERVICES PHYSICIAN. THE LECTURES WERE PRESENTED AT DIFFERENT LOCATIONS THROUGHOUT THE COMMUNITY AND SURROUNDING TOWNS, INCLUDING CONFERENCE ROOMS WITHIN THE HOSPITAL, THE BOYLE CENTER AND BLUE FIELD MANOR IN AUBURN, THE AUBURN YMCA CONFERENCE ROOM, AND THE AMMSPC OFFICE IN SENECA FALLS, NY. AT VARIOUS TIMES THROUGHOUT THE YEAR, THE HOSPITAL HOSTS CLINICS FOR MEN AND WOMEN'S HEALTH. SUBJECT TO FINANCIAL QUALIFICATION, MEN ARE OFFERED A PROSTATE SCREENING AND COLORECTAL CANCER SCREENINGS FREE OF CHARGE AND WOMEN ARE OFFERED FREE MAMMOGRAMS AND COLORECTAL CANCER SCREENINGS.ON SATURDAY, OCTOBER 15, 2016 AT THE HOLIDAY INN IN AUBURN, AUBURN COMMUNITY HOSPITAL HOSTED THE 19TH ANNUAL WOMEN'S HEALTH INSTITUTE. THIS YEAR'S KEYNOTE ADDRESS WAS DELIVERED BY GWEN WEBBER-MCLEOD, PRESIDENT AND CEO OF GWEN, INC. LOCATED IN AUBURN NY. GWEN SPOKE ON RESILIENCE AND FINDING STRENGTH DURING TIMES OF GRIEF AND HARDSHIP. FOLLOWING HER PRESENTATION, WORKSHOPS WERE OFFERED ON A WIDE VARIETY OF HEALTH AND WELLNESS TOPICS. TEN HEALTHCARE PROVIDERS, TWO FINANCIAL ADVISORS AND EXHIBITORS WERE ON HAND TO RELAY IMPORTANT INFORMATION ABOUT THE SERVICES THAT ARE AVAILABLE TO THE WOMEN OF OUR COMMUNITY. PART I, LINE 7: THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS IN THE TABLE IS A COST-TO-CHARGE RATIO. THIS COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 4,438,275. PART III, LINE 2: TO CALCULATE THE CURRENT BAD DEBT EXPENSE, A PERCENTAGE OF THE SELF-PAY ACCOUNTS ARE RESERVED BASED ON THE AGING BY BILLED DATE AT MONTH END. SELF-PAY ACCOUNTS FROM ZERO TO 60 DAYS ARE RESERVED AT 60%, 61 TO 180 DAYS ARE RESERVED AT 70% AND OVER 180 DAYS IS RESERVED AT 90%. ALL OTHER ACCOUNTS NET OF THE CONTRACTUAL ALLOWANCE AGED AT 91 TO 180 DAYS ARE RESERVED AT 25%, WHILE THE ACCOUNTS AGED OVER 180 DAYS ARE RESERVED AT 75%. PART III, LINE 3: TO CALCULATE THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY, FIRST A RATIO OF PATIENT CARE COST TO CHARGES IS CALCULATED FROM THE TOTAL OPERATING EXPENSE TO THE GROSS PATIENT CHARGES. THIS PERCENTAGE IS THEN MULTIPLIED BY THE GROSS PATIENT CHARGES THAT WERE WRITTEN OFF PURSUANT TO THE CHARITY CARE POLICIES OF THE HOSPITAL. THE RESULT IS THE BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY. PART III, LINE 4: SEE FOOTNOTES 3(M) AND 3(N) ON PAGES 12-14 IN THE ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: THE SHORTFALL SHOWN ABOVE SHOULD BE CONSIDERED A COMMUNITY BENEFIT AS ALL PATIENTS WILL BE SEEN AND TREATED AT AUBURN COMMUNITY HOSPITAL REGARDLESS OF ABILITY TO PAY. THEREFORE, THE FACT THAT THE COSTS TO TREAT MEDICARE PATIENTS EXCEEDED THE REVENUES GENERATED FROM MEDICARE PATIENTS SHOULD ALL BE VIEWED AS A BENEFIT TO THE MEDICARE PATIENTS OF THE COMMUNITY. THE AMOUNT ABOVE WAS CALCULATED BY MULTIPLYING THE GROSS MEDICARE CHARGES FOR THE YEAR BY THE RATIO OF PATIENT CARE COST TO CHARGES AS CALULATED ON WORKSHEET 2. PART III, LINE 9B: PATIENTS ELIGIBLE ARE REASSESSED AT EACH ADMISSION AND NO FURTHER COLLECTIONS ARE PURSUED. PART VI, LINE 2: A STRATEGIC PLANNING PROCESS WHICH INCLUDES AN ANALYSIS BY 3M IS USED TO HELP DETERMINE THE NEEDS OF OUR GEOGRAPHIC AREA. THIS ANALYSIS HELPS AUBURN COMMUNITY HOSPITAL IN DETERMINING WHETHER WE HAVE ADEQUATE PHYSICIAN STAFFING TO PROVIDE THE APROPRIATE LEVEL OF CARE TO OUR COMMUNITY. PART VI, LINE 3: PATIENTS OF AUBURN COMMUNITY HOSPITAL ARE PROVIDED WITH FINANCIAL ASSISTANCE INFORMATION UPON BEING ADMITTED TO THE HOSPITAL, BOTH INPATIENT AND OUTPATIENT. FINANCIAL ASSISTANCE IS EVALUATED EVERY TIME A PERSON PRESENTS AT THE FACILITY. PACKETS ARE PROVIDED TO EVERY PATIENT. PART VI, LINE 4: AUBURN COMMUNITY HOSPITAL SERVES THE AUBURN, NY COMMUNITY AS WELL AS THE IMMEDIATE SURROUNDING AREAS. PART VI, LINE 5: AUBURN COMMUNITY HOSPITAL PROMOTES HEALTH TO THE COMMUNITY BY HOSTING EVENTS WHENEVER MONEY PERMITS. THIS INCLUDES AN ANNUAL HEART EXPO TO EDUCATE THE COMMUNITY ON HEART HEALTH. AUBURN COMMUNITY HOSPITAL ALSO PROMOTES WOMEN'S HEALTH CARE THROUGH THE WOMEN'S HEALTH INSTITUTE. PART VI, LINE 6: AUBURN COMMUNITY HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. PART VI, LINE 7, REPORTS FILED WITH STATES NY X X X 0 0 0 0 0 0 0 0 0 DEMETRA VOUNAS MD TRUSTEE 0 268855 0 4018 0 0 0 10171 0 14287 0 297331 0 0 SCOTT BERLUCCHI PRESIDENT & CEO 398679 0 31807 0 6500 0 13250 0 12201 0 462437 0 0 0 JASON LESCH CHIEF FINANCIAL OFFICER 214143 0 13999 0 0 0 0 0 12201 0 240343 0 0 0 TAMARA BENYASHVILI HOSPITALIST 370284 0 0 0 0 0 9282 0 0 0 379566 0 0 0 KHAWAJA KASHIF HOSPITALIST 332300 0 0 0 0 0 0 0 12201 0 344501 0 0 0 NYLA MALIK HOSPITALIST 329831 0 0 0 0 0 9297 0 5646 0 344774 0 0 0 JOSEPH APONE HOSPITALIST 280739 0 0 0 0 0 13250 0 5646 0 299635 0 0 0 SHEHZAD KHIZAR HOSPITALIST 216138 0 0 0 0 0 0 0 0 0 216138 0 0 0 A CAYUGA COUNTY DEVELOPMENT CORPORATION 522367265 149762AA4 2013-08-30 9380000 REFINANCING BONDS FOR CAPITAL IMPROVEMENT 0 0 0 A 12175000 9380000 187600 2013 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 1 0 0 0 0 1 A 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CAYUGA COUNTY DEVELOPMENT CORPORATION DATE THE REBATE COMPUTATION WAS PERFORMED: 08/30/2013 PATSY IANNOLO OWNER OF EASTERN FINGERLAKES EMERGENCY 1561391 EMERGENCY ROOM SERVICES 0 JOHN RICCIO OWNER OF AUBURN PATHOLOGY ASSOCIATES, PC 121000 PROVIDES LABORATORY SERVICES TO HOSPITAL 0 ALAN BERLUCCHI SON OF OFFICER (SCOTT BERLUCCHI) 49759 COMPENSATION PAYMENTS 0 WILLIAM FRANCESCHELLI SON OF VICE CHAIRMAN (ANTHONY FRANCESCHELLI) 33301 COMPENSATION PAYMENTS FROM RELATED ORGANIZATION 0 FORM 990, PART VI, SECTION B, LINE 11B 990 IS REVIEWED BY THE BOARD OF TRUSTEES PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS, OFFICERS AND HIGHLY COMPENSATED EMPLOYEES ARE REQUIRED TO COMPLETE CONFLICT OF INTEREST FORMS AND SIGN THEM ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS DETERMINE THE PRESIDENT/ CEO COMPENSATION. OTHER TOP OFFICIALS' COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS, CEO AND IS ALSO BASED OFF OF EXPERIENCE, COMPENSATION SURVEYS AND OTHER QUALIFICATIONS. FORM 990, PART VI, SECTION C, LINE 18 COPIES OF THE 990 WILL BE AVAILABLE TO THE PUBLIC UPON REQUEST FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST, COPIES OF DOCUMENTS WILL BE PROVIDED. FORM 990, PART XI, LINE 9: EQUITY TRANSFER TO AFFILIATE -38,199. FORM 990, PART XII, LINE 2C: THE PROCESSES RELATING TO THE COMMITTEE'S OVERSIGHT OF THE AUDIT HAS NOT CHANGED FROM PRIOR YEAR. AUBURN COMMUNITY COMPANIES INC 17 LANSING STREET AUBURN NY 13021 223271881 PROVIDES NURSING HOME ACCOMMODATIONS NY 501(C)(3) LINE 9 AUBURN COMMUNITY HOSPITAL 1 AUBURN COMMUNITY HOSPITAL FOUNDATION INC PO BOX 918 AUBURN NY 13021 161599892 PROVIDES FUNDS TO AUBURN COMMUNITY HOSPITAL, INC. AND RELATED ENTITIES NY 501(C)(3) LINE 11 AUBURN COMMUNITY HOSPITAL 1 ACH PROPERTIES INC 5-19 LANSING STREET AUBURN NY 13021 161335941 PROMOTE AND SUPPORT CHARITABLE PURPOSE OF AUBURN COMMUNITY HOSPITAL, INC. NY 501(C)(3) N/A AUBURN COMMUNITY HOSPITAL 1 AUBURN MEMORIAL MEDICAL SERVICES PC 17 LANSING STREET AUBURN NY 13021 261193842 PRACTICE OF MEDICINE NY 501(C)(3) LINE 11 AUBURN COMMUNITY HOSPITAL 1 AUBURN MEDICAL PC 17 LANSING STREET AUBURN NY 13021 205111805 ANESTHESIOLOGY SERVICES NY N/A C 1 0 0 1 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 AUBURN COMMUNITY HOSPITAL FOUNDATION INC C 754750 CASH AUBURN MEMORIAL MEDICAL SERVICES PC D 6806784 FMV AUBURN MEDICAL PC D 838998 FMV AUBURN COMMUNITY COMPANIES INC K 1140762 FMV ACH PROPERTIES INC K 29900 FMV