NICHOLAS H NOYES MEMORIAL HOSPITAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: NICHOLAS H NOYES MEMORIAL HOSPITAL (EIN 16-0743979)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-15
IRS object ID: 201643209349307039
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-15T12:11:56-06:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	474526160	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	EFPR GROUP CPAS PLLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	280 KENNETH DRIVE	AddressLine1Txt
City	ROCHESTER	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14623	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	160743979	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NICHOLAS H NOYES MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	NICH	BusinessNameControlTxt
Phone	5853356001	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	111 CLARA BARTON STREET	AddressLine1Txt
City	DANSVILLE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14437	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	AMY POLLARD	PersonNm
Person Title	PRESIDENT/CEO	PersonTitleTxt
Phone	5853356001	PhoneNum
Signature	2016-11-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	WILLIAM MCDONALD	PreparerPersonNm
PTIN	P01600766	PTIN
Phone	5854278900	PhoneNum
Preparation	2016-11-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	AMY POLLARD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	111 CLARA BARTON STREET	AddressLine1Txt
City	DANSVILLE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14437	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$54,492,669	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.NOYES-HEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1927	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	NICHOLAS H. NOYES MEMORIAL HOSPITAL IS A 67 BED HOSPITAL WHICH PROVIDES ACUTE, SUB-ACUTE, EMERGENCY AND OTHER OUTPATIENT CARE AND WHOSE MISSION IS TO SUPPORT AND PROMOTE THE HEALTH OF OUR COMMUNITIES THROUGH COMPASSIONATE QUALITY CARE.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	608	TotalEmployeeCnt
Total Volunteers	120	TotalVolunteersCnt
Total Gross UBI	$49,202	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$403,159	PYContributionsGrantsAmt
CY Contributions Grants	$2,025,841	CYContributionsGrantsAmt
PY Program Service Revenue	$46,709,052	PYProgramServiceRevenueAmt
CY Program Service Revenue	$50,234,878	CYProgramServiceRevenueAmt
PY Investment Income	$525,695	PYInvestmentIncomeAmt
CY Investment Income	$68,663	CYInvestmentIncomeAmt
PY Other Revenue	$2,028,440	PYOtherRevenueAmt
CY Other Revenue	$1,628,585	CYOtherRevenueAmt
PY Total Revenue	$49,666,346	PYTotalRevenueAmt
CY Total Revenue	$53,957,967	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	$25,499,151	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$28,386,054	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$89,241	CYTotalFundraisingExpenseAmt
PY Other Expenses	$23,917,555	PYOtherExpensesAmt
CY Other Expenses	$23,492,968	CYOtherExpensesAmt
PY Total Expenses	$49,416,706	PYTotalExpensesAmt
CY Total Expenses	$51,879,022	CYTotalExpensesAmt
PY Revenues Less Expenses	$249,640	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,078,945	CYRevenuesLessExpensesAmt
Total Assets BOY	$47,622,426	TotalAssetsBOYAmt
Total Assets EOY	$48,802,142	TotalAssetsEOYAmt
Total Liabilities BOY	$26,039,970	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$25,248,245	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$21,582,456	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$23,553,897	NetAssetsOrFundBalancesEOYAmt
Mission	NICHOLAS H. NOYES MEMORIAL HOSPITAL SUPPORTS AND PROMOTES THE HEALTH OF OUR COMMUNITIES THROUGH COMPASSIONATE QUALITY CARE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$38,999,725	ExpenseAmt
Revenue	$50,314,028	RevenueAmt
Desc	NICHOLAS H. NOYES MEMORIAL HOSPITAL IS A 67 BED HOSPITAL WHICH PROVIDES ACUTE, SUB-ACUTE, EMERGENCY AND OUTPATIENT CARE.	Desc
Total Program Service Expenses	$38,999,725	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	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	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	Yes (1)	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	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	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	71	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	608	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
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	17	GoverningBodyVotingMembersCnt
Independent Voting Member	10	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	Yes (1)	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	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	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JAY MASLYN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5853354306	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	111 CLARA BARTON STREET	AddressLine1Txt
City	DANSVILLE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14437	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 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	Highest Compensated EmployeeHighestCompensatedEmployeeInd
GRAHAM FRAZER
FIRST VICE CHAIRPERSON	2.00	Yes (X)	$0	$0	$0
JOHN LOCKHART
DIRECTOR	2.00	Yes (X)	$0	$0	$0
MICHAEL JOHNSEN
PAST CHAIRPERSON	5.00	Yes (X)	$0	$0	$0
LESLIE COLE JR
CHAIRPERSON	10.00	Yes (X)	$0	$0	$0
JOE BUCCI JR
DIRECTOR	1.00	Yes (X)	$0	$0	$0
AMY POLLARD
PRESIDENT/CEO	30.00	Yes (X)	$205,900	$0	$7,241	10.00	Yes (X)
JOAN FLENDER MD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
GEOFFREY WITTIG MD
PRESIDENT ELECT, MEDICAL S	1.00	Yes (X)	$0	$0	$0
MARK LYONS
TREASURER	1.00	Yes (X)	$0	$0	$0
DOMENICK MARTELLO
DIRECTOR	1.00	Yes (X)	$0	$0	$0
DOUGLAS MAYHLE MD
MEDICAL DIRECTOR	40.00	Yes (X)	$399,263	$0	$6,022
LINDSAY QUINTILONE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
ARIF QURESHI MD
PRESIDENT, MEDICAL STAFF	2.00	Yes (X)	$0	$0	$0
BERNARD SWEENEY MD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MARILYN MOORE
SECRETARY	5.00	Yes (X)	$0	$0	$0
JAMES CULBERTSON
SECOND VICE CHAIRPERSON	2.00	Yes (X)	$0	$0	$0
RICHARD RIZZIERI
DIRECTOR	1.00	Yes (X)	$0	$0	$0
JAY MASLYN
CFO	40.00		$143,679	$0	$548		Yes (X)
ROBERT CAPECCI MD
PHYSICIAN-ORTHOPEDIST	40.00		$583,123	$0	$7,466			Yes (X)
BRIAN FORESMAN
GENERAL SURGEON	40.00		$492,718	$0	$7,466			Yes (X)
KEVIN O'KEEFE
ORTHOPEDIST	40.00		$487,240	$0	$4,838			Yes (X)
CHIRAG PATEL
ANESTHESIOLOGIST	40.00		$385,537	$0	$7,466			Yes (X)
DONALD DUNAC
ANESTHESIOLOGIST	40.00		$353,517	$0	$7,466			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,050,977	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$48,513	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	28	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PIKE COMPANY INC
1 CIRCLE STREET	ROCHESTER	NY	14607	BUILDING CONTRACTOR	$858,863
ARUP LABORATORIES
PO BOX 27964	SALT LAKE CITY	UT	84127	LAB TESTING SERVICES	$593,539
HARRIS BEACH LLP
99 GARNSEY ROAD	PITTSFORD	NY	14534	LEGAL SERVICES	$377,116
RONDON RAFAEL MD
84 ASHLAND AVENUE	BUFFALO	NY	14222	CONTRACT PHYSICIAN	$347,583
MEDICOR INTERNAL MEDICINE PLLC
50 EAST SOUTH STREET SUITE 600	GENESEO	NY	14454	CONTRACT PHYSICIAN	$294,354

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	13	CntrctRcvdGreaterThan100KCnt
Government Grants	$403,237	GovernmentGrantsAmt
All Other Contributions	$1,622,604	AllOtherContributionsAmt
Total Contributions	$2,025,841	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT SERVICE REVENUE	Desc
Business	621990	BusinessCd
Total Revenue Column	$50,234,878	TotalRevenueColumnAmt
Related Or Exempt Func Income	$50,234,878	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$50,234,878	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$45,246	TotalRevenueColumnAmt
Exclusion	$45,246	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$472,089	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$448,672	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$23,417	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$23,417	TotalRevenueColumnAmt
Exclusion	$23,417	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$31,390	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$10,347	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,043	TotalRevenueColumnAmt
Exclusion	$21,043	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$154,833	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$75,683	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$79,150	TotalRevenueColumnAmt
Related Or Exempt Func Income	$79,150	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
SEAGATE ALLIANCE, LLC	900000	$1,056,917	$13,767	$1,043,150
OTHER REVENUE	541380	$471,475	$35,435	$436,040

Field	Value	IRS element (for citing)
Other Revenue Total	$1,528,392	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$53,957,967	TotalRevenueColumnAmt
Related Or Exempt Func Income	$50,314,028	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$49,202	UnrelatedBusinessRevenueAmt
Exclusion	$1,568,896	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$762,652	TotalAmt
Program Services	$296,932	ProgramServicesAmt
Management And General	$465,720	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$23,162,416	TotalAmt
Program Services	$16,699,552	ProgramServicesAmt
Management And General	$6,421,614	ManagementAndGeneralAmt
Fundraising	$41,250	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$283,585	TotalAmt
Program Services	$204,465	ProgramServicesAmt
Management And General	$78,610	ManagementAndGeneralAmt
Fundraising	$510	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,604,480	TotalAmt
Program Services	$1,877,830	ProgramServicesAmt
Management And General	$721,962	ManagementAndGeneralAmt
Fundraising	$4,688	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,572,921	TotalAmt
Program Services	$1,134,076	ProgramServicesAmt
Management And General	$436,014	ManagementAndGeneralAmt
Fundraising	$2,831	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$5,023	TotalAmt
Program Services	$4,575	ProgramServicesAmt
Management And General	$448	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$213,418	TotalAmt
Management And General	$213,418	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$49,050	TotalAmt
Management And General	$49,050	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$10,521	TotalAmt
Management And General	$10,521	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,247,943	TotalAmt
Program Services	$2,702,074	ProgramServicesAmt
Management And General	$527,195	ManagementAndGeneralAmt
Fundraising	$18,674	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$91,037	TotalAmt
Program Services	$30,009	ProgramServicesAmt
Management And General	$48,091	ManagementAndGeneralAmt
Fundraising	$12,937	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,941,191	TotalAmt
Program Services	$9,998,635	ProgramServicesAmt
Management And General	$939,505	ManagementAndGeneralAmt
Fundraising	$3,051	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,181,981	TotalAmt
Program Services	$646,819	ProgramServicesAmt
Management And General	$535,162	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,492,305	TotalAmt
Program Services	$576,867	ProgramServicesAmt
Management And General	$915,438	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$23,883	TotalAmt
Program Services	$6,506	ProgramServicesAmt
Management And General	$17,377	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$82,849	TotalAmt
Program Services	$54,861	ProgramServicesAmt
Management And General	$27,988	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$49,474	TotalAmt
Program Services	$15,185	ProgramServicesAmt
Management And General	$34,289	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,170,916	TotalAmt
Program Services	$1,509,663	ProgramServicesAmt
Management And General	$661,253	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$528,126	TotalAmt
Program Services	$441,726	ProgramServicesAmt
Management And General	$86,400	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
BAD DEBT	$1,265,231	$1,265,231
OTHER PURCHASED SERVICE	$1,247,711	$945,850	$301,861
REPAIRS & MAINTENANCE	$778,773	$538,733	$240,040
OTHER EXPENSES	$77,527	$24,829	$47,398	$5,300

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$36,009	TotalAmt
Program Services	$25,307	ProgramServicesAmt
Management And General	$10,702	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$51,879,022	TotalAmt
Program Services	$38,999,725	ProgramServicesAmt
Management And General	$12,790,056	ManagementAndGeneralAmt
Fundraising	$89,241	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,738	BOYAmt
EOY	$5,944	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,779,154	BOYAmt
EOY	$3,157,294	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$2,935	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$6,425,022	BOYAmt
EOY	$6,266,002	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$177,801	BOYAmt
EOY	$177,801	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$917,852	BOYAmt
EOY	$1,029,407	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$875,870	BOYAmt
EOY	$717,817	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$59,991,458	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$38,107,045	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$20,402,608	BOYAmt
EOY	$21,884,413	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,694,908	BOYAmt
EOY	$3,027,853	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$15,343,473	BOYAmt
EOY	$12,532,676	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$47,622,426	BOYAmt
EOY	$48,802,142	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$5,427,075	BOYAmt
EOY	$6,015,712	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$6,080,362	BOYAmt
EOY	$5,372,117	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$7,491,420	BOYAmt
EOY	$7,029,423	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$7,041,113	BOYAmt
EOY	$6,830,993	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$26,039,970	BOYAmt
EOY	$25,248,245	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$20,534,232	BOYAmt
EOY	$22,395,185	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$304,518	BOYAmt
EOY	$415,006	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$743,706	BOYAmt
EOY	$743,706	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$21,582,456	BOYAmt
EOY	$23,553,897	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$47,622,426	BOYAmt
EOY	$48,802,142	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,078,945	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$989,890	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$1,097,394	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)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

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	$10,521	OtherActivitiesAmt
Total Lobbying Expenditures	$10,521	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	AS MEMBERS OF 3 ASSOCIATIONS (AHA - AMERICAN HOSPITAL ASSOCIATION, HANYS-THE HEALTHCARE ASSOCIATION OF NEW YORK STATE & RRHA/SEAGATE ALLIANCE) A PORTION OF THE DUES (TOTAL REFLECTED ABOVE) ARE PAID AS PART OF MEMBERSHIP AND REPRESENT AMOUNTS DESIGNATED FOR LOBBYING ACTIVITIES. THESE ASSOCIATE ORGANIZATIONS OF WHICH WE ARE MEMBERS HANDLE THE DIRECT LOBBYING/ADVOCACY ACTIVITIES ON BEHALF OF THEIR MEMBERS.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,808,503	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$1,728	InvestmentEarningsOrLossesAmt
Administrative Expenses	$12,039	AdministrativeExpensesAmt
End Year Balance	$1,794,736	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,688,538	BeginningYearBalanceAmt
Investment Earnings Or Losses	$131,563	InvestmentEarningsOrLossesAmt
Administrative Expenses	$11,598	AdministrativeExpensesAmt
End Year Balance	$1,808,503	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,561,127	BeginningYearBalanceAmt
Investment Earnings Or Losses	$138,137	InvestmentEarningsOrLossesAmt
Administrative Expenses	$10,726	AdministrativeExpensesAmt
End Year Balance	$1,688,538	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,449,363	BeginningYearBalanceAmt
Investment Earnings Or Losses	$121,879	InvestmentEarningsOrLossesAmt
Administrative Expenses	$10,115	AdministrativeExpensesAmt
End Year Balance	$1,561,127	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,434,453	BeginningYearBalanceAmt
Investment Earnings Or Losses	$24,558	InvestmentEarningsOrLossesAmt
Administrative Expenses	$9,648	AdministrativeExpensesAmt
End Year Balance	$1,449,363	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.64130	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.35870	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (1)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$372,690	OtherCostOrOtherBasisAmt
Book Value	$372,690	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$30,154,529	OtherCostOrOtherBasisAmt
Depreciation	$14,911,221	DepreciationAmt
Book Value	$15,243,308	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,992,578	OtherCostOrOtherBasisAmt
Depreciation	$23,195,824	DepreciationAmt
Book Value	$3,796,754	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,471,661	OtherCostOrOtherBasisAmt
Book Value	$2,471,661	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$21,884,413	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	INVESTMENTS	Desc
Book Value	$3,027,853	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$3,027,853	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION	$11,252,251
DEBT ORIGINATION COSTS - NET	$381,529
MORTGAGE REPAYMENT ESCROW FUNDS	$805,638
OTHER	$93,258

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$12,532,676	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
ASSET RETIREMENT OBLIGATION	$517,759
DUE TO RELATED ENTITY	$144,693
DUE TO THIRD PARTY PAYORS- LONG TERM	$1,507,920
DUE TO THIRD PARTY PAYORS- SHORT TERM	$590,895
LINE OF CREDIT	$145,000
PENSION LIABILITY	$3,608,046
WORKERS' COMPENSATION	$316,680

Field	Value	IRS element (for citing)
Total Liability	$6,830,993	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$53,768,656	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$989,890	NetUnrealizedGainsInvstAmt
Revenue Not Reported	$989,890	RevenueNotReportedAmt
Revenue Subtotal	$52,778,766	RevenueSubtotalAmt
Other Revenues Not Included	$1,179,201	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$1,179,201	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$53,957,967	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$50,699,821	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$86,030	OtherExpensesIncludedAmt
Expenses Not Reported	$86,030	ExpensesNotReportedAmt
Expenses Subtotal	$50,613,791	ExpensesSubtotalAmt
Other Expenses Not Included	$1,265,231	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$1,265,231	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$51,879,022	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	EMPLOYEE EDUCATION.
PART X, LINE 2:	IN ACCORDANCE WITH ASC 740-10-50, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, THE SYSTEM RECOGNIZES THE TAX BENEFITS FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES. MANAGEMENT BELIEVES THAT THE SYSTEM IS CURRENTLY OPERATING IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. THEREFORE, NO LIABILITY FOR UNRECOGNIZED TAX BENEFITS HAS BEEN INCLUDED ON THE SYSTEMS FINANCIAL STATEMENTS.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 1,265,231. FUNDRAISING EXPENSES -10,347. COST OF GOODS SOLD -75,683.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	FUNDRAISING EXPENSES 10,347. COST OF GOODS SOLD 75,683.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 1,265,231.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF TOURNAMENT	Event1Nm
Gross Receipts Event1	$19,727	GrossReceiptsEvent1Amt
Gross Revenue Event1	$19,727	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$1,753	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$2,630	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$120	OtherDirectExpensesEvent1Amt
Event2	FLOWER SALE	Event2Nm
Gross Receipts Event2	$5,499	GrossReceiptsEvent2Amt
Gross Revenue Event2	$5,499	GrossRevenueEvent2Amt
Other Direct Expenses Event2	$3,042	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$25,226	GrossReceiptsTotalAmt
Gross Revenue Total Events	$25,226	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$1,753	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$2,630	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$3,162	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$7,545	DirectExpenseSummaryEventsAmt
Net Income Summary	$17,681	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	0	FPGReferenceFreeCareInd
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	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	6063	PersonsServedCnt
Total Community Benefit Expns	$902,357	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$902,357	NetCommunityBenefitExpnsAmt
Total Expense	0.01740	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	42494	PersonsServedCnt
Total Community Benefit Expns	$9,385,243	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,235,060	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,150,183	NetCommunityBenefitExpnsAmt
Total Expense	0.02220	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Persons Served	1181	PersonsServedCnt
Total Community Benefit Expns	$144,503	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$113,798	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,705	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	49738	PersonsServedCnt
Total Community Benefit Expns	$10,432,103	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,348,858	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,083,245	NetCommunityBenefitExpnsAmt
Total Expense	0.04020	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	26	ActivitiesOrProgramsCnt
Persons Served	83362	PersonsServedCnt
Total Community Benefit Expns	$124,585	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,097	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$104,488	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	127	PersonsServedCnt
Total Community Benefit Expns	$163,042	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$200	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$162,842	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	56170	PersonsServedCnt
Total Community Benefit Expns	$15,939,425	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,226,546	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,712,879	NetCommunityBenefitExpnsAmt
Total Expense	0.05230	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	3199	PersonsServedCnt
Total Community Benefit Expns	$31,351	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,040	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,311	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	39	ActivitiesOrProgramsCnt
Persons Served	142858	PersonsServedCnt
Total Community Benefit Expns	$16,258,403	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,251,883	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,006,520	NetCommunityBenefitExpnsAmt
Total Expense	0.05790	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	39	ActivitiesOrProgramsCnt
Persons Served	192596	PersonsServedCnt
Total Community Benefit Expns	$26,690,506	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,600,741	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,089,765	NetCommunityBenefitExpnsAmt
Total Expense	0.09810	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	30407	PersonsServedCnt
Total Community Benefit Expns	$20,341	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,341	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	30407	PersonsServedCnt
Total Community Benefit Expns	$20,341	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,341	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,280,289	BadDebtExpenseAmt
Reimbursed By Medicare	$8,006,498	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$6,031,523	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,974,975	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

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	NICHOLAS H NOYES MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	111 CLARA BARTON STREET	AddressLine1Txt
City	DANSVILLE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14437	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	NICHOLAS H NOYES MEMORIAL HOSPITAL	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
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.NOYES-HEALTH.ORG/COMMUNITY-SERVICES/COMMUNITY-SERVICE-PLANS	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.NOYES-HEALTH.ORG/COMMUNITY-SERVICES/COMMUNITY-SERVICE-PLANS	StrategyWebsiteURLTxt
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 Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
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
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.NOYES-HEALTH.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 Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Lowest Negotiated Rates	Yes (X)	LowestNegotiatedRatesInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
NICHOLAS H NOYES MEMORIAL HOSPITAL	PART V, SECTION B, LINE 5: IN 2013, THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH AND NOYES HEALTH COMPLETED THE REQUIRED ANNUAL COMMUNITY NEEDS HEALTH ASSESSMENT BETWEEN FEBRUARY AND SEPTEMBER. A CHA LEADERSHIP TEAM WAS CREATED UNDER THE DIRECTION OF CO-COORDINATORS FROM THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH AND NOYES HEALTH.INFORMATION FROM 427 COMMUNITY SURVEYS, TWO COMMUNITY FORUMS WITH LOW ATTENDANCE, TWO COMMUNITY FOCUS GROUPS (SENIOR NUTRITION AND THE ARC OF LIVINGSTON COUNTY - NOTE: MENTAL HEALTH FOCUS GROUP ATTEMPTED, BUT UNSUCCESSFUL) AND HEALTH CARE DATA IN OUR COMMUNITY WAS USED TO IDENTIFY THE TOP TWO NYS PREVENTION AGENDA (PA) PRIORITIES TO BE USED TO DEVELOP THE NOYES HEALTH THREE-YEAR COMMUNITY SERVICE PLAN (CSP) AND THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP).THE IMPLEMENTATION OF THE CSP AND CHIP IS OVERSEEN BY THE GENESEE VALLEY HEALTH PARTNERSHIP (GVHP). GVHP IS A NON-PROFIT, RURAL HEALTH NETWORK OF MORE THAN 40 DIFFERENT ORGANIZATIONS THAT ARE EITHER BASED IN LIVINGSTON COUNTY OR PROVIDE SERVICES TO LIVINGSTON COUNTY RESIDENTS. THE GVHP IS FUNDED BY AN OFFICE OF RURAL HEALTH GRANT AND IS A 501(C)3 ORGANIZATION. THEIR MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE LIVINGSTON COUNTY COMMUNITY THROUGH COLLABORATION, EDUCATION AND PREVENTION.DURING 2015, COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) COMMITTEES WORKED YEAR ROUND ON OUR TWO PREVENTION AGENDA PRIORITIES:1. PREVENT CHRONIC DISEASE2. PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSETHE COMMUNITY HEALTH ASSESSMENT IS COMPLETED EVERY THREE YEARS AND WILL BE DONE AGAIN IN 2016 UNDER THE DIRECTION AND SUPPORT OF THE GENESEE VALLEY HEALTH PARTNERSHIP IN LIVINGSTON COUNTY. THE RESULTS WILL USED TO COMPILE A NEW LIVINGSTON COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN.
NICHOLAS H NOYES MEMORIAL HOSPITAL	PART V, SECTION B, LINE 6B: LIVINGSTON COUNTY DEPARTMENT OF HEALTH AND NOYES HEALTH CO-LEAD THE CHNA/CHIP LEADERSHIP TEAM AND COLLABORATIVELY COMPLETED THE FINAL 2013-16 CHIP. THE CHA LEADERSHIP TEAM CONSISTED OF 22 MEMBERS FROM THE FOLLOWING 19 COMMUNITY HEALTH CARE ORGANIZATIONS, COUNTY AND GOVERNMENT AGENCIES, FAITH BASED ORGANIZATIONS, LOCAL SCHOOLS AND ACADEMIA, AND HUMAN SERVICE ORGANIZATIONS THAT PARTICIPATED IN THE CHA PROCESS THROUGHOUT THE FIVE MONTH PERIOD: - THE ARC OF LIVINGSTON-WYOMING COUNTY/KIDSTART- CATHOLIC CHARITIES OF LIVINGSTON COUNTY- CORNELL COOPERATIVE EXTENSION OF LIVINGSTON COUNTY- HEALTH AND WELLNESS (HOME CARE)- LITERACY VOLUNTEERS - LIVINGSTON COUNTY OFFICE FOR AGING- LIVINGSTON COUNTY CENTER FOR NURSING AND REHAB- LIVINGSTON COUNTY EMS- LIVINGSTON COUNTY PLANNING DEPARTMENT- LIVINGSTON COUNTY DEPARTMENT OF SOCIAL SERVICES- LIVINGSTON COUNTY DEPARTMENT OF HEALTH- LIVINGSTON COUNTY BOARD OF HEALTH - LIVINGSTON COUNTY PROBATION- LIVINGSTON COUNTY WORKFORCE DEVELOPMENT AND YOUTH BUREAU- LIVINGSTON COUNTY CHAMBER OF COMMERCE- LIVINGSTON COUNTY MENTAL HEALTH - NOYES HEALTH/COMMUNITY OUTREACH SERVICES- NOYES MENTAL HEALTH- STUDENT SUPPORT SERVICES CENTER - GENESEE VALLEY EDUCATION PARTNERSHIP
NICHOLAS H NOYES MEMORIAL HOSPITAL	PART V, SECTION B, LINE 7D: CHNA UPDATES PROVIDED TO NOYES EXECUTIVE BOARD, NOYES MANAGEMENT TEAM, LIV CO BOARD OF SUPERVISORS, LIV CO BOARD OF HEALTH, CHNA LEADERSHIP TEAM, AND GENERAL PUBLIC (UPON REQUEST).
NICHOLAS H NOYES MEMORIAL HOSPITAL	PART V, SECTION B, LINE 11: PREVENTION AGENDA GOAL #1: CHRONIC DISEASE MANAGEMENT ACHIEVEMENTSCHRONIC DISEASE SELF-MANAGEMENT PROGRAMS:NOYES HEALTH COORDINATED THREE EVIDENCE-BASED CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS IN LIVINGSTON COUNTY IN 2015 WITH RURAL HEALTH GRANT FUNDING. CLASSES ARE LED BY VOLUNTEER PEER LEADERS IN LOCATIONS THROUGHOUT THE COUNTY. LIVING HEALTHY NY: IS A 6-SESSION EVIDENCE-BASED HEALTH EDUCATION PROGRAM THAT UTILIZES THE CHRONIC DISEASE SELF-MANAGEMENT PROGRAM (CDSMP) CURRICULUM DEVELOPED AT STANFORD UNIVERSITY'S PATIENT EDUCATION RESEARCH CENTER. THE WORK SHOP IS FOR ANYONE DEALING WITH A CHRONIC CONDITION OR LIMITING HEALTH CONDITION. WALK WITH EASE: NO MATTER IF YOU NEED RELIEF FROM ARTHRITIS PAIN OR JUST WANT TO BE ACTIVE, THE ARTHRITIS FOUNDATION'S SELF-DIRECTED SIX WEEK WALK WITH EASE PROGRAM TEACHES PARTICIPANTS HOW TO SAFELY MAKE PHYSICAL ACTIVITY PART OF THEIR EVERYDAY LIFE. LIVING HEALTHY WITH DIABETES: IS A 6-SESSION DIABETES EDUCATION SERIES FOR THOSE WITH DIABETES. WE ADDED THIS CLASS SERIES TO OUR MENU OF CDSMP PROGRAMS IN 2015. NOYES DIABETES EDUCATION PROGRAM:IN 2015, AN ADDITIONAL CERTIFIED DIABETES EDUCATOR WAS ADDED TO OUR AMERICAN ASSOCIATION OF DIABETES EDUCATORS RECOGNIZED NOYES DIABETES EDUCATION PROGRAM TO EXPAND SERVICES INTO HORNELL AREA IN RESPONSE TO COMMUNITY NEED. IN 2015, THE NOYES DIABETES EDUCATION PROVIDED EDUCATION SERVICES AT SEVEN LOCATIONS THROUGHOUT LIVINGSTON COUNTY, INCLUDING THREE HOSPITAL AND FOUR HEALTH CARE PROVIDER OFFICES. PRIMARY STROKE CENTER DESIGNATION ACHIEVEMENT: IN MAY 2015, NOYES HEALTH ANNOUNCED THAT NOYES MEMORIAL HOSPITAL IN DANSVILLE WAS NOW A PRIMARY STROKE CENTER AS DESIGNATED BY THE NEW YORK STATE DEPARTMENT OF HEALTH. THE NYS DOH EXPERTS BELIEVE NOYES HEALTH HAD THOROUGHLY DEMONSTRATED THE GREATEST LEVEL OF COMMITMENT TO THE CARE OF STROKE PATIENTS THROUGH ITS CERTIFICATION FOR PRIMARY STROKE CENTERS. BECOMING A LEADER IN STROKE CARE AND POTENTIALLY PROVIDING A HIGHER STANDARD OF SERVICE FOR STROKE PATIENTS IN ITS COMMUNITY IS THE GOAL OF NOYES HEALTH.GVHP GRANT FUNDING WAS USED TO DEVELOP THE NEW COMMUNITYWIDE NOYES STROKE EDUCATION WEBSITE TO PROVIDE EASY TO UNDERSTAND AND ACCESS LOCAL STROKE PREVENTION, DETECTION AND TREATMENT EDUCATION THAT WENT LIVE JUNE 2015: WWW.TIMEISBRAINATNOYES.ORG OBESITY PREVENTION:DAY CARE GARDENS: THE GRANT FUNDED "KIDS DIG DIRT" PROGRAM ESTABLISHES GARDENS IN LOCAL DAY CARE CENTERS. NOYES WELLNESS PARTNERS WITH A LOCAL DAY CARE CENTERS TO GROW GARDENS THAT ARE TAKEN CARE OF AND HARVESTED BY THE CHILDREN AT THE CENTER. THE GOAL OF THE PROGRAM IS TO INTRODUCE CHILDREN TO A VARIETY OF VEGETABLES, BOTH FAMILIAR AND UNFAMILIAR, TO INCREASE THEIR DAILY VEGETABLE SERVINGS AND PROMOTE HEALTHY EATING IN PRE-SCHOOL AGE CHILDREN. IN 2015, THREE GARDENS WERE LOCATED AT AVON KIDS START DAY CARE CENTER WHERE 70 CHILDREN AND THEIR PARENTS WERE IMPACTED. POST SURVEY RESULTS OF FAMILIES: MAJORITY OF CHILDREN INCREASED VEGGIE SERVINGS/DAY. BREASTFEEDING INITIATIVES: BREASTFEEDING HAS BEEN SHOWN TO HAVE AN IMPACT ON OBESITY PREVENTION THROUGHOUT THE LIFE SPAN, WHILE ALSO CONTRIBUTING TO NUMEROUS OTHER POSITIVE HEALTH OUTCOMES. NOYES HEALTH WAS AN ACTIVE PARTNER IN ESTABLISHING THE FIRST BABY CAFE IN LIVINGSTON COUNTY, THAT OPENED IN AUGUST 2015. THIS DROP-IN CENTER WITH SERVICES TO SUPPORT BREASTFEEDING MOTHERS IS LOCATED AT THE GCC CAMPUS IN DANSVILLE.CONTINUUM OF CARE COALITION (CCC):THE CCC MEMBERSHIP HAS GROWN TO 30+ AREA HEALTH AND HUMAN SERVICE PROVIDERS AND MET FIVE TIMES AT NOYES HOSPITAL IN 2015 TO PROVIDE EDUCATION AND NETWORKING OPPORTUNITIES TO IMPROVE COMMUNICATION AND PARTNERSHIPS TO HELP PATIENTS TRANSITION MORE EFFECTIVELY THROUGH THE CONTINUUM OF CARE. PRESENTATION TOPICS INCLUDED: HEALTH INSURANCE ENROLLMENT IN THE MARKETPLACE, CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS, VETERANS SERVICE AGENCY, ALZHEIMER'S ASSOCIATION SERVICES, COUNCIL ON ALCOHOLISM AND SUBSTANCE ABUSE, HEALTH INSURANCE HOMES OF UPSTATE NY, CARE TRANSITIONS, AND FALL PREVENTION AND MEDICATION ADHERENCE. THE COALITION WORKS TOGETHER TO ADDRESS CHALLENGES, SUCH AS: NEED FOR HOME HEALTH AIDES TO MEET NEEDS AND BETTER UNDERSTANDING OF THE MEDICAID LONG TERM CARE PROGRAMS IN OUR AREA. PREVENTION AGENDA GOAL #2: MENTAL AND EMOTIONAL HEALTH ACHIEVEMENTS NOYES MENTAL HEALTH SERVICES: PROGRAM SERVICES, PROVIDERS AND LOCATIONS CONTINUED TO EXPAND IN 2015 IN RESPONSE TO NEED AND THIS PREVENTION AGENDA PRIORITY FOR LIVINGSTON COUNTY. THE GOAL IS TO IMPROVE ACCESS TO CARE FOR THOSE WHO REQUIRE MENTAL AND EMOTIONAL HEALTH SERVICES. STAFFING: INCREASED FROM 17.5 TO 18 FTE'S AND INCLUDES A FULL TIME CHILD AND ADOLESCENT PSYCHIATRIST.OFFICE LOCATIONS: EXPANDED FROM SIX TO SEVEN, WITH NEWEST SATELLITE AT GENESEO CENTRAL SCHOOLCRISIS MANAGEMENT: DAILY WALK-IN CRISIS SERVICES AT MAIN DANSVILLE CLINIC LOCATIONOUTCOMES: PATIENT VISITS INCREASED 18% (11,000 TO 13,000) SOCIAL AND EMOTIONAL HEALTH COMMUNITY HEALTH IMPROVEMENT PLAN COMMITTEE:THE GOAL IS TO STRENGTHEN SOCIAL AND EMOTIONAL HEALTH. THE COMMITTEE WORKS ON DECREASING SUBSTANCE ABUSE AND CHEMICAL DEPENDENCY IN ADDITION TO ADDRESSING MENTAL HEALTH ISSUES. NOYES MENTAL HEALTH SUPPORTED THE FOLLOWING TASK FORCE INITIATIVES IN 2015: SUICIDE PREVENTION TASK FORCE: SUICIDE RATES IN LIVINGSTON COUNTY ARE ON THE RISE. THIS TASK FORCE CONTINUES TO IDENTIFY SUICIDE PREVENTION EDUCATION INITIATIVES. IN 2015, A CANDLELIGHT VIGIL WAS HELD IN GENESEO WITH 40+ PEOPLE IN ATTENDANCE, A NEW PUBLIC SERVICE ANNOUNCEMENT WAS DEVELOPED AND SHOWN AT THE GENESEO THEATER, SUICIDE PREVENTION TRAINING WAS PROVIDE TO LOCAL LAW ENFORCEMENT IN DECEMBER WITH OVER 20 ATTENDEES, AND SAFETALK SUICIDE PREVENTION TRAINING WAS OFFERED TO ALL LOCAL SCHOOLS. PRESCRIPTION DRUG DISPOSAL TASK FORCE: ADDRESSED NEED FOR PROPER PRESCRIPTION DRUG DISPOSAL IN THE COUNTY. COMMUNITY WIDE MEDICATION DROP OFF POINT WAS ESTABLISHED AT LOCAL SHERIFF'S DEPARTMENT AND WORK CONTINUES TO IDENTIFY TWO MORE LOCATIONS FOR LOCAL DROP BOXES. ALCOHOLICS ANONYMOUS (AA) MEETINGS:NOYES HOSPITAL PROVIDES CONFERENCE ROOM SPACE FOR WEEKLY AA AND NARCOTICS ANONYMOUS MEETINGS, AT NO CHARGE TO THE GROUP. THESE EFFORTS SUPPORT COMMUNITY NEED FOR SUPPORT GROUPS TO HELP THOSE LIVING IN OUR SERVICE AREA WHO STRUGGLE WITH ADDICTION ISSUES.

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - LIVINGSTON HEALTH SERVICES
50 EAST SOUTH STREET	GENESEO	NY	14454	OUTPATIENT SURGERY, DIAGNOSTIC AND URGENT CARE
2 - MENTAL HEALTH CLINIC
1 MAIN STREET	DANSVILLE	NY	14437	MENTAL HEALTH CLINIC
3 - NOYES CTR FOR KIDNEY DISEASE & DIALYSIS
4616 MELLENIUM DRIVE	GENESEO	NY	14454	CHRONIC DIALYSIS CENTER AND NEPHROLOGIST
4 - OB-GYN ASSOC OF THE FINGER LAKES
253 MAIN STREET	DANSVILLE	NY	14437	OUTPATIENT PHYSICIAN CLINIC
5 - CREEKSIDE FAMILY MEDICINE
12 NORTH CHURCH ST	CANASERAGA	NY	14822	PRIMARY CARE PHYSICIAN OFFICE

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II, COMMUNITY BUILDING ACTIVITIES:	NOYES HEALTH IS AN ACTIVE LEADER AND MEMBER OF GENESEE VALLEY HEALTH PARTNERSHIP.WE HAVE STAFF WHO SIT ON THREE OF THE GVHP COMMUNITY HEALTH IMPROVEMENT COMMITTEES: SAFE COMMUNITIES, CHRONIC DISEASE MANAGEMENT AND MENTAL & EMOTIONAL HEALTH.IN 2015, THESE COMMITTEES IMPLEMENTED MULTIPLE WORK PLAN STRATEGIES:- NOYES HEALTH COMPLETED STROKE CENTER DESIGNATION PROCESS AND TIMEISBRAINATNOYES.ORG COMMUNITY EDUCATION WEBSITE WAS DEVELOPED.- NOYES HEALTH EXPANDED OUR EVIDENCE BASED CHRONIC DISEASE SELF-MANAGEMENT PROGRAM CLASSES IN LIV CO TO INCLUDE CDSMP AND DSMP (DIABETES). PLAN TO EXPAND AND INCLUDE CPSMP (CHRONIC PAIN) IN 2016- NOYES MENTAL HEALTH SERVICES WERE EXPANDED FROM 6-7 LOCATIONS AND FTE'S INCREASE FORM 17.5 TO 18 TO MEET COMMUNITY NEED AND IMPROVE ACCESS TO CARE. ASSESSING NEW LOCATIONS FOR THE CLINIC THAT CAN INCORPORATE ALL PROVIDERS THAT ARE NOW IN TWO LOCATIONS.- NOYES COMMUNITY OUTREACH ESTABLISHED YET ANOTHER GARDEN AS PART OF CHILDHOOD OBESITY PREVENTION AT LARGE DAY CARE CENTER- NOYES HEALTH WAS PART OF EXPANDING BREASTFEEDING INITIATIVES IN COLLABORATION WITH THE LIV CO DOH TO CONTINUE TO GROW BREAST FEEDING RATES WITH OUR CURRENT SIX CLC'S- CONTINUUM OF CARE COALITION MET SIX TIMES WITH 35 AGENCY MEMBERS TO ADDRESS COMMUNITY HEALTH NEEDS ACROSS THE CONTINUUM OF CARE. AGENCY/SERVICE INFO. PRESENTED AT EACH MEETING, I.E. HEALTH INS ENROLLMENT IN THE MARKETPLACE, CDSMP, HEALTH INSURANCE HOMES, CARE TRANSITIONS, AND FALL PREVENTION. VERY ACTIVE GROUP WITH HIGH PARTICIPATION AND NETWORK EXPANSION.- NOYES WORKED COLLABORATIVELY WITH LIV CO DOH TO PROMOTE THEIR RETAIL PROJECT LABELING HEALTHY FOOD ITEMS IN GROCERY STORES, THEIR RESTAURANT PROJECT WORKING W/AREA RESTAURANTS TO PROVIDE HEALTHY FOOD OPTIONS WHEN EATING OUT, WORKSITE WELLNESS ASSESSMENTS, WITH WELLNESS TOOLKIT OPTIONS TO IMPLEMENT BASED ON ASSESSMENT, AND SCHOOL HEALTH INDEXES TO AGAIN WORK ON SUPPORTING FITNESS AND NUTRITION NEEDS FOR THE SCHOOL.NOYES HEALTH IS COMMITTED TO MEETING COMMUNITY NEED AS SEEN BY EXAMPLES ABOVE AND ALL OUR COLLABORATIVE EFFORTS ON WIDE SPECTRUM OF HEALTH CARE NEEDS THAT RANGE FROM PRENATAL TO END OF LIFE HEALTH CARE NEEDS. PROGRAMS INCLUDE: NOYES FIRST STEPS PRENATAL ED AND SUPPORT SERVICES...ADULT HEALTH CARE EDUCATION AND SCREENINGS...DIABETES EDUCATION...AND A VAST NUMBER OF ELDERCARE PROGRAMS INCLUDING: EARS LIFELINE (PERS) MEDICAL ALERT, MEDICATION DISPENSING SERVICES, CAREGIVER RESOURCE CENTER, CDSMP, FALL PREVENTION COALITION, AND ALZHEIMER'S EDUCATION AND SUPPORT GROUPS.
PART III, LINE 4:	COSTING METHOD FOR BAD DEBT EXPENSE AT COST IS THE RATIO OF PATIENT CARE COST TO CHARGES FROM WORKSHEET 2 MULTIPLIED BY THE DEMOGRAPHICS OF OUR PRIMARY SERVICE AREA FOR THOSE WHO WOULD RECEIVE CHARITY CARE IF GIVEN ENOUGH INFORMATION.
PART III, LINE 8:	THE SOURCE OF THE MEDICARE ALLOWABLE COSTS IS THE 2015 MEDICARE COST REPORT.
PART VI, LINE 2:	PUBLIC PARTICIPATION: COMMUNITY HEALTH ASSESSMENTIN 2013, THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH AND NOYES HEALTH COMPLETED THE REQUIRED ANNUAL COMMUNITY NEEDS HEALTH ASSESSMENT BETWEEN FEBRUARY AND SEPTEMBER. A CHA LEADERSHIP TEAM WAS CREATED UNDER THE DIRECTION OF CO-COORDINATORS FROM THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH AND NOYES HEALTH.INFORMATION FROM 427 COMMUNITY SURVEYS, TWO COMMUNITY FORUMS WITH LOW ATTENDANCE, TWO COMMUNITY FOCUS GROUPS (SENIOR NUTRITION AND THE ARC OF LIVINGSTON COUNTY - NOTE: MENTAL HEALTH FOCUS GROUP ATTEMPTED, BUT UNSUCCESSFUL) AND HEALTH CARE DATA IN OUR COMMUNITY WAS USED TO IDENTIFY THE TOP TWO NYS PREVENTION AGENDA (PA) PRIORITIES TO BE USED TO DEVELOP THE NOYES HEALTH THREE-YEAR COMMUNITY SERVICE PLAN (CSP) AND THE LIVINGSTON COUNTY DEPARTMENT OF HEALTH'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP).THE IMPLEMENTATION OF THE CSP AND CHIP IS OVERSEEN BY THE GENESEE VALLEY HEALTH PARTNERSHIP (GVHP). GVHP IS A NON-PROFIT, RURAL HEALTH NETWORK OF MORE THAN 40 DIFFERENT ORGANIZATIONS THAT ARE EITHER BASED IN LIVINGSTON COUNTY OR PROVIDE SERVICES TO LIVINGSTON COUNTY RESIDENTS. THE GVHP IS FUNDED BY AN OFFICE OF RURAL HEALTH GRANT AND IS A 501(C)3 ORGANIZATION. THEIR MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE LIVINGSTON COUNTY COMMUNITY THROUGH COLLABORATION, EDUCATION AND PREVENTION.DURING 2015, COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) COMMITTEES WORKED YEAR ROUND ON OUR TWO PREVENTION AGENDA PRIORITIES:1. PREVENT CHRONIC DISEASE2. PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSETHE COMMUNITY HEALTH ASSESSMENT IS COMPLETED EVERY THREE YEARS AND WILL BE DONE AGAIN IN 2016 UNDER THE DIRECTION AND SUPPORT OF THE GENESEE VALLEY HEALTH PARTNERSHIP IN LIVINGSTON COUNTY. THE RESULTS WILL USED TO COMPILE A NEW LIVINGSTON COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN.
PART VI, LINE 3:	FOR 2015, WE CONTINUED OUR EFFORTS TO COMMUNICATE OUR FINANCIAL AID POLICY. EVERY UNINSURED AND UNDERINSURED PATIENT RECEIVED A FINANCIAL AID PACKET THAT CONSISTING OF THE FINANCIAL AID PROGRAM SUMMARY AND BROCHURE, A FINANCIAL AID (FA) APPLICATION AND INSTRUCTIONS ON HOW TO APPLY, AS WELL AS HOW TO RECEIVE ASSISTANCE IN APPLYING. WE HAVE A SOCIAL WORKER AND A DEDICATED FA BILLING REPRESENTATIVE WHO WORK SPECIFICALLY WITH ALL UNINSURED PATIENTS UPON ADMISSION AND FOLLOWING SERVICE/CARE, AS NEEDED. ONGOING CHALLENGE IS GETTING PATIENTS TO PARTICIPATE IN THE FINANCIAL ASSISTANCE PROCESS. WE GIVE MANY CHARITY CARE APPLICATIONS AND BROCHURES OUT AT THE TIME OF SERVICE AND THEN AGAIN WHEN BILLING STATEMENTS GO OUT TO PATIENTS. WE, LIKE MANY HOSPITALS, TRY TO EDUCATE PATIENTS ON FINANCIAL ASSISTANCE AVAILABLE VIA A VARIETY OF AVENUES, BUT STRUGGLE WITH THE CHALLENGE OF GETTING PATIENTS TO TAKE ADVANTAGE OF THE AVAILABLE ASSISTANCE.
PART VI, LINE 4:	IN 2015, LIVINGSTON COUNTY WAS RANKED #7 ACCORDING TO THE NATIONAL COUNTY HEALTH RANKINGS AND ROADMAPS REPORT. THE RANKINGS ARE BASED ON A MODEL OF POPULATION HEALTH THAT EMPHASIZES THE MANY FACTORS THAT, IF IMPROVED, CAN HELP MAKE COMMUNITIES HEALTHIER PLACES TO LIVE, LEARN, WORK AND PLAY.DEMOGRAPHIC DATA:LIVINGSTON COUNTY COVERS 640 SQUARE MILES AND HAS A POPULATION OF 64,717THE PERCENTAGE OF RESIDENTS WHO ARE 65+ CONTINUES TO GROW ANNUALLY AND2014 DATA INDICATES THE RATE HAS INCREASED TO 15.8% OF TOTAL POPULATIONACCORDING TO THE US CENSUS BUREAU, 18.7% OF LIVINGSTON COUNTY RESIDENTSARE BELOW 18 YEAR OF AGE, 92.2% ARE NON-HISPANIC WHITE, 3.4% AREHISPANIC, AND 5.7% OF HOMES SPEAK A LANGUAGE OTHER THAN ENGLISHMEDIAN HOUSEHOLD INCOME: $52,200 WITH 14.7% LIVING BELOW POVERTY LEVELLIVINGSTON COUNTY HEALTH DATA INDICATING OPPORTUNITIES TO IMPROVE (BASED ON NYS PREVENTION AGENDA DASHBOARD)OBESITY RATE IN ADULTS: 33.6% AS COMPARED TO NYS 24.9% AND PREVENTION AGENDA (PA) 2018 GOAL 23.2%OBESITY IN CHILDREN: 19.1% AS COMPARED TO NYS 17.3% AND PA 2018 GOAL 16.7%AGE-ADJUSTED SUICIDE DEATH RATE PER 100,000: 15.4 AS COMPARED TO NYS 8 AND PA 2018 GOAL 5.9CIGARETTE SMOKING: 23% AS COMPARED TO NYS 15.6% AND PA 2018 GOAL 12.3%DIABETES - CHILDREN: RATE OF HOSPITALIZATIONS FOR SHORT-TERM COMPLICATIONS OF DIABETES PER 10,000 - AGED 6-17 YEARS IS 3.76 AS COMPARED TO NYS 3.11 AND PAGOAL 3.06DIABETES - ADULTS: RATE OF HOSPITALIZATIONS FOR SHORT-TERM COMPLICATIONS OF DIABETES PER 10,000 - AGED 18+ YEARS 5.92 AS COMPARED TO NYS 6.29 AND PA 2018GOAL 4.86
PART VI, LINE 5:	NOYES BOARD OF DIRECTORS: OUR ORGANIZATION IS GOVERNED BY A VOLUNTEER BOARD OF DIRECTORS WHO REPRESENT THE COMMUNITIES OF LIVINGSTON AND SURROUNDING COUNTIES. THE 17 MEMBERS BRING DIVERSE BACKGROUNDS AND TALENTS TO THE ORGANIZATION. THEY SET NOYES HEALTH'S STRATEGIC DIRECTION AND ARE CONSTANTLY ADVOCATING FOR THE HOSPITAL, PATIENTS, AND FAMILIES.NOYES HEALTH CARE PROVIDERS: NOYES HAS AN OPEN MEDICAL STAFF AND IS STAFFED WITH DOCTORS WHO STRIVE TO MEET OUR GOAL FOR EXCEPTIONALLY PERSONALIZED PATIENT CARE--LIKE EVERYONE AT NOYES THEY KEEP THE FOCUS ON THE PATIENT. REPRESENTING A WIDE RANGE OF SPECIALTIES AND SUBSPECIALTIES, OUR PHYSICIANS HAVE EXPERTISE AND EXPERIENCE TO PROVIDE YOU WITH THE HIGHEST STANDARD OF CARE.NOYES COMMUNITY OUTREACH SERVICES: PROVIDE MANY PREVENTIVE, EDUCATION AND SCREENING SERVICES THROUGHOUT OUR HEALTHCARE COMMUNITY, VIA ONE-TO-ONE VISITS (OFFICE OR HOME), CLASSES, EVENTS, AND CLINICS:- EARS LIFELINE AND MEDICATION DISPENSING SERVICES: ALL HOME VISITS- NOYES FIRST STEPS: PRENATAL EDUCATION AND SUPPORT SERVICES FOR LOW INCOME AND/OR HIGH NEED CLIENTS TO SUPPORT HEALTHY BIRTH OUTCOMES, INCLUDES OFFICE AND HOME VISITS.- CAREGIVER RESOURCE CENTER: EDUCATION, INFORMATION AND ASSISTANCE, SUPPORT GROUPS, RESPITE, MONTHLY NEWSLETTER PROVIDED VIA HOME VISITS, PHONE CALLS, CLASSES, AND EVENTS- LIVING HEALTHY AND LIVING HEALTHY W/DIABETES: CHRONIC DISEASE SELF MANAGEMENT CLASSES PROVIDED THROUGHOUT THE COUNTY 4 TIMES/YR- COMMUNITY EDUCATION: CLASSES (SMOKE CESSATION, MEDICAL TERMINOLOGY, PHLEBOTOMY TRAINING), TRAININGS, SPEAKER'S BUREAU ON HEALTH AND WELLNESS TOPICS, AND WEEKLY HEALTH ED ARTICLES IN BOTH LOCAL NEWSPAPERS.- CLINICS: FREE BLOOD PRESSURE SCREENINGS AT LOCAL GROCERY STORES AND FAIR/FESTIVAL EVENTS, WITH REFERRAL AND FOLLOW UP, AS NEEDED- WORKSITE WELLNESS PROGRAM: FITNESS, NUTRITION AND STRESS MANAGEMENT OPPORTUNITIES THROUGHTOUT THE YEAR COORDINATED BY OUR HEALTH EDUCATOR FOR APROX. 400 NOYES FTE'S AND THEIR FAMILIES.PARTNERSHIPS:- NOYES HEALTH WORKS CLOSELY WITH ALL HEALTH AND HUMAN SERVICE AGENCIES IN LIVINGSTON COUNTY, I.E. OFFICE FOR AGING, DEPT OF HEALTH, DEPT OF SOCIAL SERVICES, ARC, CATHOLIC HEALTH OF LIV CO, AND TRIAD.- WE ARE LEADERS AS BOARD MEMBERS AND GENERAL MEMBERSHIP FOR THE COUNTYWIDE RURAL HEALTH FUNDED GENESEE VALLEY HEALTH PARTNERSHIP.- NOYES LEADS THE NEW CONTINUUM OF CARE COALITION STARTED IN 11/13, HAS 30 AGENCY MEMBERS AND MEETS 6 TIMES/YR.- NOYES ALSO LEADS THE DIABETES EDUCATION COALITION AND MATERNAL CHILD HEALTH COALITION FOR LIV. CO.- WE HAVE HOSPITAL STAFF ON MULTIPLE COUNTY COMMITTEES AND BOARDS, I.E.: OFFICE FOR AGING ADVISORY BOARD, TRIAD, COMMUNITY RESOURCE NETWORK, TRANSPORTATION SAFETY COMMITTEE, SEXUAL HEALTH COMMITTEE, FALL PREVENTION COALITION, AND THREE OF FOUR COMMUNITY HEALTHY IMPROVEMENT PLAN (CHIP)COMMITTEES: SAFE COMMUNITIES,CHRONIC DISEASE MANAGEMENT, AND SOCIAL/EMOTIONAL HEALTH.NOYES COMMUNITY OUTREACH SERVICES PROVIDE MANY PREVENTIVE, EDUCATION AND SCREENING SERVICES THROUGHOUT THE COMMUNITY AND INCLUDES HOME VISITS FOR SOME SERVICES:- EARS LIFELINE AND MEDICATION DISPENSING SERVICES: ALL HOME VISITS- NOYES FIRST STEPS: PRENATAL EDUCATION AND SUPPORT SERVICES FOR LOW INCOME AND/OR HIGH NEED CLIENTS, INCLUDES OFFICE AND HOME VISITS.- CAREGIVER RESOURCE CENTER: HOME VISITS, PHONE CALLS, CLASSES, SUPPORT GROUPS, AND EVENTS- LIVING HEALTHY AND LIVING HEALTHY W/DIABETES: CHRONIC DISEASE SELF MANAGEMENT CLASSES PROVIDED THROUGHOUT THE COUNTY 4 TIMES/YR- COMMUNITY EDUCATION: CLASSES, TRAININGS AND SPEAKER'S BUREAU ON HEALTH AND WELLNESS TOPICS- CLINICS: FREE BLOOD PRESSURE SCREENINGS AT LOCAL GROCERY STORES AND FAIR/FESTIVAL EVENTS
PART VI, LINE 7, REPORTS FILED WITH STATES	NY

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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	0	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 (7 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
AMY POLLARD
PRESIDENT/CEO	$179,811	$0	$25,000	$0	$1,089	$0	$0	$0	$7,241	$0	$213,141	$0	$0	$0
DOUGLAS MAYHLE MD
MEDICAL DIRECTOR	$386,144	$0	$0	$0	$13,119	$0	$0	$0	$6,022	$0	$405,285	$0	$0	$0
ROBERT CAPECCI MD
PHYSICIAN-ORTHOPEDIST	$581,539	$0	$0	$0	$1,584	$0	$0	$0	$7,466	$0	$590,589	$0	$0	$0
BRIAN FORESMAN
GENERAL SURGEON	$492,358	$0	$0	$0	$360	$0	$0	$0	$7,466	$0	$500,184	$0	$0	$0
KEVIN O'KEEFE
ORTHOPEDIST	$472,056	$0	$15,000	$0	$184	$0	$0	$0	$4,838	$0	$492,078	$0	$0	$0
CHIRAG PATEL
ANESTHESIOLOGIST	$375,297	$0	$10,000	$0	$240	$0	$0	$0	$7,466	$0	$393,003	$0	$0	$0
DONALD DUNAC
ANESTHESIOLOGIST	$319,109	$0	$34,168	$0	$240	$0	$0	$0	$7,466	$0	$360,983	$0	$0	$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
LIVINGSTON COUNTY INDUSTRIAL DEVELOPMENT AGENCY
A	161136853	538655AD3	2005-06-29	$9,471,914	SEE PART VI	0	0	0
LIVINGSTON COUNTY INDUSTRIAL DEVELOPMENT AGENCY
B	161136853	538655AE1	2007-12-20	$615,060	REFUND OF PRIOR BONDS (06/30/99)	0	0	Yes (1)

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Credit EnhancementCreditEnhancementAmt
A	$3,330,000	$9,763,548	$805,638	$625,676	$189,438	$6,449,941	$1,692,856	2006	Yes (1)	0	Yes (1)	Yes (1)
B	$384,948	$615,060			$12,301	$10,309	$589,366	2003	Yes (1)	0	Yes (1)	Yes (1)	$3,084

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	Yes (1)	Yes (1)	0	0.01200	0.01200	0	0	0
B	0	0	0		0			0	0	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	Yes (1)	0	0	0	0	0	Yes (1)
B	0	0	Yes (1)	0	Yes (1)	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE A, COLUMN (F):	ACQUISITION, RENOVATION, CONSTRUCTION AND EQUIPPING OF IMPROVEMENTS TO A HOSPITAL FACILITY; REFUNDING OF PRIOR BONDS (9/17/1998)
PART I, LINE B, COLUMN (E) AND PART II, LINES 1 - 12, COLUMN B	REPRESENTS AM ALLOCATION OF 12.24% OF THIS BOND ISSUE; THE REMAINING 87.76% IS ALLOCATED TO RED JACKET CENTER, INC., A RELATED ORGANIZATION.
PART II, LINE 3, COLUMN A	THE TOTAL PROCEEDS DO NOT AGREE WITH THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENTS EARNINGS.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	ROBERT BONVINO	PersonNm
Relationship With Org	FORMER EMPLOYEE	RelationshipWithOrgTxt
Loan Purpose	START-UP	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$173,535	OriginalPrincipalAmt
Balance Due	$177,801	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	Yes (1)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$177,801	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
NANCY JOHNSEN
WIFE OF BOARD MEMBER	$58,428	COMPENSATION	0
JOAN FLENDER
BOARD MEMBER	$50,000	PEDIATRIC CALL COVERAGE	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11	FORM 990 IS REVIEWED BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12C	BOARD OF DIRECTORS REGULARLY REVIEWS THE CONFLICT OF INTEREST POLICY AND ASSURES ITS COMPLIANCE.
FORM 990, PART VI, SECTION B, LINE 15A	THE BOARD OF DIRECTORS REVIEWS THE GOALS AND OBJECTIVES OF THE CEO ALONG WITH COMPARABILITY DATA TO DETERMINE HER/HIS COMPENSATION. THE DELIBERATION AND DECISION IS RECORDED IN THE MINUTES OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 18	BY REQUEST TO THE CEO, CFO OR ADMINISTRATIVE ASSISTANT. ALSO AVAILABLE ON GUIDESTAR WEBSITE.
FORM 990, PART VI, SECTION C, LINE 19	BY REQUEST TO THE CEO, CFO OR ADMINISTRATIVE ASSISTANT.
FORM 990, PART VII	GRAHAM FRAZER - 8889 REEDS CORNERS ROAD, DANSVILLE, NY 14437. JOHN LOCKHART - 32 MAIN STREET, GENESEO, NY 14454. MICHAEL JOHNSEN - 3927 COLTON HILL ROAD, DALTON, NY 14836. LESLIE COLE, JR. - 3186 BRONSON HILL ROAD, LIVONIA, NY 14487. JOE BUCCI, JR. - 35 CAVALRY ROAD, GENESEO, NY 14454. JOAN FLENDER, MD - P.O. BOX 499, DANSVILLE, NY 14437. GEOFFREY WITTIG, M.D. - 10055 MCNINCH RD, DANSVILLE, NY 14437. MARK LYONS - 3822 CENTER STREET, LIVONIA, NY 14487. DOMENICK MARTELLO - 4939 BLANK HILL ROAD, DANSVILLE, NY 14437. LINDSAY QUINTILONE - 2 COURT STREET, GENESEO, NY 14454. BERNARD SWEENEY, M.D. - 4380 RESERVOIR RD, GENESEO, NY 14454. MARILYN MOORE - 1856 DUNKLEY RD, LEICESTER, NY 14481. JAMES CULBERTSON - 5879 DIETER ROAD, DANSVILLE, NY 14437. RICHARD RIZZIERI - 11 WHEELER ST., COHOCTON, NY 14826.
FORM 990, PART XI, LINE 9:	CHANGE IN INTEREST IN FOUNDATION -2,172,777. PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COSTS -950,463. GAIN ON EXTINGUISHMENT OF RELATED PARTY DEBT 2,025,846.
FORM 990, PART XII, LINE 2(C):	THE HOSPITAL DID NOT CHANGE THE OVERSIGHT PROCESS IN THE CURRENT YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 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
THE FOUNDATION FOR NOYES MEMORIAL HEALTH SYSTEM INC
111 CLARA BARTON ST	DANSVILLE	NY	14437	161584778	TO PROVIDE FUNDS FOR BENEFIT OF THE HOSPITAL	NY	501(C)(3)	170(B)(1)(A) (VI)	0
RED JACKET CENTER INC
111 CLARA BARTON ST	DANSVILLE	NY	14437	161037658	TO MAINTAIN A BUILDING AND LEASE SPACE TO THE HOSPITAL	NY	501(C)(3)	SECTION 509 (A)(3)	0

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	0	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	Yes (1)	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	Yes (1)	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 (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt
RED JACKET CENTER INC
Q	$2,307,359
FOUNDATION FOR NOYES MEMORIAL HEALTH SYSTEM INC
P	$2,452,052
RED JACKET CENTER INC
K	$537,498