SOLDIERS & SAILORS MEMORIAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
SOLDIERS & SAILORS MEMORIAL (EIN 16-0743192)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-14
IRS object ID
201623199349303592
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-14T10:54:59-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN160743192EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Soldiers and Sailors Memorial HospitalBusinessNameLine1Txt
Business Name Line2of Yates CountyBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSOLDBusinessNameControlTxt
Phone3157874030PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1418 North Main StreetAddressLine1Txt
CityPenn YanCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14527ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPamela E JohnsonPersonNm
Person TitleTreasurer & CFOPersonTitleTxt
Phone3157874030PhoneNum
Signature2016-11-14SignatureDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJose Acevedo MD MBAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1196 North StreetAddressLine1Txt
CityGenevaCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14456ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$30,592,675GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.flhealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1924FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionSoldiers 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 Body20VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee507TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$548,910PYContributionsGrantsAmt
CY Contributions Grants$460,735CYContributionsGrantsAmt
PY Program Service Revenue$28,025,355PYProgramServiceRevenueAmt
CY Program Service Revenue$27,723,083CYProgramServiceRevenueAmt
PY Investment Income$239,266PYInvestmentIncomeAmt
CY Investment Income$131,640CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$28,813,531PYTotalRevenueAmt
CY Total Revenue$28,315,458CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$19,144,470PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$19,746,655CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,946,257PYOtherExpensesAmt
CY Other Expenses$9,208,817CYOtherExpensesAmt
PY Total Expenses$28,090,727PYTotalExpensesAmt
CY Total Expenses$28,955,472CYTotalExpensesAmt
PY Revenues Less Expenses$722,804PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$640,014CYRevenuesLessExpensesAmt
Total Assets BOY$43,771,967TotalAssetsBOYAmt
Total Assets EOY$42,549,646TotalAssetsEOYAmt
Total Liabilities BOY$24,640,077TotalLiabilitiesBOYAmt
Total Liabilities EOY$24,286,265TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$19,131,890NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$18,263,381NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSoldiers 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,336,566ExpenseAmt
Revenue$5,609,078RevenueAmt
DescPatient 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 1,838 patient days (Medicine & Intensive Care) and 1,239 patient days (Psychiatric Care) in 2015.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$10,106,889ExpenseAmt
Revenue$11,454,263RevenueAmt
DescPatient 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 2015: 135,867 procedures (Laboratory, Imaging, Cardiology, Respiratory Therapy, Physical Therapy & Occupational Therapy), 3,076 Family Health Clinic visits, 5,070 Psychiatric Clinic visits and 7,663 Emergency Services visits.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$10,269,003ExpenseAmt
Revenue$9,257,345RevenueAmt
DescPatient 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 52,783 patient days (Skilled Nursing & Behavioral Intervention) and 4,095 Adult Day Care visits in 2015.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Revenue$1,402,397RevenueAmt
DescOther Operating Revenue:Expenses associated with Other Operating Revenue are included in other Program Services; they are integral to the operations of those services.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Revenue$1,402,397TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$25,712,458TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee507EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Pamela E JohnsonBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3157874030PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1196 North StreetAddressLine1Txt
CityGenevaCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14456ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Philip Beckley
Chair1.00Yes (X)Yes (X)$0$0$0
Donald Gentilcore Jr
Vice Chair1.00Yes (X)Yes (X)$0$0$0
Ann McMullen
Secretary1.00Yes (X)Yes (X)$0$0$0
Rev James Adams
Trustee1.00Yes (X)$0$0$0
David Bunnell
Trustee1.00Yes (X)$0$0$0
Menzo Case
Trustee1.00Yes (X)$0$0$0
Richard Catanise
Trustee1.00Yes (X)$0$0$0
Stephen DeRaddo
Trustee1.00Yes (X)$0$0$0
Taryn Draxler MD
Trustee and Hospitalist40.00Yes (X)$182,595$0$30,800
Dominic Fonte
Trustee1.00Yes (X)$0$0$0
Amy Hoffman
Trustee1.00Yes (X)$0$0$0
James Long
Trustee1.00Yes (X)$0$0$0
Kelly Mittiga
Trustee1.00Yes (X)$0$0$0
Laura Pedersen
Trustee1.00Yes (X)$0$0$0
Donald Wertman
Trustee1.00Yes (X)$0$0$0
Robert Stivers
Trustee1.00Yes (X)$0$0$0
Lance Ward
Trustee1.00Yes (X)$0$0$0
Ketul Patel MD
Trustee1.00Yes (X)$0$403,336$21,822
Jose Acevedo MD MBA
President & CEO12.50Yes (X)Yes (X)$0$624,571$75,54127.50
John Hicks
Trustee through 4/22/151.00Yes (X)$0$0$0
Michael Briggs
Trustee through 4/22/151.00Yes (X)$0$0$0
Thomas Thompson MD PhD
Trustee through 1/26/151.00Yes (X)$0$0$0
Pamela Johnson
Treasurer & CFO11.20Yes (X)$0$309,704$23,93428.80
Patrick Boyle
VP, Human Resources1.60$0$215,581$24,52038.40Yes (X)
Jason Feinberg MD
Chief Medical Officer8.00$0$368,417$24,44832.00Yes (X)
Frank Korich
Sr. VP, Operations10.00$0$205,766$24,33330.00Yes (X)
Eileen Gage
VP, Nursing10.00$0$222,414$22,49530.00Yes (X)
William Garrity
VP, LTC3.60$0$133,332$22,09236.40Yes (X)
Maria Enecilla
Physician40.00$184,496$0$32,813Yes (X)
Nancy-Jo Rembaum
CRNA17.20$161,249$0$10,80222.80Yes (X)
Marta Canfield
Physician40.00$136,921$0$14,743Yes (X)
Richard Norris
Pharmacist40.00$129,904$0$5,375Yes (X)
Lawrence Farnand
Former Officer0.00$0$190,568$1,68815.40Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$795,165TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,673,689TotReportableCompRltdOrgAmt
Total Other Compensation$335,406TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$18,488RelatedOrganizationsAmt
Government Grants$442,247GovernmentGrantsAmt
Total Contributions$460,735TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPatient Svc RevenueDesc
Business621990BusinessCd
Total Revenue Column$26,320,686TotalRevenueColumnAmt
Related Or Exempt Func Income$26,320,686RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,402,397TotalRevenueColumnAmt
Related Or Exempt Func Income$1,402,397RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$27,723,083TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$166,608TotalRevenueColumnAmt
Exclusion$166,608ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,208,878SecuritiesAmt
Other$33,371OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,277,217SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$68,339SecuritiesAmt
Other$33,371OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$34,968TotalRevenueColumnAmt
Exclusion-$34,968ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,315,458TotalRevenueColumnAmt
Related Or Exempt Func Income$27,723,083RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$131,640ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$16,237,710TotalAmt
Program Services$14,419,086ProgramServicesAmt
Management And General$1,818,624ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$310,604TotalAmt
Program Services$275,816ProgramServicesAmt
Management And General$34,788ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,156,672TotalAmt
Program Services$1,915,125ProgramServicesAmt
Management And General$241,547ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,041,669TotalAmt
Program Services$925,002ProgramServicesAmt
Management And General$116,667ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$271,457TotalAmt
Program Services$241,054ProgramServicesAmt
Management And General$30,403ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$19,027TotalAmt
Program Services$16,896ProgramServicesAmt
Management And General$2,131ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$24,217TotalAmt
Program Services$21,505ProgramServicesAmt
Management And General$2,712ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$57,157TotalAmt
Program Services$50,755ProgramServicesAmt
Management And General$6,402ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$28,964TotalAmt
Program Services$25,720ProgramServicesAmt
Management And General$3,244ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$28,679TotalAmt
Program Services$25,467ProgramServicesAmt
Management And General$3,212ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$334,145TotalAmt
Program Services$296,721ProgramServicesAmt
Management And General$37,424ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$434,283TotalAmt
Program Services$385,643ProgramServicesAmt
Management And General$48,640ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$22,692TotalAmt
Program Services$20,150ProgramServicesAmt
Management And General$2,542ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$24,833TotalAmt
Program Services$22,052ProgramServicesAmt
Management And General$2,781ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$413,043TotalAmt
Program Services$366,782ProgramServicesAmt
Management And General$46,261ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,042,911TotalAmt
Program Services$1,814,105ProgramServicesAmt
Management And General$228,806ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$418,134TotalAmt
Program Services$371,303ProgramServicesAmt
Management And General$46,831ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Purchase Services & Lea$2,429,559$2,157,448$272,111
Supplies$1,789,964$1,589,488$200,476
NYS Assessment$750,519$666,461$84,058
All Other Expenses$119,233$105,879$13,354

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$28,955,472TotalAmt
Program Services$25,712,458ProgramServicesAmt
Management And General$3,243,014ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,808BOYAmt
EOY$3,669EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,660,719BOYAmt
EOY$2,712,268EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,472,334BOYAmt
EOY$2,407,113EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$78,044BOYAmt
EOY$90,294EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$173,831BOYAmt
EOY$240,323EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$265,196BOYAmt
EOY$337,737EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$60,832,742LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$45,248,839LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$17,027,275BOYAmt
EOY$15,583,903EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$16,641,271BOYAmt
EOY$16,536,602EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,449,489BOYAmt
EOY$4,637,737EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$43,771,967BOYAmt
EOY$42,549,646EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,251,836BOYAmt
EOY$2,700,518EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$10,272,351BOYAmt
EOY$10,396,014EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$6,810,958BOYAmt
EOY$5,900,169EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,304,932BOYAmt
EOY$5,289,564EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$24,640,077BOYAmt
EOY$24,286,265EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$19,131,890BOYAmt
EOY$18,263,381EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,131,890BOYAmt
EOY$18,263,381EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$43,771,967BOYAmt
EOY$42,549,646EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$640,014ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$240,337NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$11,842OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$4,912OtherActivitiesAmt
Total Lobbying Expenditures$4,912TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationPortion of association dues attributed to lobbying expenses.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$399,264OtherCostOrOtherBasisAmt
Book Value$399,264BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$28,235,066OtherCostOrOtherBasisAmt
Depreciation$15,305,057DepreciationAmt
Book Value$12,930,009BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,965,403OtherCostOrOtherBasisAmt
Depreciation$1,544,204DepreciationAmt
Book Value$421,199BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,233,009OtherCostOrOtherBasisAmt
Depreciation$28,399,578DepreciationAmt
Book Value$1,833,431BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$15,583,903TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Mortgage Sinking Funds$2,626,942
Escrow Reserve LTC$249,143
Res for Replacement LTC$1,761,652
FieldValueIRS element (for citing)
Total Book Value Other Assets$4,637,737TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Due to Affiliate$4,753,564
BCR Advance$536,000
FieldValueIRS element (for citing)
Total Liability$5,289,564TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$28,165,330TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$150,128NetUnrealizedGainsInvstAmt
Revenue Not Reported-$150,128RevenueNotReportedAmt
Revenue Subtotal$28,315,458RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$28,315,458TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$28,931,255TotExpnsEtcAuditedFinclStmtAmt
Losses Reported-$24,217LossesReportedAmt
Expenses Not Reported-$24,217ExpensesNotReportedAmt
Expenses Subtotal$28,955,472ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$28,955,472TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationSoldiers & 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, 2015, 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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,640,774TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,403,903DirectOffsettingRevenueAmt
Net Community Benefit Expns$236,871NetCommunityBenefitExpnsAmt
Total Expense0.00820TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,640,774TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,403,903DirectOffsettingRevenueAmt
Net Community Benefit Expns$236,871NetCommunityBenefitExpnsAmt
Total Expense0.00820TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$101,925TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$101,925NetCommunityBenefitExpnsAmt
Total Expense0.00350TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,221,043TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,640,388DirectOffsettingRevenueAmt
Net Community Benefit Expns$580,655NetCommunityBenefitExpnsAmt
Total Expense0.02010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,322,968TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,640,388DirectOffsettingRevenueAmt
Net Community Benefit Expns$682,580NetCommunityBenefitExpnsAmt
Total Expense0.02360TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,963,742TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,044,291DirectOffsettingRevenueAmt
Net Community Benefit Expns$919,451NetCommunityBenefitExpnsAmt
Total Expense0.03180TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$495TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$495NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$147,754TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$147,754NetCommunityBenefitExpnsAmt
Total Expense0.00510TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$75TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$75NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,370TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$22,370NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$135,192TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$135,192NetCommunityBenefitExpnsAmt
Total Expense0.00470TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$66,425TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$66,425NetCommunityBenefitExpnsAmt
Total Expense0.00230TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$372,311TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$372,311NetCommunityBenefitExpnsAmt
Total Expense0.01290TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$554,672BadDebtExpenseAmt
Bad Debt Expense Attributable$89,604BadDebtExpenseAttributableAmt
Reimbursed By Medicare$4,829,107ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$4,933,899CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$104,792MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Soldiers & Sailors Memorial HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1418 North Main StreetAddressLine1Txt
CityPenn YanCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14527ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Soldiers and Sailors Memorial Hospital oBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely Available0CHNAReportWidelyAvailableInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttp://www.flhealth.org/FAPAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledYes (1)AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Soldiers and Sailors Memorial Hospital of Yates CoPart 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 CoPart V, Section B, Line 22d: Maximum amount charged FAP-eligible individuals:The maximum amount is based upon the negotiated commercial insurance rates for the carrier with the highest volume.
Soldiers and Sailors Memorial Hospital of Yates CoPart 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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7g:Subsidized health services:Emergency Services provided on a 24 - 7 basis, Ambulatory Surgery, Behavioral and ICU incur operating losses which are considered subsidized health 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 2015.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 other human services providers, 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 2013 and establish health priorities for 2013-2017. 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 and get them to the largest group possible, included:- An online survey available to anyone in the community. Promoted via newspaper, email blast to employees, Constant Contact email blast to community members on our email list, in our Thrive community health magazine, circulated to 90,000 households in our service area.- Focus groups done in cooperation with our county partners targeting specific populations, including the African American Men's Society of Geneva, a Head Start parents' group, the Office for the Aging, and human service agencies, such as ARC and FLACRA.- Distribution of printed copies of the survey via waiting rooms in our facilities and to individuals without Internet access.- Survey of area healthcare providers and human services agencies via email distribution of survey and promotion at various health planning group meetings in the various counties.Once the survey process was completed, the results were tabulated by the S2AY Rural Health Network, which works with multiple counties in the Finger Lakes. Then, individuals who are part of each county - Ontario, Seneca and Yates, steering groups ranked the issues identified through data review, surveys to the public and through focus groups. The ranking was completed using the Hanlon Method.Priorities determined by the 2009 needs assessment for action in 2010-2013 were: - Access to quality health care- Chronic disease management, with emphasis on cardiovascular health- Physical activity and nutrition educationPriorities, by county, in Finger Lakes Health's service area identified for action in 2013-2017 are:Ontario County: Prevention of Hypertension/Stroke Prevention of Obesity, with a focus on childhood obesitySeneca County: Prevention of Chronic Disease Promotion of Mental Health Prevention of Substance Abuse Yates County: Obesity Prevention Hypertension PreventionDuring 2015, we continued to address Access to quality health care by continuing to recruit physicians, including specialists who provide multiple access points to care across our communities. For instance, cardiology, orthopaedics and physiatry services are offered at multiple offices across our service area.We addressed chronic disease management, with emphasis on cardiovascular health, and physical activity and nutrition education (from the 2010-2013 plan) and prevent chronic disease by reducing obesity in children and adults and by reducing hypertension and stroke (from the 2013-2017 plan), through multiple vehicles, including:- Finger Lakes Health provides educational information in its community health magazine Thrive, which is mailed to more than 90,000 homes in our service area twice each year. Articles have included: -- Living under nutritional challenges -- Advice to Thrive On: Stretch It Out -- Dine & Discuss health lectures -- Concussion Management --Walk & Talk for Health Program --Get Ready to Run (5 & 10K preparation programs)- Finger Lakes Health Matters is an educational radio show aired 26 times each year on the regional Finger Lakes Radio Network featuring Finger Lakes Health professionals speaking to a wide range of health topics.- Dine & Discuss Lecture Series is conducted by Finger Lakes Health in the spring and fall. It features educational lectures presented by health system physicians and other healthcare professionals on varied topics, including such things as COPD and stress management, healthy cooking demos, etc.- Finger Lakes Health conducts free Support Groups to help individuals and their families/caregivers cope with chronic diseases - including Diabetes & Stroke.- In addition to the Diabetes Support Groups, held monthly in two communities, we have a dedicated Certified Diabetes Educator who does one-on-one counseling with diabetics, as well as conducting educational classes for diabetics and their support person and providing continuous glucose monitoring services for diabetics.- 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.- Finger Lakes Health offers one-on-one nutrition counseling to community members.- Weight Watchers and TOPS weight management programs are offered at Geneva General Hospital.- Blood Pressure screenings are offered by the Cardiac Rehab program at Soldiers & Sailors Memorial Hospital, Penn Yan; 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:- Living Under Nutritional Challenges- Advice to Thrive On: Stretch It Out- Dine & Discuss health lectures- Concussion Management- Strive to Thrive programming - support groups, BP Screenings, etc.- Get Ready to Run (5 & 10k preparation program)- Summary of phone aps with health information/wellness tracking programs Walk & Talk for Health, a community walking program led by healthcare professionals. Nineteen walks were held in four communities. Fitness and nutrition information was offered, along with pedometers and walking journals to track steps. In addition, participants were offered free cholesterol, A1C and blood pressure screenings. 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 weight loss and wellness success, COPD, breast cancer, diabetes, & heart disease. 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:- Yates County Chamber of Commerce - Happiness House - Cerebral Palsy AssociationDonation 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 Sterring Committee-Farm to Institution Committee- Regional Worksite Wellness Coalition- Finger Lakes Regional EMS Council- Workforce Development Committee-Council of Churches Chaplaincy Committee. Facility space provided to community organizations free of charge for use to conduct meetings, including American Red Cross, United Way, SPOE, ARC of Yates, EMS Class, Insurance Navigator, Yates TB & Health Association, TOPS, etc. 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.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Taryn Draxler MD
Trustee and Hospitalist$160,103$0$13,688$0$8,804$0$0$0$30,800$0$213,395$0$0$0
Ketul Patel MD
Trustee$0$335,646$0$30,430$0$37,260$0$0$0$21,822$0$425,158$0$0
Jose Acevedo MD MBA
President & CEO$0$459,035$0$139,742$0$25,794$0$50,000$0$25,541$0$700,112$0$0
Pamela Johnson
Treasurer & CFO$0$215,309$0$48,631$0$45,764$0$0$0$23,934$0$333,638$0$0
Patrick Boyle
VP, Human Resources$0$163,644$0$24,667$0$27,270$0$0$0$24,520$0$240,101$0$0
Jason Feinberg MD
Chief Medical Officer$0$297,296$0$34,851$0$36,270$0$0$0$24,448$0$392,865$0$0
Frank Korich
Sr. VP, Operations$0$143,811$0$23,244$0$38,711$0$0$0$24,333$0$230,099$0$0
Eileen Gage
VP, Nursing$0$163,602$0$21,624$0$37,188$0$0$0$22,495$0$244,909$0$0
William Garrity
VP, LTC$0$119,018$0$7,599$0$6,715$0$0$0$22,092$0$155,424$0$0
Maria Enecilla
Physician$159,881$0$20,000$0$4,615$0$0$0$32,813$0$217,309$0$0$0
Nancy-Jo Rembaum
CRNA$134,963$0$0$0$26,286$0$0$0$10,802$0$172,051$0$0$0
Marta Canfield
Physician$123,965$0$0$0$12,956$0$0$0$14,743$0$151,664$0$0$0
Lawrence Farnand
Former Officer$0$190,568$0$0$0$0$0$0$0$1,688$0$192,256$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 4bFormAndLineReferenceDesc
ExplanationGeneva General Hospital deposited $50,000 into a 457(f) plan in 2015 for Dr. Jose Acevedo, MD, MBA, President & CEO.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11The 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 12cSoldiers & 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 15Compensation 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 19Soldiers & 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 11,842.
Form 990, Part XII, Line 2c:Part IV, Line 4 Association dues included $4,912 in lobbying expenses.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Finger Lakes Regional Health System Inc
196 North StreetGenevaNY14456223193606Sole Member of SSMH, FLHF, LCS, HLC, LCN, FLHSC and GGHNY501 (C) (3)70
Finger Lakes Health Foundation
196 North StreetGenevaNY14456150549310Coordinator of Fundraising ActivitiesNY501 (C) (3)11c0Finger Lakes Regional Health System Inc
Living Center at Geneva South
196 North StreetGenevaNY14456160957268Skilled Nursing FacilityNY501 (C) (3)30Finger Lakes Regional Health System Inc
Huntington Living Center
369 E Main StreetWaterlooNY13165510169552Skilled Nursing FacilityNY501 (C) (3)30Finger Lakes Regional Health System Inc
Geneva General Hospital Housing Development Co
196 North StreetGenevaNY14456222816883Operate Low Income Housing for elderly & handicappedNY501 (C) (3)90Finger Lakes Regional Health System Inc
Taylor Brown Memorial Housing Development Co
371 East Main StreetWaterlooNY13165222807734Operate Low Income Housing for elderly & handicappedNY501 (C) (3)90Finger Lakes Regional Health System Inc
Living Center at Geneva North Inc
196 North StreetGenevaNY14456161449543Skilled Nursing FacilityNY501 (C) (3)30Finger Lakes Regional Health System Inc
FLH Senior Communities Inc
196 North StreetGenevaNY14456205604917Develop and Operate Senior Citizen Housing ComplexNY501 (C) (3)90Finger Lakes Regional Health System Inc
Geneva General Hospital
196 North StreetGenevaNY14456160743032Provider of Healthcare ServicesNY501 (C) (3)30Finger Lakes Regional Health System Inc

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Soldiers Ventures IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1196 North StreetAddressLine1Txt
CityGenevaCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14456ZIPCd
FieldValueIRS element (for citing)
EIN161556419EIN
Primary ActivitiesHolding, InvestingPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Entity TypeCEntityTypeTxt
Ownership1.00000OwnershipPct
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Geneva General Hospital
Q$4,734,223Direct Transaction(s)
Soldiers Ventures
Q-$202,590Direct Transaction(s)
Living Center North
P-$55,807Direct Transaction(s)
Huntington Living Center
Q-$4,793Direct Transaction(s)
Living Center South
P-$56,285Direct Transaction(s)

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