2015-12-14T10:09:45-06:00 2014-12-31 BKD LLP 1551 N WATERFRONT PKWY STE 300 WICHITA KS 672066601 990 2014-01-01 160755799 ORLEANS COMMUNITY HEALTH % LORI CONDO ORLE 5857988423 200 OHIO STREET MEDINA NY 14103 WENDY JACOBSON CEO 5857988102 2015-11-30 true ELIZABETH S HOGAN P00273248 3162652811 2014 2016-02-25 16:41:14Z MEDINA MEMORIAL HOSPITAL WENDY JACOBSON 200 OHIO STREET MEDINA NY 14103 34991384 false X WWW.MEDINAMEMORIAL.ORG X 1908 NY ORLEANS COMMUNITY HEALTH EXISTS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE BY PROVIDING EQUAL ACCESS TO QUALITY HEALTH CARE SERVICES (SEE SCHEDULE O) 13 13 575 48 0 0 596830 1511039 30775809 31714937 240126 349900 1735627 260814 33348392 33836690 0 0 0 0 20582552 18126758 0 0 0 14348611 16308356 34931163 34435114 -1582771 -598424 18508834 17366986 8674187 8130763 9834647 9236223 X ORLEANS COMMUNITY HEALTH EXISTS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE BY PROVIDING EQUAL ACCESS TO QUALITY HEALTH CARE SERVICES PROVIDED AT THE RIGHT TIME, IN THE RIGHT PLACE, WITH THE MOST EFFICIENT USE OF RESOURCES. (SEE SCHEDULE O) false false 27169002 0 31714937 PATIENT SERVICES - THE HOSPITAL PROVIDES ACUTE INPATIENT, LONG-TERM SKILLED NURSING FACILITY AND OUTPATIENT CARE TO PATIENTS WHO RESIDE PRIMARILY IN THE LOCAL GEOGRAPHIC REGION. THE HOSPITAL ACCEPTS ALL PATIENTS, REGARDLESS OF ABILITY TO PAY. THE POLICY ESTABLISHED BY THE HOSPITAL DFINES CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED. 27169002 true true false true false false false false false false true false false true true false true false false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 65 0 true 575 true true true false false false false false false false false false X 13 13 false true false false false false false true true false false true true true true true true true true false X LORI CONDO 5857988422 200 OHIO STREET MEDINA NY 14103 BRUCE KRENNING DIRECTOR/CHAIRMAN 2.0 1.0 X X 0 0 0 DAWN MELAND DIRECTOR/VICE CHAIRMAN 2.0 1.0 X X 0 0 0 PATRICIA FOX DIRECTOR/SECRETARY 2.0 0.0 X X 0 0 0 DAVID G MONTI DVM DIRECTOR/TREASURER 2.0 0.0 X X 0 0 0 RON FELSTEAD DIRECTOR 2.0 0.0 X 0 0 0 PATRICIA HERMANN DIRECTOR 2.0 0.0 X 0 0 0 CINDY HEWITT DIRECTOR 2.0 1.0 X 0 0 0 APRIL MCGAFFICK DIRECTOR 2.0 0.0 X 0 0 0 LANCE MARK DIRECTOR 2.0 1.0 X 0 0 0 JOSEPH MISTI MD DIRECTOR 2.0 1.0 X 0 0 0 LESLIE R MORSE DIRECTOR 2.0 0.0 X 0 0 0 ADAM M TABELSKI DIRECTOR 2.0 0.0 X 0 0 0 SHARON ZACHER DIRECTOR 2.0 0.0 X 0 0 0 DALE SPONAUGLE MD DIRECTOR 2.0 0.0 X 0 0 0 WENDY JACOBSON CNO/COO 40.0 0.0 X 131860 0 7470 DEBRA MICHALEK CFO 40.0 0.0 X 103226 0 12159 JAMES SINNER CEO 40.0 1.0 X 188365 0 0 DOLORES HORVATH CEO 40.0 1.0 X 0 0 0 THOMAS GUZZINO PHARMACIST 37.5 0.0 X 105014 0 21159 KATHLEEN BRAUEN PHARMACIST 37.5 0.0 X 104268 0 36791 JAMAL JANANIA DOCTOR 40.0 0.0 X 138014 0 19236 NAGUI ADEEB DOCTOR 40.0 0.0 X 201937 0 38810 MARY WILLIAMS HR DIRECTOR 40.0 0.0 X 102692 0 21095 1075376 0 156720 8 false true false QUEST DIAGNOSTICS LAB SERVICES 1316109 NEW YORK PHYSICIAN SERVICES ER DOCTOR COVERAGE 796839 HEALTH TECH MANAGEMENT MANAGEMENT 770532 GAFFEY HEALTHCARE BILLING SERVICES 459880 LIPPES MATHIAS WEXLER FRIEDMAN ATTORNEY FEES 411637 14 422586 1040820 47633 1511039 NET PATIENT SERVICE REVENUE 621990 31714937 31714937 31714937 1309 1309 0 0 23598 23598 0 23598 23598 1404702 98583 1050126 104568 354576 -5985 348591 348591 0 0 0 EMPLOYEE/GUEST MEALS 722513 72961 72961 VENDOR REBATES 900099 10971 10971 RECRUITMENT FEES 900099 9050 9050 144234 144234 237216 33836690 31714937 610714 0 0 0 0 433298 433298 0 14428227 11434952 2993275 346167 274351 71816 1814277 1081287 732990 1104789 875590 229199 885945 885945 417342 417342 485745 384053 101692 0 0 0 4232081 3967440 264641 12831 1359 11472 212135 158197 53938 604040 439560 164480 0 653528 475572 177956 162349 121997 40352 0 114643 48302 66341 95876 95876 0 1198466 872124 326342 372023 279926 92097 MEDICAL SUPPLIES 2955204 2955204 BAD DEBT 2797918 2797918 REPAIRS & MAINTENANCE 439164 332104 107060 FOOD 279787 279787 389279 389279 34435114 27169002 7266112 0 1556396 4464 0 289375 0 678798 5731950 6523680 0 0 0 0 0 0 405460 396465 191263 192912 34651632 28100124 6848523 6551508 1437146 0 0 0 0 0 0 0 2338096 2729784 18508834 17366986 5081248 5372824 0 0 0 0 0 0 0 0 0 0 1465262 2594683 0 0 2127677 163256 8674187 8130763 X 7803106 7259130 2031541 1977093 0 0 9834647 9236223 18508834 17366986 -598424 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 5859 false false false 5859 false SCHEDULE C, PART II-B, LINE 1F A PORTION OF THE DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND THE HEALTHCARE ASSOCIATION OF NEW YORK STATE ARE USED FOR LOBBYING. 13000 13000 14118447 8304315 5814132 337418 47208 290210 19812885 19748601 64284 369882 369882 6551508 DEFERRED COMPENSATION PLAN 163256 OTHER RECEIVABLES 24461 SEAGATE RECEIVABLE 398066 DEFERRED FINANCING COSTS 34685 INTEREST IN FOUNDATION 1977093 ESCROW DEPOSITS 132223 2729784 0 DEFERRED COMPENSATION PLAN 163256 163256 31099205 -2743470 -2743470 33842675 -5985 -5985 33836690 31643181 5985 5985 31637196 2797918 2797918 34435114 SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITION UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D PROVISION FOR UNCOLLECTIBLE ACCOUNTS (2,797,918) DECREASE IN TEMP. RESTRICTED NET ASSETS 54,448 SCHEDULE D, PART XI, LINE 4B LOSS ON SALE OF EQUIPMENT (5,985) SCHEDULE D, PART XII, LINE 2D LOSS ON SALE OF EQUIPMENT 5,985 SCHEDULE D, PART XII, LINE 4B PROVISION FOR UNCOLLECTIBLE ACCOUNTS 2,797,918 true true true X true X true false false 23698 23179 0.00070 2773244 2586085 187159 0.00590 2796942 2586085 210338 0.00660 2796942 2586085 210338 0.00660 false 2585274 8594872 8494657 100215 X true true 1 1 ORLEANS COMMUNITY HEALTH 200 OHIO STREET MEDINA NY 14103 WWW.MEDINAMEMORIAL.ORG X X ORLEANS COMMUNITY HEALTH 1 false false true X X X X X X X X 13 true true false true X WWW.MEDINAMEMORIAL.ORG X true 13 true WWW.MEDINAMEMORIAL.ORG false false true X 100 300. true true X true X X X true X false X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 COMMUNITY INPUT WAS OBTAINED THROUGH COMMUNITY HEALTH ASSESSMENT SURVEYS. THESE SURVEYS WERE USED TO HELP ACCESS THE COMMUNITY'S PERCEPTION OF HEALTH NEEDS. A SURVEY INSTRUMENT FOR USE IN ORLEANS, GENESEE AND WYOMING COUNTIES WAS DEVELOPED COLLABORATIVELY BY A GROUP OF LOCAL AGENCIES THAT INCLUDED THREE COUNTY HEALTH DEPARTMENTS (ORLEANS, GENESEE, WYOMING), ORLEANS COUNTY HEALTH, THE HEALTHY ORLEANS NETWORK, ORLEANS COMMUNITY HEALTH - CEO, DIRECTOR OF RESOURCE DEVELOPMENT, DIRECTOR OF HEALTH EDUCATION, WELLNESS AND OUTREACH, ORLEANS COUNTY PUBLIC HEALTH FOR ORLEANS AND GENESEE, DIRECTOR OF COMMUNITY ACTION OF ORLEANS AND GENESEE, DIRECTOR OF THE OFFICE FOR THE AGING, DIRECTOR OF ORLEANS COUNTY MENTAL HEALTH, LOCAL SCHOOL REPRESENTATION, ORLEANS COUNTY LEGISLATURE, YMCA FITNESS COORDINATOR, CEO OF OAK ORCHARD, DIRECTOR OF INDEPENDENT LIVING OF ORLEANS AND GENESEE, UNITED MEMORIAL MEDICAL CENTER, AND WYOMING COUNTY HOSPITAL. THE GOAL WAS TO DEVELOP ONE INSTRUMENT FOR ALL COUNTIES. SCHEDULE H, PART V, SECTION B, LINE 6A UNITED MEMORIAL MEDICAL CENTER AND WYOMING COUNTY HOSPITAL SCHEDULE H, PART V, SECTION B, LINE 11 THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED TWO PRIORITY AREAS. THE FIRST PRIORITY OF PREVENTING CHRONIC DISEASE WILL BE ADDRESSED BY INCREASING SCREENING RATES FOR CARDIOVASCULAR DISEASE, DIABETES AND CERTAIN CANCERS, ESPECIALLY AMONG DISPARATE POPULATIONS. ALL CANCER SERVICES CLIENTS WILL BE EVALUATED FOR APPROPRIATE SCREENINGS. GRANT OPPORTUNITIES WILL BE RESEARCHED. AS FUNDING ALLOWS, THE DIABETES PREVENTION PROGRAM, THE CHRONIC DISEASE SELF-MANAGEMENT PROGRAM AND THE GET FIT PROGRAM WILL BE IMPLEMENTED. PROMOTING MENTAL HEALTH AND PREVENTING SUBSTANCE ABUSE WAS THE SECOND PRIORITY IDENTIFIED. THE HOSPITAL WILL INCREASE PUBLIC AWARENESS OF THE MENTAL HEALTH SERVICES AVAILABLE IN THE TRI-COUNTY AREA. 1 ORLEANS COMMUNITY HEALTH OF ALBION 14789 ROUTE 31 ALBION NY 14411 FAMILY CLINIC SCHEDULE H, PART I, LINE 7 THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS CONTAINED IN THE TABLE OF PART I, LINE 7, OF SCHEDULE H, IS A COST TO CHARGE RATIO CALCULATION IN WORKSHEET 2. SCHEDULE H, PART I, LINE 7, COLUMN F THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $2,585,274. SCHEDULE H, PART III, LINE 2 IT IS AN ACCUMULATION OF 3% OF GROSS CHARGES ESTIMATED AS BAD DEBT, ACTUAL AMOUNTS WRITTEN OFF AS BAD DEBT, BAD DEBT RECOVERIES AND ADJUSTMENTS TO RESERVES. SCHEDULE H, PART III, LINE 4 THE RECEIVABLES ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF THE PATIENT ACCOUNTS THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF THE MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBT. MANAGEMENT REGULARLY REVIEWS DATA FOR THESE MAJOR PAYERS TO EVALUATE THE SUFFICIENT ALLOWANCES ARE MADE. FOR SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD PARTY COVERAGE THE SYSTEM ANALYZES THE CONTRACTUALS DUE AMOUNTS PROVIDES AND ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBT. THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBT IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE WHICH INDICATES THAT MANY PATIENTS ARE UNABLE AND UNWILLING TO PAY THE PORTION OF THEIR BILL WHICH THEY ARE FINANCIALLY RESPONSIBLE FOR. SCHEDULE H, PART III, LINE 8 THE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COST REPORTED IN THE HOSPITAL'S MEDICARE COST REPORT IS COST TO CHARGE RATIO. SCHEDULE H, PART VI, LINE 2 THE HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY THROUGH PATIENT SATISFACTION SURVEYS, FOCUS GROUPS OF COMMUNITY MEMBERS, BOARD OF DIRECTORS, AND EMPLOYEES, AND SPECIFIC HEALTH-RELATED PRIORITIES AS THEY ARISE. SCHEDULE H, PART VI, LINE 3 PATIENTS ARE INFORMED OF THE HOSPITAL'S CHARITY CARE POLICY AND GIVEN THE OPPORTUNITY TO APPLY. ELIGIBILITY REQUIREMENTS FOR MEDICAID AND RELATED GOVERNMENT ASSISTANCE PROGRAMS ARE ALSO SHARED WITH PATIENTS. SCHEDULE H, PART VI, LINE 4 ORLEANS COMMUNITY HEALTH IS THE ONLY FULL SERVICE ACUTE CARE SYSTEM IN ORLEANS COUNTY, WITH THE ONLY 24 HOUR A DAY, PHYSICIAN STAFFED EMERGENCY DEPARTMENT, SERVING APPROXIMATELY 43,000 RESIDENTS IN ORLEANS, EASTERN NIAGARA, AND NORTHERN GENESEE COUNTIES. SCHEDULE H, PART VI, LINE 5 ORLEANS COMMUNITY HEALTH OPERATES A 24 HOUR EMERGENCY ROOM WITH SERVICES ALSO INCLUDING A LICENSED LONG TERM HOME HEALTH CARE AGENCY OPERATING IN ORLEANS AND NIAGARA COUNTIES, TWO OUTPATIENT DIALYSIS CENTERS; ONE LOCATED IN MEDINA, NY, AND THE OTHER IN BATAVIA, NY, NINE CARF (COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES) ACCREDITED ACUTE PHYSICAL REHABILITATION BEDS, THIRTY HOSPITAL BASED SKILLED NURSING HOME BEDS, A NEWLY OPENED PRIMARY CARE CENTER IN ALBION, FOCUSING ON PREVENTIVE CARE FOR THE COMMUNITY, AND OUTPATIENT/AMBULATORY SERVICES IN MEDINA. SCHEDULE H, PART VI, LINE 6 N/A SCHEDULE H, PART VI, LINE 7 N/A X X X true false false false false false false false false JAMES SINNER CEO 83365 0 105000 0 0 0 0 188365 0 0 0 JAMAL JANANIA DOCTOR 137756 0 258 0 0 19236 0 157250 0 0 0 NAGUI ADEEB DOCTOR 201106 0 831 29346 0 9464 0 240747 0 0 0 SCHEDULE J, PART I, LINE 4A JAMES SINNER RECEIVED A SEVERANCE PAYMENT OF $105,000 WHEN HE STEPPED DOWN FROM THE CEO POSITION DURING 2014. FORM 990, PART 1, LINE 1 PROVIDED AT THE RIGHT TIME, IN THE RIGHT PLACE, WITH THE MOST EFFICIENT USE OF RESOURCES. THIS WILL BE ACCOMPLISHED THROUGH A COLLABORATIVE EFFORT WITH PHYSICIAN PARTNERS, HOSPITAL ASSOCIATES, VOLUNTEERS AND THE TWIG ASSOCIATION, USING PHILOSOPHY OF CONTINUOUS QUALITY IMPROVEMENT. FORM 990, PART III, LINE 1 THIS WILL BE ACCOMPLISHED THROUGH A COLLABORATIVE EFFORT WITH PHYSICIAN PARTNERS, HOSPITAL ASSOCIATES, VOLUNTEERS AND THE TWIG ASSOCIATION, USING PHILOSOPHY OF CONTINUOUS QUALITY IMPROVEMENT. FORM 990, PART VI, SECTION A, LINE 3 ORLEANS COMMUNITY HEALTH CONTRACTED WITH HEALTHTECH MANAGEMENT SERVICES, INC. WHICH PROVIDED AN INTERIM CEO AND MANAGEMENT SUPPORT. FORM 990, PART VI, SECTION B, LINE 11 AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE FORM 990. THE FORM 990 IS THEN REVIEWED BY VARIOUS INDIVIDUALS WITHIN MANAGEMENT. THE FINAL FORM 990, WITH ALL REQUIRED SCHEDULES, IS PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS, OFFICERS, AND COMMITTEE MEMBERS ANNUALLY REVIEW AND SIGN THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. ACTUAL OR POTENTIAL CONFLICTS OF INTEREST MUST BE DISCLOSED TO THE BOARD. AFTER DISCLOSURE AND DISCUSSION OF THE CONFLICT, THE INTERESTED PERSON MUST LEAVE THE MEETING WHILE THE REMAINING BOARD MEMBERS DISCUSS AND VOTE ON WHETHER A CONFLICT EXISTS. IF A CONFLICT DOES NOT EXIST, THE BOARD WILL DETERMINE WHETHER THEY CAN OBTAIN A MORE ADVANTAGEIOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF THAT IS NOT REASONABLY POSSIBLE, THE DISINTERESTED MEMBERS WILL VOTE TO DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS FAIR AND REASONABLE, IN THE ORGANIZATION'S BEST INTEREST, AND TO THE ORGANIZATION'S BENEFIT. FORM 990, PART VI, SECTION B, LINE 15A & 15B THE HUMAN RESOURCES DEPARTMENT PROVIDES DATA FOR OFFICERS AND KEY EMPLOYEES FROM THE WESTERN NEW YORK WAGE SURVEY TO DETERMINE COMPENSATION LEVELS WHICH ARE REVIEWED AND DETERMINED AT THE BOARD LEVEL. MINUTES ARE TAKEN FOR THESE MEETINGS. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE AVAILABLE UPON REQUEST FROM THE CHIEF FINANCIAL OFFICER. IN ADDITION, AN ANNUAL MEETING IS HELD, WHICH IS OPEN TO THE PUBLIC, SUMMARIZING MOST RECENT ANNUAL FINANCIAL RESULTS. FORM 990 PART IX LINE 11G DESCRIPTION:LAB SERVICES TOTAL FEES:1382332 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:1520368 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER CLINICAL SERVICES TOTAL FEES:1039225 FORM 990 PART IX LINE 11G DESCRIPTION:LAUNDRY & LINEN SERVICES TOTAL FEES:254856 FORM 990 PART IX LINE 11G DESCRIPTION:IT SERVICES TOTAL FEES:35300 ORLEANS COMMUNITY HEALTH FOUNDATION INC 200 OHIO STREET MEDINA NY 14103 161155081 SUPPORT NY 501(C)(3) 11B ORLEANS true ORCHARD MANOR INC 200 OHIO STREET MEDINA NY 14103 161329745 HEALTH CARE NY 501(C)(3) 9 ORLEANS true false false true false true false false false false false false true false false false false false false true ORLEANS COMMUNITY HEALTH FOUNDATION INC S 61127 FMV ORCHARD MANOR INC S 361459 FMV