2013-11-14T09:25:25-06:00 2012-12-31 990 2012-01-01 160743192 Soldiers and Sailors Memorial Hospital of Yates County SOLD 3157874030 418 North Main Street Penn Yan NY 14527 Pamela E Johnson 3157874030 2013-11-14 2012 2016-02-25 16:41:14Z Jose Acevedo MD MBA 196 North Street Geneva NY 14456 33781173 0 X www.flhealth.org X 1924 NY 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. 19 17 532 43 0 0 328055 323377 28132801 28585592 692631 496123 1099758 0 30253245 29405092 0 0 0 0 19818760 20170183 0 0 0 11225034 9497147 31043794 29667330 -790549 -262238 43447790 45118728 26333221 28141877 17114569 16976851 X 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. 0 0 26689887 28387905 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. 26689887 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 2 0 1 532 1 0 0 0 0 0 0 0 0 0 0 X 19 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X Pamela E Johnson 3157874030 196 North Street Geneva NY 14456 Dominic Fonte 1.00 X X 0 0 0 Philip Beckley 1.00 X X 0 0 0 Donald Gentilcore Jr 1.00 X X 0 0 0 Rev James Adams 1.00 X 0 0 0 Michael Briggs 1.00 X 0 0 0 David Bunnell 1.00 X 0 0 0 Menzo Case 1.00 X 0 0 0 Richard Catanise 1.00 X 0 0 0 Stephen DeRaddo 1.00 X 0 0 0 John Hicks 1.00 X 0 0 0 Amy Hoffman 1.00 X 0 0 0 Steven Lasser MD 1.00 X 0 0 0 Charles Lilly MD 1.00 X 306688 0 641 James Long 1.00 X 0 0 0 Ann McMullen 1.00 X 0 0 0 Kelly Mittiga 1.00 X 0 0 0 Laura Pedersen 1.00 X 0 0 0 Donald Wertman 1.00 X 0 0 0 Jose Acevedo MD MBA 8.70 31.30 X X 0 512389 23628 Patricia Thompson 8.70 31.30 X 0 216695 22694 Jason Feinberg MD 8.00 32.00 X 0 342814 24535 Frank Korich 12.00 28.00 X 0 159384 23576 James Hiserodt 6.00 34.00 X 0 229275 22492 Eileen Gage 10.00 30.00 X 0 190100 22807 Patrick Boyle 10.40 29.60 X 0 181784 25089 Richard Norris 37.30 2.70 X 120603 0 4923 Reginald Ewing MD 30.00 X 252167 0 253 Magda Daoud MD 40.00 X 199396 0 13416 Taryn Draxler MD 40.00 X 194613 0 34396 Nancy-Jo Rembaum 17.20 22.80 X 154308 0 10243 Lawrence Farnand 4.30 15.70 X 0 138762 11447 1227775 1971203 240140 6 1 1 0 0 19297 304080 323377 Patient Svc Revenue 621990 27325585 27325585 Meaningful Use Rev 621990 197687 197687 1062320 1062320 28585592 337530 337530 4527099 7575 4376081 0 151018 7575 158593 158593 29405092 28585592 0 496123 15635081 14196477 1438604 450251 400874 49377 3101171 2761082 340089 983680 875805 107875 249725 222339 27386 42445 37790 4655 8293 7384 909 38800 34545 4255 18346 16334 2012 63431 56475 6956 230734 205431 25303 462734 411988 50746 8379 7460 919 34353 30586 3767 561528 499948 61580 2124376 1891407 232969 370420 329798 40622 Purchase Services & Lea 2575421 2292989 282432 Supplies 1783842 1588218 195624 NYS Assessment 784138 698146 85992 All Other Expenses 140182 124811 15371 29667330 26689887 2977443 0 26020 22708 870238 2956469 3311628 3460730 219174 260858 134779 137883 302296 314816 58161844 39088770 19984120 19073074 13915615 14936939 4683920 3955251 43447790 45118728 3016336 4173918 9687943 10489368 9001652 8475472 4627290 5003119 26333221 28141877 X 17114569 16976851 17114569 16976851 43447790 45118728 X -262238 500349 -375829 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4977 4977 0 Explanation of Lobbying Activities: Part II-B, Line 1: Portion of association dues attributed to lobbying expenses. 399264 399264 27928906 13694943 14233963 1909277 1416358 492919 27924397 23977469 3946928 19073074 SSMH Ventures 210277 Due from (to) Affiliates -325539 Mortgage Sinking Funds 2493376 Escrow Reserve LTC 80480 Res for Replacement LTC 1496657 3955251 Due to Affiliate - Pension 4631629 BCR Advance 371490 5003119 X 29905441 500349 500349 29405092 0 29405092 29667330 0 29667330 0 29667330 Description of Uncertain Tax Positions Under FIN 48: Part X, Line 2: 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. 1 1 1 X 1 X 1 1 1 0 1 1 180868 119908 60960 0.00210 180868 119908 60960 0.00210 85052 85052 0.00290 4556266 4242365 313901 0.01060 4641318 4242365 398953 0.01350 4822186 4362273 459913 0.01560 475 475 0.00000 152600 152600 0.00510 50 50 0.00000 17672 17672 0.00060 137765 137765 0.00460 32850 32850 0.00110 341412 341412 0.01140 1 1618484 272041 5116520 5114608 1912 X 1 1 1 1 Soldiers & Sailors Memorial Hospital

418 North Main Street Penn Yan NY 14527

X X X X Soldiers and Sailors Memorial Hospital 1 1 1 100.000000000000 1 300.000000000000 1 X X X X X X X 1 1 X X X X X X 1 0 X X X X 1 X 1 0 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. Soldiers and Sailors Memorial Hospital 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. 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. X X X X X 0 0 0 0 0 0 0 0 0 Charles Lilly MD 279688 0 10000 0 17000 0 0 0 641 0 307329 0 0 0 Jose Acevedo MD MBA 0 409194 0 84800 0 18395 0 0 0 23628 0 536017 0 0 Patricia Thompson 0 203989 0 11556 0 1150 0 0 0 22694 0 239389 0 0 Jason Feinberg MD 0 290546 0 34050 0 18218 0 0 0 24535 0 367349 0 0 Frank Korich 0 142167 0 15567 0 1650 0 0 0 23576 0 182960 0 0 James Hiserodt 0 180234 0 15412 0 33629 0 0 0 22492 0 251767 0 0 Eileen Gage 0 172538 0 8638 0 8924 0 0 0 22807 0 212907 0 0 Patrick Boyle 0 172092 0 7762 0 1930 0 0 0 25089 0 206873 0 0 Reginald Ewing MD 235167 0 0 0 17000 0 0 0 253 0 252420 0 0 0 Magda Daoud MD 178700 0 20000 0 696 0 0 0 13416 0 212812 0 0 0 Taryn Draxler MD 187356 0 7163 0 94 0 0 0 34396 0 229009 0 0 0 Nancy-Jo Rembaum 147022 0 5000 0 2286 0 0 0 10243 0 164551 0 0 0 Lawrence Farnand 0 121762 0 0 0 17000 0 0 0 11447 0 150209 0 0 Supplemental Information Part III 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 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. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: Change in Funded Status of Pension Plan -375,829. 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. 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 Finger Lakes Regional Health System Inc 0 Living Center at Geneva South 196 North Street Geneva NY 14456 160957268 Skilled Nursing Facility NY 501 (C) (3) 3 Finger Lakes Regional Health System Inc 0 Huntington Living Center 369 E Main Street Waterloo NY 13165 510169552 Skilled Nursing Facility NY 501 (C) (3) 3 Finger Lakes Regional Health System Inc 0 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 Finger Lakes Regional Health System Inc 0 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 Finger Lakes Regional Health System Inc 0 Living Center at Geneva North Inc 196 North Street Geneva NY 14456 161449543 Skilled Nursing Facility NY 501 (C) (3) 3 Finger Lakes Regional Health System Inc 0 FLH Senior Communities Inc 196 North Street Geneva NY 14456 205604917 Develop and Operate Senior Citizen Housing Complex NY 501 (C) (3) 9 Finger Lakes Regional Health System Inc 0 Geneva General Hospital 196 North Street Geneva NY 14456 160743032 Provider of Healthcare Services NY 501 (C) (3) 3 Finger Lakes Regional Health System Inc 0 Soldiers Ventures Inc 196 North Street Geneva NY 14456 161556419 Holding, Investing NY C 1.00000 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 Geneva General Hospital Q 372590 Direct Transaction(s)