SOLDIERS & SAILORS MEMORIAL: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- SOLDIERS & SAILORS MEMORIAL (EIN 16-0743192)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201343189349301869
- Schema version
- 2012v2.1
- 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 H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-14T09:25:25-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160743192 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Soldiers and Sailors Memorial Hospital | BusinessNameLine1 |
| Business Name Line2 | of Yates County | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SOLD | NameControl |
| Phone | 3157874030 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 418 North Main Street | AddressLine1 |
| City | Penn Yan | City |
| State | NY | State |
| ZIP Code | 14527 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Pamela E Johnson | Name |
| Title | Treasurer & CFO | Title |
| Phone | 3157874030 | Phone |
| Date Signed | 2013-11-14 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Jose Acevedo MD MBA | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 196 North Street | AddressLine1 |
| City | Geneva | City |
| State | NY | State |
| ZIP Code | 14456 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 33781173 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.flhealth.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1924 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | Soldiers and Sailors Memorial Hospital is a community based, not-for-profit critical access hospital dedicated to maintaining and improving the health of all people in the central Finger Lakes region. We are committed to safe, high quality, compassionate services that are convenient, accessible and at reasonable cost, through the efforts of our employees, medical staff and volunteers. We are a center for health education that lives its leadership commitments through participation in and sponsorship of professional, allied health and community health education programs. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 19 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 532 | TotalNbrEmployees |
| Total Nbr Volunteers | 43 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 328055 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 323377 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 28132801 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 28585592 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 692631 | InvestmentIncomePriorYear |
| Investment Income Current Year | 496123 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1099758 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 30253245 | TotalRevenuePriorYear |
| Total Revenue Current Year | 29405092 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 19818760 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 20170183 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 11225034 | OtherExpensePriorYear |
| Other Expenses Current Year | 9497147 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 31043794 | TotalExpensesPriorYear |
| Total Expenses Current Year | 29667330 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -790549 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -262238 | RevenuesLessExpensesCY |
| Total Assets BOY | 43447790 | TotalAssetsBOY |
| Total Assets EOY | 45118728 | TotalAssetsEOY |
| Total Liabilities BOY | 26333221 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 28141877 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 17114569 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 16976851 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | Soldiers and Sailors Memorial Hospital is a community based, not-for-profit critical access hospital dedicated to maintaining and improving the health of all people in the central Finger Lakes region. We are committed to safe, high quality, compassionate services that are convenient, accessible and at reasonable cost, through the efforts of our employees, medical staff and volunteers. We are a center for health education that lives its leadership commitments through participation in and sponsorship of professional, allied health and community health education programs. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 26689887 | Expense |
| Revenue | 28387905 | Revenue |
| Description | In 2012 Soldiers and Sailors Memorial Hospital provided the following program services:Inpatient Acute Care - 2,101 patient days, $4,811,652 patient service revenues, $3,643,451 program expensesOutpatient Acute Care - 145,308 procedures and 3,451 clinic visits, $5,318,378 patient service revenues, $4,635,999 program expensesEmergency Services - 7,623 visits, $4,784,215 patient service revenues, $4,592,639 program expensesInpatient Long Term Care - 52,648 patient days, $10,085,711 patient service revenues, $9,928,911 program expensesOutpatient Long Term Care - 3,948 visits, $493,896 patient service revenues, $479,863 program expensesPsychiatric Inpatient Care - 1,665 patient days, $1,224,810 patient service revenues, $1,883,888 program expensesPsychiatric Outpatient Care - 8,538 clinic visits, $606,923 patient service revenues, $1,249,125 program expensesOther operating revenues - $1,062,320.In 2012 Soldiers and Sailors Memorial Hospital provided Charity Care valued at $60,960, Community Benefit valued at $398,953 and Community Building valued at $341,412. | Description |
| Total Program Service Expense | 26689887 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 2 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 532 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 19 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Pamela E Johnson | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3157874030 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 196 North Street | AddressLine1 |
| City | Geneva | City |
| State | NY | State |
| ZIP Code | 14456 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (31 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| Dominic Fonte | ||||||||||
| Chair | 1.00 | X | X | 0 | 0 | 0 | ||||
| Philip Beckley | ||||||||||
| Vice Chair | 1.00 | X | X | 0 | 0 | 0 | ||||
| Donald Gentilcore Jr | ||||||||||
| Secretary | 1.00 | X | X | 0 | 0 | 0 | ||||
| Rev James Adams | ||||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||||
| Michael Briggs | ||||||||||
| trustee | 1.00 | X | 0 | 0 | 0 | |||||
| David Bunnell | ||||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||||
| Menzo Case | ||||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||||
| Richard Catanise | ||||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||||
| Stephen DeRaddo | ||||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||||
| John Hicks | ||||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||||
| Amy Hoffman | ||||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||||
| Steven Lasser MD | ||||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||||
| Charles Lilly MD | ||||||||||
| Trustee | 1.00 | X | 306688 | 0 | 641 | |||||
| James Long | ||||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||||
| Ann McMullen | ||||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||||
| Kelly Mittiga | ||||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||||
| Laura Pedersen | ||||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||||
| Donald Wertman | ||||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||||
| Jose Acevedo MD MBA | ||||||||||
| President & CEO | 8.70 | X | X | 0 | 512389 | 23628 | 31.30 | |||
| Patricia Thompson | ||||||||||
| Treasurer & CFO | 8.70 | X | 0 | 216695 | 22694 | 31.30 | ||||
| Jason Feinberg MD | ||||||||||
| VP Med Aff & CMO, Former Trustee | 8.00 | 0 | 342814 | 24535 | 32.00 | X | ||||
| Frank Korich | ||||||||||
| VP & Site Administrator | 12.00 | 0 | 159384 | 23576 | 28.00 | X | ||||
| James Hiserodt | ||||||||||
| Senior VP, Operations | 6.00 | 0 | 229275 | 22492 | 34.00 | X | ||||
| Eileen Gage | ||||||||||
| VP, Nursing | 10.00 | 0 | 190100 | 22807 | 30.00 | X | ||||
| Patrick Boyle | ||||||||||
| VP, Human Respurces | 10.40 | 0 | 181784 | 25089 | 29.60 | X | ||||
| Richard Norris | ||||||||||
| Pharmacist | 37.30 | 120603 | 0 | 4923 | 2.70 | X | ||||
| Reginald Ewing MD | ||||||||||
| Physician | 30.00 | 252167 | 0 | 253 | X | |||||
| Magda Daoud MD | ||||||||||
| Physician | 40.00 | 199396 | 0 | 13416 | X | |||||
| Taryn Draxler MD | ||||||||||
| Physician | 40.00 | 194613 | 0 | 34396 | X | |||||
| Nancy-Jo Rembaum | ||||||||||
| CRNA | 17.20 | 154308 | 0 | 10243 | 22.80 | X | ||||
| Lawrence Farnand | ||||||||||
| Former Officer | 4.30 | 0 | 138762 | 11447 | 15.70 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1227775 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1971203 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 240140 | TotalOtherCompensation |
| Number Individuals GT100 K | 6 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Related Organizations | 19297 | RelatedOrganizations |
| Government Grants | 304080 | GovernmentGrants |
| Total Contributions | 323377 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Patient Svc Revenue | 621990 | 27325585 | 27325585 |
| Meaningful Use Rev | 621990 | 197687 | 197687 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1062320 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1062320 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 28585592 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 337530 | TotalRevenueColumn |
| Exclusion | $337,530 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4527099 | Securities |
| Other | 7575 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4376081 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 151018 | Securities |
| Other | 7575 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 158593 | TotalRevenueColumn |
| Exclusion | $158,593 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 29405092 | TotalRevenueColumn |
| Related Or Exempt Function Income | 28585592 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $496,123 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15635081 | Total |
| Program Services | 14196477 | ProgramServices |
| Management And General | 1438604 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 450251 | Total |
| Program Services | 400874 | ProgramServices |
| Management And General | 49377 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3101171 | Total |
| Program Services | 2761082 | ProgramServices |
| Management And General | 340089 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 983680 | Total |
| Program Services | 875805 | ProgramServices |
| Management And General | 107875 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 249725 | Total |
| Program Services | 222339 | ProgramServices |
| Management And General | 27386 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42445 | Total |
| Program Services | 37790 | ProgramServices |
| Management And General | 4655 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8293 | Total |
| Program Services | 7384 | ProgramServices |
| Management And General | 909 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38800 | Total |
| Program Services | 34545 | ProgramServices |
| Management And General | 4255 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18346 | Total |
| Program Services | 16334 | ProgramServices |
| Management And General | 2012 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63431 | Total |
| Program Services | 56475 | ProgramServices |
| Management And General | 6956 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 230734 | Total |
| Program Services | 205431 | ProgramServices |
| Management And General | 25303 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 462734 | Total |
| Program Services | 411988 | ProgramServices |
| Management And General | 50746 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8379 | Total |
| Program Services | 7460 | ProgramServices |
| Management And General | 919 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34353 | Total |
| Program Services | 30586 | ProgramServices |
| Management And General | 3767 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 561528 | Total |
| Program Services | 499948 | ProgramServices |
| Management And General | 61580 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2124376 | Total |
| Program Services | 1891407 | ProgramServices |
| Management And General | 232969 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 370420 | Total |
| Program Services | 329798 | ProgramServices |
| Management And General | 40622 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Purchase Services & Lea | 2575421 | 2292989 | 282432 |
| Supplies | 1783842 | 1588218 | 195624 |
| NYS Assessment | 784138 | 698146 | 85992 |
| All Other Expenses | 140182 | 124811 | 15371 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29667330 | Total |
| Program Services | 26689887 | ProgramServices |
| Management And General | 2977443 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26020 | BOY |
| EOY | 22708 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 870238 | BOY |
| EOY | 2956469 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3311628 | BOY |
| EOY | 3460730 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 219174 | BOY |
| EOY | 260858 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 134779 | BOY |
| EOY | 137883 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 302296 | BOY |
| EOY | 314816 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 58161844 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 39088770 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19984120 | BOY |
| EOY | 19073074 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13915615 | BOY |
| EOY | 14936939 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4683920 | BOY |
| EOY | 3955251 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43447790 | BOY |
| EOY | 45118728 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3016336 | BOY |
| EOY | 4173918 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9687943 | BOY |
| EOY | 10489368 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9001652 | BOY |
| EOY | 8475472 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4627290 | BOY |
| EOY | 5003119 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26333221 | BOY |
| EOY | 28141877 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17114569 | BOY |
| EOY | 16976851 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17114569 | BOY |
| EOY | 16976851 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43447790 | BOY |
| EOY | 45118728 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -262238 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 500349 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -375829 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Both | X | FinancialStatementBoth |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $4,977 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 4977 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| Explanation | Portion of association dues attributed to lobbying expenses. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 399264 | OtherCostOrOtherBasis |
| Book Value | 399264 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 27928906 | OtherCostOrOtherBasis |
| Depreciation | 13694943 | Depreciation |
| Book Value | 14233963 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1909277 | OtherCostOrOtherBasis |
| Depreciation | 1416358 | Depreciation |
| Book Value | 492919 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 27924397 | OtherCostOrOtherBasis |
| Depreciation | 23977469 | Depreciation |
| Book Value | 3946928 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 19073074 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| SSMH Ventures | 210277 |
| Due from (to) Affiliates | -325539 |
| Mortgage Sinking Funds | 2493376 |
| Escrow Reserve LTC | 80480 |
| Res for Replacement LTC | 1496657 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 3955251 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Due to Affiliate - Pension | $4,631,629 |
| BCR Advance | $371,490 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 5003119 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 29905441 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 500349 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 500349 | RevenueNotRptdF990 |
| Revenue Subtotal | 29405092 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 29405092 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 29667330 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 29667330 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 29667330 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Uncertain Tax Positions Under FIN 48: | Identifier |
| Return Reference | Part X, Line 2: | ReturnReference |
| Explanation | Soldiers & Sailors Memorial Hospital (SSMH)is a not-for-profit corporation and is exempt from income taxes as an organization qualified under Section 501(c)(3) of the Internal Revenue Code. SSMH has also been classified by the IRS as an entity that is not a private foundation. As of December 31, 2012, SSMH does not have any uncertain tax positions. SSMH files informational returns in the U.S. federal jurisdiction and New York State. SSMH is no longer subject to U.S. federal and state examinations by tax authorities for years before 2009. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 180868 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 119908 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 60960 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00210 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 180868 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 119908 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 60960 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00210 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 85052 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 85052 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00290 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4556266 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4242365 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 313901 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01060 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4641318 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4242365 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 398953 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01350 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4822186 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4362273 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 459913 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01560 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 475 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 475 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 152600 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 152600 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00510 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 50 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 50 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 17672 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 17672 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 137765 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 137765 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00460 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 32850 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 32850 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 341412 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 341412 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.01140 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $1,618,484 | BadDebtExpenseAmount |
| Amount Attributable To | 272041 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 5116520 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 5114608 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 1912 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Soldiers & Sailors Memorial Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 418 North Main Street | AddressLine1 |
| City | Penn Yan | City |
| State | NY | State |
| ZIP Code | 14527 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Soldiers and Sailors Memorial Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 100.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 1 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| Part I, Line 7g: Subsidized health services:Emergency Services provided on a 24 - 7 basis and Ambulatory Surgery incur operating losses which are considered subsidized health services. | |
| Part II: Part II Community Building Activities:Soldiers & Sailors Memorial Hospital's Community Building Activities promote the health of the communities it serves through:1. Physical Improvements and Housing: N/A2. Economic Development: Soldiers & Sailors Memorial Hospital (SSMH) supports economic development in the community, via its membership in the Chamber of Commerce.3. Community Support: To be equipped for disaster situations, SSMH participates in emergency preparedness/disaster readiness activities, including disaster drills; stockpiling essential supplies for use during a disaster; training staff for disasters; and conducting POD events as training in the event of a disaster requiring mass immunizations. 4. Environmental Improvements: SSMH accepts sharps from community households and provides proper disposal of same at no cost to the households. 5. Coalition Building: Finger Lakes Health, which includes SSMH, Administrative Team members participate in multiple community organizations/partnerships for the betterment of the communities it serves, including ARC, Happiness House, Finger Lakes Visiting Nurse Service, Lakeview Mental Health, Success for Geneva's Children, Hobart William Smith Advisory Board, among others.6. Workforce Development: SSMH provides Career Exploration programs for young people, including:- tours of departments highlighting career options for students in the home-schooled association- Camp MedQuest, a two day healthcare career exploration program for high school students- shadowing opportunities for high school students.7. Negative Margins: SSMH provides Advanced Life Support at an operating loss to improve the well being of the community.Also, SSMH Community Services staff time is devoted to planning and implementing community outreach activities such as the Walk & Talk program and Keeping U in the Game, and completing Community Benefit reports. | |
| Part III, Line 4: Provision for Doubtful Accounts Footnote:The Hospitals, Living Centers and the Homestead estimate the amount to be recognized in the combined financial statements for doubtful accounts by analyzing specific patient and resident accounts for collectability and also by applying historically established percentages for self-pay and various third-party payers to the aging categories in the accounts receivable aging for each facility.Beginning in 2012 bad debts are recorded as a deduction from revenue rather than as an expense.Part III, Section A, 3Costing Methodology:HFMA P&P Board Statement 15, IX. Valuation and Disclosure of Bad Debts, 9.1 has been applied to the amount reported on line 2. The bad debt amount is recorded at the amount that the payer is expected to pay. The amount reported on line 3 is valued at patient care cost, i. e. the expected payment amount included in line 2 has been multiplied by the ratio of patient care cost to charges (54%). Based upon an analysis of income levels for accounts included in bad debts we estimated that 31% were eligible under the financial assistance program.Rationale for including a portion of bad debt amount as community benefit:It is not always possible to obtain sufficient information to make a determination of eligibility for financial assistance or reclassify bad debts as charity care. When income levels are learned we identify individuals unable to pay for services. Having provided services to those individuals we believe represents a community benefit. | |
| Part III, Line 9b: Collection practices for patients who are known to qualify for financial assistance:After the Customer Service Representative's initial determination, or the determination rendered after an appeal review, the patient's hospital account is adjusted to reflect the amount of any financial assistance deduction to be applied to it. The patient is billed for any remaining amount due, and is offered the telephone number of an individual within Patient Accounts who is available to assist the person in creating a self-payment plan that outlines patient re-payment steps over a specified period of time should the patient require such assistance. Individuals with valid requests for financial assistance are exempt from referrals to a collection agency. | |
| Part V, Section B, Line 20d: Maximum amount charged FAP-eligible individuals:Presently we apply a percentage discount to published charges for patients eligible for assistance under our financial assistance policy. Part V, 20Amounts billed greater than insurance coverage:Because we apply a percentage discount to published charges any individual patient's discounted amount may or may not be more than the amounts generally billed to individuals who had insurance covering such care. | Soldiers and Sailors Memorial Hospital |
| Part V, Section B, Line 21: Amounts generally billed:Presently we apply a percentage discount to published charges for patients eligible for assistance under our financial assistance policy. Any individual patient's discounted amount may or may not be more than the amounts generally billed to individuals who had insurance covering such care. | Soldiers and Sailors Memorial Hospital |
| Part VI, 2 (Needs Assessment Continued)Finger Lakes Health carries out various programming, as well as partnering with community agencies to address the needs identified in the Community Health Needs Assessment.To address Access to Care Finger Lakes Health has increased the number and location of health providers and services available to residents in our service area.Success has been achieved with the recruitment of physicians and allied health professionals, as well as the addition of hours by health system specialists in areas outside their main practice locations.Finger Lakes Health also implemented new transportation services in Yates County that to help link Dundee area residents in southern Yates County, to the primary care and specialty services offered in Penn Yan.Specialty services have been expanded to include: - Cardiology services are offered in Penn Yan (northern Yates County), Dundee (southern Yates County), and Clyde (Wayne County), and in the main Geneva office (Ontario County). Our cardiologists provide services to patients on a regular schedule close to home, which is vital in our rural area where transportation is often a barrier to patients receiving medical care in a timely fashion.- Nephrology services are offered in Geneva, Penn Yan and Waterloo. Additionally, FF Thompson Hospital contracts with Finger Lakes Health for these services to be offered in Canandaigua.- Our Physiatrist sees patients in Penn Yan, providing pain management services, in addition to the main practice office in Geneva.- Orthopedic services are now offered in Geneva, Clifton Springs and Penn Yan.Primary Care services: - In addition to the extension of specialty services to more areas, Finger Lakes Health recruited multiple primary care physicians to continue and grow access to those services. A Family Medicine physician began practicing in Penn Yan, replacing a retiring practitioner who maintained the largest family practice in the area; two family medicine physicians began practicing in Geneva, and an internist joined the Finger Lakes Health family of providers in Clifton Springs.- Additionally, Finger Lakes Health continues to provide access to primary careservices through our three Article 28 clinics in Clyde, Dundee and Waterloo. These clinics accept all insurances, including Medicare, Medicaid, Medicaid Managed Care, and a sliding scale for self-pay patients.- Limited transportation services in Yates County have created a barrier to Dundee area residents getting to medical services. A shuttle bus service was implemented in the fall of 2012 to transport Dundee residents to primary care, specialists, and medical testingservices in Penn Yan.- To provide access to services when primary care offices are closed evenings and weekends, a second Urgent Care Service was opened in Clifton Springs. Additionally, both the Geneva and Clifton Springs Urgent Care programs increased the number of days each week the service is offered. To address Chronic Disease, one of our key approaches relates to education, screening, and diagnosis. Therefore Finger Lakes Health has coordinated several important free health screening and public education events.- Heart disease being the number one cause of premature death, Finger Lakes Health initiated a new program to help prevent heart disease through promotion of health and fitness. Cardiac Rehab to PRE-Hab was conducted in Seneca County, because of exceptionally high risk factors for heart disease in that county. Participants spent one session per week for 10 weeks learning about risk factor modification, learning about the benefits of physical activity and healthy nutrition/cooking, and strategies for encouraging others to lead a healthy lifestyle. The program provided screenings, along with the educational and fitness components. Finger Lakes Health plans to introduce the program in other parts of its service area in the future.- Finger Lakes Health's Diabetes Services program offers "Living with Diabetes", a comprehensive class for diabetics and their families several times during the year. Additionally, the program has certified diabetes educators (BS, RN and dietician) who conduct one-on-one counseling with diabetes and their families, as well as offering a free support group to diabetes and their families monthly throughout the year in two communities.- We offer a Stroke Support Group monthly for stroke survivors, their family and caregivers.- A blood pressure screening is held in conjunction with the Stroke Support Group, as well as by our Cardiac Rehab staff on a regular schedule for community members, and at the Community Lunch Program in Geneva on a monthly schedule, as a way to provide the free screening to community members who are uninsured or underinsured. - A community CPR class is held annually during February - Heart Month.- Finger Lakes Health staff participated in a regional Breastfeeding Partnership Coalition to promote the nutritional and health benefits of breastfeeding for both infants and mothers.- Finger Lakes Health sits on a regional Dental Steering Committee that works to promote the importance of regular dental check ups as a way to prevent other health issues. The group also works toward increasing access to dental services in local communities.- Finger Lakes Health's Dine & Discuss lecture series covers many topics, including several directly related to chronic disease. For instance, during 2012, physicians presented programs to the community on: Chronic Obstructive Pulmonary Disease, Stress Management, which can lead to and/or make many chronic diseases worse, Arthritis, Making the Most of Your Doctor's Visit, and the Whether or Not Vitamin Supplements are Necessary.- Education is offered through Finger Lakes Health' community health magazine "Thrive". In 2012, features included tips on getting healthy from the CEO - "Advice to Thrive On"; information on kidney failure and dialysis; a Turn off the TV challenge to encourage less TV and more fitness.To impact Fitness & Nutrition:- Geneva General Child Care Center holds an annual 5K Cubby Chase and Kid Fun Run. The event promotes a fun way for families to work together to achieve improved fitness. - Keeping U in the Game was offered by Finger Lakes Health to young athletes, their families, athletic trainers, coaches, athletic directors, and the community at large. The program featured three physicians speaking on concussion prevention, diagnosis and treatment; the athlete's heart, and preventing sports injuries.- Finger Lakes Health had staff trained in the Cornell Nutrition Works program Preventing Childhood Obesity: An Ecological Approach. That staff then developed a plan to train high school age students on preventing childhood obesity. Those students in turn will serve as mentors for elementary-age students to teach the good habits that will prevent obesity in the future.Covering all of the needs is Finger Lakes Health's "Walk & Talk for Health" program. Aimed at getting community members to participate in an easy exercise regimen to improve their overall health and fitness, Walk & Talk provides and encourages regular fitness and good nutrition. Additionally, regular exercise is known to help reduce the occurrence of many chronic diseases. And, each walk in the Walk & Talk program is led by healthcare professionals. Thus, walkers were offered increased access to care through the opportunity to meet healthcare providers who led the walks and answered questions from participants. Walks are held in three communities (Geneva, Waterloo, and Penn Yan).- As one of the largest employers in some of our counties and in the region, Finger Lakes Health also initiated a "Walk at Work" program to engage health system employees in improving their health.- Diagnosis being one of the keys to chronic disease prevention and control, the Walk & Talk and Walk at Work programs also included a screening component. All participants (200+ community members and 300+ employees) were invited to have blood pressures taken, BMIs calculated, and blood draws done to test cholesterol and A1C levels.We are continually addressing the needs identified in the CHNA. The challenge lies in having a significant impact on the health-related behaviors of the population in our service area.For instance, we get them walking in the Walk and Talk program, held every other week and encourage them to count steps in between each walk and to form their own walking groups outside of our program. We have found some individuals and small groups are doing that, but we continue to struggle with impacting the masses.Additionally, the screenings are offered to all participants. Many do the first blood draws and get a baseline reading, but few complete the second blood draw to see how exercising and improved nutrition have impacted their risk factors. | |
| Part VI, Line 2: Needs assessment:It is vital that we focus our resources and efforts on areas of health and wellness that matter most in our communities. Therefore, we conduct needs assessments, includingpatient and community surveys and reviewing research data on disease prevalence. In addition, our long-standing Community Advisory Committee, a sub-committee ofour Board of Directors, engages community members to identify community needs and solutions.In 2009, along with other health systems and public health departments in New York State, we used the framework of the NYS Health Commissioner's "Prevention Agenda" as a basis for our community health planning. By drawing upon the public health's prevention agenda, studying data collected through primary and secondary research,and partnering with local health departments in Ontario, Seneca and Yates counties, the health priorities for 2010-2013 were identified. Our community needs outreachefforts for 2010-2013 were aligned with these priorities.Members of the Finger Lakes Health Community Services Department staff serve as representatives at meetings in each of our partner counties (Choose Health Ontario, Yates Health Planning Council, and Seneca County Health Improvement Group) to conduct the needs assessments, review the information gathered from the assessments and in turn determine the health priorities. Those same teams also work together to implement plans to meet the needs identified in the assessments.The priorities established through this process for 2010-2013 that are reflected in our current report, were:-Access to quality health care-Chronic disease management, with emphasis on cardiovascular health-Physical activity and nutrition educationIn 2012-2013, Finger Lakes Health, along with other health systems and public health departments in New York State, again used the framework of the NYS Health Commissioner's "Prevention Agenda" as a basis to conduct another needs assessment to inform our community health planning for the coming years. By drawing upon the public health's prevention agenda, studying data collected through Tools used to conduct the CHNA and get it to the largest group possible, included:-An online survey available to anyone in the community. Promoted via newspaper, email blast to employees, Constant Contact email blast to community members on the email list, in our Spring 2012 Thrive community health magazine, circulated to 90,000 households in our service area.-Focus groups done in cooperation with our county partners targeting specific populations, including the African American Men's Society of Geneva, a Head Start parents' group, the Office for the Aging, and human service agencies, such as ARC, FLACRA, etc.-Distribution of printed copies of the survey via waiting rooms in our facilities and to individuals without Internet access.-Survey of area healthcare providers and human services agencies via email distribution of survey and promotion at various health planning group meetings in the various counties.Once the survey process was completed, the results were tabulated by the S2AY Rural Health Network, which works with multiple counties in the Finger Lakes. Then, individuals who are part of each county - Ontario, Seneca and Yates, steering groups (mentioned above) ranked the issues which were identified through data review, surveys to the public and through focus groups. The ranking was completed using the Hanlon Method.After the issues were ranked, we determined the two health prevention priorities that our Community Health Improvement Plan will be based on.Those priorities by county in Finger Lakes Health's service area are:Yates County:-Obesity prevention-Hypertension-Unintentional InjuryOntario County:-Hypertension/stroke-Obesity, with a focus on childhood obesitySeneca County:-Prevention of Chronic Disease-Promotion of mental health-Prevention of substance abuse A draft Community Health Improvement Plan is currently being developed, which will outline how we intend to meet the priority needs. Implementation of programming to meet those needs will follow.(Description Continued) | |
| Part VI, Line 3: Patient education of eligibility for assistance:Financial assistance under the organization's policy is available to assist uninsured or underinsured members of our community who are willing but unable to pay in full for their care. The program allows a person to receive medically necessary and emergency services at no charge or reduced charges when they meet certain eligibility requirements. Information about the services is available through signage and applications placed in the emergency department, registration areas, and the patient accounts office. We have also published this information in direct mail sent to area homes and also promoted the program on our local radio show. The hospital's website contains information on financial assistance. | |
| Part VI, Line 4: Community information:Soldiers & Sailors Memorial Hospital provides a full range of acute care services to residents of the Finger Lakes region in Upstate New York. The hospital reviews demographic data from sources such as the US Census to identify trends. The hospital uses health indicators and utilization data from numerous sources and receives community input from public surveys. We have a Community Advisory Committee which serves as a regular forum for community input and fostering collaboration. We gather opinion related data from focus groups, satisfaction surveys, and employee opinion surveys. We participate in a Needs Assessment Process and participate as an active member of the community through board participation on numerous local and state-wide health related organizations. | |
| Part VI, Line 5: Community health improvement services and community benefit operations:Soldiers & Sailors Memorial Hospital's Community health improvement and community benefit operations promote the health of the communities it serves through: 1. Community Health Education: Educational content on Finger Lakes Health website- Adam & Healthday Thrive community health magazine- Advice to Thrive on Message from the CEO (get healthy suggestions)- Dr. Scheier physician/patient relationship advice- Kidney Failure/What is Dialysis education- Turn off the TV Challenge- CEO message (recognitions that patients need to know - 100% of patients get aspirin, etc.)- Know Your Numbers (BP, glucose, cholesterol, etc. & management tips)- Keeping U in the Game (symptoms of concussion, heart issues and sports injuries for young athletes)- Risk Factors for Heart Disease Walk & Talk for Health, a community walking program led by healthcare professionals. Twenty walks were held in three communities. Fitness and nutrition information was offered, along with pedometers and walking journals to track steps. In addition, participants were offered free cholesterol, A1C and blood pressure screenings. Keeping U In The Game, an educational program for young athletes, their parents and coaches, with presentations by three physicians on concussion, sports and the athlete's heart, and sports injuries. Finger Lakes Health Matters, an educational radio show aired 26 times during the year on the regional Finger Lakes Radio Network featuring health system professionals speaking to a wide range of health topics. Dine & Discuss Lecture Series, educational lectures presented by health system physicians and other healthcare professionals on varied topics, including joint replacement, stress management, COPD, etc. Support Groups, including monthly Diabetes Support Groups facilitated by certified diabetes educatorsare held for diabetics and their families. 2. Nurses/Nursing Students The clinical education and mentoring of nursing students from area programs of study, including the Marion W. Whelan School of Practical Nursing and the Finger Lakes Health College of Nursing.3. Other Health Professionals Education Clinical Education provided to students from various colleges/programs of study for academic credit:- Keuka College Field Periods- Finger Lakes Regional EMS training- Other colleges4. In-Kind Donations Not-for-profit event sponsorships, such as:- Yates Concert Series - Celebrate Yates Community Service Day - Happiness House - Ontario Yates Hospice - Yates Chamber - Family Counseling Service of the Finger Lakes- Donation of pedometers to Yates County Office for the Aging for an exercise program they were sponsoring SSMH staff donating time to community agencies on behalf of SSMH and Finger Lakes Health, such as:- United Way- American Red Cross- Finger Lakes Regional EMS Council- Yates Health Planning Council- Yates TB & Health Association Blood Pressure Screenings, conducted by Cardiac Rehab nurses for community members on a walk-in basis Facility space provided to community organizations free of charge for use to conduct meetings. Facility space provided free of charge to Yates Community Center for use as a fitness center. | |
| Part VI, Line 6: Affiliated health system: Health services are provided on three campuses located in Penn Yan, NY (Yates County), Geneva NY (Ontario County) and Waterloo NY (Seneca County). The health system offers a broad range of primary, specialty and sub-specialty services to residents of the Finger Lakes. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Charles Lilly MD | ||||||||||||||
| Trustee | 279688 | 0 | 10000 | 0 | 17000 | 0 | 0 | 0 | 641 | 0 | 307329 | 0 | 0 | 0 |
| Jose Acevedo MD MBA | ||||||||||||||
| President & CEO | 0 | 409194 | 0 | 84800 | 0 | 18395 | 0 | 0 | 0 | 23628 | 0 | 536017 | 0 | 0 |
| Patricia Thompson | ||||||||||||||
| Treasurer & CFO | 0 | 203989 | 0 | 11556 | 0 | 1150 | 0 | 0 | 0 | 22694 | 0 | 239389 | 0 | 0 |
| Jason Feinberg MD | ||||||||||||||
| VP Med Aff & CMO, Former Trustee | 0 | 290546 | 0 | 34050 | 0 | 18218 | 0 | 0 | 0 | 24535 | 0 | 367349 | 0 | 0 |
| Frank Korich | ||||||||||||||
| VP & Site Administrator | 0 | 142167 | 0 | 15567 | 0 | 1650 | 0 | 0 | 0 | 23576 | 0 | 182960 | 0 | 0 |
| James Hiserodt | ||||||||||||||
| Senior VP, Operations | 0 | 180234 | 0 | 15412 | 0 | 33629 | 0 | 0 | 0 | 22492 | 0 | 251767 | 0 | 0 |
| Eileen Gage | ||||||||||||||
| VP, Nursing | 0 | 172538 | 0 | 8638 | 0 | 8924 | 0 | 0 | 0 | 22807 | 0 | 212907 | 0 | 0 |
| Patrick Boyle | ||||||||||||||
| VP, Human Respurces | 0 | 172092 | 0 | 7762 | 0 | 1930 | 0 | 0 | 0 | 25089 | 0 | 206873 | 0 | 0 |
| Reginald Ewing MD | ||||||||||||||
| Physician | 235167 | 0 | 0 | 0 | 17000 | 0 | 0 | 0 | 253 | 0 | 252420 | 0 | 0 | 0 |
| Magda Daoud MD | ||||||||||||||
| Physician | 178700 | 0 | 20000 | 0 | 696 | 0 | 0 | 0 | 13416 | 0 | 212812 | 0 | 0 | 0 |
| Taryn Draxler MD | ||||||||||||||
| Physician | 187356 | 0 | 7163 | 0 | 94 | 0 | 0 | 0 | 34396 | 0 | 229009 | 0 | 0 | 0 |
| Nancy-Jo Rembaum | ||||||||||||||
| CRNA | 147022 | 0 | 5000 | 0 | 2286 | 0 | 0 | 0 | 10243 | 0 | 164551 | 0 | 0 | 0 |
| Lawrence Farnand | ||||||||||||||
| Former Officer | 0 | 121762 | 0 | 0 | 0 | 17000 | 0 | 0 | 0 | 11447 | 0 | 150209 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Information | Identifier |
| Return Reference | Part III | ReturnReference |
| Explanation | Jose Acevedo MD MBA, President & CEO Geneva General Hospital: Average Hours per week: 23.63; Base Compensation: $302,756; Benefits: $13,960 Jose Acevedo MD MBA, President & CEO Living Center at Geneva South, Inc: Average Hours per week: 2.73; Base Compensation: $34,994; Benefits: $1,614 Jose Acevedo MD MBA, President & CEO Living Center at Geneva North, Inc: Average Hours per week: 1.62; Base Compensation: $20,762; Benefits: $957 Jose Acevedo MD MBA, President & CEO Huntington Living Center, Inc: Average Hours per week: 3.19; Base Compensation: $40,846; Benefits: $1,884 Jose Acevedo MD MBA, Assistant Secretary Finger Lakes Health Foundation: Average Hours per week: .16; Base Compensation: $2,087; Benefits: $96 Jose Acevedo MD MBA, President & CEO Soldiers & Sailors Memorial Hospital: Average Hours per week: 8.66; Base Compensation: $110,943; Benefits: $5,116 Jose Acevedo MD MBA, President & CEO Finger Lakes Health: Total Average Hours per week: 40; Total Base Compensation: $512,389; Total Benefits: $23,628 Patricia P. Thompson, Treasurer & CFO Geneva General Hospital: Average Hours per week: 23.63; Base Compensation: $128,038; Benefits: $13,408 Patricia P. Thompson, Treasurer & CFO Living Center at Geneva South, Inc: Average Hours per week: 2.73; Base Compensation: $14,799; Benefits: $1,550 Patricia P. Thompson, Treasurer & CFO Living Center at Geneva North, Inc: Average Hours per week: 1.62; Base Compensation: $8,780; Benefits: $920 Patricia P. Thompson, Treasurer & CFO Huntington Living Center, Inc: Average Hours per week: 3.19; Base Compensation: $17,274; Benefits: $1,809 Patricia P. Thompson, Treasurer Finger Lakes Health Foundation: Average Hours per week: .16; Base Compensation: $882; Benefits: $92 Patricia P. Thompson, Treasurer & CFO Soldiers & Sailors Memorial Hospital: Average Hours per week: 8.66; Base Compensation: $46,919; Benefits: $4,914 Patricia P. Thompson, Treasurer & CFO Finger Lakes Health: Total Average Hours per week: 40; Total Base Compensation: $216,695; Total Benefits: $22,694 Lawrence J. Farnand, Treasurer & CFO Geneva General Hospital: Average Hours per week: 11.82; Base Compensation: $81,991; Benefits: $6,765 Lawrence J. Farnand, Former Treasurer & CFO Living Center at Geneva South, Inc: Average Hours per week: 1.37; Base Compensation: $9,477; Benefits: $782 Lawrence J. Farnand, Former Treasurer & CFO Living Center at Geneva North, Inc: Average Hours per week: .81; Base Compensation: $5,623; Benefits: $464 Lawrence J. Farnand, Former Treasurer & CFO Huntington Living Center, Inc: Average Hours per week: 1.59; Base Compensation: $11,062; Benefits: $913 Lawrence J. Farnand, Former Treasurer Finger Lakes Health Foundation: Average Hours per week: .08; Base Compensation: $565; Benefits: $47 Lawrence J. Farnand, Former Treasurer & CFO Soldiers & Sailors Memorial Hospital: Average Hours per week: 4.33; Base Compensation: $30,045; Benefits: $2,479 Lawrence J. Farnand, Former Treasurer & CFO Finger Lakes Health: Total Average Hours per week: 20; Total Base Compensation: $138,762; Total Benefits: $11,447 | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section B, line 11 | The Form 990 is reviewed by the Administrative Committee of the Board prior to being filed. Any Committee findings are reviewed and implemented as appropriate by management. Changes in IRS requirements and organization practices from the prior year are highlighted for the Committee by management. The Committee reports on this discussion to the full Board. | |
| Form 990, Part VI, Section B, line 12c | Soldiers & Sailors Memorial Hospital of Yates County maintains a conflict of interest policy which board members are required to sign prior to taking office. Statements are updated annually and reviewed by an Administrative Committee. The process for handling any conflicts of interest which may arise are detailed in the corporate by-laws. | |
| Form 990, Part VI, Section B, line 15 | Compensation of officers or key employees includes a review as well as comparability data as part of the decision. | |
| Form 990, Part VI, Section C, line 19 | Soldiers & Sailors Memorial Hospital of Yates County makes its governing documents, conflict of interest policy, and financial statements available to the public where required by law and upon request. The organization's Form 990 is provided to any individual who provides a request in person or who submits a written request. There is no charge other than a reasonable fee for copying and postage. Copies are available at the Finance Office. An electronic version may be found at www.guidestar.org. | |
| Form 990, Part XI, line 9: | Change in Funded Status of Pension Plan -375,829. | Changes in Net Assets or Fund Balances: |
| Part IV, Line 4 Association dues included $4,977 in lobbying expenses. Part XII, Line 2c The process has not changed from the prior year. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|
| Finger Lakes Regional Health System Inc | ||||||||||
| 196 North Street | Geneva | NY | 14456 | 223193606 | Sole Member of SSMH, FLHF, LCS, HLC, LCN, FLHSC and GGH | NY | 501 (C) (3) | 7 | 0 | |
| Finger Lakes Health Foundation | ||||||||||
| 196 North Street | Geneva | NY | 14456 | 150549310 | Coordinator of Fundraising Activities | NY | 501 (C) (3) | 11c | 0 | Finger Lakes Regional Health System Inc |
| Living Center at Geneva South | ||||||||||
| 196 North Street | Geneva | NY | 14456 | 160957268 | Skilled Nursing Facility | NY | 501 (C) (3) | 3 | 0 | Finger Lakes Regional Health System Inc |
| Huntington Living Center | ||||||||||
| 369 E Main Street | Waterloo | NY | 13165 | 510169552 | Skilled Nursing Facility | NY | 501 (C) (3) | 3 | 0 | Finger Lakes Regional Health System Inc |
| Geneva General Hospital Housing Development Co | ||||||||||
| 196 North Street | Geneva | NY | 14456 | 222816883 | Operate Low Income Housing for elderly & handicapped | NY | 501 (C) (3) | 9 | 0 | Finger Lakes Regional Health System Inc |
| Taylor Brown Memorial Housing Development Co | ||||||||||
| 371 East Main Street | Waterloo | NY | 13165 | 222807734 | Operate Low Income Housing for elderly & handicapped | NY | 501 (C) (3) | 9 | 0 | Finger Lakes Regional Health System Inc |
| Living Center at Geneva North Inc | ||||||||||
| 196 North Street | Geneva | NY | 14456 | 161449543 | Skilled Nursing Facility | NY | 501 (C) (3) | 3 | 0 | Finger Lakes Regional Health System Inc |
| FLH Senior Communities Inc | ||||||||||
| 196 North Street | Geneva | NY | 14456 | 205604917 | Develop and Operate Senior Citizen Housing Complex | NY | 501 (C) (3) | 9 | 0 | Finger Lakes Regional Health System Inc |
| Geneva General Hospital | ||||||||||
| 196 North Street | Geneva | NY | 14456 | 160743032 | Provider of Healthcare Services | NY | 501 (C) (3) | 3 | 0 | Finger Lakes Regional Health System Inc |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Soldiers Ventures Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 196 North Street | AddressLine1 |
| City | Geneva | City |
| State | NY | State |
| ZIP Code | 14456 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161556419 | EIN |
| Primary Activity | Holding, Investing | PrimaryActivity |
| Legal Domicile State | NY | LegalDomicileState |
| Type Of Entity | C | TypeOfEntity |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Geneva General Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | Q | TransactionType |
| Amount Involved | 372590 | AmountInvolved |
| Method Of Amt Determination | Direct Transaction(s) | MethodOfAmtDetermination |
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