SOLDIERS & SAILORS MEMORIAL: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- SOLDIERS & SAILORS MEMORIAL (EIN 16-0743192)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-15
- IRS object ID
- 201743199349314204
- Schema version
- 2016v3.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-15T15:36:14-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160743192 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Soldiers and Sailors Memorial Hospital | BusinessNameLine1Txt |
| Business Name Line2 | of Yates County | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SOLD | BusinessNameControlTxt |
| Phone | 3157874030 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 418 North Main Street | AddressLine1Txt |
| City | Penn Yan | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14527 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Fred Vitello | PersonNm |
| Person Title | Treasurer & CFO | PersonTitleTxt |
| Phone | 3157874030 | PhoneNum |
| Signature | 2017-11-15 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 204.138.179.3 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-15 | IPDt |
| IP Tm | 13:40:39 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | A3125052943466295D27BF813D6A279BC4FF18F6 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | A3125052943466295D27BF813D6A279BC4FF18F6 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Jose Acevedo MD MBA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 196 North Street | AddressLine1Txt |
| City | Geneva | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14456 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $28,737,991 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.flhealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1924 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | Soldiers and Sailors Memorial Hospital is a community based, not-for-profit critical access hospital dedicated to maintaining and improving the health of all people in the central Finger Lakes region. We are committed to safe, high quality, compassionate services that are convenient, accessible and at reasonable cost, through the efforts of our employees, medical staff and volunteers. We are a center for health education that lives its leadership commitments through participation in and sponsorship of professional, allied health and community health education programs. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 512 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $460,735 | PYContributionsGrantsAmt |
| CY Contributions Grants | $512,727 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $27,723,083 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $28,071,421 | CYProgramServiceRevenueAmt |
| PY Investment Income | $131,640 | PYInvestmentIncomeAmt |
| CY Investment Income | $142,890 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $28,315,458 | PYTotalRevenueAmt |
| CY Total Revenue | $28,727,038 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $19,746,655 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $20,682,086 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,208,817 | PYOtherExpensesAmt |
| CY Other Expenses | $9,210,147 | CYOtherExpensesAmt |
| PY Total Expenses | $28,955,472 | PYTotalExpensesAmt |
| CY Total Expenses | $29,892,233 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$640,014 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,165,195 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $42,549,646 | TotalAssetsBOYAmt |
| Total Assets EOY | $40,341,801 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $24,286,265 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $22,560,955 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $18,263,381 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,780,846 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Soldiers and Sailors Memorial Hospital is a community based, not-for-profit critical access hospital dedicated to maintaining and improving the health of all people in the central Finger Lakes region. We are committed to safe, high quality, compassionate services that are convenient, accessible and at reasonable cost, through the efforts of our employees, medical staff and volunteers. We are a center for health education that lives its leadership commitments through participation in and sponsorship of professional, allied health and community health education programs. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $5,431,565 | ExpenseAmt |
| Revenue | $5,605,651 | RevenueAmt |
| Desc | Patient Service Program:InpatientSoldiers & Sailors Memorial Hospital operates a 25-bed general acute care hospital, including 3-bed intensive care unit, medical-surgical and telemetry units and a 10-bed in-patient psychiatric unit. Inpatient services provided 2,120 patient days (Medicine & Intensive Care) and 1,202 patient days (Psychiatric Care) in 2016. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,987,588 | ExpenseAmt |
| Revenue | $11,032,060 | RevenueAmt |
| Desc | Patient Service Program:Outpatient A full range of diagnostic and treatment services are available at Soldiers & Sailors Memorial Hospital. We are dedicated to providing a comprehensive array of healthcare services to people in the Finger Lakes region.Outpatient services provided the following in 2016: 137,813 procedures (Laboratory, Imaging, Cardiology, Respiratory Therapy, Physical Therapy & Occupational Therapy), 3,025 Family Health Clinic visits, 4,541 Psychiatric Clinic visits and 7,903 Emergency Services visits. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $11,125,149 | ExpenseAmt |
| Revenue | $9,290,022 | RevenueAmt |
| Desc | Patient Service Program:Long Term CareSoldiers & Sailors Memorial Hospital operates a 130 bed skilled nursing facility and a 20 bed long term behavioral intervention service.Long term care services provided 49,760 patient days (Skilled Nursing & Behavioral Intervention) and 4,042 Adult Day Care visits in 2016. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenue | $2,143,688 | RevenueAmt |
| Desc | Other Operating Revenue:Expenses associated with Other Operating Revenue are included in other Program Services; they are integral to the operations of those services. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Revenue | $2,143,688 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $26,544,302 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 3 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 512 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Fred Vitello | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3157874030 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 196 North Street | AddressLine1Txt |
| City | Geneva | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14456 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Philip Beckley | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Donald Gentilcore Jr | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Rev James Adams | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| David Bunnell | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Menzo Case | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Richard Catanise | |||||||||
| Trustee through 4/30/16 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Stephen DeRaddo | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Taryn Draxler MD | |||||||||
| Trustee through 4/30/16 | 1.00 | Yes (X) | $236,338 | $0 | $32,477 | ||||
| Dominic Fonte | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Amy Hoffman | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| James Long | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Kelly Mittiga | |||||||||
| Trustee through 4/30/16 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Donald Wertman | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Robert Stivers | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Ketul Patel MD | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $487,792 | $23,210 | 39.00 | |||
| Jose Acevedo MD MBA | |||||||||
| President & CEO | 17.90 | Yes (X) | $0 | $635,181 | $77,401 | 22.10 | Yes (X) | ||
| Pamela Johnson | |||||||||
| Treas & CFO | 18.80 | Yes (X) | $0 | $316,184 | $29,384 | 21.20 | Yes (X) | ||
| Robert Anderson MD | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $267,118 | $13,323 | 39.00 | |||
| James Cheney | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| John Sheppard | |||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Ann McMullen | |||||||||
| Chair | 1.00 | $0 | $0 | $0 | Yes (X) | ||||
| Laura Pedersen | |||||||||
| Secretary | 1.00 | $0 | $0 | $0 | Yes (X) | ||||
| Lance Ward | |||||||||
| Vice Chair | 1.00 | $0 | $0 | $0 | Yes (X) | ||||
| Patrick Boyle | |||||||||
| VP, Human Resources | 31.00 | $0 | $227,273 | $27,999 | 9.00 | Yes (X) | |||
| Frank Korich | |||||||||
| Sr VP Operations | 32.20 | $0 | $231,454 | $26,327 | 7.80 | Yes (X) | |||
| Eileen Gage | |||||||||
| VP, Nursing | 31.60 | $0 | $232,591 | $24,237 | 8.40 | Yes (X) | |||
| Jason Feinberg MD | |||||||||
| Chief Medical Officer | 33.40 | $0 | $366,863 | $25,541 | 6.70 | Yes (X) | |||
| Maria Cynthia Enecilla | |||||||||
| Physician DFHC | 40.00 | $194,451 | $0 | $37,998 | Yes (X) | ||||
| Nancy-Jo Rembaum | |||||||||
| CRNA SSH | 40.00 | $180,438 | $0 | $11,657 | Yes (X) | ||||
| Marta Canfield | |||||||||
| Physician DFHC | 40.00 | $206,278 | $0 | $6,679 | Yes (X) | ||||
| Lisa Poworoznek | |||||||||
| Dir. Budget/Reimbursement | 40.00 | $116,529 | $0 | $9,820 | Yes (X) | ||||
| Richard Norris | |||||||||
| Pharmacist | 40.00 | $107,118 | $0 | $4,656 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,041,152 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,764,456 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $350,709 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $10,216 | RelatedOrganizationsAmt |
| Government Grants | $502,511 | GovernmentGrantsAmt |
| Total Contributions | $512,727 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Svc Revenue | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $25,927,733 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,927,733 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,143,688 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,143,688 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $28,071,421 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $153,548 | TotalRevenueColumnAmt |
| Exclusion | $153,548 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $295 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $10,953 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $295 | SecuritiesAmt |
| Other | -$10,953 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$10,658 | TotalRevenueColumnAmt |
| Exclusion | -$10,658 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $28,727,038 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $28,071,421 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $142,890 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,396,945 | TotalAmt |
| Program Services | $14,560,487 | ProgramServicesAmt |
| Management And General | $1,836,458 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $956,554 | TotalAmt |
| Program Services | $849,420 | ProgramServicesAmt |
| Management And General | $107,134 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,246,749 | TotalAmt |
| Program Services | $1,995,113 | ProgramServicesAmt |
| Management And General | $251,636 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,081,838 | TotalAmt |
| Program Services | $960,672 | ProgramServicesAmt |
| Management And General | $121,166 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $334,855 | TotalAmt |
| Program Services | $297,351 | ProgramServicesAmt |
| Management And General | $37,504 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,909 | TotalAmt |
| Program Services | $42,543 | ProgramServicesAmt |
| Management And General | $5,366 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,872 | TotalAmt |
| Program Services | $18,534 | ProgramServicesAmt |
| Management And General | $2,338 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,420 | TotalAmt |
| Program Services | $42,109 | ProgramServicesAmt |
| Management And General | $5,311 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,743 | TotalAmt |
| Program Services | $32,628 | ProgramServicesAmt |
| Management And General | $4,115 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,326 | TotalAmt |
| Program Services | $22,489 | ProgramServicesAmt |
| Management And General | $2,837 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $400,291 | TotalAmt |
| Program Services | $355,458 | ProgramServicesAmt |
| Management And General | $44,833 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $369,299 | TotalAmt |
| Program Services | $327,938 | ProgramServicesAmt |
| Management And General | $41,361 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,216 | TotalAmt |
| Program Services | $21,504 | ProgramServicesAmt |
| Management And General | $2,712 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,740 | TotalAmt |
| Program Services | $16,641 | ProgramServicesAmt |
| Management And General | $2,099 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $357,602 | TotalAmt |
| Program Services | $317,551 | ProgramServicesAmt |
| Management And General | $40,051 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,009,636 | TotalAmt |
| Program Services | $1,784,557 | ProgramServicesAmt |
| Management And General | $225,079 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $370,882 | TotalAmt |
| Program Services | $329,343 | ProgramServicesAmt |
| Management And General | $41,539 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Purchase Services & Lea | $2,436,474 | $2,163,589 | $272,885 |
| Supplies | $1,870,137 | $1,660,682 | $209,455 |
| NYS Assessment | $716,355 | $636,123 | $80,232 |
| All Other Expenses | $123,390 | $109,570 | $13,820 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,892,233 | TotalAmt |
| Program Services | $26,544,302 | ProgramServicesAmt |
| Management And General | $3,347,931 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,669 | BOYAmt |
| EOY | $3,393 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,712,268 | BOYAmt |
| EOY | $3,055,824 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,407,113 | BOYAmt |
| EOY | $2,806,591 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,294 | BOYAmt |
| EOY | $152,832 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $240,323 | BOYAmt |
| EOY | $246,211 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $337,737 | BOYAmt |
| EOY | $309,871 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $61,867,534 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $47,024,977 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,583,903 | BOYAmt |
| EOY | $14,842,557 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,536,602 | BOYAmt |
| EOY | $14,123,602 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,637,737 | BOYAmt |
| EOY | $4,800,920 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,549,646 | BOYAmt |
| EOY | $40,341,801 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,700,518 | BOYAmt |
| EOY | $2,363,445 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,396,014 | BOYAmt |
| EOY | $9,792,208 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,900,169 | BOYAmt |
| EOY | $5,135,568 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,289,564 | BOYAmt |
| EOY | $5,269,734 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,286,265 | BOYAmt |
| EOY | $22,560,955 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,263,381 | BOYAmt |
| EOY | $17,780,846 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,263,381 | BOYAmt |
| EOY | $17,780,846 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,549,646 | BOYAmt |
| EOY | $40,341,801 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,165,195 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $489,917 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $192,743 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $4,957 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $4,957 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Portion of association dues attributed to lobbying expenses. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $399,264 | OtherCostOrOtherBasisAmt |
| Book Value | $399,264 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,384,927 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,123,416 | DepreciationAmt |
| Book Value | $12,261,511 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,970,048 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,589,614 | DepreciationAmt |
| Book Value | $380,434 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $31,113,295 | OtherCostOrOtherBasisAmt |
| Depreciation | $29,311,947 | DepreciationAmt |
| Book Value | $1,801,348 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $14,842,557 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Mortgage Sinking Funds | $2,627,598 |
| Escrow Reserve LTC | $323,480 |
| Res for Replacement LTC | $1,849,842 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $4,800,920 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Affiliate | $4,875,734 |
| BCR Advance | $394,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,269,734 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | Soldiers & Sailors Memorial Hospital (SSMH)is a not-for-profit corporation and is exempt from income taxes as an organization qualified under Section 501(c)(3) of the Internal Revenue Code. SSMH has also been classified by the IRS as an entity that is not a private foundation. As of December 31, 2016, SSMH does not have any uncertain tax positions. SSMH files informational returns in the U.S. federal jurisdiction and New York State. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,606,540 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,211,892 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,394,648 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04670 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,606,540 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,211,892 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,394,648 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04670 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $100,372 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $100,372 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00340 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,085,474 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,819,483 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $265,991 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00890 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,185,846 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,819,483 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $366,363 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01230 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,792,386 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,031,375 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,761,011 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05900 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $495 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $495 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $152,538 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $152,538 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00510 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $75 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $75 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,700 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $32,700 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,437 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $25,437 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $163,391 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $163,391 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00550 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $167 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $167 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $374,803 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $374,803 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01260 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $359,354 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $99,751 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $4,650,395 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $4,993,097 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$342,702 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Soldiers & Sailors Memorial Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 418 North Main Street | AddressLine1Txt |
| City | Penn Yan | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14527 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Soldiers and Sailors Memorial Hospital o | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | 0 | CHNAReportWidelyAvailableInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | 0 | StrategyPostedWebsiteInd |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | http://www.flhealth.org/ | FAPAvailableOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Amounts Generally Billed | Yes (1) | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Soldiers and Sailors Memorial Hospital of Yates Co | Part V, Section B, Line 5: The Ontario, Seneca and Yates County Public Health Departments, in collaboration with Finger Lakes Health, other hospitals, the S2AY Rural Health Network, and the community based agencies conducted surveys of residents in the three counties through the community health needs assessment process. Surveys were disseminated through many different methods including e-mail, web pages, mailing of paper copies, dissemination of paper copies in local stores, health care facilities, public health and community facilities, and direct assistance within county buildings/agencies. Finger Lakes Health invited public participation in the needs assessment through the Spring 2012 edition of Thrive, our community health magazine. Thrive is mailed to more than 90,000 households in the health system's service area. Readers were invited to log-in to the online survey or to contact Finger Lakes Health for a paper version of the survey. Further input from the public was collected through a number of focus group sessions that were held throughout the counties. |
| Soldiers and Sailors Memorial Hospital of Yates Co | Part V, Section B, Line 23: Amounts generally billed:The amounts generally billed are based upon the negotiated commercial insurance rates for the carrier with the greatest volume. |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7g: | Subsidized health services:Outpatient Mental Health, Ambulatory Surgery, Outpatient Clinics, ICU, Skilled Nursing Facilities and Behavioral Health Services were subsidized services. |
| Part II, Community Building Activities: | Part II Community Building Activities:Soldiers & Sailors Memorial Hospital's Community Building Activities promote the health of the communities it serves through:1. Physical Improvements and Housing: N/A.2. Economic Development: Soldiers & Sailors Memorial Hospital (SSMH) supports economic development in the community through:- Payment of dues to the Yates County Chamber of Commerce to support economic development initiatives3. Community Support: To be equipped for disaster situations, SSMH participates in emergency preparedness/disaster readiness activities, including disaster drills; stockpiling essential supplies for use during a disaster; training staff for disasters; and conducting POD events as training in the event of a disaster requiring mass immunizations. 4. Environmental Improvements: SSMH accepts sharps from community households and provides proper disposal of same at no cost to the households. 5. Coalition Building: Finger Lakes Health, which includes SSMH, Administrative Team members participate in multiple community organizations/partnerships for the betterment of the communities it serves, including ARC, Happiness House, Finger Lakes Visiting Nurse Service, Lakeview Mental Health, Finger Lakes Health Systems Agency Community Health Improvement Committee, among others.6. Workforce Development: SSMH provides Career Exploration programs for young people, including:- Camp MedQuest, a two day healthcare career exploration program for high school students- Shadowing opportunities for high school students.- Bio-Med Club - High school medical club visits to various departments (ED, Lab, Behavioral Health, etc) to explore health careers.- Healthcare Alliance Event - Shared information on opportunities for students to learn about health careers including a Surgical Services hands-on demonstration to show students information on becoming a Surical Technician.7. Negative Margins: SSMH provides Mental Health Outpatient Programs, Ambulatory Surgery, Emergency and Clinical Services as well as Behavioral Programs at an operating loss to improve the well being of the community.Also, SSMH Community Services staff time is devoted to planning and implementing community outreach activities such as the Walk & Talk program and Keeping U in the Game, and completing Community Benefit reports. |
| Part III, Line 4: | Provision for Doubtful Accounts Footnote:The Hospitals, the P. C., Living Centers and the Homestead estimate the amount to be recognized in the consolidated financial statements for doubtful accounts by analyzing specific patient and resident accounts for collectability and also by applying historically established percentages for self-pay and various third-party payers to the aging categories in the accounts receivable aging for each Operation. Accounts for which no payments have been received for a significant amount of time are considered delinquent and the accounts are written-off when customary collection efforts are exhausted. There were no significant changes in the calculation of the allowance for doubtful accounts in 2016.Part III, Section A, 3Costing Methodology:HFMA P&P Board Statement 15, IX. Valuation and Disclosure of Bad Debts, 9.1 has been applied to the amount reported on line 2. The bad debt amount is recorded at the amount that the payer is expected to pay. The amount reported on line 3 is valued at patient care cost, i. e. the expected payment amount included in line 2 has been multiplied by the ratio of patient care cost to charges (52.11%). Based upon an analysis of income levels for accounts included in bad debts we estimated that 31% were eligible under the financial assistance program.Rationale for including a portion of bad debt amount as community benefit:It is not always possible to obtain sufficient information to make a determination of eligibility for financial assistance or reclassify bad debts as charity care. When income levels are learned we identify individuals unable to pay for services. Having provided services to those individuals we believe represents a community benefit. |
| Part VI, Line 2: | Schedule H Needs Assessment Narrative:Finger Lakes Health believes that healthcare consumers taking active responsibility for their own health is the single most vital aspect to improving the quality of healthcare and to having healthier individuals and healthier communities.Finger Lakes Health's goal, as a healthcare provider, is to be a vital partner with healthcare consumers (our patients) to encourage awareness and dialogue about modifiable risk factors, outline the path and provide necessary support to achieve good health outcomes, and positively impact the health of the communities we serve. We are developing initiatives, and designing our facilities with patient-centered, evidence-based, outcome driven goals in mind. Our team has been working to achieve the best quality care outcomes to keep patients healthy and to develop prevention-oriented programs aimed at creating and sustaining healthy communities. We base programming on areas of health and wellness that matter most in our communities. That is determined by conducting health needs assessments in our communities.Finger Lakes Health collaborates with public health departments in our service area, as well as the S2AY Rural Health Network, Finger Lakes Health Systems Agency (now Common Ground Health), and other human services providers in our service area, to use the framework of the NYS Health Commissioner's "Prevention Agenda" as a basis for our community health planning. We worked together to conduct a Community Health Needs Assessment (CHNA) in 2016 and establish health priorities for 2016-2018. By drawing upon the state's prevention agenda, studying data collected through primary and secondary research, and partnering with local health departments in Ontario, Seneca and Yates counties, we identified health priorities and subsequent community outreach initiatives to align with those priorities.Tools used to conduct the CHNA, included:" Disease prevalence data" Socio-economic factors in the region" A survey in our Thrive community health magazine, circulated to 90,000 households in our service area, seeking comments on the most critical health care needs in the community" Focus groups done in cooperation with our county partners targeting specific populations, included:o In Ontario County -- first responders, Tools for Social Change community coalition, senior citizen group, Canandaigua Rotary Club, senior meal site, county leaders, and a probation groupo In Seneca County -- Seneca Towns Engaging People for Solutions, senior citizen volunteer group, Criminal Justice Advisory Board, Office for the Aging Nutrition Site, Seneca Health Solutions, Seneca Health Advisory Committee, and Ovid Rotary Clubo In Yates County -- Yates Chamber of Commerce Long Range Planning Committee, Workforce Development Job Club, FLPSS Finger Lakes NOCN, Tier II, Penn Yan Baby Caf , Bone Builders Class, Penn Yan Lions ClubAs a result of this data and comment analysis, the most highly ranked health priorities were identified for each county, as noted below:For Ontario County:" Hypertension " Substance Abuse " ObesityFor Seneca County:" Hypertension" Obesity" Substance AbuseFor Yates County:" Cerebrovascular Disease (Hypertension)" Behavioral Health (Substance Abuse and Mental Health)" ObesityWe then developed Community Service Plans (CSP)/Community Health Improvement Plans (CHIPs) for each county outlining action steps to address and target the priorities. As part of our Community Service Plan to target the priorities, Finger Lakes Health: Has all of its primary care physician practices participating in the Regional Blood Pressure Registry being overseen by Common Ground Health in an effort to increase the percentage of patients with hypertension who have controlled their blood pressure. Offers a Diabetes Prevention Program through its Diabetes Care Center that focuses on weight loss to help pre-diabetes and community members concerned about diabetes, as well as diabetics, combat the risk factors for the disease. The Diabetes Care Center has dedicated Certified Diabetes Educators who do one-on-one counseling with diabetics, conduct educational classes for diabetics and their support person and provide continuous glucose monitoring services for diabetics, as well as the prevention program. Provides the "Food, Fun and Fitness" program with teenage mentors from local high schools and colleges trained to present the six-part curriculum that emphasizes the importance of healthy eating and exercise, to elementary age students at local schools and other venues. Offers addictions counseling its employees and their family members, as well as students who are on our campuses through various educational partnerships, that includes training on the use of Narcan. Staff members and families who have at risk family members also have been given free Narcan kits. Conducts a Cardiac PRE-hab program, designed similarly to Cardiac Rehabilitation programs, to educate community members on the risks of cardiac disease, including hypertension and obesity, in an effort to prevent cardiac disease in the community. Provides educational health information on topics such as stroke symptoms, diabetes prevention, hypertension, and others, in its community health magazine Thrive, which is mailed to more than 90,000 homes in our service area twice each year. Offers "Finger Lakes Health Matters", an educational radio show that airs 26 times each year on the regional Finger Lakes Radio Network featuring Finger Lakes Health professionals speaking to a wide range of health topics, including stroke, diabetes, weight loss, and others. Sponsors the Dine & Discuss Lecture Series featuring educational lectures presented by health system physicians and other healthcare professionals on varied topics, including stroke, hypertension and diabetes. Conducts free Support Groups to help individuals and their families/caregivers cope with chronic diseases - including Diabetes & Stroke. Geneva General Hospital is a Joint Commission accredited and New York State-designated Stroke Center. Providers conduct Stroke Education, in addition to the Support Group, on a regular schedule for Emergency Medical Services providers in our service area, as well as for general community members. The education covers signs and symptoms, as well as risk factors and prevention information. Blood Pressure screenings are offered by the Acute Rehab Unit at Geneva General, and by health system staff at the Community Lunch program in Geneva, as well as at work places or special events, as requested by community organizations. |
| Part VI, Line 3: | Patient education of eligibility for assistance:Financial assistance under the organization's policy is available to assist uninsured or underinsured members of our community who are willing but unable to pay in full for their care. The program allows a person to receive medically necessary and emergency services at no charge or reduced charges when they meet certain eligibility requirements. Information about the services is available through signage and applications placed in the emergency department, registration areas, and the patient accounts office. We have also published this information in direct mail sent to area homes and also promoted the program on our local radio show. The hospital's website contains information on financial assistance. |
| Part VI, Line 4: | Community information:Soldiers & Sailors Memorial Hospital provides a full range of acute care services to residents of the Finger Lakes region in Upstate New York. The hospital reviews demographic data from sources such as the US Census to identify trends. The hospital uses health indicators and utilization data from numerous sources and receives community input from public surveys. We have a Community Advisory Committee which serves as a regular forum for community input and fostering collaboration. We gather opinion related data from focus groups, satisfaction surveys, and employee opinion surveys. We participate in a Needs Assessment Process and participate as an active member of the community through board participation on numerous local and state-wide health related organizations. |
| Part VI, Line 5: | Community health improvement services and community benefit operations:Soldiers & Sailors Memorial Hospital's Community health improvement and community benefit operations promote the health of the communities it serves through: 1. Community Health Education: Educational content on Finger Lakes Health website- Adam & Healthday. Thrive community health magazine - health advice, including:- Building Relationships with Your Primary Care Physician- GI Education - dictionary- Dine & Discuss health lectures- Focus on Wellness - Diabetes Prevention & Management/Weight Management- Community Health Needs Assessment & Priority Setting - Community Service Plan Committments- Physician Referral Directory of primary care & specialty physicians Walk for Health - a community walking competition to get community members moving. Business/organizations/neighborhoods formed 45 teams comprised of 354 walkers to compete across our four county service area. Participants were given pedometers and walking journals to track fitness. In addition, participants were offered free cholesterol and A1C screenings to know their numbers. Finger Lakes Health Matters - an educational radio show aired 26 times during the year on the regional Finger Lakes Radio Network featuring health system professionals speaking to a wide range of health topics. Dine & Discuss Lecture Series - educational lectures presented by health system physicians and other healthcare professionals on varied topics, including healthy eating, managing diabetes, functional excercises to maintain independenct, pelvic health, stroke awareness and prevention, high blood presser and high cholesterol treatment.Yates County Lunch & Learn - Finger Lakes Health partners with Yates County to offer healthy and helpful programs to county employees and the public. Medical professionals speak on varied topics, including but not limited to: diabetes and stress management.Support Groups - including monthly Diabetes Support Groups facilitated by certified diabetes educatorsare held for diabetics and their families. 2. Nurses/Nursing Students The clinical education and mentoring of nursing students from area programs of study, including the Marion S. Whelan School of Practical Nursing and the Finger Lakes Health College of Nursing.3. Other Health Professionals Education Clinical Education provided to students from various colleges/programs of study for academic credit:- Finger Lakes Regional EMS training- OT, Lab, Pharmacy, Hospitalist, Ultrasound, Social Work, Mental Health Studies, Nurse Practioner.4. In-Kind Donations Not-for-profit event sponsorships, such as:- Branchport Library- Celebrate Yates Community Service Day- Breast Cancer Coalition- Child Advocacy Center- Council on Alcholism Save a Life Tour- Safe Harbor (Rape Crisis Service)Donation of pedometers to Branchport Library 5K event and Scottish Festival Choose Health Yates Booth.Donation of good health vinyl card holders and inserts of immunization & medication records at Yates County Fair.SSMH staff donating time to community agencies on behalf of SSMH and Finger Lakes Health, such as:- United Way- Yates Substance Abuse Coalition- Yates Health Planning Council- Choose Health Yates- Regional Dental Steering Committee- Farm to Institution Committee- Regional Worksite Wellness Coalition- Finger Lakes Regional EMS Council- Workforce Development Committee- Council of Churches Chaplaincy Committee- Penn Yan Lions Club- Yates County LTC Committee- ARC of YatesFacility space provided to community organizations free of charge for use to conduct meetings, including SPOE, ARC of Yates, American Red Crross, United Way, Insurance Navigator.Facility space provided free of charge to Yates Community Center for use as a fitness center. |
| Part VI, Line 6: | Affiliated health system: Health services are provided on six campuses located in Geneva & Clifton Springs, NY (Ontario County), Waterloo, NY (Seneca County), Clyde, NY (Wayne County), and Penn Yan & Dundee, NY (Yates County). The health system offers a broad range of primary, specialty and sub-specialty services to residents of the Finger Lakes. |
| Part VI, Line 7, Reports Filed With States | NY |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Taryn Draxler MD | ||||||||||||||
| Trustee through 4/30/16 | $220,517 | $0 | $15,000 | $0 | $821 | $0 | $0 | $0 | $32,477 | $0 | $268,815 | $0 | $0 | $0 |
| Ketul Patel MD | ||||||||||||||
| Trustee | $0 | $451,792 | $0 | $36,000 | $0 | $0 | $0 | $0 | $0 | $23,210 | $0 | $511,002 | $0 | $0 |
| Jose Acevedo MD MBA | ||||||||||||||
| President & CEO | $0 | $477,867 | $0 | $128,780 | $0 | $28,534 | $0 | $50,000 | $0 | $27,401 | $0 | $712,582 | $0 | $0 |
| Pamela Johnson | ||||||||||||||
| Treas & CFO | $0 | $213,354 | $0 | $45,757 | $0 | $57,073 | $0 | $0 | $0 | $29,384 | $0 | $345,568 | $0 | $0 |
| Robert Anderson MD | ||||||||||||||
| Trustee | $0 | $267,118 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $17,127 | $0 | $284,245 | $0 | $0 |
| Patrick Boyle | ||||||||||||||
| VP, Human Resources | $0 | $179,735 | $0 | $20,335 | $0 | $27,203 | $0 | $0 | $0 | $27,999 | $0 | $255,272 | $0 | $0 |
| Frank Korich | ||||||||||||||
| Sr VP Operations | $0 | $155,951 | $0 | $31,670 | $0 | $43,833 | $0 | $0 | $0 | $26,327 | $0 | $257,781 | $0 | $0 |
| Eileen Gage | ||||||||||||||
| VP, Nursing | $0 | $150,352 | $0 | $21,051 | $0 | $61,188 | $0 | $0 | $0 | $24,237 | $0 | $256,828 | $0 | $0 |
| Jason Feinberg MD | ||||||||||||||
| Chief Medical Officer | $0 | $298,361 | $0 | $32,232 | $0 | $36,270 | $0 | $0 | $0 | $25,541 | $0 | $392,404 | $0 | $0 |
| Maria Cynthia Enecilla | ||||||||||||||
| Physician DFHC | $167,697 | $0 | $20,000 | $0 | $6,754 | $0 | $0 | $0 | $37,998 | $0 | $232,449 | $0 | $0 | $0 |
| Nancy-Jo Rembaum | ||||||||||||||
| CRNA SSH | $144,152 | $0 | $10,000 | $0 | $26,286 | $0 | $0 | $0 | $11,657 | $0 | $192,095 | $0 | $0 | $0 |
| Marta Canfield | ||||||||||||||
| Physician DFHC | $201,632 | $0 | $0 | $0 | $4,646 | $0 | $0 | $0 | $6,679 | $0 | $212,957 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 4b | FormAndLineReferenceDesc |
| Explanation | Geneva General Hospital deposited $50,000 into a 457(f) plan in 2016 for Dr. Jose Acevedo, MD, MBA, President & CEO. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11b | The Form 990 is reviewed by the Administrative Committee of the Board prior to being filed. Any Committee findings are reviewed and implemented as appropriate by management. Changes in IRS requirements and organization practices from the prior year are highlighted for the Committee by management. The Committee reports on this discussion to the full Board. |
| Form 990, Part VI, Section B, line 12c | Soldiers & Sailors Memorial Hospital of Yates County maintains a conflict of interest policy which board members are required to sign prior to taking office. Statements are updated annually and reviewed by an Administrative Committee. The process for handling any conflicts of interest which may arise are detailed in the corporate by-laws. |
| Form 990, Part VI, Section B, line 15 | Compensation of officers or key employees includes a review as well as comparability data as part of the decision. |
| Form 990, Part VI, Section C, line 19 | Soldiers & Sailors Memorial Hospital of Yates County makes its governing documents, conflict of interest policy, and financial statements available to the public where required by law and upon request. The organization's Form 990 is provided to any individual who provides a request in person or who submits a written request. There is no charge other than a reasonable fee for copying and postage. Copies are available at the Finance Office. An electronic version may be found at www.guidestar.org. |
| Form 990, Part XI, line 9: | Change in Funded Status of Pension Plan 192,743. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|
| Finger Lakes Regional Health System Inc | ||||||||||
| 196 North Street | Geneva | NY | 14456 | 223193606 | Sole Member of SSMH, FLHF, LCS, HLC, LCN, FLHSC and GGH | NY | 501 (C) (3) | 7 | 0 | |
| Finger Lakes Health Foundation | ||||||||||
| 196 North Street | Geneva | NY | 14456 | 150549310 | Coordinator of Fundraising Activities | NY | 501 (C) (3) | 11c | 0 | Finger Lakes Regional Health System Inc |
| Living Center at Geneva South | ||||||||||
| 196 North Street | Geneva | NY | 14456 | 160957268 | Skilled Nursing Facility | NY | 501 (C) (3) | 3 | 0 | Finger Lakes Regional Health System Inc |
| Huntington Living Center | ||||||||||
| 369 E Main Street | Waterloo | NY | 13165 | 510169552 | Skilled Nursing Facility | NY | 501 (C) (3) | 3 | 0 | Finger Lakes Regional Health System Inc |
| Geneva General Hospital Housing Development Co | ||||||||||
| 196 North Street | Geneva | NY | 14456 | 222816883 | Operate Low Income Housing for elderly & handicapped | NY | 501 (C) (3) | 9 | 0 | Finger Lakes Regional Health System Inc |
| Taylor Brown Memorial Housing Development Co | ||||||||||
| 371 East Main Street | Waterloo | NY | 13165 | 222807734 | Operate Low Income Housing for elderly & handicapped | NY | 501 (C) (3) | 9 | 0 | Finger Lakes Regional Health System Inc |
| Living Center at Geneva North Inc | ||||||||||
| 196 North Street | Geneva | NY | 14456 | 161449543 | Skilled Nursing Facility | NY | 501 (C) (3) | 3 | 0 | Finger Lakes Regional Health System Inc |
| FLH Senior Communities Inc | ||||||||||
| 196 North Street | Geneva | NY | 14456 | 205604917 | Develop and Operate Senior Citizen Housing Complex | NY | 501 (C) (3) | 9 | 0 | Finger Lakes Regional Health System Inc |
| Geneva General Hospital | ||||||||||
| 196 North Street | Geneva | NY | 14456 | 160743032 | Provider of Healthcare Services | NY | 501 (C) (3) | 3 | 0 | Finger Lakes Regional Health System Inc |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Soldiers Ventures Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 196 North Street | AddressLine1Txt |
| City | Geneva | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14456 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161556419 | EIN |
| Primary Activities | Holding, Investing | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Entity Type | C | EntityTypeTxt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Geneva General Hospital | ||
| P | $178,690 | Direct Transaction(s) |
| Soldiers Ventures | ||
| Q | $120,452 | Direct Transaction(s) |
| Living Center North | ||
| Q | $55,604 | Direct Transaction(s) |
| Huntington Living Center | ||
| Q | $4,793 | Direct Transaction(s) |
| Living Center South | ||
| Q | $56,285 | Direct Transaction(s) |
| Finger Lakes Health Foundation | ||
| P | $101,115 | Direct Transaction(s) |
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